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FORE-SIGHT ® MC-2000 Series Cerebral Oximeter User Manual

Contents

1. Place Place the Event mark on the trace see Placing an Event Mark on the Patient Record page 60 Delete Delete the Event Mark from the Menu list CANCEL Exit Event Mark menu 21 02 0217 Rev 08 03 09 Page 61 Basic Operations FORE SIGHT MC 2000 Series Monitor Event Action What would you like to do with the event Y PLACE PERETE CANCEL Figure 33 Event Action Undo the Last Event Mark To undo the last Event Mark placed in the Patient Record 1 Turn the rotary control knob to select the Event menu 2 Press the rotary control knob to open the Event menu 3 Turn the rotary control knob to select the Undo last event 4 Press the rotary control knob and the last event placed shall be removed from the Patient Record Note Only the Last Event entered can be undone The Undo last event selection will be unavailable once the last Event is undone Switching between Active and Historical Mode You can switch the current display between the active mode showing data in real time and the historical mode showing data previously captured during the current session Note When you are in the historical mode data continues to be collected and saved to memory No data is lost and you can switch back to active mode at any time To switch between modes turn the rotary control knob to highlight the active historical mode selection button at the upper right of the screen see Figure 5 page 32 and press the rotar
2. uc 7 Warning Conductive Connections Extreme care must be exer cised when applying medical electrical equipment Many parts of the human machine circuit are conductive such as the patient connectors electrodes and transducers It is very important that these conductive parts do not come into contact with other grounded conductive parts when connected to the isolated patient input of the device Such contact would bridge the patient s isola tion and cancel the protection provided by the isolated input In particular there must be no contact of the neutral electrode and ground 17 Caution Service performed by unauthorized personnel could be damaging to the monitor and may void the warranty Internal Bat teries are intended to be replaced by authorized personnel only For service contact your CAS Representative w 7 Caution Inspect the cables and sensors for damage prior to op eration If any damage is noted the cables or sensor should not be used until it has been serviced or replaced on Caution Do not kink or bend cables Maintenance Intervals Preventive maintenance of the monitor is an important function that should be performed routinely to ensure safe and efficient monitor operation The following maintenance intervals are rec ommended e Monitor No user calibration is required e Batteries Should be replaced every 2 years Note To maintain proper battery charge plug the FORE SIGHT cerebral oximeter into
3. Exceptions 21 02 0217 Rev 08 03 09 The FORE SIGHT MC 2000 Series Monitor bears the CE mark CE 0086 indicating conformity with the provisions of the Council Directive 93 42 EEC concerning medical devices and fulfills the essential requirements of Annex I of this directive None Page T FORE SIGHT MC 2000 Series Monitor General Information This manual is an integral part of the product and describes its in tended use Compliance with the manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety The symbol means ATTENTION Consult accompanying docu ments JENIS Indicates protection BF of the applied part against the effects of RK electrical shock CLASS 1 LASER l l PRODUCT Indicates unit contains a Class 1 Laser Product The warranty does not cover damages resulting from the use of accessories and consumables from other manufacturers CAS Medical Systems Inc is responsible for the effects on safety reliability and performance of the product only if e Assembly operations extensions readjustments modifica tions or repairs are carried out by persons authorized by CAS Medical Systems Inc e The electrical installation of the relevant room complies with the requirements of the appropriate regulations e The device is used in accordance with the instructions for use e All publications conform to the product specifications and appli cable IE
4. Right key rrrnrrrrarernrennnnennre 48 Figure 21 SctO Limits dialog rrrarrrnrrrrnneranrrnnnnranennnnnnnnrnnnnnnnne 49 Figure 22 Preferences dialog ccccccccseccceseeeeeeceeeeeseeeeeesaees 50 Figure 23 Brightness ialOg cccccsecceseceeecseeceeeceeeeueeeeeeaeees 51 Figure 24 Auto Dim dialog annannannannannenonnnnnnnnnnnnnnnnnnnnnnnnnnnnne 52 Figure 25 Languages dialog ranrnnrrnnnrnnnrnnnnnnnnnnrnnnrnnnrnnnrnannnnnen 52 Foure 263 FORMS dialaan eateries desea ietsiceteeee es 53 Figure 27 Date amp Time dialog ccccccccseccceeeeeeeeceeeseeeeeeesaees 57 Figure 28 Positioning Event CUrSor rrananannnnnnnnnnnnrnnnrvnnrnnnennnrr 59 Figure 29 Add Event Mark to Menu rarrnnrnnnrrnnrnnrrnnrrnnnrnnnrnnnnn 60 Figure 30 Vertical Position of Event Mark rrrrnnrrnnnnnnrnnnrvnnnennn 60 Figure 31 Figure 32 Figure 33 Figure 34 Figure 35 Horizontal Position of Event Mark rrrrnnrnnnroranennnnrr 61 Final Position of Event Mark cccccccseeeeeeeeeeeees 61 EVEN AO NR 62 Start FS Data Collection popup dialog 6 70 Stop FS Data Collection popup dialog 06 71 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Figure 36 a FS Data Review dialog rrrerernrrrnnrrrnrrvrarernnrnnnre 71 Figure 37 Save to USB dialog rrrrnrrrnnrrvvnnnrnnnnvrnnnrnvnnrnvnnnnnn 73 F
5. e Power on the FORE SIGHT Monitor by pressing the On Standby button on the front of the Monitor Refer to page 94 for explanations of the Printer Icon displayed in the upper right corner of the Main screen Continuous Tabular Print When the Continuous Tabular Print selection is enabled the monitor will continuously transmit Left Right and Average SctO gt values every 20 seconds along with a timestamp Hour Minute Second A header consisting of the date and column identifiers is printed at the start of data and periodically every 20 lines A sample printout of real time numerics is shown below see Figure 45 page 80 Note Each time the Monitor is turned on and the Printer is connected and on the following FORE SIGHT logo is printed automatically on the paper 21 02 0217 Rev 08 03 09 Page 79 Printer FORE SIGHT MC 2000 Series Monitor FORE S GHT A LASMED SOLUTION 2007 04 30 L R AVG 16 29 20 69 69 69 16 29 40 69 69 69 16 30 00 69 69 69 16 30 20 69 69 69 16 30 40 69 69 69 16 31 00 69 69 69 16 31 20 68 69 69 16 31 40 68 69 69 16 32 00 67 69 68 16 32 20 67 69 68 16 32 25 PROCEDURE 16 32 40 66 69 68 16 33 00 66 69 68 16 33 20 65 69 67 16 33 40 65 69 67 16 34 00 64 69 67 16 34 20 64 69 67 16 34 40 64 69 67 16 35 00 64 69 67 16 35 20 64 69 67 2007 04 30 L R AVG 16 35 40 64 69 67 Figure 45 Tabular Print Example Note An asterisk after the L eft or R ight value indicates an alarm conditi
6. Left patient cable is disconnected Check left patient cable connections disconnect Clean fiber optic connections using CASMED supplied cleaning tips then reconnect left patient cable Replace left patient cable if necessary L Invalid Sensor An invalid sensor has been Unplug this sensor and plug in a valid sensor plugged into the Left monitor Contact CAS Customer Service if this should be a cable valid sensor for your unit L Not calibrated An sensor has been plugged into Unplug this sensor and plug in a valid sensor for probe type the Left monitor cable thathas Contact CAS Customer Service if this should be a no Calibration information valid sensor for your unit R SctO gt M cable Right monitor cable is discon disconnect Check right monitor cable connections Clean fiber optic connections using CASMED supplied cleaning tips then reconnect right moni tor cable Replace right monitor cable if necessary R SctO P cable Right patient cable is discon Check right patient cable connections disconnect nected Clean fiber optic connections using CASMED supplied cleaning tips then reconnect right pa tient cable Replace right patient cable if necessary R Invalid Sen An invalid sensor has been Unplug this sensor and plug in a valid sensor sor plugged into the Right monitor Contact CAS Customer Service if this should be a cable valid sensor for your unit R Not calibrated An sensor has been plugged into U
7. SctOz alarm will annunciate immediately Setting the Alarm Delay to 10 Seconds will delay the annuncia tion of a limit violation for 10 seconds e g If the Low Limit is set to 50 and the SctO value falls below 50 and remains continuously below 50 for 10 seconds the Low SctO alarm will annunciate In this example the SctO2 value must remain less than the Low limit for 10 continuous seconds Note You can also access the SctO gt Limits dialog by turning the rotary control knob until the SctO display area is highlighted bright blue background and pressing the rotary control knob Moving a Slider To move a Slider to adjust a limit or to adjust speaker volume 1 Turn the rotary control knob to select the slider 2 Press the rotary control knob to activate the slider 3 Turn the rotary control knob left or right to adjust the level 4 Press the rotary control knob to set the selected level 5 Turn the rotary control knob to navigate away from the slider Setting Miscellaneous Preferences You can set preferences for horizontal and vertical grid lines on the plot area or use of the standard or extended keyboard see page 36 To set miscellaneous display preferences Turn the rotary control knob to select the Setup menu Press the rotary control knob to open the Setup menu Turn the rotary control knob to the right to select Preferences Press the rotary control Knob a second time to open the Pref erences dialog Figure
8. 01 06 2010 FORE SIGHT MC 2010 Cerebral Oximeter with Backup Battery Provided 2 FORE SIGHT Universal Monitor Cable with Pre amp With 1 FORE SIGHT Abbreviated Biomedical Kit 1 FORE SIGHT Laminated Intervention Card w Velcro dots 1 FORE SIGHT CD User Manual 1 Hospital Grade AC Power Line 1 Cable Bundler 1 Service Card amp Sleeve 01 06 2020 FORE SIGHT MC 2020 Universal Cerebral Oximeter Provided 2 FORE SIGHT Universal Monitor Cable with Pre amp With 1 FORE SIGHT Abbreviated Biomedical Kit 1 FORE SIGHT Laminated Intervention Card w Velcro dots 1 FORE SIGHT CD User Manual 1 Hospital Grade AC Power Line 1 Cable Bundler 1 Service Card amp Sleeve 01 06 2030 FORE SIGHT MC 2030 Universal Cerebral Oximeter with Backup Battery Provided 2 FORE SIGHT Universal Monitor Cable with Pre amp With 1 FORE SIGHT Abbreviated Biomedical Kit 1 FORE SIGHT Laminated Intervention Card w Velcro dots 1 FORE SIGHT CD User Manual 1 Hospital Grade AC Power Line 1 Cable Bundler 1 Service Card amp Sleeve Re order No 01 06 0005 FORE SIGHT Universal Monitor Cable with Pre amp 01 06 0021 FORE SIGHT Single Sensor Kit Carton Small 5 kits carton 01 06 0022 FORE SIGHT Dual Sensor Kit Carton Small 5 kits carton 01 06 0017 FORE SIGHT Single Sensor Kit Carton Large 5 kits carton 01 06 0018 FORE SIGHT Dual Sensor Kit Carton Large 5 kits carton 01 06 0035 FORE SIGHT Abbreviated Biomedical Kit 21 05 0173 FORE
9. 22 below Make any desired changes 6 Select the DONE button and press the rotary control knob to save your changes Select the CANCEL button to cancel your changes Preferences Display vertical lines KR ON O1 Display horizontal lines Use extended keyboard wW Enable FS DATA collection reminders DONE CANCEL Figure 22 Preferences dialog Page 50 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Setting Display Brightness You can adjust the monitor brightness to a comfortable level with respect to ambient light To set the display brightness Turn the rotary control knob to select the Setup menu Press the rotary control knob to open the Setup menu Turn the rotary control knob to the right to select Brightness Press the rotary control knob a second time to open the Brightness dialog Figure 23 below 5 Press the rotary control knob a third time to activate the brightness slider 6 Turn the rotary control knob to the left to reduce brightness or to the right to increase It 7 Press the rotary control Knob again to deactivate the bright ness slider 8 Select the DONE button and press the rotary control knob to save your changes Select the CANCEL button to cancel your changes AR QN Brightness an 100 DONE CANCEL Figure 23 Brightness dialog Setting Auto Dim You can set the display to dim automatically after a specified pe ri
10. 61000 4 2 Electrical fast tran sient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 Power frequency 50 60 Hz magnetic field IEC 61000 4 8 Level 3 2 kV for power supply lines 1 kV for input output lines 1 kV line s to line s mode 2 kV line s to earth mode lt 5 Ur gt 95 dip in Ur for 0 5 cycle 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip in Ur for 25 cycles lt 5 Ur gt 95 dip in Ur for 5s Level 3 2 kV for power supply lines 1 kV for input output lines 0 5 kV line s to line s mode 2 kV line s to earth mode lt 5 Ur gt 95 dip in Ur for 0 5 cycle 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip in Ur for 25 cycles lt 5 Ur gt 95 dip in U for 5s NOTE Ur is the A C mains voltage prior to application of the test level 21 02 0217 Rev 08 03 09 The FORE SIGHT MC 2000 Series Monitor is designed for use in con trolled environments only Per OSHA guidelines for operating rooms the area must employ adequate static electricity controls The relative hu midity should be maintained at about 50 The FORE SIGHT MC 2000 Series Monitor is designed for use in con trolled environments only Per OSHA guidelines for operating rooms the Mains power quality should be that of a typical commercial or hospital environment Mains pow
11. Adapter Model TRC 09 1100 M from GROUP WEST or equivalent included with the Printer e Plug the battery charger s cord into the Printer battery charger jack located on the rear panel e Plug the charger into an AC wall outlet of the appropriate voltage e Verify the Charge LED is lit red Page 83 Printer FORE SIGHT MC 2000 Series Monitor e Charge the battery a room temperature 5 35 C 41 95 F Battery charge time is approximately 3 hours Once the battery is fully charged the Charge LED switches to green 107 Caution After completion of battery charging Do Not try recharging Battery performance may be deteriorated Installing Paper Note A red line appears when the remaining supply of thermal paper becomes low e Switch the Printer off e Press the Cover Open button to access the paper compartment Remove any remaining paper before installing the new roll e Place the new paper roll as shown on the illustration and pull out enough paper to reach out over the control panel of the Printer see Figure 52 page 84 e Close the paper door Figure 52 Paper Installation Note Make sure that the paper is correctly placed If it is tilted in one or another direction and does not come out straight from under the cover open the door and reposition the roll again yc 7 Warning Do not touch the print head or paper cutter while replacing the Printer paper Removing the Battery Pack w 7 Warning Do not o
12. Citizen CMP 10 SE UIR 9600 8 N 1 SETUF 19200 8 N 1 Simple comma text None DONE CANCEL Figure 26 a Ports dialog 21 02 0217 Rev 08 03 09 Page 53 Basic Operations FORE SIGHT MC 2000 Series Monitor Port Setup Baud rate Data bits 6 Parity None stop bits 1 Flow control None DONE CANCEL Figure 26 b Port Setup dialog You can change the Setup for the Port settings While in the Ports dialog to change the Setup for a serial port 1 Turn the rotary control knob to select the desired SETUP but ton 2 Press the rotary control knob to open the Port Setup dialog Figure 26 b above 3 Turn the rotary control knob to highlight the Baud Rate Setup selection 4 Press the rotary control knob and the focus will change to the Baud Rate selection 5 Turn the rotary control knob to select the Baud Rate of the Port Baud Rate selections are 1200 2400 4800 9600 19200 38400 57600 or 115200 Note The default Baud Rate selection to interface to the Philips VueLink is 19200 When interfacing to a Philips VueLink System the valid selections are 4800 9600 or 19200 baud 6 Press the rotary control knob and the focus shifts to the Setup selections 7 Turn the rotary control knob to DONE button to save your se lections or to the CANCEL button to cancel your changes 8 Press the rotary control knob to save or cancel your changes Note Configuring an unused Port to a non None selection may resul
13. Data Review dialog Additional information including Cumulative Saturation below 60 to 30 in 5 increments as well as the Liner Time the Saturation is below 60 to 30 in 5 increments is displayed in the FS Data Review dialog The total number of minutes the left right dif ferential is gt 10 and the average left right differential is also available for analysis in the FS Data review dialog 21 02 0217 Rev 08 03 09 Page 7 1 Basic Operations FORE SIGHT MC 2000 Series Monitor In the event measured data is not available for the right or left sen sor the appropriate text box will display dashes Refer to Figure 36 b below Possible causes include e No sensor attached e Laser was not fired e Data capture interrupted Pre Induction Baseline Regional Oxygen Saturation Left 2 Right 84 26 Cumulative Saturation Below Threshold Left minute Right 134 634 minute 24 Skin Closure Regional Oxygen Saturation Left Right pa Figure 36 b FS Data Review dialog Page 72 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor USB Operations USB Memory Sticks The FORE SIGHT Series monitor is equipped with a USB port connec tor on the front of the unit Refer to Figure 2 The USB port connection is designed for use to save patient data from a FORE SIGHT Series monitor to FORE SIGHT Series USB Memory stick for review on an IBM compatible PC or MAC PC Caution Th
14. Options on the View and Setup Menus This section explains how to configure the options you can select on the View and Setup menus You can save these options as a profile see page 38 or you can make temporary changes during a monitoring session as needed Selecting a View The View menu see page 34 lets you choose the time interval spanned by the plot area To choose a time interval 1 Turn the rotary control knob to select the View menu 2 Press the rotary control knob to open the View menu 3 Turn the rotary control knob to highlight the desired interval 4 Press the rotary control knob to select the interval Setting Up SctO2 Alarm Limits and Speaker Volume You can set the lower and upper limits of acceptable SctO gt per centages on the left and right sensors independently or in unison You can turn off the lower and upper limits of the SctO2 percent ages on the left and right sensors independently When the limits are turned off no visual or audible alarms are generated When the monitor detects a level below the Low limit or above the High limit it sounds an alarm at the speaker volume you set and flashes a visible alarm on the screen You can set a delay so that transient conditions do not trigger alarms You can also adjust the left to right differential alarm setting to detect an increasing differ ence in saturation between the right and left sensors The default differential alarm setting is 10 but this setting can be
15. Priority Alarms System Error Internal component failure Contact CASMED customer service HH HHH Left or Right near infrared spec For Error 02 018 Install the Battery fuse See page troscopy signal acquisition 90 module NSAM error Note Priorities of these Alarm Conditions are Factory configured and cannot be altered by the user Note The alarm delay remains constant during any alarm condi tion The alarm delay may be altered by the User at any time and only affect alarms yet to happen A High Priority auditory signal is characterized by 10 beeps re peated every 10 seconds at a frequency of 880 Hz A Medium Priority auditory signal is characterized by 3 beeps re peated every 20 seconds at a frequency of 440 Hz Page 68 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations The following table indicates the conversion of User Messages to text displayed on the Philips IntelliVue Note Alarm messages from the monitor may appear different on the Philips IntelliVue Patient Monitor due to text length limitations Table 2 User messages on Philips IntelliVue Call Service FS System Error Internal Temp Error Dead Battery Battery supply inoperative System memory full Internal Temp Warning FS System Warning Low Battery Loss of AC Power System memory nearly full Set Clock Clock Battery L Ambient Light Warning FS L Chk Sensor L Excessive Ambient Light FS L Amb Light No Signal Le
16. SIGHT Laminated Common Intervention Card 01 06 0036 FORE SIGHT User Manual CD Multi Language Sensor Kits include 1 Alcohol prep 1 Light block 2 fiber optic cleaning tips and one or two sensors depending on kit Abbreviated Biomedical Kit 10 Male Orange Fiber Optic Cleaning Tips 10 Male Clear Fiber Optic Cleaning Tips and 1 can Fiber Connector Cleaner 21 02 0217 Rev 08 03 09 Page 103 Appendix FORE SIGHT MC 2000 Series Monitor Other Accessories and Options Catalog No Description 01 02 0395 Replacement Power Cord North America 01 02 0384 Replacement Power Cord U K 01 02 0385 Replacement Power Cord Australian 01 02 0386 Replacement Power Cord European 01 06 0031 FORE SIGHT SctO Simulator 01 06 0032 FORE SIGHT Biomedical Kit 50 Male Orange Fiber Optic Cleaning Tips 50 Male Clear Fiber Optic Cleaning Tips and 1 can Fiber Connector Cleaner 01 06 0006 FORE SIGHT Laminated Quick Reference Guide English 01 06 0034 FORE SIGHT USB Memory Drive 01 06 0231 Giraffe Dovetail Attachment 01 06 0232 3 inch Utility Basket for 01 06 0234 01 06 0235 or 01 06 0236 Arms 01 06 0233 6 inch Utility Basket for 01 06 0234 01 06 0235 or 01 06 0236 Arms 01 06 0234 FORE SIGHT 16 inch Arm Wall Mount requires 01 06 0237 Adapter Plate 01 06 0235 FORE SIGHT 8 inch Arm Giraffe Bed Mount requires 01 06 0231 Giraffe Dovetail Attachment and 01 06 0237 Adapter Plate 01 06 0236 FORE SIGHT 16 inch Arm Pole Mount requires 01 06 0237 Ada
17. This manual accessory direc tions for use all precautionary information and specifications should be read before use 107 Warning Do not expose the FORE SIGHT MC 2000 Series Moni tor to excessive moisture such as direct exposure to rain Exces sive moisture can cause the FORE SIGHT MC 2000 Series Moni tor to perform inaccurately or fail Page 18 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Safety uc 7 Warning Do not place containers containing liquids on or near the FORE SIGHT MC 2000 Series Monitor Liquids spilled on the monitor may cause it to perform inaccurately or fail uc 7 Warning Patient Safety If a sensor is damaged in any way dis continue use immediately 107 Warning The FORE SIGHT MC 2000 Series Monitor is not Category AP or APG Equipment IF Warning Explosion Hazard Do not use the monitor in the pres ence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide uc Warning Electromagnetic Compatibility EMC The equipment needs special precautions if it is placed close to a strong transmit ter such as X ray equipment MRI devices TV AM FM radios po lice fire stations an amateur ham radio operator an airport or a cellular phone Their signals could interfere with the monitor which may result in disruption of performance of this device or prevent the clear reception of signals by the monitor This equipment has been tested and found to co
18. Universal Cerebral Oximeter CAS MC 2030 Dual Channel Universal Cerebral Oximeter with internal batteries option Monitor Configuration Record Monitor Model CAS MC 20 Serial Number Installed Options a Batteries 21 02 0217 Rev 08 03 09 Page 99 Appendix FORE SIGHT MC 2000 Series Monitor Specifications SctO Measurement Method Modified Beer Lambert Law Near Infrared Spec troscopy NIRS Information output Absolute cerebral tissue oxygenation saturation SctO gt Measurement range 0 to 100 Accuracy 40 100 4 to 1 standard deviation 0 39 unspecified Display resolution 1 Data rates Acquisition lt 100 Hz numeric display 5 Hz Laser Information EQUIPMENT MANUFACTURE INFORMATION DATA SHEET ABOUT THE COMPONENT CONTAINING LASER Type designation BM4 690 779 808 850 10SM 4 Color Beam Combiner with Power Monitor Max Output Power Patient Alarms Adjustable alarms High and low alarms for left right and differential SctO Alarm indicators e Left amp Right Visual e Audible e Text in alarm message window Audible sound pressure High Priority Alarms 100 Volume 58db Fast A 1m directly in front of monitor Medium Priority Alarms lt 54db Fast A 1m directly in front of monitor Differential SctO Each patient parameter may also be selected OFF individually Low limits cannot be set above the associated high limit High limits cannot be set lower than the associated
19. and Indicators Charge LED red charging green fully charged Power LED green power on red green blinking fast end of paper red green blinking slow print head overheated RS232 serial interface Power ON OFF button Line Feed button Paper Cover Release Button press down to open cover Paper Cutting Edge Paper Cover EE a Printer Operation The Printer cable connects to a DB9 connector located on the rear panel of the Monitor Use the cable supplied with the Printer to inter face to the Monitor on the Printer To operate the Printer perform the following steps e Configure the monitor for Continuous Tabular Printing under the Patient Print menu Check the Continuous Tabular Print selection to enable trans mission of SctO gt values every 20 seconds Un check the Continuous Tabular Print selection to enable user initiated printing e Connect the Printer to the FORE SIGHT Monitor with the cable provide with the Printer to the connection see Figure 3 page 29 Page 78 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Printer Ei Print type Print length C Graphic fr Screen w Tabular t Full case Time scale W Continuous Tabular Print PRINT CANCEL DONE Figure 44 Patient gt Print Menu dialog Note Connect the Printer to an AC power supply if charging of the Printer battery is required e Power on the Printer by pressing power ON OFF button on the Printer
20. and try another If condition continues contact the appropriate service personnel Memory stick open file error Remove USB memory stick and try another If condition continues contact the appropriate service personnel Unknown USB error Remove USB memory stick and try another If condition continues contact the appropriate service personnel 21 02 0217 Rev 08 03 09 Page 5 USB Operations FORE SIGHT MC 2000 Series Monitor Save to USE File Name 2007 07 30 1D 01 65 Save rate U 2 Seconds save rate other than seconds may result in some alarms and event marks not to be saved in the file saved on the USB memory stick File exists cannot overwrite DOMNE CANCEL Figure 41 USB Status message display Screen Snapshots Insert the USB memory stick into the USB port connection on the front of the FORE SIGHT monitor Refer to the previous section Saving Patient Data for additional details To enable saving a Screen Snapshot to the USB memory stick select Snapshot to USB under the Patient menu refer to Figure 6 The FORE SIGHT Series monitor shall generate a unique default file name The file saved will be 256 color Bitmap type bmp To change this file name select EDIT and then alter the filename see Entering Text page 35 To enable saving a Screen Snapshot to the USB memory stick select DONE Refer to Figure 42 Snapshot to USB File Mame 2007 07 30 10 01 BMP Select Done wi
21. changed us ing the slider bar from a minimum of 1 to a maximum of 50 To set up SctO2 alarm limits and speaker volume 1 Turn the rotary control Knob to select the Setup menu 2 Press the rotary control knob to open the Setup menu 3 Press the rotary control Knob a second time to open the SctO Limits dialog see Figure 21 page 49 4 Make any desired changes 5 Select the DONE button and press the rotary control knob to save your changes Select the CANCEL button to cancel your changes Page 48 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Left limit Off Right limit Off Limits High kW Right limits equal left Yolume Alarm Delay OSeconds 10 Seconds Left Right Alarm Differential HELF DONE CANCEL Figure 21 SctO gt Limits dialog Use the rotary control knob to move the cursor highlight around the dialog box Press the rotary control knob to check or clear an item Clear the Right limits equal left checkbox to adjust the left and right limits independently Check the box to adjust the left and right limits in unison 7 Caution Setting the High SctO2 Alarm limit to the extreme high value 98 can render the High Limit detection ineffective uc 7 Caution Setting the Low SctO gt Alarm limit to the extreme low value 2 can render the Low Limit detection ineffective Note For proper identification of the Alarm signals generated by the unit the ope
22. disconnect the power cord e Locate the Battery Fuse on the rear panel see Figure 3 page 25 e Using a screwdriver gently press in and turn the locking tab counterclockwise to release see Figure 56a below e Gently slide the fuse holder tray out of the receptacle as far as it will go Note The fuse holder tray is designed not to be removed from the fuse holder Do not attempt to pull the fuse holder tray out of the fuse holder or permanent damage to the fuse holder may occur e Remove the fuse completely from the fuse holder tray see Figure 56b below e Place a new fuse directly into the fuse holder tray see Figure 56c below e Rotate and align the fuse holder tray so that the fuse lies on top of the fuse holder e Gently slide the fuse holder tray back into the receptacle e Using a screwdriver gently press in and turn the locking tab clockwise to secure e Reconnect the power cord back to the monitor pr Caution For continued protection against fire hazard replace only with identically rated fuses see Power section page 101 Note Do not apply excessive force when removing or installing the fuse holder tray into the receptacle Note When the battery fuse is re installed the monitor may auto matically turn ON Figure 56 Battery Fuse Placement 21 02 0217 Rev 08 03 09 Page 91 Maintenance FORE SIGHT MC 2000 Series Monitor This page is intentionally left blank Page 92 21 02 0217 Rev 08 03 09 A
23. ground or to a high volt age power source which can cause serious injury or death to the patient yc 7 Warning As with all medical equipment carefully route and se cure all patient cables to reduce the possibility of patient entan glement or strangulation my Warning Always remove sensors from the patient and completely disconnect the patient from the FORE SIGHT MC 2000 Series Monitor before bathing the patient w 7 Warning The SctO sensor site must be inspected at least every eight hours to ensure adequate adhesion circulation skin integ rity and correct optical alignment If the circulatory condition or skin integrity has deteriorated the sensor should be applied to a different site uc Warning Interfering substances Carboxyhemoglobin may erro neously increase SctO readings The level of increase is ap proximately equal to the amount of carboxyhemoglobin present Dyes or any substance containing dyes that change usual blood pigmentation may cause erroneous readings Page 22 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Safety 1 Warning Sensors are not sterile and therefore should not be ap plied to sites with compromised skin integrity Exercise caution when applying sensors to a site with compromised skin integrity Applying tape or pressure to such a site may reduce circulation and or cause further skin deterioration w 7 Warning For patients experiencing complete bilateral ECA occlu sio
24. it to the monitor cable Do not kink or bend cables The connector end of the patient cable has two parts The fiber optic connector has a non black colored plastic overmold and a protective rubber cap Note Remove the rubber cap from the fiber optic connector and discard before attempting to connect the patient cable to the moni tor cable If you do not remove this tip you will not be able to con nect into the receptacle on the monitor cable Connecting the Patient Cables To connect the patient cables to the monitor cables 1 Remove the left patient cable from the packaging see Figure 17a page 43 2 Remove and discard the protective cap that covers the fiber optic connector being careful not to touch the fiber optic tip with your fingers see Figure 17b page 43 3 Open the door on the monitor cable connector preamplifier see Figure 17c page 43 4 Using the Clear Male Fiber Optic Cleaning Tip found in the sensor packaging clean the fiber optic connector on the monitor preamplifier cable end by inserting gently into the fi ber optic receptacle and rotating clockwise 360 degrees see Figure 17d page 43 Page 42 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations 5 Using the Clear Female Fiber Optic Cleaning Tip found in the sensor packaging clean the fiber optic connector on the pa tient cable by gently making contact with the connector and rotating clockwise 360 degrees see Figur
25. low limit There is a minimum of 5 difference between the Low and High limit values at any time Page 100 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Appendix Display Display LCD display of measurement results instruc tions troubleshooting messages wave forms and signal strength bar Numerics SctO from left right or average of left and right channels Trace 1 corresponding to associated SctO gt nu meric value Views 15 or 30 min 1 2 3 4 8 or 24 hr Events May be placed anywhere on trace area Physical Dimensions and Weight H x W x D without feet 8in x 8in x 13 in 20 3 cm x 20 3 cm x 33 0 cm Weight MC 2000 or 2020 16 0 Ibs 7 3 kg Weight MC 2010 or 2030 21 9 Ibs 9 9 kg Operating Environment Operating temperature 10 40 C 50 104 F Humidity 30 75 RH non condensing Altitude 10 000 to 1 000 ft 680 to 1060 hPa Monitors may not meet performance specifications if stored or used out side temperature and humidity ranges When moving the monitor from a storage location wait at least one hour prior to use to allow the monitor to adjust to room temperature Storage Transport Environment Storage transport 20 to 60 C 4 F to 149 F temperature Humidity 15 95 RH non condensing Altitude 10 000 to 1 000 ft 680 to 1060 hPa Power External power AC 100 240 VAC 50 60 Hz 1 5A Fuse rating T3 15AH250V two provided
26. mains power when not in use Failure to do so may diminish the service life and function of the battery Note Monitor cables should be replaced annually or when no longer properly functioning Keep track of cable installation date and usage See Accessories on page 103 for reorder information 21 02 0217 Rev 08 03 09 Page 89 Maintenance FORE SIGHT MC 2000 Series Monitor Fuse Replacement The FORE SIGHT MC 2000 Series monitor has a dual fuse AC power input receptacle Both AC lines are fused The FORE SIGHT MC 2000 Series monitor has a single fuse DC receptacle for the internal batteries 7 Caution The Battery fuse must be installed for the unit to operate with the internal batteries If the unit is not to be used for periods greater than 1 week the battery fuse should be removed refer to Battery Power Fuse section on 91 a Caution For continued protection against fire hazard replace only with identically rated fuses see Power Section page 101 T A fuse may need to be replaced if the monitor is plugged into an electrical outlet but the Battery Power Visual Indicator is not illumi nated green Warning Before changing any fuse unplug the power cord Note The FORE SIGHT MC 2000 Series monitor models have multiple fuses located inside the monitor These fuses are not user replaceable T i AC Power Fuse To replace the AC Power fuses proceed as follows e Turn the monitor off and disconnect the powe
27. of strangulation oc 7 Warning Conductive Connections Extreme care must be exer cised when applying medical electrical equipment Many parts of the human machine circuit are conductive such as the patient connectors electrodes and transducers It is very important that these conductive parts do not come into contact with other grounded conductive parts when connected to the isolated patient input of the device Such contact would bridge the patient s isola tion and cancel the protection provided by the isolated input In particular there must be no contact of the neutral electrode and ground Caution Inspect the cables and sensors for damage prior to op eration If any damage is noted the cables or sensor should not be used until it has been serviced or replaced Note Skin pigmentation does not affect the validity of collected data The FORE SIGHT MC 2000 Series Monitor compensates automatically for skin pigmentation Note The sensor must be flush with clean dry skin Any oil per spiration or hair that prevents good contact between the sensor and the skin will affect the validity of the data collected and may result in an error message Page 44 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Note If possible locate the sensor away from the midline of the forehead or over a sinus cavity Patient cables see Figure 17a page 43 connect the monitor ca bles to the patient Pa
28. on the monitor end of the monitor cable see Figure 16c below 4 Open the left patient monitor connection door on the monitor and clean the fiber optic connection on the monitor using the Clear Male Fiber Optic Cleaning Tip supplied with the FORE SIGHT Biomedical Kit see Figure 16d page 41 Orient the monitor cable connector with the arrow up 6 Firmly push the monitor cable connector into the left monitor connection see Figure 16e page 41 7 Repeat the above steps for the right monitor cable O1 Removing the Monitor Cables To remove a monitor cable from the monitor 1 Squeeze the locking tabs on the sides of the connector 2 Pull straight out i Fiber optic f Locking Tabs gr Electrical pr Connections CASMED supplied Orange Male Fiber Optic Cleaning Tip Electrical Connections 4 Page 40 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations CASMED supplied Clear Fiber Optic Fiber optic Electrical Cleaning Tip Connection Connections Monitor Cables Patient Cable Push monitor cable firmly into left or right receptacle on front of monitor Arrow must be on top Squeeze Locking Tabs to release plug and from receptacle when removing monitor cable from monitor Figure 16 Connecting and disconnecting the monitor cable 21 02 0217 Rev 08 03 09 Page 41 Basic Operations FORE SIGHT MC 2000 Series Monitor Connecting the Patient Cables to the Mo
29. or therapy The value of data from the Cerebral Oximeter has not been demonstrated in disease states Contraindications e The FORE SIGHT MC 2000 Series Monitor sensor is contrain dicated for use on patients with limited skin access or allergic reaction to electrode adhesive e Disposable SctO2 sensors are contraindicated for use for pro longed periods The sensor site must be checked at least every eight hours and if the circulatory condition or skin integrity has deteriorated the sensor should be applied to a different site e Do not adhere sensors to underdeveloped immature compro mised or healing skin e No other contraindications are known at this time 21 02 0217 Rev 08 03 09 Page 17 Safety FORE SIGHT MC 2000 Series Monitor Installation and Setup gc Warning The FORE SIGHT MC 2000 Series Monitor is defibrilla tor proof It may remain attached to the patient during defibrillation but the readings may be inaccurate during use and less than twenty 20 seconds thereafter w 7 Warning The FORE SIGHT MC 2000 Series Monitor is intended only as an adjunct in patient assessment It must be used in con junction with clinical signs and symptoms w Warning Do not rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level dur ing patient monitoring may result in a hazard to the patient Re member that the most reliable method of patient monitoring com bines close per
30. serial ports located on the rear of the monitor refer to Figure 3 page 29 To select a serial port Turn the rotary control knob to select the Setup menu Press the rotary control knob to open the Setup menu Turn the rotary control knob to the right to select Ports Press the rotary control knob a second time to open the Ports dialog Figure 26a below 5 Turn the rotary control Knob to select the desired Port to con figure 6 Press the rotary control knob and the focus shifts to the Port Configuration selections 7 Turn the rotary control knob to display the desired Port Con figuration selection 8 Press the rotary control knob and the focus will change back to the Port selection 9 Turn the rotary control knob to select the Setup of the Port to configure 10 Press the rotary control knob and the focus shifts to the Port Setup selections 11 Turn the rotary control knob to display the desired Port Setup Baud Rate selection 12 Press the rotary control knob to select the desired Port Setup and the focus will change back to the Port selection 13 Turn the rotary control knob to select another Port to config ure 14 When all the ports have been configured turn the rotary con trol Knob to DONE button to save your selections or to the CANCEL button to cancel your changes 15 Press the rotary control knob to save or cancel your changes As seen from rear view AR ON SE JU 19200 8 N 1 Philips Yue Link
31. stored in files using comma separated values CSV format Figure 40 illustrates an example of patient data stored in a USB memory stick 23 59 56 67 69 68 0 23 59 58 67 69 68 0 2007 07 16 00 00 00 67 69 68 0 00 00 02 67 69 68 0 00 00 04 66 69 68 1 PROCEDURE 00 00 06 65 69 67 5 Figure 40 USB Memory File Example Note Saving patient data in excess of 1 5 days may exceed the capa bility of some spread sheet applications USB Status While attempting to save patient data to a USB memory stick certain conditions may present themselves that will require intervention by the user refer to Figure 41 Table 3 lists of the possible USB Status Mes sages and their recommended actions you should take Table 3 USB Status Messages USB Status Message Recommended Action File exists cannot overwrite Edit name of file to be stored on the USB memory stick Remove USB memory stick and use PC to remove un necessary files from USB memory stick Memory Stick not plugged in No USB installed plug in USB Memory stick Not enough room on memory stick Remove USB memory stick and use PC to remove un necessary files from USB memory stick A non memory stick detected Non USB Memory stick installed remove device and plug in USB Memory stick Memory stick write error Remove USB memory stick and try another If condition continues contact the appropriate service personnel Memory stick install failure Remove USB memory stick
32. the Profiles menu select Save As 3 Enter the name of the new profile up to 30 characters includ ing spaces see Entering Text page 35 4 Select the DONE button when you are done Either procedure automatically selects the new profile Connecting the Monitor Cables Monitor cables see Figure 16a d page 41 connect the monitor to the patient cables Monitor cables are reusable w 5 Warning Do not lift the monitor by any cable or line as they could disconnect from the monitor causing the monitor to fall on the pa tient w 5 Warning Route and secure all cables away from patient s throat to reduce the possibly of strangulation w 5 Warning Conductive Connections Extreme care must be exer cised when applying medical electrical equipment Many parts of the human machine circuit are conductive such as the patient connectors electrodes and transducers It is very important that these conductive parts do not come into contact with other grounded conductive parts when connected to the isolated patient input of the device Such contact would bridge the patient s isola tion and cancel the protection provided by the isolated input In particular there must be no contact of the neutral electrode and ground w 7 Caution Inspect the cables and sensors for damage prior to op eration If any damage is noted the cables or sensor should not be used until it has been serviced or replaced pw 7 Caution Do not kink or bend ca
33. the printing will continue Note To cancel the printing select CANCEL or navigate to the Patient gt Print menu and then select CANCEL to stop the printing Note The Time scale selection is not available when Tabular print is selected 21 02 0217 Rev 08 03 09 Page 81 Printer FORE SIGHT MC 2000 Series Monitor Graphic Print The user may initiate Graphic printing by navigating to the Patient gt Print menu To print the graphic data associated with information displayed on the screen Select Graphic Print type Screen Print length and then select PRINT see Figure 48 page 82 Print type Print length Tabular t Full case Time scale Continuous Tabular Print PRINT DONE CANCEL Figure 48 Graphic Screen Print dialog Note The Time scale selection is not available when Graphic Screen print is selected 10 08 13 10 15 43 10 23 13 IFraocedure 1 GHT 4 CASMED SOLUTION PATIENT ID _A123456709 Start Time 06 27 2007 10 00 49 End Time 06 27 2007 10 30 49 FORE S Left Sct02 Right SetOz Figure 49 Graphic Screen Print Example Note Event text is printed on the paper as it appears on the screen Note If the Event text is too long the printing of the text continues past the edge of the halted trace printing as shown in Figure 49 above To print all the graphic data associated with this patient select Graphic Print type Full case Print length and then select PRINT as sho
34. the text will not be visible Changing the View to 15 30 min or 1 hour will allow the text to be visible 1 Turn the rotary control knob left or right to position the vertical line correctly on the trace see Figure 30 below Patient Profiles View Event Setup Help SctO 0 Days 04 45 16 07 23 32 67 Sep 28 08 03 Figure 30 Vertical Position of Event Mark 2 Press the rotary control knob once more to add a horizontal line to the trace see Figure 31 page 61 3 Turn the rotary control knob left or right to position the hori zontal line correctly on the trace Page 60 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Patient Profiles View Event Setup Help SctO 30 Minutes 0 Days 04 45 16 07 23 32 67 fo Sep 28 08 03 Figure 31 Horizontal Position of Event Mark 4 Press the rotary control knob once more to place the Event Mark on the trace where the two lines intersect see Figure 32 below Patient Profiles View Setup Help T p ACTIVE Figure 32 Final Position of Event Mark Placing or Deleting Existing Event Marks To place or delete an existing Event Mark 1 Turn the rotary control knob to select the Event menu 2 Press the rotary control knob to open the Event menu 3 Turn rotary control knob to highlight the desired Event Mark 4 Press the rotary control knob to select the Event Mark and se lect 1 of the following Event Actions see Figure 33 page 62
35. tissue mainly at the microcirculation level capillary arteriole and venula based on different absorption characteristics of the chromophores oxyhemoglobin HbO2 and deoxyhemoglobin Hb in the near infrared spectrum A biological spectroscopic window exists at the wavelength range 660 940 nm in which Hb and HbO can be differentiated and measured Brain tissue oxygen saturation SctO gt is determined from the ratio HbO2 HbO2 Hb x 100 The FORE SIGHT MC 2000 Series Monitor uses LASER LIGHT Technology to project light into tissue to measure oxygen satura tion The FORE SIGHT MC 2000 Series Monitor uses COOL LIGHT Sensor Technology to transmit light from the monitor to the patient contact site via fiber optics thereby eliminating light induced heat generation at the patient site The Model MC 2010 amp 2030 are equipped with a rechargeable backup battery pack that allows the monitor to be used independ ently from an external power source The Model MC 2000 amp 2020 are equipped with a rechargeable backup battery pack that allows the monitor to automatically shut down safely during extended power loss These units are not de signed to run independently from an external power source Getting Started Before you operate the monitor you must thoroughly familiarize yourself with e All of the warnings and cautions in the Safety section pages 17 23 The physical configuration of the monitor page 28 The use of th
36. 0 1 10 solution of chlorine bleach in tap water When all of the surfaces have been disinfected wipe the entire surface of the monitor using a soft cloth damp ened with fresh water to remove any trace amounts of residue and or fumes e Display Clean the display window using a soft lint free cloth sprayed with an alcohol free glass cleaner The use of paper towels is not recommended as it may scratch the surface Note Thoroughly wipe off any excess cleaning solutions Care should be taken to prevent water or cleaning solution to run into connector openings or crevices 21 02 0217 Rev 08 03 09 Page 87 Cleaning FORE SIGHT MC 2000 Series Monitor Cleaning Monitor Cables Note Cables contain fiber optic elements Care should be taken to avoid kinking or bending cables during cleaning Prior to each patient use inspect the Monitor Cable for damage Using the male fiber optic cleaning stick provide in the Biomedical amp Abbreviated Biomedical Kits clean the fiber optic connections in each monitor cable The fiber optic connection is surrounded by green plastic Clean the Monitor Cable using a soft cloth dampened with a 10 1 10 solution of chlorine bleach in tap water Do not use alcohol 105 Caution If the Monitor Cable should become grossly contami nated with blood or other bodily fluids it should be discarded Note Do not soak or submerse the Monitor Cable in any liquid solution Liquid should not be permitted to ent
37. 0 Series Monitor Basic Operations Confirm stop FS Data collection Y YES HO Figure 35 Stop FS Data Collection popup dialog Reviewing FS Data Information Note Starting and Stopping of FS Data collection can be selected at any time The user does not need to wait for the automatic popup reminders Note Displaying the FS Data Review can be done after the FS Data collection has started or after the FS Data collection has been stopped Selecting the FS Data Review under the Patent menu refer to page 33 will display the collected FS Data information The FS Data information includes the Pre Induction Baseline Regional Oxygen Saturation the Cumulative Saturation Below Threshold and the Skin Closure Regional Oxygen Saturation if FS Data collection has been stopped Refer to Figure 36 a below Pre Induction Baseline Regional Oxygen Saturation Left 3 2 Right 84 ri Cumulative Saturation Below Threshold Left 134 578 minute 2 Right 134 634 minute Skin Closure Regional Oxygen Saturation Left Right kin Cumulative Saturation Below minute 22 Linear Time Saturation Below minutes Left Right Left Right 60 96 743 96 743 60 127 3 127 5 Hao 25 673 25 673 ah 98 2 98 6 50 8 574 3 574 BG 64 5 64 2 4524 3 588 3 588 45 35 6 35 3 A0 A0 35 35 302 30 Linear Time UR Differential gt 10 24 minute Average LUR Differential 8 5 26 HELP PRINT DONE CANCEL Figure 36 a FS
38. 2000 Series Monitor Initial Inspection Before unpacking the monitor inspect the packaging for damage If there are any signs of damage to the package a claim should be filed immediately with the shipping agent It is the receiver s re sponsibility to notify the carrier s local office to arrange for the pickup of the damaged items Save the damaged shipping carton as evidence Contact your distributor CAS Medical Systems sales representa tive or CAS Medical Systems Inc to report external damage and to arrange for repair or replacement of damaged equipment The shipping carton should contain the items listed below Unpack the monitor and account for each item Inspect each item for signs of external damage dents cracks scratches etc If an item is missing or damaged contact your distributor CAS Medical Sys tems sales representative or CAS Medical Systems Inc Record the monitor model serial number and date of purchase at the back of this manual Monitor Checklist e 1 FORE SIGHT MC 2000 Series Monitor e 2 FORE SIGHT Monitor Cables e 1 FORE SIGHT Abbreviated Biomedical Kit 1 FORE SIGHT Laminated Intervention Card w Velcro dots 1 FORE SIGHT MC 2000 Series Cerebral Oximeter User Manual e 1 Hospital Grade AC Power Cord e 1 Cable Bundler e 1 Service Card and Insert Sleeve w F Caution Use only the CASMED approved power cord that was shipped with the monitor to preserve the electromagnetic com patibility of the moni
39. 217 Rev 08 03 09 Page 43 Basic Operations FORE SIGHT MC 2000 Series Monitor Removing the Patient Cables To remove a patient cable from the monitor cable 1 Pull the electrical connector straight out 2 Grasp the fiber optic connector by the colored non black overmold and pull straight out 3 Snap the door closed over the end of the preamplifier 4 Discard the patient cable Affixing the SctO2 Sensor or Sensors to the Patient gc Warning As with all medical equipment carefully route and se cure all patient cables to reduce the possibility of patient entan glement or strangulation 07 Warning Always remove the sensor from the patient and com pletely disconnect the patient from the FORE SIGHT MC 2000 Se ries Monitor before bathing the patient w 7 Warning The sensor site must be inspected at least every eight hours and if the circulatory condition or skin integrity has deterio rated the sensor should be applied to a different site yc 7 Warning The site must be checked at least every eight hours to ensure adequate adhesion circulation skin integrity and correct optical alignment uc 7 Warning Patient Safety If a sensor is damaged in any way dis continue use immediately yc 7 Warning Do not lift the monitor by any cable or line as they could disconnect from the monitor causing the monitor to fall on the pa tient w 7 Warning Route and secure all cables away from patient s throat to reduce the possibly
40. C publications on safety and essential performance of electro medical equipment as well as with applicable UL re quirements and AHA recommendations valid at the time of printing For complete warranty information refer to the Warranty Policy located on page 97 The CAS Medical System Inc quality management system com plies with the international standards ISO 13485 and the Council Directive on Medical Devices 93 42 EEC Note Due to continuing product innovation specifications in this manual are subject to change without notice In the U S the following caution applies 1 Caution Federal law restricts this device to sale by or on the or der of a physician or properly licensed practitioner is Warning Before using the monitor for the first time please read the information given in section Safety starting on page 17 Page 8 21 02 0217 Rev 08 03 09 About This Manual This User Manual describes the features and operation of the FORE SIGHT MC 2000 Series Cerebral Oximeter Software Version 4 4 Note This manual addresses all parameters a FORE SIGHT MC 2000 Series Monitor can have installed It remains suitable for use if the monitor has a sub set of parameters only Please refer to those sections that are applicable for the model in use Manual Purpose This manual contains the instructions necessary to operate the FORE SIGHT MC 2000 Series Monitor safely and in accordance with its functions and intended use Int
41. Chassis leakage current 100 pA maximum Model MC 2010 or 2030 Battery 2 sealed lead acid batteries Fuse rating F8AL250V one provided Charge Time 16 hours with unit on Operating Time 17 hr minimum 21 02 0217 Rev 08 03 09 Page 101 Appendix FORE SIGHT MC 2000 Series Monitor Serial Interface Interface type Bi directional serial communication Speed User programmable Signal level RS 232C Data length 8 bits Start bit 1 bit Stop bit 1 bit Parity None Flow control None Standards Units comply with the following requirements CE marking according to Directive 93 42 EEC IEC 60601 1 EN 60601 1 2 IEC 60601 1 1 IEC 60601 1 4 IEC 60601 1 8 UL classified UL 60601 1 CAN CSA C22 2 No 601 1 M90 IEC 60825 1 All units covered by U S patents 6 456 862 7 047 054 7 072 701 Other patents pending Page 102 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Appendix Accessories Contact our Customer Service department or see our website for the latest product information Refer to on page 3 for e mail and phone number information SctO Accessories Catalog No Description 01 06 2000 FORE SIGHT MC 2000 Cerebral Oximeter Provided 2 FORE SIGHT Universal Monitor Cable with Pre amp With 1 FORE SIGHT Abbreviated Biomedical Kit 1 FORE SIGHT Laminated Intervention Card w Velcro dots 1 FORE SIGHT CD User Manual 1 Hospital Grade AC Power Line 1 Cable Bundler 1 Service Card amp Sleeve
42. FORE SIGHT MC 2000 Series Cerebral Oximeter Patient Profiles Event Setup Help gi PP nl i Mar 25 ACTIVE Bs SctO AY anal aff LEFT S hSctOrz FS DATA 8 Hours 68 0 Days 07 16 56 Mar 25 17 33 User Manual ol CASMED FOR WHAT S VITAL This User Manual describes the features and operations of FORE SIGHT MC 2000 Series Cerebral Oximeter Software Version 4 4 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Page 2 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Trademarks Trademarked names appear throughout this document Instead of inserting a trademark symbol with each mention of the trademarked name the publisher states that it is using the names only for edito rial purposes and to the benefit of the trademark owner with no in tention of improperly using that trademark CASMED is a registered trademark of CAS Medical Systems Inc FORE SIGHT is a registered trademark of CAS Medical Systems Inc LASER SIGHT is a registered trademark of CAS Medical Systems Inc COOL LIGHTT isa trademark of CAS Medical Systems Inc Contact Addresses CAS Medical Systems Inc 44 East Industrial Road EC REP Branford CT 06405 U S A MediMark Europe Phone 11 rue E Zola 38100 in the US 800 227 4414 Grenoble France 1 203 488 6056 Fax 1 203 488 9438 E Mail custsrv
43. SENSOR Havre A 45 Removing the SENS OMS vsesceesmsnsace dons yvensuscnesmaosendssiteannsenseebadexs 45 Starting the Monitor rrrarernnrrnanenanernnnrvanennnnnnanennnnnnanennnennanennnne 46 Tong ME MONO ON uer 46 Starting to Monitor a Patient rrrrrrranornnrrrarernnrrnnnrrnnnnnnnennnnnn 46 Configuring Options on the View and Setup Menus 48 SAUENE VEN ae 48 Setting Up SctO gt Alarm Limits and Speaker Volume 48 MOVING older sara enepder 50 Setting Miscellaneous Preferences rrraranaranarenarennrnnarnnnnnnn 50 Setting Display Brightness rrnrrrrarrrnnrrnnnrrnnnnvanrnnnnnnanennnnnn 51 SENG AUTO DIM uer 51 Deactivating Auto Dim Temporarily rnrrnnrrnnrrnnrrnnrrnnrnnnennnnr 52 Selecting the Language cccccccceecceeeeceeeeceeeseeeseeseeeeeeees 52 Selecting the Serial Ports r anrrnanrnnnnnnanennnnnranennnnnnannnannnnnnen 53 Connecting to Philips IntelliVue rrrrrrrnrennnrnrarernrennannrnnennnnn 55 FORE SIGHT Serial Port Data Output cece sees eees 56 Setting the Date and Time rrranrnnnnnnanennnnnnnnennnnnnanrnnannnanennnnnn 57 MOMITONING the Fatent eccriene scone eveneienewesdentwedansincituccieens 58 Selecting Average Auto Left or Right rrrrrrnrrrnrrnnrnrarerannns 58 CONTPOMMG TS Am sercis 58 Positioning an Event Cursor over the Patient Data 59 Adding an Event Mark to Menu arrrarnnannna
44. Serial Number 0651362 Boot Version 1 0 Nov 26 2007 09 57 53 Software Version 4 4 Nov 12 2006 10 14 07 PIC Version 1 5 Left SAM Boot 1 2 Left SAM Version 3 1 Aug 27 2008 12 36 23 Right SAM Boot 1 2 Right SAM Version 3 1 Aug 27 2008 12 36 23 Visit us at vww casmed com DONE Figure 13 The About menu Note The displayed Serial Number and Software versions may be different than your FORE SIGHT unit 21 02 0217 Rev 08 03 09 Page 35 Basic Operations FORE SIGHT MC 2000 Series Monitor Entering Text Several of the menu options give you the opportunity to enter a short text label For example you can create and name profiles and you can enter a patient name to identify a data record You have the option of using the default keyboard layout see Figure 14 below or the extended keyboard layout see Figure 15 below Specifying the Extended Keyboard layout may be done under Setup gt Preferences see Figure 22 page 50 Note Selecting a language on the Setup menu that uses ac cented characters automatically enables the extended keyboard Enter in an event name Remaining Characters 20 AJ 2 cf of ef Fj sf wy 1 sf Kf of Hj peeeeleedleu BEE stede HE ES BB EEE Space ges ee ENE Backspace ClearAll DONE CANCEL Figure 14 The default keyboard layout The extended layout provides accented characters that should be sufficient to write names encountered in most European lan guages Use the keybo
45. a patient identifier to a recording of measured values over time It also al lows you to print and save data and to operate and review FS Data collection measurements The Profiles Menu The Profiles menu see Figure 7 below lets you set up name and manage profiles for different monitor configurations and use situa tions to accommodate a user s preferences Patient Eifiiies View Event Setup Help New Save Save as Rename Delete Restore to hospital defaults Restore to factory defaults Main Menu Figure 7 The Profiles menu 21 02 0217 Rev 08 03 09 Page 33 Basic Operations FORE SIGHT MC 2000 Series Monitor The View Menu The View menu see Figure 8 below lets you choose the time in terval spanned by the plot area Patient Profiles Event Setup Help 15 Minutes 30 Minutes 1 Hour Hours 3 Hours 4 Hours 4 Hours Main Menu Figure 8 The View menu The Event Menu The Event menu see Figure 9 below lets you mark events on the plot area and record them with the patient data Patient Profiles View setup Help Event cursor Add new event Add event to menu Main Menu Figure 9 The Event menu The Setup Menu The Setup menu see Figure 10 below lets you set up alarm limits and alarm volume graph style keyboard style monitor brightness monitor interface language and current date and time information You can save a setup once configur
46. ard as you would a hand operated label maker dial click dial click 1 Rotate the control knob to the desired key 2 Press the knob to select the letter or function Enter in an event name Remaining Characters 20 m Ay ef ef of ef Fj ef Hj tf sf Kf 1 peers eeeee eee conto 1 2 3 4 sj ef 2 ef ef oi el of of ef ef sf sf of 2 a of of de Backspace Clear All DONE CANCEL Figure 15 The extended keyboard layout Page 36 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Note To type an accented letter first select the appropriate ac cent shift key The letters to which that accent may be applied light up in yellow Next select one of the highlighted letters If you se lected the accent in error click it again to return the keyboard to the unselected state Note The keyboard opens initially in all caps mode as shown in figure 12 with the green Caps Lock indicator on To access lower case letters rotate the control knob to select the Caps Lock key and press the knob The green indicator toggles off and the letters on the key caps change to lowercase Note The default keyboard layout has the advantage that you can select letters faster because you have to rotate the knob through fewer selections If you do not need to use accented characters to identify patients profiles or events there is no reason to select the extended layout Note The number of characters that may
47. be allowed to be entered will be limited based on the type of information being entered Note Not all characters in the default or extended keyboard may be available based on the type of information being entered 21 02 0217 Rev 08 03 09 Page 37 Basic Operations FORE SIGHT MC 2000 Series Monitor Setting Up the Monitor for the Patient The procedures in this section are optional The FORE SIGHT MC 2000 Series Monitor will operate immediately after being con nected to the patient and powered on If desired you can bypass the following steps and begin monitoring immediately Note Nothing in this user guide is intended to override procedures and regulations imposed at the institutional level or above Your hospital s quality system privacy rules or other legal or policy re quirements may govern whether and how you implement any spe cific procedure in this section Note When you first power up the system you will be asked if you are starting a new patient Answering no will add the new data that you are collecting to the end of the previous data stored on the unit Answering yes will delete prior data stored in the unit Note When printing on demand Graphic or Tabular information or while saving patient data to a USB Memory stick the ability to la bel data with a Patient Identifier is disabled Labeling the Data with the Patient Identifier You can display the patient identifier on the monitor screen and save the patient ide
48. blank The new Event Mark text just entered will now appear under the Event Mark Menu see Figure 29 page 60 Caution Placing an Event Mark in the blank area prior to the start of displayed traces will result in the Event not being saved AR QN T C 21 02 0217 Rev 08 03 09 Page 59 Basic Operations FORE SIGHT MC 2000 Series Monitor Patient Profiles View Setup Help Event cursor Start Procedure Add new event Undo last event Add event to menu Main Menu Figure 29 Add Event Mark to Menu Adding a new Event Mark to the Patient Record You can label a point on the patient trace with an Event Mark You can add an Event Mark in either Active or Historical mode To add a new Event Mark 1 Turn the rotary control knob to select the Event menu 2 Press the rotary control knob to open the Event menu 3 Turn the rotary control knob to select Add new event 4 Press the rotary control knob and enter text to be placed on the trace up to 20 characters including spaces see Entering Text page 35 Note the Event name can be left blank 5 Press the rotary control knob and select one of the following Yes Add Event Mark to List and place on trace No Place Event Mark on trace see Placing an Event Mark on the Patient Record below Placing an Event Mark on the Patient Record Note Adding an Event Mark on the screen in a View greater than 1 hour 2 3 4 8 or 24 will only place a dot for the Event
49. bles Maintain a minimum bend radius of 1 inch Note Monitor cables should remain connected to the monitor be tween uses Note Monitor cables contain fiber optic elements Care should be taken to prevent damage to the monitor cables Note Monitor cables should be replaced annually or when no longer properly functioning Keep track of cable installation date and usage See Accessories on page 103 for reorder information Note The monitor cable includes both an electrical cable and a fiber optic cable You must take care to ensure that the entire fiber optic pathway is kept clean Keep the door on the end of the moni tor cable preamplifier snapped shut whenever the monitor cable is disconnected from the patient cable If monitor cables are dis connected between uses clean the fiber optic connections on both the monitor and monitor cable before re insertion using CASMED 21 02 0217 Rev 08 03 09 Page 39 Basic Operations FORE SIGHT MC 2000 Series Monitor supplied fiber optic cleaning tips found in the FORE SIGHT Bio medical Kit Connecting the Monitor Cables for the First Time To connect the monitor cables to the monitor 1 Remove the left monitor cable from the packaging see Figure 16a page 40 2 Remove the black protective cover from the monitor connec tor cable see Figure 16b page 40 3 Using an Orange Male Fiber Optic Cleaning Tip supplied with the FORE SIGHT Biomedical Kit clean the fiber optic con nector
50. but the patient cable is not connected A colored face blue for left green for right with a smiling mouth indicates that the cables are fully connected Left Patient Connection Controlling the Alarm You can disable or enable audible alarms by pressing the Alarm Silence Reset key on the monitor front panel When no alarms are present pressing the Alarm Silence Reset key disables the audio associated with high or low limit violations and equipment alarms for two minutes This does not affect the visual alarms for most conditions See Responding to System Messages on page 64 for a list of alarm conditions and the actions you can take Pressing the Alarm Silence Reset key when a Limit Violation alarm condition exists and the alarm is sounding mutes the audi ble portion of the alarm condition for up to 30 seconds If the alarm condition persists at the end of that period the audible alarm re sumes Pressing the Alarm Silence Reset key when an equipment alarm condition exists and the alarm is sounding turns off the audible portion of the alarm condition and in some cases removes the visible portion Note Limit violation alarm icons are indicated by a flashing red alarm status Equipment alarm icons are indicated by a flashing yellow alarm status Refer to Screen Indicators on page 93 Page 58 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Positioning an Event Cursor over the Patient Data Yo
51. casmed com sales casmed com techsrv casmed com Web www casmed com Please contact the distributor in the country of purchase if product informa tion or service should be required 21 02 0217 Rev 08 03 09 Page 3 FORE SIGHT MC 2000 Series Monitor This page is intentionally left blank Page 4 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Manufacturers Declaration of Conformity Manufacturers Declaration of Conformity Electronic Emissions and Immunity The FORE SIGHT MC 2000 Series Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the FORE SIGHT MC 2000 Series Monitor should assure it is used in such an environ ment Electromagnetic Environment RF emissions CISPR 11 Group 1 The FORE SIGHT MC 2000 Series Monitor uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment MU Ed The FORE SIGHT MC 2000 Series Monitor i itable f in all l o e eries Monitor is suitable for use in a SE ial establishments other than domestic establishments and those di rectly connected to the public low voltage power supply network that Voltage fluctuations flicker supplies buildings used for domestic purposes emissions Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Electrostatic dis charge ESD IEC
52. ce with appli cable safety and regulatory requirements and that replacements and repairs are made in accordance with the instructions provided by CAS Medical Systems Inc The same warranty conditions are made for a period of twelve 12 months with respect to the battery A ninety 90 days warranty is provided for non disposable accessories such as reusable monitor cables and other accessories provided by CASMED as part of the original purchase CASMED warrants disposable or single patient use products including SctO2 sensors for out of box failure only Where the accessory is not a CAS Medical Systems Inc manu factured product the manufacturer s own warranty applies War ranty of accessories purchased separately from listed suppliers will be the responsibility of such listed suppliers Damage to any part through misuse neglect or accident or by affixing any accesso ries or attachments other than CASMED manufactured accesso ries or attachments is not covered by this warranty The foregoing warranties shall not apply if the product has been configured modified adjusted or repaired other than by CAS Medical Systems Inc or by persons expressly authorized by CAS Medical Systems Inc or not in accordance with written instruc tions provided by CAS Medical Systems Inc or if the product has been subjected to misuse negligence or accident CASMED reserves the right to perform warranty service operations in its own factory a
53. close to the green face illuminated should be attached to the patient s right side Note Sensors are labeled with green and blue face icon stickers identifying patient right and patient left Be sure to match the left and right sensors to the appropriate illuminated face icons on the preamplifier This will help to identify the appropriate side on which to place the sensors 1 Verify the correct patient ID is displayed on the monitor screen page 38 and that the desired profile is selected page 38 2 Press the Sensor Start Restart key O Figure 19 Sensor Start Restart key Note Fire laser reminder low priority audio alert If one or both lasers are not firing a low priority audio alert is generated 90 sec onds after Press sensor start start 1X or 2X is displayed e The low priority alarm is audio only no flashing triangle and repeats every 10 minutes e This alarm is meant to be a gentle reminder that sensors are set correctly on the patient but on or both lasers are not firing e Any other alarm in the system overrides this audio alarm Page 47 Basic Operations FORE SIGHT MC 2000 Series Monitor 3 Press the Avg Auto Left Right key to select the initial view Figure 20 Average Auto Left Right key 4 Verify that there are no user messages in the message area see Figure 5 page32 If there is a message in the message area see Responding to System Messages on page 64 Configuring
54. ded Separation Distances Between Portable and Mobile RF Communications Equipment and the Model MC 2000 Series Monitor The Model MC 2000 Series Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Model MC 2000 Series Monitor can help prevent electromagnetic interference by main taining a minimum distance between portable and mobile RF communications equipment transmitters and the Model MC 2000 Series Monitor as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Meters Rated maximum output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter Watts d 1 2VP d 2 3VP For transmitters operating at a maximum output power not listed above the recommended separation distance din meters can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Page 6 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor CE Marking Information Compliance
55. des the information reported in the FS DATA review dialog Refer to Figure 36 a and b Data is saved to the USB memory stick at a rate of approximately 1 hour of patient date every 30 sec e g an 8 hour case will take ap proximately 4 minutes to save at a Save rate of 2 Sec To return to the Main screen select DONE Note Once saving has started the user may exit the dialog via the DONE selection at any time and the saving will continue Note To stop the saving select CANCEL or navigate to Save to USB under the Patient menu and then select CANCEL to stop the saving Note If saving is cancelled the file that was initially saved will be de leted from the USB memory stick 17 Caution Do not remove the USB memory stick while data is being saved to it Removing the USB memory stick from the monitor while data is being saved may cause permanent damage to the USB mem ory stick Once the progress bar has indicated that 100 of the data has been saved the USB memory stick may be safely removed refer to Figure 39 Page 74 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor USB Operations Save to USB File Name 2007 07 30 1D 01 054 Save rate I 2 Seconds Asave rate other than seconds may result in some alarms and event marks not to be saved in the file saved on the USB memory stick Data saved Memory stick may now be removed CANCEL Figure 39 Saving to USB Completed Patient data is
56. e 17e below 6 Push the fiber optic connector into the receptacle with the matching colored label as far as possible It is keyed to fit only one way The key is also identified on the colored label You should hear or feel a slight click when connector is seated see Figure 17f below 7 Hold the electrical connector with the arrow rounded side up and push it into the receptacle as far as possible You should hear or feel a slight click when the connector is seated see Figure 179 below 8 Repeat the above steps for the right patient cable Fiber optic connector with Remove amp discard Patient cable protective cap protective cap Patient cable end of a a Monitor Cable Preamplifier Keep door snapped shut when not in use Use CASMED sup plied Clear Male Fiber Optic Cleaning Stick to clean fiber optic connection in pream plifier Open door to connect to patient cable Use CASMED supplied Clear Female Fiber Optic AER Cleaning Stick to clean a fiber optic connection in FS ke e on patient cable oN Hold the electrical connector arrow rounded side up and push into receptacle until clicked in place Align key on fiber optic connector with key surrounding re ceptacle and push until clicked in place Figure 17 Connecting the Patient cable Clean fiber optic tip and receptacle before connecting Connect fiber optic connector and then electrical connector 21 02 0
57. e USB connector accommodates a USB Flash Memory stick do not connect any other USB device or cable to the USB port Caution For safe and proper usage of USB memory sticks please ob serve the following e When not in use remove the USB memory stick from the monitor and place the protective cap on the USB memory stick e Avoid places subject to high or low temperature extremes e Avoid dusty places and where corrosive gasses are generated e Never attempt to dismantle or repair the USB Memory Stick e Verify patient data is stored on the USB memory stick prior to eras ing the patient data within the FORE SIGHT monitor Saving Patient Data 21 02 0217 Rev 08 03 09 Insert the USB memory stick into the USB port connection on the front of the FORE SIGHT monitor If the USB memory stick will not insert rotate the USB memory stick 7 turn and re attempt to insert it into the USB port connection If the USB memory stick fails to insert contact the appropriate service personnel Caution If resistance is encountered do not attempt to force the USB memory stick into the FORE SIGHT monitor The USB memory stick is keyed to only be inserted one way Attempting to force the USB mem ory stick into the monitor the wrong way may cause permanent dam age to the monitor and or the USB memory stick Refer to page 94 for explanations of the USB Icon displayed in the up per right corner of the Main screen To save patient Data to the USB memory
58. e monitor switches and controls page 30 The content and use of the monitor display page 32 The procedures described in this guide pages 38 and following To use the monitor 1 Set up the monitor for the patient optional See page 38 2 Connect the monitor cable s to the monitor See page 39 3 Connect the patient cable s to the monitor cable s See page 42 4 Affix the SctO2z sensor s to the patient See page 44 5 Begin monitoring See page 46 6 Saving Patient Data to USB memory when case is completed See page 73 7 Printing Patient Data See page 77 21 02 0217 Rev 08 03 09 Page 27 Basic Operations FORE SIGHT MC 2000 Series Monitor Physical Configuration Front View Display screen Alarm Silence Reset key Average Auto Left Right key On Standby key Sensor Start Restart key AC line indicator LED Rotary control knob Battery indicator LED MC 2010 amp MC 2030 USB memory stick connection ket pallentconnection Right patient connection Figure 2 Front view Page 28 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Rear View AC Fuse Compartment Battery Fuse Receptacle for AC power cord Dr inima Ethernet connection Pae Mn Pa ami LSF amm lean nanan BEG MIDO he IE TK GEN NCEE Connector for CASMED supplied printer Grounding terminal Serial n mber label External device interface RS 232 Figure 3 Rear view Note The Ethernet c
59. ed using the Profiles menu Patient Profiles View Event PHU Help SctO Limits Preferences Brightness Auto Dim Languages Ports Date amp Time Main Menu Figure 10 The Setup menu Page 34 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations The Help Menu The Help menu see Figure 11 below provides useful tips regard ing icons buttons symbols and settings Patient Profiles View Event Setup DAM symbols Power Indicators Error Message Help sctO 2 Limits Help system Information About View log CAS login Main Menu Figure 11 The Help menu Note You may see a more selections in the Help menu with addi tional functions when you are being trained to use the monitor or when a system administrator or service technician is working with the machine If you see these extended functions in normal use contact your system administrator or technical service department to correct the condition Most of the Help screens have a selection that allows that Help screen to be displayed on start up See Figure 12 below The default selection is off for all Help screens Display at system start DONE Figure 12 Help Menu Display at system startup To obtain information specific to your FORE SIGHT unit including serial number and software version number select Help gt About menu in Figure 11 below FORE S GHT
60. ed information on the Citizen Model CMP 10 Mobile Printer refer to the User s Manual that was supplied with the Printer This section contains the instructions necessary to operate the FORE SIGHT MC 2000 Series Printer safely and in accordance with its func tions and intended use The Printer interfaces to the Monitor via the direct connect RS232 cable supplied with Printer Caution For safe and proper usage of the Printer please observe the following e Avoid places where fluid may enter the Printer opening accidentally e Avoid places subject to high or low temperature extremes e Avoid dusty places and where corrosive gasses are generated e Never attempt to dismantle or repair the Printer mechanism e Do not drop or bump the Printer When handling the thermal paper e Store in a dark cool and dry place e Do not place near organic solvents e Avoid contact with vinyl chloride films erasers or adhesive tapes for extended periods e Avoid exposure to high temperature humidity liquid or sunlight e Always use specified thermal paper Refer to Other Accessories and Options on page 104 for order information Note Refer to Selecting the Serial Ports Section on page 53 for addi tional information on configuring the rear panel Serial Ports Page T1 Printer FORE SIGHT MC 2000 Series Monitor Printer Controls and Indicators Figure 43 below shows the printer controls and indicators Figure 43 Printer Controls
61. ee a dEr 84 Removing the Battery Pack rrrnnrnnnrnnnrnnnrnannnnnnnnnnnnnnnnnnnnrnnnennnen 84 Installing the new Battery Pack rrrrnnnnnnnnrnannrannnannnannnnnnnnnnnennnnn 85 Page 12 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Cleaning 87 Cleaning the Monit r suuvuspersansersenseasavheendesneseundenn 87 Cleaning Monitor Gables sauser eder 88 Cleaning Patient G bles saa 88 Cleaning the Printer rarrnnrnrranornnrrnanennnnnvanrnnnnnnanennnnnnnnennnnnnnne 88 Maintenance 89 Maintenance Interval rranrrarrnnrnnrranrnnrnannnnrnnrnannnernannnnnnnennnener 89 Fuse Replacement uvel 90 AC PU orne 90 Battery Power FUSE ass eee TA 91 Appendix 93 SIDON reser 93 Front Panels yinbo saadan 93 Screen NACA NPR einernie a AS 93 Symbols near Accessory Connections rrnnrrnnrannnrnnnnrnnnnnnnnnr 94 SVIMDOIS ON MONO aars 94 Symbols on Packaging rrrrareranernarnranennnnrnnnnnnnnnnnnennannnnnennennn 95 Location of Laser Labels sron iiio 96 Warranty PO vase 97 Monitors FORE SIGHT Cerebral Oximeter rrrranernnnrnnre 97 Monitor CONTIQUIATIONS eeren oni E 99 FORE SIGHT MC 2000 Series Monitor Models 0 99 Monitor Configuration Record rranannnrnrarennnrrnnnrnnnnnnanennnnnnanennne 99 SPECMICAUONS sanere aE 100 PCCCSS ONC NNN 103 SCIO AES SONGS 103 Other Accessories and Options rrranrnnnrnnnennrnnnnnnnnnnnrnnnennnnr 104 Philips IntelliVue VueLin
62. en sent from the FORE SIGHT monitor to the Philips Patient Monitor Refer to Table 2 for FORE SIGHT Text messages dis played on the Philips IntelliVue Patient Monitor FORE SIGHT Serial Port Data Output Simple Comma Text The monitor allows you to configure the RS 232 serial ports on the back of the monitor to output a live stream of data that us being acquired and displayed on the monitor 1 Select an unused communications port located on the rear of the monitor refer to Figure 3 page 29 2 Configure the selected communications port to Simple Comma Test format using the procedure outlined in the Selecting the Serial Ports on page 53 Serial Port Data Output 1 Minimum software requirements Version 4 4 2 Data is output in a simple comma separated value CSV text format i e Left Right Avg Alarm values 3 Left Right Avg and Alarm values are outputted once every two 2 seconds 4 Invalid values e g no sensor are outputted as 1 5 Set the Serial Port Baud to the desire rate Refer to the Selecting the Serial Ports section on page 53 6 Alarm status value transmitted 0 No Violation 1 Low Left SctO 2 Low Right SctO 4 High Left SctO 8 High Right SctO gt 16 SctO gt Differential Examples 57 1 1 0 Left 57 Right no value Avg no value no limit violation 57 49 53 4 Left 57 Right 49 Avg 53 Low Right violation 57 49 52 20 Left 57 Right 49 Avg 52 Low Right am
63. ended Audience This manual is written for clinical professionals Clinical profes sionals are expected to have working knowledge of medical pro cedures practices and terminology as required for monitoring of critically ill patients W Caution For continued safe use of this equipment it is necessary that the listed instructions be followed However instructions listed in this manual in no way supersede established medical practices concerning patient care IT Warning Directions that warn of conditions that put the patient or the caregiver at risk W Caution Directions that help to avoid damaging the monitor or losing data Note Directions that make it easier to use the monitor something not readily apparent Figures All illustrations in this manual are provided as examples only They may not necessarily reflect your monitoring setup or data displayed on your monitor 21 02 0217 Rev 08 03 09 Page 9 FORE SIGHT MC 2000 Series Monitor Revision History This manual has a revision number located at the bottom of each page It changes whenever the manual is updated Rev 00 04 2007 Rev 01 05 2007 Rev 02 05 2007 Rev 03 07 2007 Rev 04 10 2007 Rev 05 12 2007 Rev 06 02 2008 Rev 07 06 2008 Rev 08 03 2009 Read this manual carefully before patient use of the monitor CAS Medical Systems Inc reserves the right to make changes to this manual and improvements to the product it describes at any time without notice or obl
64. entered a device take it out of service and have it checked by a service technician before it is used again 107 Warning The FORE SIGHT MC 2000 Series Monitor provides DRIP PROOF level of protection from ingress to moisture uc 7 Warning Do not place liquids on top of the monitor Do not im merse the monitor or power cord in water or any liquid uc 7 Warning Do not gas sterilize or autoclave the monitor gt Warning After removal of covers connectors etc do not touch any part of non medical electrical equipment and the patient at the same time 5 Warning Where the integrity of the external protective conductor in the installation or its arrangement is in doubt EQUIPMENT shall be operated from its INTERNAL ELECTRICAL POWER SOURCE uc 7 Warning Isolation of product from mains can only be achieved by removal of external power cord w 5 Warning Route and secure all cables away from patient s throat to reduce the possibly of strangulation Page 20 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Safety ic 7 Caution Pressing the front panel keys with a sharp or pointed in strument may permanently damage the switch membrane Press the keys using only your finger i 5 Caution If the monitor is accidentally wetted take it out of opera tion It should be thoroughly dried 107 Note There are no known risks with common disposal of equip ment or accessories however the disposing of accessori
65. er quality should be that of a typical commercial or hospital envi ronment Mains power quality should be that of a typical commercial or hospital envi ronment If user of the FORE SIGHT MC 2000 Series Monitor requires continued operation during power mains interruptions it is recom mended that the FORE SIGHT MC 2000 Series Monitor be powered from an uninterruptible power supply or a battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commer cial or hospital environment Page 5 FORE SIGHT MC 2000 Series Monitor Guidance and Manufacturer s Declaration Electromagnetic Immunity The FORE SIGHT MC 2000 Series Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the FORE SIGHT MC 2000 Series Monitor should insure that it is used in such an environment Immunity Test IEC 60601 Test Level Electromagnetic Environment Guidance Level Portable and mobile RF communications equipment should be used no closer to any part of the Model MC 2000 Series Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Conducted RF 3 Vrms Recommended separation distance IEC 61000 4 6 150 kHz to 80 MHz d 1 2VP Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz d 1 2VP 80 MHz to 800 MHz d 2 3VP 800 MHz to 2 5 GHz Where P is the max
66. er the ends of the Monitor Cable because instrument damage may occur Monitor Cable should be allowed to thoroughly dry before use Cleaning Patient Cables Using the female fiber optic cleaning stick provide in the Biomedi cal amp Abbreviated Biomedical Kits clean the fiber optic connections on the patient cables mu Caution The Patient Cable is designed for single patient use and is not to be reprocessed 17 Caution Do not soak or immerse the patient cable and sensor in any liquid solution Do not attempt to sterilize it Cleaning the Printer Refer to the Printer User s Manual for more information jc F Caution Before cleaning the Printer disconnect the AC adapter e Wipe with a soft dry cloth To remove extreme dirt buildup e Soak a cloth with mild detergent wring well and wipe Dry by wiping with a soft dry cloth wm 7 Caution Do not use volatile chemicals such as thinner benzene etc 107 Caution Never wet the inside of the Printer mechanism Page 88 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Maintenance Maintenance i 7 Warning Do not under any circumstances perform any testing or maintenance on the monitor while the monitor is being used to monitor a patient The monitor must be turned off Unplug the monitor from the AC power source yc 7 Warning Do not lift the monitor by any cable or line as they could disconnect from the monitor causing the monitor to fall on the pa tient
67. erage indicator SctO Low Alarm Limit a 0 Plot area 3 SctO gt Cable connection indications area FS DATA 0 Days 07 26 36 EACEA EA FORE SIGHT FS Data Collection indicator Right Cable status Mar 25 17 45 Left Cable status Date and time Duration of Event time of occurrence Message Current Historical bar length of bar is pro current case and measurement area View portional to fractional of total history representation by visible trace Figure 5 Main areas of monitor display Menu Navigation You can control most operations of the FORE SIGHT MC 2000 Series Monitor through the menu system The procedures in this manual make frequent reference to the menu system This section explains how to navigate through it Page 32 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations CAH Profiles View Event Setup save to USB Print Turn the rotary control Snapshot to USB knob to Main Menu on any drop down list and press the knob to return to the FS Data Review Main Menu FS Data Print Start FS DataCollection Main Menu Figure 6 The Patient menu The following paragraphs briefly describe what you can do from the various menus This section serves as an orientation to the menu system Specific procedures making use of the menu system are found in later sections of this user guide The Patient Menu The Patient menu see Figure 6 above lets you attach
68. erclockwise advances the selection on screen to the left when you are naviga tion the menu When you are navigating selections on a specific menu turning the knob counterclockwise advances the selection up until you reach the top of the menu then it starts over at the bottom When you are not on the menu bar turning the knob coun terclockwise advances the selection to the next section of the dis play in a counterclockwise direction Page 30 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations On Standby Key IN Press to toggle between Standby and On Press and hold for 2 o seconds to toggle between on and standby Unit will remain in standby mode when connected to AC power w 7 Warning Isolation of product from mains can only be achieved by removal of external power cord Alarm Silence Reset Key alarm condition When no alarms are present the alarm silence X Press once to silence the audio for the alarm or acknowledge an period will start for two minutes my 7 Warning Do not rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level dur ing patient monitoring may result in a hazard to the patient Re member that the most reliable method of patient monitoring com bines close personal surveillance with correct operation of monitor ing equipment w F Warning Do not place the FORE SIGHT MC 2000 Series Monitor face against a surface This wil
69. es should follow in accordance with local hospital policies The user should ensure these policies do not conflict with any local state or fed eral guidelines Safety Checks uc 7 Warning Do not under any circumstances perform any testing or maintenance on the monitor or power cord while the unit is being used to monitor a patient Unplug the power cord before cleaning or servicing the monitor The operator should not perform any ser vicing except as specifically stated in this manual w 5 Warning The functions of the alarm system for monitoring of the patient must be verified at regular intervals w 5 Warning Periodically and whenever the integrity of the product is in doubt test all functions yc 7 Warning Do not use a frayed or damaged power supply cord or any accessory if you notice any sign of damage Contact CAS Medical Systems Inc for assistance uc 7 Warning The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relat ing to the choice shall include Use of the accessory in the patient environment Evidence that the safety certification of the accessory has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard w 7 Caution Inspect the monitor cables and sensors for damage prior to operation If any damage is noted the monit
70. eseeeesseeeenees 90 Figure 56 Battery Fuse Placement rrrrarnnnnnnnnrrnnnrnnnnrnnrnnnnrnnnrr 91 Figure 57 Location of Internal Laser Labels rrrrnnrnrnnrrrnnnennn 96 Tables Table 1 User MCSSAGCS EA 64 Table 2 User messages on Philips IntelliVue rrarrnrennrrnnrnnrn 69 Table 3 USB Status Messages rarrrnnnrnnrnnranenanrrnnnnvanennnnnnnnnnnn 75 Table 4 FORE SIGHT MC 2000 Series Monitor Models 99 21 02 0217 Rev 08 03 09 Page 15 FORE SIGHT MC 2000 Series Monitor This page is intentionally left blank Page 16 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Safety Safety The operator must comply with the following Warnings Cautions and Notes to guarantee safe operation of the monitor Additional Warnings Cautions and Notes which apply to specific parame ters are listed in the sections that pertain to each parameter Indications for Use The non invasive FORE SIGHT Cerebral Oximeter Monitor MC 2000 Series should be used as an adjunct monitor of regional he moglobin oxygen saturation of blood in the brain When used with FORE SIGHT Large sensors the Cerebral Oximeter Monitor is indicated for use with adults and children over 40 Kg When used with FORE SIGHT Small sensors the Cerebral Oximeter Monitor is indicated for use with infants and neonates 2 5 Kg and above The Cerebral Oximeter Monitor should not be used as the sole ba sis for decisions as to the diagnosis
71. ferent than the ones indicated in this section You can change the language used for menus dialogs and screen display Note After you change the language menus display in the lan guage you selected You should select a language you can read at least well enough to restore the display to the original language as the names of languages listed in the Language dialog change too To select a language Turn the rotary control knob to select the Setup menu Press the rotary control knob to open the Setup menu Turn the rotary control knob to the right to select Languages Press the rotary control knob a second time to open the Languages dialog Figure 25 page 52 Turn the rotary control knob to select the desired language 6 Press the rotary control knob to confirm the selection The focus shifts to the DONE button 7 Turn the rotary control knob to select the word DONE at the bottom of the list of languages 8 Press the rotary control knob to change the focus to the DONE button 9 Press the rotary control knob to save your changes Select the CANCEL button to cancel your changes WN O1 CANCEL Figure 25 Languages dialog Page 52 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Selecting the Serial Ports Port selections may be different than the ones indicated in this section You can change the Port settings for information transmitted and received in and out the 4
72. ft FS L Signal Err L Signal out of range L Check tissue under sensor L Not calibrated for probe type R Ambient Light Warning FS R Chk Sensor R Excessive Ambient Light FS R Amb Light No Signal Right FS R Signal Err R Signal out of range R Check tissue under sensor R Not calibrated for probe type 21 02 0217 Rev 08 03 09 Page 69 FORE SIGHT FS Data Collections FS information may be collected on a case by case basis The user will be reminded to start and stop data collection based on current equipment state Under the Miscellaneous Preferences selection refer to page 50 the user may choose to display auto matic start stop FS Data collection reminders on the main screen Note Patient data for Left and or Right channels will be collected based on the connection of the cables sensors and the laser state at the start of FS Data collection If one side is not connected or the laser has not been turned on when FS Data collection is started data from that side will not be included in the FS Data Re view Note If FS Data information is being collected the FS Data text in the bottom left corner of the trace area shall be green If FS Data information is not being collected the FS Data text shall be white Note Starting and Stopping of FS DATA collection can be se lected at any time The user does not need to wait for the auto matic popup reminders Starting FS Data Collection Note Starting of the FS Data collectio
73. gineering personnel only must g interface monitoring equipment with other types of medical equip ment Be certain to consult manufacturers specifications to main tain safe operation 21 02 0217 Rev 08 03 09 Page 19 Safety FORE SIGHT MC 2000 Series Monitor IK Caution Measurements may be affected in the presence of strong electromagnetic sources such as electro surgery equipment Note The FORE SIGHT MC 2000 Series Monitor is designed for continuous operation Note The FORE SIGHT MC 2000 Series Monitor is suitable for use in the presence of electro surgery however measurements may be inaccurate during use of such equipment Note The FORE SIGHT MC 2000 Series Monitor can remain connected to the patient during cardio defibrillation All applied parts are Type BF Defibrillation Proof The monitor has been designed to promote patient safety All equipment parts are protected against the effects of the discharge of a defibrillator No separate actions are required when using this equipment with a defibrillator Device Handling 7 Warning To ensure patient safety do not place the monitor in any position that might cause it to fall on the patient w 5 Warning Do not lift the monitor by any sensor cable or line as they could disconnect from the monitor causing the monitor to fall on the patient uc 7 Warning To avoid electric shock or device malfunction liquids must not be allowed to enter the device If liquids have
74. igation Copyright 2007 CAS Medical Systems Inc All rights reserved No part of this manual may be reproduced without the written permis sion of CAS Medical Systems Inc Page 10 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Contents TEEN save Ree a 3 CONAN Addres SES see 3 Manufacturers Declaration of Conformity 5 CE Marking Information oraronrrrarernnrrrnnrranernnnrranrnnannnanennnnnnnnennn T General Information rrrarernnonnrrnnrrnnrnnnrrnnrnnnenanennnenannnnennuennnenneen 8 ABOUT I NIS Mantal oenen OO 9 Manual PUDOSE anne ER 9 intended AUdIENCE vi srieireni aay 9 CONIVEMMONS gerra A A 9 REVISION HISION usensurerte 10 Safety 17 indications for USErsesnsssane en annens ae 17 Coen SA 17 Installation and SeUP anda 18 Device Handling 4 eee 20 SEN CMOCKS uekte 21 MONO id nate caesar octet ee cect nee Veneers Sets tn Peso ase se eases 22 Mial INSPEC oMr aa a G 24 MONGOLENE Sue 24 Patent EN ONE npor ite aoletuneae eteteh aa eeueteaweess 25 Monitor Classifications of Electrical Insulation rrrrnrrrnnererr 25 Basic Operations 27 INFOAUCUON saadan EEEE EE dd 27 Geno Arned REESE EE EN SEE TEEN 27 PAYySiCal Gonlgualoh save win ies Meola sahel so teteutes 28 FONN ee en re ee 28 REE EN REE EE teat ota eho naan eta MG 29 Monitor Switches and Controls ccccccceecceceseeeseeeeseeeeeeeeeeeeees 30 ROGEN CONMIGO IK MOD 2 30 ON SUA DY K EY ere 31 Alarm Silence Reset Key rrr
75. igure 38 Saving to USB Progress rrrrararanrrnnrrvnrrnrarernnnnnanennnr 74 Figure 39 Saving to USB Completed rrrrrrrnnrrrnnrernnrennnrrnvnnernnn 75 Figure 40 USB Memory File Example ccccccseeeeseeeeneeeeeees 75 Figure 41 USB Status message display rrrrnrrrnrrnrarernnrrnnnnnnre 76 Figure 42 Snapshot to USB dialog rrrrorrrnnrrnnrernrrnrarennnrnnnrr 76 Figure 43 Printer Controls and Indicators rrrnrrrnnrrnnnrnvvnnrennn 78 Figure 44 Patient gt Print Menu dialog cccecceseeeeeeeeeeeeeeees 19 Figure 45 Tabular Print Example ccccseccceeeeseeeseeeeeeeneeesaees 80 Figure 46 Tabular Screen Print dialog ccccccceseeeeeeeeeeaeeeees 81 Figure 47 Tabular Full Case Print dialog ccccecceseeeeneeeees 81 Figure 48 Graphic Screen Print dialog ccceccseeeeeeeeeeeeeaees 82 Figure 49 Graphic Screen Print Example cccceeeeeeeeeees 82 Figure 50 Graphic Full Case Print dialog ccccccceeeeeeeeeeees 83 Figure 51 Graphic Full Case Print Example ccccseeeeeees 83 Figure 52 Paper Installation rranrrnrrnnrrnnrrnnrrnnrnnervnnrrnnnrnnennnnn 84 Figure 53 Opening the Battery DOOr rarrrararnnnnnanennnnrnnnrnnnnnnnnr 85 Figure 54 Installing the New Battery rrrnrrnnrrnnrrnrrnnrrrnnrrnnnnnnnn 85 Figure 55 AC Fuse Placement ccccccseeeceeeeceee
76. imum output power rating of the transmitter in watts according to the transmitter manufacturer and dis the recommended separation distance in meters Field strengths from fixed RF transmitters as deter mined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol C D NOTE 1 At 80 MHz and 800MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is effected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the elec tromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Model MC 2000 Series Monitor is used exceeds the applicable RF compliance level above the Model MC 2000 Series Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the Model MC 2000 Series Monitor Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m Recommen
77. in your area 21 02 0217 Rev 08 03 09 Page 85 Printer FORE SIGHT MC 2000 Series Monitor This page is intentionally left blank Page 86 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Cleaning Cleaning w 7 Warning Do not under any circumstances perform any cleaning while the monitor is being used to monitor a patient The monitor must be turned off Unplug the monitor from the AC power source and disconnect all accessories w 7 Caution Do not open the monitor to clean it Caution Do not immerse any part of the electrical connector of the cable or accessories in the cleaning or disinfection solution at any time This may cause internal damage and reduce the prod uct life Em hl 7 Caution Do not use abrasive cleaners isopropyl alcohol or or ganic solvent for cleaning Use of these cleaners can cause dam age stiffness and brittleness to the monitors surface and to cables and wires Cleaning the Monitor 1 I Caution Disconnect all accessories from the monitor before cleaning Examine the monitor s case for damage and check the AC power cord for bent or broken prongs cracks or fraying Neither the monitor nor the power cord should be used if damaged If any damage is noted contact the appropriate service personnel 7 Caution Do not spray or pour any water or cleaning solution di rectly onto the monitor e Housing The monitor surfaces may be disinfected using a soft cloth dampened with a 1
78. ion returns to normal range i e patient is no longer edemic alarm message will disappear and SctO2 measurement will return Check patient for scalp edema When tissue condition returns to normal range i e patient is no longer edemic alarm message will disappear and SctO2 measurement will return 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Message Recommended Actions System Alarms Red on White High Priority Alarms Dead Battery Battery needs to be recharged Plug unit into outlet Internal Temp Monitor is over operating tem Shut down monitor and contact CASMED customer Error perature range service System Alarms Yellow on Black Medium Priority Alarms Power Failure External power interruption or Press the alarm silence button to clear the mes disconnected power cord Ap sage or turn monitor off and on again plies only to units w o batteries System Memory Data storage has reached capac Data is no longer being stored Save your data and Set Clock Clock has not been set Set date and time See page 53 Clock Battery Clock battery needs to be re Contact CASMED customer service placed Low Battery Battery needs to be recharged Plug unit into outlet Loss of AC AC power loss Unit operating on Plug unit into outlet Power Battery power system Memory Data storage is near capacity Save your data and clear the current data by se Nearly Full lecting new patient Full clear the curre
79. k Accessories and Options 104 21 02 0217 Rev 08 03 09 Page 13 FORE SIGHT MC 2000 Series Monitor Page 14 Figures Figure 1 Patient environment rrnanrnnnnnnnnnnnnnnnnnnrnnnnnnnrnnnrnnnennnen 25 Figure 2 FONT VEN usciu aa a e aa 28 FOUE o REA VEN LES 29 Figure 4 Clockwise and counterclockwise directions 30 Figure 5 Main areas of monitor display ccccccceecceeeeeeeeeeees 32 Figure 6 The Patient menu cccsccceecceeeceeeceeeceeeeeeeaeeeaees 33 Figure 7 The Profiles menu ccccccceecceececeeeeeeeeceeseeeeseeeeaaes 33 Figure 8 The View menu rrnnrrnnnrnnnnnnnnnnnnnnnnnnnnnnnnnnnnanenanennnennnen 34 Figure 9 The Event menu cccccccececeeeceeeceeeceeeseeseueeeeeeaeees 34 Figure 10 Figure 11 Figure 12 Figure 13 TRE Stup MeEN keasian covacswun duets 34 TRE Help Men er aenean 35 Help Menu Display at system startup 06 35 TMG Ao MEL 35 Figure 14 The default keyboard layout rranrrnnnrrnnrnnnnrnnnnnnnnnnnnr 36 Figure 15 The extended keyboard layout rrrrrnnnrnnnnnnrnnnrvnnennnrr 36 Figure 16 Connecting and disconnecting the monitor cable 41 Figure 17 Connecting the Patient cable rrrnrrrnnrnrarernnrnnnnnnnre 43 Figure 18 On Standby Key cecs ninaa aiei 46 Figure 19 Sensor Start Restart key rarrrarrrnnrrrarernnrrrarrrnnnnnnrr 47 Figure 20 Average Auto Left
80. l Right sensor misplacement Reduce patient movement or patient sensor cable Right Excessive patient sensor cable movement movement Right partial cable disconnections Right patient sensor cable is de fective Right monitor cable is defective L Ambient Light Warning Left Ambient light approaching maximum value R Ambient Light Warning Right Ambient light approaching maximum value L Signal out of Range Left Sensor on inappropriate ob ject R Signal out of Range object Tissue under sensor may have under sensor fluid accumulation edema Tissue under sensor may have fluid accumulation edema under sensor Page 66 Right Sensor on inappropriate Check to be sure that sensor is in direct contact with the skin on the patient s forehead do not place over hair Disconnect clean fiber optic connection and re connect monitor cable and patient sensor cable connections Replace patient sensor cable Replace monitor cable Check that sensor is in direct contact with skin and that light block is in place Readjust light block position to more fully cover sensors Check that sensor is in direct contact with skin and that light block is in place Readjust light block position to more fully cover sensors Remove sensor from inappropriate object and place on patient forehead Remove sensor from inappropriate object and place on patient forehead Check patient for scalp edema When tissue condit
81. l cause the alarm to be muffled Average Auto Left Right Key s Press to switch the current display to show patient readings for A mi e Simple average of the left and right sensors Automatic toggle between the right and left sensors Left sensor Right sensor Note The currently selected sensor is shown on the monitor Note When Auto numeric toggle is selected the icon is shown to the right of the currently displayed left or right sensor indicator Note FORE SIGHT software detects if a single sensor is con nected to the monitor and will automatically display the numeric for the side in use Sensor Start Restart Key KR Press to start or restart sensors You will be prompted with a mes sage if you need to restart sensors 21 02 0217 Rev 08 03 09 Page 31 Basic Operations FORE SIGHT MC 2000 Series Monitor Monitor Display Parts of the Display Screen The main elements of the monitor display are shown below in Figure 5 Snapshot status indicator USB status indicator if USB memory stick is installed Printer status indicator Event Marker if printer is installed Main menu Patient mode Battery status indicator Patient Profiles View Event Setup Welp Mode selection button Active or Historical SctO2 High Alarm Limit Left and Right Alarm indicator area SctO High to Low Alarm Range Data acquisition indicator Auto Numeric toggle indicator Left Right Av
82. ll enable snapshot of the screen to the USB memory ig stick When ready press the Alarm Silence Reset key to take a snapshot camera icon as seen here to the right will appear in the tool bar when the snapshot is enabled Once the snapshot is taken the camera icon is removed CANCEL Figure 42 Snapshot to USB dialog Note A camera icon amp will be displayed in the tool bar whenever the Screen Snapshot feature is On Note If Done is selected and no USB memory stick is installed the Screen Snapshot feature will not be enabled Note If the Screen Snapshot feature is On and the USB Stick is pulled out before a Screen Snapshot is taken the Screen Snapshot feature will be turned Off Pressing the Alarm Silence Reset key will take a snapshot of the cur rent screen and save it to the USB Memory Stick If the Screen Snapshot feature is enabled and an Alarm condition oc curs pressing the Alarm Silence Reset key will take the snapshot pressing the Alarm Silence Reset key again will then acknowledge that Alarm condition Note If a Screen Snapshot is not taken within 5 minutes the Screen Snapshot feature will be turned off Page 76 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Printer Printer Introduction 21 02 0217 Rev 08 03 09 In the context of this Manual the FORE SIGHT Series Printer the Printer refers to the Citizen Mobile Thermal Printer Model CMP 10 For more detail
83. mount of charge If the battery is at more than 30 of capacity the amount of charge remaining is shown in green If it is at less than 30 it is shown in red If the battery is completely discharged the battery icon is empty with neither red nor green showing A fully charged battery will operate the Model MC 2010 or 2030 unit for approximately 2 hours Note While the monitor software initializes the monitor displays a brief diagnostic text screen then an animated FORE SIGHT splash screen and then switches to the regular display ready to begin normal operation You can dismiss the splash screen before the animation finishes by pressing the rotary control Knob once Note A help dialog may open at system start You can dismiss this dialog by pressing the rotary control knob once You may un check the Display at system start to disable displaying this dia log on system startup Starting to Monitor a Patient To start monitoring a patient 1 Ensure that all cables and sensors are in place Note Verify that right and left cables are properly connected by noting the illuminated LED on each preamplifier box The LED that is illuminated indicates the cable connection at the monitor If the LED close to the blue face icon is illuminated it indicates that the monitor cable is connected for the patient s left side If the LED close to the green face icon is illuminated it indicates that the monitor cable is connected for the patient
84. mply with the limits for medical devices to the EN 60601 1 2 2002 Medical Device Directive 93 42 EEC These limits are designed to provide reasonable protection against harmful interference in a typical medical installation This equip ment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to other devices in the vicinity However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful inter ference to other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures e Reorient or relocate the receiving device e Increase the separation between the devices e Consult the manufacturer for help IT Warning If the integrity of the protective earth conductor is in doubt the unit may be operated from the internal batteries by dis connecting the AC line cord completely from the unit 7 Caution The Battery fuse must be installed for the unit to operate with the internal batteries If the unit is not to be used for periods greater than 1 week the battery fuse should be removed refer to page 89 Fuse Replacement 07 Caution The USB connector accommodates a CASMED USB memory stick do not connect any other USB type device or cable 7 Caution Qualified biomedical en
85. n SctO2 measurements may be lower than expected my Warning Misapplied sensors or sensors that become partially dis lodged may cause either over or under reading of oxygen satura tion w 5 Warning To prevent damage do not soak or immerse the sen sors in any liquid solution Do not attempt to sterilize Kr Warning Intravascular dyes or externally applied coloring may lead to inaccurate measurements uc 7 Warning Elevated levels of carboxyhemoglobin COHb may lead to inaccurate measurements yc 7 Warning Elevated levels of methemoglobin MetHb will lead to inaccurate measurements uc 7 Warning Failure to apply sensors properly may cause incorrect measurements w 5 Warning Do not modify or alter the SctO gt sensor in any way Al terations or modification may affect performance and or accuracy w 5 Warning Do not apply the SctO gt sensor to the patient s forehead that has an internal temperature of greater than 39 2 C to prevent possible damage to the patient s skin 17 Caution Use only accessories and sensors approved by CAS Medical Systems Inc to ensure patient safety and to preserve the integrity accuracy and electromagnetic compatibility of the moni tor uc 7 Caution Electrocautery To prevent unwanted skin burns apply electrocautery electrodes as far as possible from all other sensors a distance of at least 15 cm 6 in is recommended 21 02 0217 Rev 08 03 09 Page 23 Safety FORE SIGHT MC
86. n can only be selected if the FS Data collection has been stopped Once the sensor s have been applied to the patient and the la ser s have been turned on for a set period of time an automatic popup reminder to Start FS Data collection may appear on the main screen refer to Figure 34 below Selecting Yes shall start the collection of FS Data information and remove the popup re minder Selecting No shall remove the popup reminder and not start the collection of FS Data information Starting FS Data collec tion may be accomplished by selecting Start FS Data Collection under the Patent menu refer to page 33 Start FS Data collection lt gt HO Figure 34 Start FS Data Collection popup dialog Stopping FS Data Collection Note Stopping of the FS Data collection can only be selected if the FS Data collection has been started Once the sensor s have been removed from the patient or the la ser s have been turned off for a period of time an automatic popup reminder to Stop FS Data collection may appear on the main screen refer to Figure 35 page 71 Selecting Yes shall stop the collection of FS Data information and remove the popup reminder Selecting No shall remove the popup reminder and con tinue the collection of FS Data information Stopping FS Data col lection may be accomplished by selecting FS Data collection under the Patent menu refer to page 33 Page 70 21 02 0217 Rev 08 03 09 FORE SIGHT MC 200
87. ned to exclude ambient light sensors R Excessive Right patient sensor is not in cor Check that sensor is in direct contact with skin and Ambient light rect contact with patient that light block is in place Light block is not properly posi Readjust light block position to more fully cover tioned to exclude ambient light sensors L SctO cable Left patient sensor or monitor Replace left patient cable if necessary Sensor Error cable is defective Replace left monitor cable if necessary R SctO cable Right patient sensor or monitor Replace right patient cable if necessary Sensor error cable is defective Replace right monitor cable if necessary L SctO gt M cable Left monitor cable is discon Check left monitor cable connections disconnect nected Clean fiber optic connections using CASMED supplied cleaning tips then reconnect left monitor cable Replace left monitor cable if necessary 1 Red on White indicate Red text on White background 2 Yellow on Black indicates Yellow text on Black background 3 After pressing the Alarms Silence Reset button the Excessive Ambient light or No Signal message may be replaced with Press sensor start reset 1X 2X message where represents L Left or R Right Page 64 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Message Recommended Actions SctO Equipment Alarm Messages Yellow on Black Medium Priority Alarms Continued L SctO2P cable
88. nitor Cables Patient cables see Figure 17a g connect the monitor cables to the patient Patient cables are single use items Use new patient cables for every patient and discard after use uc Warning Do not lift the monitor by any cable or line as they could disconnect from the monitor causing the monitor to fall on the pa tient uc 7 Warning Route and secure all cables away from patient s throat to reduce the possibly of strangulation uc 7 Warning Conductive Connections Extreme care must be exer cised when applying medical electrical equipment Many parts of the human machine circuit are conductive such as the patient connectors electrodes and transducers It is very important that these conductive parts do not come into contact with other grounded conductive parts when connected to the isolated patient input of the device Such contact would bridge the patient s isola tion and cancel the protection provided by the isolated input In particular there must be no contact of the neutral electrode and ground 7 Caution Inspect the cables and sensors for damage prior to op eration If any damage is noted the cables or sensor should not be used until it has been serviced or replaced Note The patient cable includes both an electrical cable and a fiber optic cable You must take care to ensure that the entire fiber optic pathway is kept clean Keep the patient cable in its original package until you are ready to connect
89. normally blank Sometimes a condition arises that causes the system to display a message there Table 1 lists the User Messages the conditions they signify and the recommended action you should take This information can also be found in the Help Menu by pressing Error Message Help Table 1 User Messages Message Condition Recommended Actions SctO Patient Alarms Red on White High Priority Alarms Left SctO Left SctO gt reading exceeds user Press alarm silence button to mute alarm for 30 HIGH selected High alarm limit seconds Left SctO Left SctO gt reading is below user Press alarm silence button to mute alarm for 30 LOW selected Low alarm limit seconds Right SctO Right SctO gt reading exceeds Press alarm silence button to mute alarm for 30 HIGH user selected High alarm limit seconds Right SctO Right SctO gt reading is below Press alarm silence button to mute alarm for 30 LOW user selected Low alarm limit seconds R L SctO Right Left SctO gt differential ex Press alarm silence button to mute alarm for 30 differential ceeds user selected differential seconds alarm alarm limit SctO Equipment Alarm Messages Yellow on Black Medium Priority Alarms L Excessive Left patient sensor is not in cor Check that sensor is in direct contact with skin and Ambient Light rect contact with patient that light block is in place Light block is not properly posi Readjust light block position to more fully cover tio
90. nplug this sensor and plug in a valid sensor for probe type the Right monitor cable that Contact CAS Customer Service if this should be a SctO2 sensor Incorrect patient cable attached Discard incorrect patient cable and replace with mismatch correct patient cable Acquiring L Informational message Wait for message to clear SctO signal Acquiring R Informational message Wait for message to clear SctO signal Press sensor A single laser is off Press Sensor Start Restart key twice start restart 2X Press sensor Both lasers are off Press Sensor Start Restart key once start restart 1X Note A reminder tone of 2 quick beeps will be generated when the Press sensor start restart 2X or 1X message is displayed This tone is repeated every 10 minutes and can not be muted 21 02 0217 Rev 08 03 09 Page 65 Basic Operations FORE SIGHT MC 2000 Series Monitor SctO Equipment Alarm Messages Yellow on Black Medium Priority Alarms Continued Message Recommended Actions L Check tissue R Check tissue No Signal Left sensor Misplacement Reduce patient movement or patient sensor cable Left Excessive patient sensor cable movement movement Check to be sure that sensor is in direct contact place over hair Left patient sensor cable is de fective Disconnect clean fiber optic connection and re PET NE AER connect monitor cable and patient sensor cable connections Replace patient sensor cable Replace monitor cable No Signa
91. nt data by selecting new patient Internal Temp Monitor is beginning to overheat Check for free flow of temperate air around monitor Warning Move monitor away from wall or other obstruc tion Move it to a cooler area If condition per sists contact CASMED customer service Battery Supply Battery Fuse missing or blown or Install Battery fuse See page 90 Inoperative battery harness disconnected Contact CASMED customer service Check Serial P1 Serial Communications problem Inspect the Serial P1 cable connections Make sure the Serial P1 cable connectors are properly en gaged Verify the FORE SIGHT Serial P1 settings are cor rect Verify target device is turned on and actively dis playing information Check Serial P2 Serial Communications problem Inspect the Serial P2 cable connections Make sure the Serial P2 cable connectors are properly en gaged Verify the FORE SIGHT Serial P2 settings are cor rect Verify target device is turned on and actively dis playing information Check Serial P3 Serial Communications problem Inspect the Serial P3 cable connections Make sure the Serial P3 cable connectors are properly en gaged Verify the FORE SIGHT Serial P3 settings are cor rect Verify target device is turned on and actively dis playing information 21 02 0217 Rev 08 03 09 Page 67 Basic Operations FORE SIGHT MC 2000 Series Monitor Message Recommended Actions Popup Alarm Red on White High
92. ntifier with the data To label data with the patient identifier 1 On the Patient menu select New The system asks if you want to start a new patient and cautions you that answering Yes erases all acquired data and starts a new session Note If a New Patient is selected all collected FS Data informa tion will be erased refer to FORE SIGHT FS Data Collections on page 70 2 Select Yes The keyboard opens 3 Enter the patient identifier up to 30 characters including spaces see Entering Text page 35 4 Select the DONE button when you are done 5 Check the Enable FS Data collection box to enable FS Data collection refer to FORE SIGHT FS Data Collections on page 70 Selecting a User Profile On the Profiles menu select the profile that you wish to use If none of the existing profiles is suitable you can create and save a new profile To create and save a new profile 1 On the Profiles menu select New 2 Enter the name of the new profile up to 15 characters includ ing spaces see Entering Text page 35 3 Select the DONE button when you are done 4 On the View and Setup menus make any desired changes to the current settings See pages 48 and following Page 38 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations 5 On the Profiles menu select Save Alternate method 1 On the View and Setup menu make any desired changes to the current settings see pages 48 and following 2 On
93. o USB enabled Press Alarm Silence Reset key to save screen image to USB Memory stick Battery Charge Level Indicator Model MC 2010 amp 2030 only Symbols near Accessory Connections JEN Patient connections are Type BF gt Communication port RS 232 Connector Symbols on Monitor AN CAUTION read instructions before using Y Potential equalization post This symbol appears here instead of on the unit The first two digits of the unit s serial number indicate the year of manufacture in the 21 century PX Protection against ingress of water The CE Mark and Notified Body Registration Number signify the de C 4 0086 vice has met all essential requirements of European Medical De vice Directive 93 42 EEC x Indicates this monitor is subject to the Waste Electrical and Elec tronic Equipment Directive in the European Union He Ny Alternating current fv ve y Recycling suggested Page 94 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Appendix Symbols on Packaging Lot number Relative humidity for storage and transport Do not reuse Storage and transport temperatures Do not Discard Intended for multiple use 21 02 0217 Rev 08 03 09 Page 95 Appendix FORE SIGHT MC 2000 Series Monitor Location of Laser Labels Figure 57 below shows the location of the laser labels located in side the monitor pr Caution Service performed by unauthorized personnel could be damaging to the monit
94. od This is appropriate for example if you are using the monitor in a patient room and the bright display might interfere with the pa tient s rest To set the auto dim feature Turn the rotary control knob to select the Setup menu Press the rotary control knob to open the Setup menu Turn the rotary control knob to the right to select Auto Dim Press the rotary control knob a second time to open the Auto Dim dialog Figure 24 page 52 Press the rotary control knob to turn auto dim on or off Turn the rotary control knob to the right to select the slider Press the rotary control knob to activate the delay slider Turn the rotary control knob to the left to reduce the delay or to the right to increase it 9 Press the rotary control knob again to deactivate the delay slider 10 Select the DONE button and press the rotary control knob to save your changes Select the CANCEL button to cancel your changes RR QN CON GO 21 02 0217 Rev 08 03 09 Page 51 Basic Operations FORE SIGHT MC 2000 Series Monitor Auto Dim Auto Dim On 5 Minutes DONE CANCEL Figure 24 Auto Dim dialog Deactivating Auto Dim Temporarily To temporarily deactivate the auto dim function push any key or turn the rotary control Knob The monitor screen automatically re turns to full brightness Activation of an alarm also temporarily de activates the auto dim function Selecting the Language Language selections may be dif
95. on High Low limit violation has occurred An exclamation mark 1 after the AVG Average value indicates the differential alarm condi tion has occurred Note Event entries are indicated at the time they are entered Page 80 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Printer Tabular Print When the Continuous Tabular Print selection is disabled the user must initiate the printing To print the tabular data associated with information displayed on the screen Select Tabular Print type Screen Print length and then select PRINT see Figure 46 page 81 Print type Print length C Graphic Screen w Tabular t Full case Time scale Continuous Tabular Print PRINT DONE CANCEL Figure 46 Tabular Screen Print dialog To print all the tabular data associated with this patient select Tabular Print type Full case Print length and then select PRINT as shown in Figure 47 below Print type Print length C Graphic C Screen w Tabular Full case Time scale Continuous Tabular Print PRINT DONE CANCEL Figure 47 Tabular Full Case Print dialog pr 7 Caution Attempting to print a Full Case longer than 24 hours in tabu lar mode will require more than 1 roll of 80 thermal paper The progress bar will indicate the amount of data printed as a percent age and a solid bar shall fill in from the left Note Once printing has started the user may exit this dialog at any time and
96. onnection is for the use of CASMED service personnel only Note The male RS 232 connector upper right hand corner can be used to connect to the CASMED supplied printer The remain ing RS 232 ports are reserved for future applications 21 02 0217 Rev 08 03 09 Page 29 Basic Operations FORE SIGHT MC 2000 Series Monitor Monitor Switches and Controls Rotary Control Knob The rotary control knob gives you access to on screen monitor functions You can e Navigate through all menu selections e Choose optional settings e Enter data The rotary control knob has two modes of operation e Turn the knob to step through choices on the screen e Push the knob to select a highlighted choice You can turn the rotary control knob to the right clockwise or to the left counterclockwise gt Right clockwise rotation Left counterclockwise rotation Figure 4 Clockwise and counterclockwise directions Note Turning the rotary control knob to the right clockwise ad vances the selection on screen to the right when you are navigat ing the menu When you are navigating selections on a specific menu turning the knob clockwise advances the selection down until you reach the bottom of the menu then it starts over at the top When you are not on the menu bar turning the knob clock wise advances the selection to the next section of the display in a clockwise direction Note Turning the rotary control knob to the left count
97. or and may void the warranty Only person nel authorized to do so by CAS Medical Systems Inc should re pair the monitor CAUTION CLASS 3B RADIATION WHEN OPEN AVOID EXPOSURE TO BEAM Labels are located on each NSAM Board Figure 57 Location of Internal Laser Labels Note CLASS 1 LASER PRODUCT This product is designated for use solely as a component of the Model MC 2000 Series Monitor and therefore does not comply with the appropriate requirements of 21 CFR part 1040 10 for complete laser products This product complies with IEC 60825 1 2001 Page 96 21 02 0217 Rev 08 03 09 Warranty Policy Monitors FORE SIGHT Cerebral Oximeter All products are sold by CAS Medical Systems Inc CASMED under the warranties set forth in the following paragraphs Such warranties are extended only with respect to the purchase of this product directly from CAS Medical Systems Inc or CASMED s Authorized Distributors as new merchandise and are extended to the first buyer thereof other than for resale The CASMED FORE SIGHT Cerebral Oximeter monitor is war ranted for a period of twelve 12 months All products if applica ble are warranted to be free from functional defects in materials and workmanship and to conform to the description of the product contained in the User Guide published specifications and accom panying labels and or inserts provided that the same is properly operated under conditions of normal use in accordan
98. or should not be used until it has been serviced Only personnel authorized to do so by CAS Medical Systems Inc should repair the monitor p 7 Caution If the monitor fails to respond do not use it until the situation has been corrected by qualified CAS Medical Systems Inc personnel 21 02 0217 Rev 08 03 09 Page 21 Safety FORE SIGHT MC 2000 Series Monitor Monitoring 1 Warning Conductive Connections Extreme care must be exer cised when applying medical electrical equipment Many parts of the human machine circuit are conductive such as the patient connectors electrodes and transducers It is very important that these conductive parts do not come into contact with other grounded conductive parts when connected to the isolated patient input of the device Such contact would bridge the patient s isola tion and cancel the protection provided by the isolated input In particular there must be no contact of the neutral electrode and ground 7 Warning Do not come into contact with patients during defibrilla tion Otherwise serious injury or death could result w 5 Warning If the accuracy of any value displayed on the monitor is questionable determine the patient s vital signs by alternative means Verify that all equipment is working correctly uc 7 Warning Only use CASMED supplied patient cables with this monitor The use of unprotected patient cables creates the poten tial for making an electrical connection to
99. p Differential violation Page 56 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Setting the Date and Time You can change the date and time shown on the screen display and associated with collected data A Caution You are not able to change the Time Date while monitor ing a patient Press the Sensor Start Restart key once to stop monitoring select New Patient refer to page 38 and then you can change the Time Date Note Time is kept on a 24 hour clock To change the date and time 1 Turn the rotary control knob to select the Setup menu 2 Press the rotary control knob to open the Setup menu 3 Turn rotary control Knob to the right to select Date amp Time 4 Press the rotary control knob a second time to open the Date amp Time dialog Figure 27 below Turn the rotary control knob to select the field to change Press the rotary control knob to activate the selected field 7 Turn the rotary control knob left to lower the value in the field or right to increase the value in the field 8 Press the rotary control knob again to deactivate the se lected field 9 Repeat steps 6 through 8 to change any other fields that you wish to change 10 Select the DONE button to save your changes Select the CANCEL button to cancel your changes oO oO Time ER 25 9 Date September 25 2007 DONE CANCEL Figure 27 Date amp Time dialog To start monitoring a patient refer
100. perate the Printer or connect it to the Monitor with the battery pack is removed 7 Warning Never change the battery pack while the battery charger is plugged in and or the Monitor is being operated e Switch the Printer off Page 84 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Printer e Disconnect the Printer from the Monitor and unplug the wall charger cord e Open the battery door by pressing in on the battery cover and pushing upward as shown in Figure 53 below Figure 53 Opening the Battery Door e Remove the battery cover e Remove the battery pack from the compartment and disconnect its connecting cable Installing the new Battery Pack Figure 54 Installing the New Battery e Connect the battery cable into the battery connector e Insert the battery and its connecting cable into the battery com partment as shown in Figure 54 above e Replace the battery cover by sliding it in from the back of the Printer and pushing down to lock it in place 7 Warning Do not disassemble the battery pack or batteries The bat teries contain electrolytes which can cause injury to eyes skin and clothing lt 7 Caution Be sure to place the battery cover firmly in its position after installing the new battery pack Note Under various state and local laws it may be illegal to dispose of this battery into the municipal waste stream Check with your local authorities for instructions on recycling options
101. ppendix Symbols The following is a summary of all symbols used on the monitor and accessories Symbols may occur on the product or on its packaging Front Panel Symbols Power Indicator Battery Indicator Model MC 2010 amp 2030 only Power On Standby Alarms Silence Reset ir Left Right Average Sensor Start Restart Screen Indicators Alarm turned off yellow Alarm paused yellow High Priority Alarm activated flashing red Medium Priority Alarm activated flashing yellow Laser active indicator drop from the top down Auto numeric toggle selected left and right numeric values alter nate automatically every few seconds 21 02 0217 Rev 08 03 09 Page 93 Appendix FORE SIGHT MC 2000 Series Monitor ats Large Sensor connected to unit Small Sensor connected to unit White FS DATA FS Data not being collected Green FS DATA FS Data being collected Printer w White paper Printer is available for printing Printer w Green paper Printer is currently printing Printer w Yellow paper The printer is either out of paper or the cover is open Add paper or close cover to resolve this problem Printer w Red paper Cannot communicate with printer Check printer cable and power FS DATA PP White USB memory stick USB memory connected to monitor Green USB memory stick Currently saving data to USB memory Red USB memory stick USB memory stick error ig Snapshot t
102. pter Plate 01 06 0237 FORE SIGHT Adapter Plate 01 06 0238 FORE SIGHT Roll Stand with basket amp Handle requires 01 06 0237 Adapter Plate 01 02 0189 Citizen CMP 10 Mobile Printer 01 02 0188 Printer Battery 01 02 0481 Printer Paper 10 Cs 01 02 0266 Adapter for Printer Europe 01 02 0267 Adapter for Printer UK 01 02 0268 Adapter for Printer Australia 25 01 0124 FORE SIGHT Cable Bundler Philips IntelliVue VueLink Accessories and Options Description Purchased directly from Philips Philips VueLink Module AUXPLUS PN M1032A A05 Philips Interface Cable PN M1032A K6C M1032 61699 Note Philips contact information www medicalphilips com medical philips com Catalog No Description 01 06 2133 FORE SIGHT VueLink Extension Cable Page 104 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Appendix Notes 21 02 0217 Rev 08 03 09 Page 105 Appendix FORE SIGHT MC 2000 Series Monitor Notes Page 106 21 02 0217 Rev 08 03 09
103. r cord e Using a small screw driver open the fuse cover on the AC Fuse Compartment see Figure 3 page 25 e Using a small screw driver pull out the red fuse holder from the AC Fuse compartment e Remove the suspect fuse e Place the new fuse into the fuse holder as indicated by the ori entation in Figure 55 below e Repeat this process for the fuse on the other side of holder e Insert the fuse holder back into the power input receptacle the fuse holder can be inserted in either orientation e Close the fuse cover on the AC Fuse Compartment e There should be an audible click when it is secured e Reconnect the power cord back to the monitor Correct Placement Incorrect Placement Figure 55 AC Fuse Placement Page 90 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Maintenance Battery Power Fuse Note Some units maybe equipped with an automatic Battery cut off circuit that will disconnect the batteries when they are not being charged If this feature is installed the removal of the Battery Power Fuse is unnecessary Please contact our Customer Service depart ment to determine if your unit has this feature Note Failure to insert replace the Battery Power Fuse will result in the following error messages e System error has occurred Please call service 1 800 227 4414 e Battery Supply Inoperative Call Service 1 800 227 4414 To replace the Battery fuse proceed as follows e Turn the monitor off and
104. rator should be positioned directly in the front of the unit facing the unit s front panel Note To test the Alarm operation connect a SctO simulator available through CAS to the patient connection of the monitor Set the High SctO gt Alarm limits to at least 1 less than the current displayed value and verify the activation of the High limit detection Reset the High SctO Alarm limits to the desired level Set the Low SctO Alarm limits to at least 1 more than the current displayed value and verify the activation of the Low limit detection Reset the Low SctO gt Alarm limits to the desired level Testing of the Alarm operation should be done at least once every 6 months Note The High SctO Left or Right channel Limit can not be set less than the Low SctO gt Limit for the same channel The Low SctO Left or Right channel Limit can not be set greater than the High SctO gt Limit for the same channel There is always 5 dif ference between the Low and High limits same channel 21 02 0217 Rev 08 03 09 Page 49 Basic Operations FORE SIGHT MC 2000 Series Monitor Note The alarm delay remains constant during any alarm condi tion The alarm delay may be altered by the User at any time and only affects alarms yet to happen Setting the Alarm Delay to 0 Seconds will cause an alarm to immediately annunciate when a limit violation occurs e g If the Low Limit is set to 50 and the SctO value falls below 50 the Low
105. rnnarnnnnnernnennnnnnnnnn 59 Adding a new Event Mark to the Patient Record 60 Placing an Event Mark on the Patient Record 0088 60 Placing or Deleting Existing Event Marks rrranrnnnonnnrnnnrnnrr 61 Undo the Last Event Mark c ccccscccececeeeceeeceeecueeeeneaaees 62 Switching between Active and Historical Mode 006 62 Reviewing Patient History ccccccceecceeeceeeceeeceeeseeseensaeees 63 Responding to System Messages cccceeeeeeeeeeeeneeeeeeenees 64 FORE SIGHT FS Data Collections rararnnrnnnrernnrrrarrrnrrnnnnnnnrr 70 Starting FS Data Collection rrrrrrrarernnrrrnrrrrarevnnrnnannrnnennnnnn 70 Stopping FS Data Collection rrrrrrrrnnrrnnrrnarernrerareranerarnnnnnn 70 Reviewing FS Data Information rrrranoranrrnnrnranernnnnvnnennannnnnr 71 USB 73 MEMNON SUCKS i cee palate oe otis Goran sie coe at cnc oy alte Ra le cig a Needle ame 73 Saving Patient Data isc sseteesede teat et ahooduomlerueneuedcesun hatin biente 73 USB SPES Lue 75 Screen SNADSMOMS svar gade ed 76 Printer 77 MNLF OGUCUOM eee IT Printer Controls and Indicators rarrrnrrrrarernnrrrnnrranrnnnnrrnnrnnnnnnnne 78 PrinerOPreBAlonu drasse AS 78 Continuous Tabular Pint urussaptaradeesasremiesdnad n 79 Tabular Purse de 81 SPENNE 82 Charging the Printer Battery rranrrnanrnnnnrnanrrnrnnranernnnrnanrnnnrnnnne 83 MSAMI PE e
106. rnnnrnnnnnnanenanrnnnnnnanennnnrnnnrnnnnennne 31 Average Auto Left Right Key rrrrarrnanrrnnnnnarrrnnrrnnnrnnnnnnnrr 31 Sensor Start Restart Key rrrarrnnnrnnnnornrnnrnnernnrrnanrnnnrnnnnennnnnn 31 Montor DISP ee 32 Parts of the Display Screen ranrrnanrnnnnnnanrnnnnevnnennnnnnanennnnennne 32 MENT NEVA er 32 The Patent MENS 33 The ProfileS Meni circonda 33 The View Men avvek 34 TRE Event Menuuusuassutesrasbaududgdudjenidee dessadeontntl 34 TRE SEUP MON uns aged D 34 Te REID MENE 35 ENE TET 36 Setting Up the Monitor for the Patient rrrrrrnnrnnrerarerareraneranenn 38 Labeling the Data with the Patient Identifier rrrarerererirr 38 Selecting a User Profile rrannnnnnnrnnnnrnnnrnnnnnnnnvnnnnnnnnnnnnnnnnnr 38 Connecting the Monitor Cables arrranrrnnroranernnrrrnnrnranennnnnnannnnnr 39 Connecting the Monitor Cables for the First Time 40 Removing the Monitor Cables rrarrnnnrnnnnannnrnranennnnnnnnennannnnnr 40 Connecting the Patient Cables to the Monitor Cables 42 Connecting the Patient Cables rrrarrnnnrrrnnnnrarennnrnnannnanennnnnn 42 21 02 0217 Rev 08 03 09 Page 11 FORE SIGHT MC 2000 Series Monitor Removing the Patient Cables rrranrnnnnnnanrrnnnnvnnrnnnnnnnnrnnnnnnnnr 44 Affixing the SctO2 Sensor or Sensors to the Patient 44 Preparing the Patent sciteeistes eerste ceed ees 45 AD DIVING IDE
107. s port can not be configured for the Philips VueLink protocol Note The Baud Rate selection to interface to the Philips VueLink defaults to 19200 The valid selections when interfacing to a Phil ips VueLink System are 4800 9600 or 19200 6 Insert the VueLink Module into an unused slot on the Philips IntelliVue Monitor 7 Connect the Philips Interface Cable to the VueLink Module 8 Connect the FORE SIGHT Extension Cable to the Philips In terface Cable and then to the appropriate RS 232 communi cation port on the rear of the monitor 9 Configure the Philips IntelliVue Patient Monitor to display FORE SIGHT SctO gt numeric The following options are available LSctO Left RSctO Right ASctO Average 21 02 0217 Rev 08 03 09 Page 55 Basic Operations FORE SIGHT MC 2000 Series Monitor Note Touch the area on the Philips Patient Monitor where the FORE SIGHT numeric is to be displayed The chosen FORE SIGHT numeric label amp value will appear in the selected area Note If the FORE SIGHT value is invalid dashed a blank value will appear on the Philips screen Note If the FORE SIGHT value is in alarm the value will flash and a corresponding red alarm message will be displayed on the Phil ips IntelliVue Patient Monitor Note For additional information refer to instructions supplied with the Philips IntelliVue Patient Monitor and VueLink Module Note Limit violations have higher priority over equipment alarms wh
108. s right side Page 46 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations 21 02 0217 Rev 08 03 09 3 Note The cable connection indicators face icons located on the monitor screen under the SctO2 measurement indicate the connec tion status of the cables The black cutout indicates which cable the icon pertains to A colored face blue for left green for right with a smiling mouth indicates that the cables are fully connected Left monitor cable connected left patient cable not connected A white face with a flat line for the mouth indicates that the monitor cable is connected but the patient cable is not connected Left cables fully connected The blue face icon with the black cutout on the right side of the icon pertains to the left patient con nection Right monitor cable connected right patient cable not con nected A white face with a flat line for the mouth indicates that the monitor cable is connected but the patient cable is not connected Right cables fully connected The green face icon with the black cutout at the left side of the icon pertains to the right patient con nection Note Be sure that the sensors are placed on the correct side of the patient s head The patient sensor connected to the preamplifier with the LED close to the blue face illuminated should be attached to the patient s left side The patient sensor connected to the pre amplifier with the LED
109. sonal surveillance with correct operation of monitor ing equipment 107 Warning Do not place the FORE SIGHT MC 2000 Series Monitor face against a surface This will cause the alarm to be muffled w 5 Warning Do not place the FORE SIGHT MC 2000 Series Monitor back against a surface This will block the fan and cause the unit to overheat shutting it off w 5 Warning Do not place the FORE SIGHT MC 2000 Series Monitor or accessories in any position that might cause it to fall on the pa tient Do not lift the FORE SIGHT MC 2000 Series Monitor by any cable uc 7 Warning Do not place the FORE SIGHT MC 2000 Series Monitor where the controls can be changed by the patient 107 Warning Do not use the FORE SIGHT MC 2000 Series Monitor for any purpose other than specified in this manual Doing so will invalidate the monitor s warranty w 5 Warning Do not connect more than one patient to a monitor Warning Leakage Current Test The interconnection of auxiliary equipment including a patient monitor or other patient connected equipment with this device may increase the total leakage current When interfacing with other equipment qualified biomedical engi neering personnel must perform a test for leakage current before using it with patients Serious injury or death could result if the leakage current exceeds applicable standards 107 Warning The FORE SIGHT MC 2000 Series Monitor is to be op erated by qualified personnel only
110. stick select Save to USB under the Patient menu refer to Figure 37 Save to USE File Name 2007 07 30 1D0 01 CSV EDIT Save rate gt gt gt 2 Seconds save rate other than seconds may result in some alarms and event marks not to be saved in the file saved on the USB memory stick File Save DONE CANCEL Figure 37 Save to USB dialog Page 73 USB Operations FORE SIGHT MC 2000 Series Monitor The FORE SIGHT Series monitor shall generate a unique default file name To change this default file name select EDIT and then alter the filename see Entering Text page 35 To change the Save rate navigate to the slider bar and choose the appropriate rate 2 4 6 8 10 12 14 16 18 or 20 sec Note Data is collect at a rate of 2 seconds A save rate other than 2 seconds will not capture the entire data set and can result in some alarms and event marks being lost To save the patient data to the USB memory stick select File Save The progress bar will indicate the amount of data saved as a percent age and a solid bar shall fill in from the left refer to Figure 38 Save to USB File Name 2007 07 30 I1D 01 CSV Save rate LETE 2 Seconds save rate other than 2 seconds may result in some alarms and event marks not to be saved in the file saved on the USB memory stick QT SY EEG CANCEL Figure 38 Saving to USB Progress Note Data saved to the USB memory stick inclu
111. t an authorized repair facility or at the custom ers site The sole and exclusive obligation of CAS Medical Sys tems Inc and Buyer s sole and exclusive remedy under the above warranties is limited to repairing or replacing free of charge a product which is reported in writing or via telephone to CAS Medical Systems Inc has a Return Material Authorization RMA number assigned and which is returned during normal business hours transporting charges prepaid to 21 02 0217 Rev 08 03 09 Page 97 Appendix FORE SIGHT MC 2000 Series Monitor CAS Medical Systems Inc 44 East Industrial Road Branford CT 06405 USA Telephone 1 203 488 6056 Fax 1 203 488 9438 E mail custsrv casmed com CAS MEDICAL SYSTEMS INC SHALL NOT BE OTHERWISE LIABLE FOR ANY DAMAGES INCLUDING BUT NOT LIMITED TO INCIDENTAL DAMAGES CONSEQUENTIAL DAMAGES OR SPECIAL DAMAGES THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTEND BEYOND THE WARRANTIES HEREINABOVE SET FORTH CAS MEDICAL SYSTEMS INC MAKES NO WARRANTY OF MERCHANTABILITY OR FITNESS FORA PARTICULAR PURPOSE WITH RESPECT TO THE PRODUCT OR PARTS THEREOF Page 98 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Appendix Monitor Configurations FORE SIGHT MC 2000 Series Monitor Models Table 4 FORE SIGHT MC 2000 Series Monitor Models CAS MC 2000 Dual Channel Cerebral Oximeter CAS MC 2010 Dual Channel Cerebral Oximeter with internal batteries option CAS MC 2020 Dual Channel
112. t in an error message indicating the inability to connect to the Port to the selected device Page 54 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Connecting to Philips IntelliVue The FORE SIGHT MC 2000 Series monitor may be connected to a Philips IntelliVue Patient Monitor allowing remote display of cur rent SctO gt values and alarm messages The FORE SIGHT MC 2000 Series monitor can interface with the following Philips Patient Monitors using the proper VueLink module and cables Philips IntelliVue MP40 50 60 70 80 and 90 Connecting FORE SIGHT to the Philips IntelliVue Patient Monitor requires the following 1 FORE SIGHT minimum software requirements Version 4 4 2 Philips Hardware Requirements e Philips IntelliVue Patient Monitor MP40 thru MP 90 e Philips VueLink Module AUXPLUS PN M1032A A05 e Philips VueLink Interface Cable PN M1032A K6C Note Philips contact information www medicalphilips com medical philips com 3 FORE SIGHT VueLink Adapter Cable PN 01 06 2113 Note Refer to Philips IntelliVue VueLink Accessories and Options on page 104 for order information 4 Select an unused communications port located on the rear of the monitor refer to Figure 3 page 29 for connection to the Philips VueLink 5 Configure the selected communications port to Philips VueLink using the procedure outlined in the Selecting the Serial Ports section on page 53 Note The top right communication
113. ter proper connection of both the monitor and patient cable to the monitor a low priority audio alert will be sounded two quick beeps The audio alert is generated after 90 seconds has lapsed with the cables and sensors set correctly but one or both lasers are not firing The alert repeats every 10 seconds and cannot be muted Removing the Sensors If sensor is applied to the skin with an adhesive carefully peel the sensor from the patient to avoid damaging the skin Discard ad hesive sensors and used light block If sensor is applied to the skin without an adhesive carefully re move the attachment mechanism from the patient to avoid damag ing the skin Discard attachment mechanism and used light block 21 02 0217 Rev 08 03 09 Page 45 Starting the Monitor Turning the Monitor On Note You may turn the monitor on before or after connecting ca bles and sensors To turn the monitor on 1 Plug the AC power cord into a power outlet 2 Press the On Standby key on the front of the monitor The unit will power up within a few seconds C Figure 18 On Standby key Note Models MC 2010 amp 2030 are equipped with an optional in ternal battery that allows you to turn the unit on without plugging it into an outlet The battery status indicator shows the amount of charge remaining in the form of a colored bar filling the battery icon at the upper right of the monitor screen with the amount of fill cor responding to the a
114. tient cables are single use items Use new patient cables for every patient and discard after use Preparing the Patient To prepare the patient s forehead for placement of the sensor 1 Make sure the skin area where the sensor is to be placed is clean dry intact and free of powder oil or lotion 2 If necessary shave hair from skin at chosen site 3 Use an appropriate cleanser to gently clean the intended sensor site Allow the skin to dry completely before applying the sensors Applying the Sensors Apply sensor using the instructions provided in the sensor kit package 1 Be sure that all cables are fully connected and sensors are placed on the correct side of the patient s head See Starting to Monitor a Patient page 46 2 Use the clip hook on the back of the preamplifier box located at the patient end of the monitor cable to secure the cable to a fixture such as a rail to prevent the cable from being pulled away from the patient Note Apply the light block over the sensors before monitoring If the light block is not in place an alarm will alert you that there is too much ambient light Note The monitor can be used on one or both cerebral hemi spheres In most situations it is advisable to monitor both sides as some conditions can give rise to desaturation of one hemisphere See sensor packaging for instructions on how to apply sensors to patient Note As a reminder if one or both lasers are not firing af
115. to the Starting to Monitor a Pa tient section on page 46 for more details 21 02 0217 Rev 08 03 09 Page 57 Basic Operations FORE SIGHT MC 2000 Series Monitor Monitoring the Patient This section assumes that you are familiar with the front panel con trols see Figure 2 page 28 and the parts of the display screen see Figure 5 page 32 Selecting Average Auto Left or Right You can switch the current display to show readings from the pa tient s left hemisphere readings from the patient s right hemi sphere a simple average of the two or to automatically toggle be tween the right and left hemisphere readings Press the Avg Auto Left Right button on the monitor front panel to rotate among these views Note The monitor detects if a single sensor is connected to the monitor and will automatically display the numeric from the side in USE Note The cable connection indicators located on the monitor un der the SctO measurement indicate the connection status of the cables see Starting to Monitor a Patient page 46 for more de Right Patient Connection tails The black cutout indicates which cable the icon pertains to The icon with the black cutout at the left side of the icon pertains to the right patient connection the icon with the black cutout on the right side of the icon pertains to the left patient connection A white face with a flat line for the mouth indicates that the monitor cable is connected
116. tor 7 Caution Grounding reliability can only be achieved when the equipment is connected to an equivalent receptacle marked Hos pital Grade Note The monitor is shipped with the appropriate line cord for the country and voltage being used Page 24 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Safety Patient Environment The FORE SIGHT MC 2000 Series Monitor has been tested with specific parts of the system used within the patient environment These parts are e The FORE SIGHT MC 2000 Series Monitor e Appropriate accessories as listed under Accessories on page 103 at the back of this manual e AC Power Cord Figure 1 Patient environment Monitor Classifications of Electrical Insulation The FORE SIGHT MC 2000 Series Monitor monitor version with integrated AC power supply is a Class I device It is certified in conformance with applicable portions of CFR Title 21 Chapter 1 subchapter J Radiological Health 21 02 0217 Rev 08 03 09 Page 25 Safety FORE SIGHT MC 2000 Series Monitor This page is intentionally left blank Page 26 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Basic Operations Introduction The FORE SIGHT MC 2000 Series Monitor is a pre configured monitor that can include the following measurement functions e Absolute cerebral tissue oxygen saturation SctO gt The FORE SIGHT MC 2000 Series Monitor detects oxygenation changes in biological
117. u can examine data on the patient trace of either Active or His torical mode patient data with an event cursor To select the event cursor Turn the rotary control knob to select the Event menu Press the rotary control knob to open the Event menu Turn rotary control knob to the right to select Event cursor Press the rotary control knob and an Event cursor is placed over the trace 5 Turn the rotary control knob left or right to position the Event cursor over the trace A window along the bottom of the trace will indicate the corresponding time and value of where the Event cursor is positioned 6 Press the rotary control knob once more to exit The Event cursor and information window will be removed KR QN Patient Profiles View Event Setup Help ACTIVE SctO 0 Days 04 45 26 12 28 12 67 Jun 13 12 46 Figure 28 Positioning Event cursor Adding an Event Mark to Menu You can create a list of Event Marks to be used at any time The Event Marks shall be saved to the active Profile and can be used to mark either Active or Historical mode patient data To add a new Event Mark Turn the rotary control knob to select the Event menu Press the rotary control knob to open the Event menu Turn the rotary control knob to select Add event to Menu Press the rotary control knob and enter text to be placed on the trace up to 20 characters including spaces see Entering Text page 35 note the Event name can be left
118. wn in Figure 50 below Page 82 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Printer GHT 4 CASMED SOLUTION PATIENT ID _A123456 759 start Time 06 27 2007 10 00 49 End Time 06 27 2007 11 50 19 FORE S Left Sctle Right SetOz Print type Print length TEA C Tabular Full case Time scale Continuous Tabular Print FRINT DONE CANCEL Figure 50 Graphic Full Case Print dialog Note If a graphic Full Case print is selected the Time scale selections are valid and the user is allowed to print the Full Case in a time scale different than the current screen time scale see Figure 50 above 10 08 13 10 15 43 10 23 13 10 30 43 11 37 13 11 44 43 Figure 51 Graphic Full Case Print Example The progress bar will indicate the amount of data printed as a percent age and a solid bar shall fill in from the left Note Once printing has started the user may exit this dialog at any time and the printing will continue Note To cancel the printing select CANCEL or navigate to the Patient gt Print menu and then select CANCEL to stop the printing Charging the Printer Battery 21 02 0217 Rev 08 03 09 The Printer is equipped with a rechargeable Lithium lon LIION bat tery pack When the Printer detects a Low Battery condition the mes sage Low Battery is printed and an audio indicator sounds three times 7 Warning Charge the Printer battery using the AC
119. y control knob Note You can also switch into historical mode by selecting the historical bar at the bottom of the plot area and pressing the rotary control knob However you can only return to the active mode by using the active historical mode selection button Page 62 21 02 0217 Rev 08 03 09 FORE SIGHT MC 2000 Series Monitor Basic Operations Reviewing Patient History The historical bar at the bottom of the plot area changes in length as the session goes on The length of the bar is proportional to the fraction of the total history represented by the visible trace For ex ample if you have selected to view a 30 minute interval and the session has gone on for two hours then the currently visible trace represents one fourth of the total data and the historical bar is one fourth the width of the window The Active and Historical modes have their own time scales see The View Menu page 34 To review patient history 1 Turn the rotary control knob to select the historical bar 2 Press the rotary control knob to activate the historical bar 3 Turn the rotary control knob left to scroll back through the data or right to scroll forward toward the present 4 Press the rotary control knob again to release the historical bar and navigate to another part of the screen 21 02 0217 Rev 08 03 09 Page 63 Basic Operations FORE SIGHT MC 2000 Series Monitor Responding to System Messages The message area at the bottom of the screen is

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