User Manual
Contents
1. the small page ID 05 06 02 13 07 12 the abbreviation No in one bone gt 00 29 Fi PR SPO2 PR of pararater 07 28 12 OO OO 00 00 te ele OO 00 00 00 hour min sec 07528 36 OO OO 00 00 the paranater 07 28 48 36 12 99 78 data results 07 29 00 38 12 g 70 07 29 12 JO 12 g i6 07 26 i eg ne Of 29156 Figure 13 In this graph trend menu to pres button to change graph trend to table trend To press Futon again to return to graph trend Figure 12 Every trend table shows 10 groups of datum with each about 120 seconds including time EtCO2 Et respiration rate RR SpO2 pulse rate PR Every hour covers 30 trend tables and to press z successively to display next datum of 120 seconds small page In this menu to press Zor Z button to change the large page of trend table to display the upper or lower hour trend table In order to check conveniently if the four datum in every group are zero the displaying data is blue 22 VPOD CapOx VII NEW PATIENT PATIENT ERASE ALARM CLEAR MEMORY NEW PATIENT 02 ADULT Figure 14 In this menu to press Y or zbutton to move the cursor up or down to press Z button orZ button to change the data highlighted by the cursor In this menu to press MENU button then to exit this menu and enter the main menu This menu includes the following setups 1 ERASE ALARM to cancel the current alarm 2 ERASE MEMORY to delete all the historical data so as to store the new data 32. 30 VPOD CapOx out door airway adapter 4 5 8 CO2 standard gas out door Figure 16 2 Warm up to turn on power and run the unit for 20 30 minutes and adjust the pump flux over 120cc min To check if there is a leakage the method is as following To squeeze the sampling tube by hands the accelerating turning sound of sampling pump increases obviously If the sampling pump does not accelerate and its turning sound also does not change under hands squeezing then there must be a leakage in loop somewhere At this time it is not good for demarcation It s better to find out leakage point and solve it otherwise it will leads to short value measured After warming up to open standard gas to listen if the sound of pump is as same as original one If the pump s turning is slow and its turning sound is weak that means the standard gas export is too large at this time its export flux needs to turn down until the sound of sampling pump resumes its original volume 3 To enter the engineer menu again procedure is same as Appendix 2 Figure 15 to move highlight onto CALIBRATE then to press ENTER button to enter the next menu Figure 17 31 VPOD CapOx To move highlight onto STANDARD GAS to adjust the value as same as the concentration of CO2 standard gas if your standard gas concentration is precise enough to behind decimal two numbers you can adopt a round method To move the highlight onto CAL BEGI
3. environmental temperature No values of SPO2 or no wave Flashing LOW BATTERY closed do flashing LO BATTERY after the power is supplied and AC indicator no light VPOD CapOx 1 Finger too cold 2 Interference of strong light di The measurement test of SpO2 and blood pressure are done on the same arm 4 Red light in the sensor no flashing 5 Infrared and collector of sensor is not clean 1 Battery lack of power AC power working abnormally 1 Warm up finger 2 Avoiding strong light 3 Avoiding such phenomenon 4 Renew sensor of SPO2 5 Cleaning 1 To connect AC power 1 To check AC electric current cable and Attention Please to contact the client service center if some problems occurred repeatedly Zt VPOD CapOx Appendix 1 Explications for the appreciated terms MENU Menu EtCO2 Theco2 concentration of expiration end phase INCO2 The co2 concentration of inspiration phase SPO2 Oximeter saturation RR or R RATE Respiration rate PR or P RATE Pulse rate mmHg Millimeter hydrargyrum KPA Kilopascal ALARM H Alarm high limit ALARM L Alarm low limit LINE Linear FILL Filled or solid BEEP VOLUME Pulse volume ALARM VOLUME Alarm volume LOW BATTERY Lack of power APNEA Apnea or breath stop T Min Times minute CAL Offset Calibration SET Setup N2O Nitrous oxide HELIUM Helium gas 02 CONCENTRATION 02 concentration compensation ANESTHEIC
4. CURVE LOAD DEFAULTS EXIT Figure 8 In this menu to press Y or zbutton to move the cursor up or down to press Z button orZ button to change the data highlighted by the cursor Regarding some items in this menu if not to change the data but just to operate them such as LOAD DEFAULTS or EXIT then to press ENTER button In this menu to press MENU button then to exit this menu and enter the main menu This menu includes the following setups 1 The high alarm limits of SoO2 SPO2 ALARM_H 50 100 off 2 The low alarm limits of SoO2 SPO2 ALARM L off 50 99 3 The high alarm limits of pulse rate P_RATE ALARM_H 70 250t m ff 4 The low alarm limits of pulse rate P_RATE ALARM L off 40 100t m 5 Wave selection WAVE FILL or LINE 6 Renewing of defaults LOAD DEFAULTS The wave selection means that FILL indicates the wave of plethysmogram is solid LINE indicates the wave of plethysmogram is linear Default values as follow Saturation of SPO2 alarm high limit 100 O 18 VPOD CapOx Saturation of SPO2 alarm low limit 92 Pulse alarm high limit 130 t min Pulse alarm low limit 50 t min Wave Line V The time setting menu TIME SET YEAR MONTH DATE HOUR MINUTE SAVE EXIT Figure 9 In this menu to press Y or Zbutton to move the cursor up or down to press Z button orZ button to change the data highlighted by the cursor Attention Any time adjustment will renew the trend so time adjustment shall
5. ID patient s ID 00 99 optional 4 TYPE patient type adult or neonate optional 5 SAVE to store the changed data this needs to confirm by the new menu due to possibly substitution to the original data of the same ID of patient 6 EXIT to quit the current menu but not to store the changed setup Chapter VI Charge Maintenance sterilization cleanness 23 VPOD CapOx I Charge After AC DC power converter is connected and unit is turned on this unit will charge the battery with power at the same time The battery charge will end after battery is full The battery of this unit adopts reusable lithium battery group In the case of only battery without DC the first column shows the battery s volume on the screen When battery electricity is lack red amp __ will be flashing and the DC power must be connected at once After plug in the DC power the instrument can recharge the battery and stop to charge after the battery is full of electricity The replaced battery shall be made for environmental treatment The battery replacement method Note that the operation must be done after the AC DC power converter is pull up otherwise easy to endanger personal safety To press and move down the battery cover then the cover will be remove d you can remove battery gently and pull up the white plug and insert the ne w battery s plug to the same location Il Maintenance If the monitor appears abnormal e g system halte
6. 2 measurement The measurement value will be more accurate if the monitor has 2 minutes warming up To connect the CO2 filter with 3 way joint of the loop of anesthetic machine by sampling tube or to directly connect patient s nose by the hose VPOD CapOx Figure 2 Installation of filter Sn A Do not use the capnograph when filter is not installed so as to avoid pollution of the monitor In order to avoid breathing vapor and respiratory mucus into the module the machine must be used with the filter T3 VPOD CapOx Sample Line Pa SS 73 Filter SS Figure 3 Instruction for use of the water filterT3 1 To put the convex cleat of Water Filter T3 into the notch of the inlet port of device and clockwise to turn it to 45 2 Attach sample line to Water Filter T3 3 To connect the other end of the sample line with breathing loop of ventilator anesthetic machine or nasal breathing tube 4 Change the Water Filter T3 as needed alarm dere is race measured values are likely to distortion Am ud only original sample tube the other line measurement results may change ll Respiration rate measurement The calculation of respiration rate derives from monitoring the wave of CO2 Theory introduction 1 The measure principle The device working theory is NON DISPERSIVE INFRA GAS ANALIZER The device has an AUTO ZERO ADJUSTMENT SYSTEM and GAIN CONTROL 2 Automatic Offset C
7. Capnograph and Oximeter CapOx User Manual VirtuOx VPOD CapOx Instructions to User VPOD CapOx Thank you very much for purchasing our product This manual includes the materials and copyright reserved It is not allowed to copy reduplicate or translate into other languages without our written permission Please to read this manual carefully and then to operate by the instruction of this manual It is not allowed to open the monitor s cover without our permission Some changes on the product due to the technologies promotion or due to the special demands of user which do not influence the monitor s work will not be informed further Furthermore please pay attention to the difference between the parts or components and this manual You may apply to our company for technical documents about the electric circuit diagram relevant batch and lists of parts or components and so on because the continuous promotion of the product You may contact us by means of the following address CONTENTS VPOD CapOx Chaplerl Prefocelia aaa 2 Chapter Il Technical specifications and characteristics 4 Chapter Ill Introduction of Monitor ccccccsssseseseeeeeeeeeeeceeeseneeeeeseeeoneeneeeeeees 6 Chapter IV Patient connection sssnnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn 7 Chapter V Screen display and Operation ccccssssseeesssssssseeeseenseeeseeeenseeees 13 Chapt
8. EtCO2 EtC02 ALARM_H 22 99mmHg off 2 The low alarm limits of EtCO2 EtCO2 ALARM_L off 10 60mmHg 3 The high alarm limits of respiration rate RESP ALARM_H 5 60t m off 4 The low alarm limits of respiration rate RESP ALARM L off 4 40t m 5 Pump flux setup FLOW SET 50cc min 250cc min 6 The setup of apnea time APNEA TIME 15s 44s off 7 The unit of CO2 CO2 UNIT mmHg or KPA 8 Pump switch ON or Off 16 VPOD CapOx 9 Pump auto closing time AUTO OFF TIME 10 30min 10 Screen speed of capnograph SWEEP SPEED SLOW NORMAL or FAST 11 CO2 Wave scale WAVE SCALE 54mmHG or 76mmHG 12 EtCO2 average computation time EtCO2 Averaging every breath 10sec 20sec 30sec 13 Default reload LOAD DEFAULTS 14 Exit EXIT Attention Pump auto closing time means that the pump will automatically be closed down when in that long time no respiration occurs The wave range means the maximum value of waveform amplitude display but it does not mean data on full scale Data on full scale still means 99mmHg Default values as follow EtCO2 alarm high limit 50 mmHg EtCO2 alarm low limit 19 mmHg RESP alarm high limit 30 times min RESP alarm low limit 08 times min FiCO2 alarm high limit OFF FLOW_SET 100 CC Min Apnea time 30S CO2 unit CO2_ PUMP ON AUTO_OFF_TIME 10 Min SWEEP SPEED NORMAL EtCO2 Averaging 1 Breath WAVE SCALE 54mmHg VPOD CapOx IV SpO2 setting menu SP02 SET SP02 ALARM_H 100 ALARM _L 92 PULSE
9. GAS Anesthetic gas ZERO GAS Base point or Zero point BTPS Temperature and deep lung air pressure compensation CALIBRATE Calibration CANCEL cancellation OCCLUSION Block 28 VPOD CapOx Appendix 2 Changing compensation of balance gas Attention Only the trained person can do the following the procedures First to enter the engineer menu the method as follows To pres anc Y two buttons simultaneously then to enter the following menu ENGINEER MENU BALANCE GAS HELIUM O2 CONCENTRATION 21 ANESTHEIC GAS 14 ZERO GAS AIR BTPS DISABLE LOAD DEFAULTS CALIBRATE EXIT Figure 15 In this menu to press Y or zbutton to move the cursor up or down to press Z button orZ button to change the data highlighted by the cursor The some items of this menu can be directly operated such as LOAD DEFAULT or EXIT to press ENTER button then to be executed without through changing data In this menu to press MENU button then being able to exit this menu and to enter the main menu This menu including the following setups BALANCE GAS AIR N20 and HELIUM O2 CONCENTRATION 20 99 ANESTHEIC GAS 0 20 ZERO GAS AIR N2 BTPS ENABLE DISABLE LOAD DEFAULTS CALIBRATE Default values as followsg BALANCE GAS AIR O2 CONCENTRATION 20 ANESTHEIC GAS 0 29 VPOD CapOx ZERO GAS AIR BTPS DISABLE Appendix 3 Calibrating of EtCO2 precision Attention Only the trained person can do the following the procedures 1 Attentive i
10. N and to press ENTER button in the same time to open the standard gas as the demand of Figure17 and attention items the device begins to calibrate Meanwhile in the middle of FIGURE 18 appears ADJUSTING CALIBRATION STANDARD GAS CAL_BEGIN CANCEL ADJUSTING Figure 18 The cross thick bar in this menu will be erased as time passes and the calibration will be ended when it is completely erased If the calibration is successful the menu will show ADJUST OK and subsequently exit into the main menu If the calibration is unsuccessful this menu will show ADJUST ERR at this time the loop needs to be checked if there is a leakage or running out of standard gas the pressure indicator of gas bottle shows 0 This menu still stays here if the calibration is unsuccessful If hoping to exit this menu during the calibration just to press MENU button or to move the highlight onto CANCEL then to press ENTER button Do not forget to close down the switch of the standard gas bottle and depressurized valve lest the standard gas should be wasted 32 VPOD CapOx Headquarter VirtuOx Inc 5850 Coral Ridge Drive Suite 301 Coral Springs FL 33076 0123 Tel 877 337 7111 Fax 954 775 3538 E mail kyle miko virtuox net Website VirtuOx net 33
11. alibrations VPOD CapOx The device was designed to automatically perform calibrations in order to correct for changes in temperature altitude and electronic component drift At this moment respiration wave becomes one straight line The air surrounding the device may have elevated concentrations of CO2 present Such as in an enclosed compartment or room with poor ventilation we recommend cleaning the CO2 from the ambient air with a ventilator otherwise the device will cause deviation 3 The Moisture Separation System This instrument uses patented filter which can filter a large number of moisture meanwhile maintain minimum dead space without affecting the waveform But beware too much moisture can cause congestion The screen will show OCCLUSION The operator needs to change the filter the old filter can be reused after natural drying in ventilated and dry environment IV Oximeter density measurement 1 The finger oximeter sensor is recommended to use The measurement will begin when your finger is put into the sensor clip meanwhile the PLETH wave will appear on the screen after several seconds the saturation and pulse rate appear also The monitor will utter a sound of Di when the each measurement happens The tone will vary if the values of SpO2 and Pulse Rate surpass the alarm scope The more values of SpO2 and Pulse Rate surpass the sharper the tone will do The volume of pulse beep can be modulated and closed down b
12. are some contaminations inside if the probe is somehow broken or if the two ends of prolonged cable of SpO2 fall off Warning lt shall not be used if the sensor has some electrical wires and broken interfaces The test of high inside pressure of thorax and blood pressure or some other continuous negative influence to venal circle will lead to vein vibration The signal of pulse will disappear If shock low blood pressure serious blood vessel shrinking serious anemia over low temperature artery block near sensor and incomplete heart shrinking appear pulse signal will disappear 12 VPOD CapOx Chapter V Screen display and Operation I Screen main display menu Po oy EtCO2 mmHg SPO2 35 1 PR 83 bei PLETH Figure 5 The first line of data shows time hour minute patient ID patient type adult ADU or neonate NEO the memory area full indicador d v alarm sound closing silence amp or non silence and battery indicator L E Attention When the full indicator for memory area displays the data of same ID of patient can not be stored If you want to store the new data you need to delete the data from the memory area in the menu NEW PATIENT or to change patient s ID The second area shows result data VPOD CapOx EtCO2 concentration respiratory rate inhaling CO2 concentration oxygen PLETH exhaling or inhaling state during exhaling becomes blue color The third area shows CO2 respi
13. be careful The procedure is as follow 1 Changing time 2 To move the cursor to SAVE amp EXIT then to press the ENTER button to enter the following menu FIGURE 9 1 3 To move the cursor to YES then to press ENTER button Only in this way can the time adjustment work 19 VPOD CapOx ARE YOU SURE YES NO Figure 10 VI Sound setting menu SOUND SET BEEP VOLUME ALARM VOLUME EXIT Figure 11 In this menu to press Y or zbutton to move the cursor up or down to press Z button orZ button to change the data highlighted by the cursor This menu includes following setups Pulse sound volume BEEP_VOLUME 0 OFF 8 Alarm sound volume ALARM_VOLUME 0 OFF 8 If the alarm volume is 0 the top line in the main menu will show Vil Trend 1 The graph trend 20 VPOD CapOx patient ID the beginning time of the page or the beginning time of turn on ID 05 06 02 13 00 12 100 mmHg EtC02 22 47 00 46 turn on in this time Figure 12 This monitor stores one group data every 12 seconds and keeps them even after power off This monitor can circularly accumulate trend data for 24 hours When datum are stored and accumulated up to 24 hours full memory indicator _ will display on the top line in the home screen then the user should change the patient s ID in the menu of NEW PATIENT or delete the existing datum and now the new datum can be stored As Figure 12 showing the time for trend s every page is for 1 ho
14. d to press the switch the monitor at least more than 5 seconds then it can be turned off compulsively Filter If the screen shows occlusion we need to check if the filter and sampling pipe are blocked otherwise the life of unit will be influenced If it is contaminated the filter should be replaced If the sampling line and the loop are already Known smooth It also should be replaced if its longest usage period is already overrun Please do not let alcohol cleaning reagent or sterilizing reagent into filter To check the filter from the side of the fence whether internal membrane is dry clean before it is used After each use filters should be pulled out the surface should be cleaned and placed in ventilated and dry environment to 24 VPOD CapOx let its internal moisture volatilizes nature All this work is to make easy use for next time Attention The sample line or water trap should be not sterilized and used repeatedly if the packing indication shows that it is disposable Attention For the environment disposable sample line or filter shall be treated suitably or recycled III Sterilization cleanness Warning Before to clean the monitor and probe power shall be turned off and switched off form AC current 1 The cleanness and sterilization of SpO2 probe Care Not to sterilize the probe by the high pressure Not to dip the probe into liquid Not to use the probe if they have the sign of brokenness or degenerat
15. er VI Charge Maintenance sterilization cleanness 23 Chapter VII Analysis of problemSs rrrrrrrii iii 25 Appendix 1 Explications for the appreciated termS 28 Appendix 2 Changing compensation of balance gas 29 Appendix 3 Calibrating of EtCO2 precision rrrrrriiiiiiiie 30 VPOD CapOx Chapter Preface I Brief The purpose of this manual is for quick understanding of characteristics functions operation of the monitor preventing from mal operation and mistakes This monitor can supervise four physical parameters of patient at the same time concentration of EtCO2 respiration rate pulse and saturation of SPO2 ll Warranty and Maintenance Warranty The CapOx comes with a standard 1 year warranty The following is out of warranty The monitor is damaged due to bad operation without following the manual instruction The monitor is managed due to incorrect connection with other instruments The monitor is damaged due to accident The user changes the monitor on his own will without written authority of the company The serial number is torn off or unreadable Maintenance If the monitor is broken beyond warranty period the manufacturer or distributor will fix it with a charge Re packing To take out all the sensors and accessories then to pack them in plastic ba
16. g It is recommended to use the original packing boxes and packing materials It is better to provide description for broken down phenomenon lll Safety Demand For the purpose of safety please read the following and abide by the instruction of medical instrumental products Warning Indicating the possible injury on patient or operator This monitor is banned to supervise patient for suffocation and also is banned to apply during the operation of MRI or CT 3 VPOD CapOx For the monitor s safely grounding the hospital shall provide three pole power socket To use the designated accessories which complying with standard of manufacturer It is banned to remove the cover of the monitor This monitor provides Concentration of EtCO2 Respiration rate or Oximeter saturation and Pulse These data only do auxiliary help for diagnosis but the real diagnosis shall be made by doctor through the clinical evaluation and symptoms In order to keep the patient s skin intact the SpO2 s sensor needs to reput on a new place at least every 24 hours Chapter Il Technical specifications and characteristics 1 The normal working conditions Environment temperature 106 406 Relative humidity 30 75 Voltage AC 100V 250V Frequency 50Hz 60 Hz Air pressure 86kPa 106 kPa 2 Concentration of EtCO2 see note 1 Range 0 0 19 7 V V 0 150mmHg or 0 20kPa Accuracy deviation 2mmHg when EtCO2 concentration in 0 40mmHg dev
17. iation 5 reading when EtCO2 concentration in 41 70mmHg deviation 8 reading when EtCO2 concentration in 71 100mmHg deviation 10 reading when EtCO2 concentration in 101 150mmHg Alarm accuracy accuracy 0 2 3 Total System response time lt second 4 Respiration rate Range 3 150 times min Deviation the bigger of 1 or 1bpm VPOD CapOx 5 Oximeter Saturation Range 0 100 Accuracy when 50 79 3 absolute value when 80 100 2 absolute value 6 Pulse Range 30 times min 250times min Deviation when 30times min 40times min 2times min absolute value when 41times min 250times min 5 relative value 7 Trend Parameter EtCO2 concentration respiration rate SoO2 and Pulse Range 24 hours 8 Power Demand Voltage AC 100V 250V Frequency 50Hz 60 Hz DC5V Unit Consume 5VA 9 Battery Battery pack 3 6Volt 3AH Battery fully charged time 4 hours 10 The conditions of transportation and storage Transportation Demand It is not allowed for striking violent vibration and humidity Environment temperature range 406 556 Relative humidity range lt 93 Storage demand In a dry and good ventilating room without corrosive gas and strong magnetic field 11 Size and weight Size 72mm W x 155mm H x40mm D Weight about 600g Note 1 The accuracy of CO2 concentration measurement is influenced by interfering gas and vapour for example the N2O agent can raise the CO2 reading 2 10 a
18. ion Cleanness and sterilization To clean it with the soft cloth moistened with medical alcohol then to wipe with dry cloth 2 Cleanness and sterilization of filter Attention To use clear and sterilized filter Cleaning Only the filter surface may be cleaned and or disinfected Sterilization To use 70 of alcohol or isopropyl alcohol glutaraldehyde and Chlorhexidine and ethanol etc to sterilize Chapter VII Analysis of problems Simple analysis of problems 29 The values of CO2 is The values of CO2 is zero 1 Screen indicating PUMP ERR and big noise 2 Screen indicating IR LAMP BAD 3 Screen indicating CO2 SENSOR ERR Screen indicating CAL ERR Screen indicating POWER ERR The CO2 wave is not normal 1 Screen indicating TEMP HIGH Screen indicating TEMP LOW Screen indicating TEMP IMBALANCE 1 Heavy VPOD CapOx 1 Leaking of filter or sampling tube 2 Occlusion of filter or sampling line 3 Parts overused or excursed leaking inside the gas loop 2 The lamp resource of sensor damaged 3 Sensor broken The last calibration is failed Wrong power supply 1 Temperature too high 2 Temperature too low 3 Temperature sharp change 26 1 TO check and replace filter or sample line 2 To clean the gas loop 3 To calibrate by standard gas To contact the manufacturer To recalibrate by the standard gas To contact manufacturer To provide normal
19. life 2 Attention indicating other important information 1 CO2 The readings will be wrong if the monitor does not warm up The sampling tube provided by the manufacturer shall be used otherwise the readings may be inaccurate Under the environment of roughly changed temperature data measured may not be accurate Therefore the screen will show TEMP IMBALANCE when quickly changed temperature overruns a certain range It is better to use the monitor under the environment stable temperature VPOD CapOx The measured data may be influenced a little bit if the patient is inflicted by kinds of anesthetic gases To calibrate some interferential gases if necessary Please refer to Appendix 2 Any circumstances of blocking sampling gas such as bending folding contaminations blocking sampling tube and filter or water trap etc will lead to inaccurate measurement 2 Oximeter The monitor s measurement to SpO2 may be influenced under outside strong light therefore to cover the probe e g to use surgical tape etc if necessary Accuracy of oximeter readings will be influenced if there is some radioactive dye in blood Please use SpO2 probe attached with the unit or the one specially designated to this unit It may be the problem of SoP2 probe if the SpO2 readings or the wave of plethysmogram are obviously abnormal Therefore to check if the finger has been put into probe enough deep if the direction is right if the there
20. nd He and O2 can reduce the CO2 reading 1 10 so compensation should be set in the balance gas MENU to meet the accuracy requirement when interfering gases exist VPOD CapOx Chapter Ill Introduction of Monitor I Introduction Figure 1 1 Screen It can display waves menu alarm and all measuring parameters 2 Y 4 Function button Y a When menu except the TREND menu is activated to press this button to move cursor b When the TREND menu is activated this button is to change over switch of the trend graph and date table Li On the main display to press this button to silence in 2 minutes VPOD CapOx 3 z To press this button to move the cursor when menu is activated 4 Z To press this button to increase figures 5 Z To press this button to decrease figures 6 ENTER Confirmation button To press this button to enter menu In the main menu to press this button to turn on the pump directly when it is off 7 ny To press this button to enter or quit menu I 8 QO Power button 9 Indicator POWER If yellow LED is bright the AC DC is connected If blue LED brightening showing the machine is working 10 CO2 The faucet of filter 11 SpO2 The socket of SpO2 12 DC5V and data interface Note this interface is connected to device which meet safety standards 13 Exhaust outlet 14 Speaker location 15 Battery cabin 16 The hanging rope bayonet Chapter IV Patient connection CO
21. ratory wave It shows SpO2 pulse oxygen PLETH and histogram When the pump is closed PUMP OFF will appear on the screen When the filter is not inserted into the inlet port the screen will show LINE OFF the pump will also be automatically closed Alarm indication 1 If the EtCO2 s value exceeds the limit of high or low alarm level the word EtCO2 will flash and alert with Di Di The same situation will happen too to respiration rate SpO2 and pulse 2 If the battery level is so low that the battery CJ indicates completely empty and monitor will utter sound continuously At this time the monitor will be closed down automatically 3 When the apnea alarm is turned on and the apnea happens and alerts the screen center will appear with APNEA It means to stop breathing flashing and if the sound alarm is turned on it will alert DI DI 4 When the SpO2 sensor is disconnected or off from finger the screen will flash the word SENSOR OFF If the saturation could not be detected for long time the screen will flash the word FAIL SEARCH 5 The volume of continuous or interval sound mentioned above can be modulated and closed down by the item of ALARM_VOLUME The sound will disappear under the silent condition If the alarm volume is 0 the silence indicator in the main menu will show 6 All the parameters alarm for over limits and apnea alarm will lead to flashing of red alarm indicator on
22. tems and preparative work All the devices have been calibrated before they are out of manufacturer and during every turning on they will do excursion control and gain adjustment according to working environmental temperature pressure and balance gas etc so generally the user does not need to calibrate himself or herself If the unit has been used over one year and clinic readings deviation is big the following procedure shall be obeyed 1 1 Necessary instruments CO2 standard gas Concentration is about 5 or 5 0 7 0 Three pass connector inner diameter 1 3 mm connecting with gas bottle the water trap and open air is used for connection and protection This is because the device can not bear 1 1 air pressures and it is strictly forbidden to connect the gas bottle directly with the device The one end of three pass connector directly opens to the air so as to release the more gas and pressure into the air even the standard bottle flows out larger gas The two tubes whose length can extend outside room The standard gas flows into the air continuously through the three pass connector and the module pump vents also standard gas in the meantime CO2 gas of higher concentration accumulates easily and quickly around the device If the two parts of these standard gases can not be vented outside room the device will pick up the value with higher concentration as Zero thus this will influence calibration accuracy 1 2To connect as following
23. the panel II The main menu 14 VPOD CapOx MAIN MENU C02 SET SPOZ SET TREND TIME SET SOUND SET NEW PATIENT EXIT Figure 6 When the main menu is open to press the MENU button to enter the setting menu as FIGURE 6 shows In this menu to press Y or Zbutton to move the cursor up or down To press ENTER button to enter the next son menu This menu includes the following son menu The setting menu for CO2 CO2_ SETUP The setting menu for SoO2 SPO2_ SETUP The trend menu TREND The time menu TIME SETUP The sound menu SOUND SETUP The renew set NEW PATIENT To renew the new patient Pay attention this operation trend will be refreshed meantime so it is needed to reconfirm again 19 VPOD CapOx lll CO2 setting menu CO2 SET ELO02 RESP ALARM_H ALARM_L ALARM_H ALARM_L FLOW SET APNEA TIME UNIT C02 PUMP AUTO OFF TIME SWEEP SPEED 50 0 19 0 30 08 100 ml Min 30 S mmHg ON 10 M FAST 54mmlig Et002 AVERAGEING 10 5 LOAD DEFAULTS EXIT Figure 7 In this menu to press Y or zbutton to move the cursor up or down to press Z button orZ button to change the data highlighted by the cursor Regarding some items in this menu if not to change the data but just to operate them such as LOAD DEFAULTS or EXIT then to press ENTER button In this menu to press MENU button then to exit this menu and enter the main menu This menu includes the following setups 1 The high alarm limits of
24. urs and every point indicates the result of every 12 second The top line of this page indicates patients ID number the beginning time of this page date month year hour minute If in the corresponding time to the one page of trend table the user turns off and turns on the device once or more times the trend table will show one or several blue vertical lines with full amplitude at this time to press z then the top row will display the initial information in that turn on time patient s ID number and initial time The correspondingly initial blue vertical line will become white one To press z again the second initial time will display if having several turning on or turning off The time at beginning and ending parts of abscissa in this picture respectively indicates the beginning and ending time for trend of this page 21 VPOD CapOx Sometime the data is not complete it shows the monitor is turned off although it has not completed 1 hours record In this menu to press ENTER button to change the trends of CO2 concentration respiration rate SoO2 and pulse the latter 2 parameters are selectable In this menu to press Zor Z button to change the page of trend In this menu to press y button to change graph trend to table trend see Figure 13 In this menu to press MENU button to quit this menu and return to the main menu 2 The table trend patient ID the beginning time of the large page one hour
25. y the item of BEEP VOLUME in the SOUND SET menu The pulse beep will disappear under the silent condition VPOD CapOx Figure 4 2 The use ofSpO2 sensor for neonate The SpO2 sensor of neonate has two parts Y shape sensor and fixing wrapping and binding part When it is being used Y shape sensor must be inset into wrapping and binding part It should be wrapped and bound on the palm or foot of neonate Pay attention the two windows of Y shape sensor should be paralleled and face to face only in this way can the light signal emitted by light emitting window through the body irradiates on the receiving window If the two windows are not paralleled and face to face the monitoring result may be not accurate In addition when SpO2 is not being monitored the probe should be taken off the monitor or the two windows of sensor should be kept face to face otherwise the light window will keep shining and PLETH wave will be disordered and the screen will appear FAIL SEARCH V Notice 1 Caution Showing clearly possible mis operation to the device Under the conditions of electromagnetic influence for example electrosurgical devices MRI CT etc will cause negative impact The filter should be taken off and replaced when it approaches full of water otherwise too much moisture will bring irreversible damage for inner components Be sure that the collection tube is open otherwise it will make inner sampling pump overwork and reduce pump
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