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SurgiVet V3404 ECG/Pulse Oximeter

1. Graphics Display e Plethysmogram e ECG e Graphics Trend e Oximetry Bargraph SpO2 Range Accuracy Calibration Alarm Ranges Display Averaging Pleth Sweep Pulse Strength Range Display SurgiVet V3404 Operation Manual Appendices 0 100 SpO2 2 70 100 SpO2 3 50 69 SpO2 Factory calibrated over 50 to 100 SpO2 using human blood samples to functional saturation Test methods available upon request No in service calibration required Low 50 100 1 increments and Off High 50 100 1 increments and Off At power up low SpO2 limit must be 85 or above unless alarm is off 3 digit 0 56 inch high LED s update rate 1 Hz 4 8 16 pulse beat average selectable 12 5 25 or 50 mm sec 20 350 bpm indicates logarithmic strength of patients pulse Not proportional to pulse volume 10 segment graphics bargraph update rate 60Hz Display is not proportional to pulse volume Appendix 3 Appendices Pulse Rate ECG Range Accuracy Alarm Ranges Display Averaging Configuration Lead Selection Gain Input Range DC Offset Voltage Frequency Response Input Impedance System Noise max CMRR Leakage Current Patient Isolation Pace Detect Pace Reject Sweep Speed Selectable 50Hz 60Hz noise filter Selectable QRS threshold detection Heart Rate ECG Appendix 4 Range Accuracy Alarm Ranges Display Averaging 20 350 bpm gt of 2 o
2. REAL TIME STRIP CHART SPEEO 25ma sec DELAY 4sec ECG 20mma mV LEAD I FIGURE oo 8 8 6 EAL TIME STRI HR B0bpm SP02 100 RESP 20bpm ahi NETS P CHART des EE EAL TIME STRIP CHART ECG WAVEFORM SurgiVet V3404 Operation Manual Chapter 8 Serial Output Trend Table Data Trend data is output in tabular ASCII text format one table per trend data record starting at the oldest record Trend data is stored every 30 seconds This interval is not user adjustable A maximum of 21 hours of trend data storage is possible Every time the monitor is turned off then on again a new block of trend data is started in trend memory Thus data from days ago might be printed because trend data is remembered when the monitor is turned off For this reason time stamps are stored and output along with trended parameter data Each line of text in the trend tables ends with a carriage return line feed Each new block of many trend data records has the following title information Trend Table Patient Date Trend data records will be output as follows HH MM SS BPM Sp02 RR m 00 00 00 XXX XXX XXX 00 00 30 XXX XXX XXX 00 01 00 XXX XXX XXX 00 00 30 XXX XXX XXX 00 02 00 XXX XXX XXX SurgiVet V3404 Operation Manual 8 7 Chapter 9 Analog Output Chapter 9 Analog Output Analog Out Menu The ANALOG OUT menu allows the user to select parameter waveform or calibration
3. Do not autoclave ethylene oxide sterilize or immerse the sensors in liquid SurgiVet V3404 Operation Manual 6 7 Chapter 6 Oximetry J CAUTION Unplug the sensor from the monitor before cleaning or disinfecting Clean the sensor with a soft cloth moistened in water or a mild soap solution To disinfect the sensor wipe the sensor with isopropyl alcohol Attach the Sensor to the Patient A WARNING Prolonged use or the patient s condition may require changing the sensor site periodically Change sensor site and check skin integrity circulatory status and correct alignment at least every 4 hours AN WARNING When attaching sensors with Microfoam tape do not stretch the tape or attach the tape too tightly Tape applied too tightly may cause inaccurate readings and blisters on the patient s skin lack of skin respiration not heat causes the blisters l Microfoam is a registered trademark of the 3M Company 6 8 SurgiVet V3404 Operation Manual Chapter 6 Oximetry Universal Y Sensor with Clip Figure 6 4 Attach the Y Attaching Y nsor to th Sensor to a areca Lingual Clip lingual clip by sliding the Y boot into the clip forks as shown Figure 6 5 Attach the Attaching Clip to Animal sensor and clip to the patient s tongue Make sure the light source is topside of the tongue SurgiVet V3404 Operation Manual 6 9 Chapter 6 Oximetry Application Guide Universal Y Li
4. Portable EN60601 1 1990 Factory calibrated over the range of 50 to 100 SpO All accuracy claims are based on testing the subject monitor on healthy adult volunteers in desaturation studies across the specified range of functional saturation Test methods will be made available upon request No in service calibration is required SurgiVet V3404 Operation Manual Appendix 9
5. Description of Measurements Controls and Features 4 79 MENU ENTER Press this key to display the list of menus While menus are a displayed press 79 to select a menu item or to accept a value which has been adjusted 5 Y DA E l ARROWS If a Menu is displayed press the UP DOWN ARROWS XY DO Y to move among menu items or to adjust the value of a selected item If a Trend is displayed the ARROW N Gp y keys cycle between trended parameters Side Panel FIGURE 2 5 SIDE PANEL 1 ECG Connector The ECG cable is connected here 2 SpOr Connector The oximetry sensor patient cable is connected here 2 6 SurgiVet V3404 Operation Manual Rear Panel Chapter 2 Description of Measurements Controls and Features ONLY USE PRINTER OUTPUT A Un ZN AC ADAPTER INPUT 12V 1A 1 Power Input 2 Digital Analog Outputs FIGURE 2 6 REAR PANEL The external power supply attaches to this connector v1617 Charger AC 110V 50 60 Hz v1618 Charger AC 230V 50 60 Hz V1619 Charger AC 100V 50 60 Hz An external RS 232C communication device can be connected to the monitor through this port Use printer cable catalog V3361 to attach to a printer or cable catalog V3365 to attach to a computer s serial port Analog signals representing EC
6. ECG wires NOTE The ECG patient circuit is electrically isolated NOTE The monitor is protected against damage from defibrillator diathermy and electrocautery discharge Connect the ECG cable to the monitor Align the key on the monitor s ECG receptacle with the notch in the ECG connector Push the connector firmly into the receptacle NOTE To remove the ECG cable grip the connector and pull back firmly DO NOT pull on the ECG cable to remove the ECG connector from the monitor WARNING Electrodes of dissimilar metals should not be used Connect the ECG leads then connect the leads to the ECG cable Ensure the leads are SurgiVet V3404 Operation Manual 5 3 Chapter 5 ECG in the correct ECG cable position The ECG leads and patient cable connector are color coded according to the AAMI standard for ECG leads AN CAUTION Ensure conductive parts including electrodes of the patient cable do not come into contact with any conductive surfaces or earth parts 5 4 SurgiVet V3404 Operation Manual Table 5 1 ECG 3 Lead Electrode Identification ELECTRODE LABEL LOCATION COLOR Table5 2 ECG 5 Lead Electrode Identification ELECTRODE LABEL LOCATION COLOR 4th Intercostal Space right SurgiVet V3404 Operation Manual Chapter 5 ECG 5 5 Chapter 5 ECG ECG Display FIGURE 5 2 ECG DISPLAY A few seconds after the patient is attached the ECG waveform measurements should be shown NOTE If measureme
7. For SurgiVet Graphics Printer ccceccesccsssessceseceeeeesecesecaecaeecaeeeaeeeeeeeeeeeeseenseenaeenaeenaes 8 4 Output Example E ida 8 6 Patient Data iii aa 8 6 Trend Table Dita data 8 7 Chapter 9 Analog Output 9 1 AA UEM E 28 SOS ANS E T E AE EE ED EE 9 1 ii SurgiVet V3404 Operation Manual Table of Contents Chapter 10 Routine Maintenance 10 1 Operator s NEAR 10 1 Charging the Battery sf ia cereal dotar bes 10 2 Cleaning and Dismfe cine essccrccss ce ieect tata easton 10 2 Long Term da AERA OER 10 2 Chapter 11 Troubleshooting 11 1 Appendices Appendice 1 Appendix A Supplies and Accessories c ccsccesseesseesceesceeecesecesecsseceaecasecaeecaeseaeeeceneeeseeeseeeeesereneaeenaes Appendix 1 Appendix B Specifications cccceeccesccssecsseeseeeseeeseeeseesecesecnsecsseceaecsaecaaecaeecaeeeaeeeeeseeeserensesnseenseenaeenaes Appendix 1 Parameters Monitored ts nt e e e Lhe Ge A E ee Appendix 3 Graphics Di edo Appendix 3 SU a Appendix 3 Pulse tri iaa Appendix 3 Pulse Rate iaa Appendix 4 ECG EN E E Appendix 4 Heart Rate ECG i Appendix 4 Alarms Al rts Indicators ida A A a A a a Appendix 5 VOS R E A A A Se Appendix 6 Optional Printer and Serial Interface oooonoonnoniconocnnonnonnconccnnccnnonnnonononnnnnnon nn nn corn non r nn nronnronrran narnia Appendix 6 MS A tales ee ode ooes te tech then fotee she BIO sae ben batt Most bee R ES 2a Appendix 6 Sound Control uinlsieie lu tit deal na old ue dt e ll Gite Ap
8. Lla to select the desired print speed then press 4 When the output format has been chosen set STOP PRINT to YES to enable the serial output 5 Select EXIT or press Eto exit menus If serial output is in progress exiting menus will not stop it To STOP serial output 1 Select SERIAL OUT from the main menu 2 Set STOP PRINT to NO NOTE Serial output is always disabled when the monitor is powered up but the format and times are remembered SurgiVet V3404 Operation Manual 8 5 Chapter 8 Serial Output Output Examples Patient Data RS232 Source A real time Patient Data sample is output in tabular ASCII text format one table per output interval when connected to an RS232 source The time interval between tables is selected in the SERIAL OUT menu Each line of text in the patient data table ends with a carriage return line feed Sample Output RS232 Source PATIENT DATA Patient Date BPM Spo2 RR m XXX XXX XXX Optional Graphics Printer A real time Patient Data sample is output as a strip chart Sample Output Graphics Printer 1 20bp REAL TINE STRIP CHART HR BObpm 1SP02 100 ECG 20nm aV LEAD RESP o SPEED 25mm sec DELAY 4sec FIGURE 8 6 z EAL TIME STRIP CHART COMBINED WAVEFORMS Asec REAL TIME STRIP CHART 25mm sec DELAY HAs 80bpm SPO2 100 SPEED FIGURE 8 7 R
9. Ls od 5 6 ECG MOMs ri ii Oia ias 5 7 ECO Me s ES datada cien 5 10 Alarm Mess e e e e 5 10 Status MESSI AAA A A AA AA AAA AA rer 5 10 General Description ai 6 1 Pulse Oximetry Theory of Operation ccccccesseessesscesseessceeccesecesecsaeceaecseecaeeeaeeeaeseeeeeesseenseseseseseaecaeceeeeeeneenss 6 1 Oxime ter Displayen ss 6 2 Oximeter Menu is A AA a aes 6 3 Adjusting the Pulse Beep Volume sit a Re 6 4 Adjusting or Viewing the Averaging Settid8S oooooncinnninnnnncnnonnonnconnconocn noo ncon ccoo nr nn no nn nr nn ron rra r rn rra ran rra nr narran rra 6 4 OM MESS e ak Sot 6 5 Alarm Messages 00d dedo de To AL o dd ea e da A e T 6 5 Alert Messages tc td Du e det da e a e e E dd 6 5 MESSAGES A A ca 6 6 Attaching the Patient OXimetry iranano ron nnnn nono rn nn nn non Ron RR on RR nn RR nn Ran RR nn nn nn ran nn ERR 6 6 Choo0setheSensOR cari cit de do li loe bel oo Ud 6 6 Check Sensor terri a des de a E E e E E att 6 7 Clean or Disinfect the Reusable Sensor ccccceccesseesseeseesseeeecesecesecesecaecssecsaecaeeeaeeeaeeseeeaeeeaeseneeeeeenseenaeenaes 6 7 Attach the Sensor tothe Patient oi A eit hn ee A ee ee 6 8 Chapter 7 Trends 7 1 Trends Men yacu siirron A eee ie eee ici 7 2 Chapter 8 Serial Output 8 1 Serial QUEME AA AA a ac ek AE eee doves ates Deere 8 1 Serial Output Setup For RS232 Connections cccccesceseesseessessceseceseceseceseeaecaecsaecseecaeeeaeseeeseeeeeeeseeeeeeeesseenaes 8 2 Serial Output Setup
10. area at the top of the display subject to message priority NOTE Trends are not affected by the waveform freeze feature Trends continue to be collected while the waveforms are frozen NOTE Analog outputs are not affected by the waveform freeze feature If waveforms are selected for the analog output channels then waveform data will continue to be output while the displayed waveforms are frozen NOTE Displayed numeric values are not affected by the waveform freeze feature The numeric values continue to be updated and displayed while the displayed waveforms are frozen SurgiVet V3404 Operation Manual 3 3 Chapter 3 Setting Up the Monitor Working With System Wide Settings This section describes working with system wide settings using the SETUP VOLUME menu Setup Volume Menu The following system wide settings are viewed and or adjusted from the Setup Volume menu SpO2 SENSOR AQ SETUP SHEEP SPEED 12 5mm sec BPM SOURCE OXIMETER VOLUME ALARMS mama EN PULSE ___ mai CEXIT setupevolume menu FIGURE 3 1 SETUP MENU SETUP The waveform sweep speed can be set for fast 25 mm sec and slow 12 mm sec speeds The heart rate source can be set to either oximeter or ECG VOLUME Indicates the Alarm and Pulse volume Allows the volume to be adjusted in the range of 1 to 15 Pulse volume can be set to OFF Alarm volume can not be shut off 3 4 SurgiVet V3404 Operation Manual Chapter 3 Setting Up the Monit
11. conditions Therefore do not rely solely on rate detection gt e alarms NO LEADS Indicates the number of ECG leads either 3 or 5 THRESHOLD This menu option allows the user to select the ECG QRS detection threshold ECG MONITOR Indicates whether the ECG monitor is on or off Allows the ECG parameter to be turned on or off ECG CALIBRATION ON displays a lmV ECG calibration waveform NOTE Turning off the ECG parameter turns off the ECG waveform and heart rate measurements Heart rate measurements if WBPM SOURCE ECG will be replaced by pulse rate measurements SurgiVet V3404 Operation Manual 5 9 Chapter 5 ECG ECG Messages Alarm and alert messages related to ECG are shown on the top message line at the upper left of the display If there are several messages to be displayed then they rotate showing one message every second If ECG monitoring is disabled through menus then a message is displayed in the ECG waveform area Alarm Messages ECG BPM gt x ECG BPM lt x ASYSTOLE ECG LEAD FAIL Status Message ECG MONITOR OFF 5 10 Indicates the ECG measurement is equal to or higher than the high ECG alarm limit x is the high alarm limit setting Indicates the ECG measurement is equal to or lower than the low ECG alarm limit x is the low alarm limit setting This high priority alarm is generated and the text is displayed in the parameter box when all ECG lead are connected to the pat
12. is selected the menu item below it is PRINTER TYPE 8 2 SurgiVet V3404 Operation Manual Chapter 8 Serial Output Ag START PRINT HO HURSE CALL OFF DATA FORMAT PATIENT DATA INTERVAL EVERY 4 secs gt PRINTER TYPE Rs 232 serial out menu EXIT FIGURE 8 3 SERIAL OUT MENU TREND TABLES 6 To change the PRINTER TYPE a Use the ARROW keys OY IA to point to PRINTER TYPE then press b Use the ARROW keys Q y IA to change the value to RS232 c Press to accept the selection 7 When the output format has been chosen set START PRINT to YES to enable the serial output 8 Select EXIT or press Eto exit menus If serial output is in progress exiting menus will not stop it To STOP serial output 1 Select SERIAL OUT from the main menu 2 Set START PRINT to NO NOTE Serial output is always disabled when the monitor is powered up but the format and times are remembered SurgiVet V3404 Operation Manual 8 3 Chapter 8 Serial Output Serial Output Setup for Graphics Printer The optional graphics printer enables the user to print real time strip charts of the patient s activity To setup printing do the following 1 Select SERIAL OUT from the Main Menu If STOP PRINT NO then no serial output is currently in progress so proceed with step 2 Otherwise STOP PRINT YES and you must select NO to halt the current output before the serial output data settings can be changed 2 T
13. minutes The Alarm Silence indicator on the EL Display flashes during the two minute time out e To silence the alarm tones indefinitely Press and hold for about three seconds the Alarm Silence indicator lights steady NOTE To comply with government requirements for patient monitoring the indefinite alarm tone silence feature may not be available in monitors shipped to your country e To silence the alarm tones for two minutes Momentarily press the Alarm Silence indicator flashes If tones are already silenced press twice the first press cancels alarm silenced the second press silences the alarms for two minutes e To cancel either two minute or indefinite alarm silence and enable alarm tones Momentarily press the Alarm Silence indicator lights steady and the slash is removed System Information Signal Low Battery A low battery condition will be detected when the battery has about 10 minutes remaining As soon as the condition is detected e The message LOW BATTERY is displayed on the second message line It alternates with other messages at once per second e This message remains displayed until the monitor is connected to power e The low priority alarm LED is lit e A unique tone a burst of 5 beeps sounds as soon as the low battery condition is detected and every 30 seconds thereafter while the condition persists e The volume of the low battery tone is equal to or greater than the alarm volume setti
14. to the patient provided recommended components are used Rate meters may be temporarily affected WARNING Equipment is protected against defibrillator discharge Rate meters and displays may be temporarily affected during defibrillation but will rapidly recover WARNING Any monitor that has been dropped or damaged should be checked by a qualified service personnel to insure proper operation prior to use WARNING This monitor will not operate effectively on patients who are experiencing convulsions or tremors WARNING Use only SpO sensors supplied with or specifically intended for use with this device WARNING Prolonged use or the patient s condition may require changing the sensor site periodically Change sensor site and check skin integrity circulatory status and correct alignment at least every 4 hours WARNING When attaching SpO sensors with Microfoam 1 tape do not stretch the tape or attach the tape too tightly Tape applied too tightly may cause inaccurate readings and blisters on the patient s skin lack of skin respiration not heat causes the blisters 1 Microfoam is a registered trademark of the 3M Company SurgiVet V3404 Operation Manual vii Warnings Cautions and Notes ECG viii WARNING PACEMAKER PATIENTS Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter alarms Keep pacemaker patients under cl
15. G waveform plethysmogram pulse rate and SpO are routed to this connector for use with chart recorders and similar devices CAUTION Ensure the device s AC rating is correct for the AC voltage at your installation site before using the monitor The monitor s AC rating is shown on the external power supply If the rating is not correct do not use the monitor contact SurgiVet s service department for help SurgiVet V3404 Operation Manual 2 7 Chapter 3 Setting Up the Monitor Chapter 3 Setting Up the Monitor Unpacking the Monitor and Checking the Shipment Carefully remove the monitor and accessories from the shipping carton Save the packing materials in case the monitor or accessories must be shipped or stored Compare the packing list with the accessories received to make sure the shipment is complete Turning Alarm and Alert Tones On and Off When the monitor is turned on the alarm and alert tones are silenced for two minutes The Alarm Silence indicator on the EL display flashes during the two minute time out e To silence the alarm and alert tones indefinitely Press and hold for about three seconds the Alarm Silence indicator lights steady NOTE To comply with government requirements for patient monitoring the indefinite alarm and alert tone silence feature may not be available in monitors shipped to your country e To silence the alarm and alert tones for two minutes Momentarily press Q the Alarm Sil
16. SurgiVet V3404 ECG Pulse Oximeter Operation Manual Veta Veterinary Surgical Products SURGIVET INC N7 W22025 JOHNSON ROAD SUITE A WAUKESHA WI 53186 CATALOG NUMBER V1888 VERSION 3 OCTOBER 2001 2001 SURGIVET INC Table of Contents SurgiVet V3404 ECG Pulse Oximeter Operations Manual Warranty amp Service Information iv Proprietary NOt CS ma do e de el do le wee Dl ea O e iv Limited Warranty oeno a ER sl iv Loaner Device Domestic Sales Only econo ae E a E RE eiii iv SS A O E S iv CEANOUCE APEE EA EE E T E E E A v ANS Warnitigs Cautions and Notes asc ib ii vi Symbol DefinitlOns A ee Ae BR A ER vi General Warning adi iaa vi Cations ieat A A A E it 1x General Dotes is AS e A A AS A IIS deis es x Chapter 1 Introduction 1 1 Mtended Useren ata ee e dde este eo lleida e E e 1 1 Chapter 2 Description of Measurements Controls and Features 2 1 General Descriptions enea over Hats Sects EE Se eee eas N E este 2 1 Erotic 2 3 EL Display ii iia eee 2 4 A O O A N 2 5 Ad e e ad e e Ed tt e cette ta 2 6 Rear Pame e e a ta ee e a oa iti E Ruban a Gack 2 7 Chapter 3 Setting Up the Monitor 3 1 Unpacking the Monitor and Checking the Shipment c ccccessesscsesceseceeceseceeeceecaeecseeeeeeeeeeeeeeeresereeeeeeeeaees 3 1 Turning Alarm and Alert Tones On and Off ccccececcceseceseesseeseeeseeeseeseeeseceseenseceeceesseenaeceaecsaeeaeceaeeeneeeeeeerenes 3 1 Working With MEUS ta dde e E 3 2 MEN A OO 3 2 Fr
17. SurgiVet V3404 Operation Manual Chapter 1 Introduction Chapter 1 Introduction Intended Use The SurgiVet V3404 ECG Pulse Oximeter is a low cost portable ECG and oximetry monitor It noninvasively and continuously monitors and displays arterial blood oxygen saturation of arterial hemoglobin SpO2 pulse rate plethysmogram and ECG waveforms It may be used in the veterinary hospital or clinical environment The oximetry feature works with all SurgiVet oximetry sensors providing SpO and pulse rate on all patients The SurgiVet V3404 ECG Pulse Oximeter permits continuous patient monitoring with adjustable alarm limits for oximetry and ECG as well as visible and audible alarm signals SurgiVet V3404 Operation Manual 1 1 Chapter 2 Description of Measurements Controls and Features Chapter 2 Description of Measurements Controls and Features General Description FIGURE 2 1 GENERAL DESCRIPTION Parameters The SurgiVet V3404 ECG Oximeter is an ECG and oximetry monitor Alarm limits can be set on all monitored parameters ECG The monitor continuously measures and displays an ECG waveform Either 3 or 5 lead monitoring may be selected The monitor beeps with each heart beat The volume of the heart beat is adjustable The pitch of the heart beat varies with the heart rate value Oximeter The monitor continuously measures and displays arterial blood oxygen saturation SpO2 and Pulse Rate HR Oximetry includes the display
18. a new patient accessories Patient cables ECG leads Check patient connected Inspect sensors cables and Daily accessories connectors for signs of damage or deterioration Replace as required SpO2 Sensor Clean or disinfect When attaching a new patient SurgiVet V3404 Operation Manual 10 1 Chapter 10 Routine Maintenance Charging the Battery Charge the battery after the monitor is used under battery operation when the LOW BATTERY message is displayed or after long term storage Connect the external charger to the back of the monitor Verify the green LED D is lit After connecting the external charger the unit automatically goes into fast charge which is indicated by a flashing green LED After 3 to 4 hours the battery is fully charged indicated by a continuously lit LED Cleaning and Disinfecting A WARNING Do not autoclave ethylene oxide sterilize or immerse the monitor in liquid A CAUTION Do not allow water or any other liquid to be spilled onto the monitor Unplug the AC power cord from the monitor before cleaning or disinfecting uN CAUTION Where the equipment has been wetted accidentally it should be wiped dry externally and allowed to dry thoroughly before use Clean the surfaces of the monitor and the accessories with a soft cloth moistened in a mild soap solution If disinfecting is required wipe the surfaces with isopropyl alcohol then wipe with a water moistened soft cloth L
19. al screen and explains the ECG display s features ECG Menu Choose the ECG limb lead selection size pace detect and number of leads ECG Messages Defines the ECG alarms alerts and messages Setting Up ECG Monitoring Follow the steps in Chapter 3 Setting Up the Monitor The remainder of this chapter assumes the monitor is installed and turned on The ECG parameter defaults on and automatically detects when the ECG cable is plugged into the connector The ECG parameter can be turned off in the ECG menu SurgiVet V3404 Operation Manual Chapter 5 ECG Attaching the Patient Figure 1 Figure 2 RA LA ii ui A j Ne LL INGUINAL FOLD LEFT LEG LL Make sure that the alligator clips and banana plugs on the ECG leads are thoroughly cleaned and dry before attaching to the patient If the alligator clip and the banana plugs are dirty ECG signal quality may be compromised To attach the ECG leads to the patient position three alligator clips in the standard configuration White for right arm black for left arm and red for left leg see figure 1 or position leads on chest to decrease motion artifact or to monitor large animals see figure 2 If necessary moisten the sites lightly with isopropyl alcohol Do not use betadyne NOTE Follow institutional standards when applying ECG electrodes NOTE The ECG cable uses a standard AAMI three lead or five lead ECG connector Use only standard AAMI three lead or five lead
20. appear I II or HI allowing one waveform to be displayed These lead are acquired and analyzed If using a five lead cable the following lead selections will appear I II III and V are simultaneously acquired and analyzed the augmented leads AVR AVF and AVL are calculated This menu item allows you increase the size of the ECG tracing in the following increments 1X 2X 4X and 8X The default size 1s 1X Chapter 5 ECG PACE DETECT This option turns ON OFF the pacemaker detection program in the monitor This menu option should be used when the patient being monitored has a pacemaker All pacemaker pulses as specified by AAMT are detected or rejected in the ECG waveform when PACE DETECT is turned ON An artificial pulse is added to all displayed ECG waveforms marking the pacemaker discharge The monitor defaults OFF so if you have a patient with a pacemaker you will have to turn ON the PACE DETECT option 5 8 SurgiVet V3404 Operation Manual Chapter 5 ECG WARNING False low heart rate indicators or false Asystole calls may result with certain pacemakers because of electrical overshoots WARNING Monitoring of pacemaker patients can only occur with the PACE DETECT on WARNING The pacemaker spike shape and size is not to be diagnostically interpreted WARNING Keep pacemaker patients under close observation Rate detection in the software may continue to count the pacemaker rate during cardiac arrest and or arrhythmia
21. ata format for output to the serial port as well as select the output interval or the amount of data to send This data can be output to a computer or to a compatible printer STOP PRINT HURSE CALL DATA FORMAT INTERVAL PRINTER TYPE SWEEP SPEED CEXITI Ag serial out menu HO OFF PATIENT DATA EVERY 4 secs BCI PRINTER 25 mm seo FIGURE 8 1 SERIAL OUT MENU PATIENT DATA STOP PRINT NURSE CALL Select this to enable disable serial output Select this to enable disable the nurse call serial output DATA FORMAT Shows data output format See Data Format later INTERVAL If PATIENT DATA format has been selected this shows the amount of time between data log outputs PRINTER TYPE Select either RS 232 text only or graphics printer graphics SWEEP SPEED If the graphics printer has been selected this shows the paper speed J WARNING When connecting this monitor to any instrument verify proper operation before clinical use Refer to the instrument s user manual for full instructions Accessory equipment connected to the monitor s data interface must be certified according to the respective IEC standards i e IEC 950 for data processing equipment or IEC 601 1 for electromedical equipment All combinations of equipment must be in compliance with IEC 601 1 1 systems requirements Anyone connecting additional equipment to the signal input port or signal output port configures a medical sy
22. atient Indicates the presence of excessive artifacts Check sensor positioning on the patient and restrict patient movement 6 5 Chapter 6 Oximetry Messages SPO2 SEARCH Indicates the oximeter is adjusting to the patient s signal If this message persists check for proper sensor positioning on the patient NOTE If the message SpO2 SEARCH stays up for 10 seconds or more a system alert will sound SMALL PULSE Indicates the oximeter signal strength is low Try repositioning the sensor on the patient Attaching the Patient Oximetry Choose the Sensor SurgiVet Manufacturers a variety of pulse oximetry sensors to allow you to accurately and reliably monitor all of your different types and weights of patients It is very important to select the proper sensor for each patient based on their size color condition and type of procedure you are performing Experience will quickly teach you which probes work best under different conditions Well perfused sites with little or no hair are preferable It is also important to note that some anesthetic drugs such as xylazine ace promazine and domitor can effect peripheral pulse pressures causing very weak pulsations All pulse oximeters require a good pulse to work properly The sensors available to you for your SurgiVet pulse oximeters include a small and large Lingual Sensor small and large reflectance sensor and a Universal C censor 6 6 SurgiVet V3404 Operation Man
23. ct EXIT or press E to exit the menu 6 4 SurgiVet V3404 Operation Manual Oximeter Messages Chapter 6 Oximetry Oximeter messages are shown on the second line of the message area at the upper left of the display The displayed messages are prioritized to show what is most important at the top Alarm Messages SPO2 gt x SPO2 lt x Pulse gt x Pulse lt x Alert Messages SPO2 SENSOR SPO2 LOST SPO2 ARTIFACT SurgiVet V3404 Operation Manual Indicates the SpO measurement is equal to or higher than the high SpO alarm limit x is the high alarm limit setting Indicates the SpO measurement is equal to or lower than the low SpO alarm limit x is the low alarm limit setting Indicates the pulse rate measurement is equal to or higher than the high PULSE alarm limit x is the high alarm limit setting Only if BPM SOURCE OXIMETER Indicates the pulse rate measurement is equal to or lower than the low PULSE alarm limit x is the low alarm limit setting Only if WBPM SOURCE OXIMETER Indicates the SpO sensor is disconnected from the monitor or the patient Make sure the patient cable and sensor connectors are all firmly seated Make sure the sensor is positioned properly on the patient If the message persists contact your authorized repair center Indicates the oximeter circuitry could not measure the patient s SpO2 or pulse rate Make sure the sensor is positioned properly on the p
24. d and then check the monitor for proper functioning CAUTION The monitor should be operated from its internal power source if fitted if the integrity of the protective earth conductor is in doubt CAUTION Follow local governing ordinances and recycling instructions regarding disposal and recycling of device components CAUTION The monitor contains a 1 2 hour lead acid battery If the battery fails to hold a charge or otherwise become inoperable the battery should be replaced and the old battery should be disposed of properly Lead acid batteries should not be disposed of in normal trash containers They should be sent to the proper facilities so that the metals in them may be reclaimed and or recycled Lead acid battery In the US 1 800 822 8837 will provide information about the proper disposal of the lead acid battery Regulations in Europe vary from country to country Consult local authorities for information about proper disposal SurgiVet Inc cannot dispose of monitor batteries SurgiVet V3404 Operation Manual ix Warnings Cautions and Notes General Notes ECG Oximetry NOTE Operation of this device may be adversely affected in the presence of strong EM or RF sources such as electrosurgery equipment NOTE Operation of this device may be adversely affected in the presence of computed tomograph CT equipment NOTE The monitor is protected against damage from defibrillator diathermy and electrocautery dischar
25. d to ship the device pack the device and its accessories carefully to prevent shipping damage All accessories should accompany the device SurgiVet Inc Attn Service Department Phone 262 513 8500 N7 W22025 Johnson Road Ste A Toll Free 888 745 6562 Waukesha WI 53186 Fax 262 513 9069 E mail address Sales surgivet com Web Site WWW surgivet com SurgiVet V3404 Operation Manual Warranty amp Service Information CE Notice Marking by the symbol C E indicates compliance of this device to the Medical Device Directive 93 42 EEC Authorized Representative as defined by the Medical Device Directive MedPass International Phone 49 8233 31590 Mendelstrasse 18A Fax 49 8233 32462 86415 Mering Munich Germany SurgiVet V3404 Operation Manual v Warnings Cautions and Notes A Warnings Cautions and Notes KEYWORD DEFINITION WARNING Tells you about something that could hurt the patient or hurt the operator CAUTION Tells you about something that could damage the monitor NOTE Tells you other important information Symbol Definitions Co mesme ooo OS peon e O e O Ca General Warnings WARNING Federal law USA restricts the use or sale of this device by or on the order of a licensed veterinarian WARNING Do not use this device in the presence of flammable anesthetics WARNING Do not autoclave ethylene oxide sterilize or immerse in liquid Unplug before cleaning or disinfect
26. data to output on each of two analog output channels All output data is scaled to the range 0 1 Volt sa ND CHANNEL PARAMETER TO NUMBER OUTPUT 1 gt 0v 2 1V EXIT analog out menu FIGURE 9 1 ANALOG OUT MENU To select the data to be output to any analog channel 1 Select ANALOG OUT from the Main Menu 2 Use the ARROW keys IA to select the channel number 1 or 2 Then press 3 Use the ARROW keys N DA to select the desired parameter Resp Rate Pulse HR SpO2 waveform ECG waveform Plethysmogram or calibration signal 0 Volt or 1 Volt 4 Press to accept the value 5 Select EXIT or press E to exit the menu SurgiVet V3404 Operation Manual 9 1 Chapter 10 Routine Maintenance Chapter 10 Routine Maintenance Operator s Maintenance SurgiVet products have been designed to operate continuously for long periods without maintenance However in order to ensure a continued high level of performance and safety operation the routine maintenance information in this section MUST be observed Routine maintenance should be carried out on site by the operator on a daily basis A summarized schedule and full details of this level is contained in this section ITEM ACTION INTERVAL Charge When LOW BATTERY is displayed After continuous use under battery power The monitor s surface Clean or disinfect Clean patient connected Clean or disinfect sensors When attaching
27. e Alarms Menu This section describes working with alarms using the ALARMS menu For information on the parameter menus refer to the chapter of the manual that describes the parameter SpO0e2 SENSOR Ag ALARMS LOW HIGH SPO02 38 106 Y BPH gt 30 254 CEXIT alarm menu FIGURE 4 3 ALARM LIMITS MENU LOW and HIGH Indicates the low and high alarm limit for each measurement Allows the alarm limits to be adjusted Adjusting or Viewing Alarm Limits 1 From the Main menu select the ALARMS item 2 Using the ARROW keys O y IAN select the alarm limit to be changed under the LOW or HIGH column 3 Press the Y key to highlight the value Use the arrow keys to adjust the value Press the key to set the value 4 Select EXIT or press the GO key to exit menu Alarm Tones The high priority alarm tone is a three tone burst with a pause followed by a two tone sound beep beep beep pause beep beep The tone for low priority alarms is a two tone sound with a pause beep beep pause beep beep e The high and low priority alarm tones sound at the same volume e The volume can be adjusted in the SETUP VOLUME menu e The volume can not be set to OFF e All alarm tones can be silenced NOTE Information signals i e Low Battery cannot be silenced SurgiVet V3404 Operation Manual 4 3 Chapter 4 Alarms Turning Alarm and Alert Tones On and Off When the monitor is turned on the alarm tones are silenced for two
28. eezing and Releasing Displayed Waveforms cccccescessseeseeesceeeceseceseeesecaecnaecaeecaeeeaeeeseeeeeeeeeeaeeeseeeeeneeaees 3 3 Working With System W ide Settings i232 cect aida 3 4 Setup Voltime Mena ias 3 4 Turning Parameter Monitoring On and OL ooooconicccoccnoccnonconononocnonnncnn nono nonn nono ron ron n rr rn nn rn rc nr rn nr an rrnnnrannnn 3 5 Adjusting Waveform Sweep Time Size Or Scales ccesccesecsecsseeseeeeeessceseeeseeeeeeeeeeecesecneeceseenaeenseeseeeaeeenes 3 5 Chapter 4 Alarms 4 1 High Priority Alarims aii a iia dls 4 1 NA A So es eh A a a 4 2 Working Wath the Alarms Menu ii actee ei whine E BALE ck eee a A E 4 3 Adjusting or Viewing Alarm Limits 0 ccccccesecssesseceseeeecseeeseeeseeseeeseeeseensecnseceaecnaecnaecaaecaeeaecaaeceeeenetenteeas 4 3 ALA PONES 4 ssc O cde a E A is A A e E ds 4 3 Turning Alarm and Alert Tones On and Off oooonoccnoccnoconocconoconcnoncnnncnn nono nono nonn ron rro n ron r non r nan n rra nr nr nnnrrannnn 4 4 System Information Signal Low Battery ccccesccssecssecseeesseeeecseeeseceeeesseeecesecesecnaeenaecaecseecseeeseeeseeneeenseeas 4 4 SurgiVet V3404 Operation Manual i Table of Contents Chapter 5 ECG 5 1 Cheory Of Operation A O Neel Oe Nias ite dla tes 5 1 ECG Warnings Cautions amp NOTES ct aitor is 5 1 Using the ECG Parametros aa e dea bane 5 2 Setting Up ECG Monitorit sa 5 2 Attaching the Patient ii acia 5 3 EGCG Display o da o e le otero noo
29. ence indicator flashes If tones are already silenced press D twice the first press cancels alarm silenced the second press silences the alarms for two minutes e To cancel either two minute or indefinite alarm silence and enable alarm and alert tones Momentarily press the Alarm Silence indicator turns off SurgiVet V3404 Operation Manual 3 1 Chapter 3 Setting Up the Monitor Working With Menus Menu Structure 3 2 Freeze Wave Alarm Limits Set ECG High and Low Alarms Set SpO High and Low Alarms Set Pulse Rate High and Low Alarms Setup Volume Select Waveform Sweep Speed Select BPM Source Adjust Alarm Volume Adjust Pulse Volume ECG 1 Select Lead Select Size Enable Disable Pace Detect Select Number of Leads Select the ECG Detection Threshold Select Display Time Select Trend Display Scales for Each Parameter ECG 2 Enable Disable ECG Monitor Function 1mV Calibration Waveform Oximeter Select Averaging Parameters Disable Enable Oximeter Function Trends Clear Trend Memory Serial Out Start Stop Serial Output Enable Disable Nurse Call Select Data Format Select Printer Type Select Print Interval or Duration Select Sweep Speed Analog Out Assign Data Waveform Output to Each of 2 Channels Assign 1V Cal Signal Assign OV Cal Signal SurgiVet V3404 Operation Manual Chapter 3 Setting Up the Monitor The operator chooses various monitor settings through menu
30. ensor on patient d Defective sensor or patient cable d Try anew sensor or contact SurgiVet s service department Pulse rate erratic intermittent or a Sensor incorrectly positioned a Reposition sensor on patient incorrect b Poor patient perfusion b Reposition sensor on patient c Patient motion c Patient must be still for monitor to function properly Place extremity on a pillow which acts as a buffer to motion d Ambient light d Shield with towel Lead Off is displayed a ECG lead s not connected to a Connect ECG lead s to patient patient cable cable b ECG lead broken high b Replace ECG lead impedance c Electrode impedance too high c Reapply electrodes ECG electrodes are connected but no The ECG function is disabled Use the ECG menu to enable the ECG ECG waves or messages are function displayed If the monitor is still not functioning properly contact SurgiVet s service department for help SurgiVet Inc Phone 262 513 8500 N7 W22025 Johnson Road Ste A Toll Free 888 745 6562 Waukesha WI 53186 Fax 262 513 9069 Email sales surgivet com Web www surgivet com SurgiVet V3404 Operation Manual 11 1 Appendices Appendices Appendix A Supplies and Accessories CAT NO DESCRIPTION QTY Attachments Adhesive Strips Brackets Mounting IV Pole Bracket Stack Bracket Cables Oximetry Patient Cable 5 feet Cables Interface Printer Interface Adapter PC I
31. ent cable Do not connect any other signal source to the ECG patient cable WARNING False low heart rate indicators or false Asystole calls may result with certain pacemakers because of electrical overshoots WARNING Reliable monitoring of pacemaker patients can only occur with the pace detect on WARNING The pacemaker spike shape and size is not to be diagnostically interpreted WARNING Keep pacemaker patients under close observation Rate detection in the software may continue to count the pacemaker rate during cardiac arrest and or arrhythmia conditions Therefore do not rely solely on rate detection alarms NOTE Use only standard AAMI three lead or five lead ECG cables NOTE Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms WARNING Do not use line isolations transformers with this monitor Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit hear rate alarms WARNING Electrodes of dissimilar metals should not be used SurgiVet V3404 Operation Manual 5 1 Chapter 5 ECG Using the ECG Parameter If not familiar with this monitor and the ECG parameter follow this chapter s sections in order Setting Up ECG Monitoring Ensure the ECG parameter is turned on Refer to the ECG Menu for enabling the monitor Attaching the Patient Attach the ECG leads and connect the ECG patient cable to the monitor ECG Display Shows a typic
32. ge NOTE All user and patient accessible materials are non toxic NOTE Hazards arising from software errors have been minimized Hazard analysis was performed to meet prEN1441 1994 NOTE Each input and output connection of the monitor is electrically isolated Connection of this monitor to other equipment will not increase leakage current NOTE Follow institutional standards when applying ECG electrodes Silver Silver Chloride disposable electrodes are strongly recommended to avoid polarization effects that result in large input offset potentials Use of squeeze bulb type electrodes is not recommended NOTE Use only standard AAMI three lead or five lead ECG cables NOTE The ECG patient circuit is electrically isolated NOTE Dyes introduced into the bloodstream such as methylene blue indocyanine green indigo carmine patent blue PBV and fluorescein may cause an inability to determine accurate SpO readings NOTE Any condition that restricts blood flow such as use of a blood pressure cuff or extremes in systemic vascular resistance may cause an inability to determine accurate pulse and SpO readings NOTE Significant levels of dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin will affect the accuracy of the SpO measurement NOTE SpO measurements may be adversely affected in the presence of high ambient light If necessary shield the sensor area with a surgical towel for example
33. ging settings Oximeter Indicates whether the oximeter parameter is on or off Allows the oximeter parameter to be turned on or off NOTE Turning off the SpO parameter turns off the plethysmogram SpOz pulse rate and pulse strength measurements SurgiVet V3404 Operation Manual 6 3 Chapter 6 Oximetry Adjusting the Pulse Beep Volume 1 Select SET VOLUME from the Main menu 2 Under VOLUME select the PULSE item 3 Press the 7 key to select the item Use the ARROW keys O DE N to adjust the pulse volume A visual graph displays the pulse volume level a Press 79 to set the value NOTE The pulse beep sounds while adjusting the volume 4 Select EXIT or press i to exit the menu NOTE The pitch of the pulse beep is determined by the SpO value The higher the SpO value the higher the pulse beep pitch The lower the SpO value the lower the pulse beep pitch Adjusting or Viewing the Averaging Settings SpO averaging is the number of pulse beats over which the SpO value is averaged Rate averaging is the number of seconds over which the pulse rate is averaged Three averaging settings are available Normal Fast and Slow 4 8 16 beats To adjust or view the averaging settings do the following Select the OXIMETER item from the Main menu 2 Select the AVERAGING item 3 Press the Y key to select the item Use the ARROW O I Y keys to adjust the averaging Press the Y key to set the value 4 Sele
34. h resulting from each light source depends on the color and thickness of the body tissue the sensor placement the intensity of the light sources and the absorption of the arterial and venous blood including the time varying effects of the pulse in the body tissues FIGURE 6 1 PULSE OXIMETRY THEORY OF OPERATION 1 Low intensity red and infrared LED light sources 2 Detector The monitor processes these signals separating the time invariant parameters tissue thickness skin color light intensity and venous blood from the time variant parameters arterial volume and SpO2 to identify the pulse and calculate oxygen saturation Oxygen saturation calculations can be performed because blood saturated with oxygen predictably absorbs less red light than oxygen depleted blood Since measurement of SpO depends on a pulsating vascular bed any condition that restricts blood flow such as use of a blood pressure cuff or extremes in systemic vascular resistance may cause an inability to determine accurate pulse and SpO gt readings SurgiVet V3404 Operation Manual 6 1 Chapter 6 Oximetry Oximeter Display Small Pulse AQ FIGURE 6 2 OXIMETER DISPLAY A few seconds after the patient is attached the SpO measurement pulse rate measurement and pulse bargraph should be shown NOTE If measurements are not shown check the patient attachment to make sure it is applied correctly Also check for oximeter messages in the alarm and a
35. ient ECG processing is turned on and no ECG QRS signal is detected within a 6 second period This message is displayed when any lead fails on a three lead ECG connection or when the RL lead fails or when any two of the LA RA or LL leads fail on a five lead ECG connection This is a low priority alarm Indicates the ECG function has been disabled through menus This message replaces the ECG waveform SurgiVet V3404 Operation Manual Chapter 6 Oximetry Chapter 6 Oximetry General Description The SurgiVet V3404 Oximeter noninvasively and continuously monitors and displays arterial blood oxygen saturation SpO2 pulse rate and plethysmogram The V3404 beeps with each pulse beat The pitch of the pulse beep depends on the SpO value the higher or lower the SpO value the higher or lower the pulse beep pitch The V3404 flexible alarm system lets you choose alarm parameters and audible tone volumes You can select the high and low alarm limits for SpO and pulse rate and independently choose the volume for alarm and pulse beep tones Pulse Oximetry Theory of Operation The SurgiVet V3404 determines SpO and pulse rate by passing two wavelengths of light one red and one infrared through body tissue to a photodetector Pulse identification is accomplished by using plethysmographic techniques and oxygen saturation measurements are determined using spectrophotometric oximetry principles During measurement the signal strengt
36. ing WARNING ELECTRICAL SHOCK HAZARD when cover is removed Do not remove covers Refer servicing to qualified personnel WARNING Do not use this device in the presence of magnetic resonance imaging MR or MRI equipment vi SurgiVet V3404 Operation Manual Oximetry Warnings Cautions and Notes WARNING Do not plug the monitor into an outlet controlled by a wall switch WARNING This device must be used in conjunction with clinical signs and symptoms This device is only intended to be an adjunct in patient assessment WARNING In the event that earth ground integrity is lost the performance of this device and or other devices nearby may be affected due to excessive RF emissions WARNING When connecting this monitor to any instrument verify proper operation before clinical use Refer to the instrument s user manual for full instructions Accessory equipment connected to the monitor s data interface must be certified according to the respective IEC standards i e IEC 950 for data processing equipment or IEC 601 1 for electromedical equipment All combinations of equipment must be in compliance with IEC 601 1 1 systems requirements Anyone connecting additional equipment to the signal input port or signal output port configures a medical system and therefore is responsible that the system complies with the requirements of the system standard IEC 601 1 1 WARNING Where HF diathermy is used there is no danger of burning
37. lation Environment Temperature Operating 0 C to 55 C Storage 40 C to 75 C Relative Humidity Operating 15 95 non condensing Storage 10 95 non condensing EMC As per the most recent FDA reviewer guidance for respiratory devices and EN60601 1 2 Safety IEC 601 1 CSA 125 UL 544 and UL2601 Physical Size Width 10 0 254 mm Height 3 5 88 9 mm Depth 5 5 139 7 mm Weight Approximately 5 0 pounds 2 27 kg Handle on top for portability SurgiVet V3404 Operation Manual Appendix 7 Appendices Display Keypad Six LED displays Green CHARGE LED Red ALARM LED Yellow ALERT LED 160 by 80 pixels EL graphics panel Device ON OFF O Menu Enter Yo Alarm Silence UP arrow a N DOWN arrow Y 7 Wave Trend a all symbols List of Standards Applicable Appendix 8 EN60601 1 IEC601 1 UL2601 CSA601 1 Reviewer s Guidance NOV 93 EN60601 1 2 EMC 1EC601 2 27 ECG AAMI EC 13 ECG EN865 SpO gt EN475 alarms prEN1441 risk analysis HE48 Human Factors AAMI Standard SurgiVet V3404 Operation Manual Equipment Classification Type of Protection Degree of Protection Against Electric Shock Mode of Operation Degree of Protection Degree of Mobility Safety Requirements Calibration Appendices Class II with functional ground amp Internally Powered Type CF SpO gt Type CF defib protected ECG Continuous IPX1 drip proof Against Ingress of Liquids
38. lert message area and see Oximeter Messages later in this chapter for help 1 Plethysmogram The plethysmogram is shown assuming it is assigned to a trace Press the GE key to assign the plethysmogram to a trace 2 SpO Measurement The SpO measurement is shown Dashes indicate the measurement is invalid or unavailable 3 Pulse Rate Measurement The pulse rate measurement is shown Dashes indicate the measurement is invalid or unavailable 4 Pulse Strength Bargraph Indicates the patient s pulse activity and strength The bargraph is logarithmically scaled to indicate a wide range of pulse strengths 5 Messages Oximeter alarm and alert messages appear on the second line of the message area at the upper left of the display The list is prioritized to show the most important alarm or alert messages from the top to the bottom For details on the oximeter messages see Oximeter Messages later in this chapter 6 2 SurgiVet V3404 Operation Manual Chapter 6 Oximetry Oximeter Menu The oximeter menu allows the user to view and or adjust oximeter monitoring settings SpO02 SENSOR Ag AVERAGING xSPO2 HORMAL PULSE NORMAL 0s IMETER OH CEXIT Coximeter menu FIGURE 6 3 OXIMETER MENU Averaging Indicates the current SpO and pulse rate averaging setting Allows the averaging setting to be changed See Adjusting or Viewing the Averaging Settings later in this chapter for more information on avera
39. ng e The low battery audible cannot be disabled by the Qkey AA Surgi Vet V3404 Operation Manual Chapter 5 ECG Chapter 5 ECG Theory of Operation Electrical currents influenced by the cardiac impulse flow through the body tissue around the heart Three or five leads placed on the skin on opposite sides of the heart transmit the electrical potentials to circuitry in the monitor The monitor s ECG circuitry amplifies filters and digitizes converts analog signals to digital signals the received electrical potentials The digitized signals are used to display the ECG waveform and calculate the ECG heart rate ECG Warnings Cautions amp Notes WARNING PACEMAKER PATIENTS Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter alarms Keep pacemaker patients under close surveillance See this manual for disclosure of the pacemaker pulse rejection capability of this instrument WARNING PACEMAKER PATIENTS If PACE DETECT is not turned on when monitoring pacemaker patients the heart rate readouts derived from the ECG patient connections are likely to display erroneous high or erratic rates Keep pacemaker patients under close surveillance For pacemaker patients it may be advisable to select the SpO parameter as the primary heart rate source WARNING Connect only three lead or five lead ECG lead wires from the patient to the ECG pati
40. ngual Sensor Your V3404 is equipped with either a small medium or large animal lingual sensor Select the appropriate size Position the lingual clip on the base of the tongue and placement is dependent on the thickness of the tongue Start at the tip and work your way towards the base Always direct the light downward towards the floor regardless of the animal s position to reduce the effects of ambient light Keep the tongue moist during longer procedures and monitor for significant temperature loss Ensure that there is a minimum of 2 pulse strength bars displayed on the pulse oximeter If necessary the lingual clip may also be positioned on lips cheeks prepuce vulva and hocks Moisten the hock area with isopropyl alcohol water and clip hair if needed To get better reading on the smaller tongues bringing the sides of the tongue up and pass the light through both layers Don t fold the tip of the tongue back because you will restrict blood flow to the tongue Universal C sensor The c sensor is designed specifically for use in the larger tissue areas It has brighter LED s and therefore will shine through thicker tissues The c censor can effectively be applied to the tongue or lip of larger dogs and equine It can also be applied across the Achilles tendon across the metatarsals or metacarpals of cats and dogs on vulva tails and across the front leg of smaller animals The C has a space between the two LED s The tiss
41. nsor message indicates an oximeter sensor problem Audible sound if not silenced yellow ALERT LED continuously lit SpO2 SEARCH message indicates that device is searching for pulse ARTIFACT message informs operator about excess of artifacts ECG LEAD FAIL message indicates a lead off condition or ECG amplifier overload yellow ALERT LED is on continuously Audible sound if not silenced Green CHARGE LED indicates external power and battery is charging LOW BATTERY message indicates battery operation has approximately 10 minutes remaining and should be charged audible 5 beep burst will sound A line will be drawn on the screen when a pace maker signal is detected Appendix 5 Appendices I O s SpO2 Sensor ECG Patient Cable Power Serial Analog DB 9 connector with locking mechanism compatible with all SurgiVet oximeter sensors AAMI 6 pin connector standard DC power supplied by wall mount or table top unregulated AC adapter RS232C DB 9 pin serial output of data 9600 baud 8 bits Also connects to optional digital remote alarm interface Two analog outputs can be configured to any of the parameters monitored Optional Printer and Serial Interface A graphics printer output is available It runs in either of the following modes and is controlled by the Start Stop key on the printer panel The connection will be a serial one with the following settings 9600bps No parity 8 data bits 1 stop bit Data L
42. nterface Cable SurgiVet V3408 Interface Cable Charger Domestic AC Charger 105 125 volts 60Hz Chargers International AC Charger 90 110 volts 60Hz AC Charger 208 252 volts 50 60Hz ECG Accessories ECG Shielded safety type veterinary 3 lead ECG Shielded leads 40 safety type wires veterinary 3 lead ECG Shielded safety type veterinary 5 lead ECG Shielded leads 40 safety type wires veterinary 5 lead Operation Manual V3404 Operation Manual Roll Stands Roll Stand with Mounting Bracket Sensors Sensor Oximetry Reflectance R E Small Medium Sensor Oximetry Reflectance R E Medium Large Sensor Oximetry Universal Y with Clip Small Medium Sensor Oximetry Universal Y with Clip Medium Large Sensor Oximetry Universal C Small Medium Clip Replacement for use with Universal C Clip Replacement for use with Universal Y Simulator Oximeter Simulator SurgiVet V3404 Operation Manual Appendix 1 Appendices For ordering information contact the customer service department at the address or phone number below SurgiVet Inc Phone 414 513 8500 N7 W22025 Johnson Road Ste A Toll Free 888 745 6562 Waukesha WI 53186 Fax 414 513 9069 email sales surgivet com Appendix 2 SurgiVet V3404 Operation Manual Appendix B Specifications Parameters Monitored e SpO e Pulse Rate e Pulse Strength e Heart Rate ECG e Pace Pulses
43. nts are not shown check the patient attachment and leads to make sure they are applied correctly If necessary check for ECG messages and see ECG Messages later in this chapter for help 1 ECG Waveform The ECG waveform is shown assuming it is assigned to a trace Press the he key to assign the ECG waveform to a trace The wave s height speed and lead number are remembered at power down 2 Lead The lead selection is identified by the lead label The following lead selections are available I IL II aVR aVL aVF and V 3 Heart Rate Wbpm The heart rate is shown if ECG is selected as the bpm source in the SETUP VOLUME menu 4 Messages ECG alarm and alert messages appear on the first line of the message area at the upper left of the display The list is prioritized to show the most important alarm or alert messages from the top to the bottom For details on the ECG messages see ECG Messages later in this chapter 5 6 SurgiVet V3404 Operation Manual ECG Menu LEAD SIZE SurgiVet V3404 Operation Manual Chapter 5 ECG The ECG menu allows the user to view and or adjust ECG monitoring settings SpO2 SENSOR PACE DETECT NO LEADS MORE THRESHOLD 0 4mV EXIT ECG menu FIGURE 5 3 ECG MENU 1 ECG MONITOR CALIBRATION PREV EXIT ECG menu FIGURE 5 3 ECG MENU 2 This menu item allows you to choose the waveform primary lead If using a three lead cable the following lead selections will
44. o be free from defects in workmanship and materials under normal use and service for a period of two 2 years from the date of shipment and reusable oximetry sensors for a period of one 1 year from shipment domestic sales only SurgiVet s sole obligation under this warranty will be to repair or replace at its option products that prove to be defective during the warranty period The foregoing shall be the sole warranty remedy Except as set forth herein seller makes no warranties either expressed or implied including the implied warranties of merchantability and fitness for a particular purpose No warranty is provided if the products are modified without the express written consent of SurgiVet and seller shall not be liable in any event for incidental or consequential damage This warranty is not assignable Loaner Device Domestic Sales Only SurgiVet Inc will for the period of warranty make available at no charge loaner devices if in SurgiVet s opinion the repair of the customer s device would require an unreasonable period of time Service Support Repairs of SurgiVet s devices under warranty must be made at authorized repair centers If the device needs repair contact SurgiVet s service department or your local distributor to request a customer service report number CSR When calling have the device s model and serial number ready NOTE Shipments received without a CSR number will be returned to sender If you nee
45. o change the data format Patient Data or Trend Tables 3 Use the ARROW keys NX 76 N to point to the DATA FORMAT item then press 4 Use the ARROW keys AN Y IN to switch between formats When the format changes the menu item below it changes S Press to accept the selection 6 If PATIENT DATA is selected the menu item displayed below it is INTERVAL AQ STOP PRINT HO HURSE CALL OFF DATA FORMAT INTERVAL EVERY 4 secs PRINTER TYPE BCI PRINTER SHEEP SPEED 29 MM SEC CERXIT serial out menu FIGURE 8 4 SERIAL OUT MENU PATIENT DATA SURGIVET PRINTER To change the output INTERVAL a Use the ARROW keys A y Lla N to point to INTERVAL then press o b Use the ARROW keys Y IN 3 to change the value c Press to accept the selection If TREND TABLES is selected the menu item below it is PRINTER TYPE 8 4 SurgiVet V3404 Operation Manual Chapter 8 Serial Output Sp02 SENSOR A STOP PRINT Ho NURSE CALL OFF DATA FORMAT PATIENT DATA INTERVAL EVERY 20 secs gt PRINTER TYPE CEXIT serial out menu FIGURE 8 5 SERIAL OUT MENU TREND TABLES SURGIVET PRINTER 1 To change the PRINTER TYPE a Use the ARROW keys O IA to point to PRINTER TYPE then press b Use the ARROW Os IA J keys to change the value to SurgiVet Printer c Press 2 to accept the selection 2 Use the ARROW keys 7 to point to SWEEP SPEED then press 3 Use the ARROW keys O y
46. of a plethysmogram and pulse strength bar The monitor beeps with each pulse beat The volume of the pulse beep is adjustable The pitch of the pulse beep varies with the SpO2 value A variety of veterinary reusable sensors are available for monitoring patients Audio The monitor uses a multi frequency speaker for beeps and alarm alert sounds Volumes are adjustable SurgiVet V3404 Operation Manual 2 1 Chapter 2 Description of Measurements Controls and Features 2 2 Serial Output Analog Outputs Power An RS 232C interface allows serial output of text data to either a PC or a compatible serial printer Waveforms may be output only if the monitor is attached to an optional SurgiVet graphics printer There are two analog channels with user selectable outputs of waveform or parameter data or calibration signals The SurgiVet V3404 operates on power from an external power supply In addition the monitor contains an internal battery which will allow operation for approximately 1 5 hours SurgiVet V3404 Operation Manual Chapter 2 Description of Measurements Controls and Features Front Panel FIGURE 2 2 FRONT PANEL 1 EL Panel The electroluminescent display EL provides continuous real time updates of one or two waveforms or measurement trends and alarm or alert messages The display also shows menus and a pulse strength bar 2 Display LED s The display LED s provide continuous real time updates of oxime
47. og Mode Trend Printing Waveform Printing Generic Printing Trend Storage Parameters Interval Capacity Sound Control Pulse Beep Volume Alarm Beep Volume Sound level Brightness Control None Appendix 6 When this mode is set through menu every 5 sec data line is sent out Data line includes SpO2 Pulse Rate or Heart Rate Pulse and Respiration if installed When this mode is set through menu trend data is sent with a speed defined by the CTS return line defined by printer or computer The user will be able to print a real time plot of ECG and or a Plethwave There will be the option to send text data to any RS 232 port SpO Pulse Rate Heart Rate and Signal Strength 30 sec non adjustable 21 hours of storage 15 levels of volume and off 15 levels of volume and silenced less than 85dBA SurgiVet V3404 Operation Manual Appendices Analog Outputs Channels Two configurable through menu Range 0 to 1 VDC Differential Accuracy 10mV Output Offset 40 0 mV Max Load 3k Ohm 500pF Digital Alarm Output to Remote Sensing Location Nurse Call Configuration Optional attached and powered by communication port Output DC switch MOSFET Max voltage 24 VDC Max load current 0 5 A continuous 5 A peak Max On resistance 0 15 Ohm Power Battery 1 to 1 5 hours of continuous operation max charge time 6 hours External 12VDC 1A provided by external wall mount transformer with 4kV iso
48. ong Term Storage Storage Facility Temperature Relative Humidity Periodic Inspection Special Procedures 10 2 Indoor 40 75 C 40 167 F 10 95 non condensing None required Store the monitor and accessories in the original packing materials and shipping carton SurgiVet V3404 Operation Manual Chapter 11 Troubleshooting Chapter 11 Troubleshooting Problem Possible Cause Corrective Action Check SpOz Sensor is displayed a Sensor not connected to monitor a Connect the sensor to the patient or patient cable and connect the patient cable to the monitor b Sensor improperly positioned on b Reposition the sensor on the patient patient c Incorrect sensor for application c Choose the correct sensor for the application d Defective sensor or patient cable d Change the sensor or contact SurgiVet s service department Unit operates when connected to a Battery shelf life exceeded a Contact SurgiVet s service external charger but not on battery department power Display does not light a Ifoperating on battery battery a Recharge battery may need charging Green charge LED D not lit a External charger disconnected a Connect charger No pulse registering on bargraph a Sensor or patient cable a Check connections to patient cable disconnected from monitor and sensor b Sensor incorrectly positioned b Reposition sensor on patient c Poor patient perfusion c Reposition s
49. or Turning Parameter Monitoring On and Off Monitoring for the following parameters can be turned on or off e ECG ECG waveform heart rate e Oximeter Plethysmogram SpO2 pulse rate pulse strength When turned off displays indicators and alarms related to the parameter are disabled The parameter occupies a space on the display and in the serial output but its value is shown as dashes If the parameter is assigned to an analog channel that channel shows 0 Volts If a parameter has a waveform its waveform area shows a monitor off message To turn a parameter s monitoring on or off do the following 1 From the Main menu select the desired parameter s menu item ECG or OXIMETER 2 Inthe parameter s menu select the monitor on off item 3 Press and use the ARROWS WA to adjust the setting 4 Select EXIT or press Tim to exit menus Adjusting Waveform Sweep Time Size or Scales The sweep time height and scales for waveforms can be adjusted as follows 1 The ECG waveform sweep speed can be adjusted in the SETUP VOLUME menu The waveform scale can be adjusted in the ECG menu 2 The Plethysmogram sweep speed can be adjusted in the SETUP VOLUME menu The waveform is scaled automatically to fit the display area 3 Each parameter s trend display scales can be adjusted separately through the TRENDS SCALES menu SurgiVet V3404 Operation Manual 3 5 Chapter 4 Alarms Chapter 4 Alarms High P
50. ose surveillance See this manual for disclosure of the pacemaker pulse rejection capability of this instrument WARNING PACEMAKER PATIENTS If PACE DETECT is not turned on when monitoring pacemaker patients the heart rate readouts derived from the ECG patient connections are likely to display erroneous high or erratic rates Keep pacemaker patients under close surveillance For pacemaker patients it may be advisable to select the SpO parameter as the primary heart rate source WARNING Connect only three lead or five lead ECG lead wires from the patient to the ECG patient cable Do not connect any other signal source to the ECG patient cable WARNING False low heart rate indicators or false Asystole calls may result with certain pacemakers because of electrical overshoots WARNING Reliable monitoring of pacemaker patients can only occur with the pace detect on WARNING The pacemaker spike shape and size is not to be diagnostically interpreted WARNING Keep pacemaker patients under close observation Rate detection in the software may continue to count the pacemaker rate during cardiac arrest and or arrhythmia conditions Therefore do not rely solely on rate detection alarms WARNING Do not use line isolations transformers with this monitor Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms WARNING Electrodes of dissimilar metals should not be used SurgiVet V3404 Ope
51. pendix 6 Brightness Controlar ad dad fala Appendix 6 Analog OQ tp ts e ee a Appendix 7 Digital Alarm Output to Remote Sensing Location Nurse Call ooonooninoninoniconoccoonconcnonconnccnncnnnonos Appendix 7 PO Wero tt deco dar bad ro Cad tee lo di llo oe el AN Appendix 7 EOVILOAMENAt e e ds Me BR e a e o tears Appendix 7 POS A la es Appendix 7 Dl A e ate eS Appendix 8 A sheet codes Sev e a e n e i iiei Appendix 8 List of Standards Applicable neccsser sinies isiin ii ie esri ie Appendix 8 Equipment Classification cccccssccsssessesseesscesseeesceseceseceaecsaecseecsecsaecseecseceseeseeseeeseeeeeneeenseenaeeeneeses Appendix 9 Calibration shoes en a E a r a a eee Appendix 9 SurgiVet V3404 Operation Manual iii CE Notice Warranty amp Service Information Proprietary Notice Information contained in this document is copyrighted by SurgiVet Inc and may not be duplicated in full or part by any person without prior written approval of SurgiVet Its purpose is to provide the user with adequately detailed documentation to efficiently install operate maintain and order spare parts for the device supplied Every effort has been made to keep the information contained in this document current and accurate as of the date of publication or revision However no guarantee is given or implied that the document is error free or that it is accurate with regard to any specification Limited Warranty SurgiVet Inc warrants each new device t
52. r 2 bpm 20 to 350 bpm Low 20 350 bpm 1 bpm inc and Off High 20 350 bpm 1 bpm inc and Off 3 digit 0 43 inch high LED s update rate 1 Hz 8 or 16 second average selectable 3 or 5 lead I IL II Standard Limb Lead Configuration aVR aVL aVF and V X1 X2 X4 X8 5 0mV to 5 0mV 300mV to 300mV 0 5Hz to 40Hz gt IMQ 304 V p p 100db 50 60Hz lt 10u4A gt 4000VAC Yes minimum pulse amplitude of 3 mV Yes 12 5 25 or 50 mm sec display update rate of 60 Hz Yes Yes 0 10mV 0 12mV 0 15mV 0 40mV 20 350 bpm gt of 2 or 2 bpm 20 to 350 bpm Low 20 350 bpm 1 bpm inc and Off High 20 350 bpm 1 bpm inc and Off 3 digit 0 43 inch high LED s update rate 1 Hz 8 or 16 second average selectable SurgiVet V3404 Operation Manual Alarms Alerts Indicators Limit Exceeded or Matched ASYSTOLE Alarm Audio Disabled SpO2 Sensor SpO2 Search Artifact ECG Lead Fail Charge Low Battery Pace Detect SurgiVet V3404 Operation Manual Appendices SpO2 and Pulse Rate associated display will flash ON and OFF red ALARM LED will flash Audible to sound if not silenced LOW or HIGH and the parameter in violation will be displayed in the message area ALARM LED will flash Audible to sound if not silenced ASYSTOLE message on graphics screen to flash SILENCED BELL icon displayed on EL indicates temporary or indefinite status SpO2 Se
53. ration Manual Cautions Warnings Cautions and Notes CAUTION Ensure the device s AC rating is correct for the AC voltage at your installation site before using the monitor The monitor s AC rating is shown on the external power supply If the rating is not correct do not use the monitor contact SurgiVet s service department for help CAUTION Should the device become wet wipe off all moisture and allow sufficient time for drying before operating CAUTION This device is intended for use by persons trained in professional health care The operator must be thoroughly familiar with the information in this manual before using the monitor CAUTION Do not allow water or any other liquid to spill onto the monitor Unplug the external power supply from the monitor before cleaning or disinfecting the monitor CAUTION Pressing front panel keys with sharp or pointed instruments may permanently damage the keypad Press front panel keys only with your finger CAUTION Do not disassemble unit This unit is not user serviceable Refer to qualified service personnel CAUTION Ensure conductive parts including electrodes of the patient cable do not come into contact with any conductive surfaces or earth parts CAUTION It is the operator s responsibility to set alarm limits appropriately for each individual patient CAUTION If the accuracy of any measurement is in question check the patient s vital sign s by an alternative metho
54. riority Alarms A high priority alarm warns you when a patient s measurement matches or exceeds the high or low alarm limit for that measurement For example if the low SpO alarm limit is set to 98 and the patient s measured SpO is 96 a high priority alarm is triggered During a high priority alarm FIGURE 4 1 ALARM EXAMPLE The High Priority ALARM indicator flashes The alarm LED red flashes The digits for the violated alarm limit flash A message is displayed subject to the display priority The High Priority Alarm tone sounds if not silenced NOTE The alarm actions occur for each violated alarm even if more than one alarm is violated at the same time SurgiVet V3404 Operation Manual 4 1 Chapter 4 Alarms Low Priority Alarms A low priority alarm warms you about a condition that prevents the monitor from taking a measurement For example if the SpO2 sensor is not connected to the monitor the monitor cannot measure the patient s pulse rate or SpO value In this case a low priority alarm is triggered During a low priority alarm FIGURE 4 2 LOW PRIORITY ALARM EXAMPLE The low priority alarm LED yellow flashes A message is shown on the display subject to the display priority Dashes indicate the measurement is unavailable 8 6 The low priority alarm tone sounds if not silenced A200 Surgi Vet V3404 Operation Manual Chapter 4 Alarms Working With th
55. s will appear in the trend graph for the length of time the monitor has been off or the parameter data has been invalid The name of the trended parameter is displayed here Trended parameters are the following signal respiration SpOb and pulse The time scale of the trend is displayed here Trend data and time are continuously updated When is pressed the previously viewed trend can be displayed To view a different trend press an ARROW SQ key until the desired trend is displayed Press MOto view one or two waveforms again Trend times and scales are selected with the TRENDS menu item see Trends Menu 7 1 Chapter 7 Trends Trends Menu 7 2 The Trends menu allows the user to view and or adjust the trend settings S5pO02 SENSOR Agy TIME Ihr SCALES VEMFP 168 266 SPO2 66 166 CLEAR gt H0 CEXIT trends menu FIGURE 7 2 TRENDS MENU TIME Adjusts the time span of the trend display SCALES Allows a separate trend scale to be selected for each parameter The scale for oximeter signal strength is not selectable CLEAR Select Yes to erase trend memory Trend data will not be lost if this selection is set back to No before EXIT is selected NOTE Yes means all trended data will be erased when the trend menu is exited SurgiVet V3404 Operation Manual Chapter 8 Serial Output Serial Out Menu Chapter 8 Serial Output The SERIAL OUT menu allows the user to select a d
56. s which appear in the waveform area The key and ARROW keys N A 3 are used to select menu items and change settings 1 To show the Main menu Press the Y key Menus replace any waveforms displayed 2 To select a menu item Press the ARROW keys Y IA until the selector arrow points to the desired item then press Vo This will either take you to a new menu or allow the selected item to be adjusted 3 To change a setting for a selected menu item After pressing as in step 2 the item which can be changed will be highlighted Use the ARROW keys aN IN to select the desired setting then press Yo to accept that setting 4 To exit the current menu Select the EXIT menu item 5 To exit all menus quickly and return to the previous monitoring screen Press NOTE If menus are shown and you do not press menu keys for 20 seconds the waveform display will return and any current menu selections will be accepted Freezing and Releasing Displayed Waveforms Displayed waveforms except trends can be frozen and released quickly To freeze or release waveforms press Y A The first key press displays the Main Menu The second key press selects the first item in the Main Menu which is FREEZE WAVE This automatically exits to the waveform screen to show the results If waveforms are already frozen FREEZE WAVE allows them to update again NOTE While waveforms are frozen the message Waves Frozen is shown in the message
57. sal wall contact Carefully anchor the rectal sensor to the tail to prevent movement SurgiVet V3404 Operation Manual 6 11 Chapter 6 Oximetry Reflectance R E Sensor Figure 6 6 Connect sensor to Rectal Sensor patient cable Ensure that the rectum is free of fecal matter within eight 8 centimeters of the anus Insert the sensor into the rectum approximately six 6 centimeters Sensor light emitting diode LED should be positioned ventrally to ensure optimal performance Ensure that a minimum of two 2 pulse strength bars are displayed If not adjust sensor by rotating or withdrawing approximately one 1 centimeter for maximum mucosal wall contact Figure 6 7 Anchoring of Anchor sensor cable to Rectal Sensor to Base of Tail tail to prevent ec inadvertent pa mispositioning i 6 12 SurgiVet V3404 Operation Manual Chapter 7 Trends Chapter 7 Trends Press the CO key to cycle through displays until Trends is shown Trends can be displayed for SpO Pulse Rate or Signal Pulse Strength The following diagram and descriptions outline the trend display s features 1 Scale 2 Trend Graph 3 Trended Parameter 4 Trend Time SurgiVet V3404 Operation Manual FIGURE 7 1 TREND DISPLAY The trend s scale is shown on the left side of the trend display The trend graph is displayed here Displayed trends show elapsed time that is what happened over the selected minutes or hours Gap
58. stem and therefore is responsible that the system complies with the requirements of the system standard IEC 601 1 1 SurgiVet V3404 Operation Manual Chapter 8 Serial Output WARNING IEC 950 approved equipment must be placed outside of the patient environment The patient environment is defined as an area 1 5m 4 92 feet from the patient FIGURE 8 2 PATIENT ENVIRONMENT Serial Output Setup for RS232 Connections The serial output data format and output interval or amount can be changed only if no serial output is in progress To change the data format selection 1 Select SERIAL OUT from the Main Menu If START PRINT NO then no serial output is currently in progress so proceed with step 2 Otherwise START PRINT YES and you must select NO to halt the current output before the serial output data settings can be changed 2 To change the data format Patient Data or Trend Tables 3 Use the ARROW keys NX IA 1 to point to the DATA FORMAT item then press 4 Use the ARROW keys aN DA to switch between formats When the format changes the menu item below it changes 5 Press to accept the selection If PATIENT DATA is selected the menu item displayed below it is INTERVAL See Figure 8 1 To change the output INTERVAL a Use the ARROW keys 7 to point to INTERVAL then press P b Use the ARROW keys O DA 1 to change the value c Press 2 to accept the selection If TREND TABLES
59. try values SpO and pulse rate WBPM If the Y BPM source is set to ECG in the SETUP VOLUME menu the display LED for WBPM will show a heart rate value 3 Charge LED Is on steady while external power is applied and battery is fully green charged Indicates battery is charging by blinking very slowly while external power is applied If there is no external power then this LED is off 4 ALARM LED This ALARM indicator flashes during patient alarms red 5 ALERT LED This ALERT indicator flashes during a system alarm but remains on yellow steady if there is no system alarm and a low battery condition exists 6 Keys The front panel keys control the monitor s functions Dedicated keys are provided for turning the monitor on and off silencing alarm and alert tones selecting waveforms or trends and selecting menus SurgiVet V3404 Operation Manual 2 3 Chapter 2 Description of Measurements Controls and Features EL Display 1 Pulse Bargraph 2 Message Area 3 Waveforms Trends Menus 4 Alarm Silence Indicator 5 ECG Pulse Rate Indicator FIGURE 2 3 EL DISPLAY The pulse signal strength is displayed here on a 10 segment bargraph Messages for alarms alerts and system information are displayed here on two lines If more than one message must be displayed on the same line then they alternate once per second One or two waveforms are displayed here A trend graph or a menu can be displayed in place of
60. ual Chapter 6 Oximetry Choosing the Sensor Choose the appropriate sensor from the following chart PATIENT SITE SENSOR DESCRIPTION Small Medium Tongue V1703 Small Medium Animal Animals up to 60 Lingual clip set with Y pounds Sensor Rectum Tail Hock V1700 Small Reflectance Sensor Achilles Tendon etc V1707 Universal C Sensor Large Animals Tongue V1703 Medium Large Animal Over 60 pounds Lingual clip set with Y Sensor Rectum Tail Hock V1700 Small Reflectance Sensor Achilles Tendon etc V1707 Universal C Sensor Equine Tongue V1707 Universal C Sensor Check Sensor Integrity Before the sensor is attached to the patient check the integrity of the sensor oximetry cable and oximeter as follows 1 Make sure the red light in the sensor is illuminated 2 Make sure the p02 SENSOR message is displayed on the EL Display as follows NOTE Obstructions or dirt on the sensor s red light or detector may cause the checks to fail Make sure there are no obstructions and the sensor is clean For Y sensors wrap sensors and disposable sensors Align the sensor s red light with the detector so they are less than 1 8 inch away from each other Make sure the Sp02 SENSOR message is displayed on the message area of the EL Display Clean or Disinfect the Reusable Sensor If you choose a reusable sensor clean or disinfect the sensor before attaching a new patient AN WARNING
61. ue needs to be at least that thick to get an SP02 reading 6 10 SurgiVet V3404 Operation Manual Chapter 6 Oximetry Reflectance Rectal Sensor The rectal sensor is an excellent sensor to use if you are doing dental procedures or other oral work that precludes you from using the lingual clip Clean the rectal sensors by wiping it down with isopropyl alcohol or chlor hexadene A thin coating of lubricant can be used ensuring that the two LED s are kept clean and free of lubricant This sensor may be used in the esophagus or cloacal of reptiles and large avians The animal does not need to be anesthetized when using the rectal sensor making it very useful in critical care or postoperative settings and for spot checking A simple glove swipe to remove existing feces may be needed The sensor is placed very shallow just so the 2 LED s are covered reading the perfusion around the sphincter A slight rotation may be needed to insure that the LED s are up against tissue and not in fecal material The rectal sensor may also be placed on the ventral base of the tail The LED s should be positioned dorsally You may need to clip a small patch of hair only large enough for the LED s to lay on the skin and clean surface Hold the sensor snugly against the tail and wrap with non adhesive wrap Ensure that 2 pulse bars are displayed on the pulse oximeter If not adjust the sensor by rotating or withdrawing slightly for maximum musco
62. waveforms Flashes during two minute alarm silence Stays on steady during indefinite alarm silence If alarms are not silenced the indicator stays on steady and appears without the slash This indicator is displayed next to the alarm silence indicator The indicator blinks with each heart beat SurgiVet V3404 Operation Manual Keys 1 00 STANDBY ON 2 limn WAVE TREND 3 ALARM SILENCE SurgiVet V3404 Operation Manual Chapter 2 Description of Measurements Controls and Features FIGURE 2 4 KEYS Pressing switches the monitor between ON monitoring a patient and STANDBY monitor off but power is applied if the green indicator is lit This key controls the waveform area display Press this key to display the ECG wave by itself the plethysmogram by itself or both ECG and the oximeter s plethysmogram or a trend Press E while menus are displayed for a quick menu exit The waveform or trend previously displayed will replace the menu Pressing disables the audible alarm tone for two minutes The Alarm Silence indicator on the EL display flashes Pressing and holding this key for about three seconds disables the alarm tone indefinitely The Alarm Silence indicator on the EL Display is lit and not flashing The indicator appears with a slash through it Pressing this key momentarily cancels either alarm silence condition The monitor defaults to two minute alarm silence at power up 2 5 Chapter 2

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