In-Service Training - Nurse Rosie Products
Contents
1. Table of Contents Title Section Page PINT RO DUG LTO ogasicoccsactncetcensacouretcvarsincseuvensaeceureiyescusnagercenveisecateaesouocepsises eer 5 PUTO SOOT MONU eeoa AE AEE EAA AORO A OAE oP A 5 General DescriptiON ssscissssirsrsssacsesesissossesssssesovaecsissesseisssae ssrds esorecocdestisvasaris Led ase 5 IVY CUT CUE TA E SEA E T A A asd demacbaedeautenes 6 EK IO I OM aeaa EEEE E EE AEE E A 7 BON VIS MIN CNOMS erae EEE EEEE E WD TA 7 POF MN the IAI snoceivae cat cesteecavsenedecentassaasapecesscenseeedssaesese cucentaveseteesscsesesuaenesiee O meann 7 Shipping Proc dures a vom ucecssanseneszastanvsanesascxareasensaasveeesacaxenseacstueneerassssiaceseaes LA assesses 8 UL amp CSA RECO GBI Olle tense cceaiesccceusnsessacsancospe esiuesascassnstasssunsavysceessecessaessesessexs Tye A 8 PHYSICAL DESCRIP TION secsssinssissvescoovsscoenstesnsscaanosccevsaciedsssavseccevescerssscenss DAD TEE 8 General Safety INT OPMONGM ceveesesicsconccscecedevececesveneteseseessavscxexuanverssacesssevecees Zell ouemi 8 General Operating Precautions scccsssccssssscccssssccsssscssssseccessecessseceees PS ee 8 Terms for Safety and Safety Symbol Svscccsacsscovcsscsccssavsasesassesssessvavarexencsssees 2D POA 9 Warnings Cautions amp Notes of Use vesiessscovescssessissaoetasucescessevassessvesacseenteassesvacsencsases 9 WY CAPPING S OEA E N EE N A EA AA 9 OS GOONS ogee dese ca vaaets E E EN EEEE E OEE 10 Noro or USE pA ane ems renner reine ne rep2. stopped by pressing 25 PNEUM TESTING Wait until testing complete MEASUREMENT A measurement has finished COMPLETE NIBP RETRY NIBP measurement failed and is retrying NIBP RETRY PUMP NIBP measurement failed and is retrying HIGHER with a higher pressure BARCODE FAILED The barcode reader failed to read the Resident s barcode STANDBY FAILED The unit failed to enter the standby mode SPO2 WEAK PULSE The SpO signal is weak Wait until initialization complete before printing Wait until measurement complete or press 25 to interrupt a measurement and deflate the cuff Press 24 to restart NIBP interval mode measurements Wait until measurement complete or press 25 to interrupt a measurement and deflate the cuff Wait until measurement complete or press 25 to interrupt a measurement and deflate the cuff Use another barcode reader If failure continues contact service personnel Following instructions in Section 3 4 1 on CD again If standby fails again restart unit If failure continues contact service personnel Change the sensor site for better signals ALARM DISABLED One or more alarms are switched off Switch on alarm s PRINTER BUSY The Printer is recording data Wait till the end of the recording RESETTING Module is resetting Wait till resetting is finished CALIBRATING The NIBP module is being calibrated Wait till the end of the calibration Nurse Rosie Product
3. Printer cools down completely If the problem still exists contact service personnel for O Z O repair REC HEAD Yes WRONG POS The thermal head of the Printer is in Restore the control lever of the wrong position Printer to its previous position REC OUT OF Yes Yes PAPER The Printer paper is used up Replace with a new paper roll PRINTER PAPER JAM o The Printer has recorded data on Place the Printer correctly and paper for 30m long or more try again BES rm PRINTER Yes COMM ERR Zz O Error in Printer communication Clear recording tasks and restart the monitor If the problem remains contact service personnel for repair TOO MANY REC TASKS N Too many alarm events occur at the Clear recording tasks and o same time restart the monitor If the problem remains contact service personnel for repair PRINTER Yes The paper roll of the Printer is not Place the paper roll correctly PAPER W P placed in the correct position REC S Yes No Error in Printer communication Clear recording tasks and COMM ERR restart the monitor If the problem remains contact service personnel for repair REC NOT AVAILABLE o Error in the Printer work mode Clear recording tasks and restart the monitor If the problem remains contact service personnel for repair lt Z OO Z O Nurse Rosie Products distributed by Life Systems Inc 21 40 System Alarm Messag
4. pressure measurement may be lower than the actual value if the arm is below the heart level the blood pressure may be higher than the actual value due to the physical weight of the blood Position the limb and cuff at heart level to avoid a pressure reading error due to hydrostatic pres sure Nurse Rosie Products distributed by Life Systems Inc 21 Check hose connections and cuff placements routinely for folds kinks cracks or any pressure being applied to the outside of the hose casings Taking NIBP Measurement After applying the cuff wait until the Resident relaxes before initiating a measurement the Resi dent needs to be reasonably still to avoid motion artifact Insure Interval display is OFF if not press and hold the Interval key for over three seconds Start measurement by pressing the START NIBP key Inaccurate measurements can also occur during e External motion artifact as in Resident movement CPR or bed movement e Serious episodes of shock hypotension or decreased body temperature e Frequent episodes of arrhythmia CAUTION When the measurement has failed or if a measurement value is questionable always verify the Resident s blood pressure using another technique 3 11 Automatic NIBP Measurement Interval Mode The RosieV3 may be set to automatically take NIBP measurements When powered up the inter val setting defaults to the last used setting NOTE In this mode adaptive inflation is
5. A NOTE is provided when additional general information is available Warnings Internal Electrical Shock Hazard This unit does not contain any user serviceable parts Do not remove instrument covers Refer servicing to qualified personnel When the integrity of the protec tive earth conductor in the installation or its arrangement is in doubt the equipment should be operated from its internal battery Observe all CAUTION and WARNING labels on the unit Possible Explosion Hazard Do not operate machine near flammable anesthetic agents or other flammable substances Do not use flammable anesthetic agents i e ether or cyclopropane Continued use of the STAT NIBP mode or short term automatic mode may result in surface vessel rupture petechia Always place the unit on a flat rigid surface or onto a Life Systems Inc approved stable mount ing bracket To ensure proper performance and safety and to prevent the voiding of the warranty only use authorized parts and accessories with the RosieV3 Use of unauthorized accessories may result in erroneous readings Use only cuffs with approved quick connect type connectors The RosieV3 is not intended for use in a magnetic resonance imaging MRI environment and may interfere with MRI procedures Danger of explosion if battery is incorrectly replaced Replace only with the same or equivalent type recommended by the manufacturer Dispose of used batteries according to the manufac turer
6. Alarm limits can be set for RosieV3 parameters All alarm violations are indicated by an audible alarm tone flashing front panel displays parenthesis around the violated param eter on the printer printouts and reverse video on the Trend stored display The RosieV3 can operate up to 9 hours one NIBP measurement taken every 15 minutes continu ous SpO measurement and the printer not in use or up to 12 hours if not in continuous use on a rechargeable Lithium ion battery Nurse Rosie Products distributed by Life Systems Inc 21 1 3 Warranty Life Systems Inc warrants that its products will be free from defects in workmanship and materi als for a period of three 3 years with an optional additional two 2 years from the date of purchase except that disposable or one time use products are warranted to be free from defects in workmanship and materials up to 90 days from the date of purchase or the date of first use whichever is sooner This warranty does not cover consumable items such as but not limited to batteries external ca bles sensors cuffs hoses or mounts Except as otherwise provided herein the terms conditions and limitations of the Life Systems Inc standard warranty will remain in effect Life Systems Inc shall not be liable for any incidental special or consequential loss damage or expense directly or indirectly arising from the use of its products Liability under this warranty and the buyer
7. Manual CD that came with your RosieV3 General Description The RosieV3 monitor is an automatic portable adult pediatric and neonatal vital signs monitor RosieV3 measures NIBP Pulse Rate SoO and Temperature The RosieV3 features front panel dig ital displays for Mean Arterial Pressures Temperature and Interval Mode Timer It has extra large displays for the Systolic Diastolic Pulse Rate Temperature and SpO The RosieV3 incorporates a Liquid Crystal Display LCD to view stored measurements and to access system setting menus Temperature can be measured with the Predictive Thermometer Module SmarTemp The moni tor is equipped with a printer module for documenting NIBP Pulse Rate SpO and Temperature information Each printout includes the time and date of each measurement The RosieV3 stores a maximum of 1 200 groups of measurement data in memory These 1 200 groups of measurement data are shared by the number of Residents that are monitored one Resi dent at a time by the RosieV3 When only one Resident is monitored the RosieV3 can store up to 1 200 groups of measurement data for that one Resident When more than one Resident is moni tored the RosieV3 can store any number of measurements for each Resident provided the total number of stored groups of measurement data for all Residents equals 1 200 or less The RosieV3 has an Interval Mode that enables the unit to take automatic NIBP measurements at timed intervals
8. OUT OF No RANGE An error occurs to the XX module Restart the monitor If the during initialization problem persists contact service personnel for Failure in communication repair between XX module and the main board H Failure in communication between XX module and the main board The alarm limit of the XX If the problem persists parameter is changed contact service personnel inadvertently for repair i H The measured XX value exceeds the measurement range Nurse Rosie Products distributed by Life Systems Inc 21 NIBP Module Alarm Messages B LEVEL CAUSE ACTION An error occurs during NIBP module Select NIBP RESET in the initialization MAINTAIN menu If the ALARM A MESSAGE NIBP SELF TEST ERR problem still exists contact Technical Support l NIBP INIT ERR No pP COMM No LOOSE CUFF No AIR LEAK No No AIR PRESSURE No No ERROR An error occurs during NIBP module Restart the monitor If the initialization problem still exists contact Technical Support Communication between NIBP module NIBP cuff is not properly connected Reconnect the NIBP cuff The NIBP cuff is not properly Check the connections connected or there is leak in the or use a new cuff If the airway problem persists contact Technical Support Failures occur in the pulse measure Check the connections be ment The monitor cannot perform tween the cuff the moni
9. a syringe and press the probe eject button at the base of the probe to release the used cover into a waste container and return the probe into the probe sheath to prepare for the next measurement Rectal Mode Measurement Insure Predictive and Rectal were selected in TEMP SETUP dialog see 3 1 2 To take a rectal temperature use the optional red thermometer probe and sheath Install a dis posable cover as described for oral use and insert the probe into the Resident s rectum To insure Nurse Rosie Products distributed by Life Systems Inc 21 26 3 13 27 proper tissue contact angle the probe slightly after insertion as shown in the accompanying illus tration fig 3 1 Recommended insertion depth is 2 to 3 4 for adults and 1 4 to 2 for children A lubricant may be used if desired The measurement will proceed similarly to the oral measure ment and the final reading will replace the pinwheel pattern in the LED window Figure 3 1 Axillary Mode Measurements Insure Predictive and Axillary were selected in TEMP SETUP dialog see 3 12 For axillary temperature measurements remove probe from temperature probe well and attach probe cover Place the probe in the Residents axilla making sure the tip of the probe is in contact with the skin and positioned as close as possible to the axillary artery and with the Residents arm held close to their side Once the Resident s temperature is take
10. always enabled WARNING Continued use of the STAT NIBP mode or short term automatic mode may result in surface vessel rupture petechia Follow steps in the manual NIBP measurement procedure section 3 10 1 to select attach and ap ply the cuff Starting an Automatic Measurement To make your interval selection press Interval key to display and scroll through the interval selec tion in the NIBP Interval Indicator Press Start NIBP to take a measurement and to activate the interval mode NOTE When the NIBP STAT interval is chosen the RosieV3 takes back to back one right after the other blood pressure readings As a safety precaution there is a five minute or 10 measurement limit for continuous NIBP measurements After 5 minutes or 10 measurements the NIBP module automatically switches to the mode in use before NIBP STAT was selected This reduces the chance of surface vessel rupture petechia Nurse Rosie Products distributed by Life Systems Inc 21 24 3 12 25 To cancel a scheduled measurement press Deflate key which suspends the timed NIBP measure ments until Start NIBP is pressed Temperature Measurement The SmarTemp TEMP module is intended for monitoring oral auxiliary and rectal temperature of adult and pediatric Residents NOTE If the Resident size is adult or pediatric the Rosie V3 automatically selects oral as the measurement site if the oral axillary temperature probe is in use You can
11. for about five 5 years Nurse Rosie Products distributed by Life Systems Inc 21 5 0 RosieV3 Troubleshooting 5 1 Physiological Alarm Messages ALARM LEVEL CAUSE ACTION MESSAGE are appropriate for the Resident s condition LOW SPO2 b SpO value is lower than the lower alarm HIGH SYS SYS value exceeds the upper alarm limit LOW SYS SYS value is lower than the lower alarm limit HIGH DIA o DIA value exceeds the upper alarm limit DIA value is lower than the lower alarm limit HIGH MAP MAP value exceeds the upper alarm limit MAP value is lower than the lower alarm limit NO PULSE The SpO pulse signal of the Resident is so Check the connection weak that the monitor cannot perform pulse of the sensor and the analysis Resident s condition Nurse Rosie Products distributed by Life Systems Inc 21 34 Technical Alarm Messages XX A parameter module such as NIBP or SpO or a parameter label such as PR and SpO but not PRINTER for PRINTER see Printer Module Alarms A Indicates whether all alarm indications can be cleared or not B Indicates whether all alarm indications except the alarm message can be cleared or not LEVEL Alarm level H High L Low N Error code H H Resident category adult pediatric or neonate General Alarm Messages of Parameter Modules ALARM LEVEL CAUSE ACTION MESSAGE XX INIT ERR Yes N XX COMM No STOP XX COMM No ERROR XX ALM LMT No ERR XX
12. levels of dysfunctional hemoglobin s i e carbohemoglobins or methemoglobin or intra vascular dyes such as indocyanine green or methylene blue exposure to excessive illumination such as surgical lamps especially ones with a Xenon light source bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight excessive Resident movement venous pulsations electro surgical interference and placement of a sensor on an extremity that has a blood pressure cuff arterial catheter or intra vascular line Measurements of pulse strength should begin to appear on monitor within 10 seconds Immedi ately after the sensor is removed SpO and Pulse Rate reading disappear NOTE If a reading cannot be obtained or the reading is inaccurate check the Residents vital signs by alternate means consider the following e If the Resident is poorly perfused try applying the sensor to another site i e a different finger or toe e Check that the sensor is properly aligned Nurse Rosie Products distributed by Life Systems Inc 21 28 3 14 Storing Reviewing amp Deleting Stored Measurement Data The RosieV3 automatically stores measurements in trend memory It stores a maximum of 1 200 rows of data and automatically deletes the oldest data for the currently displayed Resident Reviewing Trend Data Display the REVIEW SETUP dialog by pressing OK while the LCD Display shows Trend List data The REVIEW ID box is highlight
13. s exclusive remedy under this warranty are limited to servicing or replacing at Life Systems Inc s option at the factory or at an authorized distributor any product which shall under normal use and service appear to the Company to have been defective in material or workman ship Recommended preventative maintenance as prescribed in the service manual is the responsibility of the User and is not covered by this warranty No agent employee or representative of Life Systems Inc has any authority to bind Life Systems Inc to any affirmation representation or warranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforce able by buyer This warranty is expressly in lieu of any other express or implied warranties including any implied warranty or merchantability or fitness and of any other obligation on the part of the seller Damage to any product or parts through misuse neglect accident or by affixing any nonstand ard accessory attachments or by any customer modification voids this warranty Life Systems Inc makes no warranty whatever in regard to trade accessories such being subject to the warranty of their respective manufacturers A condition of this warranty is that this equipment or any accessories which are claimed to be defective be returned when authorized freight excluding overnight prepaid to Life Systems Inc Savannah Georgi
14. until it is completely open Remove empty paper spool place the paper roll in the holder with the sensitive shiny side of the paper facing upward unroll approximately six 6 inches of paper and close the printer door Care and Storage of Thermal Paper Thermal chart paper is chemically treated and the permanency of the printout can be affected by storage and handling conditions Conditions which may affect the integrity of the paper and printouts are Ultraviolet Light We recommend storing the printouts in a filing cabinet within a few days of printing Long term exposure to natural or artificial UV sources may be detrimental e Storage Temperature and Humidity Keep the printouts in a cool and dry area for a longer lasting image Extreme temperature and humidity above 80 F and 80 humidity should be avoided e Solvent Reactions Do not store the printouts in plastic bags acetate sheet protectors and similar items made from petroleum products These products emit a small amount of vapor which will over a period of time deteriorate the image on the chart paper e Adhesive Tape Never place adhesive tape over printouts The reaction between adhesive compound and the chemical thermal paper can destroy the image within hours e Archives We recommend that if long term archives are required make a photocopy of the printouts as a back up Under normal office filing conditions the print outs should retain acceptable image quality
15. 3 Front Panel Patient Size Ab Sh cae Start NIBP x interval I Deflate AETAT Axillary Rectal Patient Info A Date Time Sys D 00 gt PR T i 6 5 18 35 114 9 621 98 6 hana 26 05 18 30 118 81 38 z 64 98 7 Ay 06 05 18 25 122 80 30 97 67 98 6 Display SB OOOO OVO Nurse Rosie Products distributed by Life Systems Inc 21 14 The following is a list of all controls connectors and indicators and their item numbers The item number refers to the call outs on the drawings within this chapter 2S a 10 11 12 13 14 15 16 17 18 19 20 21 22 Alarm lamp Flashes red for a high priority alarm and shows continuous yellow for a low pri ority alarm Systolic Pressure SYS The value of systolic pressure is obtained by the NIBP module When no other LED s illuminate and the SYS LED displays three 3 flashing dashes and the LCD dis play 17 is blank the RosieV3 is in the standby state Mean Pressure MAP The value of mean pressure is obtained by the NIBP module Diastolic Pressure DIA The value of diastolic pressure is obtained by the NIBP module Pulse Rate PR Source indicator The PR source is either SpO or NIBP Pulse Rate PR The value of the pulse rate is obtained by the NIBP module or SpO module The PR unit is beats per minute bpm Oxygen Saturation SpO The monitor displays the SpO value in Temperature Temp The moni
16. 3 seconds directly goes to OFF i e the manual mode 27 NIBP Interval indicator Indicates the current NIBP measuring mode or interval 28 Pulse Strength indicator Indicates the Resident s relative pulse strength by the number of stacked bars 29 SILENCE key A quick press of this key pauses the current alarm for two 2 minutes after which alarm tone resumes if alarm limits are still violated If a new alarm condition occurs dur ing the two 2 minutes a new alarm tone sounds Pressing and holding this key for more than two 2 seconds disables alarm tones indefinitely If a new alarm condition occurs while in this state the monitor automatically exits the alarm silenced state 30 Silence indicator e Dark Normal state when an alarm occurs the monitor presents an alarm tone visual indication and message according to the alarm level e Illuminated Alarm silenced state when an alarm occurs the monitor presents a visible alarm and alarm message but no alarm tone is given If a new alarm condition occurs the monitor automatically exits the alarm silenced state e Flash Alarm paused status when an alarm occurs the monitor displays a visible alarm and alarm message but no alarm tone is given The alarm paused time is 120 seconds af ter which the alarm tone sounds again if alarm limits are still violated The unit counts down the 120 seconds on the LCD display 17 in place of the date and time If a new alarm occurs during thi
17. OVER LOW LIMIT No The temperature measured is too low or measurement error No A TEMP probe not supplied by Life Systems Inc is used TEMP COMM ERR Z O O O O Z O O TEMP module is not available or TEMP module fails ACTION Cool the TEMP probe before taking measurement Replace the TEMP probe 1 Check that the probe sheath is in place 2 Replace the TEMP probe in the sheath properly Take measurement in proper working Condition Check the power supply Reconnect the probe with the TEMP module Take TEMP measurement again correctly Replace the TEMP module Take measurement again after the probe warms up Lower the measured temperature or replace the TEMP module Raise the measured temperature or replace the TEMP module Replace with a TEMP probe Life Systems Inc supplies Check if a TEMP module is available If yes replace the TEMP module Nurse Rosie Products distributed by Life Systems Inc 21 Printer Module Alarm Messages ALARM A MESSAGE LEVEL CAUSE ACTION PRINTER Yes INIT ERR N Z O An error occurs during the Printer Notify facilities technician or initialization service personnel REC Yes SELFTEST ERR An error might occur to the RAM Restart the Printer If the error ROM and CPU watchdog remains contact service personnel for repair PRINTER HEAD HOT No The thermal head of the Printer is Resume the recording after the too hot
18. ROSIE 3 AUTOMATED VITAL SIGNS SYST Training and Operating Guide Patient Size Ab fe Start NIBP Deflate Ae y lo Pa Py EA e DN interval Sp0 gt Temp Silence Axillary omer Ne rey a LN Rectal Uist J Patient Info f 114 78 87 feet 30 118 81 88 Ay 25 122 80 90 120 82 89 15 119 78 85 SENSOR OFI Display NURSE ROSIE PRODUCTS Distributed by Life Systems Inc 7320 Central Avenue Savannah GA 31406 800 841 1109 www NurseRosie com Foreword Nurse Rosie Products distributed by Life Systems Inc would like to thank you for your purchase of the Rosie series vital signs monitor Please read this manual carefully before using the monitor Familiarize yourself with the features methods of use cautions and warnings as well as any limi tations of the monitor This manual should be kept in a safe convenient place for future reference No part of this manual should be reprinted or reproduced without permission Nurse Rosie Prod ucts distributed by Life Systems Inc maintains the right to modify the contents of this manual without prior notice If you have any questions about the information presented in this manual or about other Nurse Rosie Products distributed by Life Systems products please contact us at NURSE ROSIE PRODUCTS LIFE SYSTEMS INC 7320 CENTRAL AVENUE SAVANNAH GA 31406 800 841 1109 Nurse Rosie Products distributed by Life Systems Inc 21
19. SAG6ES ssssscccssssssccsssssecesssssscscssssccccssssscsecessees Dek aesgects Technical Alarm Messages sssssccsssssssessssssccesssssscccsssssccccessssceceesssseeecessnes D2 aereeieeses General Alarm Messages of Parameter Modules ssccssssrccsssrccsessecessees NIBP Module Alarm Messages ssccsssscsccsssscsssssccesssccsssseccesseccssssecesssceeeeses DPM SpO Moduls Alarm MESSAGES isi secsescnctesietentsecesesisetescetecoeeeseastanerseseiece SmarTemp TEMP Module Alarm Messages scsscscsssscsssssscsssscscesssssssssssesesees Printer Module Alarm Message sssccsssssssccssssssccsssssssccessssssccesssssscecesssseeecees System Alarm MESSAGES sssvsvssczacscssnenisdorecedesnavesvededevacecsdssscesabesenssssoseesbavesbaseesess Promp MESSE Soin coeds este cane ceveceuneecacarseestievecedenneecaesnesaredivcoesiestefetapeadiacantacesscacaet APPENDIX ernennen EE E T E ON saron Appendix Full Operations Manual sssesssssessooesssessssocsssoeessoosesoceessoeesoe Onl seers Recommended Test and Callibration ccsssscccssssssscssssssccessssseccsssseeees OZ ens Nurse Rosie Products distributed by Life Systems Inc 21 1 0 1 1 1 2 Introduction Purpose of Manual This manual describes and supports RosieV3 by discussing the fully configured model that includes NIBP Pulse Pulse Oximetry Temperature and an Onboard Printer For step by step operating instructions refer to the Operations
20. Systems or persons authorized by Life Systems to perform repair service on Life System s behalf or b the electrical installation does not comply with the require ments of the applicable national and international standards including requirements of the IEC or c the Product is not used in accordance with Life System s instruction for use In the event of a defect in the product Life Systems will be liable for injury or death of any actual person or damage to property to the extent but only to the extent that such liability is man dated under laws applicable to manufacturers in general and to manufacturers of the product category to which the product belongs Service Limitations Maintenance and repair services performed by user personnel on the equipment covered in this manual apply only to products that are out of warranty All warranty repairs should be per formed only by qualified service technicians authorized by Life Systems A comprehensive techni cal service manual for the Rosie containing specific information about operation calibration parts listing and schematics can be obtained by contacting Life Systems Technical Service Department Returning the Unit Prior to returning a unit for any reason please call Technical Services at 1 800 841 1109 Ext 105 For the most efficient and effective troubleshooting you will need to have the unit in front of you and be knowledgeable of the problem the unit is experiencing I
21. a 31406 or its authorized representative Life Systems Inc shall not have any responsibility in the event of loss or damage in transit User agrees to pay any freight cost associ ated with service from User s facility Nurse Rosie Products distributed by Life Systems Inc 21 6 1 4 1 5 1 6 Exclusion This warranty does not extend to any warranted products or parts thereof that have been sub ject to misuse neglect or accident that have been damaged by causes external to the Warranty including but not limited to failure of or faulty electrical power that have been in violation of Life System s instructions that have been affixed to any nonstandard accessory attachment on which the serial number has been removed or made illegible or that have been modified or improperly disassembled serviced or reassembled by anyone other than Life System s unless authorized by Life Systems Life Systems makes no warranty a with respect to any disposable products that are not war ranted products b with respect to any product purchased from a person other than Life Systems or a Life Systems Authorized distributor or c with any respect to any product sold under a brand name other than Life Systems Life Systems will not be responsible for the effect of safety reliability and or performance of the product if a assembly operations extension readjustments modifications or repairs are carried out by persons other than Life
22. a Lithium ion battery This battery type may be subject to local regulations regarding disposal At the end of the battery life dispose of the battery in accordance with any local regulations CAUTION Recharge the Lithium ion battery while in the unit at room temperature If using the RosieV3 in a hot environment the Lithium ion battery may not charge when the unit is connected to AC CAUTION Remove the battery if the RosieV3 is not likely to be used for an extended period of time Nurse Rosie Products distributed by Life Systems Inc 21 32 4 6 4 7 33 Battery Replacement Use only the specified battery replacement Batteries are shipped partially charged and require fully charging prior to use Charge the Lithium ion battery the RosieV3 for 4 hours minimum prior to use NOTE If the RosieV3 is plugged into the AC mains the Battery Status indicator illuminates if a battery is inserted The Battery Status indicator also illuminates if the RosieV3 is turned on with a battery inserted and the AC mains unplugged Printer Maintenance Printer Paper Replacement Use only recommended printer paper P N 0683 00 0505 02 This ensures that the print quality is acceptable and reduces printer head wear Open the printer door located on the left side panel by pulling down on the printer door latch located on the upper right side of the printer door NOTE If the printer door does not open completely carefully pull the door
23. asure L ment The monitor cannot perform measurement analysis or calculation The cuff used does not correspond to selected Resident type Illegal reset during NIBP measurement Check the airway and take measurements again If the problem still exists contact Technical Support Nurse Rosie Products distributed by Life Systems Inc 21 DPM SpO Module Alarm Messages ALARM CAUSE ACTION MESSAGE SPO2 SpO sensor may be disconnected from Plug the sensor into the monitor or the SENSOR OFF the Resident or the monitor sensor into the cable Place the sensor on the Resident SPO2 INIT SpO module failure Notify facilities technician or service ERR personnel SPO2 COMM SpO module failure or STOP communication error SPO2 COMM SpO module failure or ERR communication error SPO2 ALM Functional failure LMT ERR PR ALM LMT Functional failure ERR SPO2 SpO value exceeds the measurement Check Resident notify physician EXCEED range PR EXCEED PR value exceeds the measurement range SEARCH SpO module is searching for pulse Change sensor sites ensure site is not on a PULSE limb with vasoconstriction or other conditions which would contra indicate use Change or readjust sensor if loose or disconnected Unable to Resident has poor perfusion Move sensor to limb with better obtain SpO Sensor not applied properly perfusion notify physician reading Cables loose not connected Reapply sensor Ambien
24. change the measurement site in the TEMP SETUP dialog Press Menu to select SYSTEM SETUP dialog highlight TEMP SETUP press OK Highlight TEMP TYPE TEMP POSITION or TEMP UNIT field Once the selection field has been highlighted press OK to activate it arrow to make selection and press OK Repeat steps as needed Press Menu twice to exit to the Trend display Predictive Mode Measurements Insure Predictive and Oral were selected in TEMP SETUP dialog see 3 12 Remove oral probe from probe sheath insert the appropriate oral or rectal probe completely and firmly into the appropriate probe cover being sure the cover is on securely NOTE Probe must be warmed up for accurate temperature reading Warming up takes approximately 10 seconds and the monitor will beep twice when probe has completely warmed up and is ready to be used NOTE Obtain accurate temperatures in the sublingual pocket Temp eratures in other locations in the mouth may vary by two degrees F one degree C or more Hold the probe steady in this location The patient s mouth must be closed for the measurement The thermometer reading begins to flash and then indicates the rising temperature as the measurement proceeds NOTE The tip of the probe should not come in contact with a heat source i e hands or finger prior to taking a temperature If this happens allow at least 5 seconds for the tip to cool before proceeding with the reading Nurse R
25. ed highlight the FIELD to the right showing the Patient ID to be reviewed and press OK Arrow to select a Patient ID for review once the Patient ID shows in the field press OK to select it The trend mode determines which data is displayed in the Trend List The REVIEW MODE field selections are ALL View all data based on the time of each measurement NIBP View all data based on the time of the NIBP measurement If SpO or temperature is acquired within 2 minutes of the NIBP measurement then SpO PR and temperature will be displayed on the same line as the NIBP measurement TEMP View only data that includes temperature measurements To select a review mode highlight the REVIEW MODE field press OK to select it Arrow to select a review mode and press OK to select it NOTE NIBP is recommended To exit the REVIEW SETUP dialog use arrow keys to highlight OK then press OK Deleting Stored Resident Trend Data Display the REVIEW SETUP dialog by pressing OK while the LCD Display shows Trend List data Highlight the DELETE check box press OK highlight the FIELD to the right showing the delete items press OK The selections are ITEMS OF ALL ID Deletes all stored trend data ITEMS OF CURRENT ID Delete all items from the current ID s stored trend data CURRENT ITEM Delete only the item selected in the LIST Display when the REVIEW SETUP dialog was entered Use arrow keys to select a delete field and press OK Exit the REVIEW SETUP d
26. ed off you must make changes to alarm volume see 3 6 and set alarm vol to O SpO SENSOR OFF Turn on for continuous alarm tones if sensor is not connected to monitor or the Resident PATIENT SIZE Select patient size for default at turn on LANGUAGE Select language To save the newly created configuration Highlight SAVE USER CONFIG and press OK to save and when the confirmation request is displayed highlight OK and press OK to confirm saving Press Menu twice to exit to the Trend display or highlight SELECT CONFIG and press OK to dis play the SELECT CONFIG dialog Three choices are available e FACTORY CONFIG Is installed by the factory and cannot be modified e USER CONFIG Is selected by following the steps in Section 3 7 e LAST CONFIG Consists of the parameter settings in use before the unit was powered off Highlight a default power on configuration Once the configuration is highlighted press OK se lect it highlight OK and press OK Press Menu twice to exit to the Trend display Patient Setup Entering Patient ID Press PATIENT INFO to display the PATIENT INFORMATION dialog Verify PATIENT TYPE Press OK Patient Type To select Resident Size press PATIENT SIZE Three choices are available Adult Pediatric and Neonate The Resident size changes with each key press NOTE Hold key for more then 2 seconds The Patient Size indicator illuminates to indicate the selected size as shown Nurse Rosie Product
27. eforms and current date and time OK key Selects the highlighted option In the trend view pressing this key displays the REVIEW SETUP dialog DOWN Arrow key Moves the cursor down within the LCD display 17 SpO Connector Used to attach a SpO sensor to the RosieV3 Resident Size indicator Resident sizes include adult pediatric or neonate from left to right NIBP Status indicator e illuminated Indicates the monitor is ready to perform an NIBP measurement e Dark Indicates that interval NIBP measurement is in progress or device not ready to per form an NIBP measurement Nurse Rosie Products distributed by Life Systems Inc 21 23 RESIDENT SIZE key Changes the Resident size by cycling through adult pediatric and ne onate Resident size changes only when this key is pressed and held for one second 24 START NIBP key Starts an NIBP measurement 25 DEFLATE key Stops an NIBP measurement that is in progress and deflates the cuff Pressing this key while in the interval mode suspends the interval mode operation until the Start NIBP key is pressed again NOTE Interval display flashes between pressing the Deflate key and pressing the Start NIBP key 26 INTERVAL key Changes the NIBP measuring mode and interval by cycling through the modes and intervals displayed in the NIBP Interval indicator 27 as follows OFF manual STAT or 1 2 3 5 10 15 20 30 60 120 240 minutes Pressing and holding the Interval key for
28. ent ee ere 11 Symb ls and DescriptiOMassssssrsdessiesisssiconnedeoncdsrses rts niuesosne suinda rodensi sanierte 12 13 Panel CC ONS e sne EEEE EE E E S N EE AAE DA ine 14 FOIA PING EE E EE A EE EAE A E A 15 16 E e E E E EEN N ANI NOA A E EE E A OE 17 Poner MOUIE errire EEEE N NEEE N ENE AEE 18 ROSIEV3 SET UP AND OPERATION eseseesseessseccseccseecssecssecoseecseecssecoseee 0 TE 18 Setting up and Turning Power Oieisisecsissesneviacccasssestacevassanexecasscsvassaserveoenctic Oa a 18 Power Off and Standby seeseeeseeesoeseeeseeeseeseeeseceseesoeesoesseeseesseesseesseesorssossses S ar 19 Selecting a Configuratii ON sesscsrsssisssesesasesisisersiacdroerinetssroresnodasoviusrisavectiocaoneiit O58 aieesees 19 Connon OT rosae EE EE OA NPA 19 SS TAC E O K oree E E E E Re O 20 Seting Alarms LIMES ssssssnsesesssissssieesnsasoinn con iene decuetscesaespsseusetaavesseasaesseees SO AIRA 20 Creating and Selecting a Default Power on Configuration ssesse Gf pae 20 EEES o E EAA N E A A CE e cetisceseentees 21 S e iit MD A N E E A A E E 21 Paen TY OC aE E EE ANE E EAEE EERE 21 eae ae ae ak S ii A A A O E A A E A A A T 22 Manual NIBP MeasurementS sseesseessoessseessoeesoessoesssoessccesocesoeessoeesoeesoeesso aC a aeniea 22 Adult Pediatric Cuff Placement and Positioning ssssscssssecscsssessssececeseseesesens 22 23 Taking NIBP Meas reMent ssissssssescssisesssssscosisssssssnisisssseecsnsssesrosssdssssssanevsnouddos asssa
29. es Z O Z NET ERR RUN 3 12V TOO HIGH 12V TOO LOW BATTERY A problem occurs to the system s If this alarm message occurs power supply frequently contact service personnel for repair Z O A problem occurs to the system s O power supply Z Fa O o The battery voltage is too low Connect the monitor to AC TOO LOW NET ERROR Yes mains to charge the battery Fa O The monitor is not connected to the Check the network links network ALARM A LEVEL CAUSE ACTION MESSAGE REAL CLOCK No No L The system time is incorrect Reset the system time and then NEED SET restart the monitor REAL CLK No No L There is no button battery or the Install a button battery or NOT EXIST battery power is depleted replace with a new one NET INIT No No L The monitor cannot be connected Contact service personnel ERR G to the network due to network problem NET INIT No No JL ERR RAM NET INIT No No JL ERR REG NET INIT No No JL ERR MII NET INIT No No JL ERR LOOP NET ERR No No JL RUN 1 NET ERR No No JL RUN 2 id a me eee eo Nurse Rosie Products distributed by Life Systems Inc 21 Prompt Messages PROMPT ISSUE CAUSE ACTION PULSE SEARCH The SpO module is searching the pulse Wait till the end of the search REC INITIALIZING The Printer is initializing NIBP MEASURING NIBP measurement in process PRESS START NIBP Interval NIBP measurement has been
30. f it is determined that the unit needs servicing a Return Authorization number RA will be assigned and the Life Systems technician will instruct you on how to return the unit Life Systems will not accept any package without a valid RA Ship to Life Systems Inc 7320 Central Avenue Savannah GA 31406 Nurse Rosie Products distributed by Life Systems Inc 21 1 7 1 8 2 0 2 1 p Shipping Procedures Products shipped by Purchaser under this warranty shall be suitably packaged to protect the product If Purchaser ships a product to Life Systems in unsuitable or inadequate packaging any physical damage present in the product on receipt by Life Systems and not previously reported will be presumed to have occurred in transit and will be the responsibility of the Purchaser UL amp CSA Recognition Safety IEC EN 60601 1 1990 A1 1993 A2 1995 A13 1996 IEC 60601 1 1988 A1 1991 A2 1995 Safety UL UL 60601 1 2003 Safety Canada CAN CSA C22 2 No 601 1 M90 R2005 Physical Description General Safety Information RosieV3 monitors should be operated in a location that is free from liquids spillage flammable chemicals or gases vibration shock and extremes of temperature ventilation and humidity To avoid a possible accident place the unit on a firm flat base or mount it securely to a heavy duty stand Do not place items on top of the monitor and keep the cooling path free from obstructions while ope
31. g solution on the equipment NEVER permit fluids to run into the casing switches connectors or any ventilation openings in the equipment NEVER use abrasive or erosive cleaners of any kind as well as cleaners containing acetone CAUTION Failure to follow these rules may damage the housing or blur lettering on the labels or cause equipment failures Disinfecting Your RosieV3 Recommended sterilization material Alcohol based Ethanol 70 lsopropanol 70 and aldehyde based Super Sani Cloth 0 5 Quaternary ammonium chloride and 55 Isopropyl alcohol CAUTION ALWAYS dilute the solutions according to the manufacturer s suggestions and adopt lower concentration if possible CAUTION NEVER submerge the equipment into water or any solution or pour or spray water or any solution on the equipment CAUTION ALWAYS wipe off all the excess liquids on the equipment surface and accessory surface with a dry cloth CAUTION NEVER use EtO Ethylene Oxide to disinfect the equipment CAUTION NEVER permit high pressure and high temperature disinfection of the equipment and accessories CAUTION Do not get the detergent into any vent openings Decontamination of the SmarTemp TEMP Probe WARNING Perform the decontamination or cleaning process with the unit powered down and power cord removed Use LpH SE Germicidal detergent to decontaminate a probe that has come in contact with a biological material Apply a smal
32. ialog use arrow keys to highlight OK then press OK to complete the deletions Exiting the REVIEW SETUP Dialog To exit the REVIEW SETUP dialog highlight OK press OK to accept the selections and return to the Trend List Display NOTE Select CANCEL and then press OK to cancel the any Changes or Deletions 29 Nurse Rosie Products distributed by Life Systems Inc 21 3 15 3 16 4 0 4 1 Onboard Printer The RosieV3 provides a permanent record of Resident data using the onboard printer To PRINT the data on the current display press Print Battery Operation When the RosieV3 is powered from the battery and switched on the Battery Status indicator il luminates and the AC Power indicator remains dark When the battery charge is low but not below the cutoff voltage the battery indicator flashes When the LED begins to flash at least 5 minutes of low battery warning time remain Battery run time for the RosieV3 is approximately 540 minutes for a new Lithium ion battery fully charged at an ambient temperature of 25 C 77 F with one automatic NIBP measurement taken every 15 minutes continuous SpO measurement and the printer not in use The Rosie V3 automatically recharges the battery when required if the monitor is plugged into an AC receptacle When the unit is plugged into an AC receptacle the Battery status indicator is always illuminated Maximum battery recharge time is 4 hours for Lithium ion with the R
33. ied service personnel At the end of their life dispose of the RosieV3 accessories and single use supplies in accordance with local regulations Dispose of packaging waste in accordance with local regulations Wrapping the cuffs too tightly may cause a hazard to the Resident When equipped with DPM SpO use only DPM oxygen sensors and cables Use of other oxygen sensors may cause improper oximeter performance Excessive ambient light may cause inaccurate SpO measurements Cover the sensor with opaque materials Inaccurate readings may be caused by incorrect sensor application or use significant levels of dysfunctional hemoglobin s i e carbohemoglobins or methemoglobin or intra vascular dyes such as indocyanine green or methylene blue exposure to excessive illumination such as surgical lamps especially ones with a Xenon light source bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight excessive Resident movement venous pulsations electro surgical interfer ence and placement of a sensor on an extremity that has a blood pressure cuff arterial catheter or intra vascular line Route cables neatly Ensure cables hoses and wires are kept away from Resident s neck to avoid strangulation Keep floors and walkways free of cables to reduce risk to hospital personnel Resi dents and visitors If the sensor or Resident cable is damaged in any way discontinue use immedi ately Nurse Rosie Product
34. l amount of detergent to a disposable wipe paper based and wipe down the outside of the probe Discard the wipe appropriately After waiting 10 minutes use a clean dry wipe to dry the probe Nurse Rosie Products distributed by Life Systems Inc 21 4 4 4 5 Sterilization and Cleaning of Reusable Cuffs Take out the bladder before cleaning and disinfecting the cuff NOTE Some disinfectants may cause skin irritation Rinse cuff thoroughly with water to remove any residual disinfectants NOTE Using dark colored soaks may stain the cuffs Test a single cuff to ensure that no damage occurs NOTE When cleaning cuffs do not use excessive amounts of liquid Wipe the cuff surface with a soft cloth dampened with the cleaning solution Cleaning Hand wash or machine wash the cuff in warm water or with mild detergent Clean the bladder with a damp cloth Air dry the cuff thoroughly after washing NOTE Machine washing may shorten the service life of the cuff Disinfection Disinfect the cuff with a damp cloth with 70 ethanol or 70 isopropanol or with ultraviolet Disinfect the bladder only with ultraviolet NOTE Prolonged use of disinfectant may cause discoloration of the cuff e Do not dry clean the cuff e Do not use detergent and disinfectant other than 70 ethanol or 70 isopropanol e Clean and disinfect the cuff according to the instructions Battery Maintenance and Replacement Battery Maintenance The RosieV3 uses
35. lowing any repair or replacement of the Printer Nurse Rosie Products distributed by Life Systems Ina O
36. n remove the probe eject probe cover and gently return the probe to the probe well SpO Measurements Principles of Pulse Oximetry Pulse Oximetry provides continuous non invasive information about the percent of oxygen that is combined with the hemoglobin in the Resident s blood also referred to as oxygen saturation In combination with the hemoglobin value the SpO provides valuable information about arterial oxygen content in the blood Nurse Rosie Products distributed by Life Systems Inc 21 light sources photodetector Pulse oximeters utilize two light emitting diode LEDs of given wavelength A red light at ap proximately 660Onm and an infrared light at approximately 920nm Pleth Waveform You can see a normalized Pleth Wave Form pulse strength from SpO data by pressing Display and print out the Pleth Wave by pressing Print Best Sensor Performance Do not place the sensor on an extremity with the blood pressure cuff in place NOTE Placement of a blood pressure cuff on an extremity may obstruct normal blood flow False pulse rate information may result if the sensor is placed on that same extremity Encourage the Resident to remain still Resident motion may affect the sensor s performance Ver ify the site area is clean non greasy Clean the site and sensor if needed Remove nail polish and fungus CAUTION Inaccurate readings may be caused by incorrect sensor application or use significant
37. ndix Full Operations Manual For step by step operating instructions refer to the Operations Manual CD that came with your RosieV3 6 2 Recommended Test and Calibration Nurse Rosie Products Life Systems Inc recommends the following checks and tests be accom plished as required Any electrical safety test or calibration certification may be performed by a certified Bio medical technician near your location to satisfy any state or local regulating enforce ment requirements The safety test and certification are the responsibility of the using facility This service may be provided by Life Systems Inc Technical Service Department for established charges CHECK MAINTENANCE ITEM FREQUENCY Visual test When first installing or after reinstalling Power on test When first installing or after reinstalling Following any maintenance or replacement of any main unit part NIBP tests Accuracy test If the user suspects that the measurement is incorrect Leakage test Following any repairs or replacement of the NIBP module Calibration At least once per year SpO test Temperature test Analog output test If the user suspects that analog output is abnormal Electrical Enclosure leakage safety tests current test 1 Following any repair or replacement of the power module 2 At least once every two years Earth leakage current test Patient leakage current test Patient auxiliary current test Printer check Fol
38. ns Connectors on the RosieV3 are only for use with IEC 60601 1 1 compliant equipment Never place fluids on top of this monitor If fluid spills on the unit wipe clean immediately and refer the unit to qualified service personnel Notes The RosieV3 should be operated only by trained and qualified personnel Use disposable and single use accessories only once Place the equipment in a location where the screen can easily be seen and the operating controls can easily be accessed In certain situations in which perfusion and signal strength are low such as in Residents with thick or pigmented skin inaccurately low SpO readings will result Verification of oxygenation should be made especially in preterm infants and Residents with chronic lung disease before instituting any therapy or intervention The instructions in this manual are based on the maximum configuration The Temperature module kit must be installed only by trained personnel and proper ESD preven tion methods must be followed Only devices specified by Life Systems Inc shall be connected the RS 232 port When the RS 232 connector is used for DIAP barcode power must be set to OFF Disconnect the RosieV3 from the mains to isolate it from the mains power during an emergency Nurse Rosie Products distributed by Life Systems Inc 21 Symbols and Description Symbol Description Aitention Consult Accompanying Documents Refer to Manual Equipotentiali
39. osie Products distributed by Life Systems Inc 21 NOTE The thermometer turns itself off about 3 minutes after turning it on or when the probe is returned to the probe sheath Always store the probe in the sheath for it s protection and to reset the temperature module NOTE The thermometer will not take a reading if the patient s temp erature is less than 6 F 3 3 C above the ambient temperature CAUTION Failure to firmly install the probe cover may result in the probe cover becoming loose or disengaged during use Be careful not to press the probe ejection button where the cord exits the probe during use Have the Resident open their mouth slightly Holding the probe loosely place the probe tip into the sublingual pocket Hold the probe during the entire temperature measurement process and keep the probe tip in contact with the tissue at all times Do not allow the Resident to reposition or hold the probe While the Resident s temperature is being taken the Temp LED readout will show a moving pin wheel A beep will sound when the measurement is completed and the display will show the temperature in large RED numbers The value will remain on the screen until another temperature is initiated CAUTION If an unusually high or low temperature reading is obtained confirm the reading using another temperature measuring device before beginning any treatment Once the measurement is completed hold the probe as you would
40. osieV3 in standby mode or off and 6 hours in normal running mode not in Standby mode Maintenance Care The RosieV3 is stable for operation over long periods of time and under normal circumstances should not require technical maintenance beyond that described in this section Cleaning Your RosieV3 WARNING Be sure to shut down the system and disconnect all power cords from the outlet before cleaning the equipment The equipment should be cleaned regularly Before cleaning the equipment consult your facilities regulations for cleaning disinfecting and sterilizing equipment The exterior surfaces of the equipment may be cleaned with a clean and soft cloth sponge or cot ton ball dampened with a non erosive cleaning solution NOTE The sodium hypochlorite of the concentration ranging from 500ppm 1 100 diluted bleaching agent for home use to 5000ppm 1 10 diluted bleaching agent for home use is effective The required concentration depends on the quantity of the organic substances such as blood mucus on the equipment surface Nurse Rosie Products distributed by Life Systems Inc 21 30 4 2 4 3 31 To avoid damage to the equipment please follow these rules ALWAYS dilute the solutions according to the manufacturer s suggestions ALWAYS wipe off all the excess cleaning solution with a dry cloth after cleaning NEVER submerge the equipment into water or any cleaning solution or pour or spray water or any cleanin
41. ough a 3 core power cable Nurse Rosie Products distributed by Life Systems Inc 21 Onboard Printer Module Print button Prints the PLETH curve or the trend data on the current display Paper outlet Printer feeds paper out of slot Printer door Access to paper roll Power indicator Indicates power to the printer Printer door latch Secures the printer door oe 2 a 3 0 SET UP and USING the ROSIEV3 Refer to the Quick Reference Guide that came with your RosieV3 3 1 Setting up and Turning Power On Connect the monitor to a properly grounded 3 wire hospital grade AC power source Verify that the Battery Indicator light is illuminated allow the unit to fully charge before initial operation approximately 4 hours Press Power to activate the unit The system beeps indicating the software has loaded All the LEDs on the front panel light up The technical alarm lamp turns yellow red then turns off to indicate the self test related to alarm lamps passed After the RosieV3 initializes the start up screen clears and the Trend display shows in the LCD Display Test the printer by pressing Print The printer prints trend data displayed on the LCD screen to verify proper printer function If the Temperature module is installed test the predictive thermometer by removing the probe from its holder Nurse Rosie Products distributed by Life Systems Inc 21 18 3 2 3 3 3 4 Verify that the message Temp Wa
42. pressure measured at the thigh is typically 20 30 mmHg higher than blood pressure measured at the upper arm The artery mark on the center of the cuff should be placed over the brachial artery Make sure not to twist or kink the hose The brachial artery is located on the inside of the upper arm it is NOT located directly above the location where the stethoscope is placed when manual measure ments are taken NOTE Be aware of the actual location of the Brachial Artery It is located on the inside of the upper arm Nurse Rosie Products distributed by Life Systems Inc 21 22 The end of the cuff should fall inside the range marks clearly identified on the inside of the BP cuff If the end of the cuff does not fall within this range increase or decrease the size of the cuff so that the new cuff fits correctly Wrap the cuff snugly so that two fingers can be placed between the cuff and the arm above and below the cuff If the cuff is wrapped too loosely it cannot be inflated properly there may be errors in measured values and the Resident is likely to be uncomfortable It is best to wrap the cuff around a bare arm as clothing may cause errors in measured values Keep the cuffed part of the arm at the same level as the heart The arm should also be resting on a level surface to reduce muscle tension that may cause an increase in blood pressure measure ments Heart NOTE If the arm is above the level of the heart the blood
43. rating Clean it with a soft damp cloth as directed in Sec 4 4 do not use solvents or other harsh chemicals Do not autoclave Refer to the Sec 2 3 for other Warnings Cautions and Notes of Use General Operating Precautions Arrange the power cord and cuff hose so that they do not create a hazard and are not tangled during operation Always follow approved technique when using each parameter Refer to the section s in this manual pertaining to the parameter s included in your monitor Always press front panel switches with a fingertip NEVER USE a fingernail pen or other pointed object Nurse Rosie Products distributed by Life Systems Inc 21 2 3 Safety Symbols and Terms for Safety Warnings Cautions and Notes of Use Throughout this manual and on the actual products safety symbols and terms are shown for safe and proper use of the product The meanings of these symbols are shown below Please familiar ize yourself with these symbols before proceeding with this manual A WARNING is provided to alert the user to potentially serious outcomes death injury or serious adverse events to the Resident or the user A CAUTION is provided to alert the user that special care should be taken for the safe and ef fective use of the device They will include actions to be taken to avoid effects on Residents or users that will not be potentially life threatening or result in serious injury but about which the user should be aware
44. rd Prine orses erent ree eer corrrn rene arr errr EEEE nn enya nny er rere tee ES ae Battery Operdti liessersissrcrrrer eaeeeoeuecaesesveccasuecasvecseseseesesiqsesceuesesectoreteees lt H Ee DI MAINTENANCE CAR Bg sccncscsaeuscouniosecsauesevassneabesussoaasveuvasasesseussauseuessasuraasoes AO sevestiest Cleaning your Rosie Voce ctrrcaan tes tieceecec ore ras acecaes ain ceetenseecersdamnti ane AN oen Disinfecting your ROSIE V Bicsccevecesesctavisuaessseceesevssevedepeaeseseesecevseecssusenteoteesteeeacts r aera Decontamination of the SmarTemp TEMP Probe ccscsssscssssssssssseees ye a Sterilization and Cleaning of Reusable Cuffs sseesessoesseoesssoosssoeeessoses AA ruva EEE e A E E E A S E Disnei E EA E A eeeetse Battery Maintenance amp Replacement sseeeesssoessssooesesooceesssosssssooesssooeeess A anen Battery MaINTENANCE csssinsresererserirssonsusedereruornrini ssni rn na Eran EN ONEA ru airin reekri e Batiery ReplacemeN eicevcevecesscaveccecceseinservoasosinsusvscens exis iouonsaor earnest Printer MaintenanCe seeesseeesssecesoeeessoesssocessocessoceessocessoesessosssoecessoeessoeeesseses AO srana Printer Paper Replacement eeessssssoceeessssoseesessssocesessssoceseesssooeeeesssooosesssssoocessss Care amp Storage of Thermal PApeEr seesseessssoessooeessocessoesssoosssoosessosessoesssoes A g ROSIEV3 TROUBLESHOOTING sssessseccseecssecsseccseccseecssecoseccseecsseessecose on anns Physiological Alarm MeS
45. rming Up displays followed by the message Predictive Temp Ready and a double beep Power OFF and Standby RosieV3 will NOT power off by itself When not in use Power Off or put in Standby to conserve battery life Press Power for two 2 seconds or more to turn off the monitor For standby press Power for less than 1 second and confirm by pressing OK To exit standby press any key on the device and confirm by pressing OK Once the monitor exits Standby mode it enables alarms restores all functions restores communi cation and starts to save trend data Selecting a Configuration When power to the RosieV3 is turned on it automatically loads one of three configurations e The FACTORY DEFAULT or FACTORY CONFIG is installed by the factory and cannot be modified e The USER CONFIG is selected by following the steps in Section 3 7 e The LAST CONFIG consists of the parameter settings in use before the unit was powered off To load a user configuration or factory default configuration after the RosieV3 is powered on Press Menu to display the SYSTEM SETUP dialog highlight DEFAULT press OK Select and highlight a configuration to load Once the choice is highlighted press OK to select it Highlight OK press OK and Menu to exit to the Trend display NOTE Load user config recommended Common Setup Set volumes and display visuals by pressing Menu to display the SYSTEM SETUP dialog Highlight COMMON SETUP pre
46. s distributed by Life Systems Inc 21 42 43 Prompt Messages cont PROMPT ISSUE CAUSE ACTION CALIBRATION The calibration is finished None COMPLETE PNEUM TEST The test for air leakage is finished COMPLETE RESET FAILED The NIBP module fails to be reset TEMP WARMING UP TEMP module is warming up Wait till TEMP module completes warm up PREDICTIVE TEMP TEMP module completes warming up and Perform predictive TEMP READY predictive measurement can be performed now measurement PREDICTIVE TEMP TEMP predictive measurement is finished Check TEMP reading COMPLETE TEMP MEASURE COMPLETE SERVER NOT EXIST Sever is not installed CONFIGURATION Last configuration is loaded successfully RESTORED TEMP monitoring is over Remove the TEMP probe from Resident and insert it in the probe sheath Install the server FAC ADULT ADULT factory configuration is loaded CONFIG LOADED successfully FAC PEDIATRIC PEDIATRIC factory configuration is loaded CONFIG LOADED successfully FAC NEONATAL NEONATAL factory configuration is loaded CONFIG LOADED successfully USER ADULT ADULT user configuration is loaded CONFIG LOADED successfully USER PEDIATRIC PEDIATRIC user configuration is loaded CONFIG LOADED successfully USER NEONATAL NEONATAL user configuration is loaded CONFIG LOADED successfully Nurse Rosie Products distributed by Life Systems Inc 21 6 0 Appendix 6 1 Appe
47. s distributed by Life Systems Inc 21 NOTE Resident size selection determines the initial cuff pressure Default settings Adult 180mmhg Pediatric 140mmhg Neonate 1 OOmmhg 3 9 Attaching BP Cuff Attach the cuff hose to the NIBP connector by holding the hose behind the knurled pressure fitting female Push onto the male connector until a click is heard To remove hold the knurled female fitting and pull firmly to release 3 10 Manual NIBP Measurements Adult Pediatric Cuff Placement and Positioning Proper cuff size and placement is essential to assure accurate blood pressure measurements The American Heart Association recommends cuff sizes should be at a length to width ratio of about 2 1 ensuring that if the bladder width is 40 percent the arm circumference the bladder length will encircle 80 percent of the arm If the cuff is too small the bladder width may be so small that the full cuff pressure is never ap plied to the artery see figure A and erroneously high pressure reading results If the cuff is too large the extra width lengthens the time it takes for the blood to pass completely under the cuff creating an erroneously low systolic measurement In Figure B the bladder width is adequate for the arm and the full cuff pressure is applied to the brachial artery Figure A Figure B Figure C Cuffs for the thigh are available for large Residents or those where neither arm is available for cuff placement Blood
48. s distributed by Life Systems Inc 21 10 11 When cleaning sensors do not use excessive amounts of liquid Wipe the sensor surface with a soft cloth dampened with the cleaning solution To prevent damage do not soak or immerse the sensor in any liquid solution DO NOT ATTEMPT TO STERILIZE Prolonged and continuous monitoring may increase the risk of skin erosion and pressure necro sis at the site of the sensor Check the SpO sensor site frequently to ensure proper positioning alignment and skin integrity at least every eight 8 hours with the Adult and Pediatric re usable finger sensor check every four 4 hours for neonates and Residents of poor perfusion or with skin sensitive to light check every 2 3 hours more frequent examinations may be required for different Residents Change the sensor site if signs of circulatory compromise occur Ensure proper adhesion skin integrity and proper alignment Exercise extreme caution with poorly perfused Residents When sensors are not frequently monitored skin erosion and pressure necrosis can oc cur Assess the site every two 2 hours with poorly perfused Residents and neonates Recharge the Lithium ion battery while in the unit at room temperature If using the RosieV3 in a hot environment the Lithium ion battery may not charge when the unit is connected to the AC mains Remove the battery if the RosieV3 is not likely to be used for an extended period of time The Communicatio
49. s instructions and local regulations Batteries used in this device may present a risk of fire or chemical burn if mistreated Do not incinerate battery possible explosion may occur Nurse Rosie Products distributed by Life Systems Inc 21 Do not use a damaged or broken unit or accessory Operation of the RosieV3 below the minimum amplitude or value of Resident physiological signal may cause inaccurate results Use of accessories transducers and cables other than those specified in the manual may result in increased Electromagnetic Emissions or decreased Electromagnetic Immunity of the RosieV3 It can also cause delayed recovery after the discharge of a cardiac defibrillator Perform the decontamination or cleaning process with the unit powered down and power cord removed Use only authorized single use disposable probe covers when taking temperature measurements Use of any other probe cover may result in erroneous readings or damage to the probe Cautions Observe extreme caution when a defibrillator is in use Do not touch any part of the Resident table or monitor when a defibrillator is in use The RosieV3 should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the RosieV3 should be ob served to verify normal operation in the configuration in which it will be used The unit should be checked periodically for obstructed vents If an obstruction is found refer the unit to qualif
50. s period the monitor automatically exits the alarm paused state 31 Temperature site The temperature measuring position and monitoring mode oral auxiliary and rectal selection illuminates 32 Temperature Unit indicator The current temperature unit 33 PRINT key Starts or stops the printer 34 NIBP connector Used to attach the specified NIBP hose to the RosieV3 Nurse Rosie Products distributed by Life Systems Inc 21 16 Rear Panel n __ LULL TON ETS a ih ar a 1 i a umi iyo fry al 7 ao 4 35 TEMP probe sheath Holds the temperature probe when not in use 36 TEMP probe covers Holds the temperature probe covers for easy access 37 TEMP probe connector Used to attach a temperature probe to the RosieV3 38 39 40 41 42 43 RS 232 connector Used to attach a bar code scanner or DIAP NOTE When the RS 232 connector is used for DIAP barcode power must be set to OFF Nurse call connector Provides compatible communication from the RosieV3 to the hospital s nurse call system NOTE All equipment attached to the communications ports on the RosieV3 must meet the requirements as specified in EN 60601 1 1 Network connector For software updates only Printer For printing trend data and PLETH waveform Equipotential grounding connector Used to connect the equipotential grounding connectors of other devices AC power input connector Connects the monitor to the AC power thr
51. saoe 24 Automatic NIBP Measurements Interval Model sseesssssoeesssooesessocsesssoes A L E 24 Starting an Automatic Measurement sssssessssooeessoocessssocesssooesesoocsesssoeesssooeeesooeeess 24 Temperature Measurement ssessssseeessoocsessseocesssoocessooeeesseoeesssooeessooesesseoesss Oe Lz arnan 25 Predictive Mode MeasurementS sseeesseeessoeeesoccessocessccessoccssoceessocesoccessocessocsessoses 25 Rectal Mode Measurement esseessesssoeesoessoeessoessocssscssocessoeesoeessoeesoeesoeessoessosessessoes 26 Nurse Rosie Products distributed by Life Systems Inc 21 Title Section ROSIEV3 SET UP AND OPERATION cont Axillary Mode MeCSUreMe nte ccsssssccccssssrcccessssecccssssssccessssnscssssssecscsssssseees Ss OI IN nS ourive rei ie na n a eai T E eee Principles of Pulse OximetrY eesseesessoosssoessseosssooeessosessoceesoeesssocessoeessoesesoesssooes Pleh Yave lorire e orna E E ARE Best Sensor PerformanCe sseessesesoeesoeesoeessoessocesseesoesssocesoeesoeessoessoeesoessoeessoeesoses Storing Reviewing amp Deleting Stored Measurement Datad seeessseees ca E Reviewing Trend Datad seeessssooeeessssoooeesssssooceesessooceeeesssooeeeessssoceeesssssoeeeessssoeeee Deleting Stored Resident Datd ssssesesssosessssocssssooeesssoesesssoocsssooesessoesesssoossssoe Exiting the Review Setup Dilog cssssscccsssssrccessssseccsssseccessssscccesssseeeeessees Onboa
52. ss OK to display the COMMON SETUP dialog To set alarm key pulse volume or NIBP end tone volume highlight the field to be adjusted Once the selected field has been highlighted press OK to activate it Arrow up or down to change the value press OK to set it To adjust the brightness or contrast on the RosieV3 LCD Display for optimum viewing highlight the contrast or brightness selection field Once the selected field has been highlighted press OK to activate it Arrow up or down to change the value press OK to set it Press Menu twice to exit to the Trend display Nurse Rosie Products distributed by Life Systems Inc 21 3 5 3 6 3 7 NOTE Any changes made to LCD BRIGHT and LCD CONTRAST remain when the monitor is turned off and then on again Setting the Clock Set the clock during normal operation or in the User Configuration There are six 6 properties to set in the clock dialog DATE FORMAT YEAR MONTH DAY HOUR and MINUTE NOTE The RosieV3 always displays time in a 24 hour format Press Menu to display the SYSTEM SETUP dialog Highlight the TIME SETUP field and press OK to display the TIME SETUP dialog Once the property has been highlighted press OK to activate it Arrow up or down to change the value press OK to set it Press Menu twice to exit to the Trend display Setting Alarms Limits The factory and custom defaults for alarms can be changed as required to accommodate the needs of indi
53. t light detected Check connections switch cables Switch limbs and cover sensor with an opaque material No SpO Cable or sensor not plugged in Check connections and sensor Replace as waveform necessary Low amplitude SpO sensor on same limb as blood Check sensor placement move as SpO signal Pressure cuff necessary keadan has peor per usion Move sensor to limb with better perfusion notify physician Nurse Rosie Products distributed by Life Systems Inc 21 38 39 SmarTemp TEMP Module Alarm Messages WARMUP Yes Yes TIMED OUT ALARM A MESSAGE LEVEL CAUSE TEMP probe initial temperature is too high WARMING RESISTOR ERR No The warming resistor in the TEMP probe fails E O D TEMP PROBE MISPLACED No TEMP probe is not placed in the sheath or the probe sheath is not in place ENV TEMP OVERRANGE Z Yes The ambient temperature is beyond the measuring range TEMP VOLTAGE ERR Yes Supply voltage is too high or too low TEMP NO PROBE Z Yes The TEMP probe is disconnected from the TEMP module TEMP PREDICTION ERR D Yes Improper temperature does not contact with the Resident TEMP SELFTEST ERR An error occurs during the TEMP module initialization Z Ea O TEMP PROBE OFF Z Yes TEMP probe does not contact with the Resident TEMP OVER HIGH LIMIT Z O Zz The temperature measured is too high or measurement error TEMP
54. tor measurement analysis or calculation and the Resident Or use a new cuff It the problem persists contact Technical Support NIBP WEAK SIGNAL No No Failures occur in the pulse measure Check the Resident s condi ment The monitor cannot perform tion and verify Resident measurement analysis or calculation type Replace with an ap propriate cuff and connect it correctly If the problem still exists contact Technical Support NIBP OVER RANGE No No Failures occurred in the pulse meas urement The monitor cannot perform measurement analysis or calculation EXCESSIVE No No Excessive motion of Resident s arms MOTION OVER No The airway might be blocked PRESSURE Nurse Rosie Products distributed by Life Systems Inc 21 36 37 NIBP Module Alarm Messages cont ALARM MESSAGE SIGNAL SATURATED PNEUMATIC LEAK aa NIBP SYSTEM No No FAILURE NIBP TIME OUT CUFF TYPE ERR NIBP RESET ERROR LEVEL CAUSE ACTION A failure occurred during pulse meas Check the Resident s condi urement The monitor cannot perform tion and verify Resident measurement analysis or calculation type Replace with an ap propriate cuff and connect Leak in the airway it correctly If the problem still exists contact Technical Support L Failures occur in the pulse measure ment The monitor cannot perform measurement analysis or calculation Failures occur in the pulse me
55. tor displays the temperature value in degrees C or degrees F selectable in the Temp SETUP dialog The currently applied unit is illuminated as shown in callout 32 RESIDENT INFO key Press to switch to the RESIDENT INFORMATION dialog and automatically create a Resident ID SET ALARMS key Press to switch between the SET ALARMS dialog and the Trend display DISPLAY key Press to switch between the PLETH display and Trend display MENU key Press to switch between the SYSTEM SETUP dialog and the Trend display ON STANDBY key indicator Press to turn the monitor on or off or to enter exit the standby state In the operating state press and hold for less than 1 second to switch the device to standby To turn off the monitor press and hold for more than 2 seconds Inside this key there is a working status indicator e Illuminated Indicates the monitor is powered on e Dark Indicates the monitor is powered off AC Power indicator e Illuminated Indicates the AC power is connected e Dark Indicates the AC power is not connected Battery Status indicator e Illuminated Indicates the unit is on and the battery is inserted e Flashes Indicates the system is on and in low battery status e Dark Indicates the battery is not inserted The battery indicator also remains dark when monitor power is off UP Arrow key Moves the cursor up within the LCD display 17 LCD Display Displays startup screen menus trend data PLETH wav
56. ty Equipotential grounding Alternating Current AC Predictive Thermometer Connector SpO Connector Operating on battery power green light Connected to AC mains green light Power On Off Standby Serial number Part Number Nurse Rosie Products distributed by Life Systems Inc 21 Symbol en ial E Description Type BF Equipment Defibrillator proof Type BF Equipment Adult Pediatric Child Neonate Manufacturer NIBP Connector Recycle Up key Confirm key Symbols and Description cont Description Symbol Patient Information key Main menu key Set alarms key Start NIBP key Display Tabular Trends Pleth Wave NCI NIBP interval key SP 1 Print key front panel CS Print key printer Description Down key Deflate Cuff key Patient Size key Alarm Silence key Nurse Call connector RS 232 connector Serial Port 1 Network connector Alarm Disabled indicator on LCD display EN Alarm Silenced indicator on Px Audio Alarm Off indicator LCD display SE on LCD display ie Classified by Underwriters Laboratories Inc with respect to electric shock fire and C us mechanical hazards only in accordance with UL 60601 1 CAN CSA C22 2 EN NO 601 1 IEC 60601 1 1 IEC 60601 2 30 IEC 60601 2 49 2 4 Panel Call Outs This section of the Operating Instructions identifies and describes each control and display of the RosieV
57. vidual Residents Pressing Set Alarms toggles between the Trend display and the SET ALARMS dialog Display the SET ALARMS dialog Highlight a HI or LO alarm limit once the alarm limit is highlight ed press OK to select it Arrow up or down to change the alarm limit value press OK to set it NOTE The high end of a HI high alarm limit is OFF and the low end of a LO low alarm limit is OFF Press Set Alarms to exit to the Trend display NOTE If the patient size is changed and it is the first time that patient size is selected the alarm setting change to the factory default settings Creating and Selecting a Default Power on Configuration The operator can set custom and select default settings Each time the RosieV3 is turned on it will boot up using the selected Configuration custom default settings Press Menu to display the SYSTEM SETUP dialog Highlight MAINTENANCE and press OK to display MAINTENANCE dialog See note NOTE If Barcode Reader is to be used turn QUICK ADMIT Off if not used ensure that it is On Select USER MAINTENANCE and press OK to display password dialog Enter password of 3 2 and 1 highlight OK Press OK to display USER MAINTENANCE dialog Nurse Rosie Products distributed by Life Systems Inc 21 20 3 8 21 By highlighting the following selections you may make changes to the user configuration as re quired MIN ALARM VOL Sets the alarm volume level or turns off NOTE If turn
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