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Advisor® Vital Signs Monitor

1. ECG A primary lead ECG waveform is being recorded ECG Capture when the green record dot is present or flickering ECG The capture starts when the PRINT key dis pressed and stops by itself in approximately 30 seconds IMG A bitmap screen image is being recorded image capture when the green record dot is present or flickering IMG The capture starts when the PRINT key I is pressed and stops by itself in approximately 1 minute When a Data Logger error occurs a yellow icon ERR appears at the top of the Advisor screen next to the patient type See Error Messages and Clearing the Error Indicator sections later in this chapter for more information about the error indicator Recording Real Time Trends To begin recording Real Time Trends 1 If a Flash Card is not present insert a Flash Card formatted to the FAT type file system into the VDL NOTE Flash Cards come preformatted so formatting is not always necessary before use See Formatting a Flash Card in the Troubleshooting section of the Data Logger operation manual if there are card formatting error messages 2 In the Advisor menu options select the trend record interval by selecting TRENDS TABULAR VITAL SIGNS INTERVAL and choosing the desired interval Default is 30 seconds 3 Optionally to set a Procedure number select TRENDS PROCEDURE and choose a number from 1 to 99 NOTE This number will be automatica
2. a Make sure the red light in the sensor is illuminated b Make sure the SPO2 SENSOR message is displayed c Select the appropriate sensor size either for a small medium animal or for a large animal See the Application Guide in this chapter for information regarding sensor application Figure 9 3 Connect the SpOz Cable Application Guide Universal Y Sensor with Lingual Clip V1703 Position the lingual clip on the base of the tongue Placement is dependent on the thickness of the tongue Start at the tip and work your way toward the base Always direct the light downward toward 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 Figure 9 4 Universal Y Sensor If necessary the lingual clip may also be positioned on lips cheeks prepuce vulva and hocks Moisten the hock area with isopropyl alcohol and or water and clip hair if needed To get a better reading on smaller tongues bring the sides of the tongue up and pass the light through both layers Do not fold the tip of the tongue as you will restrict blood flow to the tongue Veterinary Advisor Operation Manual 9 5 Chapter 9 Oximetry Mini Clip V3078 The Mini Clip is similar to
3. Patient Cable Oximetry 1 5 m 5 feet each each each PC Adapter Cable null modem each PC Interface Cable Advisor Roll Stand Cable ECG Shielded Safety Type 5 lead Temperature Cable each each each each Temperature Probe each Probe Temperature Reusable each Calibration Gas EtCO gt 10 CO2 bal N3 each 6111 Paper Printer V6401 V6402 8044 4 per pkg Invasive Pressure Cable each Invasive Pressure Transducer each CO Sample Line 2 4 m 8 feet 10 per pkg Regulator Calibration Gas Flow with Gauge 8061 each 8075 Moisture Trap with Female Adapter Advanced Pneumatics each 8211 CO Sample Line 1 2 m 4 feet 10 per pkg Kit Calibration 5093 8061 8223 8211 Calibration Adapter 8217 8223 9048 31543B1 31543B2 31543B3 31543B4 31545B1 31544B1 each each 2 per pkg each External 3 5 Micron Filter 13 mm NIBP Purple Cuff Extra Small 3 6 cm NIBP Purple Cuff Small 4 8 cm NIBP Purple Cuff Medium 6 11 cm NIBP Purple Cuff Large 17 41 cm Purple Cuff Cleaning Cap each each each D o N gt 6 foot Purple Cuff Supply Hose each Veterinary Advisor Operation Manual 16 1 Chapter 16 Optional Supplies and Accessories Ordering Information For ordering information contact your local distributor or the Smiths Medical PM Inc Veterinary Clinical Support department at the address or phone number below Smiths Medical PM Inc Phone 262 513 8500 N7W22025 John
4. Figure 7 7 Inset New Paper 5 Unroll about 10 centimeters four inches of paper then push the paper carrier door up until it locks into the printer housing The printer is now ready to print NOTE If no print appears on the paper after changing the printer paper may be installed in the wrong direction The printer will only print on one side of the printer paper Make sure the printer paper is coming out from the bottom of the roll Figure 7 8 Unroll Paper and Close Printer Door 7 8 Veterinary Advisor Operation Manual Chapter 8 ECG Chapter 8 ECG ECG Measurement Capability The Advisor Vital Signs Monitor provides continuous three lead and five lead ECG processing with standard lead selections and filtering from electrocautery discharge The heart rate measured value HR and primary lead messages are displayed in the ECG parameter box and a waveform for the primary ECG lead is continuously displayed Indicates heart beat Measured value ECG waveforms and heart rate source for heart rate 26 MAY 2004 1347 CAT High and Primary I low alarm ECG lead limits ECG ECG alarm waveform message size Secondary ECG lead in 5 lead mode RETURN TO PREVIOUS MENU MAIN HR ALARMS ECG RATE SRC ECG MONITOR PRINT ALL LEADS MENU ON WAVEFORM AUTO ON SNAPSHIT Figure 8 1 ECG Display ECG Warnings Cautions and Notes WARNING Connect only three lead or five lead ECG lead wires from the patient to the ECG pat
5. 2 To stop recording press the print key 2 or wait until the 30 second capture is complete will revert back to TRNI Capturing a Screen Image To capture a screen image 1 Select a capture mode To select a capture mode select the TRENDS CAPTURE MODE option and select SCREEN IMAGE This selection will capture a screen image onto the Flash Card when the PRINT key is pressed during recording TRN will change to IMG and will revert back to tpn after approximately 1 minute NOTE Pressing the PRINT key again while recording an image will end the Capture and will result ina corrupt bitmap file NOTE Trend information will be written to the Flash Card during Screen Image capture 14 12 Veterinary Advisor Operation Manual Chapter 14 Serial and Analog Input Output Capturing a Screen Image with Printing With this option enabled pressing the PRINT key will start a PRINT ALL printout as well as capture a screen image to the Flash Card To capture a screen image 1 Select a capture mode To select a capture mode select the TRENDS CAPTURE MODE option and select SCREEN IMAGE This selection will capture a screen image onto the Flash Card when the 7 PRINT key is pressed during recording TRN will change to IMG and will revert back to after approximately 1 minute NOTE Pressing the PRINT key again while recording an image will end the Capture and wil
6. 9 10 11 The monitor stores up to 150 non invasive blood pressure NIBP readings Top 1 N Ww To p 1 N w on N 7 6 Highlight PRINT and push the knob to select on the monitor Highlight MAIN or PREVIOUS and push the knob to select rint all the stored NIBP readings Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select Highlight NIPB HISTORY and push the knob to access the NIBP history box Highlight PRINT ALL NIBP HISTORY and push the knob to select Turn the rotary knob to choose YES and push the knob to select To stop printing press the PRINT key on the monitor rint a selected range of NIBP readings Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select Highlight NIPB HISTORY and push the knob to access the NIBP history box Turn the rotary knob to highlight SCROLL 4 J and push the knob to select Turn the rotary knob and the trend data will scroll up and down in the NIBP history box When the desired range of NIBP readings is displayed in the NIBP history box push the rotary knob to return to the NIBP history menu Highlight PRINT WINDOW and push the knob to access the printing submenu Turn the rotary knob to choose YES and push the knob to select To
7. And you can change the measurement unit that describes the parameter Choose 3 lead or 5 lead ECG processing the default setting is 3 LEAD 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu 3 Highlight ECG LEADS PROCESSING and push the knob to select 4 Highlight 3 LEAD or 5 LEAD and push the knob to select CAUTION A three lead ECG cable must be used if 3 Lead processing is selected A five lead ECG cable must be used if 5 Lead processing is selected Using the incorrect cable for the selected mode might lead to a floating reference or additional noise on the ECG signal 5 Highlight MAIN or PREVIOUS and push the knob to select Turn On or Off Installed Parameters 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu 3 Highlight ECG MONITOR CO2 MONITOR T1 MONITOR or T2 MONITOR and push the knob to select If ECG is turned off and AUTO is selected as the heart rate source the heart pulse rate HR digits will continue to be displayed and monitored for alarms as long as there is another active rate source oximetry or arterial pressure The default settin
8. Clearing the Error Indicator ERR 1 When a Data Logger error occurs the START RECORDING STOP RECORDING menu option will change to CLEAR DATA LOGGER ERROR 2 Select CLEAR DATA LOGGER ERROR to erase the error indicator from the top of the display This will then allow recordings to be initiated again Extracting Data The Data Logger Excel Template is designed to extract captured real time trend data and optionally captured primary lead ECG waveform and Advisor screen image from a Flash Card The spreadsheet is also designed to graphically represent each available parameter and primary ECG waveform captured and to be able to print the numerical trend data graphical trend data and the primary ECG Waveform NOTE See the Veterinary Data logger Operation manual REF V1920 for more information on extracting data from the flash memory card 14 14 Veterinary Advisor Operation Manual Chapter 15 Operator s Maintenance and Troubleshooting Chapter 15 Operator s Maintenance and Troubleshooting Smiths Medical PM Inc Veterinary Division 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 of operation you must observe the routine maintenance information in this section Perform on site routine maintenance daily a summarized schedule and full details are contained in this section The A
9. Complies FDA RE 101 1993 Veterinary Advisor Operation Manual C 1 Appendix C IEC 60601 1 2 Requirements 2nd Edition 2001 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY The Advisor Vital Signs Monitor is intended for use in the electromagnetic environment specified below The customer or user of the Advisor Vital Signs Monitor should assure that it is used in such an environment IMMUNITY TEST Electrostatic discharge ESD IEC 61000 4 2 2001 Electrical fast transient burst IEC 61000 4 4 2001 Surge IEC 61000 4 5 2001 Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 2004 Power frequency 50 60 Hz IEC 6100 4 8 2001 IEC 60601 TEST LEVEL 6 kV contact 8kVair 0 5 kV 2 kV for power supply lines 0 5 kV 1 kV for input output lines 1 kV differential mode 2 kV common mode lt 5 UT gt 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles lt 5 UT gt 95 dip in UT for 5 sec COMPLIANCE LEVEL 6 kV contact 8kVair 0 5kV 2kVon 220 VAC power line 0 5kV 1kVon ECG CO gt BP1 BP2 SPO NIBP and TEMP 1 kV differential mode 2kV common mode lt 5 UT gt 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles lt 5 UT gt 95 dip in UT for 5 sec NOTE U is th
10. Operation Manual Chapter 8 ECG 3 Set RATE SOURCE to ECG a Turn the rotary knob on the monitor to move the cursor Highlight the ECG parameter box name and push the knob to access the ECG parameter menu b Highlight RATE SRC and push the knob to select c Choose ECG and push the knob to select d Highlight MAIN MENU and push the knob to select 4 Select 3 LEAD ECG processing a On the main menu at the bottom of the display highlight SETUP and push the knob to select b Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu c Highlight ECG LEADS PROCESSING and push the knob to select d Highlight 3 lead and push the knob to select e Highlight MAIN or PREVIOUS and push the knob to select 5 Connect the SurgiVet 3311 Oximetry Cable to the SurgiVet 1606 SpO ECG Patient Simulator 6 Connect the oximetry cable to the oximetry connector SPO gt on the side of the monitor a The simulator will automatically turn on and the Pulse LED will flash to indicate that it is operating b A measured value of 97 99 SpO should be displayed in the SPO parameter box and a measured value of 79 81 beats per minute bpm should be displayed in the SPO parameter box c If the Pulse LED does not light or if the measured values in the SPO parameter box are incorrect replace the 9V transistor battery in the simulator 7 Connect the RA LA and LL leads to the simulator 8 Connect the ECG cable
11. sessssssescsnseeesnssecessseessnseeeesssecesnssecsnsuscessssessnsseessssessnssessnunseesuneessnsees 15 5 Chapter 16 Optional Supplies and AcCeSSOLieS cssscccssssssccsscssscccssssscccssssssscscsssssers 16 1 Ordering Information Chapter 17 Service Men iciciccincisccssincacot ssdcncntactocvesustevctbncdsscguactossssuctsestoacdsnsssectenctincasnentss 17 1 Setting Default Values for the Monitor ssssssssscssssccssssecssssscesseecssseeeesssecessseesssssccesuseecssseecesseeersnseessssscessuseessnseesesseessnseesene Set Default Alarmy LIMITS siiin aa RN A TNR Set the ECG Filter Level ssiasscscasssciessvvssaessstesvessious iins anin an R A TR Select the Alarm Audio Silence Operation Select the Alarm Reset Operation ssabusomsssen masunuo enna R Select the Serial OUtPUt MOE essssssssseccsecsssssessecssecsssecesscccsscessscesssccsssecescecesscessseessscessscesseecsuscesucessecesscessueessneeesneeesaes Changing the Service Menu Password sssscssssscsssssecsssscsssssecssseecessecessnseessnseecssseeecsnseccessecessnseessnsesesssecessnseecesseccesnseecsneesessees Verifying NIBP Calibrationiiassissdesdietiideiniiauaaimnuadamsaiude annidadunnianiamanndaudanamuues Using the Static Limits Feature sssscsscicssesscseessscessesesessceseedeeessivssesdeestety eet stscstevsonesiiesetedcedesiieselsusenteVesees esate adebeidenet sisdebevcebetiieese Using the Factory Service MEM Ui saistsccsscssssascsssctesvsacssisscsevsiccosuaectoxstetosas
12. Chapter 4 Setting up the Monitor Parameter Colors You can change the color of the text in each displayed parameter box and its corresponding waveform Available colors are green blue cyan magenta white orange pink lime light green purple sky light blue and brown Red black and yellow are reserved system colors and cannot be assigned Invasive blood pressure IBP colors are set by site name such as arterial ART and central venous pressure CVP not by connector number Only one color can be set for the temperature parameter TEMP Both temperature channels T1 and T2 will be displayed in the same color The selected parameter colors can be changed any time but will remain in monitor s memory until they are changed again even if the monitor is turned off The PARAMETER COLORS menu includes a RESTORE FACTORY COLORS option The factory default colors for parameter boxes and corresponding waveforms are shown below PARAMETER DEFAULT COLOR Capnography CO3 Sky light blue i Oximetry SPO Temperature TEMP Invasive Pressures S Pee Vv LA eft tum Change the Parameter Colors 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight PARAMETER COLORS and push the knob to select 3 Highlight the desired parameter and push the knob to select 4 Highlight the desired color and push the kn
13. Radiated RF 10 V m 10 V m for all Portable and mobile RF IEC 61000 4 3 2002 80 AM 2 Hz parameters Edwards communications equipment 80 MHz 2500 MHz Lifesciences TruWave should be used no closer to any and Abbott Critical part of the Advisor Vital Signs Care Systems Monitor including cables than the Transpac IV invasive recommended separation distance pressure transducers calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 2vP d 0 35VP 80 MHz to 800 MHz d 0 7VP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and animals a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretical
14. Screen Captures The SurgiVet Advisor controls all the functions of the Data Logger NOTE For more information about the Data Logger see the Veterinary Data Logger operation manual REF V1920 Data Logger Features Data Logger can perform the following functions Record trend data at regular intervals Capture record a 30 second primary ECG waveform image This records the primary topmost ECG only Capture a screen image that is a bitmap snapshot of the entire Advisor screen The Data Logger and Flash Card offer an improvement over current methods of transferring patient data from vital signs monitors to a personal computer e The Data Logger accumulates trend data from the SurgiVet Advisor Vital Signs Monitor onto a removable Flash Card The data then can be uploaded by the clinician to a personal computer The Flash Card helps improve clinical efficiency by making the transfer of trend data and screen snapshots portable eliminating reliance on a cable This is especially important in an environment where cable proliferation is a problem e The Data Logger eliminates the need to purchase a separate computer for the procedure area It also eliminates the inconvenience of wheeling a vital signs monitor from procedure area to personal computer System Requirements Smiths Medical PM Inc Veterinary Data Logger module connected to the serial port on a SurgiVet Advisor Advisor software ve
15. VITAL SIGNS HISTORY 5 RECORDING SCREEN IMAGE Procedure number Start or Stop Capture Mode to select ECG selectable up to 99 or Recording Waveform or Screen Image auto increments Capture Mode Capture mode allows the operator to use the PRINT key to capture record data snapshots to the Flash Card There are 3 capture menu options to record real time trends OFF Nothing will be recorded to the Flash Card when the PRINT key is pressed during a recorded session ECG TRACE A 30 second primary lead ECG Trace will be captured to the Flash Card when the PRINT key is pressed during a recorded session SCREEN IMAGE A bitmap file will be created on the Flash Card when the PRINT key is pressed during a recorded session The following are present only when the optional printer is installed ECG TRACE WITH PRINTING A 30 second primary lead ECG Trace will be captured to the Flash Card and an PRINT ALL printout on the Advisor printer will occur when the PRINT key is pressed during a recorded session SCREEN IMAGE WITH PRINTING A bitmap file will be created on the Flash Card and an PRINT ALL printout on the Advisor printer will occur when the PRINT key is pressed during a recorded session NOTE To avoid a paper print out when the print key is pressed select the appropriate option in the TREND CAPTURE MODE menu NOTE Flash Cards come preformatted so formatting is not always necessary before use Only format the SD Flash Card if it h
16. additional noise on the ECG signal e Highlight MAIN or PREVIOUS and push the knob to select 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 Connect the ECG cable to the monitor Align the key on the monitor s ECG receptacle with the notch in the ECG connector and push the connector firmly into the receptacle NOTE To remove the ECG cable grip the connector 8 2 and pull back firmly DO NOT pull on the ECG cable to remove the ECG connector from the monitor Connect the ECG cable Figure 8 2 Connect the ECG Cable Veterinary Advisor Operation Manual Chapter 8 ECG 4 To attach the ECG leads to the patient position three or five alligator clips in the standard configuration WARNING Electrodes of dissimilar metals should not be used Figure 8 3 Position the ECG Leads 3 lead 5 lead RA LA LL Inguinal Fold Left Leg 5 Be sure that the leads are in the correct ECG cable position The ECG leads and patient cable connector are color coded according to the AAMI standard for ECG leads Inguinal Fold Left Leg CAUTION Ensure conductive parts including electrodes of the patient cable do not come into contact with any conductive surfaces or earth parts ECG 3 LEAD ELECTRODE IDEN
17. aoa fowa oo Diastolichigh 14053 4063 laea T1502 H52 502 Fiasticlow 0 00 ooo 0o00 _ Nochange No change No change ah osa oss oss asea sea 15 42 00 ooo 0 00 No change No change No change 0 0 0 0 0 40 5 3 0 0 0 0 0 1063 0100 16 0 FDistcictow o e0 ooo fowo No cange No change No change 06an 20027 0 0 0 0 20 2 7 0 4 3 0 4 10 1 3 0 4 0 0 5 8 5 5 5 2 C meaniow 3 04 304 000 No change No change No change 0 0 0 0 0 t 7 0 7 3 3 3 70 90 35 0 0 0 0 0 0 0 0 0 0 0 CVP Mean high LA RA 704 boa xen ous 9 3 12 3 4 7 0 8 0 3 5 3 0 0 3 5 3 0 0 3 5 3 0 0 0 0 0 0 0 0 7 2 7 0 4 7 2 7 0 4 0 0 0 0 0 Diastolic high 160 21 3 160 21 3 120 16 0 20 2 7 20 2 7 20 42 7 0 0 0 4 4 2 3 2 3 Temperature T1 T2 TEMP LIMIT DEFAULTS oo o aw o oo a OOo oe O TEMP HIGH LIMIT 6 F F i 9 1 1 TEMP LOW LIMIT 38 1 C 100 6 38 1 C 100 6 37 5 C 99 5 F CoO Cel Cy ol ANETE 1 C F 1 C F 1 C F B 2 Veterinary Advisor Operation Manual Appendix B Alarm Limit Defaults Capnography CO CO LIMIT DEFAULTS SS a de RESP high limit 40 rpm 40 rpm 35 rpm RATE O ong kPa mmHg kPa mmHg kPa SACOM TCO hion imi 60 feo e1 fe jeo jer fso fso f
18. stop printing press the PRINT key on the monitor Highlight MAIN or PREVIOUS and push the knob to select Turn the rotary knob to choose YES and push the knob to select To stop printing press the PRINT key E NIBP LOG HISTORY Date 09 18 2004 Time 10 45 05 Bed THE ANIMAL CLINIC Patient DOG ID 555 5555 ajdwes aR 2 Q oO 3 oO 86 LL r 01 86 vE 7v 01 YH ZOdS 18 8 8 lve bbb lvl Huw wdq VIQ SAS 6 08 YOL Z6 ZOL 8 Huw dYN Figure 7 5 Print NIBP History Veterinary Advisor Operation Manual Chapter 7 Printing Automatic Printing You can set the Advisor Vital Signs Monitor to print automatically either at preset intervals or when an alarm occurs The monitor can automatically print a snapshot of a parameter s waveform whenever an alarm limit is violated If a measured value such as temperature cannot be traced in a waveform the ECG waveform will be printed instead The monitor can automatically print a non invasive blood pressure history as soon as an NIBP reading is taken You can also set your monitor to print patient data at regular intervals If the printer is in use printing a snapshot and the monitor initiates an automatic print job the snapshot will complete and then the automatic print job will begin If the printer is printing a continuous real time strip and the monitor initiates an automatic print job the continuous strip will be interrupted the
19. 12 Temperatu re Using the Temperature Parameter This chapter includes information specific to the temperature parameter Refer to chapters 4 7 for general step by step monitoring instructions The remainder of this chapter assumes that the monitor is properly installed and set up Temperature Measurement Capability Two independent channels of temperature T1 and T2 monitoring are available Each channel is compatible with Smiths Medical PM Inc YSI 400 series disposable temperature sensors or equivalent The measured value for each temperature channel T1 and T2 is displayed in the TEMP parameter box If the temperature channel is turned on and no measured value is available dashes will be displayed in the parameter box If the temperature channel is turned off the word OFF will be displayed next to the channel label T1 or T2 in the parameter box Measured value for Figure 12 1 Temperature Display temperature channel 1 T1 26 MAY 2004 1347 CAT AUTO RESET High and low alarm limits I ninda dadada eX onc Alarm limits for T1 displayed No measured value available for temperature channel 2 T2 TEMP alarm message T1 ALARMS T2 ALARMS DISPLAY UNITS T1 MONITOR T2 MONITOR T1 LIMITS C ON ON Temperature Warnings Cautions and Notes NOTE Use only temperature sensors and interface cables specifically intended for use with this device Veterinary Advisor Operation Manual 12 1 Chapt
20. D A I E A O D ORA ER EA CE ee ee eee eee eee ee Veterinary Advisor Operation Manual 14 5 Chapter 14 Serial and Analog Input Output Analog Output Description Four analog output channels are available corresponding to waveform traces 1 4 on the display The analog channels provide continuous output of the monitor s waveforms The monitor s analog outputs operate at all times When a trace is not connected the output is 5V Analog Output The monitor may be connected to the Life Sensing Instrument Company Inc HTS 820 Central Station for remote monitoring of patient status Analog Connector Figure 14 2 Analog Connector WARNING Do not connect the serial data cable DB9 to the SpO patient cable input This may compromise the patient electrical isolation which can result in injury or death WARNING Do not connect the SpO patient cable to the serial output connector The oximetry function will not operate WARNING The analog data output function has been tested to 30 48 m 100 ft Do not exceed this cable length Patient data may be corrupted or lost 14 6 Veterinary Advisor Operation Manual Chapter 14 Serial and Analog Input Output PIN NO SIGNAL Analog Channel 1 Serial Transmit Tx Serial Receive Rx Analog Channel 2 Digital Ground 5 Volts Analog Channel 4 Analog Ground Analog Channel 3 WOON AU HBRWHN gt Figure 14 3 Serial Analog Output Connector DB9 Central St
21. DIA or MAP If SYS ALARMS is on an alarm will be issued when the high or low alarm limit for systolic pressure is violated regardless of which set of alarm limits is displayed If you turn SYS ALARMS off and the high or low alarm limit is violated an alarm will not be issued When you turn off the monitor and turn it on again SYS DIA or MAP ALARMS will be reset to ON the default setting for each pressure value is ON Figure 10 6 NIBP Alarm Limits Indicates that the displayed alarm limits are for systolic pressure To turn on or off the alarm detection for each pressure value SYS DIA and MAP 1 Turn the rotary knob on the monitor to move the cursor Highlight the NIBP parameter box name and push the knob to access the NIBP parameter menu 2 Highlight ALARMS and push the knob to access the alarms submenu 3 Highlight each pressure value SYS DIA and MAP and choose ON or OFF for each one Push the knob to select To choose the pressure value alarm limits SYS DIA and MAP to be displayed in the NIBP parameter box a Highlight DISPLAY and push the knob to select b Choose SYS LIMITS DIA LIMITS OR MAP LIMITS and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select Choose the Interval for Automatic NIBP Measurements If you selected the automatic mode AUTO for NIBP measurements instead of MANUAL or STAT the monitor will measure the patient s NIBP periodically according to t
22. Do not clean the screen with isopropyl alcohol or glutaraldehyde These liquids can scratch the screen Use only water or a mild soap solution to clean the screen Clean the surfaces of the monitor with a soft cloth moistened in water or a mild soap solution If disinfecting is necessary wipe the surfaces of the monitor but not the screen with isopropyl alcohol or glutaraldehyde Then wipe the surfaces with a soft water moistened cloth Long term Storage If the monitor will be stored for along period of time pack the monitor and its accessories in the original packing materials and shipping carton The long term storage facility should meet these requirements Indoor From 40 to 75 C 40 to 167 F Relative humidity from 10 95 non condensing No periodic inspection required 15 2 Veterinary Advisor Operation Manual Chapter 15 Operator s Maintenance and Troubleshooting Operator s Troubleshooting Chart PROBLEM The AC power LED on the front of the monitor is not lit The monitor operates on AC power but not on battery power BATTERY CHARGING ERROR is displayed in the system message area POSSIBLE CAUSE The AC power cord is not connected to the monitor the AC line or both The AC power cord is connected to a wall outlet that is controlled by a wall switch The AC line fuse has blown fuse type 5 x 20 mm fast acting 1 6 A 250 V The battery is disconnected The battery is drained The
23. Menu Using the Purchased Options Feature The purchased options feature allows you to install options that you have purchased for your monitor To enable a purchased parameter or option 1 On the service menu highlight PURCHASED OPTIONS and push the knob to select 2 The options or parameters purchased for your monitor will be displayed 3 To enable or disable a purchased option turn the rotary knob to highlight the desired parameter or option such as 5 LEAD ECG and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select Using the Demo Mode WARNING While the demo mode is active no patient data is collected or analyzed Never attach a patient to the monitor while it is in demo mode The Advisor includes a demonstration mode to be used for training and sales activities Installed parameters including non invasive blood pressure are simulated when the demo mode is turned on All of the functions of the monitor will be simulated in the demo mode including alarms trends auto print and NIBP history To turn on the demo mode 1 On the service menu highlight DEMO MODE and push the knob to select 2 Turn the rotary knob to highlight YES and push the knob to select DEMO will be displayed red and flashing in the message area in the lower right corner of the display To turn off the demo mode 1 On the service menu highlight DEMO MODE and push the knob to select 2 Turn the rotary knob to
24. N Turn the rotary knob to access the patient ID box and push the knob to select the first character field w Turn the rotary knob to highlight the desired character and push the knob to select 4 Push the knob to select the next character field UI Turn the rotary knob to highlight the desired character and push the knob to select Repeat steps 4 and 5 until each character in the patient s ID is selected A patient ID may be up to 14 characters long 6 Highlight ENTER and push the knob to select Setup Menu On the SETUP menu you will find display settings that can be selected according to your preferences You can turn on or off the message line change the bed name and select new colors for the waveforms and parameter boxes You will also find the PARAMETER OPTIONS submenu which provides setup options associated with specific monitoring parameters 4 4 Veterinary Advisor Operation Manual Chapter 4 Setting up the Monitor Message Line The message line provides a brief description of the highlighted field or menu selection When the message line feature is turned on messages will be displayed directly above the menu at the bottom of the display The default setting for the message line is ON Turn On or Off the Message Line 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight MESSAGE LINE and push t
25. The measured values for capnography ETCO gt INCO and RR are displayed in the CO parameter box and a CO waveform can be continuously displayed Nitrous oxide compensation is selectable When the NO compensation is enabled the module adjusts the CO reading by an algorithm that assumes the concentration of NO is 40 and compensates accordingly 2 2 Veterinary Advisor Operation Manual Chapter 3 Controls and Features Chapter 3 Controls and Features Indicators and Displays with Embedded Submenus The monitor has a large high resolution high contrast color LCD display It provides a continuous real time display of up to four waveforms It also shows measured values chronological data measurement trends and alarm limits Patient Type ID and Patient Names Alarm Status Date and Time 26 MAY 2004 13147 CAT AUTO RESET 1 45 pee PAUSED 0 60 4 45 2X HR bpm I Parameter Box y J20 80 cl Waveform 92 oli n r r or Sr S am Waveform Label JPNN Sa SN Sa ji 60 97 i a a Ceo eG SPIS 113781 1447 89 m 372 3 T2 oF LS Printer and 0 40 Y mmH se 1 1 1 eee Message Line MAIN DISPLAY TEMP PARAMETER MENU LOW BATTERY Battery Status Main Menu Figure 3 1 Display DISPLAYS DESCRIPTION Patient Type You must select the patient type HORSE DOG or CAT before monitoring a patient When you change the patient type e Thealarm limits will be reset to their def
26. and prints backward in time so that the printed segment ends at the earlier hour and minute For example if you want to print the segment of trend data that was stored between 10 06 and 11 06 choose a start hour of 11 06 and a length of one hour a Turn the rotary knob to highlight START HOUR and push the knob to select b Turn the rotary knob to choose the latest or most recent hour in the segment of stored trend data that you want to print 11 in the previous example and push the knob to select Choose the hour as it is displayed in the vital signs box based on the 24 hour clock c Turn the rotary knob to highlight START MINUTE and push the knob to select d Turn the rotary knob to choose the latest minute of stored trend data to be printed 06 in the previous example and push the knob to select Choose the minutes as they are displayed in the vital signs box 5 Highlight INTERVAL and push the knob to select 6 Turn the rotary knob to choose the amount of time 30 seconds or 1 5 10 15 or 30 minutes between printed measured values and push the knob to select 7 Highlight desired interval of time and push the knob to select 8 Turn the rotary knob to choose the length of the segment to print 1 24 hours and push the knob to select 9 Highlight PRINT and push the knob to select 10 Turn the rotary knob to choose YES and push the knob to select To stop printing press the Print key on the monitor 11 Highlight MAIN
27. and reset all the high alarm limits to reflect each total Likewise the monitor will subtract the QUICKSET low QS LO numbers from the patient s current measured values and reset all the low alarm limits See the following example HIGH AND LOW ALARM PATIENT S CURRENT QUICKSET QUICKSET LIMITS AS RESET USING THE MEASURED VALUES NUMBERS FUNCTIONS QUICKSET FEATURE Heart rate 65 beats per minute QS HI 25 65 25 90 High 90 bpm bpm QS LO 25 65 25 40 Low 40 bpm Invasive Blood Pressure QS HI Systolic 20 118 20 138 High Systolic 138 mmHg IBP1 ART1 QS LO Systolic 15 118 15 103 Low Systolic 103 mmHg Systolic 118 mmHg QS HI Diastolic 10 80 10 90 High Diastolic 90 mmHg Diastolic 80 mmHg QS LO Diastolic 10 80 10 70 Low Diastolic 70 mmHg Mean Arterial Pressure 92 mmHg QSHI Mean Arterial 92 10 102 High Mean 102 mmHg Pressure 10 92 10 82 Low Mean 82 mmHg QS LO Mean Arterial Pressure 10 Oximetry 98 SpO QS HI NO CHG NO CHG High No change is made i QS LO 5 98 5 93 Low 93 The newly reset alarm limits will be displayed in the parameter boxes When an alarm occurs and you select QUICKSET VIOLATED ONLY the monitor will either add the QUICKSET high QS HI number or subtract the QUICKSET low QS LO number for the current measured value that exceeded the existing alarm limit and then reset the high or low alarm limit to reflect the total See the following example HIGH AND LOW ALARM LI
28. attached to the monitor Measured values for oxygen saturation SpO gt in the blood and peripheral pulse rate PPR will be displayed when the sensor is attached to the patient 2 Dual Temperature If the temperature and invasive blood pressure parameters are Connectors installed on your monitor the TEMP parameter box will appear on T2 left and T1 right the display when the patient connector is attached to the monitor A measured value for temperature TEMP will be displayed when the sensor is attached to the patient and the T1 MONITOR or T2 MONITOR menu option is turned on See Parameter Options in Chapter 4 Setting Up the Monitor for instructions for turning on T1 T2 MONITOR Dual Invasive If the temperature and invasive blood pressure parameters are Blood Pressure installed on your monitor the ART1 or PA2 parameter box will appear Connector IBP1 top on the display when the patient connector is attached to the monitor and IBP2 bottom ART1 and PA2 are the default measurement sites for IBP1 and IBP2 respectively See Change the Site Label in Chapter 11 Invasive Blood Pressure for details on changing the measurement sites Measured values for invasive blood pressure systolic diastolic and mean will be displayed when the sensor is attached to the patient See on next page Non Invasive The NIBP parameter box will always appear on the display Measured Blood Pressure values for non invasive blood pressure systolic di
29. battery is defective The battery is excessively drained or is defective CORRECTIVE ACTION Connect the AC power cord to the monitor and to the AC line Only connect the AC power cord to an outlet that is not controlled by a wall switch Contact your authorized repair center Connect the battery Charge the battery Contact your authorized repair center Disconnect the AC power cord and then reconnect it If the error message persists the battery is defective Contact your authorized repair center Battery run time is excessively The battery is spent Contact your authorized repair short on a fully charged battery center The display on the monitor does not light CHECK SENSOR is displayed in the SPO parameter box The peripheral pulse rate in the SPO parameter box is erratic intermittent or incorrect Veterinary Advisor Operation Manual The display backlight is defective The SpO sensor is improperly positioned on the patient You are using the improper SpO gt sensor for the application Either the SpO sensor or the patient cable is defective The SpO sensor is improperly positioned on the patient The patient is experiencing poor perfusion The patient is moving too much There is too much ambient light around the SpO sensor Contact the Smiths Medical PM Inc Veterinary Division service department Reposition the sensor on the patient Change the sensor
30. box name and push the knob to access the TEMP parameter menu 2 Highlight T1 MONITOR or T2 MONITOR and push the knob to select 3 Highlight ON or OFF and push the knob to select 4 Highlight MAIN MENU and push the knob to select TEMP Alarms A temperature alarm will be issued when the numeric measured value for temperature matches or exceeds the alarm limits set forT1 or T2 or when there is a malfunction with the temperature sensor See Set the Alarm Limits in Chapter 5 Monitoring the Patient for instructions for setting high and low alarm limits During a temperature alarm an audible alarm tone will sound and ALARM will appear in the alarm status line at the top of the display In the TEMP parameter box a message may be displayed describing the alarm condition and when applicable the violating measured value and violated alarm limit will flash Temperature alarms are categorized as medium priority ALARM CONDITION INDICATION HIGH TEMP Audible medium priority alarm yellow temperature value in the TEMP parameter box LOW TEMP Audible medium priority alarm yellow temperature value in the TEMP parameter box COM ERROR Audible medium priority alarm message in the TEMP parameter box Temperature Alarm Messages The following message can be displayed in the TEMP parameter box ALARM MESSAGE POSSIBLE CAUSE CORRECTIVE ACTION COM ERROR This message is displayed in Contact your authorized repair the TEMP parameter box when c
31. cable must be used if 3 Lead processing is selected A five lead ECG cable must be used if 5 Lead processing is selected Using the incorrect cable for the selected mode might lead to a floating reference or additional noise on the ECG signal 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 Oximetry Warnings Cautions and Notes WARNING Prolonged use or the patient s condition may require changing the sensor site periodically Change the sensor site and check skin integrity circulatory status and correct alignment at least every 4 hours 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 WARNING Using a damaged sensor may cause inaccurate readings possibly resulting in patient injury or death Inspect each sensor If a sensor appears damaged do not use it Use another sensor or contact your authorized repair center for help WARNING Using a damaged patient cable may cause inaccurate readings possibly resulting in patient injury or death Insp
32. center for help CAUTION If the integrity of the protective earth conductor is in doubt operate the monitor using its internal power source if the installed internal rechargeable battery is installed 3 Plug the AC power cord into the power connector on the back of the monitor 4 Plug the other end of the AC power cord into a grounded three wire hospital grade outlet 5 Verify that the front panel AC Power LED Dis lit WARNING Do not plug the monitor into an outlet controlled by a wall switch 6 Press the ON OFF key to turn on the monitor a The display will light up the monitor will begin a brief system check and then automatically enter the monitoring mode NOTE The monitor performs a number of system checks during its start up time If the monitor detects an error with its internal circuitry a message is displayed and the monitor will not enter the monitoring mode Veterinary Advisor Operation Manual 4 1 Chapter 4 Setting up the Monitor Select the Patient Type The patient type indicator is located on the upper portion of the display The default patient type is DOG When you change the patient type e The alarm limits will be reset to their default settings unless STATIC LIMITS mode is on NIBP inflation pressure settings will be reset for a cat dog or horse For example the default cat NIBP inflation pressure setting is 200 mmHg the default dog NIBP inflation pressure setting is 150 mmHg the default
33. choose OFF Turn the rotary knob to move the cursor back to the name of the measured value and push to select 10 Highlight MENU in the alarm limit box and push the knob to select 11 Highlight MAIN MENU and push the knob to select Use these Features as Needed Responding to an Alarm 1 2 When a numeric measured value matches or exceeds the high or low limit set for that parameter an alarm is issued An audible alarm tone will sound ALARM will appear in the alarm status line and the violating measured value and violated alarm limit will flash in the parameter box The alarming action will cease when the measured value is once again within the alarm limits Your monitor will either be set to automatically stop alarming as soon as the measured value returns to within the alarm limits or it will require you to manually acknowledge the alarm by pressing the alarm silence key See Select the Alarm Reset Operation in Chapter 17 Service Menu for instructions for choosing AUTO RESET or MANUAL RESET NOTE Only qualified personnel may set the automatic or manual alarm silence or enable indefinite 3 alarm silence See Chapter 17 Service Menu for details regarding alarm reset and silence For MANUAL RESET alarms if the measured value returns to within the alarm limits before you press the alarm silence key a flashing up or down arrow will be displayed next to the measured value to indicate the violation and th
34. cuff stethoscope auscultation method within the limits prescribed by the American National Standard Electronic or Automated Sphygmomanometers AAMI SP10 1992 NOTE Mean arterial blood pressure measurements determined with this device are equivalent to those obtained by an intra arterial blood pressure measurement device as determined by Smiths Medical PM Inc 10 2 Veterinary Advisor Operation Manual Chapter 10 Non invasive Blood Pressure NIBP Theory of Operation The Advisor Vital Signs Monitor uses oscillometric principles to calculate the systolic diastolic and mean arterial pressure values from the blood pressure cuff When the blood pressure cuff is inflated it creates an occlusion of the artery on the limb being used The cuff is then deflated by a set amount of pressure in the cuff When an oscillometric pulse is identified another similar pulse must also be identified and measured before it steps down again This method of measuring blood pressure ensures the measurement is a true measurement and not a change in the cuff due to motion If the measurement is not reproduced a second time it is not recorded and the pressure is stepped down Once two identical oscillations are obtained the cuff deflates In other words it will only capture readings that are reproduced if there are no similar oscillations at that pressure the reading is discarded as artifact This type of oscillometric technology is more motion tolerant and gene
35. displaying dashes under certain clinical conditions Updated the Oximetry Theory of Operation Added Checking the Oximeter s Performance section Added 2 notes about SpO2 averaging to Choose the Averaging Period for the Oximetry Parameter section in Chapter 9 Updated the NIBP Theory of Operation Added note about the moisture trap being able to run over 50 hours without occluding to Chapter 13 Added information about the optional Data Logger to end of Chapter 14 Added part WWV3418 to Optional Supplies and Accessories List Added Alarm Volume Spec Updated ECG Input Impedance Added Atmospheric Pressure spec to Capnograph specs Added Desat study information to SpO2 Accuracy spec Updated NIBP specs Veterinary Advisor Operation Manual D 1 Appendix D Revision History REVISION DATE COMMENT Rev 2 2006 09 e Updated Line Art Updated SurgiVet symbol on front cover Added trademark and patent information to Table of Contents Updated Warranty Section Updated symbol definitions in Chapter 1 Added WEE Rx Only Graphical Recorder and Use By symbols to symbol chart in Chapter 1 Updated Attaching the Patient instructions in Chapter 8 Updated instructions to Adjust the Volume of the Heartbeat Beep Tone in Chapter 8 Added V3110 and V3406 to parts needed in Verifying ECG Calibration in Chapter 8 Updated sensor chart in Chapter 9 Changed rectal sensor to reflectance sensor everywhere Removed informati
36. e When the high and low alarm limits are correct and clinically appropriate for your patient highlight MENU in the alarm limit box and push the knob to select f Highlight MAIN MENU and push the knob to select To use the QUICKSET feature to reset an alarm limit for a measured value that matched or exceeded the existing alarm limit 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight QUICKSET and push the knob to select N Highlight QUICKSET VIOLATED ONLY and push the knob to select If an alarm limit was reset the alarm limit box will appear displaying the reset high or low alarm limit If no change was made the main menu will reappear on the display This may be the case if no alarm limits were violated if the new QUICKSET values are the same as the old ones or if NO CHG no change was selected for the QUICKSET limit 3 If the new limit is correct and clinically appropriate for your patient highlight MAIN MENU and push the knob to select 4 If the new limit is not correct and clinically appropriate for your patient a Turn the rotary knob to highlight the name of the incorrect measured value and push the knob to select b Highlight the incorrect high HI or low LO limit and push the knob to select c Turn the rotary knob to choose the desired value and push the knob to select d Turn the rotary knob to move the cursor back to the name of the measured val
37. each patient type are installed in your monitor You cannot change the factory default alarm limits You can however change the active and or default alarm limits back to the clinically appropriate factory default limits To restore the factory limits default values select SETUP SERVICE MENU MONITOR DEFAULTS DEFAULT PARAMETER ALARM LIMITS and then RESTORE FACTORY LIMITS AS UNIT DEFAULTS When the static limits feature is off and you change high and low alarm limits in the alarm limits box these limits will only be applied until you change the patient type or turn the monitor off and then on again At that time the monitor will use the default alarm limits When the static limits feature is on and you change high and low alarm limits in the alarm limits box or the default alarm limits box or you restore the factory default alarm limits these limits will be applied immediately If you change the patient type or turn off the monitor and then turn it on again the changes in the alarm limits will be retained in the alarm limit box and the default alarm limit box Note that when the static limits feature is on or off only the parameters that are enabled or turned on will be displayed in the alarm limits box All of the parameters and their alarm limits are displayed in the default alarm limit box The default setting for the static limits feature is ON To turn the static limits feature on or off 1 On the service menu highlight STATIC L
38. electro static discharge interference do not use cables that incorporate metal or metal coated connectors Medical electrical equipment including this device needs special precautions regarding electro magnetic compatibility EMC and needs to be installed and put into service according to the EMC information provided in this manual Veterinary Advisor Operation Manual WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING Chapter 1 Introduction There is no defibrillator synchronization output on the monitor Make no connections between the monitor and a defibrillator This monitor will not operate effectively on patients who are experiencing convulsions or tremors This monitor is not for home use The monitor should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the monitor should be observed to verify normal operation in the configuration in which it will be used This monitor is not for apnea detection The monitor has not been tested or validated for use in apnea detection Verify proper operating mode before attaching patient See Select the Patient Type in Chapter 4 Setting Up the Monitor Default alarm limits are provided for convenience Verify that alarm limits are appropriate for given patient and condition a
39. highlight NO and push the knob to select e The monitor will return to normal operating conditions and will collect patient data When the demo mode is turned off the demo options menu is not available from the setup menu Auto Detectable Parameters You can turn on or off the auto detectable parameters such as oximetry SPO5 invasive blood pressures IBP1 and IBP2 and temperature T1 and T2 using the demo options menu available on the SETUP menu To turn on or off auto detectable parameters 1 Turn the rotary knob on the monitor to move the cursor Highlight SETUP and push the knob to access the setup menu Highlight DEMO OPTIONS and push the knob to select Turn the rotary knob to highlight the desired parameter and push the knob to select Turn the rotary knob to highlight YES or NO and push the knob to select Highlight MAIN or PREVIOUS and push the knob to select nan A WwW N Using the CO Service Menu This menu is intended for service personnel Contact your authorized repair center for help 17 8 Veterinary Advisor Operation Manual Chapter 18 Specifications Chapter 18 Specifications Display 10 4 inch diagonal high resolution active color LCD Resolution 640 X 480 pixels Indicators LEDs AC Power D green with power plug icon Battery Charge green with battery icon If optional Data Logger installed Display Icons Recording Trends Recording Primary ECG Waveform Recording Scre
40. is displayed in the CO2 parameter box when you select the QUIT CAL option from the CO2 parameter menu QUIT CAL is only available on the menu when a calibration is in progess The module cancels the calibration 13 14 Veterinary Advisor Operation Manual Chapter 13 Capnography Calibrating the Capnography Module The capnography module must be calibrated or set to zero to ensure that the end tidal CO ETCO gt and inspired CO INCO gt measurements are accurate Calibrate the capnography module about once a month NOTE Use only the calibration gas canister and flow regulator supplied with or specifically intended for use with this device See Chapter 16 Optional Supplies and Accessories for information about ordering calibration gas The capnography module has two user controlled calibration procedures low calibration LOW CAL and high low calibration HILO CAL The LOW CAL procedure resets the baseline measurement for CO to zero You can perform a low calibration while the patient is attached because a three way valve closes the patient inlet and opens to room air A HILO CAL procedure should be performed after the capnography parameter has been on for at least 15 minutes The HILO CAL requires the delivery of a gas mixture from a canister The capnography module includes two automatic calibration procedures auto calibration LOW CAL and auto zero calibration AUTO ZERO The monitor initiates an auto LOW CAL when no new a
41. it on again a Turn the rotary knob on the monitor to move the cursor Highlight the ECG parameter box name and push the knob to access the ECG parameter menu b Highlight ECG MONITOR and push the knob to select c Highlight OFF and push the knob to select d Turn the rotary knob on the monitor to highlight ON and push the knob to select e Turn the rotary knob to highlight MAIN MENU and push the knob to select If the alarm condition persists turn off the monitor and then turn it on again a Press the On Off key on the front of the monitor A message will be displayed indicating that if you continue to power down some configuration data will be lost b Press the key again to turn off the monitor c Press the key once more to turn on the monitor If condition persists please contact your authorized repair center for help 8 10 Veterinary Advisor Operation Manual Chapter 8 ECG RA FAIL This message is displayed in the ECG parameter box when either the RA lead fails or the RA and V leads fail during 5 lead processing During an RA FAIL alarm lead III is displayed in Waveform 1 All other ECG waveforms are erased This is a low priority alarm LA FAIL This message is displayed in the ECG parameter box when either the LA lead fails or the LA and V leads fail during 5 lead processing During an LA FAIL alarm only lead II is displayed in Waveform 1 All other ECG waveforms are erased This is a low priority a
42. knob to access the vital signs menu Highlight PRINT ALL TRENDS and push the knob to select Turn the rotary knob to choose YES and push the knob to select To stop printing press the PRINT key on the monitor To print a segment of the stored tabular trend data 1 N w Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select Highlight TABULAR VITAL SIGNS and push the knob to access the vital signs menu Highlight PRINT REPORT and push the knob to access the printing submenu Choose the time segment of stored trend data that you want to print Note that the trend report begins at the later or more recent hour and minute and prints backward in time so that the printed segment ends at the earlier hour and minute For example if you want to print the segment of trend data that was stored between 10 06 and 11 06 choose a start hour of 11 06 and a length of one hour a Turn the rotary knob to highlight START HOUR and push the knob to select b Turn the rotary knob to choose the latest or most recent hour in the segment of stored trend data that you want to print 11 in the previous example and push the knob to select Choose the hour as it is displayed in the vital signs box based on the 24 hour clock c Turn the rotary knob to highlight START MINUTE and push the knob to select d Turn the rotary knob to
43. monitor and turn it on again T1 or T2 ALARMS will be reset to ON the default setting for each is ON To turn on or off the temperature alarm detection 1 Turn the rotary knob on the monitor to move the cursor Highlight the TEMP parameter box name and push the knob to access the TEMP parameter menu 2 Highlight T1 ALARMS or T2 ALARMS and push the knob to select 3 Choose ON or OFF and push the knob to select 4 Highlight MAIN MENU and push the knob to select Choose the Units of Measurement You can choose to display the temperature in degrees Celsius C or degrees Fahrenheit F The units of measurement can also be changed using the parameter options menu See Change the Units of Measurement in Chapter 4 Setting Up the Monitor for details To change the unit of measurement for temperature using the TEMP parameter box 1 Turn the rotary knob on the monitor to move the cursor Highlight the TEMP parameter box name and push the knob to access the TEMP parameter menu 2 Highlight UNITS and push the knob to select 3 Highlight MAIN MENU and push the knob to select 12 2 Veterinary Advisor Operation Manual Chapter 12 Temperature Turn a Temperature Channel On or Off You can turn on or off the measured value for temperature displayed in the TEMP parameter box The default setting is ON To turn on or off a temperature channel 1 Turn the rotary knob on the monitor to move the cursor Highlight the TEMP parameter
44. or PREVIOUS and push the knob to select Veterinary Advisor Operation Manual 5 11 Chapter 5 Monitoring the Patient Non Invasive Blood Pressure NIBP Readings The monitor stores up to 150 non invasive blood pressure NIBP readings To display the non invasive blood pressure NIBP history 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight NIPB HISTORY and push the knob to access the NIBP history box 3 Highlight the available menu options and push the knob to select To view all of the stored NIBP readings for the entire monitored period up to 26 hours 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight NIPB HISTORY and push the knob to access the NIBP history box 3 Turn the rotary knob to highlight SCROLL f and push the knob to select 4 Turn the rotary knob and the trend data will scroll up and down in the NIBP history box 5 To return to the menu push the knob again Erasing NIBP History To erase the stored NIBP history from the monitor s memory 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight NIPB HISTORY and push the knob to access the NIBP history box 3 Turn the ro
45. or contact the Smiths Medical PM Inc Veterinary Division service department Change the sensor or contact the Smiths Medical PM Inc Veterinary Division service department Reposition the sensor on the patient Reposition the sensor on the patient Make sure that the patient remains still Shield the SpO sensor with a towel 15 3 Chapter 15 Operator s Maintenance and Troubleshooting PROBLEM There is no peripheral pulse registering on the bargraph in the SPO parameter box The ECG leads and electrodes are connected but no ECG waveform or messages are displayed LEADS FAIL is displayed in the ECG parameter box The CO readings are inaccurate 15 4 POSSIBLE CAUSE The SpO sensor is not connected to the monitor or to the patient The SpO sensor is improperly positioned on the patient The patient is experiencing poor perfusion Either the SpO sensor or the extension cable is defective The ECG parameter is turned off One or more of the ECG leads is not connected to the electrode or the ECG patient cable One of the ECG leads is broken creating high impedance The electrode s impedance is too high The capnography module is out of calibration The atmospheric pressure changed dramatically while the monitor was in use The sample line is punctured or not connected properly or there is a poor patient connection N20 Compensation is on when it is not require
46. setting is mmHg kPa mmHg X 0 133 mmHg kPa 0 133 CO can be changed to millimeters of mercury mmHg kilopascals kPa or percent volume The default setting is mmHg The units apply to both end tidal ETCO and inspired INCO CO can be changed only if the capnography parameter is installed on your monitor 6 Highlight MAIN or PREVIOUS and push the knob to select Bed Name While specific patient identification information is expected to change the bed or room to which the monitor is assigned may remain the same The BED NAME menu option makes it possible to associate a room or bed with the monitor without respect to any particular patient To change the bed name 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select N Highlight BED NAME and push the knob to select w Turn the rotary knob to access the bed name box and push the knob to select the first character field 4 Turn the rotary knob to highlight the desired character and push the knob to select on Push the knob to select the next character field 6 Turn the rotary knob to highlight the desired character and push the knob to select Repeat steps 5 and 6 until each character in the bed name is selected The bed name can include up to 14 characters N Highlight ENTER and push the knob to select Veterinary Advisor Operation Manual 4 7
47. the temperature and humidity ranges listed above Veterinary Advisor Operation Manual 18 7 Chapter 18 Specifications Design Standards Safety EN60601 1 EN60601 1 1 UL2601 CSA Standard C22 2 No 601 1 EMC EN60601 1 2 2001 FDA Reviewer s Guidance for Resp Devices Nov 93 DEVICE AAMI EC13 IEC 60601 2 27 ECG AAMI SP10 IEC 60601 2 30 NIBP IEC 60601 2 34 IP EN865 SpO EN475 Alarms EN864 CO IEC 60601 2 49 Multifunction Patient Monitoring Equipment Equipment Classification Type of Protection Class 1 amp Internally Powered Degree of Protection Type CF defib protected Against Electric Shock Mode of Operation Continuous Degree of Protection IPX1 drip proof against ingress of liquids Degree of Mobility Portable Safety Requirements EN60601 1 2002 18 8 Veterinary Advisor Operation Manual Appendix A ECG Technical Reference Appendix A ECG Technical Reference Tall T Wave Rejection Capability With a standard 1 mV p p QRS having a T wave amplitude of 0 to 1 2 mV 0 to 120 of R wave height the displayed heart rate remains correct Heart Rate Averaging Method and Display Update Rate The rate digit display is updated every second Rate averaging is accomplished using a box car method as follows Let n the averaging interval 8 seconds Each second the oldest 1 n data points are discarded and replaced with the latest 1 n points Then all the points are summed and divided by n The resulti
48. the hose and cuff for leaks Replace the cuff Contact your authorized repair center for help Be sure the patient remains still during NIBP measurement Do not remove the cuff until the measurement is complete Try the reading again Reposition the cuff over the artery Check the patient s condition Try the reading again Contact your authorized repair center for help 10 11 Chapter 10 Non invasive Blood Pressure ALARM MESSAGE POSSIBLE CAUSE CORRECTIVE ACTION NIBP CAL ERROR This message is displayed in the Contact your authorized repair NIBP parameter box when there center for help isa malfunction during the NIBP calibration procedure This is a low priority alarm VALVE ERROR This message is displayed in the Contact your authorized repair NIBP parameter box when the cuff center for help does not deflate properly there may be malfunction with the dump valve This is a low priority alarm NIBP CALIBRATION This message is displayed in Contact your authorized repair the NIBP parameter box when center for help NIBP calibration verification is in progress NOTE There are no user serviceable adjustments for the NIBP calibration If the monitor appears to be out of calibration contact your authorized repair center for help 10 12 Veterinary Advisor Operation Manual Chapter 11 Invasive Blood Pressure Chapter 11 Invasive Blood Pressure Using the IBP Parameter This chapter includes informatio
49. to display the ECG waveform and calculate the ECG heart rate Using the ECG Parameter This chapter includes information specific to the ECG parameter Refer to chapters 4 7 for general step by step monitoring instructions The remainder of this chapter assumes that the monitor is properly installed and set up Attaching the Patient NOTE NOTE NOTE NOTE 1 AAMI three lead or five lead ECG wires discharge correct for the type of ECG cable being used Choose 3 lead or 5 lead ECG processing Follow institutional standards when applying ECG electrodes The ECG cable uses a standard AAMI three lead or five lead ECG connector Use only standard The monitor is protected against damage from defibrillator diathermy and electrocautery Ensure the ECG LEADS PROCESSING setting in the SETUP menu under PARAMETER OPTIONS is a Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select b Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu c Highlight ECG LEADS PROCESSING and push the knob to select d Highlight 3 lead or 5 lead and push the knob to select CAUTION A three lead ECG cable must be used if 3 Lead processing is selected A five lead ECG cable must be used if 5 Lead processing is selected Using the incorrect cable for the selected mode N w might lead to a floating reference or
50. to move the cursor Highlight the CO2 parameter box name and push the knob to select Highlight HILO CAL and push the knob to select Turn the rotary knob to highlight YES and push the knob to select The monitor will first do a low calibration After a short time the message TURN GAS ON will be displayed in the CO2 parameter box Quickly open the flow control valve on the calibration gas canister The valve must be fully opened in less than 30 seconds When TURN GAS OFF is displayed in the CO2 parameter box close the flow control valve of the calibration gas canister When the calibration procedure is finished CAL DONE will be displayed in the CO2 parameter box Change the units of measurement for CO to percent concentration as follows Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu Highlight CO2 UNITS and push the knob to select Highlight the desired unit and push to select Highlight MAIN or PREVIOUS and push the knob to select Verify the accuracy of the calibration by opening and closing the flow control valve on the calibration gas canister at a rate of approximately 15Hz on for two seconds off for two seconds Repeat this for 4 8 on off cycles Verify that the ETCO gt reading in the CO2 parameter box indicates 10
51. 0 CO 0 4 9 6 10 4 Disconnect the calibration gas fixture If the calibration procedure is unsuccessful a message will be displayed in the CO2 parameter box The capnography parameter will revert to the last successful calibration data and resume operation 13 16 Veterinary Advisor Operation Manual Chapter 14 Serial and Analog Input Output Chapter 14 Serial and Analog Input Output The Advisor Vital Signs Monitor provides an optional RS 232C compatible serial output channel Serial Output Connector Figure 14 1 Serial Output Connector ea eS aac e a A Real Time Numeric Serial Output To acquire data using the REAL TIME NUMERIC CSV or comma separated values serial output protocol 1 To acquire data using the REAL TIME NUMERIC CSV serial output protocol a g Turn the rotary knob on the monitor to move the cursor Highlight SETUP and push the knob to access the setup menu Highlight SERVICE MENU and push the knob to select Turn the rotary knob to access the password box and push the knob to select the first character field Turn the rotary knob to highlight the desired character and push the knob to select The factory installed password is ADVISOR Push the knob to select the next character field Turn the rotary knob to highlight the desired character and push the knob to select Repeat steps d and e until each character in the password is sel
52. 2 Choose the waveforms to be displayed 3 Adjust the settings in the parameter boxes 4 Set the high and low alarm limits 5 Use these features as needed Silence an alarm Use QUICKSET alarms NIBP mode Suspend mode Freeze mode Trends Printing Attach the Patient Attach the patient to the desired sensors and connect the sensor cables to the monitor Some parameters will automatically turn on when the sensor cable is connected to the monitor and the related parameter box will appear on the display Others require you to turn on the parameter box using the SETUP menu and the PARAMETER OPTIONS submenu Refer to the chapters dedicated to each parameter for details regarding sensors and specific parameter box functions Adjust the Waveforms Settings Choose the waveforms to be displayed in positions 2 4 and adjust the settings for each waveform Turn the rotary knob on the monitor to move the cursor Highlight the waveform label and push the knob to access the waveform menu in the lower left corner of the display The settings available for the selected waveform will be displayed e Waveform 1 is dedicated to the primary ECG lead although you can specify which lead is to be the primary e Waveform 2 defaults to the CO waveform It can be assigned to another ECG lead in five lead mode only a cascade continuation of the primary ECG lead waveform or a waveform from any other enabled parameter Veterinary Advisor Operatio
53. 3 Chapter 10 Non invasive Blood Pressure Figure 10 2 Attach the Cuff a Squeeze all the air out of the cuff b Place the cuff on a limb at the same level as the heart The SurgiVet logo should be facing up away from the patient The width of the cuff should be approximately 30 60 of the circumference of the limb You do not need to align the cuff along an artery c Wrap the cuff around the limb and secure the Hook amp Loop closure 3 Connect the NIBP supply hose to the monitor WARNING Make sure that hoses are not kinked compressed or restricted Figure 10 3 Connect the NIBP Supply Hose LFV Connect the NIBP Supply Hose 4 Connect the cuff to the supply hose The NIBP parameter box is always displayed measured values will appear as soon as a blood pressure measurement is taken 10 4 Veterinary Advisor Operation Manual Chapter 10 Non invasive Blood Pressure Figure 10 4 Connect the Cuff the the Supply Hose 5 Be sure the patient type CAT DOG or HORSE is appropriate for the patient See Select the patient type in Chapter 4 Setting Up the Monitor for instructions for setting the patient type 6 If necessary add the patient information to the monitor See Add a new patient in Chapter 4 Setting Up the Monitor for instructions for adding a patient NOTE When a new patient is added to the monitor all previous patient information includi
54. Advisor Operation Manual 1 7 Chapter 1 Introduction WARNING Under certain clinical conditions pulse oximeters may display dashes if unable to display SpO and or pulse rate values Under these conditions pulse oximeters may also display erroneous values These conditions include but are not limited to patient motion low perfusion cardiac arrhythmias high or low pulse rates or a combination of the above conditions Failure of the clinician to recognize the effects of these conditions on pulse oximeter readings may result in patient injury CAUTION Unplug the sensor from the monitor before cleaning or disinfecting NOTE Obstructions or dirt on the sensor s red light or detector may cause a sensor failure Make sure there are no obstructions and the sensor is clean NOTE If the oximeter parameter is being monitored 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 NOTE The low SpO alarm limit minimum test value is 85 If you change the low SpO alarm limit toa value less than 85 and then change the patient type add a new patient or power down power up the monitor a minimum value of 85 takes the place of the value you entered Non invasive Blood Pressure Warnings Cautions and Notes WARNING Blood pressure measurements may be inaccurate if cuffs and or hoses other than those specified by Smiths
55. Advisor Vital Signs Monitor Operation Manual 26 MAY 2004 13147 CAT TRN AUTO RESET 1 45 PASEI PATIENT ID I y 113 81 89 prio ALARMS PRINTER TRENDS SETUP QUICKSET SUSPEND RAGDE FREEZE J English Catalog Number V1886R Version 4 March 2009 2009 Smiths Medical family of companies All rights reserved smiths medtcal Table of Contents Table of Contents Warranty and Service Information esssssessossssosssosessosssoosssosesooessosessosesosessosssoesssosesossssossssee Xi Proprietary Notice Waranty cssscsdccuscssieadecesscustrssesossses tvevbonsn0sssnssvubenassitscedysrhscedistesadavsslosncyisensseasnndgnossidsnnstveasdodshissnunnetdepsasshcisnesstssstosteuacbsGva doesstvastesseineoessens i Limited Waran sescescsssticeessedeciatis asta decsends deneseeeianevarestannanieaacesienntiiaaaaaeatdamaaea a inaaeea O R R xi Loaner Device Domestic Sales Only sssssscsssscsssecssesssnssessscessesssseecssecssscecssecssuccesnecsssecessecsssecesseessscesaeesusecssssceseeceasecsseeesss xii Disclaimer Of Warranties insna aAa AA AR NRA E NAi xii Conditions of Wanani sessiossa R A xii Limitatiomof Remedies cssnensniansennsmunensoniinsnna i a a i E EETA xii Warranty POCO UNO sccscscsedscucetinsccoassncendvecsosassscusvecsossscechsvectevcusachaset ents ecestaseceasvesenssesictaystensyvscuissshettvesosssestenis S xiii CE NOUCG isste secretes crstieadeentistiaadieca sina teva duetaueaessenai
56. Alarm Range High Low INCO Alarm Range Atmospheric Pressure Respiration Rate CO Range Accuracy Averaging Display Update Rate RESP Alarm Range High Low Veterinary Advisor Operation Manual Chapter 18 Specifications Non Dispersive IR absorption Manual 2 point 0 10 CO STPD standard temperature pressure dry 0 100 mmHg 0 14 kPa 0 10 CO 1 Hz for CO values 120 Hz for waveform 2 mmHg or 4 of reading whichever is greater 0 10 CO gt lt 0 3 vol CO gt 24 hours 400 milliseconds average 1 8 seconds average 2 1 seconds average 3 minutes average Selectable 40 default OFF 4 breath 150 ml min 20 ml 0 100 mmHg 1 mmHg steps and OFF 0 14 kPa 0 1 kPa steps and OFF 0 10 0 CO 0 1 steps and OFF 0 100 mmHg 1 mmHg steps and OFF 0 14 kPa 0 1 kPa steps and OFF 0 10 0 CO 0 1 steps and OFF 0 100 mmHg 1 mmHg steps and OFF 0 14 kPa 0 1 kPa steps 0 10 0 CO 0 1 steps 525 mmHg altitude 10 000 feet to 760 mmHg altitude sea level 0 150 breaths per minute rpm 1rpm 4 breath average 1 Hz 3 120 rpm 1 rpm steps and OFF 3 120 rpm 1 rpm steps and OFF 18 3 Chapter 18 Specifications Oximeter SpO Range SpO Accuracy Pulse Rate Range Pulse Rate Accuracy Display Response Calibration SpO Alarm Ranges High Low SpO gt Averaging Sensors 0 100 Functional Saturation 2 70 100 lt 70 uns
57. BP1 or IBP2 connector Alarms may be tested while the monitor is in use by setting alarm limits such that the measured value is outside the limits Return the alarm limits to their clinically appropriate settings after testing Veterinary Advisor Operation Manual Chapter 5 Monitoring the Patient To set the high and low alarm limits 1 N w Sz o N 9 Be sure that the sensor for each parameter is connected to the monitor and where applicable that the parameter or measured value ECG RESP CO2 T1 and T2 is turned on using the SETUP menu and the PARAMETER OPTIONS submenu Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight ALARMS and push the knob to select Highlight CHANGE CURRENT ALARM LIMITS and push the knob to access the alarm limit box Highlight the name of each measured value and push the knob to select Highlight the high alarm limit HI and push the knob to select Turn the rotary knob to choose the desired value and push the knob to select If you do not want a high alarm value choose OFF For example the measured value for SpO will not exceed 100 percent select OFF and no alarm will be issued for a high SpO value Turn the rotary knob to highlight the low alarm limit LO and push the knob to select Turn the rotary knob to choose the desired value and push the knob to select If you do not want a low alarm value
58. C No Change No Change No Change Oximetry SPO LIMIT DEFAULTS po cat og Hse O SPO HIGH LIMIT SPO LOW LIMIT Non invasive Blood Pressure NIBP NIBP LIMIT DEFAULTS Pe cae Hose yey re Reg RT be High 200 mmHg 180 mmHg 130 mmHg 26 7 kPa 24 0 kPa 17 3 kPa Low 90 mmHg 70 mmHg 80 mmHg 12 0 kPa 9 3 kPa 10 7 kPa QUICKSET high 20 mmHg 20 mmHg 10 mmHg value 2 7 kPa 2 7 kPa 1 3 kPa QUICKSET ow value Pwo Mem Ahem High 105 mmHg 90 mmHg 90 mmHg 14 0 kPa 12 0 kPa 12 0 kPa L 40 mmHg 35 mmHg 60 mmHg 5 3 kPa 4 7 kPa 8 0 kPa ease High 110 mmHg 125 mmHg 70 mmHg PRESSURE LIMITS 14 7 kPa 16 7 kPa 9 3 kPa L 60 mmHg 60 mmHg 20 mmHg 8 0 kPa 8 0 kPa 2 7 kPa QUICKSET high 10 mmHg 10 mmHg 5 mmHg value 1 3 kPa 1 3 kPa 0 7 kPa Veterinary Advisor Operation Manual B 1 O O w QUICKSET high 10 mmHg 10 mmHg 5 mmHg value 1 3 kPa 1 3 kPa 0 7 kPa w Appendix B Alarm Limit Defaults Invasive Blood Pressure SITE ALARM LIMIT LIMIT DEFAULTS LABEL mmHg kPa QUICKSET VALUES og Hose ca Dog f Hore ART Systolic high 200 26 7 160 21 3 130 17 3 20 42 7 20 42 7 10 1 3 Diastolic high 105 14 0 12 0 90 12 10 41 3 10 1 3 5 40 7 l Diastoliclow 4063 sen Jow Mean high 110 14 7 105 14 0 70 9 3 10 1 3 10 1 3 5 0 7 20027 at i i high 40 53 2 wea 2 i i i 6
59. CHANGE WERIFY NIBP STATIC LIMITS FACTORY SERVICE PREVIOUS DEFAULTS PASSWORD CALIBRATION ON MENU me Figure 4 Service Menu 4 Select MONITOR DEFAULTS in the Service Menu 5 Scroll to the SERIAL OUTPUT MODE menu item then select FLASH CARD DATA LOGGER to enable Data Logger functions MAIN J DEFAULT PARAMETER ECG FILTER LANGUAGE ALARM AUDIO SILENCE OPERATION mp PREVIOUS ALARM LIMITS 60 HZ ENGLISH TEMPORARY AND INDEFINITE MAIN ALARM AUDIO SILENCE OPERATION RESET ALARMS SERIAL OUTPUT MODE PREVIDUS TEMPORARY AND INDEFINITE AUTO FLASH CARD DATA LOGGER Figure 5 Monitor Defaults Menu Veterinary Advisor Operation Manual 14 9 Chapter 14 Serial and Analog Input Output Data Logger Functions and Indicators Data Logger can perform the following functions Record trend data at regular intervals Capture record a 30 second primary ECG waveform image This records the primary topmost ECG only Capture a screen image that is a bitmap snapshot of the entire Advisor screen A green icon appears at the top of the Advisor screen next to the patient type during a Data Logger recording session Different icons indicate different types of recording See icons and explanations below e TRN TRN indicates that Trend Data Logger mode is activated This means that trend data for each parameter will be recorded at pre selected intervals The green RECORD dot is present when trend data files are being recorded to the Flash Card
60. Change the Site Label in this chapter for instructions for changing the site label Choosing the Waveform Settings Figure 11 3 Connect the interface cable or transducer IBP1 Connect the interface cable or transducer __ BP2 Connect the interface cable or transducer Use the waveform menu options for invasive blood pressure to adjust the scale and speed of the waveforms to calibrate or set to zero the transducer and to change the IBP waveform from separated to overlaid Access the Waveform Menu The IBP waveform menu is accessible from the waveform label shown below as ART1 or PA2 Figure 11 4 IBP Display 26 MAY 2004 13147 CAT AUTO RESET I 160 120 80 lR TEET Waveform 7 Labels f ALARMS printer I TRENDS I SETUP ourexser SUSPEND Man FREEZE To access the waveform menu from the waveform label 1 Turn the rotary knob on the monitor to move the cursor 2 Highlight the waveform label and push the knob to select The waveform menu will appear in the lower left corner of the display 11 4 Veterinary Advisor Operation Manual Chapter 11 Invasive Blood Pressure To access the waveform menu from the parameter box 1 Turn the rotary knob on the monitor to move the cursor Highlight the parameter name shown as the IBP site such as ART1 or PA2 and push the knob to select The parameter menu will appear in the lower left corner of the d
61. FAIL LA FAIL LEADS OVERLOAD sssiesticesstsciacistattiinani i duaaaicmaiientiantmumiaiinaaad aimed angna anes MEAD OVERLOAD csrasiccsatissceczaacasdecvasdesnastossenecossesdessssuaeteSbeasssdechal eseetedd a tus aaia ai a PEAR INOW ERLE OAD isa sccessscsvensettascscecaestvertecsassstcneshecttcosscssuvdcnstasdtchaselaydevassysbeccsaste EAE EEAD IIL OVERLOA Dy sessiessceceassiissiacenidacmianian ieee ananni R anadnamaniaiiaauinaindaies LEAD V OVERLOAD isssssctiasissGceaassssecsesvepriniassSancoassiveonsvsatessbassssdsectduieS ouacvest sous vbveosasudusestnaseabeestiedecnealelecatidest endslansteatacsidbeeses ECG DISABLED Verifying ECG Calibration ECG Technical ea casss cscs cvecdiasgosdictan secadecedscocastessecsdbuces ccassstvuessavecdentessecuussdasdecon a a a R eens axeeses Chapter 9 OXiMetry soi ccesectacsche cecisscecrlue eed sscst wins teslecRisi sistent o Using the OxiMe try Param ete ieres ssania EE E EEEE A 9 1 Oximetry Measurement Capability csssssssccssssecssssecessssesssssesesnseccssssesssnsscesssesssssecesasecsssseesssusecesuseesssseecesasecesaseessentesesaseess 9 1 Oximetry Warnings Cautions dnd NOteS is in sssasiatsenaitectaratieaniansiiniicnabindasanniniiuaaniniacaasaianieaie 9 2 Pule Oxkimetry Theory o OPSLAatiOni raissssssscsssesssssosscsssovssnsasssietesesssossssroaessoostvsrossdensaseesonavsssessdesanyisasosdssessvtssapadsseatesssatecseedeceshides Attaching the Pateni ssc stsscscasfeccsssvacessucecsxstussgsucesu vexessset
62. IMITS and push the knob to select 2 Highlight YES or NO to cancel and push the knob to select 3 Highlight MAIN or PREVIOUS and push the knob to select Using the Factory Service Menu This menu is intended for service personnel Contact your authorized repair center for help Using the Serial Update Feature It may become necessary to update your Advisor monitor by downloading a file available from Smiths Medical PM Inc 17 6 Veterinary Advisor Operation Manual You Chapter 17 Service Menu will need Monitor a personal computer PC e aDB 9 PC cable 3366 To initiate a serial update of the monitor 1 2 oN A Ua A 10 12 13 You Ont Connect one end of the DB9 cable to the PC and the other end to the serial port on the monitor Press the ON OFF key on the monitor to turn it on On the service menu highlight MONITOR DEFAULTS and push the knob to select See To access the service menu at the beginning of this chapter for instructions for entering the service menu Highlight SERIAL OUTPUT MODE and push the knob to select Highlight NONE and push the knob to select On the service menu highlight SERIAL UPDATE and push the knob to select Highlight YES and push the knob to select WAITING FOR XMODEM TRANSFER will appear on the display Insert the disk containing the update file received from Smiths Medical PM Inc into your PC The file is named VAVRDXXX ROM where XXX i
63. ISTORY found in the TRENDS menu You can choose the source AUTO ECG SPO or ART of the heart pulse rate displayed in the ECG parameter box If you choose AUTO the monitor will determine the best source depending on the quality of available data and selected source priority See Choose the Heart Rate Source in Chapter 8 ECG for detailed information regarding the source of the heart pulse rate displayed in the ECG parameter box Electrocardiography ECG The monitor provides continuous three lead or five lead ECG processing with standard lead selections and filtering from electrocautery discharge The ECG measured value HR and primary lead selection are displayed in the ECG parameter box and an ECG waveform is continuously displayed Veterinary Advisor Operation Manual 2 1 Chapter 2 Intended Use and General Information Oximetry The oximetry parameter provides the continuous non invasive monitoring of oxygen saturation SpO in the blood and peripheral pulse rate PPR The measured values for oximetry SpO and PPR and a pulse strength bar graph are displayed in the SPO parameter box A plethysmogram or oxygen saturation waveform can be continuously displayed A variety of disposable and reusable sensors is available for monitoring patients Non invasive Blood Pressure NIBP The non invasive blood pressure NIBP parameter provides systolic diastolic and mean arterial blood pressure values and heart rate The measure
64. L and push the knob to select w Turn the rotary knob to increase or decrease the volume to the desired level and push the knob to select A momentary beep tone will sound at each new level of volume The lowest volume option is OFF 4 Highlight MAIN MENU and push the knob to select ECG and Heart Rate Alarms An ECG alarm will be issued when an expected ECG signal is not detected or when there is a malfunction with any of the ECG leads A heart rate pulse rate alarm will be issued when the numeric measured value for heart rate matches or exceeds the alarm limits set for heart rate See Set the Alarm Limits in Chapter 5 Monitoring the Patient for instructions for setting high and low alarm limits During an alarm an audible alarm tone will sound and ALARM will appear in the alarm status line at the top of the display In the ECG parameter box a message may be displayed describing the alarm condition and when applicable the violating measured value and violated alarm limit will flash ECG alarms are categorized as high priority medium priority or low priority ALARM CONDITION INDICATION Veterinary Advisor Operation Manual 8 9 Chapter 8 ECG ECG Alarm Messages The messages are listed below in order of their display priority NOTE If more than one ECG alarm condition occurs simultaneously and the alarm reset mode is set to MANUAL the highest priority message is displayed in the ECG parameter box However if an ASY
65. LARM CONDITION INDICATION HIGH RESP RATE Audible medium priority alarm flashing CO respiration value in the CO parameter box LOW RESP RATE Audible medium priority alarm flashing CO respiration value in the CO parameter box HIGH ETCO2 Audible medium priority alarm flashing end tidal CO value in the CO parameter box LOW ETCO2 Audible medium priority alarm flashing end tidal CO value in the CO parameter box HIGH INCO2 Audible medium priority alarm flashing inspired CO value in the CO parameter box OCCLUSION Audible medium priority alarm message displayed in the CO parameter box TRAP FULL Audible medium priority alarm message displayed in the CO parameter box SENSOR ERROR Audible low priority alarm message displayed in the CO parameter box COM ERROR Audible low priority alarm message displayed in the CO parameter box 13 12 Veterinary Advisor Operation Manual Capnography Alarm Messages The following messages can be displayed in the CO parameter box ALARM MESSAGE LOW CAL ERROR HI CAL ERROR SENSOR ERROR OCCLUSION COM ERROR TRAP FULL NOTE The moisture trap can run over 50 hours in a heated wire circuit at 100 humidity without occluding POSSIBLE CAUSE This message is displayed in the CO parameter box when the capnography module s main processor detects an error during a low calibration The monitor will revert to the last successful low calibration data and resume operation Thi
66. MITS AS RESET USING MEASURED CURRENT HIGH AND PATIENT S CURRENT QUICKSET THE QUICKSET VALUE LOW ALARM LIMITS MEASURED VALUES NUMBERS FEATURE Heart Rate High 150 beats per Heart rate 65 bpm No violation no minute bpm change Low 40 bpm Invasive High Systolic 200 mmHg Invasive Blood QS HI Systolic 20 No violation no Blood Low Systolic 90 mmHg Pressure IBP1 ART1 QS LO Systolic 15 change Pressure High Diastolic 105 mmHg Systolic 118 mmHg QS HI Diastolic 10 IBP1 ART1 Low Diastolic 40 mmHg Diastolic 80 mmHg QSLO Diastolic 10 High Mean 110 mmHg Mean Arterial QS HI Mean Arterial Low Mean 50 mmHg Pressure 92 mmHg Pressure 10 QS LO Mean Arterial Pressure 10 High OFF QS HI NO CHG High No change Low 85 QS LO 5 is made Low 79 Veterinary Advisor Operation Manual 5 5 Chapter 5 Monitoring the Patient The newly reset alarm limit will be displayed in the parameter box If a current measured value is not available no changes will be made with QUICKSET If a high or low alarm limit is set to OFF no changes will be made with QUICKSET If a QUICKSET high number QS HI or QUICKSET low number QS LO is set to NO CHG no change the alarm limit will not be reset with QUICKSET The Advisor Vital Signs Monitor provides a clinically appropriate range of selectable high and low alarm limits for each measured value Typically the final choice at the upper end of each range of hig
67. Medical PM Inc Veterinary Division are used WARNING Repeated use of STAT mode for periods longer than 15 minutes should be avoided to reduce the patient s risk for soft tissue or nerve damage When using the monitor for long periods of time select the longest clinically appropriate measurement interval and periodically examine the patient for signs of injury and ensure proper cuff placement WARNING Make sure that hoses are not kinked compressed or restricted WARNING Check that operation of the equipment does not impair the circulation of the monitored patient WARNING Blood pressure measurements may not be accurate for patients experiencing arrhythmias WARNING Do not verify the Non Invasive Blood Pressure calibration while the cuff is attached toa patient WARNING Verify cuff size is correct for the selected patient mode on the monitor CAUTION To ensure that the unit remains in calibration perform a calibration verification on a yearly basis CAUTION Extremity and cuff motion should be minimized during blood pressure determinations CAUTION Proper blood pressure cuff size and placement are essential to the accuracy of the blood pressure determination CAUTION Any blood pressure recording can be affected by the position of the patient his or her physiologic condition and other factors 1 8 Veterinary Advisor Operation Manual Chapter 1 Introduction CAUTION Blood pressure measurements should be interpre
68. No warranty is provided if the products are modified without the express written consent of Smiths Medical PM Inc and seller shall not be liable in any event for incidental or consequential damage This warranty is not assignable Warranties are subject to change Please contact Smiths Medical PM Inc for current warranty information Veterinary Advisor Operation Manual xi Warranty and Service Information Loaner Device Domestic Sales Only Smiths Medical PM Inc SMPM will for the period of warranty make loaner devices available at no charge domestic sales only if in the opinion of SMPM the repair of the customer s device would require an unreasonable period of time to repair and there is a suitable loaner available during the time of the repair SMPM may make available a loaner device for a fee should it be requested while an out of warranty device is in for service Disclaimer of Warranties THE FOREGOING EXPRESS WARRANTY AS CONDITIONED AND LIMITED IS IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES WHETHER EXPRESS OR IMPLIED BY OPERATION OF LAW OR OTHERWISE INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE Seller disclaims responsibility for the suitability of the Product for any particular medical treatment or for any medical complications resulting from the use of the Product This disclaimer is dictated by the many elements which are beyond Seller s control su
69. O can still be the heart rate source displayed in the ECG parameter box See Choose the Heart Rate Source in Chapter 8 ECG for more details To turn on or off the peripheral pulse rate PPR display 1 On the SpO parameter menu highlight PPR DISPLAY and push the knob to select 2 Highlight ON or OFF and push the knob to select 3 Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 9 9 Chapter 9 Oximetry Choose the Averaging Period for the Oximetry Parameter NOTE SpO averaging to the number of pulse beats over which the SpO value is averaged pulse averaging is the number of seconds over which the pulse value is averaged The measured values for oximetry SpO and PPR can be determined by averaging the sensor readings over a selected number of beats or seconds For example if you choose SLOW the measured value displayed for oxygen saturation SpO will be the average of the oxygen saturation readings over sixteen pulse beats the measured value displayed for peripheral pulse rate PPR will be the average of the number of pulse beats over sixteen seconds See the table below for specific averaging periods using SurgiVet sensors To choose the averaging period 1 Highlight AVERAGING PERIOD and push the knob to select 2 Choose the desired averaging period FAST NORMAL or SLOW and push the knob to select AVERAGING PERIOD AVERAGING PERIOD FOR SPO AVERAGING PERIOD FOR PPR DESC
70. OM port on your PC 6 On your PC open Hyperterminal or some similar serial communications program 7 Configure the program for Bits per second band 115 200 Data bits 8 Parity None Stop bits 1 Flow control None 8 Select the Transfer Hyperterminal menu option along the top edge of the terminal window and select Capture Text 9 Select the location where you wish to save the file and the file name for example C AdvisorData txt 10 Click Start 11 When the data capture is complete select the Transfer menu option along the top edge of the terminal window Select Transfer and Stop The file will be save to the location previously selected C AdvisorData txt 14 4 Veterinary Advisor Operation Manual Chapter 14 Serial and Analog Input Output 12 This file can be opened using Microsoft Excel by following these steps a Select File gt Open b Change the Files of type selection to Text files prn txt csv c Open the previously saved file C AdvisorData txt d Select Delimited and click Next e Check the Comma box and uncheck all other selected boxes Click Finish 13 Each column in the following table represents a measured value from the monitor and has the following format Pome f mme f rae f rer so oen Amis ar ATA soa isso oo o 7 17 na Misoa isss eo o 157 107 3 ee e a man n f o oes T meo T wen T emos T acos pore 37 37
71. ON Watch the monitor message disappear for 30 seconds Remove the filter from the right side of the monitor Watch the monitor for 30 seconds Did the F OCCLUSION Contact your authorized repair center for help message disappear Replace the filter Veterinary Advisor Operation Manual 15 5 Chapter 15 Operator s Maintenance and Troubleshooting This page is intentionally left blank 15 6 Veterinary Advisor Operation Manual Chapter 16 Optional Supplies and Accessories Chapter 16 Optional Supplies and Accessories CAT NUMBER DESCRIPTION QUANTITY 1100 Adapter Airway Straight with Filter 12 7 ID x 15 OD mm 10 per pkg 1140 CO Sample Line Extension 4 6 m 15 feet 10 per pkg 1151 Adapter Airway without Filter 12 7 ID x 15 OD mm 10 per pkg V1175 each CO Monitor Exhaust Kit 1179 2 per pkg 6 per pkg each External Absorber CO V1186 Sample Line CO3 Single Nasal 1606 Simulator Oximeter ECG V1886R Manual Operation 9200 1887R Manual Service 9200 each 3005 Cord Power 110 V Advisor 3005A Cord Power 220 V Advisor V1703 Sensor Oximetry Universal Y with Clip Small Medium each each each each V1707 Sensor Oximetry Universal C with Clip Small each V3078 V3110 V3310L 3311 3339 3362 3387 3406 V3413 V3417 WWV3418 5093 Sensor Oximetry Mini Clip each Cable ECG Shielded Safety Type 3 lead 40 Cable ECG Shielded Safety Type 3 lead 80
72. RESET you must acknowledge an alarm condition by pressing the alarm silence key If the measured value returns to within the alarm limits before you press the alarm silence key a flashing up or down Varrow will be displayed next to the measured value to indicate the violation and the auditory alarm will continue until you press the alarm silence key Veterinary Advisor Operation Manual 6 5 Chapter 6 Alarms Silence alarms If your monitor is set to allow TEMPORARY OR INDEFINITE audio alarm silence then pressing the ALARM SILENCE key while audible alarms are enabled will do one of the following Press ALARM SILENCE momentarily to silence alarms for two minutes AUDIO PAUSED will appear at the top of the display with a two minute timer Audible alarms will be re enabled if any new alarm occurs if the two minute timer times out or if the ALARM SILENCE key is pressed again Press and hold the Alarm Silence key for about three 3 seconds to silence alarms indefinitely AUDIO PAUSED will be displayed with no timer Audible alarms will be re enabled if any new alarm occurs or if the ALARM SILENCE key is pressed again Press and hold ALARM SILENCE for six 6 or more seconds to silence alarms permanently AUDIO OFF will be displayed Audible alarms will NOT be re enabled if any new alarm occurs Press the ALARM SILENCE key again to re enable audible alarms If audio alarm silence for your monitor is set to allow TEMPORARY ONLY then pre
73. RIPTION READINGS READINGS SLOW 3 Highlight MAIN MENU and push the knob to select NOTE Increasing or decreasing the averaging setting has no effect on the data update rate Adjusting the Volume of the Heartbeat Beep Tone You can set the monitor to issue a beep tone with each detected SpO heartbeat You can control the volume of the beep tone or turn it off If the monitor detects a valid SpO reading the pitch of the beep tone will vary depending on changes in oxygen saturation See Choose the Heart Rate Source in Chapter 8 ECG for information regarding the source of the heart rate To adjust the volume of the pulse beep 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select N Highlight PARAMETER OPTIONS and push the knob to select w Highlight PULSE VOL and push the knob to select 4 Turn the rotary knob to increase or decrease the volume to the desired level and push the knob to select A momentary beep tone will sound at each new level of volume The lowest volume option is OFF UI Highlight MAIN MENU and push the knob to select 9 10 Veterinary Advisor Operation Manual Chapter 9 Oximetry SPO Alarms An SpO alarm will be issued when the numeric measured value for SoO matches or exceeds the alarm limits set for SpO or PPR if PPR is the selected heart rate source when the monitor loses a pulse
74. RM and push the knob to select The ECG waveform settings submenu will appear 8 4 Veterinary Advisor Operation Manual Chapter 8 ECG Change the Primary ECG Lead Waveform 1 is dedicated to the primary ECG lead For both three lead and five lead processing lead II is the default primary lead You can designate any other lead to be the primary using the ECG waveform menu The selected primary lead will be displayed in the waveform label To change the primary lead 1 On the ECG waveform menu highlight PRIMARY LEAD and push the knob to access the ECG leads IDs submenu 2 Highlight the desired primary ECG lead and push the knob to select See the following tables for the primary lead configuration ECG 3 LEAD CONFIGURATION ECG 5 LEAD CONFIGURATION Sia confguration SRA ied Configuration LAL 3 Highlight MAIN or PREVIOUS and push the knob to select Veterinary Advisor Operation Manual 8 5 Chapter 8 ECG Choose the Waveform Size You can choose the size of the ECG waveforms on the display The selected size 0 5X 1X 2X or 4X will appear in the waveform label The default size is times one 1X Figure 8 5 ECG Waveform Size nda Waveform Size 2X To change the size of the ECG waveform 1 On the ECG waveform menu highlight SIZE and push the knob to select 2 Highlight the desired size of the waveform 0 5X 1X 2X or 4X and push the knob to select SIZE SCALE 3 Highlight MAIN MENU a
75. RR The measured values for capnography ETCO gt INCO3 and RR are displayed in the CO2 parameter box and a CO waveform can be continuously displayed Nitrous oxide compensation is selectable When the NO compensation is enabled the module adjusts the CO reading by an algorithm that assumes the concentration of NO is 40 and compensates accordingly Theory of Operation If the capnography parameter is installed the module with an installed connector is attached to the back of the monitor The capnography module is configured with a moisture trap referred to as advanced pneumatics Figure 13 1 Capnography Module left side view of monitor Capnography Module Moisture Trap 4 advanced pneumatics SurgiVet part number 8075 The capnography module has an installed CO absorber an exhaust port and a rear filter You can connect a non recirculating scavenging system to the exhaust port SurgiVet part number V1175 CAUTION When connecting a non recirculating scavenging system use only an exhaust line approved by Smiths Medical PM Inc Failure to comply may result in damage to the monitor 13 2 Veterinary Advisor Operation Manual Chapter 13 Capnography Measuring CO The module draws a sample of gas through the sample Figure 13 2 Capnography Module right side view of monitor chamber A light source shines infrared IR light through an optical bandpass filter and then through
76. STOLE alarm is issued and then another lower priority ECG alarm occurs the ASYSTOLE message and the other alarm message will alternately be displayed in the parameter box ASYSTOLE This message flashes in red in the ECG parameter box when all leads are connected to the patient ECG MONITOR is on and no QRS signal is detected within a six second period This is a high priority alarm If a QRS signal is again detected and RESET ALARMS is set to MANUAL on the service menu the ASYSTOLE alarm will continue until you press the alarm silence key This message may cycle or alternate with other alarm messages NOTE ASYSTOLE always triggers a high priority alarm even if ECG is not the rate source COM ERROR This message is displayed in the ECG parameter box when the monitor detects an unrecoverable error within the ECG circuitry The message will appear in yellow unless a high priority alarm occurs During a COM ERROR no ECG waveforms or measured values for heart rate are available This is a medium priority alarm LEADS FAIL This message is displayed in the ECG parameter box when any lead fails during three lead processing when the RL lead fails or when any two of the LA RA or LL leads fail during five lead processing The message will appear in yellow unless a high priority alarm occurs This is a medium priority alarm To correct Be sure that all the leads are properly positioned and connected e Turn off ECG MONITOR and then turn
77. Settings in the Parameter Box Turn Alarm Detection On or Off You can turn on or off the alarm detection capability for the oxygen saturation value If SoO2 ALARMS is on an alarm will be issued when the high or low alarm limit is violated If you turn SpO2 ALARMS off and the high or low alarm limit is violated an alarm will not be issued When you turn off the monitor and turn it on again SpO2 ALARMS will be reset to ON the default setting is ON To turn on or off the oxygen saturation SpO alarm detection 1 Turn the rotary knob on the monitor to move the cursor Highlight the SpO parameter box name and push the knob to access the SPO parameter menu 2 Highlight SoO2 ALARMS and push the knob to select 3 Choose ON or OFF and push the knob to select 4 Highlight MAIN MENU and push the knob to select Choose the Waveform Speed If S002 WAVEFORM is ON you can choose the speed at which the plethysmogram is displayed To change the speed of the SpO waveform 1 On the SpO parameter menu highlight SPEED and push the knob to select 2 Highlight the desired speed of the waveform 6 25 12 5 25 or 50 mm second and push the knob to select 3 Highlight MAIN MENU and push the knob to select Turn the Peripheral Pulse Rate PPR Display On or Off You can turn on or off the measured value for peripheral pulse rate displayed in the SpO parameter box The default setting is ON Note that even if you turn PPR DISPLAY off Sp
78. Signs Monitor is considered a DTE device Audible Alarm Silencing Audible alarms may be silenced in three ways To manually re enable the alarms press the alarm silence key on the front of the monitor An audible alarm may be temporarily silenced for two minutes To temporarily silence an alarm press the alarm silence key AUDIO PAUSED will be displayed on the upper right side of the display The audible alarm will be re enabled if any new alarm condition occurs or in two minutes if no new alarm condition occurs To manually re enable the audible alarm press the alarm silence key again Audible alarms may be indefinitely silenced Press and hold the alarm silence key for about three seconds until AUDIO PAUSED is displayed on the upper right side of the display If any new alarm condition occurs while audible alarms are indefinitely silenced the audible alarm will be re enabled Audible alarms may be permanently silenced Press and hold the alarm silence key for about six seconds until AUDIO OFF is displayed on the upper right side of the display The audible alarm will not be re enabled if a new alarm condition occurs This condition is possible only if dual alarm silence is allowed and INDEFINITE is enabled A 2 Veterinary Advisor Operation Manual Appendix B Alarm Limit Defaults Appendix B Alarm Limit Defaults Heart Rate ECG LIMIT DEFAULTS Pct og Hose 50 HEART RATE LOW LIMIT 30 01V Cel Cy Ro ANR
79. SurgiVet part number 8044 or 8211 to the Luer fitting on the moisture trap and twist to tighten 3 Connect the airway adapter to the sample line and twist to tighten 4 Connect the large end of the airway adapter to the breathing circuit 5 Connect the small end of the airway adapter to the endotracheal tube Veterinary Advisor Operation Manual 13 5 Chapter 13 Capnography Using an F Circuit Elbow Figure 13 6 F Circuit Elbow Connect the sample line to the Luer fitting on the moisture trap Connect the F Circuit elbow to the endotracheal tube If you are using an F circuit Elbow 1 Be sure the moisture trap SurgiVet part number 8075 is attached to the left side of the capnography module on the monitor 2 Connect the sample line SurgiVet part number 8044 or 8211 to the Luer fitting on the moisture trap and twist to tighten 3 Connect the sample line to the F circuit elbow and twist to tighten 4 Connect the F circuit elbow to the endotracheal tube 13 6 Veterinary Advisor Operation Manual Chapter 13 Capnography Turning on the Capnography CO 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu 3 Highlight CO2 MONITOR and push the knob to select 4 Highlight ON and
80. TIFICATION fe ietteg Sided ECG 5 LEAD ELECTRODE IDENTIFICATION The monitor will automatically detect when the ECG cable is connected Heart rate HR will be displayed in the ECG parameter box and the primary ECG waveform will appear as Waveform 1 RA RL LA LL V Veterinary Advisor Operation Manual 8 3 Chapter 8 ECG Choosing the Waveform Settings Use the ECG waveform menu options to choose the primary ECG lead and adjust the settings for the size and speed of the ECG waveform Access the Waveform Menu The ECG waveform menu is accessible from any ECG waveform label or from the ECG parameter box name Figure 8 4 ECG Display 26 MAY 2004 13 47 CAT Waveform Ii Parameter Box Label Label 120 80 90 92 sys mmHg ECG Waveform RETURN TO PREVIO Nl M SIZE SPEED PRINT PRINT PRINTALLLEADS enu l 2X 25MM SEC STRIP SNAPSHOT SNAPSHOT To access the ECG waveform menu from the waveform label 1 Turn the rotary knob on the monitor to move the cursor 2 Highlight the waveform label for Waveform 1 and push the knob to select The ECG waveform menu will appear in the lower left corner of the display To access the ECG waveform menu from the ECG parameter box 1 Turn the rotary knob on the monitor to move the cursor Highlight the ECG parameter name and push the knob to select The ECG parameter menu will appear in the lower left corner of the display 2 Turn the rotary knob to highlight ECG WAVEFO
81. Turn the Peripheral Pulse Rate PPR Display On or Off cessssssssssscsssecsssecsssecssscesscesseccsseccssecesscessseessscessneceseeceaeeesnsees 9 9 Choose the Averaging Period for the Oximetry Parameter sssccsnssssesssssesnseecsnssesessneessnseesssuneessnseessnsneesuneesensees 9 10 Adjusting the Volume of the Heartbeat Beep Tone SPOS Alea S aranma an a E ache siosseias neste dace R R aA NR Okimety Alarm MESSAGES es cecceassevedsstecessstvesaztecsssesdsaasciesasecotass a iniri ara Erase asde ETa EDERREN PENEDA EAE EE ETARTE EER Veterinary Advisor Operation Manual Table of Contents Chapter 10 Non invasive Blood Pressure sssessossssosssosessosssoosssosesosessossssosesosesssssssesesoses 10 1 Using the NIBP Parameter sicissiehis initia baciialinainatadamin ds daais na anne R Non invasive Blood Pressure Measurement Capability Non invasive Blood Pressure Warnings Cautions and NOtes ssscsseccsssssseccssecsnsecsssessnscessesesutecsuesessecessceesneessneeesneeesees 10 2 NIBP Theory Of Operation wis saci inddantinaaunmadikdmiiauaminamenilone nie ON 10 3 Attaching the Pathe teases assinsiscsinis acesieecossssitass ctasvesd assviteavesdossssieens ctsass encabocteass uraesbengessdscoassuacesstsGastisdasbsiiysbssstaiviestussei aivietatnvitane 10 3 Cai Warnan Yaren Sa a R RRRS ATR 10 3 Adjusting the Settings in the Parameter BOX asnisasieneciionusnininnnennsnnnenin 10 6 Turin Alarmi Detection Om OF Off s cssiccesesssscs
82. Weight Environmental Temperature Humidity Chapter 18 Specifications Measured parameter data is sent in a comma delimited string terminated with a carriage return 1Hz 10V 20mA 12 5 mm sec 25 mm sec or 50 mm sec for waveforms CO can print at 6 25 mm sec 12 5 mm sec or 25 mm sec Prints one or two waveforms on a single chart Annotation lines print with waveforms Annotation lines print with waveforms showing the date time paper speed delay parameter values and scale Printed once every 200 300 mm 8 12 inches Prints an annotated snapshot of each waveform group 200 300 mm 8 or 12 inches long Optionally prints a list of alarm limit settings and a parameter trend table after the waveform groups Prints a continuous strip chart of the selected waveform with annotation lines printed once every 200 300 mm 8 12 inches Optionally prints a snapshot when a chosen alarm is triggered All Report Range 1 2 5 10 15 30 or 60 minutes All Window or Every 10 measurements 100 to 240 V 0 8 A 50 60 Hz Approximate operating time 60 120 minutes Approximate recharge time 5 hours 18 0 cm 7 inches 34 0 cm 13 25 inches 30 5 cm 12 0 inches 4 1 5 kg 9 11 Ibs 0 to 40 C 32 to 104 C Operating 40 to 75 C 40 to 167 F Storage 15 to 95 non condensing Operating 10 to 95 non condensing Storage NOTE The monitor may not meet performance specifications when stored or used outside
83. a cscceseacasecaceesovsessssactsyavsctustecess seraswdacdsunes ESO E EENT AA assessed Calibrating the IBP Transducers Veterinary Advisor Operation Manual v Table of Contents Chapter 12 Temperate scccarsssscscxcssicecnsnsisocecssssnsnsnancasashennssneesianensssncatasnenssarsipsecgnavsnercnarpes L2 I Using the Temperature Paramete hssinsessis insist inarinaassminwai unin melas Maca inne hadi Temperature Measurement Capability eesssssssssecsssecsssecssseessssesseecsuccssecssscecsueecsusessnscesuscessessnseessseesescessnecsasecssnceeseecesseeste Temperature Warnings Cautions and Notes Attaching the Patient Adjusting the Settings in the Parameter Box Turn Alarm Detection On OF Off csssssssscssssssssscsssccssscsssecssscessscecssecsssccessscsssecsssecsuscesnscessecessescsaecssccesseessucesssecesnecesecesseests Choose the Units of MeasureMentrassisscsccsctissscsinnitardiinsisiiadsiinsstenb da dasiitaciinniuauiinsieduasilasne Turn a Temperature Channel On of Off ccsesssssscsssssssseccsscessseecsecssscceseecsssecsssecsusccssscessscessescssscessecesseecsseecanecssnecesseeesseeste TEMPA IAP S a A A AAAA dee dandeeveecnstas8 0450404 cnaved usb sassetss E EAA N NE Temperature Alarm Message Sorcsenconesupiconi i n RR OR Chapter 13 Capnography s s sssssssssssesssssssssssssasessaosssosssssssesssssasnsasasassssaosasagssssssesasasasssasssss 1O 1 Using the Capnography Parameter enessesresucisonienne iioa N Capnography Wa
84. a high or low limit and generated an alarm See QUICKSET Alarm Limits in Chapter 5 Monitoring the Patient for instructions for using the QUICKSET feature Adjust alarm volume You can adjust the volume of the audible alarm to one of ten levels When an alarm occurs and alarm silence is not enabled the alarm tones will sound at the chosen volume The default alarm volume setting is the third level or 30 You cannot set the alarm volume to OFF To change the alarm volume 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight ALARMS and push the knob to select N Highlight ALARM VOLUME and push the knob to select w Turn the rotary knob to increase or decrease the volume to the desired level and push the knob to select A momentary beep tone will sound at each new level of volume 4 Highlight MAIN MENU and push the knob to select Stop alarms automatically or manually Your monitor will either be set to automatically stop an alarm as soon as the measured value returns to within the alarm limits or it will be set so you must acknowledge the alarm manually See Select the Alarm Reset Operation in Chapter 17 Service Menu for instructions for choosing AUTO RESET or MANUAL RESET If your monitor is set to AUTO RESET all alarm indicators for a parameter will cease as soon as the measured value is once again within the alarm limits If your monitor is set to MANUAL
85. aesiaatigd 6 6 Chapter Z Printing sisiestssseccicisisncscncasscissensssscncaayssoiviancisnceensdsietancnsnssateisistersiansrsncisieasvcausenaeee General Print S SUING Seso naia iE SEEE E EE Ei EEEE 7 1 Printing Wave oi M Sossen anaE RSR A NTARE 7 2 Printing Tabular Trend Data Trends cssssccsssecsssscsssscsssessssccsssscssecesseesssecsssccssseceseccessecsssecssscessscessesesacessssecesecessceesueessnceesnecesseents 7 5 Automatic PRINCI G sssscccssccseccsssssxccssstssccossssacsssersacsssssadicosstoaazesssaactuscesacessseaissosstoastesseaactsssesadcosssaidtosstoastesseaastbssetastisseciieesscoaat ssbacessanbect 7 7 Replacing the Printer Papeete icstacessaisssscstssszsczesassdensczvuscechacecacveesdaceazesesstecsvedsisvsessactudeeavteccasnsniccnsadasnasiduivessaapisadisjalddeanediaassacaateeteteees 7 8 Chapter 8 ECG csssssssssssssssssssessssscssssssosssssssssssotssssssoessssscstssscsessssstssssodsssssss isstsossseosssssssszssssei D ECG Measurement Capability sscsssisossonsgisuna nne n S danduainannuannaanue 8 1 ECG Warnings Cautions and NOtes sseisisscsssacscondsssasileascscssssdweccssvecvesstvssvevaisosscoonsddosscedcevent ennsieo actatoetiverssdtecbessbesuntiesdonsecondt osseeds 8 1 Toeorn of OPa atio Minnaert NE EEN SENEE ENR REEE 8 2 Using the ECG Parameter sisi saisrsidua nann a R E NONG 8 2 Attaching the Patient cesnicesenneosecsniiri ia no a ET A TAA 8 2 Choosing the Waveform SetUNgS ss ssschsssscssssSecsassscsacscacsssvzssadascei
86. ai Ecozone 0 f7 e e e a e a far Percent is variable based on atmospheric pressure See the equation below value for mmHg x 100 Atmospheric pressure in mmHg Veterinary Advisor Operation Manual B 3 Appendix B Alarm Limit Defaults This page is intentionally left blank B 4 Veterinary Advisor Operation Manual Appendix C IEC 60601 1 2 Requirements 2nd Edition 2001 Appendix C IEC 60601 1 2 Requirements 2nd Edition 2001 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC EMISSIONS The Advisor Vital Signs Monitor is intended for use in the electromagnetic environment specified below The customer or user of the Advisor Vital Signs Monitor should assure that it is used in such an environment EMISSIONS TEST COMPLIANCE ELECTROMAGNETIC ENVIRONMENT GUIDANCE RF emissions Group 1 The Advisor Vital Signs Monitor uses RF energy only for CISPR 11 2003 its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions The Advisor Vital Signs Monitor is suitable for use in all CISPR 11 establishments including domestic establishments and those directly connected to the public low voltage power supple network that supplies buildings used for domestic purposes Harmonic emissions Class A IEC 61000 3 2 2001 Voltage fluctuations Complies flicker emissions IEC 61000 3 3 Radiated magnetic field
87. aqsiasiat xdseqssaentecanetesdeessisatesicesiisdetedaisto asaneadvisbesibisestiecs Using the Serial Update Feature wii sissssssieniacitasiiianadiaaiaaaiiianaieiuahduniagundiianuanaiaiannamine Using the Purchased Options Feature ssssssscsssscsssseccssssccsssseessssscessseesssssecesusecessseesssusecesuseesssseecesasecesssseessssecesuseesseseesesaseees Maneti aB OMG E EE E T T T E uaseaneletoraneenanieds Auto Detectable Parameters Using the CO Service Menu Veterinary Advisor Operation Manual vii Table of Contents Chapter 18 Specifications sccccasisccssisscasnsssiccsesssnscsnsssssscssssscsasecssesasssscctescsssessstssscsesesssccsscses 181 Dis Play nenian R O unin nena Meena O N TIMI CATOMS A E E O E E E E E E E E EE A E ls ensecerbbedssseruerbbssureesdaenee Alarm Volmer enan ANOS ER TRET INR ORASE aepeanatesoeeteaas Keys User Controls CGAP DIOGO inann aa a A E E EAR E R a A Respiration Rate COs aicssansissssitssiasninniananinsasinasinaienninnataian aianinmaanaianaaaiaian TER GRR 18 3 SUM STC Mica cacesssasstesssonsazacutssscascactsctosse szssvacsasscsciansasdosties ascosusstnavecsovanssssedsssstvens a eiesstiacessoraseite 18 4 Invasive PRESSUNGS 5 ssczvsessisss ssasusssissaisszsenssedsnieszeedesedsvesseissasaasedososvassegs eiassssssesgssussesaseadssdeasesdysedsscaucesassndes sted snaseeda desea avssedasessesnvssienteaniems 18 6 Temperature Auxiliary Inputs Outputs SUID Printe Ms ezscecscsxcseaessstecass teps
88. arameter A system alarm will be issued when the battery is low or when an error is detected during automatic printing During an alarm an audible alarm tone will sound and ALARM will appear in the alarm status line at the top of the display For parameter alarms a message may be displayed in the relevant parameter box and the violating measured value and violated alarm limit will flash For system or status alarms a message will be displayed in the printer and battery status line Critical Failure Alarm CFA The Critical Failure Alarm CFA is a high pitched continuous alarm tone used to alert you when the monitor is not performing in its intended capacity The critical failure alarm will sound when an unorganized power shut down occurs for example if AC power is lost while the monitor is on and an installed rechargeable battery is not connected if the optional rechargeable battery is drained while the monitor is on and AC power is not connected the main processor is performing in an erratic unintended manner The critical failure alarm will be silenced when you press ALARM SILENCE key or you connect the AC power cord to the monitor and turn the monitor on or the CFA alkaline battery is drained This alarm should be tested annually 1 On the service menu highlight TEST CFA ALARM and push the knob to select See Chapter 17 Service Menu for instructions for accessing the service menu 2 Highlight YES and push the
89. as be corrupted See Formatting a Flash Card in Chapter 5 of the Data Logger operation manual if there are card formatting error messages Veterinary Advisor Operation Manual 14 11 Chapter 14 Serial and Analog Input Output Capturing an ECG Trace To capture an ECG trace 1 Select a capture mode To select a capture mode select the TRENDS CAPTURE MODE option and select ECG TRACE This selection will capture an ECG trace onto the SD Flash Card when the PRINT key is pressed during recording TRN will change to ECG NOTE This selection does not affect the normal PRINT key operation NOTE Trend information will be written to the card during ECG capture 2 To stop recording press the print key 2 or wait until the 30 second capture is complete ECG will revert back to TRNI Capturing an ECG Trace with Printing With this option enabled pressing the PRINT key will start a PRINT ALL printout as well as capture an ECG trace to the Flash Card To capture an ECG trace 1 Select a capture mode To select a capture mode select the TRENDS CAPTURE MODE option and select ECG TRACE This selection will capture an ECG trace onto the SD Flash Card when the gt PRINT key is pressed during recording TRN will change to ECG le a NOTE This selection does not affect the normal PRINT key operation NOTE Trend information will be written to the card during ECG capture
90. as contamination of the work environment To connect the CO exhaust kit part number V1175 1 Connect one end of the CO exhaust kit hose to the exhaust port on the monitor 2 Connect the other end of the of the CO exhaust kit hose to the gas exhaust adapter 3 Connect the larger end of the gas exhaust adapter to the pop off valve on the anesthesia machine 4 Connect one end of the 19 mm evacuation hose to the exhaust port adapter 5 Connect the other end of the 19 mm evacuation hose to your scavenging system 13 8 Veterinary Advisor Operation Manual Chapter 13 Capnography Choosing the Waveform Settings Use the waveform menu options for capnography to adjust the scale and speed of the CO waveform Access the Waveform Menu The CO waveform menu is accessible from the waveform label and from the CO2 parameter box Figure 13 8 CO Display 26 MAY 2004 13 47 CAT AUTO RESET 0 2x Waveform 7 Parameter label 9 box label RETURN TO_MAINMENU WAVEFORM SCALE SPEED PRINT PRINT coe 0 100 6 25 MM SEC STRIP SNAPSHOT To access the waveform menu from the CO2 waveform label 1 Turn the rotary knob on the monitor to move the cursor 2 Highlight the waveform label and push the knob to select The waveform menu will appear in the lower left corner of the display To access the waveform menu from the parameter box 1 Turn the rotary knob on the monitor to move the cursor Highlight the parameter name CO2 and
91. astolic and Connector NIBP mean will be displayed when the most recent NIBP measurement is complete Veterinary Advisor Operation Manual 3 5 Chapter 3 Controls and Features CONNECTOR DESCRIPTION ECG Connector Voltage Rating Capnography Connector CO gt AC Power Connector and Fuse Holder 3 6 INSTRUCTION The ECG parameter box will always appear on the display A measured value for the ECG heart rate HR will be displayed when the ECG leads are attached to the patient and the ECG MONITOR menu option is turned on If five lead processing is installed on your monitor you must also set the ECG LEADS PROCESSING menu option to five lead processing See Parameter Options in Chapter 4 Setting Up the Monitor for instructions for turning on ECG MONITOR and setting ECG LEADS PROCESSING CAUTION A three lead ECG cable must be used if 3 Lead processing is selected A five lead ECG cable must be used if 5 Lead processing is selected Using the incorrect cable for the selected mode might lead to a floating reference or additional noise on the ECG signal Plug the AC power cord into the AC power receptacle at the back of the monitor When the other end is plugged into a grounded three wire hospital grade outlet the AC Power LED X will light The monitor automatically switches between 110V and 220V AC line voltage sources An installed internal rechargeable battery ensures consistent monitor operation during a line inte
92. asurement cannot be completed within the allowed time This is a low priority alarm This message is displayed in the NIBP parameter box when the monitor detects an air leak in the system causing pressure variations This is a low priority alarm This message is displayed in the NIBP parameter box when the NIBP measurement cannot be completed due to excessive signal artifact This may be caused by patient movement shaking and shivering during the measurement or by disturbances in the cuff before the measurement is complete This is a low priority alarm This message is displayed in the NIBP parameter box when the NIBP measurement cannot be completed due to a low pulse signal from the patient This is a low priority alarm This message is displayed in the NIBP parameter box when the monitor detects that the cuff pressure is greater than 300 mmHg in the cat and dog modes or 150 mmHg in the horse mode The cuff immediately deflates and the current NIBP measurement stops This is a low priority alarm Chapter 10 Non invasive Blood Pressure CORRECTIVE ACTION Turn the monitor off and back on again Contact your authorized repair center for help Turn the monitor off and back on again Contact your authorized repair center for help Be sure the cuff is properly positioned on the patient Be sure the patient remains still during NIBP measurement Be sure the hose and cuff connections are secure Check
93. at require the waveform area will cause the freeze mode to be cancelled For example if you freeze the waveforms and then select ALARMS from the main menu the alarm limits box will be displayed in the waveform area and the waveforms will no longer be in freeze mode To freeze the waveforms 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight FREEZE and push the knob to select The waveforms will stop or freeze 2 To start the waveforms again turn the rotary knob to highlight UNFREEZE and push the knob to select Trends The Advisor Vital Signs Monitor stores tabular trend data every 30 seconds for up to 26 hours for the following parameters a ECG e Heart rate HR b Capnography e CO Respiration RR End tidal carbon dioxide ETCO gt e Inspired carbon dioxide INCO gt c Invasive blood pressure IBP1 and IBP2 All pressure sites systolic diastolic mean d Oximetry Oxygen saturation SpO gt e Peripheral pulse rate PPR when SPO is the selected heart rate source e Non invasive blood pressure NIBP systolic diastolic mean f Temperature T1 and T2 Veterinary Advisor Operation Manual 5 9 Chapter 5 Monitoring the Patient Viewing Stored Trend Data NOTE This is not for data stored on the flash memory card for the optional Data Logger See Optional Data Logger section in Chapter 14 for information about storing and retrieving trend data u
94. ata you will see dashes displayed in the place of the pressure values You will hear a bell tone and see a message displayed in the parameter box To acknowledge the NIBP error message press the NIBP key amp on the monitor while the message is displayed in the NIBP parameter box NIBP readings will not continue until the error message is acknowledged but the five minute timer will continue to run Canceling an NIBP Measurement Regardless the selected mode AUTO MANUAL or STAT you can stop a measurement in progress by pressing the NIBP key Q A on the monitor If the monitor is in automatic AUTO mode another measurement will start after the selected interval has elapsed If the monitor is in STAT mode and you press the NIBP key amp to cancel the measurement the mode will automatically return to the previous setting MANUAL or AUTO 10 8 Veterinary Advisor Operation Manual Chapter 10 Non invasive Blood Pressure Cleaning the NIBP Cuff 1 Place the Cuff Cap SurgiVet part number 31545B1 on the end of the cuff hose NOTE Failure to place the cuff cap on the hose will allow water to enter the bladder This will cause the cuff to malfunction and will damage the monitor 2 Pre clean the cuff by removing comtaminate material hair and debris 3 Wash the cuff in a regular load of laundry or hand wash 4 Allow the cuff to air dry CAUTION Do not place the cuff in the dryer Veterinary Advisor Ope
95. atient injury Veterinary Advisor Operation Manual 9 3 Chapter 9 Oximetry Attaching the Patient WARNING Prolonged use or the patient s condition may require changing the sensor site periodically Change the sensor site and check skin integrity circulatory status and correct alignment at least every 4 hours 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 1 Choose a sensor to be used to monitor oximetry SURGIVET SENSOR SELECTION CHART Small Medium Animal Tongue V1703 Universal Y Sensor with Lingual clip Ear Toe webbing Tongue Thin Tissue V3078 Mini Clip Rectum Tail V1700 Reflectance Sensor Hock Achilles tendon Thicker Tissue V1707 Universal C Sensor Large Animal Tongue V1703 Universal Y Sensor with Lingual clip Rectum Tail V1700 Reflectance Sensor Hock Achilles tendon Thicker Tissue V1707 Universal C Sensor V1707 Universal C Sensor 2 Clean and disinfect the sensor Use a soft cloth moistened in water or a mild soap solution and then wipe the sensor with isopropyl alcohol WARNING Donot autoclave ethylene oxide sterilize or immerse the sensors in liquid Evidence that liquid has been allowed to enter the monitor voids the warranty CAUTION Unplug the s
96. ation Connection The monitor is intended to connect to the HTS 820 Central Station from the Life Sensing Instrument Company Inc Refer to the central station s operations manual for configuration instructions The serial analog output connector of this monitor is used to connect to the central station The monitor can be hardwired to the central station or it can communicate using an RF link In the central station s bedside monitor menu select advisor Il tcp for the bedside monitor when using a hardwired connection Select BWI tcp when using RF communications WARNING When the monitor is connected to the central station alarm limits must be set at both the central station and the bedside WARNING Each patient parameter being monitored should be tested to ensure proper setup after connecting the monitor to the central station Do not connect patients nor rely on remotely displayed patient data until all testing has been performed and the system has been shown to be functioning properly Veterinary Advisor Operation Manual 14 7 Chapter 14 Serial and Analog Input Output Optional Data Logger Intended Use The Smiths Medical PM Inc Veterinary Data Logger WWV9220SYS hereafter called Data Logger is designed to capture real time trend data from the SurgiVet Advisor multi parameter vital signs monitor to an SD type Flash memory Card It also offers the options to capture primary lead ECG waveforms and or Advisor
97. audible alarm tones within the two minutes press the key again Press the key for 3 seconds to silence alarms indefinitely AUDIO PAUSED will be displayed A new alarm will cancel silence Press the key for 6 seconds to turn alarm sounds off permanently AUDIO OFF will be displayed Rotary Knob The rotary knob is a dial control with a push selection switch It is located on the front of the monitor in the lower right corner Turn the rotary knob to navigate the cursor around the display Push the knob to select highlighted options INDICATOR DESCRIPTION The green AC Power LED will light to indicate that the monitor is connected to an AC power source BATT The green Battery Charge LED will light to indicate that the optional internal rechargeable battery is fully charged and AC power is connected The LED will flash to indicate that the battery is charging NOTE Qualified personnel may change the allowed alarm audio silence mode See Select the Alarm Audio Silence Operation in Chapter 17 Service Menu for details regarding alarm silence 3 4 Veterinary Advisor Operation Manual Chapter 3 Controls and Features Side Panel The left side panel of your monitor contains all of the patient connector receptacles and the AC power receptacle Figure 3 4 Side Panel CONNECTOR DESCRIPTION INSTRUCTION Oximetery The SPO parameter box will appear on the display when the patient Connector SpO2 connector is
98. ault settings if not in STATIC LIMITS mode NIBP inflation pressure settings will be reset for a cat dog or horse patient For example the default cat NIBP inflation pressure setting is 200 mmHg the default dog NIBP inflation pressure setting is 150 mmHg the default horse NIBP inflation pressure setting is 100 mmHg The NIBP mode will be reset to MANUAL All auto print features will be turned off e The Print All Report will be reset to the default setting e The scales for the IBP waveforms will be reset to the default settings If the alarm limits for oximetry were adjusted to below 85 they will be reset to 85 Veterinary Advisor Operation Manual 3 1 Chapter 3 Controls and Features DISPLAYS DESCRIPTION Alarm Status If the monitor detects that one or more of a patient s parameter values are violated ALARM will be displayed If the patient s parameter values are within the specified limits the chosen alarm reset mode either AUTO RESET or MANUAL RESET will be displayed See Select the Alarm Reset Operation in Chapter 17 Service Menu for details regarding auto or manual reset Bed and You can choose which patient information to display just the bed the bed and the patient s Patient Names name or the bed and the patient ID While specific patient identification information is expected to change the bed or room to which the monitor is assigned may remain the same Printer and The printer and battery status
99. automatic print job will print and then the strip will start again If the printer is printing tabular trend data or NIBP history and the monitor initiates an automatic print job the trend data or NIBP history printout will be paused the automatic print job will print and then the trend data or NIBP history printout will resume If the printer is printing an automatic snapshot of an alarming parameter and the monitor initiates another automatic print job the first snapshot will complete and then the second will begin If several alarms occur in close succession only the first snapshot and the snapshot of the last alarm to occur will print the monitor cannot store in memory more than the current print job and the most recent To set the monitor to automatically print a snapshot of a parameter in alarm 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight PRINTER and push the knob to select 2 Highlight AUTO PRINT ALARMS and push the knob to select 3 Turn the rotary knob to choose ON and push the knob to select 4 Highlight MAIN MENU and push the knob to select To set the monitor to automatically print NIBP history as soon as a reading is taken 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight Printer and push the knob to select 2 Highlight AUTO PRINT NIBP HISTORY and push the knob to select 3 Turn the ro
100. can be used for a password 6 Highlight ENTER and push the knob to select N REENTER NEW PASSWORD FOR CONFIRMATION will be displayed above the menu in the message line Use the rotary knob to reselect each character in your new password 8 Highlight CONFIRM and push the knob to select Koj Highlight MAIN or PREVIOUS and push the knob to select Verifying NIBP Calibration Contact your authorized repair center for help Using the Static Limits Feature The static limits feature provides a means for controlling how and where the Advisor Vital Signs Monitor stores alarm limit changes You can change active high and low limits using the alarm limit box or the default alarm limit box or you can restore the limits to the factory default values Veterinary Advisor Operation Manual 17 5 Chapter 17 Service Menu Active high and low alarm limits are the alarm limits used for the current patient type as shown in the parameter boxes on the display You can change the current alarm limits in the alarm limits box To access it select ALARMS from the main menu then CHANGE CURRENT ALARM LIMITS Default high and low alarm limits are the alarm limits set at your facility for each patient type You can set these alarm limits in the default alarm limit box To access it select SETUP SERVICE MENU MONITOR DEFAULTS DEFAULT PARAMETER ALARM LIMITS and then CHANGE UNIT DEFAULT ALARM LIMITS Factory default high and low alarm limits for
101. ccsssecseccsscccsscccssecsssecsnsecsssccsnscessecesuesesucessceesscessueessucessnceeseeeeaseeste 1 10 Chapter 2 Intended Use and General Information cccsocccsssssscscssssssccssscssscccsssssesees 27 T Intended Use Measurement Capabilities He art PUISE Rate sscicstecccctseetssnsecsstszscosesivensscscctexiveessadest atessnsdesvssvectinvesesdsectyscoss eesniy ont adgnsesedend sense EEA 2 1 Electroc rdiogra phy ECG saecssscascssesccsascdevssdsacsesesucsasosonseanssetoussesssesasssvsdstbsibsenveanstesbadeanenoadondosttasevaietedststs dsaudedesssesduansctinaces 2 1 OXIME Yeer aA N AO A A covet ors sucenssfasdeuuveasctusedashossccastesssbonsenttcteaaie 2 2 Non invasive Blood Pressure NIBP ccssscsscssssscsscsssssessssssessssscsscssssssscssesssssssscssssesssssssssessessessssscssssusssssssessssssssssssssatssssees 2 2 Invasive PFESS UNG sssssesessissssesacesies stasskennavssasessiaseudcnsscissndeussastussnsedsassedtoasoedsassesesenaaubansedssaseaidansasnasedsianeadsonsesssesssisassctosased scasstieciees 2 2 MVNO ST ACU aranne EAEE stessrsssisysacacesactssnsnhasst vdesynsstesndsctvascusststsasn EN EAN IAEN 2 2 CAP MOCKS PIN Visecssssscssacscaavectbesscssasvecsavsssbbnssectex a A T EEE E E ARER 2 2 Chapter 3 Controls and Features cccccsscccsssssssccsssssssccsscsscccssssssscscsscsscccssssssssscsssssssess 37 Indicators and Displays with Embedded SUBMENUG cssssssssssscssesecsnseeccneecssnscecsusescsssecessnscessusecsssnsees
102. ch as diagnosis or patient conditions under which the Product may be used handling of the Product after it leaves Seller s possession execution of recommended instructions for use and others Conditions of Warranty This warranty is void of the Product has been altered misused damaged by neglect or accident not properly maintained or recharged or repaired by persons not authorized by Seller Misuse includes but is not limited to use not in compliance with the labeling or use with accessories not manufactured by Seller This warranty does not cover normal wear and tear and maintenance items Limitation of Remedies The original purchaser s exclusive remedy shall be at Seller s sole option the repair or replacement of the Product THIS IS THE EXCLUSIVE REMEDY In no event will Seller s liability arising out of any cause whatsoever whether such cause is based in contract negligence strict liability tort or otherwise exceed the price of the Product and in no event shall Seller be responsible for consequential incidental or special damages of any kind or nature whatsoever including by not limited to lost business revenues and profits xii Veterinary Advisor Operation Manual Warranty and Service Information Warranty Procedure To obtain warranty service or repair of SurgiVet equipment in the USA please contact Veterinary Clinical Support to obtain a Return Authorization Number Please provide the serial number of all equip
103. choose the latest minute of stored trend data to be printed 06 in the previous example and push the knob to select Choose the minutes as they are displayed in the vital signs box Veterinary Advisor Operation Manual 25 01 85 01 08 08 oe 62 96 08 021 96 08 0Z Chapter 7 Printing LONG TREND TABLE Date 09 15 2004 Time 11 07 15 Bed The Animal Clinic Patient Dog ID 555 5555 Interval 1 min 69 04 00 11 L0 bb 20 11 0 11 v0 bb GO bb 90 11 Owl ajdwes 08 08 08 08 08 08 08 08 wdq YH 62 oe 62 oe 62 62 62 oe dSY 96 08 0Z 96 08 0ZL 96 08 0Z 96 08 0ZL 96 08 0Z 96 08 0Z 96 08 0ZL 96 08 0ZL uea VIG SAS Huw pyy 66 84 Izz 86 86 6L 6L 6 9 6 9 A SEE R GL gN z3 zI w a G6 8 OLL ueaW VIG SAS Hww dgIN 86 86 86 86 86 86 86 86 0 cOdS 6 6 6 6 6 6 6 6 wdq dd 6 9E 6 9 6 9 6 9E 6 9E 6 9 6 9 6 9E 3 bd SEE SEE 2 6 6 Gee 6 Gee 3 CANL Figure 7 4 Print Tabular Trend Data 7 5 Chapter 7 Printing 5 Highlight INTERVAL and push the knob to select 6 Turn the rotary knob to choose the amount of time 30 seconds or 1 5 10 15 or 30 minutes between T printed measured values and push the knob to select Highlight LENGTH and push the knob to select 8 Turn the rotary knob to choose the length of the segment to print 1 24 hours and push the knob to select
104. clude two invasive blood pressures BP1 and BP2 two temperature channels T1 and T2 and capnography CO3 A two inch internal graphic alphanumeric printer and the Veterinary Data Logger patient data storage analysis module are also provided as options The device permits patient monitoring with adjustable alarm limits as well as visible and audible alarm signals The monitor provides fast reliable measurements for patients ranging from cats to horses when using the appropriate SurgiVet accessories The monitor may be connected to the Life Sensing Instrument Company Inc HTS 820 Central Station for remote monitoring of patient status The monitor is not intended for home use The monitor is not intended to be an apnea monitor It was not designed or validated for use as an apnea monitor WARNING This monitor is not for apnea detection The monitor has not been tested or validated for use in apnea detection WARNING This monitor is not for home use WARNING Verify proper operating mode before attaching patient See Select the Patient Type in Chapter 4 Setting Up the Monitor Measurement Capabilities Heart Pulse Rate Heart pulse rate is measured with the ECG oximetry invasive blood pressure and non invasive blood pressure NIBP parameters The measured values can be continuously displayed in the ECG and SPO parameter boxes Heart pulse rate can also be displayed in the ART1 parameter box for invasive blood pressure and in NIBP H
105. concentration is 40 and compensates accordingly When the N O compensation is turned off the module adjusts the CO reading by an algorithm that assumes the concentration of N20 is 0 See N O Compensation in this chapter for more information To turn on or off NO compensation 1 Turn the rotary knob on the monitor to move the cursor Highlight the CO2 parameter box name and push the knob to access the CO parameter menu 2 Highlight N20 COMP and push the knob to select 3 Highlight ON or OFF and push the knob to select When N50 compensation is turned on N20 COMP will be displayed in the CO2 parameter box 4 Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 13 11 Chapter 13 Capnography Capnography Alarms A capnography alarm will be issued when one of the numeric measured values for capnography ETCO2 INCO2 RR matches or exceeds the alarm limits or when there is a malfunction with the capnography module See Set the Alarm Limits in Chapter 5 Monitoring the Patient for instructions for setting high and low alarm limits During a capnography alarm an audible alarm tone will sound and ALARM will appear in the alarm status line at the top of the display In the CO parameter box a message may be displayed describing the alarm condition and when applicable the violating measured value and violated alarm limit will flash Capnography alarms are categorized as medium or low priority A
106. d However if you are monitoring invasive blood pressure you will have to recalibrate or re zero the invasive pressure transducers See Set the Transducer to Zero in Chapter 11 Invasive Blood Pressure for details regarding calibrating invasive pressure transducers To suspend monitoring 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SUSPEND and push the knob to select A box will appear indicating that the monitor is in suspend mode SUSPEND MODE ALL PATIENT MONITORING IS SUSPENDED PRESS ROTARY KNOB TO RESUME PATIENT MONITORING Figure 5 1 Suspend Mode 2 To resume Monitoring push the rotary knob 5 8 Veterinary Advisor Operation Manual Chapter 5 Monitoring the Patient Freeze Mode Use this feature to temporarily hold or freeze all current waveforms even those that are not displayed You can then print a snapshot of any parameter s waveform if the optional printer is installed on your monitor Monitoring does not stop you can still view the current measured values in the parameter boxes You can also use the PRINT STRIP feature to continue viewing a real time waveform for any parameter When you freeze the waveforms you may not adjust any waveform settings The waveform menus on the left side of the screen are not accessible and the waveform submenus on the parameter menus are not available In addition attempting to perform any functions th
107. d or is off when it is required CORRECTIVE ACTION Connect the sensor to the extension cable and connect the extension cable to the monitor Reposition the sensor on the patient Reposition the sensor on the patient Change the sensor or contact the Smiths Medical PM Inc service department Turn on ECG MONITOR using the ECG parameter menu Connect the ECG lead to the electrode and the extension cable Replace the ECG lead Reapply the electrodes Perform a high low calibration HILO CAL Perform a low calibration LOW CAL Check the patient connection replace the sample line Turn off on NaO Compensation Veterinary Advisor Operation Manual Chapter 15 Operator s Maintenance and Troubleshooting Troubleshooting Occlusion of the CO sample line Most occlusions or blockages of the CO sample line are automatically cleared within a minute If occlusion cycles occur frequently or the OCCLUSION message appears often use the following flowchart to find and correct the problem OCCLUSION appears in the CO2 parameter box Yes Disconnect the patient attachment from the moisture trap s Luer fitting Watch the monitor for 30 seconds Did the OCCLUSION message disappear Remove the moisture trap No Yes from the monitor Watch the monitor for 30 seconds Reinstall the patient attachment Watch the monitor for 30 seconds Did the Replace the moisture trap OCCLUSI
108. d push the knob to access the alarms submenu 3 Highlight each pressure value SYS DIA and MN and choose ON or OFF for each one Push the knob to select To choose the pressure value alarm limits SYS DIA and MN to be displayed in the IBP parameter box a Highlight DISPLAY and push the knob to select b Choose SYS LIMITS DIA LIMITS OR MN LIMITS and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select Turn the Arterial Heart Rate Display On or Off If you selected ART as the site label or left it as the default label you can display the patient s arterial heart rate in the IBP parameter box To turn on or off the arterial heart rate display 1 Turn the rotary knob on the monitor to move the cursor Highlight the IBP parameter box name ART1 or ART2 and push the knob to access the IBP parameter menu 2 Highlight HR DISPLAY and push the knob to select 3 Highlight ON or OFF and push the knob to select 4 Highlight MAIN MENU and push the knob to select Set the Transducer to Zero The invasive pressure transducers must be calibrated or set to zero to ensure accurate absolute pressure measurements You can set the pressure to zero using either the waveform menu or the parameter menu To calibrate the invasive pressure transducer using the parameter menu see Calibrating the IBP Transducers later in this chapter 11 8 Veterinary Advisor Operation Manual Chapter 11 Invasive Blood P
109. d values for non invasive blood pressure SYS DIA and MAP are displayed in the NIBP parameter box NIBP measurements can be made in automatic manual or STAT modes Invasive Pressure Two independent channels of invasive blood pressure IBP1 and IBP2 monitoring are available to measure systolic diastolic and mean values for each invasive pressure The measured values for invasive blood pressure SYS DIA and MEAN are displayed in parameter boxes that are labeled according to the invasive pressure site such as ART1 or PA2 If the selected site is ART then heart rate HR can be displayed in the ECG parameter box If ART and ICP are both selected as invasive pressure sites then CPP can be displayed in the parameter box See Choose the Heart Rate Source in Chapter 8 ECG for detailed information regarding the source of the heart pulse rate displayed in the ECG parameter box Waveforms for each invasive blood pressure site can also be displayed Temperature Two independent channels of temperature T1 and T2 monitoring are available Each channel is compatible with Smiths Medical PM Inc YSI 400 series disposable temperature sensors or equivalent The measured value for each temperature channel T1 and T2 is displayed in the TEMP parameter box Capnography The capnography parameter provides the continuous non invasive monitoring of sidestream end tidal carbon dioxide ETCO3 inspired carbon dioxide INCO gt and respiration rate RR
110. dacasapdaneed acd veces E 4 7 Parameter ClO i Ses e sczzsscesdaccttcvsssa sssvessv exitustsecessheccscedveadashncndciaducuduvdssuehsanevistovisctagency ede sdtanspctivadicasleeasatas vet DANE La EER 4 8 Change the Parameter COlOMs sssssssssevsssscas sssssavssavsdesuvsavacssanesevessuosvacsassascscusiuscevensseus cavcsvavscdis E N 4 8 Software Revisions View the Software Revisions BOX sssssscsssssssscsssessssssssecssseessecsutecsssccsneecsseecsnecsuscesssessuceessesssucesssecesseesssecssseessneceseeceaeeesnsees 4 9 SERVICE MeNU nesrin nieri o na an N R Ra ewe ead A RER NEA EE RNE 4 9 Time and cht is scscidssss shee cased cate cadaceaaecvacsdaecssacdessnedasebbacebusccewsbtessesbiand cavceasstbsaieriacetevieossslestanteauaddeacb a E a EENEN 4 9 Change the Time and Dates sisssccassscshsszsecassssses ecocis sacsssncoossesaciasesons oxsesinsceani vetens sesuayseonts eodia decks s toasasbouaysdonssveesinsssaadedens seed 4 9 Chapter 5 Monitoring the Patient ccssecesisssssvssvsssessarescssssveversssvennssesveoncsisseseciesvscncssasscsternseaee D General Monitoring Instructions Attach the Patent isiscsnansissdicensidnizeansniceaieentenaie RO NN Adjust the Waveforms SOCEM GS sscscsticchassscsssdtecvaszecssnssdcvaayecsiseevtaioessstiessasradeestizbanststnatlemisractansemineianstapsnibeaenninieORe Adjust the Parameter Box Settings ssssssssssssessssccssssecssssecessssecssssecesusecessssesssssecesuseesssssecesusecessseesssusesesuses
111. de for periods longer than 15 minutes should be avoided to reduce the patient s risk for soft tissue or nerve damage When using the monitor for long periods of time select the longest clinically appropriate measurement interval and periodically examine the patient for signs of injury and ensure proper cuff placement Make sure that hoses are not kinked compressed or restricted Check that operation of the equipment does not impair the circulation of the monitored patient Blood pressure measurements may not be accurate for patients experiencing arrhythmias Do not verify the Non Invasive Blood Pressure calibration while the cuff is attached to a patient CAUTION Extremity and cuff motion should be minimized during blood pressure determinations CAUTION Proper blood pressure cuff size and placement are essential to the accuracy of the blood pressure determination CAUTION Any blood pressure recording can be affected by the position of the patient his or her physiologic condition and other factors CAUTION Blood pressure measurements should be interpreted by a physician NOTE There are no user serviceable adjustments for the Non Invasive Blood Pressure calibration verification If the monitor appears to be out of calibration contact your authorized repair center for help NOTE Systolic and diastolic blood pressure measurements determined with this device are equivalent to those obtained by the trained observer using the
112. dium priority alarm flashing yellow message in the SpO parameter box OXIMETER COM ERROR Audible medium priority alarm flashing yellow message in the SpO parameter box SEARCHING TOO LONG Audible medium priority alarm flashing yellow message in the SpO parameter box Veterinary Advisor Operation Manual 9 11 Chapter 9 Oximetry Oximetry Alarm Messages The following messages can be displayed in the SpO parameter box ALARM MESSAGE LOST PULSE CHECK SENSOR PULSE SEARCH SEARCHING TOO LONG SMALL SIGNAL OXIMETER ERROR COM ERROR 9 12 POSSIBLE CAUSE This message is displayed in the SpO gt parameter box when a valid PPR is obtained and then lost while the sensor is still attached to the patient If the alarm reset mode is set to MANUAL then this message may cycle or alternate with other alarm messages This is a high priority alarm This message is displayed in the SpO parameter box when the monitor is unable to detect that the sensor is connected to the patient This is a medium priority alarm This message is displayed in the SpO parameter box when the oximeter circuitry is optimizing the LED drive levels in the sensor to properly detect the PPR and SpO measured values This message is displayed in the SpO parameter box when the monitor detects that an SpO sensor is attached to the patient but cannot find a pulse after searching 15 20 seconds This is a medium priority alarm This mes
113. door to the bottom of the monitor 7 Connect the AC power cord to the monitor and to the AC power source and allow the battery to charge fully 8 Dispose of the battery properly See the CAUTION below CAUTION The internal rechargeable battery is user replaceable It may contain a Lithium lon Li ion NOTE NOTE NOTE NOTE NOTE 3 8 Nickel Metal Hydride NiMH or Sealed Lead Acid SLA battery Disposal of such batteries should be conducted in accordance to local and federal guidelines Refer servicing to qualified personnel Typical battery life is 2 to 5 years depending on usage When the monitor is connected to AC power the internal battery charges whether the monitor is on or off The Battery Charge LED flashes while the battery is charging it is steady when the battery is fully charged Allow the battery to fully recharge before using the monitor under battery power When approximately 10 minutes of battery use remains the LOW BATTERY message is displayed and a medium priority alarm is sounded every 20 seconds Battery charge time will be increased at elevated temperatures temperatures above 30 degrees Celsius A fully charged NiMH battery will last 2 to 3 5 hours depending on monitor usage Frequent printer use will reduce the battery run time Use the printer sparingly for increased battery run time Veterinary Advisor Operation Manual Chapter 4 Setting up the Monitor Chapter 4 Setting up
114. dvisor Vital Signs Monitor Service Manual Smiths Medical PM Inc part number V1887R also contains the circuit diagrams parts lists and descriptions required for carrying out repairs and disposing of batteries The Service Manual is available on request from Smiths Medical PM Inc Veterinary Division or your local agent MAINTENANCE ITEM RECOMMENDED ACTION MAINTENANCE INTERVAL Installed battery Charge the battery by connecting When LOW BATTERY is displayed in AC power to the monitor the printer and battery status line on the monitor After continuous use under battery power Monitor surfaces Clean and or disinfect As required See page 15 2 for instructions ECG cables Clean and or disinfect Daily Inspect for signs of damage or deterioration replace as required ECG electrodes Clean and or disinfect When attaching a new patient BP cables Clean and or disinfect Daily Inspect for signs of damage or deterioration replace as required Invasive pressure transducers A See manufacturer s instructions SpO sensor Clean and or disinfect When attaching a new patient see i page 9 4 for information A See manufacturer instructions Capnograph patient attachment Disposable discard after single When attaching a new patient patient use or when the patient attachment becomes occluded or has an air leak NIBP cuff and hose Clean and or disinfect When attaching a new patient See page 10 8 for instructions Inspect for sign
115. e Devices and items must not be disposed of with general waste Collect If purchased before that date they may also be sent for recycling if being replaced on a one Separately for one like for like basis this varies depending on the country Recycling instructions to customers using Smiths Medical products are published on the internet at http www smiths medical com recycle Disposal other countries When disposing of this device its batteries or any of its accessories ensure that any negative impact on the environment is minimized Contact your local waste disposal service and use local recycling or disposal schemes Separate any other parts of the equipment where arrangements can be made for their recovery either by recycling or energy recovery The ase main batteries are potentially harmful and will require separate disposal according to manufacturer s instructions or local regulations Note If applicable EU national or local regulations concerning waste disposal must take precedence over the above advice KEYWORD DEFINITION WARNING Tells you something that could hurt the patient or hurt the operator CAUTION Tells you something that could damage the device NOTE Tells you other important information General Warnings Cautions and Notes WARNING Do not use this device in the presence of flammable anesthetics WARNING ELECTRICAL SHOCK HAZARD when covers are removed Do not remove covers A Refer
116. e a c mains voltage prior to application of the test level C 2 ELECTROMAGNETIC ENVIRONMENT GUIDANCE Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If the user of the Advisor Vital Signs Monitor requires continued operation during power mains interruption it is recommended that the Advisor Vital Signs Monitor be powered from an uninterruptible power supply or a battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment Veterinary Advisor Operation Manual Appendix C IEC 60601 1 2 Requirements 2nd Edition 2001 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY The Advisor Vital Signs Monitor is intended for use in the electromagnetic environment specified below The customer or user of the Advisor Vital Signs Monitor should assure that it is used in such an environment COMPLIANCE ELECTROMAGNETIC IMMUNITY TEST IEC 60601 TEST LEVEL LEVEL ENVIRONMENT GUIDANCE Conducted RF 3V 3V IEC 61000 4 6 2003 80 AM modulation 2 Hz 0 15 MHz to 80 MHz
117. e auditory alarm will continue until you press the alarm silence key 4 If the alarm limit is still violated after two minutes the audible alarm tone will sound again If within the two 5 minutes of alarm silence another measured value matches or exceeds its alarm limits the alarming action will resume including the audible alarm tone If it is appropriate for your patient you can turn off the alarm detection capability for a single parameter so that when the measured value matches or exceeds the alarm limits the monitor will not issue an alarm Veterinary Advisor Operation Manual 5 3 Chapter 5 Monitoring the Patient Disabling Alarms To turn off the alarm detection capability for a single parameter 1 Turn the rotary knob on the monitor to move the cursor Highlight the parameter box name and push the knob to access the parameter menu in the lower left corner of the display N Highlight MEASURED VALUE ALARMS and push the knob to select For example in the SPO parameter menu select SPO ALARMS If the parameter has more than one measured value a Highlight ALARMS and push the knob to access the alarms submenu b Highlight the desired measured value SYS ALARMS DIA ALARMS MAP MEAN ALARMS INCO2 ALARMS and ETCO2 ALARMS and push the knob to select w Turn the rotary knob to choose OFF and push the knob to select 4 Highlight MAIN MENU and push the knob to select NOTE When you change the patien
118. e clock and calendar keep track of the time and date even when the monitor is turned off or is not connected to AC power The time and date stamp is used for the NIBP tabular trends the displayed and printed trends and all other printouts The time display format is based on the 24 hour clock For example 5 00 a m is displayed as 5 00 and 5 00 p m is displayed as 17 00 Change the Time and Date 1 Turn the rotary knob on the monitor to move the cursor Highlight the time and date as they are displayed Push the knob to access the time and date menu in the lower left corner of the display 2 Highlight the item to be changed YEAR MONTH DATE HOUR or MINUTE and push the knob to select 3 Turn the rotary knob to choose the desired value and push the knob to select 4 Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 4 9 Chapter 4 Setting up the Monitor This page is intentionally left blank 4 10 Veterinary Advisor Operation Manual Chapter 5 Monitoring the Patient Chapter 5 Monitoring the Patient Follow the steps in Chapter 4 Setting Up the Monitor the remainder of this chapter assumes that the monitor is properly installed and set up General Monitoring Instructions Regardless of the parameters or measured values you want to monitor follow these steps when you are ready to attach a patient Each step is further explained in this chapter 1 Attach the patient and sensors
119. e factory default alarm limits for each parameter See Using the Static Limits Feature in this section for details about how turning on or off the static limits feature affects default alarm limits 1 Select the desired patient type CAT DOG or HORSE The patient type indicator is located on the upper portion of the display e To change the patient type a Turn the rotary knob on the monitor to move the cursor Highlight HORSE DOG or CAT whichever is displayed Push the knob to access the patient type submenu in the lower left corner of the display b Highlight PATIENT TYPE and push the knob to select c Turn the rotary knob to choose the desired type HORSE DOG or CAT and push the knob to select 2 On the service menu highlight MONITOR DEFAULTS and push the knob to access the submenu for default parameter alarm limits 3 Highlight DEFAULT PARAMETER ALARM LIMITS and push the knob to select 4 Highlight RESTORE FACTORY LIMITS AS UNIT DEFAULTS and push the knob to select 5 Highlight YES and push the knob to select 6 Highlight MAIN or PREVIOUS and push the knob to select Set the ECG Filter Level You can change the ECG filter level 50 Hz or 60 Hz depending on the AC line frequency at your facility so that each time you turn on the monitor or change the patient type the ECG filter level will be appropriate for your location To change the ECG filter level 1 On the service menu highlight MONITOR DEFAULTS and p
120. e knob to select c Turn the rotary knob to choose the desired type HORSE DOG or CAT and push the knob to select N On the service menu highlight MONITOR DEFAULTS and push the knob to access the submenu for default parameter alarm limits w Highlight DEFAULT PARAMETER ALARM LIMITS and push the knob to access the default alarm limit box 4 Highlight CHANGE UNIT DEFAULT ALARM LIMITS and push the knob to select ia Turn the rotary knob to highlight the name of each measured value and push the knob to select 6 Highlight the high alarm limit HI and push the knob to select N Turn the rotary knob to choose the desired value and push the knob to select If you do not want to set a default high alarm value choose off o0 Highlight the low alarm limit LO and push the knob to select Koj Turn the rotary knob to choose the desired value and push the knob to select If you do not want to set a default low alarm value choose off 10 Repeat steps four through seven to set the default high and low quickset alarm limits See QUICKSET Alarm Limits in Chapter 5 Monitoring the Patient for details regarding the quickset feature 11 Turn the rotary knob to move the cursor back to the name of the measured value and push to select 12 Highlight MENU in the default alarm limit box and push the knob to return to the submenu 17 2 Veterinary Advisor Operation Manual Chapter 17 Service Menu To restore th
121. e the heart rate source c If ECG MONITOR is turned off or the signal is otherwise undetected SPO is undetected an invasive blood pressure IBP1 or IBP2 cable is connected to the monitor the site is set to ART1 or ART2 and the reading is valid then ART will be the heart rate source 8 8 Veterinary Advisor Operation Manual Chapter 8 ECG To choose the source of the heart rate displayed in the ECG parameter box 1 Turn the rotary knob on the monitor to move the cursor Highlight the ECG parameter box name and push the knob to access the ECG parameter menu N Highlight RATE SRC and push the knob to select 3 Choose the desired source of the measured value for heart rate AUTO ECG SPO2 or ART and push the knob to select 4 Highlight MAIN MENU and push the knob to select Adjust the Volume of the Heartbeat Beep Tone You can set the monitor to issue a beep tone with each detected heartbeat You can control the volume of the beep tone or turn it off If the SPO reading is valid the pitch of the beep tone will vary depending on changes in oxygen saturation When SPO increases the pitch increases when SPO decreases the pitch decreases To adjust the volume of the pulse beep 1 Turn the rotary knob on monitor to move cursor Highlight SETUP in main menu and push the knob to select Move the cursor and highlight PARAMETER OPTIONS Push the knob to select N In the PARAMETER OPTIONS menu highlight PULSE VO
122. eaaaan sea disariaian tan inaiena ERR R xiii Chapter 1 AthOGUCHOM sisssserssssccexcosscsccctsnssenensscnonsnadoisncnsnanassusnancnseanenqsanssstansnsbenenstenercunnsaees 121 ADOUE This Matiuall ssssssscsscsszsssssetsceszesteasdaicasieianvdnitaltesansalentaananaisaca rasan densn a a N E aN 1 1 CONVENTIONS einen E A A E RAEE save sencicenapeadssss ces R E ERAR 1 1 Using the Ma tial sszseceasascxssssesesczscreederseacasnasasvdesscsyeatvsvnsssievoeseveadsecussseessdeansusraitsessesnisoecrtessisraseri E ARNE 1 1 Definition OF SYMDOIS auniem N 1 2 General Warnings Cautions and NOtes sscsssssssssecsssecssescssecsssessssecsssccssscessscesssccssucceseeessecsuseesnsecssscesucesueecsuecssecesseeesneeesneessaes 1 3 ECG Warnings Cautions ANd NoteS ccsssssscsssecssesssneccssscssssessseecssecssseesssecsssccssucceseccessecsnseesssessnscesseeesuccesssccesecseseeesueessnceesneceaseeess Oximetry Warnings Cautions and Notes Non invasive Blood Pressure Warnings Cautions and Notes sscsssecsssccssescssessssecsnseessscesseeesseessuccsseccssceeseeessncessneeesseeess 1 8 Invasive Blood Pressure Warnings Cautions ANG NOtes sssscsssscsssccsesccssecsseecessecsnsecsscessscesseeesuecessecsseceesecesneessneeesneeesseeess 1 9 Temperature Warnings Cautions ANd Notes ccssecsssscsssscssscessssecssecsuseccscccsssecsucecsuscesnscessecessecensscessecesscessseecsuccssnecesseeesseests 1 10 Capnograph Warnings Cautions and NOteS sccssessssssessss
123. eas It has brighter LED s and therefore will shine through thicker tissues The C Sensor can effectively be applied to the tongue or lip of larger dogs and horses 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 tissue must be at least as thick as the space between the two LED s on the C Sensor to get an SpO reading Figure 9 8 Universal C Sensor y bS et Pe N oe YN a pees l pees w y R Measured values for oximetry Y SpO and PPR will be displayed in the SpO parameter box and an SpO waveform or plethysmogram will appear on the display Checking the Oximeter s Performance Pulse oximeters do not require user calibration If checking the function of the device is desired an optional Oximeter Patient Simulator SMPM catalog number 1606 is available as an accessory The simulator attaches to the oximeter in place of the sensor or oximetry cable It provides a known SpO and pulse rate signal to the oximeter This allows the oximeter s performance to be checked NOTE The 1606 Oximeter ECG Patient Simulator does not calibrate the oximeter The oximeter does not require calibration The 1606 provides a known SpO value and pulse rate to the oximeter that allows the oximeter s performance to be checked NOTE The 1606 Oximeter ECG Patient Simulator cannot be used to asse
124. easured value 1 Turn the rotary knob on the monitor to move the cursor Highlight the CO2 parameter box name and push the knob to access the CO parameter menu Highlight ALARMS and push the knob to select Highlight ETCO2 ALARMS INCO2 ALARMS or CO2 RESP ALARMS and push the knob to select Choose ON or OFF and push the knob to select Highlight MAIN MENU and push the knob to select a Turn the Capnography Parameter Off You can turn off the capnography parameter The parameter box and waveform will disappear from the display You must turn on the capnography parameter using the setup menu See Parameter Options in Chapter 4 Setting Up the Monitor NOTE The default setting for capnography is on if the capnography parameter is installed on your monitor NOTE CO2 MONITOR can be turned on only if the capnography parameter is installed on your monitor To turn the capnography parameter off 1 Turn the rotary knob on the monitor to move the cursor Highlight the CO2 parameter box name and push the knob to access the CO parameter menu 2 Highlight CO2 MONITOR and push the knob to select 3 Highlight OFF and push the knob to select The CO2 parameter box and waveform will disappear from the display 4 Turn the rotary knob to highlight MAIN or PREVIOUS and push the knob to select Turn N O Compensation On or Off When NO compensation is turned on the module adjusts the CO reading by an algorithm that assumes the nitrous
125. ecaucneva cbacausnctea NORA ATRA Application Guge isrsyssns unnsa ahan aa A ie tubal RE BREA DaN a Universal Y Sensor with Lingual Clip V1703 IVAN GUS V3 OB wcseasczes ce ccexszsdcazatecenstvessvsesainendveesscecsssetecsvestacosstecs beds Aaa E I ERE E ERA Small Reflectance Sensor V 1700 masinon naaa a a A a aaia Universal C Sensor V1707 csscsssssssessssssssesssssssssssssesssssessessssessessessesessssssssessesessssssesssessessessesessessesssecsessesssssessssesssessesessessessesess Checking the Oximeter s Performance scssccssssccssesecsssscessseecssseecesusecessssesssnsecesaseeessseecesuseesssseeessuscesuneesssseesesaneceseseeessaneeesnneees Choosing the Waveform Settings sisssissicessisdraicedizsrtianaimiieniaemieaniicn R Access the Waveform MeNnu sssessesssessessesssssssssssssssnsssessesssessssssesseesesssssssessssnssnsesssucsasssessuessesseessseseesssansanceseesucsacsseessesseeseeess Choose the Waveform Speed Adjusting the Settings in the Parameter Box ssssssssssscsssssecssssecesssscessssecssssscesuseesssssecesussesssseesssusscesussesseseesesuseeesessesseaneessaesees 9 9 Turn Alarm Detection ON OF Off sssssssscssssssssccsseecssecsssccsnscessscesssecsssccssseesssecsusessuseesuseessccessecessecsssecssscesuseessuecssneeeseeceaeeesnsees 9 9 Choose the Waveform Speed scssssssssscssecsssecsssecsssecssseessssessescsscessccesscccsueessnecssnecessecessecsssecsssccssseesaeessceesasecsseeceacessneessneeesass 9 9
126. eceptacles on the side of the monitor Figure 11 2 Disposable Transducer To monitor Interface cable Disposable transducer S Interface cable Transducer To patient connector connector b If you are using a non disposable transducer choose one that is designed to mate with the IBP1 and IBP2 receptacles on the side of the monitor 2 A Prepare the transducer according to the transducer manufacturer s instructions 3 If you are using a disposable transducer connect the prepared transducer to the interface cable 4 Connect the interface cable or the non disposable transducer to the monitor Veterinary Advisor Operation Manual 11 3 Chapter 11 Invasive Blood Pressure WARNING Avoid conductive connection with any metal parts 5 Choose the waveform and parameter box settings for the patient 6 Insert a sterile catheter into the patient according to the standards of practice and care for your facility 7 A Attach the transducer to the catheter according to the transducer manufacturer s instructions The monitor will automatically detect when the interface cable or non disposable transducer is connected and the invasive blood pressure IBP parameter will be active Measured values for IBP will be displayed in the relevant parameter box identified by the selected site label and a waveform will appear on the display The default site label for IBP1 is ART1 the default site label for IBP2 is PA2 See
127. ect the patient cable If the patient cable appears damaged do not use it Contact your authorized repair center for help WARNING Failure to carefully route the cable from the sensor to the monitor may allow the patient to become entangled in the cable possibly resulting in patient strangulation Route the cable in a way that will prevent the patient from becoming entangled in the cable If necessary use tape to secure the cable WARNING If any of the integrity checks fail do not attempt to monitor the patient Use another sensor or patient cable or contact the equipment dealer for help if necessary WARNING Do not autoclave ethylene oxide sterilize or immerse the sensors in liquid Evidence that liquid has been allowed to enter the monitor voids the warranty WARNING Use only SpO sensors supplied with or specifically intended for use with this device WARNING SpO measurements may be adversely affected in the presence of high ambient light Shield the sensor area with a surgical towel for example if necessary WARNING Dyes introduced into the bloodstream such as methylene blue indocyanine green indigo carmine patent blue V PBV and fluorescein may adversely affect the accuracy of the SpO gt reading WARNING 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 SpO and pulse rate readings Veterinary
128. ected Highlight ENTER and push the knob to select 2 On the service menu highlight MONITOR DEFAULTS and push the knob to select 3 Highlight SERIAL OUTPUT MODE and push the knob to select 4 Turn the rotary knob to highlight REAL TIME NUMERIC CSV and push the knob to select 5 Connect a serial cable DB 9 to the back of the monitor and to a serial COM port on your PC 6 On your PC open Hyperterminal or some similar serial communications program Veterinary Advisor Operation Manual 14 1 Chapter 14 Serial and Analog Input Output 7 Configure the program for Bits per second baud 115 200 Data bits 8 Parity None Stop bits 1 Flow control None 8 Select the Transfer Hyperterminal menu option along the top edge of the terminal window and select Capture Text 9 Select the location where you wish to save the file and the file name for example C AdvisorData txt 10 Click Start 11 When the data capture is complete select the Transfer Hyperterminal menu option along the top edge of the terminal window and select Stop The file will be saved to the location previously selected C AdvisorData txt 12 This file can be opened using Microsoft Excel by following these steps a Select File gt Open b Change the Files of type selection to Text files prn txt csv c Open the previously saved file C AdvisorData txt d Select Delimited and click Next e Check the Comma box and unchec
129. en Image Snapshot Alarm Volume 45dBA to 85 dBA at 1 meter distance adjustable Keys User Controls On Off Key Zero IBP Key gt O lt NIBP Key Q7 Print Key Z Alarm Silence Key Rotary Knob Veterinary Advisor Operation Manual 18 1 Chapter 18 Specifications ECG Heart Rate Range Heart Rate Accuracy QRS Detection Range Pace Pulse Detection Detection Duration Alarm Ranges Heart Rate Heart Rate Averaging Lead Selection Display Gain Settings Input Range Frequency Response Input Impedance CMRR Defibrillation Protection I Leakage Patient Isolation Display Waveform Update Rate Digits 18 2 20 350 bpm 2 bpm or 2 whichever is greater 0 5 to5 mV 2 mV to 700 mV amplitude 0 1 2 0 ms High 20 350 bpm and OFF Low 20 350 bpm and OFF Fixed 8 second averaging 1 Il or Ill 3 lead cable 1 IL Ill V aVR aVL or aVF 5 lead X 0 5 X1 X2 X4 5 0 mV to 5 0 mV 0 05 Hz to 40 Hz gt 5 Mohms differential as required and tested per ANSI AAMI EC 13 100 dB 60 Hz Yes lt 10uUA gt 4000 VAC 120 Hz 6 25 12 5 25 or 50 mm sec 1 Hz Veterinary Advisor Operation Manual Capnograph Measurement Calibration Measurement Range Display Range Display Update Rate Accuracy Stability Rise Time Delay Time System Response Time Time from power on to accurate readings N20 Compensation Averaging Flow Rate ETCO
130. ensor from the monitor before cleaning or disinfecting NOTE Obstructions or dirt on the sensor s red light or detector may cause a sensor failure Make sure there are not obstructions and the sensor is clean 3 Check the sensor and the patient cable to make sure they do not appear damaged WARNING Using a damaged sensor may cause inaccurate readings possibly resulting in patient injury or death Inspect each sensor If a sensor appears damaged do not use it Use another sensor or contact your authorized repair center for help WARNING Using a damaged patient cable may cause inaccurate readings possibly resulting in patient injury or death Inspect the patient cable If the patient cable appears damaged do not use it Contact your authorized repair center for help WARNING If any of the integrity checks fail do not attempt to monitor the patient Use another sensor or patient cable or contact the equipment dealer for help if necessary 9 4 Veterinary Advisor Operation Manual Chapter 9 Oximetry 4 If necessary connect the sensor to the patient cable 5 Connect the patient cable to the monitor Align the pins on the patient cable with the monitor s SpO receptacle and push the connector firmly into the receptacle Connect the e The monitor will automatically detect when the SpO SpO Patient patient cable is connected and the oximetry parameter Cable will be active 6 Attach the sensor to the patient
131. enter for help the monitor s main processor cannot communicate with the temperature circuitry All temperature functions are disabled This is a medium priority alarm Veterinary Advisor Operation Manual 12 3 Chapter 12 Temperature This page is intentionally left blank 12 4 Veterinary Advisor Operation Manual Chapter 13 Capnography Chapter 13 Capnography Using the Capnography Parameter This chapter includes information specific to the capnography parameter Refer to chapters 4 7 for general step by step monitoring instructions The remainder of this chapter assumes that the monitor is properly installed and set up Figure 13 3 Capnography Display Measured value for end tidal CO High and low alarm limits 26 MAY 2004 13147 CAT AUTO RESET for end tidal CO I High and low alarm limits for CO respiration Measured value for CO gt respiration CO waveform P Measured value for High alarm limit for inspired CO inspired CO CO alarm message DISPLAY CO2 PARAMETER MENU MAIN CO2 CO2 MONITOR LOW HILO N20COMP PRINT menu ALARMS WAVEFORM ol CAL CAL OFF STRIP a Capnography Warnings Cautions and Notes WARNING The capnograph contains no compensation for barometric pressure therefore readings in mmHg and kPa are correct only under the pressure at which the capnograph is calibrated Manual compensation can be made by performing a low calibration low cal CAUTION Pump motors in the capnograph
132. er that is appropriate for the patient type PATIENT TYPE DESCRIPTION Awake animal Nasal cannula Intubated anesthetized animal Airway adapter or F circuit Elbow adapter 2 Attach the cannula or adapter to the patient and to the monitor Using a Nasal Cannula If you are using a nasal cannula 1 Be sure the moisture trap SurgiVet part number 8075 is attached to the left side of the capnography module on the monitor 2 Connect the nasal cannula sample line SurgiVet part number 1186 to the Luer fitting on the moisture trap and twist to tighten 3 Place the cannula over the patient s head and tighten the strap to fit the patient Figure 13 4 Nasal Cannula Connect the sample line to the Luer fitting on the moisture trap 13 4 Veterinary Advisor Operation Manual Chapter 13 Capnography Using an Airway Adapter Figure 13 5 Airway Adapter Connect the sample line to the Luer fitting on the moisture trap Connect the airway adapter to the sample Connect the airway adapter line to the breathing circuit Connect the airway al ig eal to the endotracheal tube If you are using an airway adapter 1 Be sure the moisture trap SurgiVet part number 8075 is attached to the left side of the capnography module on the monitor 2 Connect the sample line
133. er 12 Temperature Attaching the Patient Figure 12 2 Connect the interface cable or temperature sensor 1 Choose a temperature sensor Each temperature channel is compatible with Smiths Medical PM Inc YSI 400 series disposable temperature sensors or equivalent T1 Connect the interface cable and temperature sensor N Apply the temperature sensor to the patient according to the standards of practice and care for your facility and according to the temperature sensor manufacturer s instructions A T2 Connect the interface cable and temperature sensor 3 If applicable connect the temperature sensor to the interface cable 4 Connect the interface cable and the temperature sensor to the T1 or T2 receptacle on the side of the monitor The monitor will automatically detect when the interface cable and temperature sensor are connected The temperature parameter will be active and measured values for temperature will be displayed in the TEMP parameter box Adjusting the Settings in the Parameter Box Turn Alarm Detection On or Off You can turn on or off the alarm detection capability for each temperature channel If T1 ALARMS or T2 ALARMS is on an alarm will be issued when the high or low alarm limit for either channel is violated If you turn T1 ALARMS or T2 ALARMS off and the high or low alarm limit for either channel is violated an alarm will not be issued When you turn off the
134. f ART is the heart rate source Audible high priority alarm flashing red heart rate value in the ECG parameter box LOW ART PULSE RATE if ART is the heart rate source Audible high priority alarm flashing red heart rate value in the ECG parameter box IBP OUT OF RANGE Audible medium priority alarm message in the IBP parameter box COM ERROR Audible medium priority alarm message in the IBP parameter box ZERO UNSTABLE Audible low priority alarm message in the IBP parameter box ZERO OUT OF RANGE Audible low priority alarm message in the IBP parameter box Veterinary Advisor Operation Manual 11 9 Chapter 11 Invasive Blood Pressure IBP Alarm Messages The following messages can be displayed in the IBP parameter box ALARM MESSAGE COM ERROR IBP ZERO NEEDED IBP OUT OF RANGE ZERO OUT OF RANGE ZERO UNSTABLE 11 10 POSSIBLE CAUSE This message is displayed in the IBP parameter box when the monitor s main processor cannot communicate with the invasive pressure circuitry Invasive pressure functions for the affected channel are disabled This is a medium priority alarm This message is displayed in the IBP parameter box when the transducer must be calibrated or set to zero This message is displayed in the IBP parameter box when the pressure transducer s measurement is outside the monitor s measurement range Pressure readings in the range of 50 to 300 mmHg are valid This message is displayed i
135. from any other enabled parameter CO gt and SpO waveforms will be displayed in the first available waveform 2 3 or 4 when the respective cables are connected or when the parameter is turned on using the SETUP menu and PARAMETER OPTIONS submenu Waveform The waveform label provides access to a menu for each waveform where you can adjust Label various settings related to the waveform For some parameters such as ECG the waveform label displays information about the primary lead and the size of the ECG tracing Message Line The message line provides a brief description of the highlighted field or menu selection It can be turned on or off Date and Time The monitor s real time clock and calendar keep track of the time and date even when the monitor is turned off or is not connected to AC power The time and date stamp is used for the NIBP tabular trends the displayed and printed trends and all other printouts The time display format is based on the 24 hour clock For example 5 00 a m is displayed as 5 00 and 5 00 p m is displayed as 17 00 3 2 Veterinary Advisor Operation Manual Parameter Box Measured Value Chapter 3 Controls and Features Alarm Limits Parameter Name Alarm Limit Descriptor Measurement Unit Figure 3 2 Parameter Box Parameter Box When you turn on a parameter a box appears on the display containing the parameter or measurement name the numeric values for the selected measurement the
136. g is ON CO2 MONITOR can be turned on only if the capnography parameter is installed The default setting is OFF 71 MONITOR and T2 MONITOR can be turned on only if the temperature parameter is installed on your monitor and a temperature sensor is connected The default setting for T1 and T2 is ON 4 Highlight ON or OFF and push the knob to select 5 Highlight MAIN or PREVIOUS and push the knob to select 4 6 Veterinary Advisor Operation Manual Chapter 4 Setting up the Monitor Change the Units of Measurement Units of measurement can be changed for temperature pressures and optional capnography The selected units of measurement will remain in the monitor s memory until changed even if the monitor is turned off 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu 3 Highlight UNITS OF MEASURE and push the knob to access the units of measure submenu 4 Highlight UNITS PRESSURE or CO2 and push the knob to select 5 Turn the rotary knob to highlight the desired unit and push to select a If the temperature parameter is installed on your monitor UNITS can be changed to degrees Celsius or Fahrenheit C or F The default setting is C b PRESSURE can be changed to millimeters of mercury mmHg or kilopascals kPa The default
137. h alarm limits is OFF and the final choice at the lower end of each range of low alarm limits is OFF Regardless of the QUICKSET high and low numbers a high or low alarm limit will never be reset to OFF when you select QUICKSET The alarm limit will be reset to the final value at the end of the range of high or low alarm limits See the following example HIGH AND LOW ALARM SELECTABLE HIGH AND LOW QUICKSET PATIENT S CURRENT LIMITS AS RESET USING THE ALARM LIMIT RANGES NUMBERS MEASURED VALUES QUICKSET FEATURE Heart Rate QS HI 25 Heart rate 44 beats per High 77 High 20 350 bpm OFF QS LO 25 minute bpm Low 20 Low OFF 20 350 bpm Since the minimum value for alow alarm limit is 20 27 bpm is not an option 44 25 lt 20 QUICKSET will not reset the low alarm limit to less than 20 or OFF To set the QUICKSET high and low numbers 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight ALARMS and push the knob to select N Highlight CHANGE CURRENT ALARM LIMITS and push the knob to access the alarm limit box w Turn the rotary knob to highlight the name of the current measured value and push the knob to select 4 Highlight the QS HI or QS LO and push the knob to select UI Turn the rotary knob to choose the desired number and push the knob to select If you do not want a high or low alarm limit to change when you use the QUICKSET feature selec
138. h the nine pin connector The optional Data Logger module attaches here See Optional Data Logger section in Chapter 14 for connecting instructions Printer This optional feature is a two inch graphic alphanumeric thermal array printer It provides waveform snapshots waveform strips and tabular parameter data Annotation lines are printed every 200 mm 8 inches The printer has three paper speeds four if capnography is installed a dedicated print key and an easy to use drop in paper replacement compartment Veterinary Advisor Operation Manual 3 7 Chapter 3 Controls and Features Internal Battery The installed internal rechargeable battery is intended primarily for backup and switch over use Charge the battery after the monitor has operated using battery power or after the monitor has been shipped or stored To charge the battery connect the AC power cord to the monitor and to the AC power source There are no set up requirements for using a charged battery the monitor operates exactly the same way under AC or battery power To replace the installed rechargeable battery 1 Disconnect AC power and verify that the monitor is off 2 Remove the battery door from the bottom of the monitor 3 Disconnect the battery from the battery cable and remove it from the battery compartment 4 Connect a new battery to the battery cable 5 Insert the battery and cables into the battery compartment 6 Reattach the battery
139. hapter 11 Invasive Blood Pressure Calibrating the IBP Transducers The invasive pressure transducers must be calibrated or set to zero to ensure accurate absolute pressure measurements You can set the pressure to zero using either the IBP ZERO ALL O lt key the waveform menu or the parameter menu NOTE The IBP ZERO NEEDED message is displayed when the monitor is turned on or when the transducer is connected to the monitor even if the same transducer is disconnected and reconnected to the monitor 1 Flush the transducer s and corresponding lines with an IV solution 2 Open the transducer s to air or ambient pressure 3 A Prepare the transducer s for zeroing as described in the transducer manufacturer s instructions 4 To zero both IBP transducers press the IBP ZERO ALL key gt O lt on the front of the monitor 5 To zero a single IBP transducer using the parameter menu or the waveform menu a Turn the rotary knob on the monitor to move the cursor Highlight the IBP parameter box name or the waveform name and push the knob to select b Highlight ZERO PRESSURE and push the knob to select c Highlight MAIN MENU and push the knob to select 6 Close the transducer s to air or ambient pressure Veterinary Advisor Operation Manual 11 11 Chapter 11 Invasive Blood Pressure This page is intentionally left blank 11 12 Veterinary Advisor Operation Manual Chapter 12 Temperature Chapter
140. hapter assumes that the monitor is properly installed and set up Oximetry Measurement Capability The oximetry parameter provides the continuous non invasive monitoring of oxygen saturation SpO in the blood and peripheral pulse rate PPR The measured values for oximetry SpO and PPR and a pulse strength bar graph are displayed in the SpO parameter box A plethysmogram or oxygen saturation waveform can be continuously displayed A variety of reusable sensors is available for monitoring patients Measured Value Oxygen Saturation Waveform Peripheral Pulse for Peripheral plethysmogram Strength Bar Graph Pulse Rate PPR Measured Value 26 MAY 2004 13 47 AUTO RESET for Oxygen Saturation High and Low Oxygen Alarm Limits Saturation waveform Inbal Oximetry Alarm Message DISPLAY SPO2 PARAMETER MENU Figure 9 1 Oximetry Display Veterinary Advisor Operation Manual 9 1 Chapter 9 Oximetry Oximetry Warnings Cautions and Notes WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING Prolonged use or the patient s condition may require changing the sensor site periodically Change the sensor site and check skin integrity circulatory status and correct alignment at least every 4 hours 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 bliste
141. hat triggered the snapshot is captured on the printout In the annotation line in Figure 7 2 the delay is four seconds delay 4 This means that the waveform data on the printout began four seconds earlier than the waveform on the display reached the right edge Figure 7 1 Printout Delay 26 MAY 2004 13 47 CAT I MAIN DISPLAY SETUP MENU 1 The printout delay ensures that the waveform printed on the snapshot starts before the waveform reaches the right edge of the display 7 2 Veterinary Advisor Operation Manual Chapter 7 Printing To print a snapshot of a single parameter s waveform 1 Turn the rotary knob on the monitor to move the cursor SMARSHOI Highlight the desired waveform label on the left side of the display Or highlight th lated terb th BED THE ANIMAL CLINIC isplay Or highlig e related parameter box name on the PATIENT DOG right side of the display Push the knob to access either the ID 555 5555 waveform menu or the parameter menu in the lower left corner of the display 2 Highlight PRINT SNAPSHOT and push the knob to select To stop printing press the PRINT 0 key on the monitor I gt BHU Lay ij aya nuwgoz 993 SOS WLUDG Lp LZ EL V00Z dIS 9L To print a report of selected waveform snapshots 1 Be sure you have chosen which waveforms will be included in the report Printout Delay To choose the waveforms wdqgg 4H 903 p e
142. he higher of the two scales Dual channel simulators may affect verification of IBP operation Use only single channel simulators All specified transducers were tested for immunity to radiated radio frequency electromagnetic fields at a level of 3V m in accordance with IEC 60601 2 34 2000 Additional validation at levels of 10V m was performed using the pvb Critical Care GmbH xtrans and Edwards Lifesciences TruWave transducers Veterinary Advisor Operation Manual 1 9 Chapter 1 Introduction Temperature Warnings Cautions and Notes NOTE Use only temperature sensors and interface cables specifically intended for use with this device Capnograph Warnings Cautions and Notes WARNING The capnograph contains no compensation for barometric pressure therefore readings in mmHg and kPa are correct only under the pressure at which the capnograph is calibrated Manual compensation can be made by performing a low calibration low cal WARNING Use of accessories other than those supplied by or recommended by the manufacturer may result in inaccurate readings altered measurement response times or erroneous occlusion messages CAUTION Pump motors in the capnograph may adversely affect other medical equipment such as ECG tracings CAUTION Use of the monitor during continuous nebulized medication delivery will result in damage to NOTE NOTE NOTE NOTE NOTE 1 10 the monitor which is not covered by the fac
143. he interval you select 1 2 3 4 5 10 15 20 or 30 minutes or 1 2 4 or 8 hours The time remaining until the next measurement will be displayed in the parameter box When the interval has elapsed the time remaining 00 00 00 will flash for several seconds indicating that an NIBP measurement is going to begin Figure 10 7 NIBP Time Time remaining until the Ws 120 80 next NIBP measurement 00 00 00 ooo Q2 To choose the automatic NIBP measurement interval 1 Be sure the NIBP MODE is set to AUTO 2 On the NIBP parameter menu highlight AUTO INTERVAL and push the knob to select 3 Highlight the desired interval 1 2 3 4 5 10 15 20 or 30 minutes or 1 2 4 or 8 hours and push the knob to select 4 Highlight MAIN MENU and push the knob to select 10 6 Veterinary Advisor Operation Manual Chapter 10 Non invasive Blood Pressure Choose the Inflation Pressure You can change the cuff inflation pressure before any measurement If you change the pressure the monitor will use the new value for the next NIBP measurement The default settings are 200 mmHg for the cat mode 150 mmHg for the dog mode and 100 mmHg for the horse mode After an NIBP measurement is taken and there is a valid systolic pressure reading displayed in the NIBP parameter box the cuff inflation pressure will automatically inflate to the systolic pressure plus 35 mmHg for cat and dog patient types and plus 20 for the horse type For exam
144. he knob to select 3 Turn the rotary knob to choose whether or not you want the message line to be displayed Push the knob to select YES or NO 4 Highlight MAIN MENU and push the knob to select Print All Report If your Advisor Vital Signs Monitor includes the optional printer you can print a snapshot of the waveforms displayed for the monitored parameters Use the Print All Report menu option to choose which waveforms will print when you press the Print key 0 on the monitor Choose the Waveforms to Print 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight PRINT ALL REPORT and push the knob to access the print all report submenu 3 Highlight WAVEFORM 2 WAVEFORM 3 or WAVEFORM 4 and push the knob to select You cannot change WAVEFORM 1 it must remain set to Primary ECG 4 Highlight the desired source of the printed waveform OFF Il II CO2 SPO2 IBP1 OR IBP2 and push the knob to select 5 Highlight MAIN or PREVIOUS and push the knob to select Veterinary Advisor Operation Manual 4 5 Chapter 4 Setting up the Monitor Parameter Options The PARAMETER OPTIONS submenu provides setup options associated with specific monitoring parameters You can choose 3 lead or 5 lead ECG processing You can turn on or off some of the installed parameters such as ECG capnography CO3 and temperature T1 and T2
145. hichever is greater exclusive of transducer error 0 300 mmHg 0 60 mmHg 0 200 mmHg 0 40 mmHg 0 160 mmHg 0 20 mmHg automatic scaling High and low alarm limits for the displayed channel are checked against that channel s displayed numeric values 50 to 300 mmHg in 1 mmHg steps 50 to 300 mmHg in 1 mmHg steps SYS DIA MEAN Mean only ART1 ART2 CVP1 CVP2 PA1 PA2 ICP1 ICP2 RV1 RV2 RA1 RA2 LV1 LV2 LA1 LA2 P1 generic pressure label P2 generic pressure label Transducers with a resistance of 300 to 2000 Q and an equivalent pressure sensitivity of 5 uV V mmHg 10 20 350 bpm 2 bpm or 2 whichever is greater 8 seconds Two 0 50 C 32 122 F 0 1 C 0 2 F plus the temperature sensor tolerance 0 1 C 0 1 F 20 0 50 0 C 68 0 122 0 F and OFF in 0 1 increments 20 0 50 0 C 68 0 122 0 F and OFF in 0 1 increments YSI 400 series reusable temperature sensors YSI 4400 series disposable temperature sensors The monitor automatically detects sensor type Automatic for listed transducers 0 1 C 0 1 F Veterinary Advisor Operation Manual Auxiliary Inputs Outputs Serial RS 232 Dataline Serial Out Rating Strip Printer Paper Speeds Waveforms Annotation Lines Snapshot Continuous Print on Alarms Print Trend Table Trend Table Sample Intervals Print NIBP History Power Requirements AC Input Battery 9208 Dimensions Width Length Height
146. high and low alarm limits a descriptor for the alarm limits displayed and the measurement unit In figure 2 2 the parameter is ECG the numeric measured value is the heart rate HR the alarm limits shown are for the heart rate HR and the measurement unit is beats per minute bpm Parameter Name Numeric Measured Values High and Low Alarm Limits Alarm Limit Descriptor Measurement Unit Veterinary Advisor Operation Manual The name of the monitored parameter is displayed Invasive blood pressure parameters IBP1 and IBP2 are more precisely labeled according to the invasive pressure site such as ART 1 or PA2 The parameter name box provides access to a menu for the parameter where you can adjust various settings related to the parameter The number value for the selected measurement such as HR RESP or TEMP is displayed The value may be derived or calculated Dashes in place of a numeric measured value indicate that the measurement is invalid or unavailable The high and low alarm limits for the numeric measured values are displayed If you do not set alarm limits for a new patient the default high and low limits will be used The alarm limit descriptor indicates which high and low limits are displayed For the parameters where more than one measurement can be monitored such as blood pressure systolic diastolic and mean only one set of high and low limits can be displayed You can specify which set of li
147. hoose Separate Scales or Overlaid IBP Waveforms You can choose to display the IBP waveforms on separate pressure scales or display two IBP waveforms overlaid on the same scale To choose separated or overlaid waveforms 1 On the waveform menu highlight IBP WAVEFORMS and push the knob to select 2 Highlight SEPARATED or OVERLAID and push the knob to select 3 If you choose to view two IBP waveforms overlaid on the same scale select the two IBP sites to be displayed as waveforms a Turn the rotary knob on the monitor to move the cursor Highlight the waveform label and push the knob to access the waveform menu in the lower left corner of the display b Highlight WAVEFORM and push the knob to access the waveform submenu c Highlight the IBP site to be displayed as a waveform and push the knob to select d Highlight PREVIOUS and push the knob to select 4 The monitor will adjust the scale to reflect the maximum range occupied by the two selected waveforms For example The waveform for ART1 the selected site for IBP1 may be displayed with a maximum value at 120 mmHg and a minimum value at 80 mmHg e The waveform for PA2 the selected site for IBP2 may be displayed with a maximum value of 40 mmHg and a minimum value at 10 mmHg e Therefore both IBP waveforms will be displayed on a 0 to 160 scale Set the Transducer to Zero The invasive pressure transducers must be calibrated or set to zero to ensure accurate absolute
148. horse NIBP inflation pressure setting is 100 mmHg The NIBP mode will be reset to MANUAL All auto print features will be turned off The Print All Report will be reset to the default setting e The scales for the IBP waveforms will be reset to the default settings If the alarm limits for oximetry were adjusted to below 85 they will be reset to 85 When monitoring a cat or small animal set the monitor to the cat type When monitoring dogs or medium size animals set the monitor to the dog type When monitoring horses or large animals set the monitor to the horse type Patient Type 26 MAY 2004 13 47 CAT AUTO RESET I CHANGE THE PATIENT TYPE TO CAT DOG OR HORSE Fame rome es sere Jue ono Sa ree Figure 4 1 Patient Type Change the Patient Type 1 Turn the rotary knob on the monitor to move the cursor Highlight HORSE DOG or CAT whichever is displayed Push the knob to access the patient type submenu in the lower left corner of the display 2 Highlight PATIENT TYPE and push the knob to select 3 Turn the rotary knob to choose the desired type HORSE DOG or CAT and push the knob to select 4 Highlight MAIN MENU and push the knob to select 4 2 Veterinary Advisor Operation Manual Chapter 4 Setting up the Monitor Add a New Patient The patient identity indicator is located in the upper right corner of the display You can choose which patient information to display just the bed the bed a
149. ht SETUP and push the knob to select 2 Highlight PARAMETER OPTIONS and push the knob to access the parameter options submenu 3 Highlight UNITS OF MEASURE and push the knob to access the units of measure submenu 4 Highlight CO2 UNITS and push the knob to select 5 Highlight the desired unit and push to select 6 Highlight MAIN or PREVIOUS and push the knob to select Choose the Waveform Speed You can choose the speed at which the CO waveform is displayed The default waveform speed is 25 mm second To change the speed of the CO waveform 1 On the waveform menu highlight SPEED and push the knob to select 2 Highlight the desired speed of the waveform 6 25 12 5 or 25 mm second and push the knob to select 3 Highlight MAIN MENU and push the knob to select 13 10 Veterinary Advisor Operation Manual Chapter 13 Capnography Adjusting the Settings in the Parameter Box Turn Alarm Detection On or Off You can turn on or off the alarm detection capability for each measured value ETCO2 INCO2 RR For example if ETCO2 ALARMS is on an alarm will be issued when the high or low alarm limit for end tidal CO2 is violated If you turn ETCO2 ALARMS off and the high or low alarm limit is violated an alarm will not be issued When you turn off the monitor and turn it on again ETCO2 INCO2 or RR ALARMS will be reset to ON the default setting for each measured value is ON To turn on or off the alarm detection for each m
150. ient cable Do not connect any other signal source to the ECG patient cable WARNING This monitor does not identify or interpret arrhythmia events The indication of heart rate may be adversely affected by the presence of cardiac arrhythmias CAUTION A three lead ECG cable must be used if 3 Lead processing is selected A five lead ECG cable must be used if 5 Lead processing is selected Using the incorrect cable for the selected mode might lead to a floating reference or additional noise on the ECG signal 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 Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms Veterinary Advisor Operation Manual 8 1 Chapter 8 ECG Theory of Operation Electrical currents influenced by the cardiac impulse flow through the body tissue around the heart Three or five electrodes 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
151. ight 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 9 2 Pulse Oximetry Theory of Operation Oximetry 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 SpO gt to identify the pulses and calculate functional oxygen saturation Oxygen saturation calculations can be performed because blood saturated with oxygen predictably absorbs less red light than oxygen depleted blood WARNING Since measurement of SpO depends on a pulsating vascular bed any condition that restricts blood flow such as the use of a blood pressure cuff or extremes in systemic vascular resistance may cause an inability to determine accurate SpO and pulse rate readings WARNING Under certain clinical conditions pulse oximeters may display dashes if unable to display SpO and or pulse rate values Under these conditions pulse oximeters may also display erroneous values These conditions include but are not limited to patient motion low perfusion cardiac arrhythmias high or low pulse rates or a combination of the above conditions Failure of the clinician to recognize the effects of these conditions on pulse oximeter readings may result in p
152. in transit in other than original shipping containers are the responsibility of the shipper All costs incurred returning devices for repair are the responsibility of the shipper CE Notice Marking by the symbol C indicates compliance of this device to the Medical Device Directive 93 42 EEC Authorized Representative as defined by the Medical Device Directive Smiths Medical International Ltd Tel 44 1923 246434 Colonial Way Watford Herts Fax 44 1923 240273 WD24 4LG UK Veterinary Advisor Operation Manual xiii Warranty and Service Information This page is intentionally left blank xiv Veterinary Advisor Operation Manual Chapter 1 Introduction Chapter 1 Introduction About This Manual This manual provides installation operation and maintenance instructions for the equipment supplied This manual is intended for healthcare professionals trained in monitoring respiratory and cardiovascular activity Conventions This manual uses visual clues to help convey messages The following examples show the conventions used throughout the manual References to other sections in the manual are shown in italics like this See Controlling Alarms in Chapter 6 Alarms for more information Graphics are numbered according to the chapter in which they are found such as Figure 7 3 Using the Manual The monitor allows you to choose the measurement capabilities you need A measured value refers to a derived or calculated
153. inder of this chapter assumes that the monitor is properly installed and set up Non invasive Blood Pressure Measurement Capability The non invasive blood pressure NIBP parameter provides systolic diastolic and mean arterial blood pressure values The measured values for non invasive blood pressure SYS DIA and MAP are displayed in the NIBP parameter box The time of the last successful reading will also be displayed If 24 hours have passed since the last NIBP reading the measured values will be removed NIBP measurements can be made in automatic manual or STAT modes Patient type is important because of Measured value for Measured value for cuff size and inflation pressure systolic pressure diastolic pressure Measured value for I mean arterial pressure 26 MAY 2004 131 47 CAT ALARM 2X High and low alarm limits Message MAIN DISPLAY SETUP MENU fane Pemer reas ee eros ano SE ree Figure 10 1 Non Invasive Blood Pressure Display Veterinary Advisor Operation Manual 10 1 Chapter 10 Non invasive Blood Pressure Non invasive Blood Pressure Warnings Cautions and Notes WARNING WARNING WARNING WARNING WARNING WARNING WARNING Blood pressure measurements may be inaccurate if cuffs and or hoses other than those specified by Smiths Medical PM Inc Veterinary Division are used Verify cuff size is correct for the selected patient mode on the monitor Repeated use of STAT mo
154. isplay 2 Turn the rotary knob to highlight IBP SITE WAVEFORM such as ART1 or PA2 and push the knob to select The waveform settings submenu will appear If the IBP waveform has been turned off 1 On the IBP parameter submenu highlight WAVEFORM OFF and push the knob to select 2 Highlight the waveform area in which to display the selected waveform and push the knob to select The waveform will be displayed 3 Highlight IBP SITE WAVEFORM and push the knob to select The pressure waveform settings submenu will appear Choose the Scale of the IBP Waveform You can choose the scale at which the IBP waveform is displayed See below for the available scales for invasive pressure AVAILABLE IBP SCALES To change the scale of the IBP waveform 1 On the waveform menu highlight IBP SCALE and push the knob to select 2 Highlight the desired scale and push the knob to select 3 Highlight MAIN or PREVIOUS and push the knob to select Choose the Waveform Speed You can choose the speed at which the IBP waveform is displayed The default waveform speed is 25 mm second To change the speed of the IBP waveform 1 On the waveform menu highlight SPEED and push the knob to select 2 Highlight the desired speed of the waveform 6 25 12 5 25 or 50 mm second and push the knob to select 3 Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 11 5 Chapter 11 Invasive Blood Pressure C
155. ith step down deflation 40 to 265 mmHg 27 to 222 mmHg 20 to 200 mmHg 25 to 300 bpm SunTech Medical has developed the blood pressure algorithm specifically for vet patient populations collecting and analyzing data from a large animal population This algorithm is based upon SunTech s previously proven human algorithm which exceeds the limits prescribed by ANSI AAMI SP10 1992 amp 2002 and is being used by many recognized companies worldwide 60 to 280 mmHg Cat 120 to 280 mmHg Dog Horse 30 to 50 seconds typical 120 seconds maximum 200 mmHg Cat 150 mmHg Dog 120 mmHg Horse Factory calibrated 1 2 3 4 5 10 15 20 or 30 minutes 1 2 4 or 8 hours 20 260 in 1 mmHg steps and OFF 25 250 bpm 2 or 3 bpm whichever is greater 251 300 bpm 5 NOTE NIBP Pulse Rate accuracy outside of this range is unspecified Altitude Range Veterinary Advisor Operation Manual 3048m 10 000 ft 18 5 Chapter 18 Specifications Invasive Pressure Channels Measuring Range Zero Adjust Range Accuracy Waveform Display Ranges Alarm Limits High Low Labels Required Accessories Pulse Rate ART only Range Accuracy Averaging Temperature Channels Range Accuracy Resolution Alarm Limits High Alarm Range Low Alarm Range Sensor Compatibility Transducer Detection Display Resolution 18 6 Two 50 to 300 mmHg after zeroing 500 mmHg 1 mmHg or 1 w
156. j p a Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 96 ZOdS b Turn the rotary knob to highlight PRINT ALL REPORT and push the knob to access the print all report submenu c Turn the rotary knob to highlight WAVEFORM 2 WAVEFORM 3 or WAVEFORM 4 and push the knob to select You cannot change WAVEFORM 1 it must remain set to Primary ECG BYutw dain Annotation Line d Turn the rotary knob to highlight the desired source of the printed waveform OFF Ill CO2 SPO2 IBP1 OR IBP2 The available sources will vary depending on the parameters installed on your monitor Push the knob to select e Turn the rotary knob to highlight MAIN or PREVIOUS and push the knob to select 2 Press the PRINT key 0 on the monitor To stop printing press the key again ALARM SETTINGS Limit in Alarm HIGH LOW HR 150 40 ART1SYS 131 90 ART1DIA 121 40 ART1 MEAN 121 50 spo2 94 85 NIBP SYS 200 90 NIBP DIA 105 40 NIBP MEAN 110 50 T4 1006 914 Figure 7 2 Print Snapshot Veterinary Advisor Operation Manual 7 3 Chapter 7 Printing To print a continuous strip of a single waveform 1 7 4 Turn the rotary knob on the monitor to move the cursor Highlight the desired wavefo
157. k all other selected boxes Click Finish f Each column in the following table represents a measured value from the monitor and has the following format A B C D E F G H l J K L M N of eo o 6 oo 19 80 92 60 25 10 14 32764 32767 30 eo os 6 oo na eo o2 oo 25 10 14 22764 327671 C30 oo os 6 oo na eo o2 oo 25 10 14 22764 327671 zo so os 6 so mo so s2 60 25 10 14 2764 32767 0 Q S T U Vv Ww X Y P R 32767 32767 32767 32767 32767 32767 32767 32767 32767 75 0 32767 32767 32767 32767 32767 32767 32767 32767 32767 725 0 32767 32767 32767 32767 32767 32767 32767 32767 3276 75 0 14 2 Veterinary Advisor Operation Manual Chapter 14 Serial and Analog Input Output g When you open the file using Microsoft Excel you can add new column headings such as those in the following table A B Cc D E F G H Flags ECG HR SpO Ox Strength Ox Pulse IBP1 SYS IBP1 DIA IBP1 MN bpm bpm mmHg mmHg mmHg M N ce P l J K L bpm mmHg mmHg mmHg bpm Q R S T U V w Temp2 NIBPSYS NIBP DIA NIBP MAP Ambient F mmHg mmHg mmHg bpm mmHg mmHg Pressure mmHg NOTE The values 32767 32766 32765 and 32764 are invalid numbers and appear as dashes on the monitor or are not displayed NOTE The flags column is a bit mapped field that ha
158. knob to select 3 Verify that the alarm sounds 4 To silence the critical failure alarm CFA press the ALARM SILENCE key or highlight NO under TEST CFA ALARM and push the knob to select If the alarm does not sound contact your authorized repair center for help Veterinary Advisor Operation Manual 6 1 Chapter 6 Alarms High Medium and Low Priority Alarms Alarms are categorized as high priority medium priority or low priority High Priority Alarms A high priority alarm sound consists of two bursts of five single tones over a four second interval The sequence is repeated every ten seconds High priority alarms supersede all other alarms ALARM will appear red and flashing in the alarm status line the violating measured value will flash in red and the alarm message in the parameter box will be displayed in red PARAMETER HIGH PRIORITY ALARM ECG High heart rate Invasive blood pressure High arterial pulse rate if ART is the rate source Low arterial pulse rate if ART is the rate source Oximetry Low SpO High pulse rate if SpO is the rate source 6 2 Veterinary Advisor Operation Manual Medium Priority Alarms Chapter 6 Alarms A medium priority alarm sound consists of a single burst of three single tones that repeats every 20 seconds ALARM will appear yellow and flashing in the alarm status line the violating measured value will flash in yellow and the alarm message in the parameter box wil
159. l be displayed in yellow If a high priority alarm is occurring at the same time as a medium priority alarm begins ALARM will continue to appear in red PARAMETER Capnography Invasive blood pressure Oximetry Non invasive blood pressure NIBP Temperature System alarm Veterinary Advisor Operation Manual MEDIUM PRIORITY ALARM Com error Occlusion Trap full advanced pneumatics only High end tidal CO Low end tidal CO High inspired CO High respiration rate Low respiration rate Com error IBP out of range High systolic Low systolic High diastolic Low diastolic High mean Low mean Com error Oximeter error Check sensor Searching too long High SpO gt High systolic Low systolic High diastolic Low diastolic High MAP Low MAP Com Error High temperature Low temperature Low battery Battery charging error 6 3 Chapter 6 Alarms Low Priority Alarms A low priority alarm sound consists of a single burst of two single tones that repeat every 20 seconds ALARM will appear yellow and steady in the alarm status line and the alarm message in the parameter box will be displayed PARAMETER LOW PRIORITY ALARM Low signal Non invasive blood pressure NIBP NIBP error System alarm Auto print error Auto print no paper Controlling Alarms You can control many factors in the way the Advisor Vital Signs Monitor issues an alarm You can turn off the alarm detection capabili
160. l result ina corrupt bitmap file NOTE Trend information will be written to the Flash Card during Screen Image capture Error messages If a Data Logger error occurs a yellow error indicator ERR appears at the top of the Advisor screen next to the patient type This error indicator can be cleared as described in the next section Clearing the Error Indicator An error message will also appear in the lower right corner of the Advisor display This error message will be displayed for approximately 10 seconds See Troubleshooting in Chapter 5 of the Data Logger operation manual for possible corrective actions DATA LOGGER CARD FULL ALARMS PRINTER TRENDS sETUP Quickset SUSPEND NGF WODE FREEZE Printer battery and Data Logger Messages Advisor Display ERROR MESSAGE POSSIBLE CAUSE DATA LOGGER ERROR Recording initiated with no data logger attached to the Advisor monitor Data Logger not securely connected to the Advisor monitor DATA LOGGER CARD NOT PRESENT No card inserted in the device Card not completely inserted or improperly inserted DATA LOGGER CARD LOCKED Slide switch on the card is in the locked position DATA LOGGER CARD FULL No available memory remains on the memory card DATA LOGGER CARD FORMAT ERROR The card has not been formatted or has been formatted to an incompatible format Veterinary Advisor Operation Manual 14 13 Chapter 14 Serial and Analog Input Output
161. larm LL FAIL This message is displayed in the ECG parameter box when either the LL lead fails or the LL and V leads fail during 5 lead processing During an LL FAIL alarm lead is displayed in Waveform 1 All other ECG waveforms are erased This is a low priority alarm V FAIL This message is displayed in the ECG parameter box when the V lead fails during 5 lead processing If the V lead is the primary ECG lead during a V FAIL alarm lead II will become the primary ECG lead and will be displayed in Waveform 1 All other leads remain available This is a low priority alarm LEADS OVERLOAD This message is displayed in the ECG parameter box when there is a high impedance in the ECG cable or on more than one of the ECG leads To correct Be sure that all the leads are properly positioned and connected Turn off ECG MONITOR and then turn it on again a Turn the rotary knob on the monitor to move the cursor Highlight the ECG parameter box name and push the knob to access the ECG parameter menu b Highlight ECG MONITOR and push the knob to select c Highlight OFF and push the knob to select d Turn the rotary knob on the monitor to highlight ON and push the knob to select e Highlight MAIN MENU and push the knob to select If the alarm condition persists turn off the monitor and then turn it on again a Press the On Off key on the front of the monitor A message will be displayed indicating that if you continue to p
162. light the IBP parameter box name ART1 and PA2 are the default names and push the knob to access the IBP parameter menu 2 Highlight SITE LABEL and push the knob to access the site label submenu 3 Highlight the desired label ART PA LV RV P CVP ICP RA or LA and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select 5 Set the pressure to zero See Calibrating the IBP Transducers later in this chapter Veterinary Advisor Operation Manual 11 7 Chapter 11 Invasive Blood Pressure Turn Alarm Detection On or Off You can turn on or off the alarm detection capability for each of the IBP measured values SYS DIA and MN You can also choose which alarm limits to display in the parameter box SYS DIA or MN If SYS ALARMS is on an alarm will be issued when the high or low alarm limit for systolic pressure is violated regardless of which set of alarm limits is displayed If you turn SYS ALARMS off and the high or low alarm limit is violated an alarm will not be issued When you turn off the monitor and turn it on again SYS DIA or MN ALARMS will be reset to ON the default setting for each pressure value is ON Figure 11 5 IBP Parameter Box To turn on or off the alarm detection for each pressure value SYS DIA and MN 1 Turn the rotary knob on the monitor to move the cursor Highlight the IBP parameter box name and push the knob to access the IBP parameter menu 2 Highlight ALARMS an
163. line provides a brief description of the condition of the installed Battery Status internal rechargeable battery and the optional built in printer Main Menu The main menu provides a means of changing monitor settings such as alarm limits and parameter colors and performing monitoring functions such as NIBP calibration verification and monitor suspension There are several points of entry into the monitor s menu system including the main menu parameter menus and waveform menus Waveform Up to four waveforms can be displayed simultaneously e Waveform 1 is dedicated to the primary ECG lead although you can specify which lead is to be the primary e Waveform 2 can be assigned to another ECG lead in five lead mode only a cascade continuation of the primary ECG lead waveform or a waveform from any other enabled parameter e Waveform 3 defaults to the invasive blood pressure IBP1 waveform labeled ART1 and is displayed when the IBP1 cable is connected to the monitor Waveform 3 can be changed to display a cascade continuation of the primary ECG lead waveform after waveforms 1 and 2 or it can be a waveform from any other enabled parameter e Waveform 4 defaults to the invasive blood pressure IBP2 waveform labeled PA2 and is displayed when the IBP2 cable is connected to the monitor Waveform 4 can be changed to display a cascade continuation of the primary ECG lead waveform after waveforms 1 2 and 3 or it can be a waveform
164. lly incremented each time a procedure is stopped The recorded data is tagged with this number and a time date stamp If a patient name is entered data folders will be labeled with date time and name NOTE For instructions on how to enter the patient name see Chapter 4 Setting Up the Monitor in this manual 4 Select TRENDS START RECORDING to begin recording trends at the selected interval A small green icon or will appear at the top of the screen NOTE The veterinary data logger requires up to 30 seconds for configuration when a procedure is initiated as indicated by a solid green dot in the TRN block During this time the print key will not cause waveforms or images to be stored to the device Once the initial green dot is turned off the image and waveform storage is enabled 14 10 Veterinary Advisor Operation Manual Chapter 14 Serial and Analog Input Output 5 To end the recorded session select TRENDS STOP RECORDING WARNING Do not remove the SD Flash Card while recording Removing the card during recording can damage the card or cause corrupt files WARNING Do not turn the monitor off or enter suspend mode before stopping the recording as this can cause corrupt files The monitor will try to close the files if the monitor is turned off or suspend mode is activated while recording Recording in process TRN ECG or IMG 26 MAY 2004 1347 CAT ALARM I 2X MAIN J TABULAR NIBP PROCEDURE STOP CAPTURE MODE
165. ly with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Advisor Vital Signs Monitor is used exceeds the applicable RF compliance level above the Advisor Vital Signs Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the Advisor Vital Signs Monitor gt Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m Veterinary Advisor Operation Manual C 3 Appendix C IEC 60601 1 2 Requirements 2nd Edition 2001 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC IMMUNITY The Advisor Vital Signs Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or user of the Advisor Vital Signs Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Advisor Vital Signs Monitor as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter W Separation distances according to frequency of transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 P d 0 35 P d 0 7 P For transmitter
166. may adversely affect other medical equipment such as ECG tracings CAUTION Use of the monitor during continuous nebulized medication delivery will result in damage to the monitor which is not covered by the factory warranty Disconnect the ETCO sample line from the patient circuit or power off during medication delivery NOTE All user and patient accessible materials are non toxic NOTE During the auto zero calibration autocal sampling the CO waveform and digits will disappear for 1 5 seconds After this breath detection restarts This should happen only during extreme temperature changes and not during normal patient monitoring or changes of ambient pressure NOTE The auto zero calibration autocal is similar to a low calibration low cal excluding ambient pressure so as not to stop the pump NOTE Capnograph patient attachments and sample lines are disposable single patient use items Use a new patient attachment and sample line for each new patient NOTE Discard and replace the patient attachment if it becomes occluded If an air leak is noted check all patient connections If the air leak persists discard and replace the patient attachment Veterinary Advisor Operation Manual 13 1 Chapter 13 Capnography Capnography Measurement Capability The capnography parameter provides the continuous non invasive monitoring of sidestream end tidal carbon dioxide ETCO3 inspired carbon dioxide INCO3 and respiration rate
167. measurement will begin as soon as the interval time has elapsed If the measurement is not successful the previous pressure values will be displayed If there is no previous data you will see dashes displayed in the place of the pressure values The monitor will attempt to obtain a reading for up to 120 seconds for cat and dog patient types For the horse patient type the monitor will retry for 90 seconds If the monitor is unable to take a measurement you will hear a bell tone and see a message displayed in the parameter box To acknowledge the NIBP error message press the NIBP key amp on the monitor while the message is displayed in the NIBP parameter box The automatic measurement interval will be reset STAT NIBP Mode If you selected STAT as the NIBP MODE the first measurement will begin immediately and a five minute timer is started NIBP measurements are taken repeatedly until the five minutes have elapsed If the measurement is successful you will see the systolic diastolic and mean arterial pressure values displayed in the NIBP parameter box and you will hear the completion beep The time of the successful reading will also be displayed in the parameter box When the five minutes have passed or if you press NIBP key Q to cancel the mode will automatically return to the previous setting MANUAL or AUTO If the measurement is not successful the previous pressure values will be displayed If there is no previous d
168. ment that will be returned Any equipment returned for evaluation must be cleaned and decontaminated prior to being handled by our service technicians For cleaning instructions please refer to the appropriate section in the operation manual If equipment is returned prior to cleaning and in our opinion it represents a potential biological hazard the equipment will be returned to the sender as is Reference the return authorization number when returning your Product freight and insurance prepaid by Purchaser to Smiths Medical PM Inc Veterinary Clinical Support Attn Repairs return Telephone 1 262 513 8500 N7W22025 Johnson Drive Toll Free 1 888 745 6562 USA only Waukesha WI 53186 1856 USA Fax 1 262 542 0718 Web www surgivet com Seller will not be responsible for unauthorized returns or for loss or damage to the Product during the return shipment The repaired or replaced Product will be shipped freight prepaid by Seller to Purchaser To obtain warranty information outside the USA contact your local distributor NOTE Shipments received without a return number will be returned to sender Keep all original packing material including any inserts If you need to ship the device use only the original packaging material including inserts Box and inserts should be in original condition If original shipping material in good condition is not available it should be purchased from Smiths Medical PM Inc Damages occurring
169. mits is displayed Alarms are issued if any one of the limits is violated whether or not it appears on the display Units of measurement can be changed for temperature and pressure Temperature measurement units may be displayed as degrees Celsius or Fahrenheit C or F Pressure measurement units may be displayed as millimeters of mercury mmHg kilopascals kPa and for capnography percent volume 3 3 Chapter 3 Controls and Features Keys Figure 3 3 Keys DESCRIPTION INSTRUCTION ON OFF Press this key to turn on the monitor To turn off the monitor press the key and a message will be displayed indicating that if you continue to power down some configuration data will be lost press the key again to turn off the monitor ZERO IBP Press this key to initiate a zeroing or calibration of the invasive pressure values for each invasive pressure cable connected to the monitor NIBP Press this key to activate an immediate non invasive blood pressure NIBP measurement To cancel an NIBP measurement in progress press the key again PRINT Press this key to begin printing a PRINT ALL REPORT which is a snapshot of selected waveforms You can choose the waveforms to print on the SETUP menu To stop any print job press the key again To print a continuous real time strip chart of the primary ECG press and hold this key for 3 seconds ALARM SILENCE Press the key momentarily to silence alarms for 2 minutes To reactivate the
170. n Manual 5 1 Chapter 5 Monitoring the Patient Waveform 3 defaults to the invasive blood pressure IBP1 waveform labeled ART1 and is displayed when the IBP1 cable is connected to the monitor Waveform 3 can be changed to display a cascade continuation of the primary ECG lead waveform after waveforms 1 and 2 or it can be a waveform from any other enabled parameter Waveform 4 defaults to the SoO waveform It can be changed to display a cascade continuation of the primary ECG lead waveform after waveforms 1 2 and 3 or it can be a waveform from any other enabled parameter Refer to the chapters dedicated to each parameter for more details regarding waveform settings Adjust the Parameter Box Settings Turn the rotary knob on the monitor to move the cursor Highlight the parameter box name and push the knob to access the parameter menu in the lower left corner of the display The settings available for the selected parameter will be displayed Every parameter allows you to turn on or off its alarm detection capability in the parameter menu For example if SPO ALARMS is on an alarm will be issued when the high or low alarm limit is violated If you turn SPO ALARMS off and the high or low alarm limit is violated an alarm will not be issued See Silence Alarms in Chapter 6 Alarms for information regarding silencing alarms that are in progress and Select the Alarm Audio Silence Operation in Chapter 17 Service Menu for informatio
171. n about silencing alarms indefinitely For the parameters where more than one measurement can be monitored such as blood pressure systolic diastolic and mean and temperature T1 and T2 only one set of high and low limits can be displayed You can specify in the parameter menu which set of limits is displayed Refer to the chapters dedicated to each parameter for details regarding other pertinent settings Set the Alarm Limits Set the high and low alarm limits for each parameter When a numeric measured value matches or exceeds the high or low limit set for that parameter an alarm is issued For example if the low alarm limit for SpO is 85 and the patient s measured value for SpO is 85 or less an alarm will be issued e The Advisor Vital Signs Monitor provides clinically appropriate default high and low alarm limits for each numeric measured value You can choose different high and low limits depending on the monitoring requirements of each patient For a list of default alarm limits see Appendix B Alarm Limit Default Values WARNING Verify that alarm limits are clinically appropriate for your patient and adjust according to NOTE NOTE 5 2 institutional policy Alarm limit settings for invasive blood pressure IBP1 and IBP2 are associated with the site label The settings for IBP1 ART1 site are not the same as the settings for the IBP1 PA1 site Verify alarm settings when assigning a new site label to either I
172. n damage to the monitor Leave an air gap behind the monitor to allow air to circulate through the ventilation holes CAUTION Chemicals used in some cleaning agents may cause brittleness of plastic parts Follow cleaning instructions in this manual CAUTION If the device becomes wet wipe off all moisture and allow sufficient time for drying before operating 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 and packaging NOTE All user and patient accessible materials are non toxic NOTE Each input and output connection of the monitor is electrically isolated Connection of this monitor to other equipment will not increase leakage current ECG Warnings Cautions and Notes 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 This monitor does not identify or interpret arrhythmia events The indication of heart rate may be adversely affected by the presence of cardiac arrhythmias WARNING Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit heart rate alarms 1 6 Veterinary Advisor Operation Manual Chapter 1 Introduction CAUTION A three lead ECG
173. n specific to the invasive blood pressure IBP parameter Refer to chapters 4 6 for general step by step monitoring instructions The remainder of this chapter assumes that the monitor is properly installed and set up Invasive Blood Pressure Measurement Capability Two independent channels of invasive blood pressure IBP1 and IBP2 monitoring are available to measure systolic diastolic and mean values for invasive pressure The measured values for invasive blood pressure SYS DIA and MN are displayed in parameter boxes that are labeled according to the invasive pressure site such as ART1 or PA2 Waveforms for each invasive blood pressure site can also be displayed Measured value for Measured value for systolic pressure diastolic pressure Measured value for mean arterial 26 MAY 2004 1347 CAT AUTO RESET pressure I IBP Scale High and low alarm limits IBP1 sai waveform label IBP2 waveform label IBP alarm message IBP waveform S Figure 11 1 Invasive Blood Pressure Display Veterinary Advisor Operation Manual 11 1 Chapter 11 Invasive Blood Pressure Invasive Blood Pressure Warnings Cautions and Notes WARNING Avoid conductive connection with any metal parts NOTE The IBP ZERO NEEDED message is displayed when the monitor is turned on or when the transducer is connected to the monitor even if the same transducer is disconnected then reconnected to the monitor NOTE Use only invasive press
174. n the IBP parameter box when the monitor cannot calibrate or set to zero the transducer because it is out of the specified range This message is displayed in the IBP parameter box when the monitor cannot calibrate or set to zero the transducer because the pressure at the transducer was not stable during the zeroing process CORRECTIVE ACTION Disconnect the interface cable or the non disposable transducer from the monitor Turn the monitor off and back on again Contact your authorized repair center for help Set the transducer to zero pressure To calibrate the invasive pressure transducer using the parameter menu a On the parameter menu highlight ZERO PRESSURE and push the knob to select b Highlight MAIN MENU and push the knob to select Set the transducer to zero pressure Replace the transducer Contact your authorized repair center for help Be sure the interface cable or non disposable transducer connections are secure Open the transducer to air before selecting ZERO PRESSURE then set the transducer to zero pressure Replace the interface cable Replace the transducer Contact your authorized repair center for help Be sure the interface cable or non disposable transducer connections are secure Replace the interface cable Replace the transducer Set the transducer to zero pressure Contact your authorized repair center for help Veterinary Advisor Operation Manual C
175. nd adjust according to institutional policy Ensure the monitor 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 rear panel rating plate If the rating is not correct do not use the monitor Disconnect the AC power supply from the outlet before disconnecting it from the monitor Leaving the AC power supply connected to an AC power outlet without being connected to the monitor may result in a safety hazard Do not allow any moisture to touch the AC power supply connectors or a safety hazard may result Ensure that hands are thoroughly dry before handling the AC power supply Do not place the monitor in the patient s bed Do not place the monitor on the floor Failure to place the monitor away from the patient may allow the patient to turn off reset or damage the monitor possibly resulting in the patient not being monitored Make sure the patient cannot reach the monitor from their bed If there is a risk of the AC power supply becoming disconnected from the monitor during use secure the cord to the monitor several inches from the connection This device is intended for use by trained healthcare professionals The operator must be thoroughly familiar with the information in this manual before using the device Do not disassemble the unit The unit is not user serviceable Refer to qualified service personnel It is the operator s responsibility to
176. nd push the knob to select Choose the Waveform Speed You can choose the speed at which the ECG waveform is updated To change the speed of the ECG waveform 1 On the ECG waveform menu highlight SPEED and push the knob to select 2 Highlight the desired speed of the waveform 6 25 12 5 25 or 50 mm second and push the knob to select 3 Highlight MAIN MENU and push the knob to select 8 6 Veterinary Advisor Operation Manual Chapter 8 ECG Use Waveforms 2 4 to Display ECG Waveforms 2 3 and 4 can be used to display ECG waveforms as well For three lead processing you can cascade or continue the waveform of the primary ECG lead into each successive waveform area For five lead processing you can designate a second lead to display as an ECG waveform or you can cascade the primary lead from Waveform 1 If you choose a second ECG waveform the selected lead will be displayed in the waveform label If you choose to cascade from Waveform 1 a cascading symbol will be displayed in the waveform label Figure 8 6 Display ECG i I nda nda 2X 2X m A N A git y R lee Symbol a ECG Lead To cascade the ECG waveform from the previous waveform area 1 Turn the rotary knob on the monitor to move the cursor Highlight the label for the desired waveform and push the knob to access the waveform menu 2 Highlight WAVEFORM and push the knob to access the parameter waveforms submenu 3 Highlight CASCADE and push
177. nd the patient s name or the bed and the patient ID While specific patient identification information is expected to change the bed or room to which the monitor is assigned may remain the same NOTE When a new patient is added to the monitor all previous patient information is removed from the monitor s memory and all parameter options are reset to the unit defaults The bed name is not removed BED PATIENT field 26 MAY 2004 13 47 CAT AUTO RESET I nda dadada 2x alee CHANGE THE PATIENT TYPE TO CAT DOG OR HORSE ALARMS PRINTER TRENDS SETUP QUICKSET SUSPEND IREE FREEZE Figure 4 2 Add a Patient Choose Which Patient Information to Display 1 Turn the rotary knob on the monitor to move the cursor Highlight the BED PATIENT field in the upper right corner of the display The field may be blank Push the knob to access the patient identification submenu in the lower left corner of the display 2 Highlight DISPLAY and push the knob to select 3 Turn the rotary knob to choose the desired patient information to display BED ONLY BED PATIENT ID BED PATIENT NAME and push the knob to select You can add the bed name on the SETUP MENU See Bed Name in this chapter for details regarding changing the bed name Add a New Patient Turn the rotary knob on the monitor to move the cursor Highlight the BED PATIENT field in the upper right corner of the display The field may be blank Push
178. nect the filter SurgiVet part number 9048 on the right side of the capnography module If the OCCLUSION message disappears replace the filter with a new one Contact your authorized repair center for help Turn the capnography parameter off and then on again Turn the monitor off and back on again Contact your authorized repair center for help Disconnect the sample line tubing from the moisture trap assembly on the left side of the capnography module and replace the moisture trap with a new one 13 13 Chapter 13 Capnography CO Messages Information Only CO MESSAGE POSSIBLE CAUSE LO CAL IN PROGRESS This message is displayed in the CO2 parameter box when the capnography module is performing a low calibration HI CAL IN PROGRESS This message is displayed in the CO2 parameter box when the capnography module is performing a high calibration CAL DONE This message is displayed in the CO2 parameter box when the calibration procedure is complete TURN GAS ON This message is displayed in the CO2 parameter box during a high calibration when the monitor is waiting for you to turn on the calibration gas canister GAS IS ON This message is displayed in the CO2 parameter box during a high calibration when the monitor detects that the calibration gas is turned on TURN GAS OFF This message is displayed in the CO2 parameter box when it is time for you to shut off the calibration gas CAL CANCELLED This message
179. ng average is the value displayed Response Time of Heart Rate Meter to Change in Heart Rate From 80 to 120 bpm response ranges from 6 0 to 6 0 seconds average 6 0 seconds From 40 to 80 bpm the response range is 8 to 11 seconds average 9 6 seconds Display Aspect Ratio The 2X option meets the aspect ratio requirements of EC13 0 4 0 08 s mV Sean esa 25 0 mm s Audible Alarms Alarm sounds and amplitudes conform to the EC 13 specifications Visual Alarms Visual alarms consist of a flashing parameter value in the parameter box which is in alarm and an alarm message at the top of the display The word ALARM flashes in red at the top of the display at a 2 Hz rate The word ALARM as it appears on the display is 15 3 mm long X 3 mm high Alarm messages that are displayed in the ECG parameter box are 3 mm high Visual alarms cannot be disabled All alarm conditions are checked once each second and the display is updated to indicate the alarm status Line Isolation Transients See the warnings cautions and notes in Chapter 8 ECG for proper operating conditions and lead placement Electrode Polarization See the warnings cautions and notes in Chapter 8 ECG for proper operating conditions and lead placement Veterinary Advisor Operation Manual A 1 Appendix A ECG Technical Reference Auxiliary Outputs RS 232 serial outputs are provided Electrical protection to 1 5 KV is provided on all I O The Advisor Vital
180. ng NIBP history is removed from the monitor s memory and all parameter options are reset to the unit defaults 7 Choose the NIBP mode AUTO MANUAL or STAT that is appropriate for the patient Non invasive blood pressure NIBP measurements can be made in automatic manual or STAT modes In the automatic mode the monitor will measure the patient s NIBP periodically according to the interval you select using the parameter box menu In the manual mode the monitor will measure the patient s NIBP only when you press the NIBP key Q In the STAT mode the monitor will measure the patient s NIBP continuously for five minutes The default setting for NIBP mode is MANUAL To change the NIBP mode 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight NIBP MODE and push the knob to select 2 Turn the rotary knob to choose a mode AUTO MANUAL or STAT and push the knob to select If you choose AUTO or STAT the selected mode will be displayed in the parameter box Select NIBP Mode 00 00 00 00 00 Figure 10 5 NIBP Mode Veterinary Advisor Operation Manual 10 5 Chapter 10 Non invasive Blood Pressure Adjusting the Settings in the Parameter Box Turn Alarm Detection On or Off You can turn on or off the alarm detection capability for each of the NIBP measured values SYS DIA and MAP You can also choose which alarm limits to display in the parameter box SYS
181. nseecssssseesuscecssseceesssceesnseecsssseessuseessnseceesuecessnseessneeeetee 13 11 Turin Alarm Detection Om OF Off svvssscsssscssssssccesstsecsesscvecsacsesessanscsseectotsensbassont RA 13 11 Turn the Capnography Parameter Off aiciaiiacsinatiadiiisi anni a innon R 13 11 Turn N50 Compensation On Or OFF issii 13 11 Capnography Alarms Capnography Alarm Messages CO Messages Information OMly scseisscsassasseressdsacesscssessssesesssetscesossszssosnsconeeasinzessoaseavsesoaasesetssesosssonaesiinteataansctbsassssoeests 13 14 Calibrating the Capnography Module essssssssssssesssssccsseecssssecssnecssnssessnssscssseecsnseecsssscssnseessnssecssseessnseeceusecssnseessnneesees 13 15 vi Veterinary Advisor Operation Manual Table of Contents Chapter 14 Serial and Analog Input Output cccccocccsssssssccssssscccsssssssccsscssscccsssssees 14 1 Real Time Numeric Serial OUtOUE sis isssscssssssdossssessestteanestiaiaadtuansnicsdiaiash Intamaandencaniien RN RRG 14 1 Trend Retrieval Output Analog OUTPUT oerni TRA OS dass vessos rasunecusnat RNS EITA DG SEMI DCO MM sssessessesscessssiessaksceasesacsasssastdussascessansaseaassssedsnesseuvesssasseis zasadedncesseszasnansiesadeiaus R O O aaa Analog OUP ssi sseesssccasssnccesscceasveccasssuteansactsavasteasenitaavendacsdatesssssdacsseteuedencasstzeaeedangasesscasgsongsgbed RTR Central Station COMMECTUON ss eccsascioasssccasassvsvessecaisyevssacenctssvsssvessteassudessst enabonssoastlscav
182. ntestsacyeteansecshsdzsbansedbaadecnsdssctanssdcsadversaseevtaqyestadsegesnsebesstazbannestaaaiae 8 4 Access the Waveform Memb sisssscssssssesassschssctousssssasscscis tenes n E EA 8 4 Change the Primary ECG Lead cscas siss ssscsssvecttsssacdavsdscssscttssonctvaccte susctaavectan este ssbstavvestlnopstbusvestaeestiasuesdavectaaveredaaveetar verde ented 8 5 Choose the Waveform SiZe s sse Choose the Waveform Speed Use Waveforms 2 4 to Display ECG ssssssssscsssssscsssescsssssessseescessesessnescsssecsssuscessnsesessesessnsessessesessnseessnsesesssecessneeeenssesessees 8 7 Adjusting the Settings in the Parameter BOX sssssssssssssssssossssssoessssssssseesonssesscsssnscsessetsonsessssnsssessesssesensonsssessesssesossssnssessetsneess 8 8 Turn Alarm Detection OM OF Off sassessenenenmadann n n dalauyauanacaaiuamaaaua 8 8 Veterinary Advisor Operation Manual iii Table of Contents Choose the Heart Rate SOUl Enossa asie raia Vas Saia SiTe Easa ao ae eaa Adjust the Volume of the Heartbeat Beep Tone ECG and Heart Rate Alarms ECG Alarm Messages ncmescesnnonennenar o enan RRR RER EE EER A TOLE ae S a E O S E E O COM ERROR iasicwastessssstensictciaencasteiaiiivnsiniinaiindaiwaiaaiininaaanasniniinadlinaiasancain anne aianiiniones LEADS FAIL ssccisisccsssiscoossscctnctvcnsuisect ia vocrbascooas estaavdesebvestaa ecoeviveseusvesbnevvenestvestiuvecnss sonisvestasvgeneuivecsis veenesvenssuvectatvesesveebiieenssterabs RA
183. o access the CO2 menu 2 Highlight CO2 WAVEFORM and push the knob to select 3 Highlight PRINT SPEED and push the knob to select 4 Highlight the desired print speed and push the knob to select Highlight MAIN MENU and push the knob to select To set the print length of a snapshot 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight PRINTER and push the knob to access the printer menu 2 Highlight SNAPSHOT and push the knob to select 3 Highlight the desired print length 200 or 300 mm and push the knob to select 4 Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 7 1 Chapter 7 Printing Printing Waveforms You can print a waveform for any parameter that has a measured value that can be traced as a waveform Waveforms can be printed as snapshots or as continuous real time strips A snapshot is a 200 or 300 millimeter mm segment of the waveform captured at the moment you select the print command You can print a snapshot of a single parameter s waveform or a report that includes a number of selected waveform snapshots You can print a continuous real time strip of a single waveform On a printed strip annotation lines are repeated every 200 300 millimeters 8 12 inches The annotation line contains time and date information paper speed printout delay and other parameter data The printout delay ensures that the event t
184. ob to select 4 8 Veterinary Advisor Operation Manual Chapter 4 Setting up the Monitor 5 For invasive blood pressure colors a Turn the rotary knob to highlight INVASIVE PRESSURES and push the knob to access the invasive pressures submenu b Highlight the desired site name and push the knob to select c Highlight the desired color and push the knob to select d Highlight PREVIOUS and push the knob to select 6 To restore the factory default colors turn the rotary knob to highlight RESTORE FACTORY COLORS and push the knob to select 7 Highlight MAIN or PREVIOUS and push the knob to select Software Revisions Use this menu option to identify the version of software installed on your Advisor Vital Signs Monitor This information may be useful to service personnel View the Software Revisions Box 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight SETUP and push the knob to select 2 Highlight SOFTWARE REVISIONS and push the knob to select 3 Highlight PRINT WINDOW and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select Service Menu Access to the service menu is by authorized password only Refer to Chapter 17 Service Menu for use of this option Time and Date If necessary set the time and date on the display The time and date indicator is located in the upper left corner of the display The monitor s real tim
185. on about Nellcor sensors from Chapter 9 Deleted Verifying NIBP Calibration section from Chapter 10 Updated Theory of Operation in Chapter 11 Updated instructions on how to perform a HILO CAL Added Analog Output section to Chapter 14 Added appropriate page numbers for instructions on maintenance to Chapter 15 Deleted NIBP parameter and Calibration filter from Chapter 15 Updated parts list in Chapter 16 Deleted Verifying NIBP Calibration instructions from Chapter 16 and replaced with Contact your authorized repair center for help Updated range values in Chapter 18 Updated limits and values in Appendix B Alarm Limit Defaults D 2 Veterinary Advisor Operation Manual CE Authorized Representative as defined by the Medical Device Directive Smiths Medical International Ltd Phone 44 1923 246434 Colonial Way Watford Herts Fax 44 1923 240273 WD24 4LG UK aal Manufactured By Smiths Medical PM Inc N7W22025 Johnson Drive Waukesha WI 53186 1856 USA
186. or when there is a malfunction with the sensor See Set the Alarm Limits in Chapter 5 Monitoring the Patient for instructions for setting high and low alarm limits NOTE The low SpO alarm limit minimum test value is 85 If you change the low SpO alarm limit to a value less than 85 and then change the patient type add a new patient or power down power up the monitor a value of 85 takes the place of the value you entered During an SpO alarm an audible alarm tone will sound and ALARM will appear in the alarm status line at the top of the display In the SpO parameter box a message may be displayed describing the alarm condition and when applicable the violating measured value and violated alarm limit will flash SpO alarms are categorized as high or medium priority ALARM CONDITION INDICATION LOW SpO Audible high priority alarm flashing red SpO value in the SpO parameter box HIGH PPR if SpO is the heart rate source Audible high priority alarm flashing red pulse rate value in the ECG parameter box LOW PPR if SpO is the heart rate source Audible high priority alarm flashing red pulse rate value in the ECG parameter box LOST PULSE Audible high priority alarm red message in the SpO gt parameter box HIGH SpO Audible medium priority alarm flashing yellow SpO value in the SpO parameter box CHECK SENSOR Audible medium priority alarm flashing yellow message in the SpO parameter box OXIMETER ERROR Audible me
187. ous a aaa aia ana 4 3 Add ai Patients Namie cases sissesvtisssscsssesssscdescasassceasessdaa ens ccsacscsuaudsasedsdns edinsaeodvt sscdonseanancebvs edantesdistdecastad bayaiasacrdduseasecasectaosnnsss 4 4 Adda Patients AD siticsstcscicstsis scesesisdssensaesertsdencsicanccssdactasaransiaartuatn thease lees anata RAR RAORAO NBN 4 4 Setup MENU sccscadeccisccerscctiesscodcctectvensausecvecterst arai an I TNE E E ENER RRL E A Message Lienenin Turn On or Off the Message Line 7 PUPA REPO ONT cicescdsaseccsschcusiccdecdcasctasse sx ecussscesseocastes dcsssseoadsstasscsiasncusecvecdea elesasdasdecaasdcoyecocaseuaudenssidce esdasssdlv RUNE Choose the Waveforms to Print ssssccssscsssecsssecsssecssscessscesseecssesesscccssecssseessuecssuecessecsssecsssessssecssseesacesaeesascesseeseseessueessnessaes 4 5 Parameter Options Mais sadacssisitnsiiing disniniaeavieertuinaia Gain aaawieea deeded neha N E E R E 4 6 Choose 3 lead or 5 lead ECG processing the default setting is 3 LEAD ssssssscssssesecsseesssecssecesseecsneecsseessees 4 6 Turn On or Off Installed ParaMeters cssscssscsssessssssssecsnsccsssecsssecssccsseccsseecsnsecsusessnsessuccessecssseecseeessscesssecsusecssneceneeeeateesseees 4 6 Change the Units of Measurement sdiciiceaisinaiseraiadicnuisadicaiceniehsncniaaaiandeasinauunaiaaiaiammaianaenle 4 7 Bed IN eA is csc caasssdircscas ccd octccssatoasseedacsssecavacTossssaussesuceozsccctsssedcshsaccaatdesst azieedacsfbaseosdivensertdesduascseds
188. ovesssdtisaassverasvecesazshesaeestseatbenaeiceseveptataieuamepetas Optional Data LOO GEN scissiessiisssasiecesisinduiseariieaicsiteddiiaalaaaiiiaill daaitindhiowiednindiiai dada O RA intended USE iscscsiccsonssectuctvcooassecdasacoossdcosssvectarvdcseuvestn verse avensss esta vesesdesbix cesnost sonia veslayvisoesvestayvesosbiveosss REO Datta OGGEr FE ALUNES E E E A E teases System Requir MENS issnin n R a a hn Getting SUA as adeesssccassenceesssceasveccscssvecessactaavasteasntzasventaceandtussesdaavecttuasetvasectanaseb actevaaeongusdbid savant O Data Logger Functions and Indicators Recording Real Time Trends seessseee Capt re Mode icc ckscscasiasTecdisscauvssdeccesvssajaseasdeccesacosssteususdasnssivcsssdaasestusscassesdesdessdedueseansachsavdeuesiGaatessaeseaWvebssdtoasesaueteossedceceaenvens EG RORTIVGSS e E E E E T Clearing the Error MAICA Or ssaisscicaancuisieadiaudlnmeaninntedcainnmaaanin meaeaeanel aaianranananaG Extracting Data musimna A A aa a R Chapter 15 Operator s Maintenance and Troubleshooting sssoscssssocessoooeessooseesosoeses 15 1 Cleaning Me Monitors SUTA S ees ceccsssssvesscdessasssxdascnssasevssessstossteesesss tastes sssssstcosssstrenatienssteivdonsttassisiaaensaabierasisaanyaabiurameniss 15 2 Long term Stord Erani aare E E a E T RA A A TS 15 2 Operator s Troubleshooting Chartys iisdsaitanisssidaiiaaiisuinsiis aicasiisinasiiarinaiiaainale maine 15 3 Troubleshooting Occlusion of the CO sample LINE 0
189. ow MAP value in the NIBP parameter box COM ERROR Audible low priority alarm message in the NIBP parameter box NIBP ERROR Audible low priority alarm message in the NIBP parameter box NIBP TIMEOUT Audible low priority alarm message in the NIBP parameter box NIBP CUFF LEAK Audible low priority alarm message in the NIBP parameter box NIBP ARTIFACT Audible low priority alarm message in the NIBP parameter box NIBP WEAK SIGNAL Audible low priority alarm message in the NIBP parameter box CUFF OVER PRESSURE Audible low priority alarm message in the NIBP parameter box NIBP CAL ERROR Audible low priority alarm message in the NIBP parameter box VALVE ERROR Audible low priority alarm message in the NIBP parameter box 10 10 Veterinary Advisor Operation Manual NIBP Alarm Messages The following messages can be displayed in the NIBP parameter box ALARM MESSAGE COM ERROR NIBP ERROR NIBP TIMEOUT NIBP CUFF LEAK NIBP ARTIFACT NIBP WEAK SIGNAL CUFF OVER PRESSURE Veterinary Advisor Operation Manual POSSIBLE CAUSE This message is displayed in the NIBP parameter box when the monitor s main processor cannot communicate with the NIBP cuff This is a low priority alarm This message is displayed in the NIBP parameter box when the monitor has detected an unrecoverable malfunction with the NIBP parameter This is a low priority alarm This message is displayed in the NIBP parameter box when the NIBP me
190. ower down some configuration data will be lost b Press the key again to turn off the monitor c Press the key once more to turn on the monitor If condition persists contact your authorized repair center for help Veterinary Advisor Operation Manual 8 11 Chapter 8 ECG LEAD I OVERLOAD This message is displayed in the ECG parameter box when there is a high impedance on lead I LEAD Il OVERLOAD This message is displayed in the ECG parameter box when there is a high impedance on lead Il LEAD Ill OVERLOAD This message is displayed in the ECG parameter box when there is a high impedance on lead Ill LEAD V OVERLOAD This message is displayed in the ECG parameter box when there is a high impedance on lead V ECG DISABLED This message is displayed in the ECG parameter box when ECG MONITOR is set to off using the ECG parameter menu Verifying ECG Calibration Verify the calibration of the ECG parameter if doubt exists about the accuracy of measured values Figure 8 8 Verify ECG Calibration Monitor Oximetry Cable SpO gt Simulator You will need Advisor Vital Signs Monitor SurgiVet 1606 SpO ECG Patient Simulator SurgiVet 3311 Oximetry Cable e 30r5 lead set V3110 or V3406 To verify that the ECG parameter is calibrated 1 Disconnect all cables and sensors from the monitor 2 Press the On Off key on the front of the monitor to turn it on 8 12 Veterinary Advisor
191. pecified 20 350 bpm 2 bpm or 2 whichever is greater Update rate is 1 second for displayed values and 120 Hz for the waveform The SpO waveform display is not proportional to the pulse volume maximum age of SpO data is 20 seconds Factory calibrated over range 50 to 100 SpO using human blood samples to functional saturation Test methods are available upon request No in service calibration is required 50 100 and OFF 50 100 and OFF User selectable SLOW 16 beat NORMAL 8 beat or FAST 4 beat Red 660 nm 2 mW typical Infrared 905 nm 2 2 4 mW typical 1 Because pulse oximeter equipment measurements are statistically distributed only about two thirds of pulse oximeter measurements can be expected to fall within the Apps of the value measured by the CO oximeter The V9200 multi parameter monitor has been validated in human desaturation studies on 10 adult volunteers that did not have health problems and were non smokers The study was conducted at oxygen concentrations evenly distributed over an SaO range of 70 100 18 4 Veterinary Advisor Operation Manual NIBP Blood Pressure Measuring Method of Measurement Range Systolic Mean Arterial Diastolic Pulse NIBP Accuracy Inflation Pressure Settings Adjustment Range Measurement Time Default Inflation Pressure Calibration AUTO Interval Times Alarm Range Pulse Rate Accuracy Chapter 18 Specifications Oscillometric w
192. phy module has the means to compensate When the N50 compensation is enabled the module adjusts the CO reading by an algorithm that assumes the concentration of N20 is 40 and compensates accordingly If NJO compensation is enabled and the concentration of N20 is not 40 the displayed value is adjusted by the following equation to get the actual CO concentration CO reading x 1 0625 Actual CO eon 00625 x N20 2 0625 x N20 40 When the N50 compensation is disabled the module adjusts the CO reading by an algorithm that assumes the concentration of N20 is 0 If N2O compensation is disabled and the concentration of N20 is not 0 the displayed value is adjusted by the following equation to get the actual CO concentration CO reading 0 0625 x N20 t 40 Actual CO See Turning NO Compensation On or Off in this chapter for instructions on enabling or disabling this feature Veterinary Advisor Operation Manual 13 3 Chapter 13 Capnography Attaching the Patient NOTE Capnography patient attachments and sample lines are disposable single patient use items Use a new patient attachment and sample line for each new patient NOTE Discard and replace the patient attachment if it becomes occluded If an air leak is noted check all patient connections If the air leak persists discard and replace the patient attachment To attach the patient 1 Choose a capnography attachment such as a cannula or an adapt
193. ple if the latest NIBP measurement for a cat shows a systolic pressure of 112 mmHg then the next time a measurement is taken the cuff inflation pressure will be 147 mmHg unless you change it To choose the cuff inflation pressure 1 On the NIBP parameter menu highlight INFL PRESS and push the knob to select 2 Turn the rotary knob to choose the desired pressure 50 250 mmHg for cat and dog patients 50 120 for horses and push the knob to select 3 Highlight MAIN MENU and push the knob to select Adjust the Volume of the NIBP Completion Beep Tone The monitor will issue a beep tone when each NIBP measurement has been completed You can control the volume of the beep tone To adjust the volume of the NIBP completion beep 1 On the NIBP parameter menu highlight COMPLETION VOLUME and push the knob to select 2 Turn the rotary knob to increase or decrease the volume to the desired level and push the knob to select A momentary beep tone will sound at each new level of volume 3 Highlight MAIN MENU and push the knob to select Measuring Non invasive Blood Pressure NIBP Manual NIBP Mode If you selected MANUAL as the NIBP MODE press the NIBP key amp on the monitor If the measurement is successful you will see the systolic diastolic and mean arterial pressure values displayed in the NIBP parameter box and you will hear the completion beep The time of the successful reading will also be displayed in the paramete
194. pressure measurements You can set the pressure to zero by pressing the Zero IBP key gt O lt or using either the waveform menu or the parameter menu To calibrate the invasive pressure transducer using the waveform menu see Calibrating the IBP Transducers later in this chapter 11 6 Veterinary Advisor Operation Manual Chapter 11 Invasive Blood Pressure Adjusting the Settings in the Parameter Box Change the Site Label You can change the IBP parameter box label to reflect the site or vessel that is to be monitored The label will be displayed as the parameter box name and as the waveform label There are nine possible site labels for each invasive pressure channel See the table below for a description of each label the measured values displayed for each label and the default waveform scale for both cat dog and horse patient types LABEL MEASURED VALUES DEFAULT BP WAVEFORM SCALE O T OO pgi ART arterial systolic diastolic mean heart rate 0 160 mmHg 0 100 mmHg PA pulmonary artery systolic diastolic mean 0 40 mmHg 0 40 mmHg LV left ventricle systolic diastolic mean 0 160 mmHg 0 100 mmHg RV right ventricle systolic diastolic mean 0 40 mmHg 0 40 mmHg Display of the heart rate from the invasive pressure parameter depends on the status of the monitor s other heart rate detection systems To change the site label 1 Turn the rotary knob on the monitor to move the cursor High
195. push the knob to select The parameter menu will appear in the lower left corner of the display 2 Turn the rotary knob to highlight CO2 WAVEFORM and push the knob to select The waveform settings submenu will appear If the CO waveform has been turned off 1 On the CO parameter submenu highlight WAVEFORM OFF and push the knob to select 2 Highlight the waveform area in which to display the CO waveform and push the knob to select The waveform will be displayed 3 Highlight CO2 WAVEFORM and push the knob to select The respiration waveform settings submenu will appear Veterinary Advisor Operation Manual 13 9 Chapter 13 Capnography Choose the Scale of the Waveform You can choose the scale at which the CO waveform is displayed See below for the available scales for CO gt AVAILABLE CO SCALES 0 50 mmg 6 KPa 0 75 mmHg 0 10kPa 0 7 5 0 100 mmHg 0 14 kPa 0 10 To change the scale of the CO waveform 1 On the waveform menu highlight SCALE and push the knob to select 2 Highlight the desired scale and push the knob to select Changing the Units of Measurement You can change the unit of measurement available for CO to millimeters of mercury mmHg kiloPascals kPa or percent volume The units apply to both end tidal ETCO and inspired INCO gt To change the units of measurement 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlig
196. push the knob to select The CO parameter box will appear on the display and the CO waveform will begin 5 Turn the rotary knob to highlight MAIN or PREVIOUS and push the knob to select NOTE The default setting for capnography is on if the capnography parameter is installed on your monitor NOTE CO2 MONITOR can be turned on only if the capnography parameter is installed on your monitor Checking for leaks To check for leaks 1 Pinch the sample line tubing near the moisture filter or moisture trap 2 Lookin the alarm message area in the CO2 parameter box If OCCLUSION is displayed the capnography module is functioning properly If not see Chapter 15 Operator s Maintenance and Troubleshooting Check the capnography module for leaks Intentionally block or occlude the sample line tubing if there is an internal leak in the module it will not recognize the occlusion If the module is functioning properly an alarm will occur and OCCLUSION will be displayed in the parameter box If the OCCLUSION message does not appear see Chapter 15 Operator s Maintenance and Troubleshooting Veterinary Advisor Operation Manual 13 7 Chapter 13 Capnography Scavenging the Exhaust of the Capnography Module Figure 13 7 CO Exhaust Kit CO exhaust kit hose Capnography module 19mm evacuation hose CAUTION Failure to connect the CO exhaust kit part number V1175 to the capnography module will result in waste anesthetic g
197. r box If the measurement is not successful the previous pressure values will be displayed If there is no previous data you will see dashes displayed in the place of the pressure values The monitor will attempt to obtain a reading for up to 120 seconds for cat and dog patient types For the horse patient type the monitor will retry for 90 seconds If the monitor is unable to take a measurement you will hear a bell tone and see a message displayed in the parameter box To acknowledge the NIBP error message press the NIBP key Q on the monitor while the message is displayed in the NIBP parameter box Veterinary Advisor Operation Manual 10 7 Chapter 10 Non invasive Blood Pressure AUTO NIBP Mode If you selected AUTO as the NIBP MODE the first measurement will begin after the interval time has elapsed The time remaining 00 00 00 will flash for several seconds indicating that an NIBP measurement is going to begin NOTE If you suspend patient monitoring by selecting SUSPEND from the main menu while AUTO is the selected NIBP mode the monitor will return to the default mode MANUAL when you resume monitoring If the measurement is successful you will see the systolic diastolic and mean arterial pressure values displayed in the NIBP parameter box and you will hear the completion beep The time of the successful reading will also be displayed in the parameter box The automatic measurement interval will be reset and another
198. rally produces a higher success rate than other NIBP technologies Attaching the Patient 1 Choose a blood pressure cuff appropriate for the patient and the limb size by measuring the circumference of the limb See the table below WARNING Blood pressure measurements may be inaccurate if cuffs and or hoses other than those specified by Smiths Medical PM Inc are used SurgiVet brand NOTE The NIBP Cuff Kit is latex free LIMB CIRCUMFERENCE CUFF 3 9cm Extra small SurgiVet part number 31543B1 5 15cm Small SurgiVet part number 31543B2 9 25 cm Medium SurgiVet part number 31543B3 17 41 cm Large SurgiVet part number 31543B4 Cuff Warranty Cuffs carry a six month warranty pending evaluation by Smiths Medical PM Inc Veterinary Division Technical Services Cuffs that are contaminated have liquid in them have been misused abused or are older than six months will not be covered under the warranty 2 Attach the cuff to the patient WARNING Verify cuff size is correct for the selected patient mode on the monitor CAUTION Extremity and cuff motion should be minimized during blood pressure determinations CAUTION Proper blood pressure cuff size and placement are essential to the accuracy of the blood pressure determination CAUTION Any blood pressure recording can be affected by the position of the patient his or her physiologic condition and other factors Veterinary Advisor Operation Manual 10
199. ration Manual 10 9 Chapter 10 Non invasive Blood Pressure NIBP Alarms An NIBP alarm will be issued when the numeric measured value for pressure matches or exceeds the alarm limits set for systolic diastolic or mean arterial pressure or when there is a malfunction with the blood pressure cuff See Set the Alarm Limits in Chapter 5 Monitoring the Patient for instructions for setting high and low alarm limits During an NIBP alarm an audible alarm tone will sound and ALARM will appear in the alarm status line at the top of the display In the NIBP parameter box a message may be displayed describing the alarm condition and when applicable the violating measured value and violated alarm limit will flash NIBP alarms are categorized as medium or low priority ALARM CONDITION INDICATION HIGH SYSTOLIC PRESSURE Audible medium priority alarm flashing yellow systolic pressure value in the NIBP parameter box LOW SYSTOLIC PRESSURE Audible medium priority alarm flashing yellow systolic pressure value in the NIBP parameter box HIGH DIASTOLIC PRESSURE Audible medium priority alarm flashing yellow diastolic pressure value in the NIBP parameter box LOW DIASTOLIC PRESSURE Audible medium priority alarm flashing yellow diastolic pressure value in the NIBP parameter box HIGH MEAN ARTERIAL PRESSURE Audible medium priority alarm flashing yellow MAP value in the NIBP parameter box LOW MEAN ARTERIAL PRESSURE Audible medium priority alarm flashing yell
200. ressure IBP Alarms An IBP alarm will be issued when the numeric measured value for invasive blood pressure matches or exceeds the alarm limits set for systolic diastolic or mean pressure or when there is a malfunction with the transducer See Set the Alarm Limits in Chapter 5 Monitoring the Patient for instructions for setting high and low alarm limits During an IBP alarm an audible alarm tone will sound and ALARM will appear in the alarm status line at the top of the display In the relevant IBP parameter box a message may be displayed describing the alarm condition and when applicable the violating measured value and violated alarm limit will flash IBP alarms are categorized as high medium or low priority ALARM CONDITION INDICATION HIGH SYSTOLIC PRESSURE Audible medium priority alarm flashing yellow systolic pressure value in the IBP parameter box LOW SYSTOLIC PRESSURE Audible medium priority alarm flashing yellow systolic pressure value in the IBP parameter box HIGH DIASTOLIC PRESSURE Audible medium priority alarm flashing yellow diastolic pressure value in the IBP parameter box LOW DIASTOLIC PRESSURE Audible medium priority alarm flashing yellow diastolic pressure value in the IBP parameter box HIGH MEAN PRESSURE Audible medium priority alarm flashing yellow mean value in the IBP parameter box LOW MEAN PRESSURE Audible medium priority alarm flashing yellow mean value in the IBP parameter box HIGH ART PULSE RATE i
201. rm label on the left side of the display Or highlight the related parameter box name on the right side of the display Push the knob to access either the waveform menu or the parameter menu in the lower left corner of the display Highlight PRINT STRIP and push the knob to select To stop printing press the PRINT key on the monitor To print a continuous real time strip chart of the primary ECG press and hold the PRINT key for 3 seconds ALARM SETTINGS Limit in Alarm HIGH LOW HR 150 40 ART1SYS 131 90 ART1DIA 121 40 ART1 MEAN 121 50 SPO2 94 85 NIBP SYS 200 90 NIBP DIA 105 40 NIBP MEAN 110 50 T4 100 6 91 4 REAL TIME STRIP CHART BED THE ANIMAL CLINIC PATIENT DOG ID 555 5555 a g H gt 2 LL 3 S O z gt ale f LE Figure 7 3 Print Strip Veterinary Advisor Operation Manual Printing Tabular Trend Data Trends The monitor stores tabular trend data every 30 seconds for up to 26 hours You can print all of the trend data or just a segment of the stored numeric measured values To print all the stored tabular trend data 1 N w Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select Highlight TABULAR VITAL SIGNS and push the
202. rnings Cautions and Notes Capnography Measurement Capability Theory Of Operati iiss scnssssesiesenssinsetarnd ath R R NN IMG AS WIFI G CO A E E EE A asaiet tadosishatosaia E Measuring Respiration Rate RR sssrinin nanii siir rinan NO CompensatiOnissonus nones ina an an R R R R Attachimno he Panem ccesssscstseecseassessesstecsssssxesaseeonadeastaascdesasecssess tuotstecosash ctedsrsdesstecchasstvssactessszesvesssedisretaiesstdoaaistatsigetuuetsuntieancea Usmg a Nasal annuli esnan AE NENAS Using an Airway Adapter Using an F Circuit Elbow Turning on the Capnogiaphy COs anene aa aisneis ariani ET nAaR RTS Checking TO leak resronconioiao tiiin RO RA Scavenging the Exhaust of the Capnography Module ssssccsssssccssssccssseecsssecsssesecsnseecessscssnseecsnssesssseesunseeeesseseesnseesses 13 8 Choosing the Waveform SOveimOS a sccccsssssasssscssssisvasssscsssseveassececsssscoossdecoostsccsssdcogostseasasecoazesdvassesdessscaustsecvanseebasevenssueseasseicaientieies Access the Waveform Memb ssssisiscsesisisiastieaeintagiinarnsaeiniiaaiianiindianineinihvaninaianineidnadindanas Choose the Scale of the Waveform Changing the Units of Measurement sscsssssccssssecsssseccsseeccsnseecsnsescessececsnsescessesessnscesunsescesseeesunsessnssessnsneessuneessnseeessuees 13 10 Choose the Waveform Speed sisisisasasdsscscestiatsanatadtainiusdicn shin nna a A a AONE 13 10 Adjusting the Settings in the Parameter BOX sssssssssssssssssecssseecessecss
203. rruption WARNING Do not plug the monitor into an outlet controlled by a wall switch The monitor s fuse holder is below the AC power receptacle The fuses 5x20 mm fast acting 1 6A 250V are installed in the fuse holder The monitor s AC rating is shown If the AC rating does not match the nominal voltage at your installation site do not use the monitor Contact your authorized repair center for help CAUTION If the integrity of the protective earth conductor is in doubt operate the monitor using its internal power source if the installed internal rechargeable battery is installed If the capnography parameter is installed the module with an installed connector is attached to the back of the monitor The CO parameter box will appear on the display when CO2 MONITOR menu option is turned on See Parameter Options in Chapter 4 Setting Up the Monitor for instructions for turning on CO2 MONITOR Measured values for end tidal carbon dioxide ETCO and inspired carbon dioxide INCO gt and RESP will be displayed when the sensor is attached to the patient Veterinary Advisor Operation Manual Chapter 3 Controls and Features Back Panel Battery Door Figure 3 5 Back Panel CONNECTOR DESCRIPTION INSTRUCTION Air Vents The monitor has air vents at the top of the back ee and on the ee of the monitor Serial Output The monitor provides an electrically isolated RS 232C compatible serial output channel wit
204. rs on the patient s skin lack of skin respiration not heat causes the blisters Using a damaged sensor may cause inaccurate readings possibly resulting in patient injury or death Inspect each sensor If a sensor appears damaged do not use it Use another sensor or contact your authorized repair center for help Using a damaged patient cable may cause inaccurate readings possibly resulting in patient injury or death Inspect the patient cable If the patient cable appears damaged do not use it Contact your authorized repair center for help If any of the integrity checks fail do not attempt to monitor the patient Use another sensor or patient cable or contact the equipment dealer for help if necessary Do not autoclave ethylene oxide sterilize or immerse the sensors in liquid Evidence that liquid has been allowed to enter the monitor voids the warranty Use only SpO sensors supplied with or specifically intended for use with this device SpO measurements may be adversely affected in the presence of high ambient light Shield the sensor area with a surgical towel for example if necessary Dyes introduced into the bloodstream such as methylene blue indocyanine green indigo carmine patent blue PBV and fluorescein may adversely affect the accuracy of the SpO reading 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 de
205. rsion VAVRD 1 11 or higher SD Secure Digital type flash card recommended size 512 MB or 1 Gigabyte Flash Card Reader with SD Flash Card capability Computer with CD ROM drive to access the Data Logger installation disc and Excel templates and a USB port to interface with Flash Card Reader PC running Microsoft Excel 2002 2003 or 2007 See Excel installation notes from Microsoft for PC system requirements NOTE Smiths Medical PM Inc s Data Logger system has been tested using Windows XP with Excel 14 8 2002 2003 and 2007 Veterinary Advisor Operation Manual Chapter 14 Serial and Analog Input Output Getting Started CAUTION Please be sure that the Advisor is powered off when connecting the Data Logger to the Advisor 1 With the Advisor powered off connect the Data Logger to the serial port on the back of the Advisor Fasten the Data Logger with the screws provided To prevent stripping the screws or damage to the Advisor do not use a power screwdriver o Go Z 7 Serial Analog Connector Figure 1 Data Logger Connection 2 Press the key on the Advisor to turn the monitor on Under setup select the service menu 3 Enter the password Select ENTER to enter and exit the password menu If the password is correct the Service Menu will be displayed MAIN MONITOR
206. rvice Information Warranty and Service Information Proprietary Notice Information contained in this document is copyrighted by Smiths Medical PM Inc and may not be duplicated in full or part by any person without prior written approval of Smiths Medical PM Inc Its purpose is to provide the user with adequately detailed documentation to efficiently install operate maintain and order spare parts for the device supplied All information contained in this document is believed to be current and accurate as of the date of publication or revision but does not constitute a warranty Warranty Limited Warranty Smiths Medical PM Inc Seller warrants to the original purchaser that the Product not including applicable accessories shall be free from defects in material and workmanship under normal use if used in accordance with its labeling for two years from the date of shipment to the original purchaser Seller warrants to the original purchaser that the reusable oximeter sensors supplied as accessories shall be free from defects in materials and workmanship under normal use if used in accordance with its labeling for one year from the date of shipment to the original purchaser USA only Seller warrants to the original purchaser that the AC Power supply charger supplied with the exception of part number 3005 shall be free from defects in materials and workmanship under normal use if used in accordance with its labeling for 1
207. ry knob to highlight MAIN or PREVIOUS and push the knob to select Printer If an optional printer is installed on your Advisor Vital Signs Monitor you will find print options in the waveform menus the parameter menus and the trends menu You can also print by pressing the PRINT key D on the monitor In addition to these printing options there is a printer menu accessible on the main menu Using the options on the printer menu you can set your monitor to automatically print whenever an alarm limit is violated or as soon as an NIBP reading is taken You can set your monitor to print patient data on a regular basis The printer menu is also the place where you choose the speed or resolution millimeters per second at which all waveforms will print and the length of all printed snapshots 200 or 300 millimeters See Chapter 7 Printing for more details regarding the printer menu Veterinary Advisor Operation Manual 5 13 Chapter 5 Monitoring the Patient This page is intentionally left blank 5 14 Veterinary Advisor Operation Manual Chapter 6 Alarms Chapter 6 Alarms Follow the steps in Chapter 4 Setting Up the Monitor the remainder of this chapter assumes that the monitor is properly installed and set up Parameter Alarms and System Alarms A parameter alarm occurs when there is a malfunction with any of the sensors or connections or when a numeric measured value matches or exceeds the high or low limit set for that p
208. ry to access the service menu again Veterinary Advisor Operation Manual 17 1 Chapter 17 Service Menu Setting Default Values for the Monitor Default values are settings you can choose that will apply to your monitor each time you turn it on You can set up your monitor to operate using the default values you choose for alarm limits ECG filter language and alarm silence operation Set Default Alarm Limits The Advisor Vital Signs Monitor provides clinically appropriate factory default high and low alarm limits for each numeric measured value relative to each patient type You can change the default alarm limits for your facility so that each time you turn on the monitor or change the patient type your default values will be applied to each patient type See Using the Static Limits Feature in this section for details about how turning on or off the static limits feature affects default alarm limits For a list of factory default alarm limits see Appendix B Alarm Limit Default Values To set default alarm limits for each parameter 1 Select the desired patient type CAT DOG or HORSE The patient type indicator is located on the upper portion of the display e To change the patient type a Turn the rotary knob on the monitor to move the cursor Highlight HORSE DOG or CAT whichever is displayed Push the knob to access the patient type submenu in the lower left corner of the display b Highlight PATIENT TYPE and push th
209. s message is displayed in the CO parameter box when the capnography module s main processor detects an error during a high calibration The monitor will revert to the last successful high calibration data and resume operation This message is displayed in the CO parameter box when there is a malfunction with capnography module This is a low priority alarm This message is displayed in the CO parameter box when the sample line tubing is blocked or occluded This is a medium priority alarm This message is displayed in the CO parameter box when the monitor s main processor cannot communicate with the capnography module All capnography functions are disabled This is a low priority alarm This message is displayed in the CO parameter box when the moisture trap on the left side of the capnography module is full This is a medium priority alarm Veterinary Advisor Operation Manual Chapter 13 Capnography CORRECTIVE ACTION Replace the CO absorber SurgiVet part number 1179 on the capnography module Contact your authorized repair center for help Turn on the calibration gas sooner Use a new canister of gas Contact your authorized repair center for help Contact your authorized repair center for help Disconnect the sample line tubing from the moisture trap assembly on the left side of the capnography module If the OCCLUSION message disappears replace the moisture trap with a new one Discon
210. s of damage or deterioration replace as required Daily Capnography module Perform a high low calibration Once per month HILO CAL Moisture trap on the capnography Replace as required When the moisture trap is full module Veterinary Advisor Operation Manual 15 1 Chapter 15 Operator s Maintenance and Troubleshooting MAINTENANCE ITEM RECOMMENDED ACTION MAINTENANCE INTERVAL Pneumatic system on the Check for leaks After replacing the moisture trap capnography module At least once every 2 weeks Calibration gas canister Replace as required When the gas pressure reading is 20 psi or less as shown on the flow control valve s pressure gauge CAUTION Follow local governing ordinances and recycling instructions regarding disposal and recycling of device components Cleaning the Monitor s Surfaces WARNING Do not autoclave ethylene oxide sterilize or immerse the monitor in liquid 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 CAUTION Where the equipment has accidentally gotten wet it should be wiped dry externally and allowed to dry thoroughly before use NOTE Use only a soft cotton cloth or a cloth specifically designed for cleaning CRT displays to clean the monitor s screen Do not clean the screen with tissues paper towels or any other paper based wipe Paper based wipes can scratch the screen NOTE
211. s rated at a maximum output power not listed above the recommended separation distance k in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and animals C 4 Veterinary Advisor Operation Manual Appendix D Revision History Appendix D Revision History REVISION DATE COMMENT Rev 4 2009 03 e Changed Fax Number for Veterinary Clinical Support Added RX Only caution to list of general cautions in Chapter 1 Replaced NIBP Accuracy information with new SunTech information REVISION DATE COMMENT Rev 3 2008 04 Added CE mark and European Representative to Warranty section and back cover Added design frame SurgiVet lozenge and Smiths Medical logo to front cover Delete Smiths Medical logo from back cover Deleted any mention of Veterinary Division Updated Loaner Device and Warranty Procedure sections of Warranty Added WEEE Recycling instructions Changed some cautions and notes to warnings Added AC power warnings Added caution about certain cleaning agents causing brittle plastic Added warning about the oximeter
212. s the following format FLAG BITS 1 ECG 2 Oximetry 3 IBP a VR Fail a VL Fail a VF Fail Veterinary Advisor Operation Manual 14 3 Chapter 14 Serial and Analog Input Output To convert the flag number to a binary number use the DEC2BIN function in Excel The righmost digit is bit zero and the digits increase as you move to the left Trend Retrieval Output To acquire data using the TREND RETRIEVAL serial output protocol 1 Access the service menu a Turn the rotary knob on the monitor to move the cursor Highlight SETUP and push the knob to access the setup menu b Highlight SERVICE MENU and push the knob to select c Turn the rotary knob to access the password box and push the knob to select the first character field d Turn the rotary knob to highlight the desired character and push the knob to select The factory installed password is ADVISOR Push the knob to select the next character field rh Turn the rotary knob to highlight the desired character and push the knob to select Repeat steps d and e until each character in the password is selected g Highlight ENTER and push the knob to select 2 On the service menu highlight MONITOR DEFAULTS and push the knob to select 3 Highlight SERIAL OUTPUT MODE and push the knob to select 4 Turn the rotary knob to highlight TREND RETRIEVAL and push the knob to select 5 Connect a serial cable DB 9 to the back of the monitor and to a serial C
213. s the new version number If the file was received via email save it toa disk On the PC open the flash utility flash exe There is no installation required for this program it is self contained Select the Serial Download tab Select the desired Comm Port typically COM1 Select Send ROM to Advisor On the file window select the ROM file VAVRDXXX ROM A message will be displayed asking Are you sure you want to program Advisor with c temp ADVRDXXX ROM Click Yes The serial update process may take up to ten minutes Do not touch the monitor or power down during this time can monitor the update process A progress bar will be displayed on the PC On the monitor RECEIVING XMODEM DATA will be displayed and a number will be shown increasing to indicate progress If a red hand appears on the PC an error occurred duing the update process Re check all connections and start over e When the serial update is complete File Transfer Complete will be displayed on the PC Click OK he monitor FLASH ERASE IN PROGRESS and then FLASH UPDATE IN PROGRESS will be displayed The monitor display will turn blue and the new software will be loaded On the boot screen verify that the version and checksum on the MAIN VAVRD line match the version and checksum provided by Smiths Medical PM Inc If they do not match contact your authorized repair center Veterinary Advisor Operation Manual 17 7 Chapter 17 Service
214. sage is displayed in the SpO parameter box when the pulse bar graph in the parameter box does not move higher than two bar segments This message is displayed in the SpO parameter box when the oximetry processor detects an error in the oximeter s circuitry All oximeter functions are disabled This is a medium priority alarm This message is displayed in the SpO parameter box when the monitor s main processor cannot communicate with the oximeter All oximeter functions are disabled This is a medium priority alarm CORRECTIVE ACTION Check the patient s condition and then be sure the sensor is properly positioned Be sure the sensor is properly positioned on the patient Be sure that the patient cable is connected to the monitor Be sure the sensor is properly positioned on the patient Check the patient s condition and then be sure the sensor is properly positioned Reposition the sensor on the patient Turn the monitor off and back on again Contact your authorized repair center for help Turn the monitor off and back on again Contact your authorized repair center for help Veterinary Advisor Operation Manual Chapter 10 Non invasive Blood Pressure Chapter 10 Non invasive Blood Pressure Using the NIBP Parameter This chapter includes information specific to the non invasive blood pressure NIBP parameter Refer to chapters 4 7 for general step by step monitoring instructions The rema
215. servicing to qualified personnel WARNING Do not plug the monitor into an outlet controlled by a wall switch WARNING Do not use this device in the presence of magnetic resonance imaging MR or MRI equipment 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 Do not autoclave ethylene oxide sterilize or immerse the monitor and other accessories in liquid Evidence that liquid has been allowed to enter the monitor voids the warranty 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 Where HF diathermy is used there is no danger of burning to the patient provided recommended components are used Rate meters may be temporarily affected Veterinary Advisor Operation Manual 1 3 Chapter 1 Introduction WARNING Equipment is protected against defibrillator discharge Rate meters and displays may be temporarily affected during defibrillation but will rapidly recover WARNING The vital signs monitor is suitable for use within the patient environment IEC 60950 approved WARNING WARNING WARNING WARNING 1 4 equipment must be placed outside of the patient environment The patient environment is defined as any volume in which intentional or unintentional contact can occur between the patien
216. sesesesancessseessennecessseees 5 2 Set the Alarm LiMits wesc atniean cenin iti aedntaied ahasandiatianuian Galil caaannead aga O 5 2 Use these Feattires as NCCE i ssssssasssssessdsssessssseissssossssssovsssnosisersess sasssseresvs iresi REESE LENELI EE ENEN EE EEA E Ea 5 3 Responding to an ALAIN sess scsssssscsasesevssesscacsaveneresenssts eneresececnsvanessbeveses stent ascnapes cone sucist R NR 5 3 Disabling AlS sisi seesueseceatn asian R N ak cua be eae annead anueod aainnaedss 5 4 QUICKSET Alaina Limits isnan oaasi aiarar aiii 5 5 Resetting Alarm Limits using the QUICKSET FeatUure sssessssssssssssssessssssseeesssnstossensstosnssnstonssnsntosnssnstossunsstosnssnstosssnsntesss 5 7 NIBP Mode F SUS OSTA ING LE SEE E RE O E A O EE O E AET 5 8 Freeze Mode e A A E A A AA AAE EA E A 5 9 Veterinary Advisor Operation Manual Table of Contents QIN AS PE ENE NE E seeds aa teas accazaa bes A A E A E E E 5 9 Viewing Stored Trend Data sssssssssssssssssccssssesssssecesssscsssssesssssscessseesssssecesutecessssesssssecesusssssseesesanscessusesssanecesaseesseseesesaneees 5 10 Erasing Stored Trend Data sicadsisnidsaitietans canines o O 5 10 Printing Trend Dalasecnasinssnoserensnoseia nn nan RRN REA 5 11 Non Invasive Blood Pressure NIBP Readings sssssssssssssessseecsseecsusecssesssscesseesssecsssccssscesseeesuseesssecesecesseecsneessneessneeesses 5 12 Erasing NIBP HIStOny sissssssstessccsstessssscssscedacsseseaascsscesuctuassietceacesaacouss san
217. set alarm limits appropriately for each individual patient If the accuracy of any measurement is in question check the patient s vital sign s by an alternative method and then check the monitor for proper functioning Operation of this device may be affected in the presence of strong portable and mobile communications equipment Veterinary Advisor Operation Manual 1 5 Chapter 1 Introduction WARNING Operation of this device may be adversely affected in the presence of computed tomography CT equipment CAUTION Federal U S A law restricts this device to sale by or on the order of a veterinarian 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 the monitor CAUTION This unit contains a lithium ion battery and a rechargeable alkaline battery These batteries are not user replaceable A Refer servicing to qualified personnel CAUTION This unit may contain a nickel metal hydride battery Disposal of this battery should be conducted in accordance with local or federal guidelines Smiths Medical PM Inc cannot dispose of this battery CAUTION Pressing front panel keys with sharp or pointed instruments may permanently damage the keypad Press the front panel keys only with your finger CAUTION Blocking the ventilation holes on the monitor s rear panel can prevent air circulation inside the monitor possibly resulting i
218. sing the flash memory card with Data Logger To view all of the stored trend data for the entire monitored period up to 26 hours 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight TABULAR VITAL SIGNS and push the knob to access the vital signs box 3 Turn the rotary knob to highlight SCROLL 4 or SCROLL lt gt and push the knob to select 4 Turn the rotary knob and the trend data will scroll up and down or left and right in the vital signs box 5 To return to the menu push the knob again To view the stored tabular trend data in selected time increments 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight TABULAR VITAL SIGNS and push the knob to access the vital signs box 3 Turn the rotary knob to highlight INTERVAL and push the knob to select 4 Turn the rotary knob to choose the amount of time 30 seconds 1 5 10 15 or 30 minutes and one hour between displayed measured values Push the knob to select Erasing Stored Trend Data To erase the stored trend data from the monitor s memory 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight TABULAR VITAL SIGNS and push the knob to acce
219. sistaacdscenactedastdacecasadanaaateemtaenceanaaeees N ear A amen ean Power REGU INGIMGINES cscs cusccstaccesscascosstssesstescessscsecueouseassaseciscdarssssossdeit st EAEE EAEE ver cachesttcassedasbastisnatbsid stent cctaiss DINU SI NSIOMNS iscccsascesazsactest eves aauchsves T E A stud anatcat seu castes hansosvesvssdseashanesteescauseuscnsvoas usvasassieineesevassa EAVIFOMIMEN tal sccssssicssesseds cdr sichidestanivin dace dactaiddadaiaai daduan sia REN N Ea E A E OES Design Stamars ccsisscesiescdscscsectecsceissctansecdhedecscsccsscunscanssttosviatassealuchesavecsestessesavasdenscecdddosssatdaveascl ulica entaasstltetessderdexstensetaastedsaecs heats Equipment Classification Appendix A ECG Technical Reference ccssscccssssssccsssssscccssscssssccsscsscccssscssssscsscssccsssssses An I Tall T Wave Rejection Capability sscssssccssssscsnsesccssseecsnssecensssccsnssecsnsnssessseecsnseecesussecsnseecsnssecesuseessnseecessseeesneescsnsnesennneeesneseees Heart Rate Averaging Method and Display Update Rate Response Time of Heart Rate Meter to Change in Heart Rate ou ssessssssssccssssecsnsseccsscecsnseecessecssnseessnssesesseessnseeseasseesane A 1 Display ASpPect Rat Oseias ann aN E TRE ERT A 1 AndiDle AlI M S ccsa ae R RO R A 1 ST E E a a E TOATE E E E E T E E A T E E bese esRONS A 1 Line Isolation Transients Electrode POlari ZATION sassssedecsiszesdesasssssdstsaaczessssdesestestbineaadastavans a RAO AA RARAN Auxiliary Ou
220. snessssecesunseeensessssees 3 1 PALAIMGTRH BOX cscssvsccssessszssesecssssssusacsaves ssescdennavtagseasiaseudcosssdsendeussedotissntodasdedtoasosdsasteess enaatbansesosaseadansadsnaseshageidsnasesisesesisesoiussgse ssasatienieds r E E catasseasccascestscaugessisiscesuataashvistssetvedesussasncssees vebsshaigenicevasoansraibobcesteuaasbatesserateeansias Side Panel senideena enean ina apaina aae a E R RR BC iI n TAEA E E A ETE E E EAEE E Internal Battery Veterinary Advisor Operation Manual i Table of Contents Chapter 4 Setting Up the Monitor cccccccccsssssssccsssssssccsssssccccsssssscscssssssscssssssscscsssssssees A T Unpack the Monitor and Check the Shipment Quick Setup Instructions Detailed Setup INStrUCtiOnS ceescsssssssscssssccssecsseecsnecsssscesseesssecesseecnsccssseessscesssccsssecsssceessecsusecssscessscesstecsucessccssecessceesueessuecesnecesseents Select the Patient Ty PC Arstasicsnsieatn icikcennaaiedaeandiaidianiseaacantn al cadannead an anaabaiannebaamunnaws ke 4 2 Change the Patient Ly Pe ecccciscscesscccccvicceess sceesssscecvevegessvecesvencecssvbceassidecy eescesavbsesvesterus R Sivas udee ecs rss sbgec usteess soeesvevel 4 2 Add a NOW Patient enigsins ECRIRE ORREN ER Ea a E a A ETERRA 4 3 Choose Which Patient Information to Display ssssssnconioniessionicnsnnaninicsiniu 4 3 Adda New Path Ct tssacccaazecticscaesecveczassssddeseasscccsseconesdasssansacocaiecnsesdaasectveisasvesdecdoselsade
221. son Drive Toll free 888 745 6562 Waukesha WI 53186 1856 USA Fax 262 542 0718 Website www surgivet com 16 2 Veterinary Advisor Operation Manual Chapter 17 Service Menu Chapter 17 Service Menu The service menu is password protected and contains the following options MAIN J MONITOR CHANGE VERIFY NIBP STATIC LIMITS SERIAL UPDATE p PREVIOUS DEFAULTS PASSWORD CALIBRATION OFF NO MAIN PURCHASED CO2 SERVICE DEMO MODE TEST CFAALARM ECG ATTENDED MODE ALLOWED PREVIOUS OPTIONS MENU NO NO YES To access the service menu 1 Turn the rotary knob on the monitor to move the cursor Highlight SETUP and push the knob to access the setup menu 2 Highlight SERVICE MENU and push the knob to select 3 Turn the rotary knob to access the password box and push the knob to select the first character field 4 Turn the rotary knob to highlight the desired character and push the knob to select The factory installed password is ADVISOR 5 Push the knob to select the next character field 6 Turn the rotary knob to highlight the desired character and push the knob to select Repeat steps 4 and 5 until each character in the password is selected 7 Highlight ENTER and push the knob to select If you correctly selected the password the service menu will appear on the lower left corner of the display If you did not select the correct password Invalid Password please re enter will be displayed in the message line T
222. ss the ECG parameter menu 2 Highlight HR ALARMS and push the knob to select 3 Choose ON or OFF and push the knob to select 4 Highlight MAIN MENU and push the knob to select Choose the Heart Rate Source The Advisor Vital Signs Monitor can measure the heart pulse rate using three different parameters ECG oximetry SPO3 and arterial invasive blood pressure ART Regardless of the source the measured value for heart rate can be continuously displayed in the ECG box You can choose the source AUTO ECG SPO2 or ART of the heart pulse rate displayed The default setting is AUTO If you choose EGG a small heart will flash in the ECG parameter box at the detection of each QRS complex in the waveform If you choose SPO or ART as the source an asterisk and a label identifying the source will be displayed in the ECG parameter box at the detection of a pulse Figure 8 7 Heart Rate Source Source Rate is ECG Source Rate is ART Y 150 HR If you choose AUTO the monitor will determine the best source depending on the quality of available data and the following source priority a If ECG MONITOR is turned on using the ECG parameter menu the ECG cable is connected to the monitor and the ECG reading is valid then ECG will be the heart rate source b If ECG MONITOR is turned off or the signal is otherwise undetected an oximetry cable SPO gt is connected to the monitor and the SPO reading is valid then SPO will b
223. ss the accuracy of a pulse oximeter and or sensor NOTE Follow the instructions included with the Oximeter Patient Simulator Veterinary Advisor Operation Manual 9 7 Chapter 9 Oximetry Choosing the Waveform Settings Use the SpO waveform menu options to adjust the speed of the SpO waveform or plethysmogram Access the Waveform Menu The SpO waveform menu is accessible from the SpO waveform label Since the speed of the plethysmogram is the only adjustable waveform setting the SPEED menu option is included in the parameter menu when the SpO waveform is ON Figure 9 9 SpOz Display 26 MAY 2004 13 47 CAT AUTO RESET 0 Waveform Parameter Label Box Label t nowna DISPLAY SP02 PARAMETER MENU To access the SpO waveform menu from the waveform label Turn the rotary knob on the monitor to move the cursor Highlight the SpO2 waveform label and push the knob to select The SpO waveform menu will appear in the lower left corner of the display Choose the Waveform Speed You can choose the speed at which the SpO waveform is displayed To change the speed of the SpO gt waveform 1 On the SpO2 waveform menu highlight SPEED and push the knob to select 2 Highlight the desired size of the waveform 6 25 12 5 25 or 50 mm second and push the knob to select 3 Highlight MAIN MENU and push the knob to select 9 8 Veterinary Advisor Operation Manual Chapter 9 Oximetry Adjusting the
224. ss the vital signs box 3 Turn the rotary knob to highlight CLEAR ALL TRENDS and push the knob to select 4 Turn the rotary knob to choose YES NOTE Selecting YES will permanently erase all the stored trend data 5 Push the knob to select 5 10 Veterinary Advisor Operation Manual Chapter 5 Monitoring the Patient Printing Trend Data To print all the stored trend data if an optional printer is installed on your monitor 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight TABULAR VITAL SIGNS and push the knob to access the vital signs box 3 Turn the rotary knob to highlight PRINT ALL TRENDS and push the knob to select 4 Turn the rotary knob to choose YES and push the knob to select To stop printing press the print key on the monitor To print a segment of the stored trend data if an optional printer is installed on your monitor 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight TABULAR VITAL SIGNS and push the knob to access the vital signs box 3 Turn the rotary knob to highlight PRINT REPORT and push the knob to access the printing submenu 4 Choose the time segment of stored trend data that you want to print Note that the trend report begins at the later or more recent hour and minute
225. ssccssccssecsseeccssecsseesscesnscessesesuecesseceesecesseeesneeesneeesneessaes 11 2 Theory Of Operation issssssstensiessseahieinwtivanin nna whinaiaasinsiainnssindinahinghaianciinginmnineaaaiauias ALCACIIMG CES E E E E P E E E A E aap ETO A Choosing the Waveform Setting Sosesnosnossmssananmmenonsminani in RA Access the Waveform Mem Ulissisiscisicesansssiesicescescdessssiasceictrtsnznaisas naa A AOA ARG Choose the Scale of the IBP Waveform Choose the Waveform Speed s s s Choose Separate Scales or Overlaid IBP WaveformMS ssssssssssessssesssssssrsesesssssssseesrsesesssssessresrnssesnsssessresressesssssessteeee 11 6 S ttheTransdUcEr to Zel O csescsssssssssscsssecsseecsneccsnscessecessecssseccssecsnscesasecssscessseceasecsasecsasecsuscessscessscesucesuccessceessceesueessneeesneesaes 11 6 Adjusting the Settings in the Parameter BOX ssssssssssesssssssessesssseoeesnssteosssssteesenssteonssnsteessnsuteosssssteossnssteosssssteossnssteosssssteessnsstees 11 7 Change the Site Lapa h senneispenamionennieni nda a O 11 7 Turn Alarm Detection ON OF Off sssssssssssscsssccssscsssecsssecsssecsscessecsssecsssccessecsnsessusessnseesucessescsucesseessseessueessuccssneeeaseeesseeste 11 8 Turn the Arterial Heart Rate Display On or Off sssssssssscsssscessssecssseecesusecesnseecsnsseessussessnseecesuscessnseessnssscesnseessnseesesaeeees 11 8 Set the Transducer to Zero DBP NEA NEE AAEREN E EEEE PE E EEE E EES IBP Alarmi MSS SEUSS iasacec
226. ssesscatsctescecsssivessessssteusscossccoasencsscansdenncessavesibescanicsteasessssttesest datteus ensstdensecdeseeei eres 10 6 Choose the Interval for Automatic NIBP Measure Me nts sescssssccseccssesssnscessecssessssecsnseessscessecsucessseesseecsseeesneeesnsees 10 6 Choose the Inflation PreSSUre sinisssiennisiinuuono hun naan a A aG 10 7 Adjust the Volume of the NIBP Completion Beep TONE ssssssssssssssesssssessssessessssesssesesesessessessresenssesnssssssrestnesesnsssessreeee 10 7 Measuring Non invasive Blood Pressure NIBP Manual NIBP Mode AUTO NIBP Mode resnnsnerenssonnoaninni ni ino RAEE STAF NIBP MOJ G access sscccsssctessscacesstccssaxvesostecusshovest RENN EARNEST Canceling an NIBP Measurement sis issidsaistaciissditaniiauit guia ona Cleaming the NIBP CUff sscisasssscasssicoayescassssitessctasvsi assviteaveedossividess slesvtct absviveaviedousoei eostsdoavestGenstl esvedvaussii sbedvaivtestussei aivietatenvdtaaes NIBP AIAS senan E E T AA S A E ARE NIBP Alarmi MGSSAGES w ssaiiestuisicicons de dedeaieanniod o Ro Chapter 11 Invasive Blood Pressure cccccocccsssssscccsssssscccsssssscccsscssscccsssssssccsssssssccsssssece 1 1 1 Using the lBP Parameter nenisassiceusnoni daca neice N R O ead 11 1 Invasive Blood Pressure Measurement Capability sssssesscsnssccssseecsnssscesseecssseessnssecessscecsnseecesnseessnseessnseecesneeessnseeseaneeses 11 1 Invasive Blood Pressure Warnings Cautions ANG NOtes ssscsssscs
227. ssing the ALARM SILENCE key will silence alarms for two minutes AUDIO PAUSED will be displayed with a two minute timer 2 00 Audible alarms will be re enabled if any new alarm occurs if the two minute timer times out or if the ALARM SILENCE key is pressed again If audio alarm silence for your monitor is set to allow INDEFINITE ONLY then pressing and holding ALARM SILENCE key will silence alarms for an unspecified amount of time AUDIO PAUSED will be displayed with no timer The audible alarms will be re enabled if any new alarm occurs or it the ALARM SILENCE key is pressed again NOTE Only qualified personnel may change the allowed alarm audio silence mode See Select Alarm Audio Silence Operation in Chapter 17 Service Menu for details regarding alarm silence Refer to the chapters dedicated to each parameter for details regarding the high medium and low alarming conditions 6 6 Veterinary Advisor Operation Manual Chapter 7 Printing Chapter 7 Printing The optional built in printer produces waveform snapshots waveform strip charts and tabular trend data Annotation lines are printed every 200 300 millimeters 8 12 inches providing numeric measured values with the waveform The printer has three paper speeds four if capnography is installed on your monitor and an easy to use drop in paper replacement compartment There is a dedicated printer key PRINT 0 on the front of the monitor for starting and stopping the print func
228. t NO CHG no change 6 Turn the rotary knob to move the cursor back to the name of the measured value and push to select NOTE Besure that the QUICKSET alarm limits you select are clinically appropriate for your patient 7 Highlight MENU in the alarm limit box and push the knob to select 8 Highlight MAIN MENU and push the knob to select 5 6 Veterinary Advisor Operation Manual Chapter 5 Monitoring the Patient Resetting Alarm Limits using the QUICKSET Feature To reset all high and low alarm limits for the current measured values using the QUICKSET feature 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight QUICKSET and push the knob to select 2 Highlight QUICKSET ALL LIMITS and push the knob to select The alarm limit box will appear displaying the reset high and low alarm limits 3 If the new limits are correct and clinically appropriate for your patient highlight MAIN MENU and push the knob to select 4 If the new limits are not correct and clinically appropriate for your patient a Turn the rotary knob to highlight the name of the incorrect measured value and push the knob to select b Highlight the incorrect high HI or low LO limit and push the knob to select c Turn the rotary knob to choose the desired value and push the knob to select d Turn the rotary knob to move the cursor back to the name of the measured value and push to select
229. t and parts of the system or between the patient and other persons touching parts of the system 2 5m Aa a Uses Ua lq i5m y 1 5m Figure 1 1 Patient Environment side The dimensions are not prescriptive Figure 1 2 Patient Environment top The dimensions are not prescriptive When connecting this monitor to any instrument verify proper operation before clinical use Use only equipment meeting specifications given in this manual 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 IED standards i e IEC 60950 for data processing equipment or IEC 60601 1 for electro medical equipment All combinations of equipment must be in compliance with IEC 60601 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 60601 1 1 Any monitor that has been dropped or damaged should be checked by qualified service personnel to ensure proper operation prior to use Use only original manufacturer or recommended patient cables Use of accessories other than those specified may result in increased electro magnetic EM emissions or decreased EM immunity of the device To avoid potential
230. t type or power down this setting will default to ON Alternatively you can preclude additional alarms by adjusting the current high and low alarm limits by using the QUICKSET feature or by setting the limits to OFF in the alarm limits box In some cases the indefinite alarm silence feature may be enabled This will prevent the audible alarm tones from sounding at all If this feature is enabled on your monitor press and hold the ALARM SILENCE key for six seconds to indefinitely silence alarms AUDIO PAUSED will be displayed on the upper right side of the display If a new alarm occurs during audible silence the audible alarm will be reactivated NOTE Only qualified personnel may enable indefinite alarm silence See Select the Alarm Audio Silence Operation in Chapter 17 Service Menu for details regarding alarm silence Refer to the chapters dedicated to each parameter for details regarding the high medium and low alarming conditions 5 4 Veterinary Advisor Operation Manual Chapter 5 Monitoring the Patient QUICKSET Alarm Limits You can quickly adjust the high and low alarm limits using the QUICKSET feature You may choose to reset all the alarm limits or just the alarm limits for a measured value that has matched or exceeded a high or low limit and generated an alarm When you select QUICKSET ALL LIMITS the monitor will use the patient s current measured values add the QUICKSET high QS HI number for each measured value
231. tary knob to choose ON and push the knob to select 4 Highlight MAIN MENU and push the knob to select To set the monitor to automatically print all numeric measured values at a preset interval 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight PRINTER and push the knob to select N Highlight DATA LOG INTERVAL and push the knob to select w Turn the rotary knob to choose the number of minutes 1 2 5 10 15 or 30 that should elapse between print jobs and push the knob to select 4 Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 7 7 Chapter 7 Printing Replacing the Printer Paper A colored strip appears on the printer paper when the paper roll is almost empty Only use exact replacement printer paper See Chapter 16 Optional Supplies and Accessories for ordering information Using any other printer paper may produce undesirable results or may damage the printer To replace the printer paper 1 Open the printer door on the right side of the printer 2 Gently pull the door down until it is completely open 3 Grip the empty paper roll and gently but firmly pull it toward you The empty roll should easily come out Figure 7 6 Open Printer Door i 4 Insert a new paper roll into the paper carrier The paper should come out from the bottom of the roll The new roll should snap into place A c7 V
232. tary knob to highlight CLEAR ALL NIBP HISTORY and push the knob to select 4 Turn the rotary knob to choose YES NOTE Selecting YES will permanently erase all the stored NIBP history 5 Push the knob to select 5 12 Veterinary Advisor Operation Manual Chapter 5 Monitoring the Patient Printing NIBP Readings To print all the stored NIBP readings if an optional printer is installed on your monitor 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select 2 Highlight NIPB HISTORY and push the knob to access the NIBP history box 3 Turn the rotary knob to highlight PRINT ALL NIBP HISTORY and push the knob to select 4 Turn the rotary knob to choose YES and push the knob to select To stop printing press the print key on the monitor To print only the NIBP readings displayed in the NIBP history box if an optional printer is installed on your monitor 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight TRENDS and push the knob to select N Highlight NIPB HISTORY and push the knob to access the NIBP history box w Turn the rotary knob to highlight PRINT WINDOW and push the knob to access the printing submenu 4 Turn the rotary knob to choose YES and push the knob to select To stop printing press the print key F on the monitor on Turn the rota
233. ted by a veterinarian NOTE NOTE NOTE There are no user serviceable adjustments for the Non Invasive Blood Pressure calibration verification If the monitor appears to be out of calibration contact your authorized repair center for help Systolic and diastolic blood pressure measurements determined with this device are equivalent to those obtained by the trained observer using the cuff stethoscope auscultation method within the limits prescribed by the American National Standard Electronic or Automated Sphygmomanometers AAMI SP10 1992 Mean arterial blood pressure measurements determined with this device are equivalent to those obtained by an intra arterial blood pressure measurement device as determined by Smiths Medical PM Inc Invasive Blood Pressure Warnings Cautions and Notes WARNING Avoid conductive connection with any metal parts NOTE NOTE NOTE NOTE NOTE NOTE The IBP ZERO NEEDED message is displayed when the monitor is turned on when the site label is changed or when the transducer is connected to the monitor even if the same transducer is disconnected then reconnected to the monitor Use only invasive pressure transducers and interface cables specifically intended for use with this device and its side panel connectors The IBP1 and IBP2 waveforms must be visible and adjacent in order to be overlaid When IBP1 and IBP2 are overlaid the scale settings for IBP1 and IBP2 are changed to t
234. termine accurate SpO and pulse rate readings CAUTION Unplug the sensor from the monitor before cleaning or disinfecting NOTE Obstructions or dirt on the sensor s red light or detector may cause a sensor failure Make sure there are no obstructions and the sensor is clean NOTE If the oximeter parameter is being monitored 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 NOTE The low SpO alarm limit minimum test value is 85 If you change the low SpO alarm limit toa value less than 85 and then change the patient type add a new patient or power down power up the monitor a minimum value of 85 takes the place of the value you entered 9 2 Veterinary Advisor Operation Manual Chapter 9 Oximetry Pulse Oximetry Theory of Operation The pulse oximeter determines SpO and pulse rate by passing two wavelengths of low intensity light one red and one infrared through body tissue to a photodetector Information about wavelength range can be especially useful to clinicians Wavelength information for this device can be found in the SpO Specifications section of this manual Pulse identification is accomplished by using plethysmographic techniques and oxygen saturation measurements are determined using spectrophotometric oximetry principles During measurement the signal strength resulting from each l
235. teszesasteassiestssdsdadevassaastebetsncshasviadoaschsnaseassaastedacansteaseissaaiecd 5 12 Printing NIBP Reading S sciscsossscctnesccosssdconss ectacvdesesdcoctaa eroesdveneus ectixdeesesudert ix veensa sonis essaav soeuvesSau vecoeuivesous vesdauddsosuvqsbisecsustersey 5 13 a E A E T 5 13 Chapter 6 Alarms C0000000 O0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 6 1 Parameter Alarms and System Alarins ssssssssssscssssecsssscccssseccsnseecsssescssseeecsnseeccuseecssnscessnsesesssecessuseessuseesssnseessnsesessseeesunsesenseeesssees 6 1 C itical Failure Alarmi GEA sciccsssdoeccetssdoxseszesecis SsvasczeveaselasssVescasbads se ccacestsetsadezesssis avai cacoizssdsassvzavagiedatassemved n n aNu 6 1 High Medium and Low Priority Alarms csssssssssscsssscssscssssccssccssscesssccsssccesseceseccssecsnseesnscessscesueecsucessusecsseceeseecsucessncessneeesseeess 6 2 High Priority AA lea asc assccceecasaeacaceesevsessasantsasuastaseess TA E SR STA 6 2 Mediam Priority Alar Suosnesscnipanioniinnn oon a E RR 6 3 Wi aaea E T T A E E E E 6 4 Controlling Alarms TUN Off alarm detec hoszennnecncngn a R R NRR 6 4 B E AT E E E E E E E E E 6 5 Adjustalarmi VOUM E nysrananann n n R RAO T 6 5 Stop alarms automatically or MANUAlY u ssesscssssscesseseessseseesneccesnseecsnseccesuseecssseeeesuscessnseessnsseeesuseessnseesesnecessnseessnsneeesneeees 6 5 SUVS TS SA ALIAS E E N E E E E E E E E an
236. the Monitor Unpack the Monitor and Check the Shipment Before you begin setting up carefully remove the Advisor Vital Signs Monitor and its accessories from the shipping carton Save the packing materials in case the monitor must be shipped or stored Compare the packing list with the supplies and equipment you received to make sure the shipment is complete Quick Setup Instructions Follow these setup steps every time you begin monitoring a patient See Detailed Setup Instructions in this chapter for a thorough explanation of each step 1 Choose the installation site Check the monitor s AC rating Connect the AC power cord Press the ON OFF key to turn on the monitor Select the patient type Add a new patient Use the SETUP menu to define some general configuration information and parameter options oOo N ODO U A U N If necessary set the time and date on the display Detailed Setup Instructions 1 Set up the monitor in a room with a temperature of 0 40 C 32 104 F and a relative humidity of 15 95 non condensing a If the monitor was in an area having a temperature higher or lower than this wait a few minutes before setting up and using the monitor 2 Check the monitor s AC rating Check the monitor s AC rating plate to ensure the nominal voltage at your installation site matches the monitor s rating a If the AC rating is not correct do not use the monitor Contact your authorized repair
237. the Universal Y Sensor but less than a quarter of the size of the lingual clip The smaller clip is effective on small breeds and especially on smaller cats The clip will work on a cat s ear tongue and toe webbing The Mini Clip also works well on larger animals Figure 9 5 Mini Clip Sensor Small Reflectance Sensor V1700 Use the reflectance sensor if you are performing a dental procedure or any oral work that precludes the use of the lingual clip Clean the reflectance sensor by wiping it with isopropyl alcohol or chlorhexidine Place the reflectance sensor 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 Be sure the skin is clean Hold the sensor snugly against the tail and wrap with non adhesive wrap Figure 9 6 Small Reflectance Sensor When using the sensor in the rectum a thin coat of lubricant can be used Remove existing feces Slightly rotate the sensor to ensure that the LED s are touching tissue and not fecal material You do not need to anesthetize the animal when using the reflectance sensor Figure 9 7 Reflectance Sensor K This sensor may be used in the esophagus or cloaca of reptiles and large avians 9 6 Veterinary Advisor Operation Manual Chapter 9 Oximetry Universal C Sensor V1707 The C Sensor is designed specifically for use in the larger tissue ar
238. the knob to access the patient identification submenu in the lower left corner of the display N Highlight ENTER NEW PATIENT and push the knob to select w Turn the rotary knob to choose YES and push the knob to select 4 If you do not want to add the patient s name and ID turn the rotary knob to highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 4 3 Chapter 4 Setting up the Monitor Add a Patient s Name Turn the rotary knob on the monitor to move the cursor Highlight the BED PATIENT field in the upper right corner of the display The field may be blank Push the knob to access the patient identification submenu in the lower left corner of the display N Highlight PATIENT NAME and push the knob to select w Turn the rotary knob to access the patient name box and push the knob to select the first character field 4 Turn the rotary knob to highlight the desired character and push the knob to select on Push the knob to select the next character field 6 Turn the rotary knob to highlight the desired character and push the knob to select Repeat steps 4 and 5 until each character in the patient s name is selected A patient name may be up to 14 characters long N Highlight ENTER and push the knob to select Add a Patient s ID On the patient identification submenu turn the rotary knob to highlight PATIENT ID and push the knob to select
239. the knob to select 4 Highlight MAIN MENU and push the knob to select To choose a second lead to display as an ECG waveform for five lead processing only 1 Highlight the label for the desired waveform and push the knob to access the waveform menu 2 Highlight WAVEFORM and push the knob to access the parameter waveforms submenu 3 Highlight the desired lead l Il Ill V AVF AVL or AVR and push the knob to select I II the default primary lead Ill and V the default second lead are simultaneously acquired and analyzed the augmented leads aVR aVF and aVL are calculated 4 Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 8 7 Chapter 8 ECG Adjusting the Settings in the Parameter Box Turn Alarm Detection On or Off You can turn on or off the alarm detection capability for the heart rate value If HR ALARMS is on an alarm will be issued when the high or low alarm limit is violated If you turn HR ALARMS off and the high or low alarm limit is violated an alarm will not be issued When you turn off the monitor and turn it on again HR ALARMS will be reset to ON the default setting is ON See Choose the Heart Rate Source in this chapter for information regarding the source of the measured value for heart rate To turn on or off the heart rate alarm detection 1 Turn the rotary knob on the monitor to move the cursor Highlight the ECG parameter box name and push the knob to acce
240. the sample chamber An IR detector responds to the amount of IR light that passes through the sample chamber Because CO absorbs IR light at a specific wavelength the amount of light passing through the sample chamber varies according to the concentration of CO in the sample chamber When there is a high concentration of CO in the sample chamber the detector senses a smaller amount of the CO absorption wavelength light than when there is a low concentration of CO CO Absorber SurgiVet part number 1179 Capnography Module Filter SurgiVet part number 9048 Exhaust Port The module computes the partial pressure of CO STPD standard temperature pressure dry based on measured levels of IR light intensity The ETCO measurement shows an average of four breaths Measuring Respiration Rate RR The module uses the continuous CO waveform to detect each breath cycle It uses an adaptive algorithm to recognize each breath in the waveform even in the presence of an elevated baseline rebreathing and higher frequencies in the CO waveform cardiogenic oscillations The respiration rate RR is computed from the total number of seconds for the last four breaths according to this formula Respirations per minute 60 seconds x breaths Number of seconds for 4 breaths N O Compensation The interfering effect of nitrous oxide N20 results in inaccurate CO readings however the capnogra
241. tion If an optional printer is installed on your monitor you will find print options in the waveform menus the parameter menus and the trends menu In addition to these printing options there is a printer menu accessible on the main menu Using the options on the printer menu you can set your monitor to automatically print whenever an alarm limit is violated or as soon as an NIBP reading is taken You can set your monitor to print patient data at regular intervals The printer menu is also the place where you choose the speed or resolution millimeters per second at which all waveforms will print and the length of all printed snapshots 200 or 300 millimeters General Print Settings There are some print settings that apply to every print job such as the speed or resolution of printed waveforms and the length of all snapshots These options are found in the printer menu To set the print speed 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight PRINTER and push the knob to access the printer menu 2 Highlight PRINT SPEED and push the knob to select 3 Highlight the desired print speed 12 5 25 or 50 mm sec and push the knob to select 4 Highlight MAIN MENU and push the knob to select To set the print speed for carbon dioxide CO3 1 Turn the rotary knob on the monitor to move the cursor Select the CO2 Parameter box on right side of screen and push the knob t
242. tmospheric pressure reading has been available for 24 hours The monitor initiates an AUTO ZERO when the module detects a large temperature change To perform a LOW CAL 1 Turn the rotary knob on the monitor to move the cursor Highlight the CO2 parameter box name and push the knob to select 2 Highlight LOW CAL and push the knob to select 3 Turn the rotary knob to highlight YES and push the knob to select LO CAL IN PROGRESS will be displayed in the CO2 parameter box 4 When the calibration procedure is finished CAL DONE will be displayed in the CO2 parameter box Veterinary Advisor Operation Manual 13 15 Chapter 13 Capnography To perform a HILO CAL Figure 13 9 HILO CAL NOTE AHILO CAL procedure should be performed NOTE Remove the device from the patient before only after the capnography parameter has Flow control been on for at least 15 minutes Tesninicctr Gas inlet performing a high low calibration procedure If the patient is attached to the capnography module disconnect the sample line tubing from the monitor by unscrewing the filter Luer from the module on the left side of the monitor Connect one end of the T assembly to the regulator on the gas canister Connect the second end of the T assembly to the Luer fitting on the moisture trap Leave the third end of the T assembly open to room air Calibration gas Turn the rotary knob on the monitor
243. to the monitor A simulated ECG waveform should appear in Waveform 1 9 Press and hold the SpO OFF button on the simulator to momentarily disable the oximetry reading 10 If the ECG parameter is functioning properly an ECG waveform will be displayed and a measured value for heart rate of 79 81 beats per minute bpm will appear in the ECG parameter box You can remove any one of the ECG leads from the simulator to verify that the LEADS FAIL alarm is reliable Veterinary Advisor Operation Manual 8 13 Chapter 8 ECG e You can change the primary ECG lead to Il or Ill to verify that each waveform is accurately displayed a On the ECG waveform menu turn the rotary knob to highlight PRIMARY LEAD and push the knob to access the ECG leads IDs submenu b Highlight the desired primary ECG lead and push the knob to select See the following tables for the primary lead configuration ECG 3 LEAD CONFIGURATION c Highlight MAIN or PREVIOUS and push the knob to select 11 Disconnect the simulator from the monitor The simulator will automatically turn off ECG Technical Data See the Appendix A for technical information about the ECG parameter 8 14 Veterinary Advisor Operation Manual Chapter 9 Oximetry Chapter 9 Oximetry Using the Oximetry Parameter This chapter includes information specific to the Oximetry parameter Refer to chapters 4 7 for general step by step monitoring instructions The remainder of this c
244. tory warranty Disconnect the ETCO sample line from the patient circuit or power off during medication delivery All user and patient accessible materials are non toxic During the auto zero calibration autocal sampling the CO waveform and digits will disappear for 1 5 seconds After this breath detection restarts This should happen only during extreme temperature changes and not during normal patient monitoring or changes of ambient pressure The auto zero calibration autocal is similar to a low calibration low cal excluding ambient pressure so as not to stop the pump Capnometer patient attachments and sample lines are disposable single patient use items Use a new patient attachment and sample line for each new patient Discard and replace the patient attachment if it becomes occluded If an air leak is noted check all patient connections If the air leak persists discard and replace the patient attachment Veterinary Advisor Operation Manual Chapter 2 Intended Use and General Information Chapter 2 Intended Use and General Information Intended Use This vital signs monitor is intended to be used in special procedure labs and other areas of a veterinary hospital or clinic where veterinary monitoring systems are needed The basic monitor package includes 3 lead or 5 lead electrocardiography ECG non invasive blood pressure NIBP pulse oximetry SpO 3 and an internal rechargable battery Optional parameters in
245. tputs Audible Alarm Silencing Appendix B Alarm Limit DG RACES AAE EEEE AIET A B 1 Heart Rate OXIME Vei A cece Na ENE EA ts eaeas eaten bd etaavedn A eae E A Non invasive Blood Pressure NIBP cccccsscsssssssscsssssssssscssssssscsssssssssssssssssssessessesscsessssssssessessssssssssssessessesucsessessesssscsessssssssussesssssess B 1 Invasive Blood PRES SUNG germanus a aa ER a E aE EREA cements B 2 Tempe rat re CT 1 12 sessicacssssctssdssescevsacueascosyssssnnsccsasestzassactsesdsssace E R R A ia iia B 2 APIO 10l A EDE AEA EA T A AAAA E A A A AA ATA B 3 Appendix C IEC 60601 1 2 Requirements 2nd Edition 2001 sosssssoocsssooosessoossessooeees C 1 Appendix D Revision HIStOry esssesssossssoessossssosesooessocsscosesosessosesoosssosesossssossssosesosesssssssess D 1 viii Veterinary Advisor Operation Manual Table of Contents The Smiths design mark Surgivet and Advisor are trademarks of the Smiths Medical family of companies The symbol indicates the trademark is registered in the U S Patent and Trademark Office and certain other countries All other names and marks mentioned are the trade names trademarks or service marks of their respective owners The serial autocorrelation technology in the monitor is covered by U S Patent No 5 558 096 Veterinary Advisor Operation Manual Table of Contents This page is intentionally left blank x Veterinary Advisor Operation Manual Warranty and Se
246. ty for a single parameter You can change the high and low alarm limits You can quickly reset the alarm limits relative to the patient s current measured values You can control the volume of the audible alarm And you can silence an alarm for two minutes or on some monitors indefinitely Turn off alarm detection If it is appropriate for your patient you can turn off the alarm detection capability for a single parameter so that when the measured value matches or exceeds the alarm limits the monitor will not issue an alarm See Responding to an Alarm in Chapter 5 Monitoring the Patient for instructions for turning off the alarm detection capability for a single parameter 6 4 Veterinary Advisor Operation Manual Chapter 6 Alarms Change alarm limits The monitor provides clinically appropriate default high and low alarm limits for each numeric measured value You can change the high and low alarm limits depending on the monitoring requirements of each patient You can even set a high or low alarm limit to OFF so that no alarm will be issued For a list of default alarm limits see Appendix B Alarm Limit Default Values See Set the Alarm Limits in Chapter 5 Monitoring the Patient for instructions for changing high and low alarm limits You can quickly adjust the high and low alarm limits using the QUICKSET feature You may choose to reset all the alarm limits or just the alarm limits for a measured value that has exceeded or violated
247. ue and push to select e When the high and low alarm limits are correct and clinically appropriate for your patient highlight MENU in the alarm limit box and push the knob to select f Highlight MAIN MENU and push the knob to select Veterinary Advisor Operation Manual 5 7 Chapter 5 Monitoring the Patient NIBP Mode Non invasive blood pressure NIBP measurements can be made in automatic manual or STAT modes In the automatic mode the monitor will measure the patient s NIBP periodically according to the interval you select In the manual mode the monitor will measure the patient s NIBP only when you press the NIBP key Q In the STAT mode the monitor will measure the patient s NIBP continuously for five minutes The default setting for NIBP mode is MANUAL See Chapter 10 Non invasive Blood Pressure for more details regarding the NIBP mode To change the NIBP mode 1 Turn the rotary knob on the monitor to move the cursor On the main menu at the bottom of the display highlight NIBP MODE and push the knob to select 2 Turn the rotary knob to choose a mode AUTO MANUAL or STAT and push the knob to select Suspend Mode Use this feature to temporarily stop or suspend monitoring While the monitor is in suspend mode no parameters are being monitored no data are stored for trends and no alarm will be issued When you resume monitoring all the previous settings such as alarm limits and waveform settings will be retaine
248. ure transducers and interface cables specifically intended for use with this device and its side panel connectors NOTE When IBP1 and IBP2 are overlaid the scale settings for IBP1 and IBP2 are changed to the higher of the two scales NOTE Dual channel simulators may affect verification of IP operation Use only single channel simulators NOTE All specified transducers were tested for immunity to radiated radio frequency electromagnetic fields at a level of 10V m in accordance with IEC 60601 2 34 2000 Theory of Operation The Advisor Vital Signs Monitor has been validated for use with other disposable transducers and interface cables Becton Dickinson DTX Plus DT 4812 compatible with interface cable provided Edwards Lifesciences TruWave Abbott Critical Care Systems Transpac IV Transducers 2 and 3 are compatible for use with the Advisor Vital Signs Monitor but require the purchase of a compatible interface cable Please contact Technical Service at 1 888 745 6562 for more information 11 2 Veterinary Advisor Operation Manual Chapter 11 Invasive Blood Pressure Attaching the Patient 1 Choose an invasive pressure transducer NOTE All specified transducers were tested for immunity to radiated radio frequency electromagnetic fields at a level of 10V m in accordance with IEC 60601 2 34 2000 a If you are using a disposable transducer choose an appropriate interface cable designed to mate with the IBP1 and IBP2 r
249. urs NOTE This option is only available if Dual Alarm Silence Allowed is enabled in the factory service menu To select the alarm audio silence operation 1 On the service menu highlight MONITOR DEFAULTS and push the knob to access the submenu for default parameter alarm limits 2 Highlight ALARM AUDIO SILENCE OPERATION and push the knob to select 3 Turn the rotary knob on the monitor to choose the desired setting TEMPORARY ONLY INDEFINITE ONLY or TEMPORARY AND INDEFINITE and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select Select the Alarm Reset Operation You can set the monitor to automatically silence an audible alarm tone as soon as the measured value returns to within the alarm limits AUTO or you can set it so that an audible alarm can be manually silenced MANUAL by pressing the alarm silence key To select the alarm reset operation 1 On the service menu highlight MONITOR DEFAULTS and push the knob to access the submenu for default parameter alarm limits N Highlight RESET ALARMS and push the knob to select w Turn the rotary knob on the monitor to choose the desired setting AUTO or MANUAL and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select 17 4 Veterinary Advisor Operation Manual Chapter 17 Service Menu Select the Serial Output Mode The monitor includes an RS 232C compatible serial output channel Measured
250. ush the knob to access the submenu for default parameter alarm limits 2 Highlight ECG FILTER and push the knob to select 3 Turn the rotary knob on the monitor to choose the ECG filter level 50 Hz or 60 Hz appropriate for your facility and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select Veterinary Advisor Operation Manual 17 3 Chapter 17 Service Menu Select the Alarm Audio Silence Operation You can choose how the alarm silence key will function If you select TEMPORARY ONLY When you press the alarm silence key an audible alarm will be temporarily silenced for two minutes AUDIO PAUSED will be displayed on the upper right side of the display The audible alarm will be re enabled if any new alarm condition occurs or in two minutes if no new alarm condition occurs If you select INDEFINITE ONLY When you press the alarm silence key for three seconds audible alarms will be indefinitely silenced AUDIO PAUSED will be displayed on the upper right side of the display If any new alarm condition occurs while audible alarms are indefinitely silenced the audible alarm will be re enabled If you select TEMPORARY AND INDEFINITE When you press and hold the alarm silence key for six seconds audible alarms will be permanently silenced AUDIO OFF will be displayed on the upper right side of the display The audible alarm will not be re enabled if a new alarm condition occ
251. value a parameter refers to one or more specific measured values For example pulse rate and SpO are measurements the Oximeter parameter consists of both these measured values Operation of the monitor is the same regardless of the number of parameters you use If you are not familiar with the operation of this monitor follow each chapter in the manual in order Each chapter builds on the information from the previous chapter If the monitor is already set up or if you are familiar with its operation turn to the chapter that describes the features you will use Veterinary Advisor Operation Manual 1 1 Chapter 1 Introduction Definition of Symbols SYMBOL DEFINITION Rx Caution Federal U S A law restricts this device to sale by or on the order of a veterinarian 9 Defibrillator proof type CF equipment Attention see instructions for use Dangerous voltage Refer servicing to qualified service personnel Output Loudspeaker Fuse Date of Manufacture Catalog Number Serial Number IPX1 o e ewy o O Ac Powerteos International Symbols 1 2 Veterinary Advisor Operation Manual Chapter 1 Introduction Disposal EU Countries Under the Waste Electrical and Electronic Equipment WEEE Directive 2006 96 EC and implementing regulations all devices and service items within the scope of the Directive K purchased new after August 13 2005 must be sent for recycling when ultimately becoming wast
252. values can be output to another device using one of three modes the Smiths Medical PM Inc protocol as real time numeric data or as trend data You can select the mode that is appropriate for your facility To select the serial output mode 1 On the service menu highlight MONITOR DEFAULTS and push the knob to access the submenu for default parameter alarm limits 2 Highlight SERIAL OUTPUT MODE and push the knob to select 3 Turn the rotary knob on the monitor to choose the desired setting SMITHS PROTOCOL REAL TIME NUMERIC CSV or TREND RETRIEVAL and push the knob to select 4 Highlight MAIN or PREVIOUS and push the knob to select Changing the Service Menu Password The service menu is password protected You can access the service menu only by using a password Authorized personnel may change the password To change the password 1 On the service menu highlight CHANGE PASSWORD and push the knob to select 2 Turn the rotary knob to access the password box and push the knob to select the first character field 3 Turn the rotary knob to highlight the desired character and push the knob to select Each character will be displayed as an asterisk as soon as it has been selected 4 Push the knob to select the next character field on Turn the rotary knob to highlight the desired character and push the knob to select Repeat steps 4 and 5 until each character in the new password is selected A maximum of ten characters
253. year from the date of shipment to the original purchaser USA only Seller warrants to the original purchaser that the reusable temperature cable supplied as accessories shall be free from defects in materials and workmanship under normal use if used in accordance with its labeling for 6 months from the date of shipment to the original purchaser USA only Seller warrants to the original purchaser that the reusable ECG leads reusable invasive pressure cable reusable NIBP purple hose disposable temperature probe disposable invasive pressure transducer and disposable sample lines supplied as accessories shall be free from defects in materials and workmanship under normal use if used in accordance with its labeling for 90 days from the date of shipment to the original purchaser USA only Blood pressure cuffs carry a 6 six month warranty pending evaluation by Smiths Medical PM Inc SMPM Veterinary Division Technical Services Cuffs that are contaminated have liquid in them have been misused abused or are older than 6 months will not be covered under warranty The sole obligation of SMPM 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

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