CORTRAK 2 Operating and Troubleshooting Tips

ONLY USE CORTRAK* 2 IF TRAINED

CORTRAK * TIP CARDS These CORTRAK* 2 Operating and Troubleshooting Tip Cards provide quick guidance in the use, operation, and maintenance of the CORTRAK* 2 Enteral Access System (20-0950). TABLE OF CONTENTS Tip Card 1-1: Proper Placement in the Digestive System...4 Tip Card 1-2: Feeding Tube Misplacement in the Lung... 5 Tip Card 2-1: Placement Views...6 Tip Card 3-1: Operating Tips: Placement Screen Interpretation... 7 Tip Card 4-1: Operating Tips: Placement Screen Interpretation - Example 1...8 Tip Card 4-2: Operating Tips: Placement Screen Interpretation - Example 2...9 Tip Card 4-3: Operating Tips: Placement Screen Interpretation - Example 3...10 Tip Card 4-4: Operating Tips: Placement Screen Interpretation - Example 4... 11 Tip Card 4-5: Operating Tips: Placement Screen Interpretation - Example 5...12 Tip Card 4-6: Operating Tips: Placement Screen Interpretation - Example 6...13 Tip Card 4-7: Operating Tips: Placement Screen Interpretation - Example 7...14 Tip Card 5-1: Troubleshooting Tips: Detecting the Transmitting Stylet and Fault Messages...15 Tip Card 5-2: Troubleshooting Tips: Detecting the Transmitting Stylet and Fault Messages...16 Tip Card 6-1: Troubleshooting Tips: Receiver Unit Faults and Self Test Messages...17 Tip Card 7-1: Operating Tips: CORTRAK* 2 Printers...18 Tip Card 8-1: Preventive Maintenance Tips: CORTRAK* 2 Printers...19 Tip Card 9-1: Frequently Asked Questions (FAQ’s)... 20

TERMINOLOGY REFERENCES EAS = Enteral Access System MU = Monitor Unit RU = Receiver Unit Rx Only – In the U.S., use of the CORTRAK* 2 Enteral Access System is restricted by federal law (USA) to sale or use by, on the order of, or under the supervision of a physician or other licensed health care professional. 3

ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 1-1: PROPER PLACEMENT IN THE DIGESTIVE SYSTEM

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 1-2: FEEDING TUBE MISPLACEMENT IN THE LUNG

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 2-1: PLACEMENT VIEWS During the placement procedure, the Operator is presented with views of the Transmitting Stylet tip location and deployment path relative to the CORTRAK* 2 Receiver Unit (RU). The system provides a means for the Operator to toggle both the major and minor displays such that a combination of the Anterior View and either Depth Cross-Section or Lateral View display simultaneously, thereby providing a complete presentation of the procedural data in all 3 dimensions.

the vertical reference line and horizontal reference line intersect at a point representative of the patient’s Xiphoid Process (for properly positioned RU). • A horizontal reference line representing the anterior plane of the patient, wherein the RU rests on the patient’s Xiphoid Process. Refer to Figures B and C.

WARNING: The CORTRAK* 2 Monitor displays a representation of the Transmitting Stylet tip path relative to the Receiver Unit. This representation is NOT an image of the actual feeding tube position.

THE ANTERIOR VIEW INCLUDES:

Figure B Lateral View, Minor Screen, Anterior View, Major Screen

• A vertical reference line representing a mid-sagittal line of the patient (for properly positioned RU). • A horizontal reference line representing a vertical cross-section of the patient’s diaphragm, wherein the vertical reference line and horizontal reference line intersect at a point representative of the patient’s Xiphoid Process (for properly positioned RU). Refer to Figure A.

THE DEPTH CROSS-SECTIONAL VIEW INCLUDES: • A vertical reference line representing the patient’s mid-sagittal line (for properly positioned RU). • A horizontal reference line representing the anterior plane of the patient, wherein the front foot of the RU rests on the patient’s Xiphoid Process. Refer to Figure A.

Figure C Lateral View, Major Screen, Anterior View, Minor Screen During the Placement procedure or Placement review, the operator is presented with touch screen buttons (Toggle Buttons) which allow toggling between the major view and the minor view. At any time prior to or during the placement process, the operator is able to press one of the “Toggle Buttons” in the major view portion of the screen to toggle the major view between the Anterior View (default) and the Lateral View. Refer to Figures A and B. When the Lateral view is displayed in the major view pane, the Anterior view is always displayed in the minor view pane and the minor “Toggle Button” is disabled. When the Major view is toggled, the Minor view pane returns to the view displayed prior to the initial toggle of the Major view. Refer to Figure C.

Figure A Anterior and Depth Cross Section View (default screen)

THE LATERAL VIEW INCLUDES: • A vertical reference line representing a vertical cross-section of the patient’s diaphragm, wherein 6

During the placement process while the Anterior view is displayed in the major view portion of the screen, the operator is able to press the “Toggle Button” in the minor view portion of the screen to toggle the minor view between the Depth Cross Section and the Lateral views. Refer to Figures A and B.

ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 3-1: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION TIPS If you are unable to resolve operational issues with the following tips, please call our Customer Service Department 1-844-428-2667 1.  PLACEMENT SCREEN CHARACTERISTICS: The green dot hasn’t moved forward on Monitor display when advancing tube into small bowel., but you have been cautiously inserting the feeding tube several centimeters. This may indicate the tube is coiling in the stomach and there has been no forward progress with the placement. RECOMMENDED ACTIONS: Slowly retract the feeding tube until the green dot moves backward. Then proceed with the placement procedure into the small bowel or as directed per physician order. 2.  PLACEMENT SCREEN CHARACTERISTICS: The green dot does not start at the top of the screen. This may mean that the patient’s head was leaning forward at the beginning of the placement making it closer to the RU. As the placement progresses, in this situation, the yellow tracing will move up then down as the tube continues down the esophagus. (See Figure D) RECOMMENDED ACTIONS: Confirm proper feeding tube tip location per institution protocol.

Figure D 3. P LACEMENT SCREEN CHARACTERISTICS: The tracing makes an abrupt turn or jumps during the placement. A sharp turn to the right or left during the placement, particularly above the horizontal axis may indicate a lung placement. RECOMMENDED ACTIONS: STOP insertion. Withdraw feeding tube. Check to see that the RU has remained stable with the front foot at the patient’s Xiphoid Process. WARNING: Institution protocols must always supersede the use of the CORTRAK* 2. Clinical judgment must always take precedence.

4.  PLACEMENT SCREEN CHARACTERISTICS: The tracing comes from the side, not from the top center of the Anterior View. RECOMMENDED ACTIONS: STOP insertion and immediately withdraw tube. This may indicate that the RU is not aligned at the patient’s midline or that the patient’s head is turned to the side. Re-position front foot of RU on Xiphoid Process of patient and re-secure. Try inserting the feeding tube again per instructions. 5.  PLACEMENT SCREEN CHARACTERISTICS: The tracing is erratic and is not following the expected path. RECOMMENDED ACTIONS: STOP insertion and immediately withdraw tube. Assess equipment and patient set-up before trying again. If this occurs, try another feeding tube and Transmitting Stylet or discontinue using the CORTRAK* 2 as an aid during tube placement. If the unexpected or unusual tracing continues, DO NOT use the CORTRAK* 2 as an aid during tube placement. Follow institution protocol to place and confirm feeding tube. Erratic behavior of the tracing on the Monitor display may indicate that there is electromagnetic interference possibly due to: • Improper setup of the CORTRAK* 2 Monitor, Interconnect Cable, RU, and/or Power Supply relative to each other. Check to see that the Monitor and RUs are spaced at least 2 feet (60 cm) apart during the placement. • Electromagnetic interference in the form of other equipment in the room or near the patient’s bedside. Check for equipment operating in the immediate proximity that may be causing electromagnetic interference (such as electrosurgical/cauterizing equipment, RFID devices, two-way radios, Left Ventricular Assist Devices, and other CORTRAK* 2 equipment). • A compromise in the integrity of the conducting wire of the Transmitting Stylet due to handling. Refer to TIP CARD #6 for additional information. 6. P LACEMENT SCREEN CHARACTERISTICS: The RU is blinking red indicating a Fault immediately after powering on the CORTRAK* 2 Monitor. Interference from the power supply or the Monitor may have impacted the automatic RU Self-Test at power-on.  RECOMMENDED ACTIONS: Unplug the RU from the CORTRAK* 2 Monitor and then plug back in with the RU more than 8-12 inches (20-30 cm) from these components.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 4-1: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION – EXAMPLES

EXAMPLE 1:

Placement Interpretation: The feeding tube tip is likely located in the jejunum. Placement Observations: Drop in depth consistent with Small Bowel placement observed in both Depth Cross Section and Lateral Views. Recommended Action: Confirm proper feeding tube placement and commence delivery of enteral nutrition per institution protocol.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 4-2: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION – EXAMPLES

EXAMPLE 2:

Placement Interpretation: The feeding tube tip could be located in the lung or stomach, but the setup of the Receiver Unit on the patient is not known. Placement Observations: The placement track is offset from the patient mid-line and a sharp turn in the track occurred above the Receiver Unit. Improper receiver position and orientation were likely during placement. Recommended Actions: Stop insertion and immediately withdraw tube. Consult Physician, NP, or AP per institution protocol and assess for injury due to potential airway misplacement. Retrain operator per recommendations below. Recommended Retraining: • Retrain the operator how to respond if track does not follow expected path on the CORTRAK* 2 Monitor display. Operator should STOP insertion and immediately withdraw tube. • Retrain the operator on the importance of proper placement of the Receiver Unit on the patient and the importance of routinely monitoring the RU position for movement throughout the tube insertion process.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 4-3: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION – EXAMPLES

EXAMPLE 3:

Placement Interpretation: The feeding tube tip is likely located in the second portion of the Duodenum. Placement Observations: • The display shows track artifact near the top Anterior view placement. This artifact is a likely result of starting the placement tracking prior to inserting the tube in the patient 5-10cm. • Receiver Unit was placed correctly on patient mid-line. Recommended Action: Confirm proper feeding tube placement and commence delivery of enteral nutrition per institution protocol.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 4-4: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION – EXAMPLES

EXAMPLE 4:

Placement Interpretation: The feeding tube tip is likely located in the duodenum. Placement Observations: Drop in depth consistent with Small Bowel placement observed in both Depth Cross Section and Lateral Views. Recommended Action: Confirm proper feeding tube tip location and commence delivery of enteral nutrition per institution protocol.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 4-5: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION – EXAMPLES

EXAMPLE 5:

Placement Interpretation: The feeding tube tip is likely in the second portion of the Duodenum. Placement Observations: Display shows clipping or shifting of the initial placement track. The operator likely started placement tracking after inserting the tube 5-10 cm in the patient and/or the receiver unit was placed slightly high on the patient and/or the patient has small anatomy. Recommended Actions: Confirm proper feeding tube tip location and commence delivery of enteral nutrition per institution protocol. To achieve deeper post-pyloric positioning, try advancing the tube a few centimeters. Retrain operator per recommendations below. Recommended Retraining: • Retrain the operator on how to respond when the track does not follow the expected path on the CORTRAK* 2 Monitor display. If the placement track displays the tip well within the detection range when starting the placement, then stop inserting the tube and withdraw immediately. Check that only 5-10 cm of the feeding tube has been inserted when starting placement. • Retrain the operator on the importance of proper Receiver Unit placement on the patient.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 4-6: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION – EXAMPLES

EXAMPLE 6:

Placement Interpretation: The feeding tube tip is likely located in Duodenal portion D-1, however, the operator should have questioned the sharp turn in the tracing above the Receiver Unit. The feeding tube tip could have been located in the lung. Placement Observations: The tracing took a sharp turn to the right above the Receiver Unit (top quadrants of the screen), and so potential Lung Placement should have been suspected during the placement. Drop in depth consistent with Small Bowel placement observed in both Depth Cross Section and Lateral Views. Curve of track down mid-line may be due to patient rotation, Receiver Unit placement or movement, and/or anatomical variations of the patient. Recommended Action: Lung placement suspected. STOP insertion and immediately withdraw tube. Notify physician per institution protocol. Retrain operator per recommendations below. Recommended Retraining: • Retrain the operator on how to respond if the track does not follow the expected path on the CORTRAK* 2 Monitor display. Operator should STOP insertion and immediately withdraw tube.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 4-7: OPERATING TIPS: PLACEMENT SCREEN INTERPRETATION – EXAMPLES

EXAMPLE 7:

Placement Interpretation: The feeding tube tip is likely not in the lung as there are no sharp turns in the tracing above the receiver unit. However, the setup of the Receiver Unit on the patient is not known. The position of the feeding tube cannot be determined. Placement Observations: • Display shows offset of the track to the left of the receiver unit. The Receiver Unit was likely placed to the right of the patient’s midline. Track shift due to horizontal offset of Receiver Unit. • Display also shows clipping or shifting of the initial placement track. The operator likely started placement tracking after inserting the tube 5-10cm in the patient and/or the Receiver Unit was placed slightly high on the patient and/or the patient has small anatomy. Recommended Action: • STOP insertion and immediately withdraw tube. • Reposition and Resecure front foot of RU on Xiphoid Process. • Advance stylet to determine if tip has crossed to right of patient mid-line and dropped into Duodenum or if tube is coiled in proximal stomach. • Retrain operator per recommendations below. Recommended Retraining: • Retrain the operator on how to respond if the track does not follow the expected path on the CORTRAK* 2 Monitor display. Operator should STOP insertion and immediately withdraw tube. • Retrain the operator on the importance of proper Receiver Unit placement on patient.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 5-1: TROUBLESHOOTING TIPS: DETECTING THE TRANSMITTING STYLET AND FAULT MESSAGES The CORTRAK* 2 includes recognition of the various faults related to the detection of the Electromagnetic Transmitting Stylet tip. The system provides descriptive fault notifications providing a robust means of root cause identification. The table below describes the various notifications that the CORTRAK* 2 may present when there is a fault related to detecting the Transmitting Stylet tip. (See Figure F)

Figure F

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 5-2: TROUBLESHOOTING TIPS: DETECTING THE TRANSMITTING STYLET AND FAULT MESSAGES Notification

Causes

Tip

a. S tylet Not Detected (Primary Current)

More likely: • Disconnection of the Transmitting Stylet • Fault or break of the conducting wire in the Transmitting Stylet • Fault in the Interconnect Cable

1. Reconnect the Stylet to the Interconnect Cable, ensuring proper and complete connection. 2. Ensure the arrows are aligned on the connectors of the Stylet and the Interconnect Cable. -> <3. Press “Try Again” on the touch screen and continue the placement procedure after display of the relative transmitting Stylet tip position is restored. 4. If the “Transmitting Stylet/Driver Fault Detected” notification reappears, “End” the placement and try a new CORTRAK* 2 Transmitting Stylet and feeding tube or place. Always confirm tube placement in accordance with institution protocol. Contact Technical Service Department for return and replacement of system.

Less likely: • Fault in the CORTRAK* 2 Monitor.

b. Stylet Not Detected (Primary Current)

More likely: • Disconnection of the Transmitting Stylet • Fault or break of the conducting wire in the Transmitting Stylet • Fault in the Interconnect Cable Less likely: • Fault in the CORTRAK* 2 Monitor

c. Stylet Not Detected (Primary Voltage) -Ord. Stylet Not Detected (Secondary Current)(See Figure F)

More likely: • Fault or break of the conducting wire in the Transmitting Stylet

e. S tylet Not Detected (ADC Integrity) -Orf. Stylet Not Detected (Driver Instability)

Fault in the CORTRAK* 2 Monitor

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Less likely: • Fault in the Interconnect Cable • Fault in the CORTRAK* 2 Monitor

1. Reconnect the Stylet to the Interconnect Cable, ensuring proper and complete connection. 2. Ensure the arrows are aligned on the connectors of the Stylet and the Interconnect Cable. -> <3. Press “Try Again” on the touch screen and continue the placement procedure after display of the relative transmitting Stylet tip position is restored. 4. If the “Transmitting Stylet/Driver Fault Detected” notification reappears, “End” the placement and try a new CORTRAK* 2 Transmitting Stylet and feeding tube or place and confirm the tube in accordance with alternate institution policy. Contact Technical Service Department for return and replacement of system. 1. Reconnect the Stylet to the Interconnect Cable, ensuring proper and complete connection. 2. Ensure the arrows are aligned on the connectors of the stylet and the Interconnect Cable. -> <3. Press “Try Again” on the touch screen and continue the placement procedure after display of the relative transmitting stylet tip position is restored. 4. If the “Transmitting Stylet/Driver Fault Detected” notification reappears, “End” the placement and try a new CORTRAK* 2 Transmitting Stylet and feeding tube or Interconnect Cable. 5. If the failure persists, place and confirm the tube in accordance with alternate institution policy. Contact Technical Service Department for return and replacement of system. 1. “End” the placement. Place and confirm the tube in accordance with alternate institution policy. Contact Technical Service Department for return and replacement of system.

ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 6-1: TROUBLESHOOTING TIPS: RECEIVER UNIT FAULTS AND SELF TEST MESSAGES The CORTRAK* 2 (20-0950) includes recognition of the various faults that may occur in the RU.

SELF TEST: AT CONNECTION OF THE RU TO THE CORTRAK* 2 MONITOR When the Receiver Unit is connected to the CORTRAK* 2 Monitor, the system will automatically perform a Self Test verifying the integrity of the Receiver Unit. • An indicator light located on the RU button displays the results of this Self Test. Refer to the table below for the Receiver Unit light indicator states. Light Color

Appearance

State/Mode

Green

Passed RU Self Test

Red

Failed RU Self Test

Green

No Faults Present During Acquisition

Note: If the RU is within 8–12 inches (20–30 cm) of the Power Supply or the CORTRAK* 2 Monitor at power on and the RU is blinking red indicating a Fault, unplug the RU from the CORTRAK* 2 Monitor and then plug back in with the RU more than 8–12 inches (20–30 cm) from these components.

SELF TEST: AT THE START OF NEW PLACEMENT Upon initiating the start of a new placement, the Tips: CORTRAK* 2 Monitor performs an automated Self Test verifying the functional integrity of the Receiver Unit prior to placement acquisition. This reduces the likelihood of an abnormal placement track due to a fault in the Receiver Unit.

• Self Test completes in approximately 5 seconds after pressing “START”. During this Self Test the light on the Receiver Unit will momentarily turn off. Upon completion of the self test, the light will illuminate according to the table above. • If the Self Test fails, a graphical pop-up dialog will display indicating appropriate instruction for the operator.

1. Ensure the CORTRAK* 2 Monitor has successfully completed the integrity Self Test on the RU prior to further insertion of the tube. Should a Self Test failure occur, follow the prompts on the CORTRAK* 2 Monitor display. 2. If the failure persists, contact Technical Service Dept (see details below). Always place and confirm the tube in accordance with institution protocol. Contact Technical Service Department (1-844-428-2667) for return and replacement of Receiver Unit and/or the CORTRAK* 2 Enteral Access System.

• Failure: The position of the Transmitting Stylet tip relative to the Receiver Unit will not display in the placement vies on the Monitor. • Pass: Placement tracking will proceed by displaying a representation of the Transmitting Stylet tip of the feeding tube tip position relative to the Receiver Unit.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 7-1: OPERATING TIPS: CORTRAK * 2 PRINTERS If you are unable to resolve operational issues with the following tips, please call our Customer Service Department 1-844-428-2667 for additional help. 1. The Printer is powered on but the <Print> button is disabled. • T he Printer does not require manual activation of the power ON button prior to connection for use with the CORTRAK* 2. •U  pon proper connection of the Printer to the CORTRAK* 2 Monitor (via the USB cable provided), the CORTRAK* 2 Monitor will: • Automatically detect and power ON the printer within 5 seconds; and • Automatically enable the <Print> button feature on the display, as indicated by the button turning from grey to black. • T he <Print> button on the CORTRAK* 2 Monitor will become disabled if the Printer is powered OFF, either due to manual activation of the printer power button or temporary loss of printer battery power. • R econnection of the Printer to the CORTRAK* 2 Monitor is recommended. • To restore any unintended loss of the <Print> button feature on the display; and • To restore the power of the Printer (unless the Printer battery has become depleted).

3. The placement has ended but the <Print> button is disabled and an alarm is heard from the Printer. • Check that the label roll has been loaded and that the head is closed and error light is off. 4. The Label Roll from the printer does not feed when printing a placement. • Check the print head to ensure it has been closed and latched. • Check the spindle holding the media for any binding. 5. The quality of the printed placement image is poor and faded. • Check the print head and the quality of the label roll. • Check that the battery has been charged. 6. The printed placement image was partially printed. • Check that the print head has been properly closed and latched. • Check that the label roll is properly aligned in the spindle. • Check that the battery has been charged. • Clean the print head. 7. The label from the Printer keeps skipping when printing. • Check that the correct label roll is being used.

• Check that the print head has not been blocked. •M  anual activation of the Printer power ON buttons 8. The label roll from the Printer jams when printing a is not recommended after establishing proper placement. connection to the CORTRAK* 2 Monitor. • Open the head release latch and label roll cover. 2. The placement has ended but the <Print> button is disabled. • Generously apply alcohol to the printer in the area of the jammed label. • C heck the printer cable to be sure it is inserted all the way within the USB Port of the CORTRAK* 2 9. The battery life of the Printer has been decreased. Monitor. • Check the Manufacturing Date (MFD) code • C heck that the battery has been charged and installed properly. • R eplace the Printer cable.

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(YYYYMMDD). If the battery is one to two years old, short life may be due to normal aging.

• Replace battery.

ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 8-1: PREVENTIVE MAINTENANCE TIPS: CORTRAK* 2 PRINTERS If you are unable to resolve operational issues with the following tips, please call our Customer Service Department 1-844-428-2667 for additional help.

Single Bay Chargers: • The charger is intended for indoor use only. • Use care when determining a location for the charger. Do not place it in a location where liquid or metallic objects may be dropped into the charger. • Never locate the charger near any source of combustion. • Do not block the ventilating slot on the top and bottom cover. • Ensure charger is plugged into a power source that won’t accidentally be turned off if you will be charging batteries overnight. • Clean with a lint-free, dry or slightly damp cloth. • Never operate a charger that is damaged in any way. • Do not disassemble the battery pack or the charger. There is no user serviceable component inside the charger. • The charger has a safety feature that stops charging a battery after 6 hours regardless of its charge status.

Battery:

• It is recommended that the battery be fully discharged several times by cycling it (fully charging/discharging through normal use) to maximize performance. • Leaving a battery installed in the printer for an extended period of time (more than five days) will cause drain. The battery may completely discharge as a result of self-discharge. In some instances this can damage the battery. • Store batteries at 25°C (77°F) at 30–50% of charge.

Cleaning: • Avanos recommends cleaning the Printer on a regular basis using the Cleaning Pen supplied with the Printer. • Clean all paper dust buildup on the platen band print head. Brush or blow the dust in the media path and clean the platen with the Cleaning Pen or a lint-free cloth and isopropyl alcohol around the entire circumference of the platen. • To minimize abrasion, be sure you are using ONLY the label media supplied by Avanos Medical. • Protect the media from exposure to contamination.

Lubrication: • All mechanical parts are self-lubricating and do not require additional lubrication. • Protect the labels from exposure to contamination.

• Lithium-ion (LI) batteries are shipped partially charged and will require an additional charge for 6–8 hours upon receipt. • Place supplied battery(s) in Charging Bay to charge. • One battery is required to operate the printer. Keep extra battery in Charging Bay so a fully charged battery is always available. • When in use, ensure that the battery pack is locked into the Printer. • Charge when the battery is not in use and is away from the patient’s vicinity.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 9-1: FREQUENTLY ASKED QUESTIONS (FAQS) FAQ

CORTRAK* 2 Check that the Rocker switch on the bottom of the Monitor is in the ON Position (the “|” symbol should be pressed in). Check that there is no fault with the internal battery. A fault or disconnection of the internal battery is indicated when the CORTRAK* 2 Monitor is plugged into Mains AC Power via the Power Supply and the Main Power Button LED indicator is illuminated red.

How can I get the CORTRAK* 2 Monitor to Power On?

Check all of the following connections between the CORTRAK* 2 Monitor and the AC Mains Power source: • The connection between the Power Supply and the CORTRAK* 2 Monitor • The connection between the Power Supply and the Power Cord • The connection between the Power Cord and the AC Mains Power Source Depress and hold the Power Button on the CORTRAK* 2 Monitor continuously for a minimum of 5 seconds until the Power Button LED blinks and the CORTRAK* 2 Monitor begins the boot cycle.

Why is the internal battery indicator showing rapid discharging and does not last approximately 2 hours?

See your CORTRAK* 2 Administrator to replace the battery pack. Verify that the previous Operator has logged out.

What if there is previous patient information in the fields upon entry to the Patient Information Screen?

How do I log into the CORTRAK* 2 when I don’t remember the password?

Each new Operator must log in prior to the start of a new placement. If same Operator, either manually erase the patient information in the Patient Information Screen or logout following touch screen navigations. For Administrators: The CORTRAK* 2 Administrator may obtain a password based on the serial number of the CORTRAK* 2 Monitor by calling Technical Service at 1-844-428-2667 For Operators: See the CORTRAK* 2 Administrator to reset your individual Operator Password.

What should I do if navigating from one screen to another is slow/sluggish?

• Regular downloading of saved placement files onto the provided USB Key is recommended “housekeeping” for the CORTRAK* 2 Monitor. • The system should not contain more than 500 saved placement files to avoid delays in responsiveness of system.

What should I do if I am getting a “Receiver Unit Not Found” Notification?

Refer to Tip Card 6 of this Tips Guide, Troubleshooting Tips: Receiver Unit Faults and Self Test Messages.

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ONLY USE CORTRAK* 2 IF TRAINED TIP CARD 9-1: FREQUENTLY ASKED QUESTIONS (FAQS) CONTINUED

What should I do if the RU blinks red/indicates a Fault at power on?

If the RU is within 8–12 inches of the Power Supply or the CORTRAK* 2 Monitor at power on and the RU is blinking red indicating a Fault, unplug the RU from the CORTRAK* 2 Monitor and then plug back in with the RU more than 8–12 inches from these components.

What should I do if I am getting a “Transmitter Not Found” Notification?

Refer to Tip Card 5 of this Tips Guide, Troubleshooting Tips: Detecting the Transmitting Stylet and Fault Messages.

What do I do if the track does not display the expected path?

Refer to Tip Card 3 of this Tips Guide, Operating Tips: Placement Screen Interpretation Tips.

If you are unable to resolve operational issues with the CORTRAK* 2 Enteral Access System, please call our Technical Service Department US Toll Free 1-844-428-2667 for additional help.

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