SPECTRO2 30 WW1030 Operation Manual Ver 0 Sept 2009

Table of Contents

Table of Contents Chapter 1: Introduction... 1-1 About the Manual... 1-1 Definitions of Words, Phrases and Symbols... 1-1 Warnings... 1-3 Cautions... 1-8 Notes... 1-9

Chapter 2: Intended Use and Monitor Features... 2-1 Intended Use... 2-1 Monitor Features... 2-1

Chapter 3: Getting Started... 3-1 Unpacking the Monitor... 3-1 Equipment and Supplies Checklist for Home Use... 3-1 Home Use Caregiver - What You Should Know... 3-2 Home Use Mode... 3-3

Chapter 4: Controls and Features... 4-1 Monitor Front View ... 4-1 Front Display... 4-2 Monitor Operating Keys... 4-3 Monitor Back and Bottom Panels... 4-4

Chapter 5: Operating Instructions... 5-1 Powering the Oximeter... 5-1 Installing the Batteries... 5-3 External Power ... 5-4 AC Power... 5-5 USB Power (Universal Serial Bus)... 5-6 Turning On the Monitor... 5-7 Checking the Monitor’s Performance... 5-8 Attaching the Sensor to the Patient... 5-9 Choosing the Sensor...5-10 BCI® Sensors...5-10 Nellcor® Sensor...5-10 Cleaning or Disinfecting the Sensors...5-11 Checking the Sensor and Oximetry Cable...5-11 Pulse Amplitude Index...5-12 Storing the Sensor...5-13 Changing the Pulse Beep Volume...5-14

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Table of Contents

Chapter 6: Alarms... 6-1 Alarm Priorities... 6-1 Silencing Alarm Tones ... 6-2 High Priority Alarms... 6-3 Medium Priority Alarm... 6-4 Low Battery... 6-4 Low Priority Alarms... 6-5 Alarm Summary... 6-5

Chapter 7: Optional Docking Station and Printer... 7-1 Description... 7-1 Docking Station... 7-2 Powering the Docking Station... 7-2 WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack... 7-3 Installing the Oximeter to the Dock... 7-3 Downloading Data to PC... 7-3 Printer... 7-4 Attaching the Printer... 7-5 Loading Paper... 7-6 Choosing the Print Mode . ... 7-7 Trend Data Condition Flags... 7-8

Chapter 8: Maintenance... 8-1 Routine Maintenance... 8-1 Cleaning and Disinfecting... 8-2 Storage... 8-2

Chapter 9: Troubleshooting... 9-1 Correcting an Alert Condition... 9-1 Power... 9-2 Sensor... 9-3 Printer and Data Communication... 9-4 Other... 9-5

Chapter 10: Optional Supplies and Accessories... 10-1 Ordering Information...10-2

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Home Use Operation Manual

Table of Contents The serial autocorrelation technology (SAC) in the monitor is covered by U.S. Patent No. 5,558,096. BCI, Comfort Clip, SPECTRO2, and the Smiths design mark 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.

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Table of Contents

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Home Use Operation Manual

Chapter 1: Introduction

Chapter 1: Introduction About the Manual The Home-Use Instruction Book provides operation and maintenance instructions for the in home caregiver. The caregiver is assumed to be trained in oximeter use by a doctor or other healthcare professional. The Home-Use Instruction Book supplements, and does not replace, training provided by a health-care professional in oximeter use. These instructions contain important information for safe use of the product. Read the entire contents of these Instructions For Use, including Warnings and Cautions, before using the monitor. Failure to properly follow warnings, cautions and instructions could result in death or serious injury to the patient.

Definitions of Words, Phrases and Symbols Word/PHrase

definition

Alarm

Tells you to go immediately to the patient. An alarm will sound when the patient’s blood oxygen level or pulse rate requires your attention.

Alert

Tells you to immediately check the monitor to make sure that the patient is being monitored correctly.

Pulse Amplitude Index Bar Graph

Used to assist the operator in locating the oximetry sensor site with the best pulse signal strength. A higher bar graph indicates a better quality site. The bottom 2 bars turn yellow to indicate that the oximeter is receiving a low signal quality from that sensor site.

The pulse signal strength bar graph “sweeps” with the patient’s pulse beat. Pulse Signal The height of the bar graph is a logarithmic representation of the pulse Strength Bar Graph signal strength. Caregiver CPR Oxygen Pulse Oximeter Pulse Rate

The individual responsible for the care of the patient. Cardiopulmonary resuscitation: the procedure used to revive a person whose heart has stopped beating, or who is not breathing. Each caregiver must be trained in CPR. A gas that is normally present in the blood. The monitor. The number of heart beats that the monitor detects in one minute.

Sensor

The part of the monitor that is attached to the patient.

SpO2

Saturation of oxygen in the blood.

symbol

6

definition Caution: Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.

R

Type BF Equipment

f

Attention, see instructions for use.

7

Refer servicing to qualified service personnel.

%SpO2

Percent Oxygen Saturation

p

Pulse Rate (beats per minute)

PI

Pulse Amplitude Index

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Chapter 1: Introduction symbol

definition Battery Charge Indicator External Power Indicator

B

Alarm SILENCE (Key and Indicator)

x

On/Off Key Menu/Enter Key Exit Key

no

Up and Down Arrow Keys

1

Printer LED - Real Time Printout

2

Printer LED - Numeric Trend Tables

3

Printer LED - Graphic Trend Printer LED - Error Printer Key - Select Print Printer Key - Start / Stop Print Docking Station LED - AC Power Docking Station LED - USB Power Docking Station LED - Charging Spare Battery Printer icon: Parameter Alarm Printer icon: Artifact Printer icon: Small Pulse Printer icon: Check Sensor Printer icon: Searching too Long Printer icon: Lost Pulse

7

Do not reuse. One use on one patient.

K 1

Moisture Sensitive

D

Output Voltage Connector

E G 0

Input Voltage Connector

IPX2

Drip proof (monitor and dock only)

<

Catalog Number

J

Date of Manufacture

@ 1-2

Not suitable for use in the presence of a flammable anesthetic mixture.

Direct Current Speaker

Authorized Representative in the European Community

Home Use Operation Manual

Chapter 1: Introduction symbol

Z

definition 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 purchased new after August 13, 2005 must be sent for recycling when ultimately becoming waste. Devices and items must not be disposed of with general waste.

Collect Separately

Y

If purchased before that date, they may also be sent for recycling if being replaced on a one-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 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

Something that could hurt the patient or hurt the operator.

CAUTION

Something that could damage the monitor.

NOTE

Other important information.

Warnings WARNING! The monitor was not designed or tested to be an apnea monitor. WARNING! The monitor does not stimulate the patient or provide therapy to the patient. The monitor only warns the caregiver of a condition. It warns when the patient’s blood oxygen level or pulse rate matches or goes beyond the limits set by a doctor. If an alarm turns on, the caregiver must respond with appropriate therapy. WARNING! The doctor or someone appointed by the doctor must teach each caregiver how to use the monitor and how to respond to alarms. WARNING! Do not change any of the monitor’s settings without a doctor’s orders. WARNING! Each caregiver must be trained in CPR. WARNING! Do not bathe the patient while the patient is connected to the monitor. Remove all attachments from the patient before bathing a patient. WARNING! Do not use this device in the presence of flammable anesthetics. Home Use Operation Manual

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Chapter 1: Introduction WARNING! Do not use this device in the presence of magnetic resonance imaging (MR or MRI) equipment. Warning! Operation of this device may be adversely affected in the presence of conducted transients or strong electromagnetic (EM) or radiofrequency (RF) sources, such as portable and mobile RF communication equipment, electrosurgery and electrocautery equipment, x-rays, and high intensity infrared radiation. Warning! Operation of this device may be adversely affected in the presence of computed tomograph (CT) equipment. WARNING! Any monitor that has been dropped or damaged should be inspected by qualified service personnel, prior to use, to insure proper operation. Warning! If the accuracy of any measurement is in question, verify the patient’s vital signs by an alternative method, and then check the monitor for proper functioning. 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! This device is intended for use by persons trained in professional health care or those who have access to the oversight of a professional health care provider. The operator must be thoroughly familiar with the information in this manual before using the device. WARNING! You must be able to hear the monitor’s alarms. Whenever the patient is being monitored, you must be close enough to hear the sound of an alarm or an alert. WARNING! Do not sleep in the same bed as the monitored patient. WARNING! Prolonged use or the patient’s condition may require changing the sensor site periodically. Change sensor site and check skin integrity, circulatory status, and correct alignment at least every 4 hours. WARNING! When attaching 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! Use only SpO2 sensors supplied with, or specifically intended for use with, this device. WARNING! Incorrectly applied sensors may give inaccurate readings. f Refer to the sensor insert for proper application instructions. WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in liquid. This may cause damage to the sensor which may cause inaccurate readings. WARNING! Unplug the sensor from the oximeter before cleaning or disinfecting to prevent damaging the sensor or monitor, and to prevent user safety hazards.

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Home Use Operation Manual

Chapter 1: Introduction WARNING! Measurements made at sites with low perfusion are potentially inaccurate. Always use measurements in conjunction with other clinical signs and symptoms. Warning! SpO2 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, fluorescein, and patent blue V (PBV) may adversely affect the accuracy of the SpO2 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 pulse rate and SpO2 readings. Warning! Optical cross-talk can occur when two or more sensors are placed in close proximity. It can be eliminated by covering each site with an opaque material. Warning! Remove fingernail polish or false fingernails before applying SpO2 sensors. Fingernail polish or false fingernails may cause inaccurate SpO2 readings. Warning! Significant levels of dysfunctional hemoglobins, such as carboxyhemoglobin (with CO-poisoning) or methemoglobin (with sulfonamide therapy), will affect the accuracy of the SpO2 measurement. WARNING! Tissue damage may result from overexposure to sensor light during photodynamic therapy with agents such as verteporphin, porfimer sodium, and metatetrahydroxyphenylchlorin (mTHPC). Change the sensor site at least every hour and observe for signs of tissue damage. More frequent sensor site changes/inspections may be indicated depending upon the photodynamic agent used, agent dose, skin condition, total exposure time or other factors. Use multiple sensor sites. WARNING! When connecting this monitor to any instrument, verify proper operation before clinical use. Refer to the instrument’s user manual for full instructions. Accessory equipment connected to the monitor’s data interface must be certified according to the respective IEC standards, i.e., IEC 60950 for data processing equipment or IEC 60601-1 for electromedical 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 the 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.

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Chapter 1: Introduction WARNING! IEC 60950 approved equipment must be placed outside the “patient environment.” The patient environment is defined as an area 1.5 m (4.92 feet) from the patient. 9f

.5

R1

m

(4.

t.)

Figure 1-1: Patient Environment

WARNING! The oximeter will not operate without batteries installed. Properly charged batteries provide a reserve source of power in case of external power failure. Never use an oximeter with discharged batteries to monitor a patient. WARNING! Inspect battery terminals for corrosion or contamination. The monitor may not operate properly or could fail to alarm if battery terminals are corroded or contaminated. Do not use until battery terminals have been properly cleaned and repaired. WARNING! Check expiration date of batteries. The monitor may not operate properly or could fail to alarm if expired batteries are used. Do not use until proper batteries can be obtained. WARNING! Remove device batteries prior to long term storage. WARNING! Do not allow the patient to handle the device if the battery door has been removed, except while installing new batteries. WARNING! Disconnect the external power supply from the monitor or Docking Station before disinfecting or cleaning the monitor. WARNING! Do not plug the monitor or Docking Station into an outlet controlled by a wall switch. WARNING! 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. WARNING! Do not allow any moisture to contact the AC power supply connectors or a safety hazard may result. Ensure that hands are thoroughly dry before handling the AC power supply. WARNING! Do not place the monitor or Docking Station in the patient’s bed or crib. Do not place the monitor or Docking Station on the floor. WARNING! Failure to place the monitor or Docking Station 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 or crib. 1-6

Home Use Operation Manual

Chapter 1: Introduction WARNING! Keep children and pets away from the monitor, the wall mount charger and the monitored patient. 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! Do not place the monitor on or near a television set, telephone, air conditioner, humidifier, dehumidifier, or any other electrical appliance. (The monitor may be placed next to a lamp.) WARNING! 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. WARNING! Ensure the device’s AC rating is correct for the AC voltage at your installation site before using this monitor. The monitor’s AC rating is shown on the external power supply. If the rating is not correct, do not use the monitor. Contact the Smiths Medical PM, Inc. service department, or your authorized service representative, for help. WARNING! Use only the power supply included with your monitor, or approved by Smiths Medical PM, Inc. Use of an inappropriate power supply may cause a patient shock hazard or cause the oximeter to stop monitoring. See Chapter 10: Optional Supplies & Accessories, for additional specific information. WARNING! The Docking Station must have a Printer or Printer Port Cover installed. Failure to do so may cause a risk of electrical shock to the patient or operator or risk damage to the equipment. WARNING! Under certain clinical conditions, pulse oximeters may display dashes if unable to display SpO2 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. WARNING! Verify that all LEDs (light emitting diodes) on the display light up upon startup of the device. WARNING! Verify that the monitor sounds a short tone upon startup of the device. If no tone is heard, the speaker may be damaged. Do not use to monitor patients until the monitor has been repaired. See Turning on the Monitor in Chapter 5: Operating Instructions.

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Chapter 1: Introduction

Cautions CAUTION! Federal (U.S.A.) law restricts this device to sale by or on the order of a physician. CAUTION! 7 Do not disassemble unit, not user serviceable. Refer to qualified service personnel. CAUTION! Failure to charge the monitor while the monitor is in long term storage may shorten the battery life. Charge the monitor while it is in storage to ensure the longest battery life. CAUTION! Due to limitations of the Li-Ion chemistry, the rechargeable battery pack should not be charged at ambient temperatures above 45 °C (113 °F) or below 5 °C (41 °F). CAUTION! The WW1090 rechargeable battery pack is shipped with only 30% of full charge. The battery pack must be charged completely before use. CAUTION! The WW1090 rechargeable battery pack utilizes Li-Ion secondary cells. Dispose of spent batteries in compliance with your institution’s guidelines and local ordinances. CAUTION! Observe proper battery polarity (direction) when replacing batteries. CAUTION! Do not allow water or any other liquid to spill onto the monitor or Docking Station. Do not autoclave, ethylene oxide sterilize, or immerse the monitor or Docking Station in liquid. Evidence that liquid has been allowed to enter the monitor or Docking Station voids the warranty. CAUTION! Where the equipment has accidentally gotten wet, it should be wiped dry externally and allowed to dry thoroughly before use. CAUTION! Before cleaning or disinfecting the printer, unplug the AC adapter, remove the batteries and remove the paper. CAUTION! Do not allow printer paper to become wet. If the printer paper gets wet remove the paper immediately. Do not use the printer until the paper is replaced. Caution! Chemicals used in some cleaning agents may cause brittleness of plastic parts. Follow cleaning instructions in this manual. CAUTION! Cleaning with disinfectants, including alcohol, may shorten the life of the plastic or electronic parts; but appropriate disinfection must still be performed. CAUTION! Pressing any key with sharp or pointed instruments may permanently damage the keypad. Only press keys with your finger.

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Home Use Operation Manual

Chapter 1: Introduction

Notes NOTE! The WW1090 rechargeable battery pack utilizes circuitry that optimizes the charging of the batteries. New packs will require multiple charge / discharge learning cycles before optimum performance is obtained. NOTE! “SpO2 averaging” means the number of pulse beats over which the SpO2 value is averaged; “pulse averaging” means the number of seconds over which the pulse value is averaged. NOTE! Increasing or decreasing the averaging setting has no effect on the data update rate. NOTE! Alarm limits are retained through power cycles, with the exception of the following note. NOTE! If the low SpO2 limit is set to less than 85% it will be reset to 85% when the monitor is next powered on. The high SpO2 limit will be adjusted to 86% if it is 85% or less. NOTE! If the alarm volume is set to a value less than 8 at power down, it will be reset to 8 when the monitor is next powered on. NOTe! A Patient Simulator does not calibrate the monitor. The monitor does not require calibration. A Patient Simulator provides a known SpO2 value and pulse rate to the monitor that allows the monitor’s performance to be checked. NOTE! A Patient Simulator cannot be used to assess the accuracy of a pulse oximeter and/or sensor.

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Chapter 1: Introduction

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Home Use Operation Manual

Chapter 2: Intended Use and Monitor Features

Chapter 2: Intended Use and Monitor Features Intended Use The WW1030 pulse oximeter is intended to be used for continuous monitoring of a patient’s functional oxygen saturation (%SpO2), pulse rate ( p ), pulse signal strength, and Pulse amplitude Index (PI) readings. It is equipped with audible and visual alarms. It may be used by physicians, respiratory therapists, nurses, certified nurse assistants, emergency medical technicians, sleep technicians, clinicians, and home users. The intended patient population ranges from neonatal to adult. It can be used on patients with low perfusion or during patient motion. The WW1030 may be used in the hospital or clinical environment, during emergency land transport and in the home. WARNING! The monitor was not designed or tested to be an apnea monitor.

Monitor Features • Provides fast, reliable SpO2, pulse rate, and pulse signal strength measurements on any patient, from neonate to adult. • Maintains accurate readings during periods of patient motion and when monitoring patients with low perfusion. • Ideally suited for use in hospitals, outpatient clinics, emergency rooms, during emergency land transport, in sleep labs, or in-home use. • Portable and lightweight. Weighs only 330 grams (12 ounces) with 4 “AA” batteries. • On-board sensor storage cradle holds the finger sensor when not in use. • Power options include four (4) standard “AA” (type IEC LR6) alkaline batteries, a rechargeable Lithium Ion battery pack, USB power, or an AC power adapter. • Rechargeable battery life is approximately thirty (30) hours. (new battery) • An easy to read battery gauge indicates the charge level and provides a low battery alert. • Large, bright, easy-to-read LED display indicates SpO2 and pulse rate measurements. • 2 Nine-segment LED bar graphs indicate pulse signal strength and Pulse amplitude Index. • An audible “beep” sounds with each pulse beat. The volume can be adjusted or turned off. The pitch of the pulse “beep” corresponds to SpO2 value. • The alarm indicator on top of the oximeter lights up to communicate patient alarm information. • Optional docking station transforms the device into a table top pulse oximeter, and can also be used to recharge the monitor’s lithium Ion battery pack, and a spare battery pack. • Optional printer allows for printing of trend information or real time data logs.

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Home Use Operation Manual

Chapter 3: Getting Started

Chapter 3: Getting Started Unpacking the Monitor The following items are shipped with the WW1030 oximeter: • Three (3) sensor cradles (WW1080) • Sensor extension cable (3311) • Oximetry Sensor • Four (4) “AA” (LR6) alkaline batteries • Operation manual • Service manual (on CD) Carefully remove the 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 received.

Equipment and Supplies Checklist for Home Use Provide the following to the home use caregiver: Quantity 1

Cat. No. WW1030

Description Oximeter with AA batteries

1

WW1095

Universal AC mains adapter - 30W

1

WW1025

Docking Station (optional)

1

WW1090

Li-Ion rechargeable battery pack (optional)

1

3311

*

*

Oximetry Sensor

*

*

Oximetry Sensor Attachments

1

WW1924HU

WW1030 Home Use Manual

Oximeter Cable 1.5 m (5 feet)

* Note: The doctor will prescribe the type and quantity of the sensors needed for homeuse. Be sure that the proper type and quantity of sensor attachments are also prescribed. The home use caregiver will also need these supplies and reference materials: Quantity

Description

1

Scissors (for trimming adhesive strips or adhesive tape).

*

Appropriate disinfectant and a soft, clean cloth (or alcohol wipes) for disinfecting monitor, accessories and reusable sensor.

1

Written instructions on how to respond to the monitor’s alarms.

1

Emergency phone numbers for the doctor.

1

Emergency phone number for the hospital emergency room.

1

Phone number for equipment supplier.

* Quantity prescribed by doctor

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Chapter 3: Getting Started

Home Use Caregiver - What You Should Know You (the home use caregiver) must be trained in CPR. Make sure the monitor’s alarm limits and other settings are properly adjusted. Confirm that the monitor is in the Home Mode. Follow the guide below and be sure you know how to do all of the following. WARNING! The monitor was not designed or tested to be an apnea monitor. • Connect the AC Power Supply to a wall outlet. • Make sure the AC Power Supply outlet is not controlled by a wall switch. • Connect AC Power Supply to the docking station or oximeter. • Make sure the monitor’s POWER indicator is lit. • Visually inspect the sensor and oximetry cable. • Connect the sensor to the oximetry cable. • Connect the oximetry cable to the monitor. • Turn on the monitor. • Perform a pre-use check: Verify all display LEDs turn on and the monitor beeps at power up. • Route the cable safely from the patient to the monitor to prevent possible patient strangulation. • Attach the sensor(s) prescribed by the doctor. • Measure the SpO2, pulse rate, PI and pulse strength bar graph readings. • Turn off the alarm and alert tones for two minutes. • Turn on the alarm and alert tones. • Interpret the alarms. • View the alarm limits. • Interpret the alerts. • Interpret the Low Battery Signal. • Turn off the monitor if appropriate. You should know how to respond: • In case of a patient emergency, including what therapy to provide the patient. • In case an alarm sounds, including what therapy to provide the patient. • In case the alert sounds. • In case the Low Battery Signal sounds. • In case you have trouble operating the equipment.

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Home Use Operation Manual

Chapter 3: Getting Started

Home Use Mode WARNING! This device is intended for use by persons trained in professional health care or those who have access to the oversight of a professional health care provider. The operator must be thoroughly familiar with the information in this manual before using the device. While the monitor is in Home Mode: • The Alarm Menu settings, including alarm limits and alarm volume, may be viewed, but changes cannot be made. • The Clinician Menu is not accessible. • The Setup Menu is not accessible. • Trends cannot be cleared. • Averaging remains in the previously set state. • Patient record number advancement is disabled. • Trend data is identical to Clinician Mode, but is collected for one patient only. • All other functions of the monitor work as in Clinician Mode.

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