Caregiver Manual
96 Pages
Preview
Page 1
WARRANTY CAS Medical Systems, Inc. warrants to the owner that the Ami or Ami Plus monitor, exclusive of expendable parts and other accessories, shall be free from defects in material and workmanship for one year from the original date of sale. CAS’ sole obligation, with respect to any such defect, is limited to the repair or, at CAS’ option, replacement of the monitor. Purchaser pays return freight charges. This warranty is made on the condition that prompt notification of a defect is given to CAS within the warranty period, and that CAS has the sole right to determine whether a defect exists. This warranty is conditional on the performance of periodic maintenance, as specified in the maintenance section of this manual, by qualified service personnel. The warranty does not apply to monitors that have been partially or completely disassembled; altered; subjected to misuse, negligence, or accident; or operated other than in accordance with the instructions provided by CAS. This includes repair by unauthorized personnel. This warranty represents the exclusive obligation of CAS and the exclusive remedy of the purchaser regarding defects in the monitor. “This warranty is given in lieu of any express or implied warranties, including any warranty of merchantability or fitness for a particular purpose.” No person is authorized to modify, in any manner, CAS Medical Systems’ obligation as described above.
Important: The Ami and Ami Plus User’s Manual has been renamed the Ami and Ami Plus Caregiver’s Manual.
CAUTION: In the United States of America, Federal Law restricts this device to sale by or on the order of a physician.
Ami, Ami Plus, CAS and the CAS Logo are registered trademarks of CAS Medical Systems, Inc. All other products and company names are trademarks or registered trademarks of their respective companies. ©2002 CAS Medical Systems, Inc. All rights reserved. No part of this manual may be reproduced without the permission of CAS Medical Systems, Inc.
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Contents Warnings
1
Warnings... 1-1
Introduction
2
Introduction... 2-1
Apnea Monitoring
3
Apnea Monitoring... 3-1
Electromagnetic Interference
4
Electromagnetic Interference... 4-1 Electrostatic Discharge... 4-2
Description of the Monitor
5
Description of the Monitor... 5-1 Front Panel... 5-2 Back Panel... 5-3 Bottom Panel... 5-4 Labels... 5-5
Accessories
6
Accessories... 6-1 Carbon Electrodes... Lead Wires... Patient Cable... Patient Belt...
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6-1 6-1 6-2 6-2
i
Remote Alarm... Power Cord... Carrying Case... Modem Cable... Oximeter...
Using the Monitor
6-3 6-3 6-4 6-4 6-4
7
Using the Monitor... 7-1 Plugging in the Monitor... 7-1 System Check... 7-2 Using the Monitor Effectively... 7-2
Connecting The Monitor
8
Connecting The Monitor... 8-1
Auxiliary Connections
9
Auxiliary Connections... 9-1
Alarms
10
Alarms... 10-1
ii
Human Alarms... Apnea... Heart Fast... Heart Slow...
10-1 10-1 10-1 10-2
Equipment Alarms... Low Battery... Loose Leads... Memory Full... Service... All Lights Flashing...
10-2 10-2 10-2 10-3 10-3 10-4
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Troubleshooting and Error Messages
11
Troubleshooting... 11-1 Error Messages... 11-4 Replace Battery... 11-4 Loose Connection... 11-4
Power
12 Power... 12-1
Taking Care of Your Monitor
13
Taking Care of Your Monitor... 13-1
Maintenance
14
Maintenance... 14-1
Summary
15
Summary... 15-1 Doctor’s Phone Number... 15-1 Homecare Dealer’s Phone Number... 15-1
Glossary
G-1
Index
I-1
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iii
Figures Figure 5-1 Front Panel... 5-2 Figure 5-2 Back Panel... 5-3 Figure 5-3 Bottom Panel... 5-4 Figure 5-4 Sample Label... 5-5 Figure 6-1 Carbon Electrodes... 6-1 Figure 6-2 Lead Wires... 6-2 Figure 6-3 Patient Cable... 6-2 Figure 6-4 Patient Belt... 6-2 Figure 6-5 Remote Alarm... 6-3 Figure 6-6 Power Cord... 6-3 Figure 6-7 Carrying Case... 6-4 Figure 7-1 Connecting the Monitor to the Power Cord... 7-1 Figure 7-2 Connecting the Power Cord to the Wall Outlet... 7-1 Figure 8-1 Rinse Electrodes... 8-1 Figure 8-2 Electrode with Lead wire... 8-2 Figure 8-3 Belt Placement... 8-2 Figure 8-4 Electrode Placement... 8-3
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Figure 8-5 Wrapped Belt... 8-4 Figure 8-6 Lead Wires and Patient Cable... 8-4 Figure 8-7 Patient Cable and Monitor... 8-5 Figure 8-8 Baby and Sleeper... 8-5 Figure 8-9 Power... 8-6 Figure 8-10 Turning the Monitor Off... 8-7 Figure 9-1 Auxiliary Connections... 9-1
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Tables Table 5-1 Description of Front Panel... 5-2 Table 5-2 Description of Back Panel... 5-3 Table 5-3 Description of Bottom Panel... 5-4 Table 5-4 Description of Label... 5-6 Table 9-1 Description of Auxiliary Connections... 9-1
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Section 1
Warnings1
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Warnings
Warnings The following warnings appear throughout this manual. For more information on a specific warning, see the section referenced in the warning.
WARNING The monitor may not be able to detect all episodes of inadequate breathing. Refer to Section 3.
WARNING Caregivers must closely watch patients who are subject to obstructive apnea. Refer to Section 3.
WARNING Federal Law restricts this device to sale or use by or on the order of a licensed physician. Refer to Section 3.
WARNING Not to be used in an explosive atmosphere. Refer to Section 3.
WARNING The monitor may sometimes detect false breathing signals called artifacts. Refer to Section 3.
WARNING Children at risk of seizures need to be closely watched to protect them from obstructive apnea during a seizure. Ask your physician for specific instructions on what to do if your child has a seizure. Refer to Section 3.
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1-1
Warnings
WARNING The Ami and Ami Plus monitors may be affected by electromagnetic interference from household appliances, for example static from a television set. This interference may keep the monitor from working properly. Refer to Section 4.
WARNING If at any point the monitor alarm is not loud enough to get your attention, do not leave your child unattended. Refer to Section 7.
WARNING All directions in the Connecting The Monitor section must be followed carefully. Refer to Section 8.
WARNING To reduce the risk of strangulation, do not leave loose or unconnected wires in the infant’s crib. Make sure that wires are routed away from the child’s head. Refer to Section 8.
WARNING During an equipment alarm (except Low Battery Caution) the monitor cannot sound any human alarms because of the equipment problem. Therefore, during an equipment alarm (except Low Battery Caution) someone must watch the patient until the equipment problem has been corrected. Refer to Section 8.
WARNING If the monitor’s modem is in use, the monitor must be disconnected from the phone lines before you can use the phone. Refer to Section 9.
1-2
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Warnings
WARNING When the monitor is not working someone must watch the child at all times. Refer to Section 10.
WARNING If detergent is not fully rinsed out of the electrode belt, the patient may get a skin rash. Refer to Section 13.
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1-3
Section 2
Introduction2
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Introduction
Introduction This book explains what apnea is and how the Ami and Ami Plus monitors detect it. It also explains how to setup the monitor, respond to monitor alarms, and care for the monitor. It is important that you read and understand all of the information in this book. It is important that you also share this information with anyone who will care for your child. This book: •
Explains what apnea is and how the monitor detects it.
•
Describes the monitor and its features.
•
Shows how to connect the monitor to your child.
•
Discusses how to respond to monitor alarms.
•
Explains how to care for the monitor and what to do if you have a problem with the monitor.
If you have questions or problems with the monitor that are not answered in this book, ask your doctor or homecare dealer for help. Follow directions given to you by your doctor or homecare dealer. In this manual, the following conventions are used. WARNING Directions that warn of conditions that put the baby or caregiver at risk.
CAUTION Directions that help you avoid damaging your monitor or losing data. Note: Directions that make it easier to use your monitor.
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2-1
Section 3
Apnea Monitoring3
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Apnea Monitoring
Apnea Monitoring Apnea is a medical term meaning a time when a person stops breathing. Central apnea occurs when a person does not make an effort to breath. Your doctor has prescribed this monitor to help protect your child from the dangers of an apnea event. All babies experience short, harmless periods of apnea. Some babies, especially premature ones, have longer periods that can be harmful. Your doctor has probably spoken to you about the monitor and how it may help your child. The monitor, when used according to its directions, is intended to alert you when your child experiences central apnea. It is very important that you immediately respond to all of the monitor’s alarms. Everyone caring for the child must know how to respond to the monitor’s alarms. Everyone caring for the child must know CPR (Cardiopulmonary Resuscitation) for infants. If you have not received CPR training, ask your doctor or homecare dealer about how to get certified training. The Ami and Ami Plus monitors are intended to detect central apnea through a process called impedance monitoring. As your child’s chest expands and contracts during breathing, the chest’s movement causes a change in the signal between the electrodes which the monitor senses. When central apnea happens, the child stops breathing and the chest does not expand or contract. When the monitor detects that the chest is not moving, the alarm sounds. The monitor does not interfere with your child’s breathing. WARNING The monitor may not be able to detect all episodes of inadequate breathing.
The Ami and Ami Plus monitors also detect your child’s heart rate with the same electrodes used to detect breathing. A heart rate alarm will sound when the heart rate is outside the set alarm limits. A heart rate alarm may sound when inadequate breathing occurs. WARNING Caregivers must closely watch patients who are subject to obstructive apnea. Obstructive apnea is when the child tries to breathe, but the air does not reach the lungs, due to a blockage in the airway. The blockage can be caused by soft tissues in the child’s throat blocking the trachea or windpipe. If the child has a cold, tonsillitis, enlarged adenoids, or other respiratory
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3-1
Apnea Monitoring problems, blockage from soft tissue can occur. The Ami and Ami Plus monitors are not intended to detect obstructive apnea. A child’s chest can still expand and contract even when the airway is blocked. The Apnea alarm may not sound because it may still detect false breathing signals. If this occurs, a Heart Slow alarm may sound since the child’s heart rate will drop. Children who suffer from these respiratory problems must be watched closely to protect them from obstructive apnea. WARNING Federal Law restricts this device to sale or use by or on the order of a licensed physician.
WARNING Not to be used in an explosive atmosphere. Do not allow any person or pets to sleep with a monitored child. Movements by people or by pets may cause your child to move. The monitor may interpret this movement as breathing from your child and may not alarm properly. CAUTION Do not rely on the monitor while the child is subject to being jostled (use of baby swing, car travel over rough roads, etc.). This type of motion may prevent any impedance monitor from properly detecting breathing or heart rate.
WARNING The monitor may sometimes detect false breathing signals called artifact. An apnea alarm may be delayed, or not occur at all, if the child stops breathing but the monitor detects false breathing signals. If this happens a Heart Slow alarm will sound if your child’s heart rate drops. WARNING Children at risk of seizures need to be closely watched to protect them from obstructive apnea during a seizure. Ask your physician for specific instructions on what to do if your child has a seizure.
3-2
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Section 4
Electromagnetic Interference
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Electromagnetic Interference
Electromagnetic Interference WARNING The Ami and Ami Plus monitors may be affected by electromagnetic interference (EMI) from household appliances, for example, static from a television set. This interference may keep the monitor from working properly. The monitor is an electronic device. Electronic devices can be affected by electrical interference from household appliances. Loose electrodes can cause electromagnetic interference. Although interference is unlikely, no device is completely immune. The monitor was tested and conforms to industry guidelines. The monitor should not be operated near: •
television sets
•
citizens band and amateur radios
•
microwave ovens
•
paging transmitters
•
radio/TV station transmitters
•
emergency vehicle two way radios
•
air conditioners
•
radio-controlled toys
•
hand-held transceivers (i.e. walkie-talkies, security, emergency)
•
Electronic Article Surveillance (EAS) (found in many stores as security devices)
•
cordless or cellular telephones
•
food processors
•
wireless computer links communications/data transmitters
•
other Ami or Ami Plus monitors (4 ft. minimum separation)
Using the monitor near these appliances may cause the monitor to fail to alarm. To prevent this, move the appliance as far away as possible from the monitor. Watch the Respiration and Heartbeat lights on the monitor. Compare with baby’s breathing and pulse. If they do not match, it may be due to electromagnetic interference. Carefully watch the child and call the homecare dealer for assistance.
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4-1
Electromagnetic Interference The monitor should not share electrical outlets with any of these appliances. This may cause electrical interference with the monitor and cause the monitor to fail to alarm.
Electrostatic Discharge
4-2
Electrostatic Discharge (ESD) is the small electric shock caused by static electricity. ESD happens when you touch an object, like the monitor, after walking across a carpeted floor when the weather is cool and dry. Touching a wall or the crib before handling the monitored child or the Ami Monitor can prevent this. Whenever possible, use cotton bed sheets for the baby and a fabric softener in the laundry. The use of a spray Static Guard in carpeted floor areas can help the minimize this type of interference.
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Section 5
Description of the Monitor5
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