Quick Reference Guide
8 Pages
Preview
Page 1
Quick Reference Guide*
*O btaining further information: This guide is not a replacement of the FORE-SIGHT ELITE User Manual. You must be familiar with
the information in the FORE-SIGHT ELITE User Manual prior to operating this device and monitoring patients. Important safety information is contained in the User Manual and Sensor Directions for Use.
Oximeter - Front View Alarm Indicator System Message Area
Channel Number
Reference Value Indicators
Current StO2 Reading
Sensor Location
TPI Indicator
Display & Touchscreen
Channel Hight/Low Alarm Thresholds Channel StO2 Reference Value
AC Charging Indicator Power Switch
Alarm/Silence Buttons Front USB port Event Markers
Speaker
Oximeter - Rear View
Video Out port Ethernet port (CASMED use only)
Preamp cable ports
RS-232 Serial ports
Rear USB port
Serial Number label
AC power cord
Grounding terminal
AC Fuse compartment
Removable Battery
Attachment points for optional mounting plate
Monitoring Turning the Oximeter On & Off 1. Press the power switch to turn the oximeter on (Fig. 1). 2. To turn off the monitor press and hold the power switch for 1 second. Note: Keeping the FORE-SIGHT ELITE oximeter power cord connected to a power receptacle will assure a full battery charge in the event of a power loss.
Start Monitoring 1. Connect the Preamp cable into the oximeter port (Fig. 2). N ote: Align the red marks before inserting the Preamp in the port. 2. Apply the Sensor to the patient. Refer to “Applying the Sensor” (Figs. 4-6). 3. Connect the Sensor to the Preamp (Fig. 7).
Configuring the Sensor Location & Alarms 1. To access the Patient Setup screen: a. Touch a numeric or body icon in Channel Numeric area. b. F rom the Main Menu, touch Patient and then touch Patient Setup. 2. Touch the body icon (in the Loc column) to select the Sensor location (Fig. 3). 3. Touch the button for the channel limit you wish to modify (Fig. 3). 4. Use the keypad to enter the new value. 5. Touch
Fig. 1
Fig. 2
✔“Accept” to save your changes.
Starting a New Case From the Main Menu, touch Patient and then touch New Patient. Fig. 3
Sensor Selection
Silencing Alarms
Sensor Size
Patient Weight
LARGE P/N 01-07-2103
≥40 kg (≥88 lbs)
To silence the audible alarm for two minutes, touch Silence. Visual alarms will remain active.
Applying the Sensor 1. R emove the Sensor and alcohol pad from the package. 2. C lean the skin and let it dry (Fig. 4). 3. R emove protective liner from the Sensor (Fig. 5). 4. Apply Sensor to patient (Fig. 6). a. C erebral use - frontal lobe: above each eyebrow and just below the hairline. 5. Insert the Sensor connector into the Preamp Sensor connector until it snaps into place (Fig. 7). Note: For further instructions on how to begin monitoring, consult the User Manual. Please view the warnings and cautions in the Sensor Directions for Use.
Fig. 4
Fig.5
Fig. 7
Fig. 6
Main Menu Options Patient
Files
Configure sensor location, alarm limits, patient ID, and start a new case.
Manage patient data files, including saving files to a USB flash drive.
Events
Setup
Select specific events from a preconfigured list.
Configure view, volume, brightness, date and time, and ports.
Data Start/Stop STS data collection, view STS Data, and set a Reference Value.
Help Brief Instructions for common tasks.
Cerebral Tissue Oxygen Saturation Levels 100 90 80 70 60 50
60-90
Acceptable Range
Healthy FORE-SIGHT StO2 values: 66-80% (70-76% 1SD)1 Pre-CPB FORE-SIGHT StO2 values: 61-82% (66-74% 1SD)2 FORE-SIGHT StO2 correlation to SjvO2: ~ +10% (normothermic)1 FORE-SIGHT Intervention threshold: <60% 3,4
50-60
Cautionary Range
StO2 = Cerebral Oxygen Saturation SjvO2 = Jugular Venous Oxygen Saturation
90-100 Cautionary Range
Cerebral Monitoring: Jugular Venous Oximetry5
40 30 20 10 0
Jugular Venous Oxygen Value 0-50
Intervention Range
SjvO2 < 50% SjvO2 < 40% SjvO2 < 33% SjvO2 < 30% for > 10 min SjvO2 ≈ 26%
Neurological Change
Neurologic deficit Electroencephalographic slowing Confusion Decreased Glasgow Coma Scale score Lost consciousness
1. MacLeod DB et al. Validation of the CAS adult cerebral oximeter during hypoxia in healthy volunteers. Anesth Analg 2006; 102:S162. 2. MacLeod DB et al. Pilot study of FORE-SIGHT cerebral oximeter in cardiac patients. Presented at IARS 2007. 3. Fischer G et al. Noninvasive cerebral oxygenation may predict outcome in patients undergoing aortic arch surgery. J Thorac Cardiovasc Surg 2011 Mar;141(3):815-21. 4. Hemmerling TM et al. Reduced cerebral oxygen saturation during thoracic surgery predicts early postoperative cognitive dysfunction. Br J Anaesth 2012 Apr;108(4):623-9. Epub 2012 Feb 5. 5. Schell M et al. Cerebral Monitoring: Jugular Venous Oximetry. Anesth Analog 2000;90(3):559-566.
Contact Us Customer Service/Product Information US Toll Free: 1-800-227-4414, press 3 US/International: 1-203-488-6056
(8:00am-5:00pm EST/-5GMT) After hours: please leave a message and your call will be returned as soon as possible. Fax: 1-203-315-6333 E-Mail: custsrv@casmed.com
Technical Support US Toll Free: 1-800-581-7806 (8:00am-5:00pm EST) US/International: 1-203-488-6056 (8:00am - 5:00pm EST)
After hours: 1-203-815-2173 (before 9:00am/ after 5:00pm EST) E-Mail: techsrv@casmed.com
44 East Industrial Road, Branford, CT 800.227.4414 | www.casmed.com 21-05-0246 Rev01