User Guide
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USER GUIDE VeinViewer® Vision VeinViewer® VisionXTND
020-300036-03 Rev. 1 (2012-09)
Quick Reference Tips for:
VeinViewer® Vision VeinViewer® VisionXTND
Use Vision’s exclusive ASSESSTM Imaging Suite to find the optimal vessel while keeping your Eyes On Patient.TM
Powering (Chapter 5, Page 20) • Vision: Press Projector Power Switch located on the Battery Cover. • VisionXTND: Press the On/Standby button located on the Control Panel..
Focusing (Chapter 6, Page 24) • The proper focal distance from the Head Unit to the assessment area is 13 inches (33cm).
There is a 1 inch (2.54 cm) window in either direction where the image will remain in focus. • Position the Head Unit as close to perpendicular (90°) as possible with the assessment area. • Placing the Head Unit close to the patient skin, move away until the border text becomes legible.
Imaging (Chapter 6, Page 25) • Once in focus, choose the desired imaging mode by pressing the Mode button: - Universal - baseline imaging mode for all patients. - F ine Detail - enhances small details to bring out finer vessels. Helpful for pediatrics, neonates or sclerotherapy patients • Size - adjusts the image window to three different sizes. • Inverse - inverts the colors within the image field to project green veins on a dark background.
For further assistance with VeinViewer®, refer to the Troubleshooting section (Chapter 11) of this User Guide. Or call Christie Medical Holdings, Inc. Customer Service at 1-877-SEE-VEIN (1-877-733-8346) toll-free (+01-901-721-0330 international), or e-mail [email protected]. VE IN V IEWER VI SI ON AND V IS IO N X T N D US ER GUIDE
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TABLE OF CONTENTS
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CHAPTER ONE: INTRODUCTION ... 3 Intended Use... 3 Conventions Used... 3 CHAPTER TWO: SAFETY AND WARNINGS ... 4 SYMBOLS USED... 4 GENERAL SAFETY and warnings... 4 Symbol Definitions... 7 CHAPTER THREE: PRODUCT DESCRIPTION ... 8 Detachable Parts... 8 Control Panel... 9 VeinViewer Unit: Front view... 10 VeinViewer Unit: back view... 11 VeinVieweR VISIONXTND Unit: Front view... 13 CHAPTER FOUR: PRODUCT SET-UP ... 14 MOVING PROCEDURE: VEINVIEWER... 14 PRODUCT SET-UP: VeinVieweR VISIONXTND... 15 INSTALLING VeinVieweR VISIONXTND OPTIONAL DESK MOUNT... 15 INSTALLING VeinVieweR VISIONXTND... 17 CHAPTER FIVE: START-UP PROCEDURE ... 19 POWERING VeinViewer... 19 POWERING VeinVieweR VISIONXTND... 21 CHAPTER SIX: OPERATING INSTRUCTIONS ... 23 FOCUSING procedure... 23 IMAGING MODES ... 24 CHAPTER SEVEN: DEVICE DISPLAY MESSAGES... 25 PROJECTED IMAGE DISPLAY... 25 BATTERY/LED INDICATOR ... 26 SOFTWARE VERSION ... 26 CHAPTER EIGHT: SHUTDOWN PROCEDURE... 27 POWERING DOWN VeinViewer... 27 POWERING DOWN VeinVieweR VISIONXTND... 28
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CHAPTER ONE: INTRODUCTION
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Please carefully read the information in this User Guide in its entirety and review these materials periodically to ensure that you will be able to use VeinViewer® confidently and correctly.
as blood within vessels (e.g., veins), the blood flowing through the vessels (e.g., venous refill), and/or blood within the interstitial space (e.g., hematoma).
This User Guide is a reference for using VeinViewer Vision and VisionXTND. It does not provide training in venous identification or clinical practices. The User Guide covers the preparation and use of VeinViewer and includes a table of contents to help you find the information you need. If additional information is needed, contact Christie Medical Holdings, Inc. at www.VeinViewer.com, e-mail info@ VeinViewer.com or call the VeinViewer Support Center toll-free at 1-877SEE-VEIN (1-877-7338346). For international calls, dial +01-901-7210330.
The projected image pattern may also be used to demonstrate intravenous (IV) fluids displacing blood during IV flushes.
Intended Use VeinViewer® Vision family is a non-invasive, electro-optical visual aid device designed to detect superficial blood under the skin, and project an image of that blood pattern onto the surface of the skin of neonatal, pediatric, and adult patients. Indications for Use VeinViewer® Vision family is intended to image subcutaneous blood patterns on the surface of the skin. The projected blood patterns may be interpreted by the clinician to determine intravascular or interstitial blood patterns, such
VE IN V IEWER VI SI ON AND V IS IO N X T N D US ER GUIDE
VeinViewer is intended to be used by trained Health Care Professionals including, but not limited to, Licensed Doctors, Nurse Practitioners (non-CRNA), Emergency Medical Technicians, Registered Nurses, Anesthesiologists, Vascular Access Technicians and Phlebotomists, Infusion Nurses, to perform vascular access. CONTRAINDICATIONS VeinViewer® is not intended to be used for imaging of veins in the eyes, in tissue differentiation, as a diagnostic device or as a form of treatment. VeinViewer® is not intended to be used near equipment that may emit strong magnetic fields (i.e., MRI equipment). VeinViewer® is not intended to be used to diagnose or verify the presence of a medical condition. VeinViewer® is not to be used outside or in direct sunlight.
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CHAPTER TWO: Safety and Warnings Notices SYMBOLS USED
GENERAL SAFETY and WARNINGS
Symbols are used in this manual and apply to hazards or unsafe practices which could result in personal injury or property damage. See the information below for definitions of symbols.
This safety section contains important information for the safe operation and use of this product.
WARNING Indicates a potentially hazardous situation which, if not avoided, could result in serious injury or loss of life.
CAUTION Indicates a hazardous situation which, if not avoided, may result in minor or moderate injury or damage.
!
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Gives important recommendations and information for efficient, trouble-free use.
WARNING DO NOT use this product or any available optional equipment without first completely reading and understanding these instructions and any additional instructional material such as service manuals or instruction sheets supplied with this product or optional equipment. If you are unable to understand the warnings, cautions or instructions within this manual, contact Christie Customer Support before attempting to use this equipment. Failure to do so may result in injury or damage.
WARNING DO NOT make any modifications to this equipment beyond the instructions provided in this manual or instruction sheets supplied with this product or optional equipment. Failure to comply may result in physical injury or property damage.
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CHAPTER TWO: Safety and Warnings Notices
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ACCESSORIES WARNING
CAUTION
VeinViewer components are specifically designed and manufactured for use in conjunction with VeinViewer.
• Christie endeavors to supply a wide variety of VeinViewer products to meet the needs of the end user and patient; however, interpretation and final application of VeinViewer rests solely on the healthcare professional using the device. Christie recommends that the healthcare professional rely on standard healthcare practices prior to starting or during any type of medical procedure.
Accessories designed by other manufacturers have not been tested by Christie and are not recommended for use with VeinViewer products. DO NOT connect any other medical devices directly to the VeinViewer unit. This could cause unexpected failure of the device and the VeinViewer unit.
• Do not touch, strike, or otherwise damage the glass lens of the Head Unit.
Observe the following safety precautions to obtain maximum personal safety and to protect your VeinViewer. VeinViewer produces a bright light; however, it does not use a laser-based illumination system.
CAUTION • Do not look directly into the imaging light source when the Head Unit power is on. • Due to the bright light output, provide the patient hospital issued eye protection when imaging neonatal patients or when imaging vasculature around the eyes or on the scalp. Refer to your institution’s guidelines concerning eye safety procedures.
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CHAPTER TWO: Safety and Warnings Notices
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WARNING
WARNING
• Do NOT expose VeinViewer to excessive moisture, temperature, or direct energy sources such as heat lamps. • Do NOT attempt to lift the VeinViewer Vision. • Do NOT stand on the base of the VeinViewer Vision, this may result in device instability. • VeinViewer Vision may lose stability if tilted more than 10 degrees in the moving position or if tilted more than 5 degrees during normal use.
• VeinViewer is not to be used near flammable agents or flammable anaesthetics mixtures with air or with oxygen or nitrous oxide.
WARNING • Special precautions exist for VeinViewer regarding electromagnetic emissions (EMC). VeinViewer shall NOT be used adjacent to or stacked with other equipment. VeinViewer needs to be set-up and put into service according to the EMC information provided in the Technical Specifications in this User Guide. Failure to do so could result in an increase of electromagnetic emissions or decrease in electromagnetic immunity, and/or affect the safety and effectiveness of VeinViewer Vision, which could result in injury or damage.
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CAUTION • VeinViewer may be used in an electromagnetic environment in which radiated RF disturbances are controlled. The user of VeinViewer can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and VeinViewer, as recommended in the VeinViewer Technical Specifications in Chapter 12, and according to the maximum output power of the communications equipment.
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CHAPTER TWO: Safety and Warnings Notices Symbol Definitions
SN
Date of manufacture
Caution
I 0
Caution: Risk of electrical shock
SN SN
EC
On/Off system power switch
On/Standby
Manufacturer
SN SN SN
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SN: Serial Number
EC
Protective Earth
REP
Authorized representative in the European community
Transport symbol
Operating Instructions Battery symbol Consult accompanying documentation. (This symbol appears blue on the product.)
SN
EC EC
REP REP
EC
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REP
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R
CHAPTER Three: Product Description VeinViewer is designed for ease of use. VeinViewer utilizes visible and near-infrared light for vascular imaging to illuminate and project the subcutaneous blood patterns directly onto a patient’s skin. AVINTM (Active Vascular Imaging Navigation) allows the user to assess multiple access points with a real-time digital image.
The adjustable head can be positioned over any part of the anatomy, leaving the clinician’s hands free to perform the procedure, our trademarked EOPTM (Eyes On Patient) technique.
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Detachable Parts
CAUTION Please make sure the following items are included with your VeinViewer unit. If any items are missing, contact your VeinViewer representative or Customer Support. Do NOT substitute any items with non-Christie items. Failure to comply may result in physical injury or property damage. • Model Name: VeinViewer Vision • Power Cord P/N: P01625 (Qty: 1) • User Manual • Model Name: VeinViewer VisionXTND • Head and Arm assembly • AC Power Adapter P/N: 002-120597-01 and Power Cord P/N: 012-101975-01 • Base Mount • Hardware: - 3/8 -16 x 1” Button head Cap (For optional Wall Mount) QTY: 1 - 3/32” Allen Wrench QTY: 1 - Rectangular Spacer QTY: 1 • User Manual Not included: • Torque wrench • Wall mounting hardware
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CHAPTER three: Product Description
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CONTROL PANEL 1
On/Standby: Toggles the Head Unit between “On” and “Standby” Modes. The Indicator illuminates when power is supplied and the Head Unit is turned on.
2
Mode: Toggles between the Universal and Fine Detail Modes.
3
Inverse: Inverts the colors within the image field to project green veins on a dark background.
4
Size: Adjusts the size of the projected image field.
5
Battery Indicator: Alerts the user to the charge level of the Battery. Illuminates solid red when the Battery charge level is at 25%. The indicator blinks red when the Battery charge level reaches 10%.
1
4
5
2
3
! Battery Indicator for VeinViewer Vision ONLY
NOTE: The Mode and Size buttons access the Device Information screen when pressed simultaneously.
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CHAPTER Three: Product Description
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VeinVieweR vision Unit: Front View 1
Control Panel: Location of unit imaging and feature controls.
2
Head Unit: Controls VeinViewer imaging and user functions located in the Head Unit Control Panel.
3
Arm: Enables the user to extend the Head Unit vertically to the desired location.
4
Post: Supports the Yoke of the Unit and Unit accessories.
5
Basket: Provides storage of the User Guide and Power Cord when not in use.
6
Power Cord: Conducts power to Unit through insertion into a properly grounded receptacle.
2
3
1
7
Caution Label
4 5 7 6
CAUTION Maximum allowable basket weight is 2 lbs (1 kg). Do not exceed this weight limit as this may result in device instability and/or improper loading. Failure to comply may result in physical injury or property damage.
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CHAPTER Three: Product Description
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VeinVieweR vision Unit: BACK View 8
Battery Cover: Location of the Projector Power Switch.
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Projector Power Switch: Allows the user to toggle the VeinViewer power between “On” and “Off” mode.
10 Base 11 Wheel: Enables transport of VeinViewer. The Wheel
Lock allows the user to lock the Wheel in order to halt movement of the Unit.
12 Serial Label: Contains product serial number and
manufacturer information.
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CHAPTER Three: Product Description
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VeinVieweR vision Unit: BACK View (CONTINUED) 13 Yoke: Supports the Arm and Head Unit. 14 Interface Cable: Delivers power to the Head Unit. 15 Battery Case: Protects the Battery. Location of the
Power Inlet and Ground Stud.
13
16 Power Inlet: Connects to the Power Cord for
conducting power to the Unit.
17 Ground Stud: For biomedical department testing.
14
16 15
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CHAPTER Three: Product Description
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VeinVieweR VISIONXTND Unit: FRONT VIEW 1
Control Panel: Location of unit imaging and feature controls.
2
Head Unit: Controls VeinViewer imaging and user functions located in the Head Unit Control Panel.
3
Arm: Enables the user to extend the Head Unit to the desired location.
4
AC Power Adapter: AC to DC converter.
5
Power Cord: Conducts power to Unit through insertion into a properly grounded receptacle.
6
Wall Mount Fixture: Allows for optional wall mounting.
7
Desk Mount Fixture: Allows for optional desk mounting.
2
1
3
4
! Refer to the Chapter 4 for wall or desk mounting your VeinViewer VisionXTND
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5
7
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CHAPTER four: PRODUCT SET-UP VeinViewer Vision
CAUTION • Check all parts for shipping damage and inspect unit before using. In case of damage, DO NOT use VeinViewer and contact the Christie Technical Support department for further instruction. Failure to comply may result in physical injury or property damage.
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moving Procedure 1
Center the Yoke so that it is in line with the Post. Ensure that the Head Unit is in line with the Arm, and fold the Arm against the Post.
2
Move the lever upward on Wheel locks to unlock the Wheels. All Wheels should turn freely and smoothly.
3 Holding the Post below the Yoke move
VeinViewer to the desired location.
MOVING VeinViewer VISION
CAUTION • Do not place, hang, or otherwise apply weight to the unit arm, this may result in improper device loading and /or device instability. Failure to comply may result in physical injury or property damage. • Always put the Head Unit in the travel position, when moving the VeinViewer Vision. Failure to comply may result in physical injury or property damage.
1
2 3
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CHAPTER four: PRODUCT SET-UP PRODUCT SET-UP for VeinViewer VIsionXTND
WARNING • After installation or service and before any use, ensure that the Desk/Wall Mount is secure properly to the mounting surface, otherwise serious injury or loss of life could result.
CAUTION • Check all parts for shipping damage and inspect unit before using. In case of damage, DO NOT use VeinViewer and contact the Christie Technical Support department for further instruction. Failure to comply may result in physical injury or property damage.
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1
Install the 3/8 -16 screw through the large “L” Bracket, Base Plate, Holder, and Mount Column, as shown.
2 Torque the 3/8-16 Nut to 75 in-lbs
(8.5 N-m).
INSTALLING VEINVIEWER VISIONXTND
2
INSTALLING VEINVIEWER VISIONXTND OPTIONAL DESK MOUNT For your convenience, VeinViewer VisionXTND is packaged desk mount ready. For wall mounting, you will need to convert the desk mount to the wall mount configuration. Proceed to step 5.
! !
1
Maximum desk thickness is 2.5 in (6.35 cm). A torque wrench is required to complete steps 2, 3 and 5.
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CHAPTER four: PRODUCT SET-UP
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OPTIONAL DESK MOUNT 3
Install the 3/8-16 x 7/8” Flat Socket Cap Screw through the small “L” bracket, as shown. Torque the screw to 75 in-lbs (8.5 N-m).
4
Place the Base on top of the Desk surface, as shown.
5
Install the 1/2-13 x 3" Socket Set Screw though the small "L" bracket and place the Rectangular spacer between the bottom of the desk surface and the Socket Set Screw.
3
4
6 Torque the Socket Set Screw to 75 in-lbs.
(8.5 N-m), to secure the base to the Desk.
WARNING • Do NOT mount the base to a cart or mobile device. • After installation or service and before any use, ensure that the Desk/Wall Mount is secure properly to the mounting surface, otherwise serious injury or loss of life could result.
5
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CHAPTER four: PRODUCT SET-UP
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MODEL: VeinViewer VisionXTND ! Wall Mounting Hardware is NOT included.
WARNING • After installation or service and before any use, ensure that the Desk/ Wall Mount is secure properly to the mounting surface, otherwise serious injury or loss of life could result. • DO NOT mount VeinViewer VisionXTND to unsupported wall board.
1
INSTALLING VEINVIEWER VISIONXTND OPTIONAL WALL MOUNT 1
Install wall screws to large “L” Bracket as shown. Mounting holes are 5/16” (7.9 mm) in diameter.
!
A torque wrench is required to complete step 3.
2
Install the 3/8 -16 x 1” Button head Cap through the large “L” Bracket, Base Plate, Holder, and Mount Column, as shown.
3
3 Torque the 3/8-16 Nut to 75 in-lbs (8.5 N-m).
2
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CHAPTER four: PRODUCT SET-UP INSTALLING VEINVIEWER VISIONXTNDARM
CAUTION • A pinch point exists between links in the arm. Refer to figure below for Pinch Points location. Pinch point may occur when positioning the arm to the desired location or when returning the folded position. • Make sure the hands and any part of the patient, user and bystanders are clear of all pinch points before positioning the arm or returning the arm to the folded position.
18
! The Arm should be able to rotate freely and smoothly 3
Place the power supply in the Holder as shown.
1 2
WARNING • Please ensure the Arm has been properly secured to the Mount Column. If the Arm is not firmly secured, the VeinViewer VisionXTND may fall off and result in serious injury or loss of life.
CAUTION • Do NOT lay the AC Power adaptor on a material that is sensitive to heat as the material may become damaged. 1
Install the Arm into the Mount Column, as shown.
2 Secure the Arm to the Mount Column using
3
the 3/32” Allen wrench, as shown.
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CHAPTER five: START-UP PROCEDURE Powering VeinViewer vision VeinViewer Vision may be operated by AC (electrical outlet) or battery power.
! VeinViewer Vision is shipped with a detachable Power Cord. The Power Cord supplied acts as the MAINS disconnect device, and is compliant for North American use. ! VeinViewer Vision comes included with a North American only Power Cord. For destinations other than North America, the distributor country or sales representative in the destination country is required to provide the appropriate, detachable medical-grade Power Cord. This medical-grade cord must be compliant with both the destination country’s power requirements, and the electrical requirements specified in the User Guide.
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WARNING • Inspect the Power Cord and Plug on a regular basis, to avoid the risk of electrical shock and/or fire hazard. If the Power Cord and plug are or appeared damaged, do NOT use the VeinViewer Vision unit, and immediately contact the Christie Technical Support department for further instruction.
! The VeinViewer Vision Battery comes partially charged and should be immediately ready for training purposes. It is recommended that you charge VeinViewer overnight before beginning regular continued use.
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