Operators Manual
108 Pages
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Capnostream™20 Portable Bedside Capnograph/Pulse Oximeter
Operator’s Manual
PN: 011414A
Notice: Purchase of this product confers no express or implied license under any Oridion Medical 1987 Ltd. patent to use the instrument with any accessory that is not manufactured or licensed by Oridion Medical 1987 Ltd. Possession or purchase of this device does not convey an express or implied license to use the device with unauthorized sensors or cables which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device. The capnography component of this product is covered by one or more of the following United States patents: 6,437,316; 5,300,859; 6,428,483; 6,997,880 and their foreign equivalents. Additional patent applications pending. Oridion®, Microstream®, FilterLine, Smart CapnoLine®, CapnoLine®, Smart BiteBloc™, NIV Line™, Capnostream™, Microcap®, Microcap® Plus, and VitalCap® are trademarks or registered trademarks of Oridion Medical 1987 Ltd. The pulse oximetry component of this product is covered under one or more of the following U.S.A. patents: 5,758,644; 5,823,950; 6,011,986; 6,157,850; 6,263,222; 6,501,975 and other applicable patents listed at www.masimo.com/patents.htm. Masimo®, Masimo SET®, LNOP®, LNCS®, and LNOPv™ are trademarks or registered trademarks of Masimo Corporation. Exemptions Oridion Medical 1987 Ltd.'s liability under this warranty does not include any transportation damage or other charges or liability for direct, indirect or consequential damages or delay resulting from improper use or application of the product or the substitution upon it of parts or accessories not approved by Oridion Medical 1987 Ltd. All information in this manual is believed to be correct. Oridion Medical 1987 Ltd. shall not be liable for errors contained herein with the performance or use of this manual.
Copyright © 2007 Oridion Medical 1987 Ltd. All rights reserved.
Table of Contents
Table of Contents Table of Contents
3
List of Figures
9
List of Tables
10
Safety Information
11
Warnings ... 11 General... 11 MRI Scanning ... 12 Alarms ... 12 Fire Hazard... 12 Electrical... 12 Electro-magnetic Interference ... 13
Definitions ... 13
Chapter 1
14
About this Manual
14
Overview ... 14 Who Should Read This Manual... 14 Contacting Technical Support ... 14 Symbols ... 15
Chapter 2
16
Technology Overview
16
Introduction ... 16 Features ... 16 Technology Overview... 16 What is Capnography? ... 16 What is Pulse Oximetry? ... 17
Chapter 3
18
The Capnostream Monitor
18
Unpacking and Inspection ... 18 Installing the Battery Pack... 19 Testing the Battery and AC Connections... 20 Handling the Battery Pack ... 20 Portable Bedside Capnograph/Pulse Oximeter
3
Table of Contents
Storing the Battery ... 20 Disposing of the Battery... 21 Battery and Power Usage... 21
Mounting the Monitor... 22 Accessories... 22 Available Accessories... 22 Monitor Mounting Plate... 23 Digital to Analog Data Transfer Cable ... 23 Printer Paper ... 23
Buttons, Indicators and Connections... 24 Monitor Front View... 24
Front Panel Control Buttons ... 25 Monitor Rear Panel... 26 Monitor Left View ... 27
Turning on the Monitor ... 27 Standard Sections of the Display Screen ... 28 Header Area ... 29 Menu Bar ... 30 Real Time CO2 Data ... 30 Real Time SpO2 Data ... 30
Home Screen ... 30 Screen Navigation ... 31 Configuration Changes ... 31
Setting the Date, Time and Language... 32 Screen Timeouts ... 32 Screen Timeouts... 32
Capnostream™ 20: Operational Check Sheet ... 33
Chapter 4
35
Using the Capnostream Monitor
35
Preparing the Monitor for a Patient ... 35 Setting the Patient Type ... 36
Using Patient Cases and Patient ID Numbers... 36 Entering Patient Events... 38 Changing the Alarm and Pulse Volumes... 38 Alarm Volume ... 38 Pulse Tone Volume ... 39
Use of Scavenging System ... 39 4
Portable Bedside Capnograph/Pulse Oximeter
Table of Contents
Turning the Pump Off for Suction or Lavage ... 40 Demo Mode... 40 Monitor Screen Menu Reference Chart... 41
Chapter 5
43
Capnography with the Capnostream Monitor
43
Microstream® EtCO2 Consumables... 43 Basic Principles ... 43 Microstream® EtCO2 Consumables ... 44
Connecting a FilterLine ... 45 CO2 Data Displayed by the Capnostream Monitor ... 45 Adjustable CO2 Parameters ... 45 Monitoring CO2 during MRI Scanning ... 46
Chapter 6
47
Pulse Oximetry with the Capnostream Monitor
47
Masimo SpO2 Sensors ... 47 Selecting Masimo SpO2 Sensors... 47 Performance Considerations ... 48
Connecting an SpO2 Sensor to the Monitor ... 49 SpO2 Data Displayed by the Capnostream Monitor ... 49 Perfusion Index ... 50 Signal IQ Waveform ... 50
Adjustable SpO2 Parameters... 50
Chapter 7
52
Alarms and Messages
52
Introduction ... 52 Message Priorities... 53 Alarms ... 53 High Priority Alarms... 54 Low Priority Alarms... 55 Advisories... 55 Silent Advisories ... 56 Non-Message Area Advisories ... 56
Alarm Silence ... 57 Changing Alarm Limits ... 57 Testing Capnography Alarm Settings... 58 Alarm Limits - Factory Defaults ... 58 Portable Bedside Capnograph/Pulse Oximeter
5
Table of Contents
Chapter 8
59
Using Trends
59
Introduction ... 59 The Trend Display Screens... 59 Graphical Trend Display Screen ... 60 Graphical Trend Display ... 60 Using SCROLL and ZOOM ... 61
Tabular Trend Display Screen... 63 Specific Events as seen in Trend Data... 65 Using the Graphical Trend Screen for Monitoring Patients ... 65 Printing the Trend Data ... 65 Clearing Trend Memory... 66 Configuring Trends... 67 Event Marking Mode... 68 Trend Graphical Display ... 68 Trend Increment Display... 68
Chapter 9
69
Printing Reports
69
Introduction ... 69 Printing Reports ... 69 Sample Reports ... 73 Sample Case Reports... 73 Sample Trend Reports... 74
Chapter 10
75
Downloading Patient Data
75
Introduction ... 75 Data Transfer via the USB Data Port ... 75 USB File Naming Convention ... 78 Examples... 79 USB Error Messages ... 79 Reading Patient Data from Saved Capnostream Files ... 79
Data Transfer via the RS-232 Port ... 79 Using Analog Data Output... 80 Using Capnostream with a Polysomnograph... 80
Digital/Analog Signal Values ... 81 D/A Cable Color Coding ... 82 6
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Table of Contents
Nurse Call Operation... 82 Types of Nurse Call Systems ... 82 The Nurse Call Cable ... 83 Activating Nurse Call ... 84 Testing Nurse Call ... 84
Operation with Hospital Patient Data Systems ... 85
Chapter 11
86
Maintenance and Troubleshooting
86
Introduction ... 86 Determining Monitor Service Hours... 86 CO2 Calibration ... 87 CO2 Calibration Check ... 88 Calibration Check Procedure... 88
Maintenance... 89 Replacing the Fuses... 89 Replacing the Printer Paper Roll ... 90 Cleaning ... 90 Troubleshooting... 91 Electrical... 91 CO2 Problems... 92 SpO2 Sensor... 93 Printer... 93 Nurse Call... 94 D/A Connection ... 94 CO2 Calibration... 95
Returning the Monitor... 95 Technical Assistance... 95
Appendix 1
96
Institutional Settings
96
Institutional Defaults ... 96 Changing Institutional Defaults... 96 Resetting to Factory Defaults ... 96 Changing Monitor Settings ... 97 Alarm Limits... 97 Trend Settings ... 99 Events ... 99 How to Change Event Defaults ... 100 Portable Bedside Capnograph/Pulse Oximeter
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Table of Contents
Monitor Settings... 100 CO2 Parameters ... 101 SpO2 Parameters... 101 Digital to Analog Channel Settings ... 102
Appendix 2
103
Specifications
103
Power Supply ... 103 Battery... 103 Controls... 103 Display ... 104 Microstream® Capnography ... 104 Masimo Pulse Oximetry ... 105 Alarms ... 105 Outputs... 106 Analog Output... 106 Nurse Call... 106 RS-232 ... 106 USB ... 107
Internal Thermal Printer (optional)... 107 General Characteristics... 107 Equipment Classification ... 108 Compliance ... 108
8
Portable Bedside Capnograph/Pulse Oximeter
List of Figures
List of Figures Figure 1 - Installing the Battery Pack ...19 Figure 2 - Battery Pack Close-up...19 Figure 3 - Menu Bar with Battery Charge Level ...20 Figure 4 - Monitor Bottom View ...22 Figure 5 - Capnostream Front View...24 Figure 6 - Front Panel Control Buttons ...25 Figure 7 - Capnostream Rear View ...26 Figure 8 - Capnostream Left View ...27 Figure 9 - Salutation Screen ...28 Figure 10 - Typical Home Screen ...29 Figure 11 - Header Area ...29 Figure 12 - System Setup Screen...32 Figure 13 - Menu Bar...39 Figure 14 - Alarm Volume Selection ...39 Figure 15 - Pulse Tone Volume Selection ...39 Figure 16 - Scavenger System Connection Point ...40 Figure 17 - Screen Menu Reference Chart...42 Figure 18 - CO2 Data on the Capnostream Monitor...45 Figure 19 - SpO2 Data on the Capnostream Monitor ...49 Figure 20 - Example Showing Alarms...54 Figure 21 - Alarm Limits Screen ...57 Figure 22 - Graphical Trend Display ...60 Figure 23 - Scroll mode in the Graphical Trend ...62 Figure 24 - Tabular Trend Display ...63 Figure 25 - Trend Memory Message...67 Figure 26 - Print Screen...70 Figure 27 - Sample Case Reports Printout ...73 Figure 28 - Printed Trend Reports ...74 Figure 29 - Typical Flash Memory Device ...77 Figure 30 - USB Icon ...77 Figure 31 - Digital to Analog Setup Screen...81 Figure 32 - Stereo Phono Plug for Nurse Call ...83 Figure 33 - Connection Point for Nurse Call ...84 Figure 34 - Service Screen ...87 Figure 35 - Insert Paper Roll into printer...90 Figure 36 - Institutional Defaults Screen...97 Figure 37 - Institutional Defaults Alarm Limits Screen ...98 Figure 38 - Institutional Defaults: Monitor ...100
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9
List of Tables
List of Tables Table 1 - Symbols that Appear on the Monitor... 15 Table 2 - Capnostream Accessories ... 22 Table 3 - Printer Paper Specifications... 24 Table 4 - Capnostream Front View ... 25 Table 5 - Capnostream Rear View... 26 Table 6 - Capnostream Left View... 27 Table 7 - Header Section ... 30 Table 8 - Event Markings ... 38 Table 9 - Adjustable CO2 Parameters ... 46 Table 10 - Adjustable SpO2 Parameters ... 51 Table 11 - Alarm Indications ... 52 Table 12 - High Priority Alarms ... 54 Table 13 - Low Priority Alarms ... 55 Table 14 - Advisory Alarms ... 55 Table 15 - Silent Advisory Alarms ... 56 Table 16 - Non-Message Area Advisories ... 56 Table 17 - Tabular Display Example ... 64 Table 18 - Detailed Tabular Display Example ... 64 Table 19 - Monitor Parameters ... 67 Table 20 - Printed Reports – Parameters ... 70 Table 21 - Data Transfer Types ... 75 Table 22 - Select Data Output Type... 77 Table 23 - File Naming Conventions... 78 Table 24 - D/A Signal Values ... 81 Table 25 - D/A Cable color codes ... 82 Table 26 - Nurse Call Specs ... 83 Table 27 - Nurse Call Indicators... 84 Table 28 - Factory Default Alarm Limits... 98 Table 29 - Factory Default and Optional Trend Settings ... 99
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Portable Bedside Capnograph/Pulse Oximeter
14BWarnings
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Safety Information Warnings Definitions
To use the Capnostream™20 monitor (henceforth referred to as Capnostream) correctly and safely, carefully read this operator’s manual and the Directions for Use that accompany Microstream® EtCO2 consumables (FilterLines®, henceforth referred to as FilterLines) and the SpO2 sensors. Use of the monitor requires full understanding and strict observance of these instructions, the precautionary information in boldface type, and the specifications.
Warnings General WARNING:
If uncertain about the accuracy of any measurement, first check the patient’s vital signs by alternate means, and then make sure the monitor is functioning correctly.
WARNING:
The device should not be used as an apnea monitor.
WARNING:
The device should be considered an early warning device. As a trend towards patient deoxygenation is indicated, blood samples should be analyzed by a laboratory co-oximeter to completely understand the patient's condition.
WARNING:
To ensure patient safety, do not place the monitor in any position that might cause it to fall on the patient.
WARNING:
Carefully route patient cabling (SpO2 sensor and FilterLine) to reduce the possibility of patient entanglement or strangulation.
WARNING:
Do not lift the monitor by the SpO2 sensor cable or FilterLine, as they could disconnect from the monitor, causing the monitor to fall on the patient.
WARNING:
To ensure accurate performance and prevent device failure, do not expose the monitor to extreme moisture, such as rain.
WARNING:
The use of accessories, transducers, sensors and cables other than those specified may result in increased emission and/or decreased immunity of the equipment and/or system.
WARNING:
CO2 readings, respiratory rate, pulse oximetry readings, and pulse signals can be affected by sensor application errors, certain ambient environmental conditions, and certain patient conditions.
WARNING:
The monitor is a prescription device and is to be operated by qualified healthcare personnel only.
Portable Bedside Capnograph/Pulse Oximeter
11
Safety Information
MRI Scanning WARNING:
Do not use oximetry sensors during magnetic resonance imaging (MRI) scanning. Conducted current could cause burns. The sensors may affect the MRI image, and the MRI unit may affect the accuracy of oximetry measurements.
CAUTION:
During MRI scanning, the monitor must be placed outside the MRI suite. When the monitor is used outside the MRI suite, EtCO2 monitoring can be implemented using the FilterLine XL. (Refer to Monitoring CO2 during MRI Scanning on page 46.
Alarms WARNING:
Do not silence the audible alarm if patient safety may be compromised.
WARNING:
Always respond immediately to a system alarm since the patient may not be monitored during certain alarm conditions.
WARNING:
Before each use, verify that the alarm limits are appropriate for the patient being monitored.
WARNING:
Check the audible alarm silence duration before temporarily silencing the audible alarms.
Fire Hazard WARNING:
When using the monitor with anesthetics, nitrous oxide or high concentrations of oxygen, connect the gas outlets to a scavenger system.
WARNING:
The monitor is not suitable for use in the presence of flammable anesthetic mixture with air, oxygen or nitrous oxide.
WARNING:
The FilterLine may ignite in the presence of O2 when directly exposed to laser, ESU devices, or high heat. When performing head and neck procedures involving laser, electrosurgical devices or high heat, use with caution to prevent flammability of the FilterLine or surrounding surgical drapes.
Electrical
12
WARNING:
To protect against electric shock hazard, the monitor’s cover is to be removed only by qualified service personnel. There are no user-serviceable parts inside.
WARNING:
To ensure patient electrical isolation, connect only to other equipment with circuits that are electrically isolated.
WARNING:
Connect the device only to a three-wire, grounded, hospital grade receptacle. The threeconductor plug must be inserted into a properly wired three-wire receptacle; if a three-wire receptacle is not available, a qualified electrician must install one in accordance with the governing electrical code. Do not under any circumstances remove the grounding connector from the power plug. Do not use extension cords or adapters of any type. The power cord and plug must be intact and undamaged.
WARNING:
If there is any doubt about the integrity of the protective earth conductor arrangement, operate the device on internal battery power until the AC power supply protective conductor is fully functional.
WARNING:
Do not connect to an electrical outlet controlled by a wall switch or a dimmer.
Portable Bedside Capnograph/Pulse Oximeter
Definitions
WARNING:
Measure the device's leakage current whenever an external device is connected to the serial port. Leakage current must not exceed 100 microamperes.
CAUTION:
Electrical installation of the room or the building in which the monitor is to be used must comply with regulations specified by the country in which the equipment is to be used.
Electro-magnetic Interference This device has been tested and found to comply with the requirements for medical devices according to the standard EN60601-1-2/2001. This standard is designed to provide reasonable protection against harmful interference in a typical medical installation. However, because of the proliferation of radio-frequency transmitting equipment and other sources of electrical noise in healthcare environments (for example: cellular phones, mobile two–way radios, electrical appliances), it is possible that high levels of such interference due to close proximity or strength of a source may result in disruption of performance of this device. WARNING:
Operating high frequency electrosurgical equipment in the vicinity of the monitor can produce interference in the monitor and cause incorrect measurements.
WARNING:
Do not use the monitor with nuclear spin tomography (MRT, NMR, NMT) as the function of the monitor may be disturbed.
Definitions Note: A Note is inserted to point out procedures or conditions which may otherwise be misinterpreted or overlooked and to clarify apparently contradictory or confusing situations. Caution: A Caution is inserted to call attention to a procedure which, if not followed exactly, can lead to damage or destruction of the equipment. Warning: A Warning is inserted to call attention to dangerous or hazardous conditions inherent to the operation, cleaning, and maintenance of the equipment which may result in personal injury or death of the operator or patient.
Portable Bedside Capnograph/Pulse Oximeter
13
1BAbout this Manual
Chapter 1
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About this Manual Overview Who Should Read This Manual Contacting Technical Support Symbols
Overview This manual provides directions for setting up and operating the Capnostream monitor. The Capnostream is a portable bedside monitor that continuously monitors a patient’s:
• End tidal carbon dioxide (EtCO2) - level of carbon dioxide in exhaled breath. • Respiratory rate (RR). • Fractional inspired carbon dioxide (FiCO2) - level of carbon dioxide present during inhalation. • Oxygen saturation (SpO2). • Pulse rate (PR). The Capnostream combined capnograph/pulse oximeter monitor is intended to provide professionally trained health care providers the continuous, non invasive measurement and monitoring of carbon dioxide concentration of the expired and inspired breath and respiration rate, and for the continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2 and pulse rate). It is intended for use with neonatal, pediatric and adult patients in hospitals, hospital type facilities, intra hospital moves and home environments.
Who Should Read This Manual This manual should be read by:
• Health Care Professionals who will be using Capnostream. • Equipment managers responsible for ensuring that equipment conforms to institutional policies.
• Researchers or laboratory personnel who will be downloading patient data. • Technical experts who will be connecting Capnostream to a computer via the RS-232 interface. CAUTION:
In the United States, federal law restricts this device to sale by or on the order of a physician.
Contacting Technical Support For any technical issue involving the Capnostream monitor, please contact Oridion Technical Support: North America: Tel: 1-888-ORIDION (674-3466), Fax: (781) 453-2722 Outside North America: Tel: + (972) 2-589-9104, Fax: + (972) 2-582-8868 E-mail: [email protected] 14
Portable Bedside Capnograph/Pulse Oximeter
Symbols
Symbols The following symbols appear on the body of the monitor. Table 1 - Symbols that Appear on the Monitor
Symbol
Description Monitor ON/OFF button
AC power ON indicator
UNIT ON indicator
Event selection Patient Admit/Discharge Pump Off
Temporarily silence alarms
Type BF Defibrillator Proof Protection Gas inlet Gas outlet Equipotential ground USB flash memory connection port
Portable Bedside Capnograph/Pulse Oximeter
15
2BTechnology Overview
Chapter 2
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Technology Overview Introduction Features Technology Overview
Introduction The Capnostream bedside monitor provides accurate, continuous capnography and pulse oximetry monitoring for intubated and non-intubated patients from neonate to adult. Using Microstream® technology, patented FilterLine EtCO2 consumables, and pulse oximetry technology, the Capnostream allows for simultaneous "hassle free" EtCO2 and SpO2 monitoring.
Features
• Dual parameter monitor that supports the current standard of care providing CO2 and SpO2 measurements
• Simple user interface with color screen • Routine functions are accessed with 2 clicks • 72 hour trends to review patient history • Event marking to compare events and medication administration to changes in patient status • Case recording to help organize patient files • Nurse call • Optional internal printer • USB output to transfer patient data to USB flash memory devices • Analog output for use in sleep labs and other laboratory environments • RS-232 port for data transfer Technology Overview This section provides a basic overview of Capnography and Pulse Oximetry. What is Capnography? Capnography is a non-invasive method for monitoring the level of carbon dioxide in exhaled breath (EtCO2) to assess a patient’s ventilatory status. Capnostream uses Microstream® non–dispersive infrared (NDIR) spectroscopy to continuously measure the amount of CO2 during every breath, the amount of CO2 present at the end of exhalation (EtCO2), the amount of CO2 present during inhalation (FiCO2), and the Respiratory Rate. Infrared spectroscopy is used to measure the concentration of molecules that absorb infrared light. Because the absorption is proportional to the concentration of the absorbing molecule, the concentration can be determined by comparing its absorption to that of a known standard. 16
Portable Bedside Capnograph/Pulse Oximeter
Technology Overview
The Microstream® EtCO2 consumables deliver a sample of the inhaled and exhaled gases from the ventilator consumable or directly from the patient (via an oral/nasal cannula) into the monitor for CO2 measurement. Moisture and patient secretions are extracted from the sample, while maintaining the shape of the CO2 waveform. The 50 ml/min. sampling flow rate reduces liquid and secretion accumulation, decreasing the risk of obstruction in the sample pathway in humid ICU environments. Once inside the Microstream® CO2 sensor, the gas sample goes through a micro-sample cell (15 microliters). This extremely small volume is quickly flushed, allowing for fast rise time and accurate CO2 readings, even at high respiration rates. The Micro Beam IR source illuminates the micro-sample cell and the reference cell. This proprietary IR light source generates only the specific wavelengths characteristic of the CO2 absorption spectrum. Therefore, no compensations are required when different concentrations of N2O, O2, anesthetic agents and water vapor are present in the inhaled and exhaled breath. The IR that passes through the micro-sample cell and the IR that passes through the reference cell are measured by the IR detectors. The microprocessor in the monitor calculates the CO2 concentration by comparing the signals from both detectors. What is Pulse Oximetry? Pulse oximetry is based on the following:
• The difference in the absorption of red and infrared light (spectrophotometry) by oxyhemoglobin and deoxyhemoglobin
• Changes in the volume of arterial blood in tissue during the pulse cycle (plethysmography), and hence, light absorption by that blood.
A pulse oximeter determines Spot Oxygen Saturation (SpO2) by passing red and infrared light into an arteriolar bed and measures changes in light absorption during the pulsatile cycle. Red and infrared low power light emitting diodes (LEDs) in the oximetry sensor serve as light sources; a photodiode serves as the photo detector. Because oxyhemoglobin and deoxyhemoglobin differ in light absorption, the amount of red and infrared light absorbed by blood is related to hemoglobin oxygen saturation. To identify the oxygen saturation of arterial hemoglobin, the monitor uses the pulsatile nature of arterial flow. During systole, a new pulse of arterial blood enters the vascular bed and blood volume and light absorption increase. During diastole, blood volume and light absorption reach their lowest point. The monitor bases its SpO2 measurements on the difference between maximum and minimum absorption (measurements at systole and diastole). The focus of light absorption by pulsatile arterial blood eliminates the effects of nonpulsatile absorbers such as tissue, bone, and venous blood.
Portable Bedside Capnograph/Pulse Oximeter
17
3BThe Capnostream Monitor
Chapter 3
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The Capnostream Monitor Unpacking and Inspection Installing the Battery Pack Mounting the Monitor Accessories Buttons, Indicators and Connections Front Panel Control Buttons Turning on the Monitor Standard Sections of the Display Screen Home Screen Screen Navigation Setting the Date, Time and Language Screen Timeouts
This chapter describes the physical components of the monitor and how to set up the monitor so it is ready for use. The CapnostreamTM20 Operational Check Sheet is provided at the end of this chapter to simplify the installation, setup, and getting started processes. Photocopy the Check Sheet from the manual and check off the steps on the Check Sheet as you set up the monitor.
Unpacking and Inspection Unpack the monitor and check all the components before performing any further procedures. ¾ TO UNPACK AND INSPECT THE MONITOR: 1. Carefully remove the Capnostream monitor and the accessories from the box. 2. Check that the items on the enclosed packing list are included:
• Capnostream Monitor • Operating Manual • Two 3.15 Amp Type F fuses • FilterLine Starter Kit • Mains Electrical Power Cord • SpO2 Sensor Pack • SpO2 Extension Cable • Printer Paper Roll (one installed and one extra roll) • Battery Pack • CD with additional documentation (RS-232 Capnostream Data Transfer Protocols, the Patient Data Transfer Application Note, and this manual in additional languages)
3. Inspect each component. If any component is damaged or missing, contact your local representative. 18
Portable Bedside Capnograph/Pulse Oximeter
Installing the Battery Pack
Installing the Battery Pack WARNING:
The unit should always be operated with the battery installed in order to provide back-up power in the event of a momentary or temporary power outage.
The monitor operates on AC power or on a battery. It is equipped with a rechargeable Lithium–Ion battery pack. To install the battery pack, open the battery cover on the side of the monitor as shown below.
Restraining lever
Battery Connection Socket Battery Compartment Door
Figure 1 - Installing the Battery Pack
¾ TO INSTALL THE BATTERY PACK: 1. Slide the two release latches outward and open the battery compartment door. 2 While holding the battery pack with the wires on the right, rotate the restraining lever up to the horizontal position and place the battery pack in the monitor. 3. Push the battery pack all the way in. 4. Hold the battery pressed in and lock it in position by returning the restraining lever to the vertical position. 5. Plug the battery cable into the battery connection socket. Push the wires back into the monitor.
Restraining lever Battery Connection Socket
Figure 2 - Battery Pack Close-up
6. Align the flaps on the battery compartment door with the slots in the monitor casing, slide the two release latches inward, and close the door. Ensure that the battery pack is fully charged before using the monitor without AC power. A fully charged battery pack provides 2.5 hours of operation (without printer usage). When the monitor is connected to the AC Portable Bedside Capnograph/Pulse Oximeter
19
The Capnostream Monitor
mains with the main power switch at the back of the monitor ON (even if the monitor is turned off), the battery pack charges automatically. It takes approximately 12 hours to fully charge an empty battery pack. When you start using the monitor, verify that the battery icon at the bottom left of the monitor screen is full. Refer to Testing the Battery and AC Connections below for details. WARNING:
It is recommended to always have a battery installed. If the battery is not installed, the unit will operate properly on AC power, but if AC power is lost for any reason the monitor will not work. Note that with no battery pack, the battery charge level indicator will mistakenly indicate the presence of a fully charged battery.
Note:
If the battery is not fully charged, the battery icon will indicate the charge level of the battery.
Testing the Battery and AC Connections The battery pack charge level and AC power connections should be confirmed before each use. ¾ TO TEST THE BATTERY: 1. Press the ON/OFF
button to turn on the monitor.
2. Observe the battery icon level in the bottom left hand corner of the screen.
Battery Charge Level Indicator
Figure 3 - Menu Bar with Battery Charge Level
3. If you have previously fully charged the battery, the battery icon should indicate that the battery is full. Note:
As part of the monitor power-up, the battery charge level indicator will show full for about 15 seconds after the monitor is turned on. The monitor will then update the battery charge level indicator to show the true battery level.
Recharge the battery pack when the advisory message BATTERY LOW appears on the display screen. To recharge the battery, make sure that the monitor is plugged into the AC mains and the power switch on the rear of the monitor is turned to the ON position. The orange AC power indicator on the front panel of the monitor will light up. For normal operation, always check that the orange AC power indicator light is on during monitor use. This will ensure the battery is charged during use and the monitor is prepared in case of a power outage or a patient transfer. If a patient has to be transferred to another location, the unit can be unplugged and transferred with the patient. Care should be taken to reconnect the monitor to the AC mains following the transfer. Handling the Battery Pack CAUTION:
Do not immerse the battery pack in water; it may malfunction.
CAUTION:
Only recharge the battery pack in the monitor to avoid possible heating, burning or rupture of the battery pack.
Storing the Battery There are differing requirements depending on how long you store the battery without use:
20
Portable Bedside Capnograph/Pulse Oximeter