Medtronic OS1E100 User Manual

Operator's Manual
Exhibit #8
TM
Vital Sync
Wearable SpO2 Patient Monitoring System
This manual © 2015, 2016 Medtronic. All rights reserved.

Table of Contents

1 Introduction
1.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.2 Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.3 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.3.1 Safety Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.3.2 Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.3.3 Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.3.4 Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.4 Obtaining Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.4.1 Technical Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
1.4.2 Related Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.5 Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.6 Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
1.7 Licensing Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
1.8 HIPAA Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
2 Product Overview
2.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
2.2 Product Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
2.3 Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
2.4 Components and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
2.5 Views . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.5.1 Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.5.2 Module with Connected Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
2.5.3 Docking Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.6 Symbols and Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.6.1 Monitoring System Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.6.2 Packaging and Labeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
3 Docking Station Setup and Operation
3.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
3.2 Safety Reminders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
3.3 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
3.4 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.4.1 Power On and Power Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.4.2 Module Battery Recharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.5 Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
3.6 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Operator’s Manual iii
4 Module and Sensor Setup and Operation
4.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
4.2 Safety Reminders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
4.3 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
4.4 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
4.4.1 Power On and Power Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
4.4.2 Monitor a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
4.4.3 Change Alarm Thresholds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
4.4.4 Battery Recharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
4.5 Alarm Thresholds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
4.6 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
5 Performance Considerations
5.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
5.2 Oximetry Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
5.2.1 Monitoring System Constraints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
5.2.2 Sensor Performance Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
5.3 Patient Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.4 Reducing Electromagnetic Interference (EMI) . . . . . . . . . . . . . . . 5-4
6 Product Maintenance
6.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
6.2 Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
6.2.1 Cleaning and Disinfecting Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
6.2.2 Clean the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
6.2.3 Disinfect the Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.2.4 Clean or Disinfect the Docking Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.3 Module Battery Recharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.4 Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
7 Troubleshooting
7.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
7.2 Monitoring System Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . 7-1
7.3 Docking Station Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
iv Operator’s Manual
Table of Contents
8 Product Specifications
8.1 Physical Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
8.2 Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
8.3 Environmental Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.3.1 Operating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.3.2 Transport and Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.4 Product Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.5 Manufacturer’s Declaration and Guidance . . . . . . . . . . . . . . . . . . 8-3
8.5.1 Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.5.2 FCC Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.6 Sensor Accuracy and Ranges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
8.7 Essential Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
A Clinical Studies
A.1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
A.2 Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
A.3 Study Population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
A.4 Study Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
A.5 Adverse Events or Deviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
A.6 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
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vi
1 Introduction

1.1 Overview

This manual describes the features, setup, and operation of the patient components of the Vital Sync™ Wearable SpO2 Patient Monitoring System, along with the docking
station used with the device.
This manual applies to the following products:
OS1E
OS1ACC

1.2 Intended Audience

This manual provides information to health-care professionals acting as caregivers in low-acuity hospital or hospital-type settings for operation and maintenance of the monitoring system.
Consult facility requirements and protocols for any additional training or skill require­ments beyond those identified here for operation and maintenance of the monitoring system.
Before using the monitoring system or the docking station, thoroughly read this manual, as well as the user documentation for the monitoring application used as part of the monitoring system.
1-1
Introduction

Safety Information

1.3
This section contains important information regarding the safe and correct use of the Vital Sync Wearable SpO2 Patient Monitoring System.
Other important safety information appears in various locations in this manual.
1.3.1

Safety Symbols

Table1-1.
Symbol Definition
WARNING
Warnings alert users to potential serious outcomes (death, injury, or adverse events) to the patient, user, or environment.
Caution
Cautions alert users to exercise appropriate care for safe and effective use of the product.
Note
Notes provide additional guidelines or information.

1.3.2 Warnings

The following warnings apply when using the monitoring system.
||new warnings and draft warnings possibly to be added are in blue text||
Hazard Warnings
Safety Symbol Definitions
1-2 Operator's Manual
WARNING: Electrical shock hazard — Do not soak the monitoring system module or submerge it into
any liquids.
WARNING: Always disconnect and remove the monitoring system module and sensor during
magnetic resonance imaging (MRI) scanning. Attempting to use the monitoring system during an MRI procedure could cause burns or adversely affect the MRI image or the monitoring system's accuracy.
Patient and Device Safety Warnings
Safety Information
WARNING:
Do not use the monitoring system if the module or sensor appears or is suspected to be damaged.
WARNING: Using different alarm limits for the same or similar equipment within a single area of care may compromise patient safety.
General Usage Warnings
WARNING: The monitoring system is intended only as an adjunct in patient assessment. It must be
used in conjunction with clinical signs and symptoms and periodic patient observations.
WARNING: The monitoring system module does not have an on-device screen or display. Users must
view monitored data and alarms in an appropriate application on an external host system that is communicating with the module and sensor.
WARNING: The monitoring system module and sensor communicate with the external host system
via the facility’s data network. This may result in delays in reporting of device data and alarms, depending on network bandwidth and loading and on networking hardware used.
WARNING: The monitoring system module reports data periodically, not continuously. The data
reporting interval, as well as delays due to network bandwidth, loading, or hardware issues, will create a lag between when a patient event happens and when it is reported in the external application.
WARNING: Due to the monitoring system’s periodic data reporting, as well as the potential for
network delays, the monitoring system is not suitable for use as a pulse oximeter for transient events.
Operator's Manual 1-3
Introduction
System Performance and Accuracy Warnings
WARNING:
Verify that accessories and sensors used are compatible with the monitoring system module. Only use accessories and sensors specified by Medtronic for use with this monitoring system.
WARNING: The use of accessories and sensors other than those specified may result in inaccurate
readings of the monitoring system and increased emission and/or decreased electromagnetic immunity of the monitoring system module and sensor.
WARNING:
For best product performance and measurement accuracy, use only accessories supplied or specified by Medtronic. Use accessories according to the manufacturer's directions for use and institutional standards.
WARNING: Portable and mobile radio frequency (RF) communications equipment can affect medical
electrical equipment.
WARNING: Interference from electrosurgical generators can degrade the performance or accuracy of
the module and sensor.
1-4 Operator's Manual
WARNING: The presence of dysfunctional hemoglobin may result in inaccurate SpO2 measurements.
WARNING: Excessive motion may cause deterioration of SpO2 and pulse rate accuracy.
WARNING: While the monitoring system is in use, the patient should avoid gripping with the hand to which the sensor is attached, or inaccurate measurements may result.

Cautions

1.3.3
||new draft cautions possibly to be added are in blue text||
Safety Information
Caution:
Failure to charge the monitoring system module promptly after a low battery indication may result in the module shutting down.
Caution: Do not use any constricting instrument, such as a noninvasive blood pressure (NIBP) cuff,
on the same appendage as the monitoring system sensor, or inaccurate measurements may result.
Caution:
Follow local government ordinances and recycling instructions regarding disposal or recycling of the monitoring system and its components, including batteries and accessories.

1.3.4 Notes

Note:
Failure of any cable or connector, or failure of the wireless connection to the external host system, will interrupt the transfer of data from the monitoring system module to the external host system.
Operator's Manual 1-5
Note:
If the module is out of range of the external host system, it will not report monitored data or alarms to the host system.
Note:
If the module loses connection with the external host system, it will continue to monitor data from the patient. The module will record alarm conditions that occur while it is disconnected or out of range, and will report them to the monitoring application once it reestablishes connection with the host system.
Note:
Failure to cover the pulse oximetry sensor site with opaque material in high ambient light conditions may result in inaccurate measurements. Pulse oximetry readings and pulse signals can be affected by certain environmental conditions, pulse oximetry sensor application errors,
Introduction
and certain patient conditions. Refer to the appropriate sections of this manual for specific safety information.
Note:
Do not lift or carry the module by the pulse oximetry sensor or sensor cable. The cable is not designed to be weight-bearing. It can be damaged if used to lift or carry the module, or can disconnect, potentially damaging the module if the module falls on a hard surface.
Note:
A functional tester cannot be used to assess the accuracy of the monitoring system module or sensor.
Note:
Use and store the monitoring system module in environmental conditions that are within specifications. Refer to
Note:
Before using this device, carefully review this manual, the associated accessory
, and all precautionary information and specifications.
Use
Note:
The module contains WEEE materials. Do not discard the module as unsorted municipal waste.
Environmental Conditions
on page
8-2
.
Instructions for

1.4 Obtaining Technical Assistance

1.4.1 Technical Services

For technical information and assistance, if unable to correct a problem while using the device, contact Medtronic or a local Medtronic representative.
Medtronic Technical Services (Patient Monitoring & Recovery)
15 Hampshire Street
Mansfield, MA 02048 USA
1.800.635.5267, or 1.925.463.4635,
or contact a local Medtronic representative
www.medtronic.com
When calling Medtronic or a local Medtronic representative, provide the serial number from the label on the bottom of the monitoring system module.
1-6 Operator's Manual

Related Documents

1.4.2
Before using the device, review both this manual and the user documentation for the monitoring application on the external host system. This information is essential for understanding the data posted to the external host system and appearing in the monitoring application, as well as the device’s own visual indicators. In addition, review the instructions for use for the wrist strap and cradle and the sensor.
Also read all precautionary information and specifications both for the device and its associated accessories, and for the monitoring application in which the device data is being viewed.

Revision History

Document Description
Vital Sync™ Wearable SpO2 Patient Monitoring System Operator’s Manual
Vital Sync™ Wearable SpO2 Patient Monitoring System Wrist Strap Instructions for Use
Nellcor™ Adult SpO (MAXNW)
1.5
Revision History
Sensor Instructions for Use
2
Table1-2.
Related Documents
Provides information on device operation and on trouble­shooting errors or malfunctions.
Provides information on use of the wrist strap and cradle with the module.
Provides information on positioning and use of the connected sensor.
The part number, revision level and date on the documentation indicate its version. The revision level and date change when a new edition is printed in accordance with the revision history of the documentation. Minor corrections and updates incorporat­ed at reprint do not cause the revision number to change. The document part number may change when extensive technical changes are incorporated into the document.
1.6

Warranty Information

The information contained in this document is subject to change without notice. Medtronic makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties or merchantability and fitness for a particular purpose. Medtronic shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material.
Operator's Manual 1-7
Introduction
1.7

Licensing Information

Users of the external host system and associated software applications to which the Vital Sync Wearable Patient Monitoring System is connected must obtain licenses for the host system and associated applications separately.

1.8 HIPAA Disclaimer

The Vital Sync Wearable SpO2 Patient Monitoring System interfaces with an external host system and software applications used in conjunction with electronic medical
devices within the customer’s secure health information system.
Healthcare providers using such systems and software are expected to take appropri­ate security measures to protect the confidentiality of all data created, stored or trans­mitted on their systems, including data received from the Vital Sync Wearable SpO2
Patient Monitoring System.
Although the external host system and software applications used in conjunction with the monitoring system (such as the Vital Sync Virtual Patient Monitoring Platform and Informatics Manager) contain certain features to assist users in the users’ steps to protect their data, Medtronic cannot provide any assurance that the user’s use of said applications in conjunction with the Vital Sync Wearable SpO2 Patient Monitoring
System will comply with HIPAA regulations or be otherwise in compliance with the customer’s obligations as a covered entity.
1-8 Operator's Manual
2 Product Overview

2.1 Overview

This chapter provides general descriptive information for the Vital Sync™ Wearable SpO2 Patient Monitoring System.

2.2 Product Description

The Vital Sync™ Wearable wireless automated spot check device that measures functional oxygen saturation of
arterial hemoglobin (SpO2).
The monitoring system consists of a module and a pulse oximetry sensor. The sensor collects signals usable for determining SpO2 and pulse rate values and sends them to
the module. The module then wirelessly transmits the measured parameter data to an external host system.
The monitoring system module has four colored LEDs to indicate system status. The monitoring system module does not include a dedicated on-unit data display. Users view monitored data and see associated alarm indications in an appropriate applica­tion (e.g., the Vital Sync™ Virtual Patient Monitoring Platform and Informatics Manager) residing on the host system.
The monitoring system is powered by an internal battery, and is able to operate for a minimum of 12 hours before requiring recharging.
Note:
For purposes of using the monitoring system, “hospital use” refers to low-acuity areas within a hospital and in hospital-type facilities.
“Hospital-type facilities” are medical care facilities external to a hospital; examples include skilled nursing facilities, long term acute care centers, and step-down units. “Low-acuity areas” are patient care locations where patients are not at risk of rapid desaturation. Patients using the monitoring system are spot-checked periodically, and may be ambulatory and under minimal supervision.
SpO2
Patient Monitoring System is a noninvasive wearable,
2-1
Product Overview
2.3

Indications for Use

WARNING: The monitoring system is intended only as an adjunct in patient assessment. It must be
used in conjunction with clinical signs and symptoms and periodic patient observations.
The Vital Sync™ Wearable SpO2 Patient Monitoring System is a wireless pulse oximeter indicated for prescription use only as an automated spot check of functional oxygen
saturation of arterial hemoglobin (SpO2) and pulse rate of adult patients in motion and no motion conditions who are well or poorly perfused. It is intended for use in
hospitals and hospital-type facilities with a transceiver.
The Nellcor™ Adult SpO2 Sensor, model MAXNW, is indicated for single patient use when spot-check, non-invasive arterial oxygen saturation and pulse rate monitoring
are required for adults weighing more than 40 kg.

2.4 Components and Accessories

The patient components of the monitoring system include the following:
The module, which interprets signal data from the connected sensor and transmits mea­sured parameter data to an external host system.
The OxiMax™ MAXNW sensor for collecting the patient’s SpO2 level and pulse rate signal information. This connects to the module.
In addition, the following accessories are available:
The hook and loop wrist strap and attached cradle, used to secure the module to the patient.
An additional hook and loop strap (if included with the sensor), usable as needed to further secure the sensor cable.
The docking station, which recharges up to five modules simultaneously.
Table2-1.
Item Number Description
GR107997 Module, Vital Sync Wearable Patient SpO2 Monitoring System
MAXNW Adult SpO
OS1ACWS Wearable SpO
OS1ACC Docking Station, Vital Sync Wearable SpO
2-2 Operator's Manual
Monitoring System Patient Components and Accessories
Sensor
2
Strap and Cradle
2
Patient Monitoring System
2

Views

2.5

2.5.1 Module

Views
Figure2-1.
1 Sensor Connector Socket 4 Nominal Condition LED (green)
2 Low Battery LED (orange) 5 Patient Data Error LED (orange)
Monitoring System Module (top view)
3 Wireless Connection LED (blue) 6 Power Button
Operator's Manual 2-3
Note:
The visible indicators on the module do not relate to the patient’s physiological condition; they only show the status of the module and connected sensor.

2.5.2 Module with Connected Sensor

ImageObject
Figure2-2.
||Module with Connected Sensor – graphic pending||
Product Overview
2.5.3

Docking Station

Figure2-3.

2.6 Symbols and Descriptions

Docking Station
This section lists and defines the symbols on the monitoring system module and the packaging labeling.

2.6.1 Monitoring System Module

Table 2-1 defines the symbols that appear on the monitoring system module.
Table2-2.
Symbol Description Symbol Description
Connection error (monitoring system not connected to external host).
Module battery charge low (if module is not docked), or module battery recharging (if docked).
Sensor error or sensor disconnect. Not safe in any magnetic resonance
Nominal condition (monitoring system is operating normally).
Power on / power off. Protection against fluid ingress.
Part number. Serial number.
Symbols on Module
US federal law restricts this device to sale by or on the order of a physician.
Follow instructions for use (appears in blue on the device).
(MR) environment.
Defibrillator-proof type BF applied part.
2-4 Operator's Manual
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