Philips SureSigns VS2 User Manual

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Page 1

SureSigns VS2

Vital Signs Monitor

INSTRUCTIONS FOR USE

Release A.00

English

Page 2

Notice

Proprietary Information

This document contains proprietary information, which is protected by copyright.

Manufacturer

Philips Medical Systems 3000 Minuteman Road Andover, MA 01810 (978) 687-1501

Document Number 4535 640 82491

Warranty Disclaimer

The information contained in this document is subject to change without notice. Philips Medical Systems 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. Philips Medical Systems 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.

ii SureSigns VS2 Instructions for Use

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Printing History

New editions of this document incorporate all material updated since the previous edition. Update packages may be issued between editions and contain replacement and additional pages to be merged by a revision date at the bottom of the page. Pages that are rearranged due to changes on a previous page are not considered revised.

The documentation printing date and part number indicate its current edition. The printing date changes when a new edition is printed. (Minor corrections and updates that are incorporated at reprint do not cause the date to change.) The document part number changes when extensive technical changes are incorporated.

First Edition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .December 2008

SureSigns VS2 Instructions for Use iii

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Conventions

The manual uses the following conventions for Notes, Cautions, and Warnings.

Note — A Note calls attention to an important point in the text.

Caution A Caution calls attention to a condition or possible situation that could

damage or destroy the product or the user’s work.

Warning A Warning calls attention to a condition or possible situation that could

cause injury to the user and/or patient.

iv SureSigns VS2 Instructions for Use

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Explanation of Symbols

The following symbols appear on the SureSigns VS2, the external power supply, and the packaging.

Symbol Description Symbol Description

New Patient key Alarm Silence key

Print key NBP key

System Menu key Main Screen key

Display Mode key On/Standby key

CE marking Serial number

0123

Rx Only

Prescription Use Only (US Federal Law)

Humidity Date of manufacture

Fragile, handle with care

Keep dry Keep upright

SureSigns VS2 Instructions for Use v

Batch code

Keep out of sun

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Symbol Description Symbol Description

REF

ICES-001

Catalog number

Electrostatic sensitive device handling

SpO2 connector

Temperature connector

NBP connector

Canadian ISM requirement

Compliance with WEEE standard

Power label

RF Interference

Sterile

STERILE

USB port

Charging LED

AC power LED

Option number

OPT

Ethernet port

CSA mark

Caution, consult accompanying documents

Polarity of DC power connector (appears on VS2 monitor)

vi SureSigns VS2 Instructions for Use

Nurse call connector

Polarity of DC power connector

External Power Supply)

(appears on

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Symbol Description Symbol Description

UL Recognized Component

PSE marking FCC mark - USA

Defibrillator Proof Indoor use only

Class II Equipment Earth, ground

EUFP (Environmentallyfriendly use period China)

VDE Verification

SureSigns VS2 Instructions for Use vii

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Regulatory and Safety Specifications

Declaration

0123

The VS2 monitor is a Class IIb device and complies with the requirements of the Council Directive 93/42/EEC of 14 June 1993 concerning medical devices and carries CE-marking accordingly.

Authorized EU Representative

Philips Medizin Systeme Böblingen GmbH Hewlett-Packard Str. 2 71034 Böblingen Germany

Rx Only

Caution United States Federal Law restricts this device to sale by or on the order of

a physician.

viii SureSigns VS2 Instructions for Use

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Contents

1. Overview

Before You Begin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

About the SureSigns VS2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

SureSigns VS2 Monitor Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

2. Basic Operation

The Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

The Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Setting up the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

Powering Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

Charging the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5

Changing the System Date and Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6

On/Standby Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7

Deep Sleep Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Main Screen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8

Display Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Tool Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

Changing System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11

Networked Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Using the Monitor Safely . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

3. Creating a New Patient Record

Patient ID Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Primary Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Saving Measurements With a Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Saving Measurements Without a Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Using the Bar Code Scanner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Viewing Records in the Patient Records Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

Selecting an Existing Patient ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

Editing a Patient Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

Deleting Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15

Deleting Specific Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Deleting All Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

Contents-i

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4. Alarms

Visual Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Flashing Numeric Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Alarm Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Alarm Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Audible Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Latched and Non-Latched Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Changing Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Changing Individual Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Changing Alarm Limits in the Alarm Limits Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

Setting System Alarm Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

Enabling Print on Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

Showing or Hiding Current Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

Adjusting the Alarm Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

Restoring Default Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

Audio Pause Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13

Audio Off Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14

Acknowledging Technical Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Testing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16

Nurse Call System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

Alarms Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

5. Monitoring SpO

Selecting an SpO2 Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Connecting SpO The SpO

Numeric Pane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Changing SpO

Cables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Changing the SpO2 Response Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Changing the SpO

Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Desaturation Alarm (Desat) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

SpO

6. Monitoring NBP

Selecting an NBP Cuff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Connecting the Cuff and Hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

NBP Numeric Panes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Changing NBP Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

Enabling Auto Print NBP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

Changing the NBP Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

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Page 11

Configuring the Initial Inflation Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7

Changing the NBP Units of Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

Stopping an NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

NBP Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9

7. Monitoring Temperature

Connecting the Temperature Probe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1

The Temperature Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

Taking a Temperature Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

Changing Temperature Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

Changing the Temperature Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4

Changing the Probe Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6

Changing the Temperature Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7

Changing the Temperature Units of Measurement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Verifying the Temperature Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Temperature Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-10

8. Monitoring Heart Rate

Changing Heart Rate Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-1

Changing the Heart Rate Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2

Changing the Heart Rate Source. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3

Adjusting the Heart Rate Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4

9. Using the Recorder

Loading the Recorder Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-1

Printing One Patient Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-3

Printing Multiple Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4

Exporting Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5

Enabling Print on Alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6

Enabling Auto Print NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6

10. Care and Cleaning

General Guidelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2

Cleaning and Disinfecting the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3

Cleaning and Disinfecting the Cables and External Power Supply . . . . . . . . . . . . . . . . . . .10-4

11. Accessories List

SpO2 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2

NBP Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5

Temperature Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-9

Miscellaneous Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-9

Contents-iii

Page 12

12. Specifications

General Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1

Safety Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2

Electrical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2

Environmental Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3

NBP Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4

Temperature Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5

SpO

Recorder Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-7

Bar Code Scanner Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8

Interface Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8

A. Alarm Specifications

Physiological Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Technical Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Factory Default Alarm Limits and Alarm Ranges. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

B. Electromagnetic Compatibility

Contents-iv

Page 13

Before You Begin

This manual describes how to operate the SureSigns™ VS2 vital signs monitor.

For information on setting up the monitor, see the SureSigns VS2 Setup Guide, which describes how to install the battery, power up the monitor, and configure some of the system settings before using the monitor.

About the SureSigns VS2

This chapter provides a brief overview of the SureSigns VS2 monitor.

Overview

SureSigns VS2 Instructions for Use 1-1

Page 14

Indications for Use

Note — Your monitor may look different from the monitors pictured in this manual if you purchased a different model.

The SureSigns VS2 is a vital signs monitor that can measure blood pressure, pulse rate, oxygen saturation (SpO

• Adult, pediatric, and neonatal capability

• Lithium ion battery

• Stores up to 100 patient records

• Optional recorder

• Optional roll stand or wall mount

• Optional bar code scanner for Patient ID entry

• LAN and serial data export

• Optional wireless network connection

Indications for Use

), and temperature. Features include:

The SureSigns VS2 vital signs monitor is for use by health care professionals whenever there is a need for monitoring the physiological parameters of patients.

Intended Use

The SureSigns VS2 vital signs monitor is for monitoring, recording and alarming of multiple physiological parameters of adults, pediatrics, and neonates in healthcare environments. Additionally, the monitor is intended for use in transport situations within a healthcare facility.

Overview

1-2 SureSigns VS2 Instructions for Use

Page 15

SureSigns VS2 Monitor Configurations

The SureSigns VS2 is available in several configurations. The following table lists the parameters and features available in each model.

SureSigns VS2 Monitor Configurations

Configuration

Number

863079

863080

863081

863082

Measurement Parameters and Features

NBP SpO

Yes N o No N o

Yes Yes No No

Yes Yes Yes N o

YesYesYesYes

Tem p Recorder

Overview

SureSigns VS2 Instructions for Use 1-3

Page 16

SureSigns VS2 Monitor Configurations

Overview

1-4 SureSigns VS2 Instructions for Use

Page 17

This chapter describes how to begin using the SureSigns VS2 monitor.

For information on setting up and configuring the monitor, see the SureSigns VS2 Setup Guide.

The Front Panel

All function keys and LEDs are on the monitor’s front panel. The following illustration and table describe these controls.

Basic Operation

New Patient key

Print key

System Menu key

Display Mode key

Alarm Silence key

NBP key

Navigation wheel

Main Screen key

On/Standby key

Power LEDCharging LED

Basic Operation

SureSigns VS2 Instructions for Use 2-1

Page 18

The Front Panel

Control Icon Description

New Patient key

Print key Press to print the last saved patient record. If Patient Records are

System Menu key

Display Mode key

Alarm Silence key

NBP key Press to start an NBP measurement. If an NBP measurement is

Navigation wheel

Press to open the New Patient Menu.

displayed, press to print the patient record that is currently highlighted.

Press to open the System Menu.

Press to switch between the two display modes of the main screen:

• Patient Records mode

• Vital Signs mode

Press to pause an alarm for a specified period of time. Press twice quickly to initiate the Audio Pause period. Press and hold this key for 2 seconds to initiate Audio Off mode. To turn audio alarms back on, press the Alarm Silence key. For more information, see Silencing Alarms on page 4-13.

underway, and you press this key, the measurement stops.

Use the navigation wheel to select and change various settings.

Main Screen key

On/Standby key

Charging LED

Power LED When lit, indicates that the monitor is connected to an AC power source.

Basic Operation

2-2 SureSigns VS2 Instructions for Use

Press to quickly exit from a screen and return to the Vital Signs mode of the main monitoring screen.

Press once to turn the monitor on. Press again to enter Standby mode. In Standby mode, the display blanks and all monitoring ceases, but the monitor does not actually turn off.

Changes color based on the charging status of the battery. For more information, see

Charging the Battery on page 2-5.

Page 19

The Rear Panel

The following illustration and table describe the connectors on the back of the monitor.

Power connector

Connector Description

The Rear Panel

Ethernet port

USB port

Nurse Call

connector

Ethernet

USB port Standard USB 1.1, 4-pin connector used for:

Nurse call

connector

Power connector Connection for the external power supply.

10/100 Base-T Ethernet port. Used for LAN data export. See your system

port

administrator for more information.

• The optional bar code scanner

• Data export through the optional serial interface adapter

• Patient record export

See your system administrator for more information.

3.5 mm phone jack for connection to a nurse call system.

SureSigns VS2 Instructions for Use 2-3

Basic Operation

Page 20

Setting up the Monitor

This section describes how to power up the monitor, charge the battery, and change the system date and time.

Powering Up

The monitor operates on AC power or the internal battery. To power up the monitor:

Step

1 If not already connected, plug the external power supply into the power

connector on the monitor’s rear panel and into an AC power source.

Caution - Use only the Philips-provided power supply (Astec model DPS54-M).

2 Ensure that the AC outlet is properly grounded and supplies the

specified voltage and frequency (100 - 240 VAC, 50 - 60 Hz).

Note — Within the U.S., a hospital-grade outlet is recommended.

Power LED

the Battery, for more information.

3 Press the On/Standby key.

On/Standby key

You may also be prompted to change the system date and time the first time you power up the system. See Changing the System Date and Time on page 2-6 for more information.

Basic Operation

2-4 SureSigns VS2 Instructions for Use

The green power LED on the front panel lights when the AC power source is connected. Also, the battery indicator on the front panel indicates the current status of the battery. See the next section, Charging

The monitor powers up and performs a self-test. During this self-test, the monitor also tests the speaker; listen for an audible tone to confirm that the speaker is working properly.

Page 21

Charging the Battery

Charging LED

Note — To ensure that the battery is sufficiently charged, keep the monitor plugged in to AC power when it is not in use.

The Charging LED on the front panel provides the charging status of the battery. The color of the LED tells you how much charge remains on the battery:

• Green: The battery is at least 90% charged.

• Flashing Green: More than 30% charge, but less than 90%.

• Yellow: More than 21% charge, but less than 30%.

• Flashing Yellow: Less than 21% charge.

Setting up the Monitor

Any time the monitor is connected to AC power, the battery is being charged. When you first receive the monitor, the battery charge may be low. You should connect the monitor to an AC power source before using it on battery power alone.

The battery status pane on the bottom of the LCD screen also indicates battery status.

Battery Status

If the monitor is connected to AC power, and the external power

supply is then disconnected, the monitor automatically resorts to battery power, if the battery is sufficiently charged. All alarm settings and patient records are preserved.

Warning Dispose of used batteries in an environmentally responsible manner. Do not dispose

of the battery in normal waste containers. Consult your hospital administrator to find out about local arrangements.

Basic Operation

SureSigns VS2 Instructions for Use 2-5

Page 22

Setting up the Monitor

Changing the System Date and Time

Use the following procedure to change the system date and time. If the Date/Time Menu is already open, skip to step 3.

Caution When you change the date or time, all patient data is deleted.

Step

1 Rotate the navigation wheel until the date and time pane is highlighted.

The date and time pane is in the lower right corner of the screen display.

2 Press the wheel.

Date/Time Menu appears.

The

3 Rotate the wheel until the value you want to change is highlighted.

4 Press the wheel and rotate it until the desired value appears.

5 Press the wheel again to save the new value.

6 Repeat steps 3 to 5 to change other values in the menu.

7 Rotate the wheel until the

to save your changes and close the menu.

You can change the date format (mm/dd/yyyy or dd/mm/yyyy) and you can hide the time display using options in the Settings on page 2-11.

Note — The system clock does not adjust for daylight savings time. You must manually change the time.

Basic Operation

2-6 SureSigns VS2 Instructions for Use

Apply button is selected and press the wheel

System Menu. For details, see Changing System

Page 23

On/Standby Mode

If you press the On/Standby key while the monitor is On, the monitor goes into Standby mode and the following occurs:

• The display goes blank.

• Battery charging continues if the monitor is connected to an AC power source.

• Patient records remain in memory.

• Monitoring stops.

To reduce battery consumption, your system administrator can configure the monitor to automatically go into Standby mode after 5, 10, 15 or 30 minutes of inactivity. Only authorized personnel can change this setting (the password-protected

To resume monitoring, press the On/Standby key.

Deep Sleep Mode

The monitor enters Deep Sleep mode when:

Mounting

Auto Suspend setting) in the

System Admin Menu.

Mounting

• The monitor is not connected to an AC power source and it remains in Standby mode for more than 30 minutes or the battery level drops below 30%.

• The monitor is on, but not connected to an AC power source, and the battery level drops below 12%.

In Deep Sleep mode, the display is blank and the system uses minimal power to maintain the system clock.

To resume normal monitoring, connect the monitor to an AC power source and press the On/Standby key to turn the monitor back On.

You can mount the monitor on a roll stand or a wall mount. For information on mounting the monitor, see the Instructions for Use that comes with the hardware.

Basic Operation

SureSigns VS2 Instructions for Use 2-7

Page 24

Main Screen Display

Note — The illustrations in this manual show the screens on a fully configured VS2

monitor.

The main screen contains the following basic elements:

• Numeric panes display vital signs measurements and are shown when the display is set to Vital Signs mode.

•The Patient Records Table shows patient records that are saved in the monitor and is shown when the display is set to Patient Records mode. See Display Modes on page 2-9 for more information on display modes.

•The Message area displays short text descriptions of all active alarms. High- priority alarms pre-empt lower priority alarms. Once the high-priority alarm has been resolved, the low priority alarm message appears. If multiple alarms of the same priority occur at the same time, the alarm messages rotate every 1.5 seconds.

•The Print button is used to open the

Patient Data

menu, you can select the number of records to print or export patient

records to a USB drive.

•The Alarms button is used to open the alarm limits. From the

, where you can show or hide alarm limits, set the alarm tone volume,

restore default alarm settings, and set the monitor to print on alarm.

•The Battery Status icon shows the current charge of the monitor’s battery.

•The Date/Time pane displays the current date and time. You can hide the time, as described in Changing System Settings on page 2-11.

•The Patient Records buttons are used to view, save, edit, delete, or cancel changes to patient records. See Chapter 3, “Creating a New Patient Record,” for more information.

Basic Operation

2-8 SureSigns VS2 Instructions for Use

Print Patient Data menu. In the Print

Alarm Limits Menu, where you can set

Alarm Limits Menu, you can open the Alarm Settings

Page 25

Display Modes

Display Mode

Main Screen Display

Press the Display Mode key to switch between the monitor’s two display modes: Vital Signs and Patient Records. By default, the main screen is in Vital Signs mode and displays vital signs for the current patient.

key

Adult 0009875433

SYS

160

122

DIA

90 50

MAP

110

Message Area

Numeric Panes

mmHg

SpO2%

100

120

39.0

36.0

Print button

Alarms button

bpm

ºC

37.1

Battery Status icon

Patient Records buttons

SpO2%

Oral

06/21/2009 03:31:00

Date/Time Pane

Basic Operation

SureSigns VS2 Instructions for Use 2-9

Page 26

Main Screen Display

In Patient Records mode, the main screen displays the patient records table. You can display all patient records or all records for a specific patient. When highlighted, the record expands to show vital signs and patient type, as well as the patient name and patient ID, if entered. If you do not enter a patient ID, the text You can also edit or delete patient records. See Chapter 3, “Creating a New Patient Record,” for more information on the Patient Records table.

Patient/Type Date Time HR NBP SpO2 Temp

0009875433 A 06/21/09 03:20:12 65SpO2 -- / -- (--) 98 36.8

0007363627 A 06/21/09 03:16:44 64SpO2 -- / -- (--) 98 39.1

0006352516 A 06/21/09 03:12:41 72SpO2 -- / -- (--) 99 36.9

0008763842 A 06/21/09 03:08:03 60SpO2 -- / -- (--) 98 37.1

0006655321 A 06/21/09 03:00:43 80SpO2 -- / -- (--) 99 36.6

0008764332 A 06/21/09 02:55:11 56 NBP 111/60 (82) 97 37.2

0008893376 A 06/21/09 02:50:06 77SpO2 -- / -- (--) 95 37.0

0008873221 A 06/21/09 02:44:32 78SpO2 -- / -- (--) 98 36.8

0003323876 P 06/21/09 02:40:51 75SpO2 -- / -- (--) 97 36.9

ID Unknown is displayed.

Scroll bar

Message Area

Print button

Alarms button

Tool Tips

When you rotate the navigation wheel to highlight a button in the main screen, a description of the highlighted button pops up, as seen in the following illustration.

Tool Tip pops up for Print button

Basic Operation

2-10 SureSigns VS2 Instructions for Use

06/21/2009 03:31:00

Date/Time Pane

Battery Status icon

Patient Records buttons

Page 27

Changing System Settings

The System Menu contains several system settings and a System Admin button that provides access to the password-protected

System Menu

key

Step

System Info button opens a list of monitor-specific information.

The

To change settings in the

Changing System Settings

System Admin

System Menu:

1 Press the System Menu key on the front panel to open the

System Menu appears. Current settings are displayed.

The

System

Basic Operation

SureSigns VS2 Instructions for Use 2-11

Page 28

Changing System Settings

2 Turn the wheel to select one of the following system settings:

Date Format — You can change the monitor’s date format. Options

• are mm/dd/yyyy and dd/mm/yyyy.

Display Time — Use this setting to show or hide the time in the

• lower right corner of the display.

Default Patient Type — Select a patient type. Each time you start a

• new patient, the default patient type is selected and the alarm settings are restored to the default values for the specified patient type.

Monitor Name— The default monitor name is the monitor serial

• number. You can use this field to change the default name to something more meaningful. The

Monitor Name can be up to 10

characters long.

System Info button — Use this button to open a list of monitor-

• specific information, including the monitor’s hardware and software versions.

System Admin button — Only qualified service personnel can open

•

System Admin Menu, which is password-protected.

the

For more information on these settings, see the appropriate sections of this manual.

3 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the and press the wheel.

Basic Operation

2-12 SureSigns VS2 Instructions for Use

Main Screen button is selected

Page 29

Networked Monitors

If your monitor is networked, the records in the Patient Records table change from white to green after they have been exported; if the records do not change from white to green, see your system administrator for assistance.

Networked Monitors

Caution If you are using the optional serial interface adapter to export data and you

disconnect the adapter to move the monitor to a different location, make sure the black sheath completely covers the RS-232 connector after you reconnect the cable.

Using the Monitor Safely

All of the patient applied parts on the SureSigns VS2 vital signs monitor are classified as type CF, which specifies their degree of protection against electrical shock. All are rated as defibrillator proof, as indicated by the heart symbol on the side panel.

This monitor is suitable for use in the presence of electrosurgery.

SureSigns VS2 vital signs monitors conform to CISPR 11. SureSigns VS2 vital signs monitors are suitable for use in all establishments except domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

Ensure that the monitor is in working condition before clinical use. If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by alternative means and then with the monitor to make sure it is working properly. Always verify that the monitor’s settings match your intended selections.

If you connect the monitor to any instrument, verify proper operation before clinical use. Refer to the instrument’s Instructions for Use for full instructions.

Accessory equipment connected to the monitor’s data interface must be certified according to IEC Standard 60950 for data-processing equipment or IEC Standard

Basic Operation

SureSigns VS2 Instructions for Use 2-13

Page 30

Using the Monitor Safely

60601-1 for electromedical equipment. All combinations of equipment must be in compliance with IEC Standard 60601-1-1 systems requirements.

Anyone who connects additional equipment to the signal input port or signal output port configures a medical system and is therefore responsible to ensure that the system complies with the requirements of system standard IEC Standard 60601-1-1. If in doubt, contact the Philips Customer Care Center or your local Philips representative.

The monitor and its accessories must be tested by qualified service personnel at regular intervals to ensure that performance has not been degraded by aging or environmental conditions. Periodic performance verification tests can be performed, as described in the

SureSigns VS2 Service Guide.

Warning Explosion Hazard. Equipment not suitable for use in the presence of a flammable

anaesthetic mixture with air or oxygen or nitrous oxide. Oxygen concentrations must be <25% and partial pressure <27.5 kPa when no other oxidants are present.

Electric shock hazard. Covers should be removed only by qualified service personnel. There are no user-serviceable parts inside.

Do not touch the patient, or table, or instruments during defibrillation.

Measurement accuracy may decrease temporarily while performing electro-surgery or defibrillation. This does not affect patient or equipment safety.

Do not open the monitor or attempt to change the battery. If you suspect a problem with parts within the monitor, contact your biomed or local Philips Representative.

Before you begin monitoring, make sure that the correct patient type is selected. The monitor’s default alarm limits and initial cuff inflation pressures are based on the selected patient type.

Route patient cabling to reduce the possibility of patient entanglement or strangulation.

Do not place the monitor in any position that might cause it to fall on the patient. Do not lift the monitor by the power supply cord or patient connections.

The roll stand basket has a maximum capacity of 8 pounds (3.6 kg). If you place more than 8 pounds (3.6 kg) in the basket, the roll stand may tip.

Do not use the monitor on more than one patient at a time.

To ensure patient electrical isolation, connect only to other equipment that provides patient electrical isolation. Use only unshielded network cables.

Basic Operation

2-14 SureSigns VS2 Instructions for Use

Page 31

Using the Monitor Safely

Use only grounded power cords (three-wire power cords with grounded plugs) and grounded electrical outlets. Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong or ground clip.

Do not use extension cords to connect the monitor to electrical outlets.

LAN cables must meet all local electrical requirements.

Do not use the monitor or SpO scanning. Induced current could potentially cause burns. The monitor may affect

sensors during magnetic resonance imaging (MRI)

the MRI image, and the MRI unit may affect the accuracy of the monitor’s measurements.

If multiple instruments are interconnected or if multiple instruments are connected to a patient, the sum of the leakage currents may exceed the limits given in IEC/ EN60601-1. Consult your service personnel.

Do not connect this monitor to any equipment or device, other than those specified in this manual.

Sterilization is not recommended for this monitor, accessories or supplies, unless otherwise indicated in the Instructions for Use that accompany the accessories and supplies.

Use only approved accessories with the SureSigns VS2 monitor. The use of unapproved accessories can diminish monitor performance or safety. Consult the Instructions for Use that accompany the accessories.

Electromagnetic interference may cause disruption of performance. Protect the monitor from sources of intense electromagnetic radiation. This device is designed to provide resistance to electromagnetic interference; however, because of the proliferation of radio-frequency transmitting equipment and other sources of electrical noise (such as cellular phones, mobile two-way radios, and electrical appliances) in the healthcare and home environments, 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. Disruption may be evidenced by erratic readings, cessation of operation or other incorrect functioning. If this occurs, the site of use should be surveyed to determine the source of this disruption, and actions taken to eliminate the source. If you need assistance, contact the Philips Customer Care Center or your local Philips Representative.

Consult the Instructions for Use that accompany the accessories.

Disposing of the monitor: To avoid contaminating or infecting personnel, the environment or other equipment, make sure you disinfect and decontaminate the monitor and external power supply appropriately before disposing of them in accordance with your country’s laws for equipment containing electrical and

Basic Operation

SureSigns VS2 Instructions for Use 2-15

Page 32

Using the Monitor Safely

electronic parts. For disposal of parts and accessories such as thermometers, where not otherwise specified, follow local regulations regarding disposal of hospital waste.

Before disposing of a SureSigns VS2 monitor, delete all patient information. For instructions on deleting patient data, see the SureSigns VS2 Service Guide.

To protect confidential patient information, follow these guidelines:

• Do not leave the monitor unattended.

• Ask your system administrator to activate the

Auto Suspend option, which

causes the display to go blank after a specified amount of time if there is no user interaction with the monitor.

• Set the main screen to Vital Signs display mode to hide patient records. See

Main Screen Display on page 2-8 for more information.

Access to the

System Admin Menu is restricted. It is password-protected to ensure

that only system administrators, biomeds, or other qualified service personnel can change the system-wide settings on the monitor.

Basic Operation

2-16 SureSigns VS2 Instructions for Use

Page 33

Patient Records Table

Creating a New Patient Record

This chapter describes how to save vital signs measurements to a patient record and how to work with records in the Patient Records database.

Patient/Type Date Time HR NBP SpO2 Temp

0009875433 A 06/21/09 03:20:12 65SpO2 -- / -- (--) 98 36.8

0007363627 A 06/21/09 03:16:44 64SpO2 -- / -- (--) 98 39.1

0006352516 A 06/21/09 03:12:41 72SpO2 -- / -- (--) 99 36.9

0008763842 A 06/21/09 03:08:03 60SpO2 -- / -- (--) 98 37.1

0006655321 A 06/21/09 03:00:43 80SpO2 -- / -- (--) 99 36.6

0008764332 A 06/21/09 02:55:11 56 NBP 111/60 (82) 97 37.2

0008893376 A 06/21/09 02:50:06 77SpO2 -- / -- (--) 95 37.0

ID Unknown A 06/21/09 02:44:32 78SpO2 -- / -- (--) 98 36.8

0003323876 P 06/21/09 02:40:51 75SpO2 -- / -- (--) 97 36.9

06/21/2009 03:31:00

The Patient Records table can store and display up to 100 records in chronological order. The newest record appears at the top of the list and the oldest one at the bottom of the list. If you try to enter more than 100 records, the oldest entry is deleted from the database, and the new one is added.

Each entry contains a patient ID (or patient type, date and time, and up to four measurements. The time column shows the time at which the last measurement completed. Dashes (--) in the patient record indicate invalid measurements or that the parameter was not measured.

ID Unknown if you do not enter an ID), the

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-1

Page 34

Note — If your monitor is networked, the records in the Patient Records table change from white to green after they have been exported; if the records do not change from white to green, see your system administrator for assistance.

Caution If your patient records are exported, you must enter a primary patient ID and any

additional information required by your facility.

The following table describes the Patient Records buttons, which appear to the right of the Patient Records table. These buttons change, depending on whether the topmost record is open or closed.

Button

Button Name

Delete If the record is closed, select the Delete button to delete the saved

Edit If the record is closed, select the Edit button to edit the record.

Cancel If the record is open, select the Cancel button to discard the record

Save If the record is open, select the Save button to save the open record.

Description

record.

before it is saved to the database. This button also appears in Vital Signs mode if the record is open.

This button also appears in Vital Signs mode if the record is open.

View Records

Select the and View All mode. Select View Patient mode to view all records for a specific patient. Select View All mode to view all records in the Patient Records table.

View Records button to toggle between View Patient mode

See the procedures later in this chapter for detailed information on using these buttons.

Creating a New Patient Record

3-2 SureSigns VS2 Instructions for Use

Page 35

Patient ID Overview

Your system administrator configures your SureSigns VS2 to display any or all of the following patient ID input fields in the

Patient ID Overview

New Patient Menu:

• Medical Record Number (

MRN): A unique number used to track and identify a

patient. Maximum length is 20 characters.

•

Transaction ID: Also known as a visit ID, the transaction ID is a unique number

used to track a single patient visit. Maximum length is 20 characters.

•

First Name, Middle Name, Last Name: The patient’s name. Maximum length is

15 characters for each name field.

•

Location ID: Typically, a description of the physical location of the VS2, for

example a room number. Maximum length is 12 characters.

Note — If the monitor remains in one location, your system administrator can configure a default Location ID so that you do not have to manually enter a Location ID each time you start a new patient.

•

Operator ID: The ID of the person using the VS2 to measure a patient’s vital

signs. Maximum length is 12 characters.

The available patient ID input fields can only be changed by your system administrator in the password-protected

System Admin Menu.

In this manual, the term Patient ID is used to refer to any of the patient ID types listed above.

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-3

Page 36

Saving Measurements With a Patient ID

Primary Patient ID

Your system administrator also configures a primary ID. The primary ID must be either the MRN, Transaction ID, or Location ID.

An asterisk appears next to the selected primary ID in the record with an ID, you must enter information in the selected primary ID field. If you do not enter information in the primary ID field, the record will be saved as

The primary ID has several functions:

• The selected primary ID is the ID that appears in each patient record within the Patient Records table. If your patient records contain more than one type of ID, you can expand a patient record to view all ID information by highlighting the record in the Patient Records table.

• If you are using a bar code scanner to input patient IDs, the bar code scanner enters the scanned data in the selected primary ID field (unless your bar code scanner has been programmed to read multiple patient ID fields).

Saving Measurements With a Patient ID

This section describes how to enter a new patient ID, take a set of vital signs measurements, and save the measurements to the Patient Records table.

You do not have to enter a patient ID to take a set of measurements. If you choose not to enter an ID, the text Measurements Without a Patient ID on page 3-7, for more information.

ID Unknown appears in the patient record. See Saving

New Patient Menu. To save a

ID Unknown.

For information on entering a patient ID using the bar code scanner, see Using the Bar Code Scanner on page 3-9.

To save vital signs measurements with a patient ID:

Step

1 Press the New Patient key on the front panel.

New Patient

Creating a New Patient Record

3-4 SureSigns VS2 Instructions for Use

New Patient Menu appears.

The

Page 37

Saving Measurements With a Patient ID

2 If the patient type is correct, go to the next step. To change the patient

type, rotate the wheel to highlight the

Patient Type field and press the

wheel. Rotate the wheel to select a patient type. The choices are:

•Adult

• Pediatric

•Neonatal

Press the wheel again to save the selected patient type.

3 Rotate the wheel until the primary ID field is selected and then press the

wheel. (An asterisk appears next to the primary ID field.)

A keyboard appears.

0 1 2 3 4 5 6 7 8 9

D KLMNOPQRST UVWXY Z - Back

EFGHIJ

OK Cancel

4 Rotate the wheel to select a character and press the wheel after each

selection. As characters are entered, they appear below the keyboard. Example: A113.

0 1 2 3 4 5 6 7 8 A

DEFGHI J KLMNOPQRS T UVWXYZ - Back

A113

OK Cancel

If you enter an incorrect character, use the character or use the

Cancel button to start over.

Back button to erase the

When you are done entering the primary ID, rotate the wheel to select

OK button and press the wheel.

the

5 Enter IDs in any additional patient ID fields, if required.

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-5

Page 38

Saving Measurements With a Patient ID

6 Rotate the wheel until the OK button is selected and press the wheel to

close the selected display mode.

• Vital Signs display mode: The patient ID appears at the top of the screen and the

• Patient Records display mode: A new row appears at the top of the Patient Records table. The new row contains the primary ID, if entered. The record also contains the patient type and the time and date that the record was created. The text in the new row is red and

Save button is highlighted.

the

7 Begin taking the vital signs measurements on the new patient.

8 When all measurements are complete, the values appear in the new

record.

9 Do one of the following:

New Patient Menu. The main screen returns to the previously

Save button is highlighted.

• To save the record, rotate the wheel until the

Save button is

highlighted. Press the wheel to save the new patient record. After the information is saved, the text changes from red to black.

• To discard the record, select the

Cancel button. The record is

not saved to the Patient Records table.

Note — If you do not press the

Save button or Cancel button, the

record remains open for 1 minute, 2 minutes, or 3 minutes after all measurements are complete. (The time interval is configured by your system administrator.) After the specified time elapses, the monitor automatically saves the measurements and closes the record.

Creating a New Patient Record

3-6 SureSigns VS2 Instructions for Use

Page 39

Saving Measurements Without a Patient ID

Caution Before you begin monitoring, make sure that the correct patient type is selected.

The monitor’s default alarm limits and initial cuff inflation pressures are based on the selected patient type.

This section describes how to take a set of vital signs measurements, and save the measurements to the Patient Records table, without entering a patient ID.

You do not have to enter a patient ID to take a set of measurements. If you choose not to enter an ID, the text

If you save a record with an unknown ID and then decide to assign an ID, you can edit the ID, as described in Editing a Patient Record on page 3-14.

Step

ID Unknown appears in the patient record.

1 Verify that the correct patient type (

Adult, Pediatric, or Neonatal) is

selected. (The current patient type appears in the top row of the Patient Records screen, or the top of the Vital Signs screen.)

If the patient type is correct, go to step 5. If not, go to step 2.

2 To change the patient type, press the New Patient key on

New Patient

key

3 Rotate the wheel to highlight the

the front panel.

New Patient Menu appears.

The

Patient Type field and press the

wheel. Rotate the wheel to select a patient type.

Press the wheel again to save the selected patient type.

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-7

Page 40

Saving Measurements Without a Patient ID

4 Rotate the wheel until the OK button is selected and press the wheel to

close the

New Patient Menu.

The main screen returns to the previously selected display mode.

• Vital Signs display mode: The patient ID appears at the top of the screen and the

• Patient Records display mode: A new row appears at the top of the Patient Records table. The new row contains the patient type

ID Unknown. The record also contains the time and date that

and the record was created. The text in the new row is red, and the

Save button is highlighted.

5 Begin taking the vital signs measurements on the new patient.

6 When all measurements are complete, the values appear in the new

record.

7 Do one of the following:

Save button is highlighted.

• To save the record, rotate the wheel until the

Save button is

highlighted. Press the wheel to save the new patient record. After the information is saved, the text changes from red to black.

• To discard the record, select the

Cancel button. The record is not

saved to the Patient Records table.

Note — If you do not press the

Save button or Cancel button, the

Creating a New Patient Record

3-8 SureSigns VS2 Instructions for Use

Page 41

Using the Bar Code Scanner

If you are using the optional bar code scanner to enter patient IDs, you can admit a new patient, as described in the following procedure.

Note — The bar code scanner inputs a patient ID in the selected primary ID field only, unless your bar code scanner has been programmed to read multiple patient ID fields.

Step

1 Hold the scanner over the bar code, pull the trigger, and center the

green beam on the bar code.

Note — To get a proper read, hold the scanner closer to small bar codes and farther away from large bar codes.

New Patient Menu opens and the scanned ID appears in the

The selected primary ID field.

Using the Bar Code Scanner

2 Verify that the correct patient type (

selected. If necessary, change the patient type by rotating the wheel to highlight the

Patient Type field and press the wheel. Select the

appropriate patient type and press the wheel again to save your selection.

3 Rotate the wheel until the

close the

New Patient Menu.

OK button is selected and press the wheel to

The main screen returns to the previously selected display mode.

• Vital Signs display mode: The patient ID appears at the top of the screen and the

Save button is highlighted.

SureSigns VS2 Instructions for Use 3-9

Adult, Pediatric, or Neonatal) is

Creating a New Patient Record

Page 42

Viewing Records in the Patient Records Table

4 Begin taking the vital signs measurements on the new patient.

5 When all measurements are complete, the values appear in the new

record.

6 Do one of the following:

• To save the record, rotate the wheel until the highlighted. Press the wheel to save the new patient record. After the information is saved, the text changes from red to black.

• To discard the record, select the

Cancel button. The record is not

saved to the Patient Records table.

Note — If you do not press the

Save button or Cancel button, the

Note — You can also scan a patient ID after manually opening the New Patient Menu.

Viewing Records in the Patient Records Table

The Patient Records table displays 9 records at one time. You can use the scroll bar to the right of the Patient Records table to scroll through all saved records. You can also view all records for a specific patient.

Save button is

When you scroll through the Patient Records table, the record that is currently highlighted expands to display additional patient ID information.

The View Records button in the lower right corner of the Patient Records screen toggles between two modes:

View Patient and View All. Use View Patient mode to view all

records for a specific patient. Use Records table.

Creating a New Patient Record

3-10 SureSigns VS2 Instructions for Use

View All mode to view all records in the Patient

Page 43

Viewing Records in the Patient Records Table

Note — When you highlight the View Records button, the tool tip displays the opposite mode: if you select

View Patient, the label changes to View All; likewise, if

you select View All, the label changes to View Patient.

To scroll through all of the records:

Step

1 If necessary, press the Display Mode key to show the

Display Mode

key

Patient Records table.

2 Rotate the wheel until the View Records button is highlighted and

View All mode.

select

3 Rotate the wheel until the scroll bar is highlighted.

4 Press the wheel.

The scroll bar changes from gray to red to indicate that it is active.

5 Rotate the wheel to scroll through all of the records.

When a record is highlighted, it expands to display additional patient ID information.

6 To exit scrolling mode, press the wheel.

Note — If you add a new record while scrolling mode is active, the table automatically scrolls to the top and exits scrolling mode.

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-11

Page 44

Selecting an Existing Patient ID

To view all records for a specific patient:

Step

1 If necessary, press the Display Mode key to show the

Display Mode

2 Rotate the wheel until the scroll bar is highlighted.

3 Press the wheel.

The scroll bar changes from gray to red to indicate that it is active.

4 Rotate the wheel until the desired patient ID is highlighted and press

the wheel again.

5 Rotate the wheel until the View Records button is highlighted and

select

The Patient Records table displays all records for the selected patient.

Patient Records table.

key

View Patient mode.

6 To exit this view, press the wheel again.

Selecting an Existing Patient ID

Once a patient ID has been saved to the Patient Records database, you can look up and retrieve the ID if you want to take another set of measurements on the same patient. You do not have to re-enter the ID.

Note — To save a new Patient ID, you must take an associated set of vital signs measurements and save them; if you enter a new ID, but do not save measurements under the new ID, the ID does not get saved to the database.

Creating a New Patient Record

3-12 SureSigns VS2 Instructions for Use

Page 45

Selecting an Existing Patient ID

To add a new set of measurements to an existing patient ID:

Step

1 Press the New Patient key on the front panel.

New Patient Menu appears.

New Patient

key

The

2 Rotate the wheel until the

Select Patient from List button is

highlighted and press the wheel.

The list of current patient IDs appears.

3 To sort through the list of patient IDs, select the

List Sorted By button

and press the wheel.

The list can be sorted by the primary ID, the patient’s last name, or by patient type.

4 Rotate the wheel until the header of the table of patient IDs is

highlighted and press the wheel.

5 Rotate the wheel to select a patient ID and press the wheel.

6 Rotate the wheel until the

return to the

New Patient Menu.

7 Rotate the wheel until the

close the

New Patient Menu.

OK button is selected and press the wheel to

The main screen returns to the previously selected display mode.

• Vital Signs display mode: The patient ID appears at the top of the screen and the

Save button is highlighted.

8 After taking the new set of measurements, rotate the wheel until the

Save button is highlighted. Press the wheel to save the measurements.

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-13

Page 46

Editing a Patient Record

If you saved a patient record with an incorrect patient ID or you want to change ID

Unknown

Note — Once you enter a patient ID and then exit the New Patient Menu, you can no

longer change the the selected patient type.

Note — Once a record has been exported, it can no longer be edited. Exported records appear green in the Patient Records table.

to an actual patient ID, you can edit the patient ID as follows:

Patient Type. This is because the default alarm values are based on

Step

1 If necessary, press the Display Mode key to show the

Display Mode

key

Patient Records table.

2 Rotate the wheel until the scroll bar is highlighted and press the wheel.

3 Rotate the wheel until the desired patient record is highlighted and

press the wheel again.

4 Rotate the wheel until the

the wheel.

Edit

button

Creating a New Patient Record

3-14 SureSigns VS2 Instructions for Use

Edit Patient Menu opens.

The

Edit button is highlighted and press

Page 47

Deleting Patient Records

5 Rotate the wheel to highlight the field you want to edit and press the

wheel.

A keyboard appears. The selected patient ID appears below the keyboard. Example: ICU-BED2

0 1 2 3 4 5 6 7 8 A

DEFGHI J KLMNOPQRS T UVWXY Z - Back

ICU-BED2

OK Cancel

6 Rotate the wheel until the

Press the wheel to erase the incorrect ID.

7 Enter a new ID by rotating the wheel to select each character and

pressing the wheel after each selection.

When you are done entering the new ID, rotate the wheel to select the

OK button and press the wheel.

If you are using a bar code scanner to enter patient IDs, you can re-scan the patient ID after erasing the incorrect ID.

8 If necessary, repeat steps 5 -7 to edit other patient ID fields.

9 Rotate the wheel until the

close the

Edit Patient Menu.

A message asks you to confirm the changes.

10 Rotate the wheel until the

save the changes.

Deleting Patient Records

Back button on the keyboard is highlighted.

OK button is selected and press the wheel to

Yes button is selected and press the wheel to

Use the Delete button to delete:

• One patient record

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-15

Page 48

Deleting Patient Records

• All records for a specific patient

• All records in the Patient Records database

Note — If you delete all records for a specific patient, the patient ID for the deleted patient is also removed from the Patient Records database.

The options that appear in the

Delete Records Menu depend on which View mode is

active.

View Patient mode is enabled, you can delete a specific patient record or all

• If records for the selected patient.

View All mode is enabled, you can delete a specific patient record, all records

• If for a specific patient, or all records in the Patient Records database.

Note — When you highlight the View Records button, the tool tip displays the opposite mode: if you select

View Patient, the label changes to View All; likewise, if

you select View All, the label changes to View Patient.

Deleting Specific Patient Records

To delete one patient record or all records for a specific patient:

Step

1 If necessary, press the Display Mode key to show the

Display Mode

key

Patient Records table.

2 Rotate the wheel until the scroll bar is highlighted and press the wheel.

3 Rotate the wheel until the desired patient ID is highlighted and press

the wheel again.

Creating a New Patient Record

3-16 SureSigns VS2 Instructions for Use

Page 49

Deleting Patient Records

4 Rotate the wheel until the

wheel to display all saved records for the selected patient.

5 Rotate the wheel until the

wheel.

Delete Records Menu appears. The patient ID and patient type for

The the selected patient record appear in the top of the menu.

6 Rotate the wheel to select one of the following options and press the

wheel to check the box:

Delete the selected patient record

•

• Delete all records for selected patient

7 Rotate the wheel until the OK button is highlighted and press the wheel.

A confirmation window opens.

8 Rotate the wheel to select

The patient record(s) are deleted.

Deleting All Patient Records

To delete all records in the Patient Records database:

View Patient button is highlighted. Press the

Delete button is highlighted and press the

Yes and press the wheel.

Step

1 If necessary, press the Display Mode key to show the

Display Mode

key

2 Make sure

3 Rotate the wheel until the

Patient Records table.

View All mode is enabled.

Delete button is highlighted and press the

wheel.

Delete Records Menu appears.

The

Creating a New Patient Record

SureSigns VS2 Instructions for Use 3-17

Page 50

Deleting Patient Records

4 Rotate the wheel until the Delete all records option is highlighted and

press the wheel to check the box.

5 Rotate the wheel until the

A confirmation window opens.

6 Rotate the wheel to select

All patient records are deleted.

OK button is highlighted and press the wheel.

Yes and press the wheel.

Creating a New Patient Record

3-18 SureSigns VS2 Instructions for Use

Page 51

Alarms

Alarms alert you to conditions that need immediate attention. Alarms are divided into three levels of severity:

• High — Indicates a potentially life-threatening situation. A high priority alarm requires an immediate response from the clinician.

• Medium — Also indicates a physiological condition that requires prompt attention. Medium alarms are most often triggered by an alarm limit violation.

• Low — Most low-priority alarms indicate a problem with the monitor that needs to be corrected; for example, an alarm indicating that the recorder is out of paper.

When an alarm event occurs, the monitor issues both a visual and audible alarm.

Visual Alarms

The SureSigns VS2 uses the following visual alarm indicators: flashing numeric values, alarm messages, and alarm icons.

Also, in the Patient Records table, a measurement that exceeds alarm limits is enclosed in a box.

Alarms

SureSigns VS2 Instructions for Use 4-1

Page 52

Visual Alarms

Flashing Numeric Values

When a physiological alarm occurs, the text and the background of the pane change colors and start flashing, as described in the following table.

Alarm Priority Background Colors

High Flashing red/white

Medium Flashing yellow/white

Low Blue, no flashing

If a measurement exceeds the monitor’s measurement range, a question mark (-?-) replaces the value in the numeric pane and an Out of Range message appears in the message area.

Alarm Messages

Alarm messages appear in the message pane in the bottom left side of the screen. Alarm messages use the same colors as the flashing numeric panes described above. For a complete list of alarm messages and descriptions of each message, see Appendix A, “Alarm Specifications.”

High-priority alarm messages pre-empt lower priority alarm messages. After the highpriority alarm has been resolved, the next lower priority alarm message appears. If multiple alarms of the same priority occur at the same time, the alarm messages rotate every 1.5 seconds.

Alarms

4-2 SureSigns VS2 Instructions for Use

Page 53

Alarm Icons

Alarm icons represent the current alarm status. The following table describes these icons.

Visual Alarms

Alarm Icon

Description

The alarm icon with the dashed lines indicates that an alarm has been temporarily silenced, or paused.

This icon appears when you press the Alarm Silence key once to pause all active alarms. It also appears in all numeric panes when you activate the Audio Pause mode to indicate that all alarms have been temporarily silenced for the specified pause period.

The alarm icon with the solid lines indicates that the alarm(s) have been explicitly turned off by the user and will not sound again until the user explicitly turns them on again.

This icon appears when you disable one or more alarms in the parameter menus or the

Alarm Limits Menu. It also appears in all

numeric panes when you activate the Audio Off mode.

See Silencing Alarms on page 4-13 for more information.

Alarms

SureSigns VS2 Instructions for Use 4-3

Page 54

Audible Alarms

The alarm sound and interval depend on the alarm priority. High priority alarms beep at a faster rate than the medium and low priority alarms and also sound different.

You can change the following audible alarm settings:

• Alarm volume — You can increase or decrease the alarm volume. See Adjusting the Alarm Volume on page 4-11.

• Alarm tones — The SureSigns VS2 offers two sets of alarm tones. Only authorized personnel can change the alarm tone in the password-protected

Admin Menu

• Silence alarms — You can pause alarms or silence them indefinitely. See Silencing Alarms on page 4-13.

System

Warning Never pause an audible alarm or decrease the alarm volume if this could

compromise patient safety.

Do not rely exclusively on the audible alarm system for patient monitoring. The most reliable method of patient monitoring requires correct operation of the monitor and close observation of the patient.

Alarms

4-4 SureSigns VS2 Instructions for Use

Page 55

Latched and Non-Latched Alarms

When a non-latched alarm occurs, the alarm stops when the condition that triggered the alarm ends. For example, if a cable becomes disconnected, the alarm ends when the cable is reconnected. The majority of alarms are non-latched.

On the other hand, a latched alarm continues even after the condition that caused the alarm has resolved itself. An SpO

Desat alarm occurs and the SpO2 value returns to normal, the alarm will continue

SpO

to sound to notify the clinician of the event.

The following alarms are always latched:

•SpO2 Desat

• NBP Overpressure

• Loss of Monitoring

By default, the alarms listed above are latched and all other alarms are non-latched. However, if your system administrator has enabled the option, all physiological alarms are latched and will continue to sound until you acknowledge the alarms by pressing the Alarm Silence key.

Desat alarm is an example of a latched alarm. If an

Latched and Non-Latched Alarms

Latch Physiological Alarms

Alarms

SureSigns VS2 Instructions for Use 4-5

Page 56

Changing Alarm Limits

Warning Be aware that the monitors in your care area may each have different alarm

settings, to suit different patients.

Always check that the alarm settings are appropriate for your patient before you start monitoring.

When changing alarm limits, do not use extreme alarm limit values, which will render the alarm system useless.

When you start a new patient or put the monitor in Standby mode, the monitor restores all of the alarm settings to their default values.

Note — Default values can be either factory-set default values or values set by your system administrator.

You can change the alarm limits for the current monitoring session by:

• Changing alarm limits for an individual parameter, using the parameter’s numeric pane menu. See Changing Individual Alarm Limits on page 4-7.

• Opening the place. See Changing Alarm Limits in the Alarm Limits Menu on page 4-8.

Alarm Limits Menu to change some or all of the alarm limits in one

The new alarm limits remain in effect for the current monitoring session. The alarm limits are reset to default values when you start a new patient or change the patient type.

Note — During the time that you are changing alarm limits, the alarm system will continue to operate normally.

Alarms

4-6 SureSigns VS2 Instructions for Use

Page 57

Changing Individual Alarm Limits

To change the alarm limits or disable the alarm for one parameter:

Step

1 If necessary, press the Main Screen key to show the Vital

Main Screen

key

2 Rotate the wheel until the desired numeric pane is highlighted.

3 Press the wheel to display the current values for the selected parameter.

4 Rotate the wheel until the high or low alarm limit is highlighted.

5 Press the wheel and then rotate it to increase or decrease the value.

6 Press the wheel to save the selected option.

7 To disable the audible alarm for the selected parameter, rotate the

wheel until the alarm icon is highlighted.

Signs display mode.

Changing Alarm Limits

Press the wheel until an X appears across the alarm icon. After an alarm has been disabled, an alarm icon

Alarm Disabled

Icon

appears in the numeric pane where the alarm was disabled.

Note — If your system administrator has changed the alarm disable setting in the password-protected

System Admin Menu, you cannot

disable audible alarms (the option is unavailable).

8 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

Main Screen button is selected

and press the wheel.

Alarms

SureSigns VS2 Instructions for Use 4-7

Page 58

Changing Alarm Limits

Changing Alarm Limits in the Alarm Limits Menu

To change alarm limits for one or more parameters:

Step

1 Rotate the wheel until the Alarms button on the

bottom of the screen is highlighted.

Alarms button

2 Press the wheel.

The

Alarm Limits Menu appears. Current alarm settings are displayed.

3 Rotate the wheel until a high or low alarm limit is highlighted.

4 Press the wheel and then rotate it to increase or decrease the value.

5 Press the wheel to save the selected option.

6 To disable an alarm, rotate the wheel until the alarm icon is

highlighted.

Alarm Disabled

Icon

Note — If your system administrator has changed the alarm disable setting in the password-protected disable audible alarms (the option is unavailable).

7 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

and press the wheel.

Alarms

4-8 SureSigns VS2 Instructions for Use

Press the wheel until an X appears across the alarm icon. After an alarm has been disabled, an alarm icon appears in the numeric pane where the alarm was disabled.

System Admin Menu, you cannot

Main Screen button is selected

Page 59

Setting System Alarm Options

Use the Alarm Limits Menu and Alarm Settings Menu to:

• Change alarm limit settings (see Changing Alarm Limits in the Alarm Limits

Menu on page 4-8)

• Enable print on alarm

• Show or hide alarm limits

• Adjust the alarm volume

• Restore default alarm settings

Enabling Print on Alarm

You can configure the monitor to automatically generate a printout when a physiological alarm occurs.

To enable the print on alarm feature:

Setting System Alarm Options

Step

1Open the

Settings...

Alarm Limits Menu and rotate the wheel until the More

button is highlighted.

2 Press the wheel.

Alarm Settings Menu appears.

The

3 Rotate the wheel until the

Print on Alarm checkbox is highlighted.

Alarms

SureSigns VS2 Instructions for Use 4-9

Page 60

Setting System Alarm Options

4 Press the wheel until the desired setting appears.

9 = Print on Alarm is enabled

9 = Print on Alarm is disabled

5 Rotate the wheel until the

to return to the the front panel to close the menu.

Alarm Limits Menu, or press the Main Screen key on

Return button is selected and press the wheel

Showing or Hiding Current Alarm Limits

Current high and low alarm limits are displayed in each numeric pane by default.

To change the alarm limit display:

Step

1Open the

Settings...

2 Press the wheel.

The

3 Rotate the wheel until the

highlighted.

4 Press the wheel until the desired setting appears.

Alarm Limits Menu and rotate the wheel until the More

button is highlighted.

Alarm Settings Menu appears.

Display Alarm Limits checkbox is

9 = Alarm limits display in all numeric panes

9 = Alarm limits do not display in the numeric panes

5 Rotate the wheel until the

to return to the the front panel to close the menu.

Alarms

4-10 SureSigns VS2 Instructions for Use

Return button is selected and press the wheel

Alarm Limits Menu, or press the Main Screen key on

Page 61

Adjusting the Alarm Volume

Note — Your system administrator can set a minimum alarm volume, which prevents

you from setting the volume below the specified level.

To increase or decrease the alarm volume:

Step

Setting System Alarm Options

1Open the

Settings...

Alarm Limits Menu and rotate the wheel until the More

button is highlighted.

2 Press the wheel.

Alarm Settings Menu appears.

The

3 Rotate the wheel until the

Alarm Tone Volume option is highlighted.

4 Press the wheel and then rotate the wheel to increase or decrease the

volume.

5 Press the wheel again.

The new alarm volume takes effect immediately.

6 Rotate the wheel until the

to return to the

Alarm Limits Menu, or press the Main Screen key on

Return button is selected and press the wheel

the front panel to close the menu.

Alarms

SureSigns VS2 Instructions for Use 4-11

Page 62

Setting System Alarm Options

Restoring Default Alarm Settings

Note — Default alarm settings can be either factory-set defaults or defaults set by your

system administrator in the password-protected values set by your system administrator override the factory defaults.

Alarm settings include the alarm limits, as well as the enable/disable alarm settings.

To restore the factory-set default values or the default values set by your system administrator:

Step

System Admin Menu. The default

1Open the

Settings...

Alarm Limits Menu and rotate the wheel until the More

button is highlighted.

2 Press the wheel.

Alarm Settings Menu appears.

The

3 Rotate the wheel until the

Restore Default Alarm Settings button is

highlighted.

4 Press the wheel.

A confirmation window opens.

5 Rotate the wheel to select

Yes and press the wheel.

The monitor restores all alarm settings to the default values.

6 Rotate the wheel until the

to return to the

Alarm Limits Menu, or press the Main Screen key on

Return button is selected and press the wheel

the front panel to close the menu.

Note — The system automatically restores default values when you start a new patient, change the patient type, or put the monitor in Standby mode.

Alarms

4-12 SureSigns VS2 Instructions for Use

Page 63

See Appendix A, “Alarm Specifications,” for the factory default values.

Silencing Alarms

Alarm Silence

key

Note — Measurements can be either periodic or aperiodic. Periodic measurements include SpO measurements include NBP, Heart Rate derived from NBP, and Predictive Temperature. The Alarm Silence key responds differently depending on which type of measurement is alarming.

Silencing Alarms

The following table describes how to silence audible alarms using the Alarm Silence key on the front panel of the monitor.

, Heart Rate derived from SpO2, and Monitored Temperature. Aperiodic

Press the... To...

Alarm Silence key once Pause a periodic alarm for 60 seconds. The

Alarm Silence key twice quickly. Pause an alarm for a predetermined time

Alarm Silence key for two seconds. Silence all alarms indefinitely (Audio Off

Audio Pause Mode

If you press the Alarm Silence key two times quickly, the monitor enters Audio Pause mode. All audible alarms are silenced for one of the following pre-defined time intervals: system administrator in the password-protected

30, 60, 90, 120, or 180 seconds. The time interval is configured by your

visual indicators continue to flash.

Silence an aperiodic alarm and clear all visual alarm indicators.

interval (Audio Pause mode)

mode)

System Admin Menu.

Alarms

SureSigns VS2 Instructions for Use 4-13

Page 64

Silencing Alarms

During Audio Pause mode, a white box with the “Audio Paused” message displays at the top of the main screen and a timer shows the amount of time remaining until the Audio Pause mode ends.

Audio Paused Indicator

Adult 0009875433

SYS

160

DIA

90 50

MAP

110

To end Audio Pause mode, press the Alarm Silence key.

Audio Off Mode

Note — If your system administrator has changed the audio off setting in the password-

protected System Admin Menu, the Audio Off mode is disabled.

mmHg

122

AUDIO PAUSED 1:32

SpO2%

100

bpm

120

ºC

39.0

36.0

37.1

06/21/2009 03:31:00

SpO2%

Oral

If you press and hold the Alarm Silence key for 2 seconds, the monitor enters Audio Off mode. All audible alarms are silenced until you press the Alarm Silence key again to end the Audio Off mode.

Alarms

4-14 SureSigns VS2 Instructions for Use

Page 65

Silencing Alarms

During Audio Off mode, a red box with the “Audio Off” message appears at the top of the main screen.

Audio Off Indicator

Adult 0009875433

SYS

160

mmHg

122

DIA

90 50

MAP

110

To end Audio Off mode, press the Alarm Silence key.

Acknowledging Technical Alarms

When a technical alarm occurs and you press the Alarm Silence key once, the monitor responds in one of the following ways:

SpO2%

100

bpm

120

ºC

39.0

36.0

AUDIO OFF

SpO2%

Oral

37.1

06/21/2009 03:31:00

• For some technical alarms, such as

the error message is cleared.

• For many technical alarms, such as

the alarm message will remain in the message area until the error condition is corrected.

NBP Artifact, the audible alarm is silenced and

Low Batt, the audible alarm is silenced, but

Alarms

SureSigns VS2 Instructions for Use 4-15

Page 66

Testing Alarms

Testing Al arms

To verify that the audible alarm system is working:

Step

1 Connect the NBP hose to the NBP input connector, but do not place the

2 Press the NBP key on the front panel.

cuff on your arm.

NBP key

3 Check that the

an alarm tone sounds.

NBP Timeout or NBP Loose Cuff message appears and

Alarms

4-16 SureSigns VS2 Instructions for Use

Page 67

Nurse Call System Alarms

A nurse call signal reflects the audio output of the monitor: if the monitor is sounding an alarm, the nurse call system is signaling.

If your monitor is connected to a nurse call system, note the following:

• When an audible alarm is silenced (Audio Pause or Audio Off) at the bedside unit,

the nurse call system will not alarm.

• If a user disables one or more alarms (through a specific parameter menu or the

Alarm Limits Menu) at the bedside unit, these alarms are also disabled on the

nurse call system.

Note — Your system administrator can change the alarm priority level for the nurse call signal. For example, if the priority level is set to high in the password-protected

Admin Menu

medium, both high-priority and medium-priority alarms will sound on the nurse call system.

, only high-priority alarms will sound on the nurse call system. If it is set to

Nurse Call System Alarms

System

Alarms Safety Information

Caution The monitor detects and responds almost immediately to most out-of-limits

conditions, except when averaging of the physiological signal is required to reduce unwanted noise signals. Examples of averaging include SpO measurements derived from SpO

signals.

The alarm volume should be loud enough to be heard within a room or through an open door. Set the volume based on the environment and ambient noise levels.

For visual alarms, the side-to-side viewing angle of the display is approximately +/30 degrees relative to normal viewing.

SureSigns VS2 Instructions for Use 4-17

measurements and

Alarms

Page 68

Alarms Safety Information

Alarms

4-18 SureSigns VS2 Instructions for Use

Page 69

The SureSigns VS2 uses a motion-tolerant signal processing algorithm, which produces the following SpO

• Oxygen saturation of arterial blood (SpO oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin (functional arterial oxygen saturation)

• A heart rate value — The value can be derived from the SpO

• A perfusion indicator — Indicates the quality of the SpO

Selecting an SpO2 Sensor

When selecting a sensor, consider the patient’s weight and activity level, adequacy of perfusion, availability of sensor sites, and need for sterility.

You can use two types of SpO

Monitoring SpO

measurements:

) — The percentage of

signal

sensors:

signal

• Reusable sensors can be reused on different patients.

• Disposable sensors must not be reused on different patients, however,

they can be reused or relocated on the same patient.

For more information on compatible SpO List.”

If an SpO the signal quality. If the perfusion value is low (3 bars or less) try adjusting the sensor or using a different type of sensor.

value does not seem reasonable, use the perfusion indicator to assess

sensors, see Chapter 11, “Accessories

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Connecting SpO2 Cables

Caution Do not apply the blood pressure cuff to the same extremity as the one to which an

SpO

sensor is attached because the cuff inflation disrupts SpO2 monitoring and

leads to nuisance alarms.

Connecting SpO2 Cables

Connect the sensor cable to the

input connector on the side

SpO

panel, as seen in the illustration. If the sensor uses an adapter cable, plug the sensor into the adapter cable, and the adapter cable into the SpO

input connector.

SpO2 input connector

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The SpO2 Numeric Pane

The following illustration shows the components of the SpO2 numeric pane.

The SpO2 Numeric Pane

High and low alarm limits

Changing SpO2 Settings

Use the SpO

• Change the SpO

To open the

Step

1 Rotate the wheel until the SpO

Menu to:

SpO2 Menu:

response mode

alarm limits

SpO2 %

100

SpO2 measurement

numeric pane is highlighted.

Perfusion indicator bar

2 Press the wheel.

SpO2 Menu appears. Current SpO

The

settings are displayed.

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Changing SpO2 Settings

Changing the SpO2 Response Mode

The SpO SpO

To change the SpO

Response setting determines how quickly the monitor reports changes in

values.

response mode:

Step

1Open the

SpO2 Menu and rotate the wheel until the SpO2 Response

menu item is highlighted.

2 Press the wheel and then rotate it to select one of the following options:

Slow — Use this setting when motion artifact is an issue. SpO

• changes are reported more slowly compared to the other modes.

Normal — Use this setting for most monitoring situations.

•

Fast — Use this setting for special applications (for example,

sleep studies) when you need a fast response. Do not use the Fast setting if motion artifact is an issue.

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

Main Screen button is selected

and press the wheel.

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Changing the SpO2 Alarm Limits

For information on changing the SpO2 alarm limits, see Changing Alarm Limits on page 4-6

Desaturation Alarm (Desat)

The SpO

SpO2 high limit 100%100%95%

SpO

default alarm limits are:

low limit 90% 90% 85%

Desaturation Alarm (Desat)

The Desaturation alarm is a high-priority alarm that alerts you to a potentially lifethreatening drop in oxygen saturation. The Desat alarm is not configurable; it is based on the current SpO current low limit for adults and pediatric patients and 5 less for neonates.

low alarm limit. The Desat alarm limit is fixed at 10 less than the

Adult Pediatric Neonatal

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SpO2 Safety Information

The SureSigns VS2 pulse oximeter is calibrated to indicate functional oxygen saturation.

Warning To minimize risk of damage to the monitor during defibrillation use only approved

supplies.

Never apply an SpO this can cause severe burns after prolonged application.

sensor at ambient temperatures above 35oC (95oF) because

Injected dyes, like methylene blue, or intravascular dyshemoglobins (methemoglobin and carboxyhemoglobin) can lead to inaccurate measurements.

Interference can be caused by:

• High levels of ambient light. To avoid this problem, cover the application site with opaque material.

• Electromagnetic interference.

• Excessive patient movement and vibration.

High oxygen levels can predispose a premature infant to retrolental fibroplasia. If this is a consideration, do not set the high SpO equivalent to switching the alarm off. Transcutaneous SpO2 monitoring is

alarm limit to 100%. This is

recommended for premature infants receiving supplemental oxygen.

Do not use disposable sensors on patients who have allergic reactions to the adhesive.

Do not use the monitor or SpO scanning. Induced current could potentially cause burns. The monitor may affect

sensors during magnetic resonance imaging (MRI)

the MRI image, and the MRI unit may affect the accuracy of the monitor’s measurements.

The VS2 monitor is not intended for use as a continuous SpO no technical alarms to alert the user that the sensor has been disconnected or that

monitor. There are

the pulsatile signal is lost.

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SpO2 Safety Information

Caution Use only specified sensors and cables, otherwise patient injury can result. Before

using a sensor verify that it is compatible with the monitor. For a complete list of compatible accessories, see Chapter 11, “Accessories List.”

Skin irritations or lacerations can occur if the sensor is attached to one location for too long. Inspect the application site every two to three hours to ensure skin quality and correct optical alignment. If the skin quality changes, move the sensor to another site. Change the application site at least every four hours.

Sensors are not sterile and should not be used in a sterile environment.

Do not apply the sensor too tightly as this results in venous pulsation. This can severely obstruct circulation and lead to inaccurate measurements.

Follow the sensor’s instructions for use; adhere to all warnings and cautions.

Check that the light emitter and the photo-detector are directly opposite each other. All light from the emitter must pass through the patient’s tissue.

Remove colored nail polish from the application site.

Make sure that the sensor is the appropriate size. The sensor should not fall off, nor should it be too tight.

When applying the M1193A neonatal sensor, do not overtighten the strap.

When using the M1195A infant finger sensor, select a finger or toe with a diameter of between 7 and 8 mm (0.27” and 0.31”).

If a sensor is too loose, it might compromise the optical alignment or fall off. If it is too tight — because the application site is too large or becomes too large due to edema — the excessive pressure may cause venous congestion distal, leading to interstitial edema, hypoxaemia and tissue malnutrition.

Do not use OxiCliq™ disposable sensors in a high humidity environment, such as in neonatal incubators or in the presence of fluids, which can contaminate sensor and electrical connections causing unreliable or intermittent measurements.

For neonatal patients, place all sensor connectors and adapter cable connectors outside the incubator. The humidity in the incubator can cause inaccurate measurements.

Do not place the sensor on extremities with an arterial catheter or intravascular venous infusion line.

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SpO2 Safety Information

Do not use more than one extension cable (M1941A). Do not use an extension cable with Philips reusable sensors with part numbers ending in -L (which indicates “Long” version). Do not use an extension cable with an adapter cable.

To avoid electrical interference, position the sensor cable and connector away from power cables.

To dispose of pulse oximeter equipment or components, follow local regulations regarding disposal of hospital waste.

Monitoring SpO

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The SureSigns VS2 monitor measures Systolic, Diastolic, and Mean arterial blood pressure by acquiring pressure pulses through a series of controlled deflation steps of an inflated cuff.

NBP key

Selecting an NBP Cuff

Select an NBP cuff based on the patient’s arm size. After wrapping the cuff around the patient’s arm, the index line should fall between the two range lines and the arterial marking should be over the patient’s brachial artery.

A cuff that is too loose or too tight can cause inaccurate measurements. Also, if the cuff is too loose, it may not deflate properly.

Monitoring NBP

Press the NBP key on the front panel to start an NBP measurement.

For information on compatible NBP cuffs, see Chapter 11, “Accessories List.”

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Connecting the Cuff and Hose

Connect the selected cuff to the hose and the hose to the NBP input connector, as seen in the illustration.

NBP input connector

Caution Do not compress the hose or restrict the pressure.

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NBP Numeric Panes

Two panes are used to display NBP values. One pane displays the Systolic and Diastolic values. The other pane displays the current inflation pressure while the cuff is inflating, then displays the NBP MAP value when the measurement completes.

The following illustration shows the components of the two blood pressure numeric panes.

NBP Numeric Panes

High and low alarm

limits

SYS

160

122

DIA

90 50

MAP

110

mmHg

Units of measure

Systolic value

Diastolic value

Mean value

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Changing NBP Settings

Use the Blood Pressure Menu to:

• Enable or disable the Auto Print NBP feature

• Change the NBP alarm limits

• Configure the initial inflation pressure

• Change the units of measurement

To open the

Blood Pressure Menu:

Step

1 Rotate the wheel until the blood pressure numeric pane is highlighted.

2 Press the wheel.

Blood Pressure Menu appears. Current settings are displayed.

The

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Enabling Auto Print NBP

If your monitor has a recorder, you can use the Auto Print NBP option to generate a printout each time an NBP measurement is taken.

To enable auto print:

Step

Changing NBP Settings

1Open the

Print NBP

2 Press the wheel until the desired setting appears.

Blood Pressure Menu and rotate the wheel until the Auto

checkbox is highlighted.

9 = Auto print is enabled

9 = Auto print is disabled

3 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the and press the wheel.

For more information on the monitor’s printing capabilities, see Chapter 9, “Using the Recorder.”

Main Screen button is selected

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Changing NBP Settings

Changing the NBP Alarm Limits

For information on changing NBP alarm limits, see Changing Alarm Limits on page 4-6.

The NBP default alarm limits are:

Systolic

Adult Pediatric Neonatal

High limit 160 mmHg

(21.3 kPa)

Low limit 90 mmHg

(12.0 kPa)

Diastolic

High limit 90 mmHg

(12.0 kPa)

Low limit 50 mmHg

(6.7 kPa)

Mean

High limit 110 mmHg

(14.7 kPa)

Low limit 70 mmHg

(9.3 kPa)

120 mmHg (16.0 kPa)

70 mmHg (9.3 kPa)

40 mmHg (5.3 kPa)

90 mmHg (12.0 kPa)

50 mmHg (6.7 kPa)

90 mmHg (12.0 kPa)

40 mmHg (5.3 kPa)

60 mmHg (8.0 kPa)

20 mmHg (2.7 kPa)

70 mmHg (9.3 kPa)

24 mmHg (3.2 kPa)

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Configuring the Initial Inflation Pressure

The Initial Inflation Pressure setting specifies the maximum amount that the cuff will inflate when you start a new patient. The factory default value for

Pressure

• Adult — 160 mmHg (21.3 kPa)

• Pediatric — 140 mmHg (18.7 kPa)

• Neonatal — 100 mmHg (13.3 kPa)

As the cuff inflates, the current inflation pressure appears in the NBP MAP pane. After the measurement is complete, the inflation pressure value disappears and the final MAP value appears in the pane.

To change the initial inflation pressure:

is based on the patient type:

Step

Changing NBP Settings

Initial Inflation

1Open the

Inflation Pressure menu item is highlighted.

Blood Pressure Menu and rotate the wheel until the Initial

2 Press the wheel and then rotate it to select the desired inflation

pressure. The range of values is based on the current patient type.

3 Press the wheel to save the selected value.

4 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

Main Screen button is selected

and press the wheel.

If you start a new patient, change the patient type, or put the monitor in Standby mode, the Initial Inflation Pressure reverts to the factory default value or the default value set by your system administrator. Default values can be changed in the

, which is password-protected.

System Admin

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Stopping an NBP Measurement

Note — For safety reasons, the cuff automatically deflates if:

Changing the NBP Units of Measurement

To change the blood pressure units of measurement:

Step

• The measurement time exceeds 120 seconds (90 seconds in Neonatal mode)

• The microprocessor fails

• The overpressure limit is exceeded

• Power is lost

1Open the

Pressure Units

Blood Pressure Menu and rotate the wheel until the Blood

menu item is highlighted.

2 Press the wheel and then rotate it to select one of the following options:

• mmHg

•kPa

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the and press the wheel.

Stopping an NBP Measurement

To stop a measurement in progress, press the NBP key on the front panel.

NBP key

Main Screen button is selected

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NBP Safety Information

Caution Do not reuse disposable NBP cuffs.

Warning Continual NBP measurements can cause injury to the patient being monitored.

Weigh the advantages of frequent measurement against the risk of injury.

In some cases, rapid, prolonged cycling of an NBP cuff has been associated with any or all of the following: ischemia, purpura, or neuropathy. Apply the cuff according to the directions and check the cuff site and cuffed extremity regularly when blood pressure is measured at frequent intervals or over extended periods of time.

Check the patient’s limb to assure that circulation is not constricted. Constriction of circulation is indicated by discoloration of the extremity. Check the limb at regular intervals based on the circumstances of the specific situation.

Do not place the cuff on an extremity being used for intravenous infusion or any area where circulation is compromised or has the potential to be compromised.

Do not apply the blood pressure cuff to the same extremity as the one to which an SpO

sensor is attached because the cuff inflation disrupts SpO2 monitoring and

leads to nuisance alarms.

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NBP Safety Information

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Monitoring Temperature

This chapter describes how to take a temperature measurement with the SureSigns VS2 and how to change temperature settings.

Connecting the Temperature Probe

Insert the temperature probe in the probe well. Connect the probe cable to the Temperature input connector on the temperature module, as seen in the illustration.

Temperature input

Probe well

connector

Monitoring Temperature

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The Temperature Pane

The following illustration shows the components of the Temperature numeric pane.

Units of measure Probe type

High and low

alarm limits

39.0

36.0

37.1

Oral

Temperature measurement

Taking a Temperature Measurement

Warning Use only approved probe covers. The use of unapproved probe covers or not using a

probe cover can cause inaccurate measurements and can damage the probe.

To take a temperature measurement:

Step

1 Pull the temperature probe from the probe well and firmly push the

probe into a probe cover.

A chime sounds and the Ready icon appears, indicating that you can now take a temperature

Ready icon

measurement.

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2 Verify that the correct probe site (oral, axillary, or rectal) is selected.

The probe site appears in the upper right corner of the Temperature pane.

To change the probe site, see Changing the Probe Site on page 7-6.

3 Place the probe in the appropriate site on the patient.

An hourglass appears in the numeric pane while the monitor is calculating the temperature value and a chime sounds when the temperature measurement is complete.

4 Replace the probe in the probe well and when all measurements are

complete, select the

Save button to save the patient record.

Changing Temperature Settings

Use the Temperature Menu to:

• Change the temperature mode

Changing Temperature Settings

• Change the probe type

• Change the temperature alarm limits

• Change the units of measurement

To open the

Temperature Menu:

Step

1 Rotate the wheel until the Temperature numeric pane is highlighted.

2 Press the wheel.

Temperature Menu appears. Current temperature settings are

The displayed.

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Changing Temperature Settings

Changing the Temperature Mode

The following two temperature modes are available:

Predictive mode. Use Predictive mode for most monitoring situations. In

• Predictive mode, the monitor measures the patient’s temperature for approximately 4 seconds for oral measurements and approximately 16 seconds for axillary and rectal measurements.

If the probe loses contact with the patient’s tissue at any time during the measurement, the Ready icon will reappear and the pane will not display a value until contact has been reestablished.

If the monitor cannot get a reading after 1 minute, it automatically switches to Monitored mode.

Monitored mode. In Monitored mode, the monitor measures the patient’s

• temperature continuously and displays the temperature in the numeric pane as long as the probe is in contact with the patient.

Use Monitored mode only when the situation prevents accurate predictive measurement. The monitor automatically switches to Monitored mode when measurement quality is poor or the probe has been withdrawn from the well and no measurement taken within 60 seconds.

Note — Temperature measurements taken in Monitored mode are not saved to a patient record.

Caution Do not exceed the recommended measurement periods of three minutes for oral

and rectal measurements and five minutes for axillary measurements.

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To change the temperature mode:

Step

Changing Temperature Settings

1Open the

Temperature Menu and rotate the wheel until the Mode

menu item is highlighted.

2 Press the wheel and then rotate it to select one of the following options:

•Monitored

•Predictive

3 Press the wheel to save the selected option.

If you select

Monitored mode, the Monitored Mode

icon appears in the Temperature numeric pane when

Monitored Mode

icon

you withdraw the probe from the well.

4 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

Main Screen button is selected

and press the wheel.

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Changing Temperature Settings

Changing the Probe Site

The SureSigns VS2 uses blue temperature probes for oral and axillary temperature measurements and red probes for rectal measurements. To ensure an accurate measurement, you must select the measurement site as follows:

Note — The currently selected probe site appears in the Temperature numeric pane when you pull the probe from the probe well.

Step

1Open the

Temperature Menu and rotate the wheel until the correct

probe type — red or blue —is highlighted.

2 Press the wheel and then rotate it to select a measurement site. The

choices are:

Blue Probe Site: Oral or Axillary

•

• Red Probe Site: Rectal

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

Main Screen button is selected

and press the wheel.

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Changing the Temperature Alarm Limits

For information on changing the Temperature alarm limits, see Changing Alarm Limits in the Alarm Limits Menu on page 4-8.

The Temperature default alarm limits are:

Adult Pediatric Neonatal

Changing Temperature Settings

Temperature high limit

Temperature low limit

102.2

(39

96.8oF (36oC)

102.2

(39

96.8oF (36oC)

102.2

(39

96.8oF (36oC)

If a High or Low temperature alarm occurs in Monitored mode, the alarm message and the blue background in the Temperature pane remain on the screen after you press the Alarm Silence key.

The alarm is cleared only when the patient’s temperature returns to normal or you place the temperature probe back in the probe well.

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Verifying the Temperature Accuracy

Changing the Temperature Units of Measurement

To change the temperature units of measurement:

Step

1Open the

Temperature Units menu item is highlighted.

Press the wheel and then rotate it to select one of the following options:

•

Temperature Menu and rotate the wheel until the

C (Celsius)

F (Fahrenheit)

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the and press the wheel.

Verifying the Temperature Accuracy

To understand the method for verifying the accuracy of your thermometer, it is important to understand how the thermometer works. Taking repeat temperatures in quick succession on the same patient or comparing the readings to another thermometer will not work for the following reasons:

• The thermometer is a “predictive” thermometer, which means that it uses an algorithm to predict what a patient’s temperature would be in 3 - 5 minutes.

• When the thermometer is placed in the patient site, the probe is generally cooler than the patient temperature site and the patient is generally warmer. Heat is then transferred to the probe, causing the patient’s body site to be cooled. The body site then takes approximately 20 minutes to return to the original temperature. If you repeat the temperature measurement or use a different thermometer prior to the 20-minute recovery time, the reading will likely be different.

• Different thermometers use different predictive algorithms. These algorithms are based on a sampling of patients’ temperatures at the desired quick predict time

Main Screen button is selected

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Verifying the Temperature Accuracy

versus their 3 -5 minute temperature. Therefore, comparing a SureSigns temperature reading to a reading from a different thermometer is not an effective method for testing accuracy.

If, after taking a predictive measurement on a patient, you want to verify the temperature value, follow these steps:

Step

1 Place the temperature probe back in the probe well.

2Open the

Temperature Menu and rotate the wheel until the Mode

menu item is highlighted.

3 Press the wheel and then rotate it to select

Monitored.

4 Press the wheel to save the selected option and then press the Main

Screen key on the front panel.

The Monitored Mode icon appears in the Temperature numeric pane when you withdraw the probe from the

Monitored Mode

icon

well.

5 Pull the temperature probe from the probe well and firmly push the

probe into a probe cover.

6 Place the probe in the appropriate site on the patient.

Note — The Temp Low alarm may sound for several seconds while the temperature stabilizes.

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Temperature Safety Information

7 Hold the probe in position for the following durations:

• 3 minutes for oral and rectal temperatures

• 5 minutes for axillary temperatures

This is the amount of time it takes for the probe and the patient's body site to come to thermal equilibrium (or the same temperature).

8 Before removing the probe, write down the temperature value.

(Monitored temperature values are not save to a patient record.)

Temperature Safety Information

Warning To minimize risk of damage to the monitor during defibrillation use only approved

supplies.

Use only the specified probes for your monitor.

Use disposable probe covers to limit patient cross-contamination. Probe covers are for single use only.

Do not use the thermometer if you see any signs of damage to the probe.

Disposal of probe covers must be in compliance with local and facility regulations.

Caution When replacing the temperature probe after a measurement is complete, verify

that the probe is firmly seated in the well, but do not forcefully insert the probe in the well.

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Monitoring Heart Rate

The SureSigns VS2 calculates and displays a heart rate value, which can be derived from either an SpO

Changing Heart Rate Settings

The following illustration shows the components of the Heart Rate numeric pane:

Units of measurement

or NBP measurement.

High and low alarm limits

bpm

120

Heart rate value

Use the

Heart Rate Menu to:

• Change the Heart Rate alarm limits

• Change the Heart Rate source

• Change the Heart Rate volume

SureSigns VS2 Instructions for Use 8-1

SpO

Heart Rate Source (SpO

example)

Monitoring Heart Rate

in this

Page 98

Changing Heart Rate Settings

To open the Heart Rate Menu:

Step

1 Rotate the wheel until the Heart Rate numeric pane is highlighted.

2 Press the wheel.

Heart Rate Menu appears. Current settings are displayed.

The

Changing the Heart Rate Alarm Limits

For information on changing the Heart Rate alarm limits, see Changing Alarm Limits on page 4-6.

The default alarm limits are:

Adult Pediatric Neonatal

Heart rate high limit 120 bpm 160 bpm 200 bpm

Heart rate low limit 50 bpm 75 bpm 100 bpm

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Changing the Heart Rate Source

The Heart Rate value can be derived from SpO2 or NBP. You can also select Auto as the Heart Rate Source and the monitor will search for an available source in the following order: SpO

If the selected heart rate source is NBP, note the following:

• The heart rate value derived from NBP is an averaged value.

• The displayed heart rate value is static, which means that it displays the heart rate

To change the heart rate source:

Step

and NBP.

value at the time of the last NBP measurement. To determine the time at which the heart rate was measured, see the timestamp in the Patient Records table.

Changing Heart Rate Settings

1 Open the

Heart Rate Menu and rotate the wheel until the HR Source

menu item is highlighted.

2 Press the wheel and then rotate it to select one of the following options:

•SpO

• NBP

•Auto

3 Press the wheel to save the selected option.

4Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

Main Screen button is selected

and press the wheel.

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Changing Heart Rate Settings

Adjusting the Heart Rate Volume

To increase or decrease the heart rate volume:

Step

1 Open the

Volume

Heart Rate Menu and rotate the wheel until the HR Tone

menu item is highlighted.

2 Press the wheel and then rotate the wheel to increase or decrease the

volume. You can turn the volume

Off, if desired.

3 Press the wheel again.

The new volume setting takes effect immediately.

4Press the Main Screen key on the front panel to close the menu.

Alternative: Rotate the wheel until the

Main Screen button is selected

and press the wheel.

Note — The frequency of the heart rate tone varies, depending on which heart rate source is selected: if the source is SpO

, the frequency changes, based on the SpO2

level; if it is NBP, there is no heart rate tone because the NBP measurement is static.

Monitoring Heart Rate

8-4 SureSigns VS2 Instructions for Use

Philips SureSigns VS2 User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Before You Begin

About the SureSigns VS2

Overview

Indications for Use

Intended Use

SureSigns VS2 Monitor Configurations

The Front Panel

Basic Operation

The Rear Panel

Setting up the Monitor

Powering Up

Charging the Battery

Changing the System Date and Time

On/Standby Mode

Deep Sleep Mode

Mounting

Main Screen Display

Display Modes

Tool Tips

Changing System Settings

Networked Monitors

Using the Monitor Safely

Creating a New Patient Record

Patient ID Overview

Saving Measurements With a Patient ID

Primary Patient ID

Saving Measurements Without a Patient ID

Using the Bar Code Scanner

Viewing Records in the Patient Records Table

Selecting an Existing Patient ID

Editing a Patient Record

Deleting Patient Records

Deleting Specific Patient Records

Deleting All Patient Records

Alarms

Visual Alarms

Flashing Numeric Values

Alarm Messages

Alarm Icons

Audible Alarms

Latched and Non-Latched Alarms

Changing Alarm Limits

Changing Individual Alarm Limits

Changing Alarm Limits in the Alarm Limits Menu

Setting System Alarm Options

Enabling Print on Alarm

Showing or Hiding Current Alarm Limits

Adjusting the Alarm Volume

Restoring Default Alarm Settings

Silencing Alarms

Audio Pause Mode

Audio Off Mode

Acknowledging Technical Alarms

Testing Alarms

Nurse Call System Alarms

Alarms Safety Information

Selecting an SpO2 Sensor

Connecting SpO2 Cables

The SpO2 Numeric Pane

Changing SpO2 Settings

Changing the SpO2 Response Mode

Changing the SpO2 Alarm Limits

Desaturation Alarm (Desat)

SpO2 Safety Information

Selecting an NBP Cuff

Monitoring NBP

Connecting the Cuff and Hose

NBP Numeric Panes

Changing NBP Settings

Enabling Auto Print NBP

Changing the NBP Alarm Limits

Configuring the Initial Inflation Pressure

Stopping an NBP Measurement

Changing the NBP Units of Measurement

NBP Safety Information

Monitoring Temperature