Schiller Argus VCM User manual

ARGUS VCM

English Français

Vital Compact Monitor

Patientenmonitor

Moniteur patient

Deutsch

Art. No.: 2.510558 Rev. a *2.510558*

User Guide Gebrauchsanweisung Mode d'emploi

Sales and Service information

The SCHILLER sales and service centre network is worldwide. For the address of your local distributor, contact your nearest SCHILLER subsidiary. In case of difficulty a complete list of all distributors and subsidiaries is provided on our internet site: http://www.schiller.ch

Sales information can also be obtained from:

Sales@schiller.ch

Argus VCM produced by

Mediana Co.,Ltd.

Verkaufs und Service Informationen

SCHILLER besitzt ein weltweites Netz von Kundendienst-, Verkaufs- und Beratungsstellen. Fragen Sie bei der nächsten SCHILLER-Niederlassung nach Ihrer lokalen Vertretung. Eine vollständige Liste aller Vertreter und Niederlassungen finden Sie auf unserer Internet-Site: http://www.schiller.ch

Verkaufsinformationen erhalten Sie ausserdem unter: Sales@schiller.ch

Argus VCM produziert durch

Mediana Co.,Ltd.

Informations concernant la distribution et l’entretien

SCHILLER entretient un réseau international composé de services clients, de services commerciaux et d’agences de conseil. Pour obtenir les coordonnées de votre représentant local, veuillez vous adresser à la filiale SCHILLER la plus proche de votre domicile. Vous trouverez une liste complète de tou(te)s les représentants et filiales sur notre site Internet. http://www.schiller.ch

Des informations commerciales sont également disponibles à l’adresse suivante : sales@schiller.ch

Argus VCM produit par

Mediana Co.,Ltd.

Address Headquater

SCHILLER AG Phone: +41 (0)41 766 42 42

Algasse 68 Fax: +41 (0)41 761 08 80,

CH-6341 Baar, Switzerland e-mail: sales@schiller.ch

Web: www.schiller.ch

Article Number 2.510558 Rev. a Issue Date: 2. July 2004

Headquarters : SC HILLE R AG , Altgasse 68, CH-634 1 Baar , Switz erland, Phone: +41 ( 0) 41 766 42 42 , Fa x: +41 (0) 41 761 08 80, e-mail : sale

s@sch

iller.ch

Contents

Figures Tables

Notice

This document contains proprietary information that is protected by copyright. All Rights Reserved. Reproduction, adaptation, or translation without prior written permission is prohibited, except as allowed under the copyright laws.

Warranty

The information contained in this document is subject to change without notice. Schiller 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. Schiller 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.

Revision History

The documentation part number and revision number indicate its current edition. The revision number changes when a new edition is printed in accordance with the revision history of the documentation. Minor corrections and updates which are incorporated at reprint do not cause the revision number to change. The document part number changes when extensive technical changes are incorporated.

English

ARGUS VCM Operator’s Manual i

Contents ARGUS VCM

Safety Information.................................................................................................................................... 1

General Safety Information............................................................................................................... 1

Warni ngs ..............................................................................................................................................1

Cautions............................................................................................................................................... 3

Introduction ...............................................................................................................................................5

Features for ARGUS VCM ................................................................................................................5

Intended Use for ARGUS VCM........................................................................................................ 6

About This Manual ............................................................................................................................6

Description of Controls, Indicators, Symbols and Displays............................................................ 7

Identification of Front Panel Controls and Symbols .....................................................................7

Identification of Rear Panel Components and Symbols ...............................................................8

Description of ARGUS VCM Symbols/Indicators .........................................................................9

Description of ARGUS VCM Controls ..........................................................................................13

Setting up the Monitor........................................................................................................................... 15

Unpacking and Inspection ..............................................................................................................16

List of Components.......................................................................................................................... 16

Power Cable Connections ...............................................................................................................17

Measurement Cable Connections ..................................................................................................18

Battery Operation.................................................................................................................................... 21

Operating ARGUS VCM on Battery Power.................................................................................. 21

Charging a Low Battery ..................................................................................................................22

Low Battery Indication.................................................................................................................... 22

Using the Monitor................................................................................................................................... 23

Turning on the Monitor ...................................................................................................................23

Performing Power On and Self-Test (POST)................................................................................. 24

Setting Date and Time .....................................................................................................................26

Setting Patient Type .........................................................................................................................27

Setting NIBP Units ...........................................................................................................................28

Setting Temperature Units and Modes..........................................................................................29

Setting Pulse Tone Volume..............................................................................................................30

Setting Alarm Volume ..................................................................................................................... 31

Resetting to Factory Defaults.......................................................................................................... 32

NIBP Monitoring .................................................................................................................................... 33

General............................................................................................................................................... 34

Setup Connections............................................................................................................................ 35

NIBP Measurement Modes............................................................................................................. 36

Description of NIBP Operation ......................................................................................................36

SpO2/Pulse Rate Monitoring................................................................................................................ 41

General............................................................................................................................................... 42

Setup Connections............................................................................................................................ 43

Description of Pulse Rate Operation .............................................................................................44

Description of SpO2 Operation...................................................................................................... 44

Temperature Monitoring .......................................................................................................................47

General............................................................................................................................................... 48

Setup Connections............................................................................................................................ 48

Temperature Measurement Modes................................................................................................ 49

Description of Temperature Operation .........................................................................................49

Alarms and Limits...................................................................................................................................55

General............................................................................................................................................... 55

ii ARGUS VCM Operator’s Manual

ARGUS VCM Contents

Setting Alarm Limits........................................................................................................................56

Alarm Silence ....................................................................................................................................62

Reviewing Patient Data .........................................................................................................................63

General............................................................................................................................................... 63

Displaying Stored Patient Data ......................................................................................................63

Printing Stored Patient Data (Optional Printer Installed) ..........................................................65

Erasing Patient Data......................................................................................................................... 65

Printing .....................................................................................................................................................67

General............................................................................................................................................... 67

Selecting Manual or Stream Printing type.................................................................................... 67

Printing Patient Data (Manual Mode)........................................................................................... 68

Print Out Configuration.................................................................................................................. 69

RS-232 Interface....................................................................................................................................... 71

Overview ...........................................................................................................................................71

Cable Connection ............................................................................................................................. 71

Nurse Call Interface .........................................................................................................................72

Quick Guide to Operation.....................................................................................................................73

Maintenance............................................................................................................................................. 79

General............................................................................................................................................... 79

Returning ARGUS VCM and System Components ....................................................................79

Service ................................................................................................................................................79

Periodic Safety Checks .....................................................................................................................80

Cleaning............................................................................................................................................. 80

Battery maintenance......................................................................................................................... 80

Replacement of Printer Paper......................................................................................................... 81

Troubleshooting ......................................................................................................................................83

General............................................................................................................................................... 83

Corrective Action.............................................................................................................................. 84

EMI (Electromagnetic Interference)............................................................................................... 85

Obtaining Technical Assistance...................................................................................................... 86

Factory Defaults ......................................................................................................................................87

General............................................................................................................................................... 87

Parameter Ranges and Default Settings........................................................................................ 87

Specifications........................................................................................................................................... 89

Physical.............................................................................................................................................. 89

Electrical.............................................................................................................................................89

Environmental .................................................................................................................................. 89

Measurement Parameters................................................................................................................90

Compliance........................................................................................................................................ 92

Manufacturer’s Declaration ............................................................................................................93

Figures

Figure 1. Front Panel Controls and Symbols.................................................................................................................................... 7

Figure 2. Rear Panel Components and Symbols............................................................................................................................... 8

Figure 3. AC Power Connection..................................................................................................................................................... 17

Figure 4. NIBP Cable Connections................................................................................................................................................. 18

Figure 5. SpO2 Sensor/Cable Connections..................................................................................................................................... 18

Figure 6. Temperature Probe Connections...................................................................................................................................... 19

Figure 7. ARGUS VCM Power On Self Test ................................................................................................................................. 24

Figure 8. ARGUS VCM Normal Mode Before Measurement........................................................................................................ 25

Figure 9. Date and Time Setting .................................................................................................................................................... 26

English

ARGUS VCM Operator’s Manual iii

Contents ARGUS VCM

Figure 10. Patient Type Setting...................................................................................................................................................... 27

Figure 11. NIBP Units Setting....................................................................................................................................................... 28

Figure 12. Temperature Units and Modes Setting ......................................................................................................................... 29

Figure 13. Pulse Tone Volume Setting............................................................................................................................................ 30

Figure 14. Alarm Volume Setting................................................................................................................................................... 31

Figure 15. Factory Defaults Setting ............................................................................................................................................... 32

Figure 16. NIBP Setup Connections .............................................................................................................................................. 35

Figure 17. Initial Inflation Pressure............................................................................................................................................... 36

Figure 18. Manual mode of NIBP operation................................................................................................................................... 37

Figure 19. Indication of Auto Mode Turn-Off................................................................................................................................37

Figure 20. Auto Mode Setting (i.e.) – 15 minute Period................................................................................................................ 38

Figure 21. Auto Mode of Measurement.......................................................................................................................................... 38

Figure 22. STAT Mode Setting....................................................................................................................................................... 39

Figure 23. SpO2 Setup Connections .............................................................................................................................................. 43

Figure 24. Pulse Rate Operation .................................................................................................................................................... 44

Figure 25. SpO2 Operation............................................................................................................................................................ 44

Figure 26. Temperature Setup Connections.................................................................................................................................... 48

Figure 27. Temperature – Predictive Mode..................................................................................................................................... 50

Figure 28. Temperature – Monitored Mode.................................................................................................................................... 53

Figure 29. Example display of over 43°C or under 26°C................................................................................................................ 53

Figure 30. Systolic High Alarm Limit Setting............................................................................................................................... 57

Figure 31. Systolic Low Alarm Limit Setting................................................................................................................................. 57

Figure 32. Diastolic High Alarm Limit Setting ............................................................................................................................. 58

Figure 33. Diastolic Low Alarm Limit Setting............................................................................................................................... 58

Figure 34. MAP High Alarm Limit Setting................................................................................................................................... 59

Figure 35. MAP Low Alarm Limit Setting.................................................................................................................................... 59

Figure 36. Pulse Rate High Alarm Limit Setting........................................................................................................................... 60

Figure 37. Pulse Rate Low Alarm Limit Setting............................................................................................................................ 60

Figure 38. SpO2 High Alarm Limit Setting................................................................................................................................... 61

Figure 39. SpO2 Low Alarm Limit Setting.................................................................................................................................... 61

Figure 40. Stored Patient Data Display ......................................................................................................................................... 64

Figure 41. Printing Type Setting.................................................................................................................................................... 67

Figure 42. Real-Time Printing........................................................................................................................................................ 69

Figure 43. Stored Data Printing (Batch Printing) ......................................................................................................................... 69

Figure 44. Stream Printing at Alarm Condition ............................................................................................................................ 70

Figure 45. System Information Printing ........................................................................................................................................ 70

Figure 46. RS-232 I/O connector ................................................................................................................................................... 71

Figure 47. Data Port Pin Layout.................................................................................................................................................... 71

Tab le s

Table 1. Display Symbols/Indicators................................................................................................................................................. 9

Table 2. ARGUS VCM Controls .................................................................................................................................................... 13

Table 3. Front Panel Indications in accordance with power operation............................................................................................ 21

Table 4 . Cuf f S ize ............................................................................................................................................................................ 35

Table 5. SpO2 Sensors .................................................................................................................................................................... 43

Table 6. Indication of Temperature Measurement Mode................................................................................................................. 49

Table 7. Alarm Indication............................................................................................................................................................... 55

Table 8. Range of Alarm Limits (Defaults) ..................................................................................................................................... 56

Table 9. RS-232 Serial Interface Connections................................................................................................................................. 71

Table 10. Error Codes...................................................................................................................................................................... 83

Table 11. Parameter Ranges and Factory Defaults ......................................................................................................................... 87

Table 12. Electromagnetic Emissions (IEC60601-1-2) ................................................................................................................... 93

Table 13. Electromagnetic Immunity (IEC60601-1-2) ................................................................................................................... 93

Table 14. Electromagnetic Immunity (IEC60601-1-2) ................................................................................................................... 94

Table 15. Recommended Separation Distances ............................................................................................................................... 95

Table 16. Cables (IEC60601-1-2) .................................................................................................................................................... 95

iv ARGUS VCM Operator’s Manual

Safety Information

General Safety Information

This section contains important safety information related to general use of vital signs monitor. Other important safety information appears throughout the manual in sections that relate specifically to the precautionary information. Read all precautionary

Warnings

information. this manual.

Important! Before use, carefully read this manual, accessory directions for use, all precautionary information, and specifications.

Warnings are identified by the WARNING symbol shown above.

Warnings alert you to potential serious outcomes (death, injury, or adverse events) to the patient or user.

WARNING: To avoid burns, the probe must remain in the probe holder when turning

WARNING: In the USA, do not connect to an electrical outlet controlled by a wall switch because the device may be accidentally turned off.

WARNING: Impending power loss, the monitor will automatically operate by internal battery. If in doubt about the integrity of the AC power source, the monitor must be operated from its internal battery.

WARNING: Do not disconnect a power cord before the system power completely shuts down because monitor settings may be lost at this moment.

WARNING: As with any medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation.

WARNING: ARGUS VCM is not defibrillator proof. It may remain attached to the patient during defibrillation or while an electrosurgical unit is in use, but the readings may be inaccurate during use and shortly thereafter.

WARNING: If the monitor occurs to be abnormal shutdown, the monitor’s settings are back to the factory defaults.

WARNING: You must check the equipment prior to use and ensure its safe and proper use.

WARNING: Explosion hazard. Do not use ARGUS VCM monitor in the presence of flammable anesthetics or gases. Do not operate ARGUS VCM in a hyperbaric chamber, in oxygen-enriched environments, or in any other potentially explosive environment.

ARGUS VCM vital signs monitor will be referred to as ARGUS VCM throughout

ARGUS VCM monitor on or off.

ARGUS VCM

English

ARGUS VCM Operator’s Manual 1

Safety Information ARGUS VCM

WARNING: Do not autoclave the monitor.

WARNING: Before use, carefully read sensor or probe directions for use, including all warnings, cautions, and instructions.

WARNING: Do not use damaged cuffs, sensors and other cables. Do not immerse cuffs, sensors and other cables completely in water, solvents, or cleaning solutions because the connectors are not waterproof. Do not sterilize cuffs, sensors and other cables by irradiation, steam, or ethylene oxide. Refer to each cleaning instructions in the directions for use.

WARNING: If the battery shows any signs of damage, leakage, or cracking, it must be replaced immediately, by a qualified service person, and only with a battery approved by the manufacturer.

WARNING: The monitor

used in conjunction with clinical signs and symptoms.

WARNING: The measurement of ARGUS VCM vital signs monitor can be affected by patient conditions, motions, sensors, environmental condition and electromagnetic external condition.

WARNING: It is possible that any radio frequency transmitting equipment and other sources of electrical noise such as cellular phones, due to close proximity or strength of a source, may result in disruption of performance.

WARNING: To ensure patient safety, do not place the monitor in any position that might cause it to fall on the patient.

WARNING: Disconnect ARGUS VCM and sensors during magnetic resonance imaging (MRI) scanning. Use during MRI could cause burns or adversely affect the MRI image or the monitor’s accuracy. Also, to avoid burns, remove the sensors from the patient before conducting MRI.

WARNING: During prolonged and continuous SpO2 monitoring, check the sensor site at least once every 4 hours. Inspect the patient’s skin integrity and circulation, and relocate the sensor if necessary. Tissue damage can result from improper or prolonged sensor attachment.

WARNING: Do not lift the monitor by a sensor cable or a power cord because the cable could disconnect from the monitor, causing the monitor to drop on the patient.

WARNING: ARGUS VCM may not operate effectively on patients who are experiencing convulsions or tremors.

is intended only as an adjunct in patient assessment. It must

ARGUS VCM Operator’s Manual

Cautions Cautions

Safety Information

CAUTION: Alert you to exercise care necessary for the safe and effective use of ARGUS VCM monitor. Inaccurate data may be measured if operated or stored at conditions outside the stated ranges, or subjected to excessive shock or dropping.

CAUTION: Grounding reliability can only be achieved when equipment is connected to an equivalent receptacle marked 'Hospital Only' or 'Hospital Grade'.

CAUTION: The accuracy of the monitor may degrade if the monitor is connected to secondary I/O devices when the monitor is not connected to earth reference.

CAUTION: Never place fluids on the monitor. In case of fluid spilling on the monitor, disconnect power cord, wipe clean immediately and have the monitor serviced to ensure that no hazard exists.

CAUTION: The monitor may clearly appropriate error codes when outside of the measurable range occur.

English glish

ARGUS VCM Operator’s Manual 3

Safety Information ARGUS VCM

This page is intentionally left blank.

ARGUS VCM Operator’s Manual

Introduction

Features Intended Use About This Manual

WARNING: ARGUS VCM is intended only as an adjunct in patient assessment. It must be used in conjunction with clinical signs and symptoms.

This manual contains information about ARGUS VCM vital signs monitor. ARGUS VCM monitor includes the following configuration:

Config. Features Config. Features

N Standard (NIBP + Pulse Rate) NP Standard + Printer NS Standard + SpO2 NSP Standard + SpO2 + Printer NT Standard + Temperature NTP Standard + Temperature+ Printer

NST Standard + SpO2 + Temperature NSTP Standard + SpO2 + Temperature + Printer

All information in this manual, including the illustrations, is based on a monitor configured with the Temperature, SpO2, and Printer options. If your monitor configuration lacks any of these options, then some information in this manual does not apply.

Features for ARGUS VCM

Physical

ARGUS VCM vital signs monitor is a lightweight and compact vital signs monitor measuring

130×180×278 (mm) (H×D×W) and weighing 2.7 kg. Its carrying handle is designed for instrument transport while battery-powered monitoring.

Electrical

ARGUS VCM is powered by an internal battery pack that provides 2 hours of monitoring from

fully charged batteries (typical, performance is at 25 °C, with no printing and one NIBP measurement every 15 minutes). The batteries are continuously recharged when AC power (100-240 VAC, 50-60 Hz) is connected to the monitor. Details are described in the Battery Operation section.

Display

ARGUS VCM has an FND display that shows numeric patient information as well as

alphanumeric status conditions and error codes.

Auxiliary Outputs

ARGUS VCM monitor provides RS-232 I/O port for software upgrade or nurse call system.

Refer to the RS-232 Interface section for additional information.

English

ARGUS VCM Operator’s Manual 5

Introduction ARGUS VCM

Intended Use for ARGUS VCM

The purpose and function of the Schiller invasive blood pressure (systolic, diastolic, and mean arterial pressures), functional arterial oxygen saturation, pulse rate and temperature for adult, pediatric and neonate patients in all hospital areas and hospital-type facilities. It may be used during hospital transport and in mobile, land-based environments, such as ambulances, within the specification of the environmental characteristics.

Note: Hospital use typically covers such areas as general care floors, operating rooms,

special procedure areas, intensive and critical care areas, within the hospital plus hospital-type facilities. Hospital-type facilities include physician office based facilities, sleep labs, skilled nursing facilities, surgicenters, and sub-acutecenters.

Note: Intra-hospital transport includes transport of a patient within the hospital or hospital-

type facility.

ARGUS VCM vital signs monitor is to monitor non-

About This Manual

This manual explains how to set up and use safety information relating to general use of Other important safety information is located throughout the text where applicable.

All users should read this manual thoroughly. More experienced users of be able to go to the topics for the information they require.

Read the entire manual including the Safety Information section, before you operate the monitor.

ARGUS VCM vital signs monitor. Important ARGUS VCM appears before this introduction.

ARGUS VCM will

ARGUS VCM Operator’s Manual

Description of Controls, Indicators, Symbols and Displays

Identification of Front Panel Controls and Symbols Identification of Rear Panel Controls and Symbols Description of ARGUS VCM Symbols/ Indicators Description of ARGUS VCM Controls

Identification of Front Panel Controls and Symbols Identification of Front Panel Controls and Symbols

27 26

2 4

23 22 21

English glish

8 9 10 11 12 13 14 15 16 1718 19 20

1. Blood Pressure Unit Indicators 15. %SpO2 Display

2. Systolic Blood Pressure Display 16. Mode Button

3. Patient Type Indicators 17. Pulse Amplitude Indicator

4. Diastolic Blood Pressure Display 18. Alarm Silence Indicator

5. Pulse Rate Display 19. Up/Down Selection Button

6. MAP (Mean Arterial Pressure) Display 20. Alarm silence button

7. Print Setting Indicators 21. NIBP start/stop button

8. Print Button 22. Temperature Unit/Mode Indicators

9. Alarm Button 23. Temperature Display

10. Auto Indicator 24. Power Button

11. Auto Cycle Display 25. Battery Indicator

12. Auto Button 26. Charging/AC in Indicator

13. Pulse Tone/Alarm Volume Setting Indicators 27. Time Display

14. Review Button 28. Review Indicator

Figure 1. Front Panel Controls and Symbols

ARGUS VCM Operator’s Manual 7

Description of Controls, Indicators, Symbols and Displays ARGUS VCM

Identification of Rear Panel Components and Symbols

AC IN

100-240V~,

50/60 Hz

28-38VA

3 4 5 6

1. Handle 4. Equipotential (Ground)

2. Air Ventilator 5. Battery Cover (Replacement)

3. AC Power Connector 6. RS-232 Data Interface

Figure 2. Rear Panel Components and Symbols

ARGUS VCM Operator’s Manual

ARGUS VCM Description of Controls, Indicators, Symbols and Displays

Description of ARGUS VCM Symbols/Indicators

The symbols and Indicators of

Symbols Description

ARGUS VCM are described as follows:

Table 1. Display Symbols/Indicators

Attention, consult accompanying documents.

Type BF applied part

English

Type BF – Defibrillator proof

Equipotientiality

Data interface

Review Indicator

is lit when the user select the Review button to see the patient history.

Auto Indicator is on whenever NIBP automatic timed cycles are enabled.

ARGUS VCM Operator’s Manual 9

Description of Controls, Indicators, Symbols and Displays ARGUS VCM

Symbols Description

Charging/AC in Indicator

is on whenever AC power is present from the wall (even if the monitor is off and is not under battery charging). The Charging/AC in indicator flashes while the battery is charging, and then remains illuminated once the battery is maintained with a trickle charge.

Battery Indicator

indicates the state of the battery. This indicator is on when the monitor uses battery power. This indicator will be flashing when the battery needs charging. It is not reset unless AC power cord has been plugged in for battery charging.

Alarm Silence Indicator is on continuously whenever the unit is in Alarm Silence mode.

Temperature in degrees Fahrenheit is configured to display temperature in degrees Fahrenheit.

Temperature in degrees Celsius is configured to display temperature in degrees Celsius.

Temperature in Monitor mode is configured to take temperature in the monitor mode. This indicator is off when the temperature is being taken using the predictive method.

Patient type: Adult shall be on when the Patient type is adult.

Patient type: Pediatric is on when the Patient type is pediatric.

ARGUS VCM Operator’s Manual

ARGUS VCM Description of Controls, Indicators, Symbols and Displays

Symbols Description

Patient type: Neonatal

is on when the Patient type is neonatal.

NIBP unit: mmHg is on when the NIBP unit setting is mmHg.

NIBP unit: kPa is on when the NIBP unit setting is kPa.

English

Target Pressure Setting Indicator is flashing when the NIBP target inflation pressure is under setting for NIBP measurement.

Time Indicator is on when the actual time is displayed on the time/date numeric display area. It is flashing when it is selected to set the time in the configuration mode.

Date Indicator is on when the actual date is displayed on the time/date numeric display area. It is flashing when it is selected to set the date in the configuration mode.

Manual Print Indicator is on when the print setting is the Manual Print.

Stream Print Indicator is on when the print setting is the Stream Print.

ARGUS VCM Operator’s Manual 11

Description of Controls, Indicators, Symbols and Displays ARGUS VCM

Symbols Description

Pulse Tone Volume Setting indicator

is flashing when the pulse tone volume setting is selected in the setting mode.

Alarm Volume Setting Indicator is flashing when the alarm volume setting is selected in the setting mode.

Network Indicator is flashing when the monitor is set to software upgrade mode.

ARGUS VCM Operator’s Manual

ARGUS VCM Description of Controls, Indicators, Symbols and Displays

Description of ARGUS VCM Controls

Table 2. ARGUS VCM Controls

Controls Description

Power Button

ARGUS VCM monitor on or off when pressed

turns for over 1 second.

NIBP start/stop button

initiates NIBP measurement when pressed. If the NIBP start/stop button is pressed again during the measurement, it will cancel the current reading.

Alarm Silence Button

allows you to silence a patient alarm temporarily and also is used to acknowledge (cancel) other non-patient alarms.

Up/Down Selection Buttons

allows you to select items within a particular settable feature in several different modes. If the Up or Down selection button is pressed and held, the unit will scroll through the available selections as if the button is being pressed repeatedly while the button is held in.

English

Print Button (Option)

sends the data to the printer and prints current onscreen readings if a printer is installed in the monitor. Pressing the Print button during print-out stops printing.

Review Button

allows the user to review or to erase measurement data in the memory. If pressed and held for more than 3 seconds, the monitor will erase the data.

Auto Button

puts the monitor in Auto interval selection mode, allowing the user to take automatic blood pressures at a selected increment.

ARGUS VCM Operator’s Manual 13

Description of Controls, Indicators, Symbols and Displays ARGUS VCM

Controls Description

Alarm Button

puts the monitor into Alarm Set mode, allowing the user to set alarm limits for Systolic, Diastolic, MAP, Pulse rate and SpO2.

Mode Button

puts the monitor into the Settings or Configuration mode. Once the monitor is in one of these modes, the Mode button will be used to cycle through the configuration options of the specific menu mode.

ARGUS VCM Operator’s Manual

Setting Up The Monitor

Unpacking and Inspection List of Components Power Cable Connections Measurement Cable Connections

WARNING: ARGUS VCM is a prescription device and is to be operated by qualified personnel only. ARGUS VCM is designed for use by medical clinicians. Although this document might illustrate medical monitoring techniques, the monitor must be used only by trained clinicians who know how to take and interpret a patient’s vital signs.

WARNING: In the USA, do not connect to an electrical outlet controlled by a wall switch because the device may be accidentally turned off.

WARNING: As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation.

WARNING: To ensure patient safety, do not place the monitor in any position that might cause it to fall on the patient.

WARNING: Do not lift the monitor by the sensor cables or power cord because the cable could disconnect from the monitor, causing the monitor to drop on the patient.

WARNING: Disconnect ARGUS VCM and sensors/cables during magnetic resonance imaging (MRI) scanning. Using the monitor during MRI may cause burns or adversely affect the MRI image or the monitor’s accuracy.

WARNING: To ensure accurate performance or prevent device failure do not subject ARGUS VCM to extreme moisture, such as direct exposure to rain. Such exposure may cause inaccurate performance or device failure

WARNING: Do not use ARGUS VCM vital signs monitor, SpO2 sensors, temperature probes or connectors that appear damaged.

WARNING: Discarded battery may explode during incineration. Follow local government ordinances and recycle instructions regarding disposal or recycling of device components, including batteries.

WARNING: ARGUS VCM is not defibrillator-proof. It may remain attached to the patient during defibrillation or while an electrosurgical unit is in use, but the readings may be inaccurate during the defibrillation and shortly thereafter.

WARNING: Ensure that the speaker is clear of any obstruction. Failure to do so could result in an inaudible alarm tone.

CAUTION: If ARGUS VCM is to be stored for a period of 2 months or longer, it is

recommended to notify service personnel to remove the battery from the monitor prior to storage. Recharging the battery is strongly recommended when the battery has not been

echarged for 2 or more months.

CAUTION: Recycle used batteries properly. Do not dispose of batteries in refuse containers.

English glish

ARGUS VCM Operator’s Manual 15

Setting up the Monitor ARGUS VCM

Unpacking and Inspection

ARGUS VCM vital signs monitor is shipped in one carton. Examine the carton carefully for

evidence of damage. Contact Schiller Technical Services Department immediately if any damage is discovered. Return all packing material and monitor. Refer to the Maintenance section for instructions on returning damaged items.

List of Components

Quantity Item

1 NIBP Cuff for adult (10.0 – 13.5 inch / 25.3 – 34.3 cm)

1 NIBP Cuff for pediatric (6.2 – 8.4 inch / 15.8 – 21.3 cm)

1 NIBP Hose for adult/pediatric

1 Temperature Probe with Temperature option configured

1 Temperature Probe Cover with Temperature option configured

1 SpO2 Sensor with SpO2 option configured

1 Pulse Oximetry Cable with SpO2 option configured

1 Power Cord (applicable to country of sale)

1 pack Printer Paper with Printer option configured

ARGUS VCM Vital signs monitor

ARGUS VCM Operator’s Manual

ARGUS VCM Setting up the Monitor

Power Cable Connections Power Cable Connections

WARNING: In the USA, do not connect to an electrical outlet controlled by a wall switch because the device may be accidentally turned off.

CAUTION: For the safety of patients, use only a Schiller supplied power cord. Using an

unqualified power cord can damage the monitor, and will void the product warranty. If in doubt about the integrity of the AC power source, the monitor must be operated from its internal battery.

AC Power

Ensure that the AC outlet is properly grounded and that it is the specified voltage and frequency (100-240 VAC, 50-60 Hz).

English glish

AC Power Connector

Figure 3. AC Power Connection

1. Connect the female connector end of the AC power cord to the monitor rear panel connector.

2. Plug the male connector end of the AC power cord into a properly grounded AC outlet.

3. Verify that the Charging/AC in Indicator is lit. This indicator will be flashing if the battery needs charging.

Note: If the Charging/AC in Indicator is not lit, check:

 the power cord  the AC power inlet

ARGUS VCM Operator’s Manual 17

Setting up the Monitor ARGUS VCM

Measurement Cable Connections

WARNING: Do not lift the monitor by the sensor cables, or power cord because the cable could disconnect from the monitor, causing the monitor to drop on the patient.

NIBP Hoses and Cuffs

NIBP Cuff Hose Connector

1. Select the appropriate size cuff for the patient (Refer to the NIBP Monitoring

section) and apply the cuff to the selected site.

2. Connect the hose to the right panel NIBP connector (see Figure 4).

Note: For the safety of patients, and to ensure the best product performance and accuracy,

use only a cuff and a hose provided with by Schiller Technical Services.

SpO2 Cables and Sensors

Figure 4. NIBP Cable Connections

ARGUS VCM, or a cuff and hose recommended

Note: For the safety of patients, and to ensure the best product performance and accuracy,

SpO2 Sensor/ Cable Connector

Figure 5. SpO2 Sensor/Cable Connections

1. Select an appropriate sensor for the patient and desired application.

2. Apply the sensor to the selected site.

3. Connect the sensor to the cable.

4. Connect the cable to the right panel SpO2 connector (see Figure 5).

use only Schiller provided sensor pulse oximetry cables and SpO2 sensors with

VCM

ARGUS VCM Operator’s Manual

ARGUS

ARGUS VCM Setting up the Monitor

Temperature Probes Temperature Probes

Temperature Probe

English

Temperature Probe Cover

Temperature Probe Holder

Temperature Probe Connector

glish

Figure 6. Temperature Probe Connections

1. Insert the plug into the compatible jack on the monitor right panel.

Note: For the safety of patients, and to ensure the best product performance and accuracy,

use only Schiller provided temperature probes (see Figure 6).

Note: The temperature probes are available from Schiller sales department. For the safety of

patients, and to ensure the best product performance and accuracy, use only temperature probes that have passed the recommended biocompatibility testing in compliance with ISO10993-1.

ARGUS VCM Operator’s Manual 19

Setting up the Monitor ARGUS VCM

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ARGUS VCM Operator’s Manual

Battery Operation

Operating ARGUS VCM on Battery Power Charging a Low Battery Low Battery Indication

WARNING: Dispose of Battery in accordance with local requirements and regulation. Follow local government ordinances and recycle instructions regarding disposal or recycling of batteries.

CAUTION: If ARGUS VCM is to be stored for a period of 2 months or longer, it is

recommended to notify service personnel to remove the battery from the monitor prior to storage. Recharging the battery is strongly recommended when it has not been recharged for 2 or more months.

CAUTION: Measured or displayed data may not be assured in the low battery or the critical low battery condition.

CAUTION: Discarded battery may explode during incineration. Recycle used batteries properly. Do not dispose of batteries in refuse containers.

Note: It is recommended that the monitor remain connected to AC power source when not

in use. This will ensure a fully charged battery whenever it is needed.

Note: As the battery is used and recharged over a period of time, the amount of time

between the onset of the low battery alarm and the instrument shut-off may become shorter. It is recommended for service personnel to check periodically or replace of internal battery if necessary.

Operating ARGUS VCM on Battery Power

ARGUS VCM monitor has an internal battery that can be used to power the monitor during

transport or when AC power source is not available.

Table 3. Front Panel Indications in accordance with power operation

English glish

Condition

Monitor AC Power Battery

No operation Connected Full charged ‘Charging/AC in’ on No operation Connected Charging ‘Charging/AC in’ flashing Operation Connected Full charged ‘Charging/AC in’ on Operation Connected Charging ‘Charging/AC in’ flashing Operation Disconnected Normal battery status ‘Battery’ on Operation Disconnected Low battery status ‘Battery’ flashing

ARGUS VCM

Operator’s Manual 21

Indicators

Battery Operation ARGUS VCM

The monitor cannot operate with a fully discharged battery. Before turning on ARGUS VCM which battery has been completely discharged, first plug the monitor into an AC outlet to charge the battery for a few minutes. The monitor may then be powered on.

A new, fully charged battery will provide 2 hour of monitoring time under the following conditions:

 No audible alarms sound  No serial output devices are attached to  No printing  All the monitoring parameters are active with one NIBP measurement

per 15 minutes

ARGUS VCM

Charging a Low Battery

1. Connect the monitor to AC power in order to charge a low or dead battery. (see the Setting up the Monitor section)

Note: A full charge of a dead battery takes approximately 12 hours while the monitor is

turned off.

Low Battery Indication

Battery Indicator is flashing when the remaining battery power is only enough for about 10 minutes of operation. The monitor will also sound an audible alarm. This will inhibit the monitor from taking printing. This audible alarm can be silenced by pressing the Alarm silence button. Connecting the monitor to AC power will terminate the alarm.

The monitor remaining the battery status of only about 3-minute operation will inhibit the monitor from taking NIBP inflation.

After a critical low battery alarm sounds for about 5 seconds, automatically shut down. You should connect the monitor to an AC power source to avoid

any loss of monitor settings and trend data

ARGUS VCM monitor will

ARGUS VCM Operator’s Manual

Using The Monitor

Turning on the Monitor Performing Power On and Self-Test (POST) Setting Date and Time Setting Patient Type Setting NIBP Units Setting Temperature Units and Modes Setting Pulse Tone Volume Setting Alarm Volume Resetting to Factory Defaults

WARNING: To avoid burns, the probe must remain in the probe holder when turning

ARGUS VCM monitor on or off.

WARNING: If the POST (power on self-test) of ARGUS VCM is not completed successfully, do not use the monitor.

WARNING: Ensure that the speaker is clear of any obstructions. Failure to do so could result in an inaudible alarm tone.

WARNING: ARGUS VCM is intended only as an adjunct in patient assessment. It must be used in conjunction with clinical signs and symptoms.

WARNING: Each time the monitor is used, check alarm limits to ensure that they are appropriate for the patient being monitored.

Turning on the Monitor

Before using safe to use. Proper working condition will be verified each time as described in the following procedure.

Note: Physiological conditions, medical procedures, or external agents that may interfere

with the monitor’s ability to detect and display measurements, include dysfunctional hemoglobin, arterial dyes, low perfusion, dark pigment, and externally applied coloring agents such as nail polish, dye, or pigmented cream.

Note: The parameters may be set on an individual basis, by the clinician, and these

settings will remain in effect until

ARGUS VCM, you must verify that the monitor is working properly and is

English

ARGUS VCM is turned on

ARGUS VCM is turned off.

ARGUS VCM

Operator’s Manual 23

Using the Monitor ARGUS VCM

Performing Power On and Self-Test (POST)

CAUTION: ARGUS VCM automatically starts the Power-On-Self-Test, which tests the

monitor circuitry and functions. During POST (immediately after power-up), confirm that all display segments and indicators are illuminated and the power on beep tone sounds.

CAUTION: If any indicator or display element does not light, or the speaker does not sound, do not use the monitor. Instead, contact qualified service personnel or Schiller Technical Service Department.

1. Turn on the monitor by pressing the Power button for over 1 second.

2. The monitor automatically starts the Power On Self Test (POST), which tests monitor circuitry and functions.

3. Ensure the monitor sounds the power-on beep tones, and all displays and indicators are illuminated for 3 seconds.

4. If

ARGUS VCM detects an internal problem during POST, the monitor will display an

error code. Contact qualified service personnel or Schiller Technical Services Department.

Figure 7. ARGUS VCM Power On Self Test

ARGUS VCM Operator’s Manual

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