Smiths Medical Oxi-Pulse 30 WW1030, Oxi-Pulse 30, WW1030 Home Use Operation Manual

s
WW1030
B
B
Home Use Operation Manual
®
- English
Catalog Number WW1924X1HU
Version 0, September 2009
2009 Smiths Medical family of companies. All rights reserved.
Table of Contents
Table of Contents
Chapter 1: Introduction ................................................................................... 1-1
About the Manual ..................................................................................................................................................1-1
Denitions of Words, Phrases and Symbols .................................................................................................. 1-1
Warnings .................................................................................................................................................................... 1-3
Cautions .....................................................................................................................................................................1-8
Notes ...........................................................................................................................................................................1-9
Chapter 2: Intended Use and Monitor Features .............................................2-1
Intended Use ............................................................................................................................................................ 2-1
Monitor Features ....................................................................................................................................................2-1
Chapter 3: Getting Started............................................................................... 3-1
Unpacking the Monitor ........................................................................................................................................3-1
Equipment and Supplies Checklist for Home Use ......................................................................................3-1
Home Use Caregiver - What You Should Know ............................................................................................ 3-2
Home Use Mode .....................................................................................................................................................3-3
Chapter 4: Controls and Features .................................................................... 4-1
Monitor Front View ............................................................................................................................................... 4-1
Front Display ............................................................................................................................................................ 4-2
Monitor Operating Keys ....................................................................................................................................... 4-3
Monitor Back and Bottom Panels ..................................................................................................................... 4-4
Chapter 5: Operating Instructions .................................................................. 5-1
Powering the Oximeter ........................................................................................................................................5-1
Installing the Batteries ..........................................................................................................................................5-3
External Power ........................................................................................................................................................ 5-4
AC Power ................................................................................................................................................................... 5-5
USB Power (Universal Serial Bus) ...................................................................................................................... 5-6
Turning On the Monitor .......................................................................................................................................5-7
Checking the Monitor’s Performance ............................................................................................................. 5-8
Attaching the Sensor to the Patient ................................................................................................................ 5-9
Choosing the Sensor ...........................................................................................................................................5-10
BCI® Sensors ...................................................................................................................................................5-10
Nellcor® Sensor .............................................................................................................................................5-10
Cleaning or Disinfecting the Sensors ............................................................................................................5-11
Checking the Sensor and Oximetry Cable...................................................................................................5-11
Pulse Amplitude Index .......................................................................................................................................5-12
Storing the Sensor ................................................................................................................................................5-13
Changing the Pulse Beep Volume ..................................................................................................................5-14
Home Use Operation Manual i
Table of Contents
Chapter 6: Alarms ............................................................................................. 6-1
Alarm Priorities ........................................................................................................................................................6-1
Silencing Alarm Tones .......................................................................................................................................... 6-2
High Priority Alarms............................................................................................................................................... 6-3
Medium Priority Alarm .........................................................................................................................................6-4
Low Battery ...................................................................................................................................................... 6-4
Low Priority Alarms ................................................................................................................................................ 6-5
Alarm Summary ......................................................................................................................................................6-5
Chapter 7: Optional Docking Station and Printer .......................................... 7-1
Description ............................................................................................................................................................... 7-1
Docking Station ...................................................................................................................................................... 7-2
Powering the Docking Station .................................................................................................................. 7-2
WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack ...................................................................7-3
Installing the Oximeter to the Dock ........................................................................................................ 7-3
Downloading Data to PC ............................................................................................................................7-3
Printer ......................................................................................................................................................................... 7-4
Attaching the Printer ....................................................................................................................................7-5
Loading Paper ................................................................................................................................................. 7-6
Choosing the Print Mode ........................................................................................................................... 7-7
Trend Data Condition Flags ................................................................................................................................7-8
Chapter 8: Maintenance ................................................................................... 8-1
Routine Maintenance ............................................................................................................................................ 8-1
Cleaning and Disinfecting ...................................................................................................................................8-2
Storage ....................................................................................................................................................................... 8-2
Chapter 9: Troubleshooting ............................................................................. 9-1
Correcting an Alert Condition ............................................................................................................................ 9-1
Power ..........................................................................................................................................................................9-2
Sensor ......................................................................................................................................................................... 9-3
Printer and Data Communication .....................................................................................................................9-4
Other ........................................................................................................................................................................... 9-5
Chapter 10: Optional Supplies and Accessories ........................................... 10-1
Ordering Information ..........................................................................................................................................10-2
ii Home Use Operation Manual
Table of Contents
The serial autocorrelation technology (SAC) in the monitor is covered by U.S. Patent No. 5,558,096.
BCI, Comfort Clip, Oxi-Pulse, and the Smiths design mark are trademarks of the Smiths Medical family of companies. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Oce and certain other countries. All other names and marks mentioned are the trade names, trademarks or service marks of their respective owners.
Home Use Operation Manual iii
Table of Contents
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iv Home Use Operation Manual
Chapter 1: Introduction
Chapter 1: Introduction
About the Manual
The Home-Use Instruction Book provides operation and maintenance instructions for the in home caregiver. The caregiver is assumed to be trained in oximeter use by a doctor or other health­care professional. The Home-Use Instruction Book supplements, and does not replace, training provided by a health-care professional in oximeter use.
These instructions contain important information for safe use of the product. Read the entire contents of these Instructions For Use, including Warnings and Cautions, before using the monitor. Failure to properly follow warnings, cautions and instructions could result in death or serious injury to the patient.
Denitions of Words, Phrases and Symbols
WORD/PHRASE DEFINITION
Alarm
Alert
Pulse Amplitude
Index Bar Graph
Pulse Signal
Strength Bar Graph
Caregiver The individual responsible for the care of the patient.
CPR
Oxygen A gas that is normally present in the blood.
Pulse Oximeter The monitor.
Pulse Rate The number of heart beats that the monitor detects in one minute.
Sensor The part of the monitor that is attached to the patient.
Tells you to go immediately to the patient. An alarm will sound when the patient’s blood oxygen level or pulse rate requires your attention.
Tells you to immediately check the monitor to make sure that the patient is being monitored correctly.
Used to assist the operator in locating the oximetry sensor site with the best pulse signal strength. A higher bar graph indicates a better quality site. The bottom 2 bars turn yellow to indicate that the oximeter is receiving a low signal quality from that sensor site.
The pulse signal strength bar graph “sweeps” with the patient’s pulse beat. The height of the bar graph is a logarithmic representation of the pulse signal strength.
Cardiopulmonary resuscitation: the procedure used to revive a person whose heart has stopped beating, or who is not breathing. Each caregiver must be trained in CPR.
SpO
2
SYMBOL DEFINITION
6
R
f
7
%SpO
2
p
PI
Home Use Operation Manual 1-1
Saturation of oxygen in the blood.
Caution: Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
Type BF Equipment
Attention, see instructions for use.
Refer servicing to qualied service personnel.
Percent Oxygen Saturation
Pulse Rate (beats per minute)
Pulse Amplitude Index
Chapter 1: Introduction
SYMBOL DEFINITION
Battery Charge Indicator
External Power Indicator
B
x
no
1
2
3
Alarm SILENCE (Key and Indicator)
On/O Key
Menu/Enter Key
Exit Key
Up and Down Arrow Keys
Printer LED - Real Time Printout
Printer LED - Numeric Trend Tables
Printer LED - Graphic Trend
Printer LED - Error
Printer Key - Select Print
Printer Key - Start / Stop Print
Docking Station LED - AC Power
Docking Station LED - USB Power
Docking Station LED - Charging Spare Battery
Printer icon: Parameter Alarm
7
K
1
D
E
G
0
IPX2
<
J H
Printer icon: Artifact
Printer icon: Small Pulse
Printer icon: Check Sensor
Printer icon: Searching too Long
Printer icon: Lost Pulse
Do not reuse. One use on one patient.
Moisture Sensitive
Not suitable for use in the presence of a ammable anesthetic mixture.
Output Voltage Connector
Input Voltage Connector
Direct Current
Speaker
Drip proof (monitor and dock only)
Catalog Number
Date of Manufacture
Manufacturer
@
1-2 Home Use Operation Manual
Authorized Representative in the European Community
SYMBOL DEFINITION
Disposal (EU Countries)
Under the Waste Electrical and Electronic Equipment (WEEE) Directive 2006/96/EC and implementing regulations, all devices and service items within the scope of the Directive purchased new after August 13, 2005 must be sent for recycling when ultimately becoming waste. Devices and items must not be disposed of with general waste.
Z
Collect Separately
Y
If purchased before that date, they may also be sent for recycling if being replaced on a one-for-one, like-for-like basis (this varies depending on the country). Recycling instructions to customers using Smiths Medical products are published on the internet at:
http://www.smiths-medical.com/recycle Disposal (other countries)
When disposing of this device, its batteries or any of its accessories, ensure that any negative impact on the environment is minimized. Contact your local waste disposal service and use local recycling or disposal schemes. Separate any other parts of the equipment where arrangements can be made for their recovery; either by recycling or energy recovery. The main batteries are potentially harmful and will require separate disposal according to manufacturer’s instructions or local regulations.
Note: If applicable, EU, national or local regulations concerning waste disposal must take precedence over the above advice.
Chapter 1: Introduction
KEYWORD
WARNING
CAUTION
NOTE
Something that could hurt the patient or hurt the operator.
Something that could damage the monitor.
Other important information.
DEFINITION
Warnings
WARNING! The monitor was not designed or tested to be an apnea monitor.
WARNING! The monitor does not stimulate the patient or provide therapy to the patient.
The monitor only warns the caregiver of a condition. It warns when the patient’s blood oxygen level or pulse rate matches or goes beyond the limits set by a doctor. If an alarm turns on, the caregiver must respond with appropriate therapy.
WARNING! The doctor or someone appointed by the doctor must teach each caregiver how
to use the monitor and how to respond to alarms.
WARNING! Do not change any of the monitor’s settings without a doctor’s orders.
WARNING! Each caregiver must be trained in CPR.
WARNING! Do not bathe the patient while the patient is connected to the monitor. Remove
all attachments from the patient before bathing a patient.
WARNING! Do not use this device in the presence of ammable anesthetics.
Home Use Operation Manual 1-3
Chapter 1: Introduction
WARNING! Do not use this device in the presence of magnetic resonance imaging (MR or
MRI) equipment.
WARNING! Operation of this device may be adversely aected in the presence of
conducted transients or strong electromagnetic (EM) or radiofrequency (RF) sources, such as portable and mobile RF communication equipment, electrosurgery and electrocautery equipment, x-rays, and high intensity infrared radiation.
WARNING! Operation of this device may be adversely aected in the presence of computed
tomograph (CT) equipment.
WARNING! Any monitor that has been dropped or damaged should be inspected by
qualied service personnel, prior to use, to insure proper operation.
WARNING! If the accuracy of any measurement is in question, verify the patient’s vital signs
by an alternative method, and then check the monitor for proper functioning.
WARNING! This device must be used in conjunction with clinical signs and symptoms. This
device is only intended to be an adjunct in patient assessment.
WARNING! This device is intended for use by persons trained in professional health care or
those who have access to the oversight of a professional health care provider. The operator must be thoroughly familiar with the information in this manual before using the device.
WARNING! You must be able to hear the monitor’s alarms. Whenever the patient is being
monitored, you must be close enough to hear the sound of an alarm or an alert.
WARNING! Do not sleep in the same bed as the monitored patient.
WARNING! Prolonged use or the patient’s condition may require changing the sensor site
periodically. Change sensor site and check skin integrity, circulatory status, and correct alignment at least every 4 hours.
WARNING! When attaching sensors with Microfoam® tape, do not stretch the tape or
attach the tape too tightly. Tape applied too tightly may cause inaccurate readings and blisters on the patient’s skin (lack of skin respiration, not heat, causes the blisters).
WARNING! Use only SpO2 sensors supplied with, or specically intended for use with, this
device.
WARNING! Incorrectly applied sensors may give inaccurate readings. f Refer to the
sensor insert for proper application instructions.
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in liquid. This
may cause damage to the sensor which may cause inaccurate readings.
WARNING! Unplug the sensor from the oximeter before cleaning or disinfecting to prevent
damaging the sensor or monitor, and to prevent user safety hazards.
1-4 Home Use Operation Manual
Chapter 1: Introduction
WARNING! Measurements made at sites with low perfusion are potentially inaccurate.
Always use measurements in conjunction with other clinical signs and symptoms.
WARNING! SpO2 measurements may be adversely aected in the presence of high ambient
light. Shield the sensor area (with a surgical towel, for example) if necessary.
WARNING! Dyes introduced into the bloodstream, such as methylene blue, indocyanine
green, indigo carmine, uorescein, and patent blue V (PBV) may adversely aect the accuracy of the SpO2 reading.
WARNING! Any condition that restricts blood ow, such as use of a blood pressure cu or
extremes in systemic vascular resistance, may cause an inability to determine accurate pulse rate and SpO2 readings.
WARNING! Optical cross-talk can occur when two or more sensors are placed in close
proximity. It can be eliminated by covering each site with an opaque material.
WARNING! Remove ngernail polish or false ngernails before applying SpO2 sensors.
Fingernail polish or false ngernails may cause inaccurate SpO2 readings.
WARNING! Signicant levels of dysfunctional hemoglobins, such as carboxyhemoglobin
(with CO-poisoning) or methemoglobin (with sulfonamide therapy), will aect the accuracy of the SpO2 measurement.
WARNING! Tissue damage may result from overexposure to sensor light during
photodynamic therapy with agents such as verteporphin, pormer sodium, and metatetrahydroxyphenylchlorin (mTHPC). Change the sensor site at least every hour and observe for signs of tissue damage. More frequent sensor site changes/inspections may be indicated depending upon the photodynamic agent used, agent dose, skin condition, total exposure time or other factors. Use multiple sensor sites.
WARNING! When connecting this monitor to any instrument, verify proper operation
before clinical use. Refer to the instrument’s user manual for full instructions. Accessory equipment connected to the monitor’s data interface must be certied according to the respective IEC standards, i.e., IEC 60950 for data processing equipment or IEC 60601-1 for electromedical equipment. All combinations of equipment must be in compliance with IEC 60601-1-1 systems requirements. Anyone connecting additional equipment to the signal input port or the signal output port congures a medical system, and therefore is responsible that the system complies with the requirements of the system standard IEC 60601-1-1.
Home Use Operation Manual 1-5
Chapter 1: Introduction
R 1.5 m (4.9 ft.)
WARNING! IEC 60950 approved equipment must be placed outside the “patient
environment.” The patient environment is dened as an area 1.5 m (4.92 feet) from the patient.
Figure 1-1: Patient Environment
WARNING! The oximeter will not operate without batteries installed. Properly charged
batteries provide a reserve source of power in case of external power failure. Never use an oximeter with discharged batteries to monitor a patient.
WARNING! Inspect battery terminals for corrosion or contamination. The monitor may
not operate properly or could fail to alarm if battery terminals are corroded or contaminated. Do not use until battery terminals have been properly cleaned and repaired.
WARNING! Check expiration date of batteries. The monitor may not operate properly
or could fail to alarm if expired batteries are used. Do not use until proper batteries can be obtained.
WARNING! Remove device batteries prior to long term storage.
WARNING! Do not allow the patient to handle the device if the battery door has been
removed, except while installing new batteries.
WARNING! Disconnect the external power supply from the monitor or Docking Station
before disinfecting or cleaning the monitor.
WARNING! Do not plug the monitor or Docking Station into an outlet controlled by a wall
switch.
WARNING! Disconnect the AC power supply from the outlet before disconnecting it from
the monitor. Leaving the AC power supply connected to an AC power outlet without being connected to the monitor may result in a safety hazard.
WARNING! Do not allow any moisture to contact the AC power supply connectors or
a safety hazard may result. Ensure that hands are thoroughly dry before handling the AC power supply.
WARNING! Do not place the monitor or Docking Station in the patient’s bed or crib. Do not
place the monitor or Docking Station on the oor.
WARNING! Failure to place the monitor or Docking Station away from the patient may
allow the patient to turn o, reset, or damage the monitor, possibly resulting in the patient not being monitored. Make sure the patient cannot reach the monitor from their bed or crib.
1-6 Home Use Operation Manual
Chapter 1: Introduction
WARNING! Keep children and pets away from the monitor, the wall mount charger and the
monitored patient.
WARNING! Failure to carefully route the cable from the sensor to the monitor may allow
the patient to become entangled in the cable, possibly resulting in patient strangulation. Route the cable in a way that will prevent the patient from becoming entangled in the cable. If necessary, use tape to secure the cable.
WARNING! Do not place the monitor on or near a television set, telephone, air conditioner,
humidier, dehumidier, or any other electrical appliance. (The monitor may be placed next to a lamp.)
WARNING! If there is a risk of the AC power supply becoming disconnected from the
monitor during use, secure the cord to the monitor several inches from the connection.
WARNING! Ensure the device’s AC rating is correct for the AC voltage at your installation
site before using this monitor. The monitor’s AC rating is shown on the external power supply. If the rating is not correct, do not use the monitor. Contact the Smiths Medical PM, Inc. service department, or your authorized service representative, for help.
WARNING! Use only the power supply included with your monitor, or approved by Smiths
Medical PM, Inc. Use of an inappropriate power supply may cause a patient shock hazard or cause the oximeter to stop monitoring. See Chapter 10: Optional Supplies & Accessories, for additional specic information.
WARNING! The Docking Station must have a Printer or Printer Port Cover installed. Failure
to do so may cause a risk of electrical shock to the patient or operator or risk damage to the equipment.
WARNING! Under certain clinical conditions, pulse oximeters may display dashes if
unable to display SpO2 and/or pulse rate values. Under these conditions, pulse oximeters may also display erroneous values. These conditions include, but are not limited to: patient motion, low perfusion, cardiac arrhythmias, high or low pulse rates or a combination of the above conditions. Failure of the clinician to recognize the eects of these conditions on pulse oximeter readings may result in patient injury.
WARNING! Verify that all LEDs (light emitting diodes) on the display light up upon startup
of the device.
WARNING! Verify that the monitor sounds a short tone upon startup of the device. If no
tone is heard, the speaker may be damaged. Do not use to monitor patients until the monitor has been repaired. See Turning on the Monitor in Chapter 5: Operating Instructions.
Home Use Operation Manual 1-7
Chapter 1: Introduction
Cautions
CAUTION! Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
CAUTION! 7 Do not disassemble unit, not user serviceable. Refer to qualied service
personnel.
CAUTION! Failure to charge the monitor while the monitor is in long term storage may
shorten the battery life. Charge the monitor while it is in storage to ensure the longest battery life.
CAUTION! Due to limitations of the Li-Ion chemistry, the rechargeable battery pack
should not be charged at ambient temperatures above 45 °C (113 °F) or below 5 °C (41 °F).
CAUTION! The WW1090 rechargeable battery pack is shipped with only 30% of full charge.
The battery pack must be charged completely before use.
CAUTION! The WW1090 rechargeable battery pack utilizes Li-Ion secondary cells. Dispose
of spent batteries in compliance with your institution’s guidelines and local ordinances.
CAUTION! Observe proper battery polarity (direction) when replacing batteries.
CAUTION! Do not allow water or any other liquid to spill onto the monitor or Docking
Station. Do not autoclave, ethylene oxide sterilize, or immerse the monitor or Docking Station in liquid. Evidence that liquid has been allowed to enter the monitor or Docking Station voids the warranty.
CAUTION! Where the equipment has accidentally gotten wet, it should be wiped dry
externally and allowed to dry thoroughly before use.
CAUTION! Before cleaning or disinfecting the printer, unplug the AC adapter, remove the
batteries and remove the paper.
CAUTION! Do not allow printer paper to become wet. If the printer paper gets wet remove
the paper immediately. Do not use the printer until the paper is replaced.
CAUTION! Chemicals used in some cleaning agents may cause brittleness of plastic parts.
Follow cleaning instructions in this manual.
CAUTION! Cleaning with disinfectants, including alcohol, may shorten the life of the plastic
or electronic parts; but appropriate disinfection must still be performed.
CAUTION! Pressing any key with sharp or pointed instruments may permanently damage
the keypad. Only press keys with your nger.
1-8 Home Use Operation Manual
Chapter 1: Introduction
Notes
NOTE! The WW1090 rechargeable battery pack utilizes circuitry that optimizes the
charging of the batteries. New packs will require multiple charge / discharge learning cycles before optimum performance is obtained.
NOTE! “SpO2 averaging” means the number of pulse beats over which the SpO2 value is
averaged; “pulse averaging” means the number of seconds over which the pulse value is averaged.
NOTE! Increasing or decreasing the averaging setting has no eect on the data update
rate.
NOTE! Alarm limits are retained through power cycles, with the exception of the following
note.
NOTE! If the low SpO2 limit is set to less than 85% it will be reset to 85% when the monitor
is next powered on. The high SpO2 limit will be adjusted to 86% if it is 85% or less.
NOTE! If the alarm volume is set to a value less than 8 at power down, it will be reset to 8
when the monitor is next powered on.
NOTE! A Patient Simulator does not calibrate the monitor. The monitor does not require
calibration. A Patient Simulator provides a known SpO2 value and pulse rate to the monitor that allows the monitor’s performance to be checked.
NOTE! A Patient Simulator cannot be used to assess the accuracy of a pulse oximeter
and/or sensor.
Home Use Operation Manual 1-9
Chapter 1: Introduction
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1-10 Home Use Operation Manual
Chapter 2: Intended Use and Monitor Features
Chapter 2: Intended Use and Monitor Features
Intended Use
The WW1030 pulse oximeter is intended to be used for continuous monitoring of a patient’s functional oxygen saturation (%SpO2), pulse rate ( amplitude Index (PI) readings. It is equipped with audible and visual alarms. It may be used by physicians, respiratory therapists, nurses, certied nurse assistants, emergency medical technicians, sleep technicians, clinicians, and home users. The intended patient population ranges from neonatal to adult. It can be used on patients with low perfusion or during patient motion. The WW1030 may be used in the hospital or clinical environment, during emergency land transport and in the home.
WARNING! The monitor was not designed or tested to be an apnea monitor.
Monitor Features
), pulse signal strength, and Pulse
p
Provides fast, reliable SpO• patient, from neonate to adult.
Maintains accurate readings during periods of patient motion and when monitoring • patients with low perfusion.
Ideally suited for use in hospitals, outpatient clinics, emergency rooms, during emergency • land transport, in sleep labs, or in-home use.
Portable and lightweight. Weighs only 330 grams (12 ounces) with 4 “AA” batteries.•
On-board sensor storage cradle holds the nger sensor when not in use.•
Power options include four (4) standard “AA” (type IEC LR6) alkaline batteries, a • rechargeable Lithium Ion battery pack, USB power, or an AC power adapter.
Rechargeable battery life is approximately thirty (30) hours. (new battery)•
An easy to read battery gauge indicates the charge level and provides a low battery alert.•
Large, bright, easy-to-read LED display indicates SpO•
2 Nine-segment LED bar graphs indicate pulse signal strength and Pulse amplitude Index.•
An audible “beep” sounds with each pulse beat. The volume can be adjusted or turned o. • The pitch of the pulse “beep” corresponds to SpO2 value.
The alarm indicator on top of the oximeter lights up to communicate patient alarm • information.
, pulse rate, and pulse signal strength measurements on any
2
and pulse rate measurements.
2
Optional docking station transforms the device into a table top pulse oximeter, and can • also be used to recharge the monitor’s lithium Ion battery pack, and a spare battery pack.
Optional printer allows for printing of trend information or real time data logs.•
Home Use Operation Manual 2-1
Chapter 2: Intended Use and Monitor Features
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2-2 Home Use Operation Manual
Chapter 3: Getting Started
Chapter 3: Getting Started
Unpacking the Monitor
The following items are shipped with the WW1030 oximeter:
Three (3) sensor cradles (WW1080)•
Sensor extension cable (3311)•
Oximetry Sensor•
Four (4) “AA” (LR6) alkaline batteries•
Operation manual•
Service manual (on CD)•
Carefully remove the monitor and its accessories from the shipping carton. Save the packing materials in case the monitor must be shipped or stored. Compare the packing list with the supplies and equipment received.
Equipment and Supplies Checklist for Home Use
Provide the following to the home use caregiver:
QUANTITY CAT. NO. DESCRIPTION
1 WW1030 Oximeter with AA batteries
1 WW1095 Universal AC mains adapter - 30W
1 WW1025 Docking Station (optional)
1 WW1090 Li-Ion rechargeable battery pack
(optional)
1 3311 Oximeter Cable 1.5 m (5 feet)
* * Oximetry Sensor
* * Oximetry Sensor Attachments
1 WW1924HU WW1030 Home Use Manual
* Note: The doctor will prescribe the type and quantity of the sensors needed for home-
use. Be sure that the proper type and quantity of sensor attachments are also prescribed.
The home use caregiver will also need these supplies and reference materials:
QUANTITY DESCRIPTION
1 Scissors (for trimming adhesive strips or adhesive tape).
* Appropriate disinfectant and a soft, clean cloth (or alcohol wipes) for
disinfecting monitor, accessories and reusable sensor.
1 Written instructions on how to respond to the monitor’s alarms.
1 Emergency phone numbers for the doctor.
1 Emergency phone number for the hospital emergency room.
1 Phone number for equipment supplier.
Quantity prescribed by doctor
*
Home Use Operation Manual 3-1
Chapter 3: Getting Started
Home Use Caregiver - What You Should Know
You (the home use caregiver) must be trained in CPR. Make sure the monitor’s alarm limits and other settings are properly adjusted. Conrm that the monitor is in the Home Mode. Follow the guide below and be sure you know how to do all of the following.
WARNING! The monitor was not designed or tested to be an apnea monitor.
Connect the AC Power Supply to a wall outlet.•
Make sure the AC Power Supply outlet is not controlled by a wall switch.•
Connect AC Power Supply to the docking station or oximeter.•
Make sure the monitor’s POWER indicator is lit.•
Visually inspect the sensor and oximetry cable.•
Connect the sensor to the oximetry cable.•
Connect the oximetry cable to the monitor.•
Turn on the monitor.•
Perform a pre-use check: Verify all display LEDs turn on and the monitor beeps at power • up.
Route the cable safely from the patient to the monitor to prevent possible patient • strangulation.
Attach the sensor(s) prescribed by the doctor.•
Measure the SpO•
Turn o the alarm and alert tones for two minutes.•
Turn on the alarm and alert tones.•
Interpret the alarms.•
View the alarm limits. •
Interpret the alerts.•
Interpret the Low Battery Signal.•
Turn o the monitor if appropriate.•
You should know how to respond:
In case of a patient emergency, including what therapy to provide the patient.•
In case an alarm sounds, including what therapy to provide the patient. •
In case the alert sounds. •
, pulse rate, PI and pulse strength bar graph readings.
2
In case the Low Battery Signal sounds. •
In case you have trouble operating the equipment.•
3-2 Home Use Operation Manual
Chapter 3: Getting Started
Home Use Mode
WARNING! This device is intended for use by persons trained in professional health care or
those who have access to the oversight of a professional health care provider. The operator must be thoroughly familiar with the information in this manual before using the device.
While the monitor is in Home Mode:
The Alarm Menu settings, including alarm limits and alarm volume, may be viewed, but • changes cannot be made.
The Clinician Menu is not accessible.•
The Setup Menu is not accessible.•
Trends cannot be cleared.•
Averaging remains in the previously set state.•
Patient record number advancement is disabled.•
Trend data is identical to Clinician Mode, but is collected for one patient only.•
All other functions of the monitor work as in Clinician Mode.•
Home Use Operation Manual 3-3
Chapter 3: Getting Started
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3-4 Home Use Operation Manual
B
Chapter 4: Controls and Features
Chapter 4: Controls and Features
Monitor Front View
1
2
3
4
Figure 4-1: Monitor Front View
1
Display
The display shows the measurements for SpO2 and Pulse Rate. It also shows a pulse signal strength indicator, a Pulse amplitude Index indicator and indicators for alarm silence, AC power and battery charge level.
2
Alarm Indicator
The alarm indicator lights yellow during low priority conditions, ashes yellow during medium priority conditions and ashes red during high priority conditions.
3
Keys
The keys located on the front panel control the monitor’s functions. The ON/OFF key is located on the side panel.
WARNING! Pressing front panel keys with sharp or pointed instruments may permanently
damage the keypad. Press front panel keys only with your nger.
4
Speaker
Do not block speaker grill.
Home Use Operation Manual 4-1
Chapter 4: Controls and Features
Front Display
4
3
2
1
Figure 4-2: Front Display
1
Alarm Silence Indicator (B ) - amber
This indicator lights during alarm silence.
Pulse Amplitude Index Bar Graph - green/yellow
2
The Pulse amplitude Index bar graph is used to assist the operator in locating the oximetry sensor site with the best pulse signal strength. A higher bar graph indicates a better quality site. The bottom 2 bars turn yellow to indicate that the oximeter is receiving a low signal quality from that sensor site.
5
6
7
3
External Power Indicator (X ) - green
This indicator is lit when the device is receiving power from the AC adapter or USB cable.
4
Pulse Signal Strength Bar Graph - red
The pulse signal strength bar graph “sweeps” with the patient’s pulse beat. The height of the bar graph is a logarithmic representation of the pulse signal strength.
5
Battery Charge Indicator - green (yellow if low)
The battery charge indicator shows the current state of charge of the installed battery. LED segments will disappear as the battery becomes weaker. When only one LED is lit and ashing yellow, the batteries will expire within minutes; replace the batteries.
NOTE! This indicator is OFF if AA batteries are installed and X is illuminated.
6
SpO2 Numeric Display - red
A number shows the patient’s functional oxygen saturation value in percent. Dashes (--) indicate the monitor is not able to calculate the SpO2 value.
7
Pulse Rate Numeric Display - red
A number shows the patient’s pulse rate value in beats per minute. Dashes (---) indicate the monitor is not able to calculate the pulse rate value.
4-2 Home Use Operation Manual
Monitor Operating Keys
B
Chapter 4: Controls and Features
5
2
1
4
Figure 4-3: Monitor Operating Keys
1
Alarm Silence
B
Use this key to silence the alarms and to cancel the alarm silence.
2
Menu / Enter Key
Press this key to enter the menu system, and to advance to the next menu selection.
3
4
Cancel / Exit Key
Press this key to exit the menu system.
Up and o Down Arrows
n
Use the up and down arrow keys to adjust pulse beep volume during normal operation. In a menu, use these keys to adjust the selection.
3
5
ON/OFF Key
x
Momentarily press this key when the device is OFF to turn the monitor ON. Press and hold the Exit ( ) key while pressing the On/OFF key to turn the monitor o.
Home Use Operation Manual 4-3
Chapter 4: Controls and Features
Monitor Back and Bottom Panels
1
Figure 4-4: Monitor Back and Bottom Panels
1
Sensor / RS232 Connector
The sensor or an extension cable attaches here. With the sensor removed, trend data can be downloaded from this connector using an RS232 serial interface cable.
Sensor Storage Slot
2
Reusable BCI® sensors can be securely stored here when not in use by using a WW1080 Sensor Cradle.
2
3
4
3
Battery Compartment
This compartment holds the disposable batteries or the rechargeable battery pack.
4
Data Input/Output or Power Input Connector
This connector can accept the AC power adapter or the USB cable. The docking station uses this connector for both power and data.
4-4 Home Use Operation Manual
Chapter 5: Operating Instructions
Chapter 5: Operating Instructions
Powering the Oximeter
The WW1030 oximeter will operate from battery power or from external power with battery back up. The optional WW1095 (30 Watt) AC power supply may be used to provide power to the oximeter. The AC power supply is required when utilizing the docking station to ensure the proper operation of the docking station with all accessories, including auxiliary battery charger and optional printer.
WARNING! The WW1030 will not operate without batteries installed. Properly charged
batteries provide a reserve source of power in case of external power failure. Never use an oximeter with discharged batteries to monitor a patient, as the monitor may not operate properly or may fail to alarm in the case of external power failure.
The WW1030 oximeter can obtain external power in the following ways:
The oximeter can be placed in its docking station. See • Chapter 7: Optional Docking Station and Printer.
The AC power supply can be plugged directly into the oximeter. See Figure 5-3.•
The AC power supply can be plugged into the WW1089 USB Interface cable (Figure 5-4): •
The oximeter can be powered by a PC through the USB Interface cable (Figure 5-5).•
Home Use Operation Manual 5-1
Chapter 5: Operating Instructions
After connecting to power, verify that the External Power Indicator is lit.
External Power Indicator
Figure 5-1: External Power/Charge Indicators
Battery Charge Indicator
If an AC source is present, the oximeter will draw power from it rst. While the oximeter is operating from an AC source, the External Power Indicator ( ) will illuminate.
If there is enough power, the WW1090 Lithium-Ion (LI+) rechargeable battery pack will also charge, if installed. The battery charge indicator ( ) will display segments showing the charge level. As the battery charges, more green segments will light, until all four are lit.
NOTE: The AC Power supply does NOT charge “AA” (LR6) alkaline batteries.
If no external power source is available, the oximeter will draw battery power. When the battery charge is low enough, the Battery Indicator shows one yellow segment. When the battery has less than approximately 30 minutes of charge left, that segment will ash, and the low battery alert will sound. See the Low Battery Signal section in Chapter 6: Alarms.
If no AC source is available, the oximeter will operate from an external USB source only when attached to a WW1089 USB Interface Cable and energized USB connection. In this case, the external power indicator lights. If enough power is available, the optional WW1090 Lithium-Ion (Li+) rechargeable battery pack will trickle charge.
5-2 Home Use Operation Manual
Chapter 5: Operating Instructions
+
+
+
+
Installing the Batteries
The oximeter uses four (4) standard “AA” alkaline, IEC Type LR6, cells (Figure 5-2A) or a custom rechargeable Lithium-Ion (Li+) battery pack (WW1090 - Figure 5-2B).
WARNING! Inspect battery terminals for corrosion or contamination. The monitor may
not operate properly or could fail to alarm if battery terminals are corroded or contaminated. Do not use until battery terminals have been properly cleaned and repaired.
WARNING! Check the expiration date for the batteries. The monitor may not operate
properly or could fail to alarm if expired batteries are used. Do not use until proper batteries can be obtained.
WARNING! Remove the batteries prior to long term storage.
WARNING! Do not allow the patient to handle the device if the battery door has been
removed, except while installing new batteries.
Rechargeable Battery Pack
Batteries
Battery Door
Battery Door
Figure 5-2A: AA (LR6) Alkaline Battery Placement
To install/replace the batteries:
Figure 5-2B: Rechargeable Lithium-Ion Battery Pack
Depress the battery door tab near the center of the oximeter and slide the cover off toward 1. the bottom of the monitor.
2a. If using “AA” (LR6) alkaline batteries: Install the negative end of each battery rst,
compressing the battery terminal spring until the positive terminal clears the positive tab. Press the battery down into place.
NOTE: Dispose of spent batteries in compliance with your institution’s guidelines and local
ordinances.
2b. If using WW1090 Li-Ion (Li+) rechargeable battery pack: Align the battery pack so that the
metal connectors line up with the connectors in the WW1030 battery compartment. Push the WW1090 Lithium-Ion (Li+) rechargeable battery pack straight in to place.
Replace the battery door by sliding the cover back until the latch clicks.3.
Home Use Operation Manual 5-3
Chapter 5: Operating Instructions
CAUTION! Due to limitations of the Li-Ion chemistry, the rechargeable battery pack
should not be charged at ambient temperatures above 45 °C (113 °F) or below 5 °C (41 °F).
CAUTION! The WW1090 rechargeable battery pack is shipped with only 30% of full charge.
The battery pack must be charged completely before use.
CAUTION! The WW1090 rechargeable battery pack utilizes Li-Ion secondary cells. Dispose
of spent batteries in compliance with your institution’s guidelines and local ordinances.
NOTE! The WW1090 rechargeable battery pack utilizes circuitry that optimizes the
charging of the batteries. New packs will require multiple charge / discharge learning cycles before optimum performance is obtained.
NOTE! The rechargeable battery can be charged in the oximeter or in the spare bay of the
WW1025 Docking Station. The WW1095 AC power supply is required for charging, and can be used with both the oximeter and the Docking Station.
External Power
WARNING! Disconnect the external power supply from the monitor before disinfecting or
cleaning the monitor.
WARNING! Do not plug the monitor into an outlet controlled by a wall switch.
WARNING! Do not allow any moisture to contact the AC power supply connectors, or a
safety hazard may result. Ensure that hands are thoroughly dry before handling the AC power supply.
WARNING! Do not place the monitor in the patient’s bed or crib. Do not place the monitor
on the oor.
WARNING! Failure to place the monitor away from the patient may allow the patient to
turn o, reset, or damage the monitor, possibly resulting in the patient not being monitored. Make sure the patient cannot reach the monitor from their bed or crib.
WARNING! Failure to carefully route the cable from the sensor to the monitor may allow
the patient to become entangled in the cable, possibly resulting in patient strangulation. Route the cable in a way that will prevent the patient from becoming entangled in the cable. If necessary, use tape to secure the cable.
WARNING! If there is a risk of the AC power supply becoming disconnected from the
monitor during use, secure the cord to the monitor several inches from the connection.
WARNING! Patient safety can be compromised by the use of a power supply not supplied
by Smiths Medical PM, Inc. Use only the power supply included with your monitor, or one approved by Smiths Medical PM, Inc.
WARNING! Ensure the device’s AC rating is correct for the AC voltage at your installation
site before using this monitor. The monitor’s AC rating is shown on the external power supply. If the rating is not correct, do not use the monitor. Contact the Smiths Medical PM, Inc. service department, or your authorized service representative, for help.
5-4 Home Use Operation Manual
Chapter 5: Operating Instructions
AC Power
The AC power supply can plug into the oximeter (Figure 5-3) or into the WW1089 USB interface cable (Figure 5-4).
Power Input Connector
AC Power Supply
Figure 5-3: AC Power Supply
Connect AC Power Here
Power Input Connector
AC Power Supply
USB Interface Cable to PC
Connect USB Cable to Monitor
CAT. NUMBER OUTPUT POWER INPUT POWER
WW1095 30 W AC power supply 100-240 VAC 50 - 60Hz
WARNING! Only use a power supply intended for use with this monitor. Use of an
inappropriate power supply may cause a patient shock hazard or cause the oximeter to stop monitoring. See Chapter 10: Optional Supplies & Accessories, for information.
USB Interface Cable
Figure 5-4: AC Power Supply to USB Cable
CAUTION! Use only the interconnect cables specically intended for use with this device.
See Chapter 10: Optional Supplies & Accessories, for ordering information.
Home Use Operation Manual 5-5
Chapter 5: Operating Instructions
USB Power (Universal Serial Bus)
AC Power Supply (Optional)
Power Input Connector
Connect USB Cable to Monitor
The WW1030 oximeter may be powered from an external USB source such as a laptop computer or powered USB hub. The WW1089 USB Interface Cable is a custom cable used to connect the oximeter or docking station to an external computer via its USB port. This port can supply a source of operating power to the oximeter.
NOTE! The WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack can be fast charged by
installing it in the oximeter and supplying power, using the AC Power Supply either directly or through the Docking Station. The WW1090 Li+ Rechargeable Battery Pack can also be fast charged by installing it directly in the Docking Station and supplying power using the AC Power Supply.
USB Interface Cable
Connect AC Power Here (Optional)
USB Interface Cable to PC
Figure 5-5: USB Power to Oximeter
NOTE! To slow charge the WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack, install the
Battery Pack in the oximeter and connect to USB power. Slow charging may take 20 hours or more. USB power cannot charge the spare Li+ Rechargeable Battery Pack in the Docking Station.
5-6 Home Use Operation Manual
Chapter 5: Operating Instructions
Turning On the Monitor
Press this key to turn the monitor on and o.
Figure 5-6: Turning On the Monitor
To turn on the monitor, press the x key. Before using the monitor, check the following at power up:
All LEDs light.•
The monitor beeps briefly.•
The monitor’s software revisions (main, battery PIC, oximeter) are momentarily displayed.•
Displays “•
Displays “•
Displays “•
Displays Operation Mode indicator:•
After a few seconds the % SpO2 value, pulse rate, pulse signal strength and PI bar graphs should be shown. If not, see Chapter 9: Troubleshooting for help.
--HI AL OFF HS YES
Patient Record Number for Clinician Mode.•
•
SLP
•H” for Home Mode.
” if SpO2 high alarm limit is OFF, and not in Sleep Mode.
” (Alarms Off) if in Sleep Mode.
” if High Sensitivity Mode is ON.
” for Sleep Mode.
WARNING! Verify that all LEDs (light emitting diodes) on the display light up upon startup
of the device.
WARNING! Verify that the monitor sounds a short tone upon startup of the device. If no
tone is heard, the speaker may be damaged. Do not use to monitor patients until the monitor has been repaired.
If the WW1030 detects an error during power up, “ the display. A numeric error code will display in the SpO2 section. See Chapter 9: Troubleshooting for more information.
Home Use Operation Manual 5-7
” will display in the pulse rate section of
ERR
Chapter 5: Operating Instructions
Upon power-up, the following parameters will be set to the last values saved before power-down:
SpO•
averaging time
2
Pulse rate averaging setting•
Trend interval•
Device mode•
Printer output format•
SpO•
alarm limits (See Note below)
2
Pulse rate alarm limits•
Alarm volume (See Note below)•
Pulse beep on/off volume•
Normal/High Sensitivity setting•
NOTE: If the low SpO2 limit is set to less than 85% it will be reset to 85% when the monitor
is next powered on. The high SpO2 limit will be adjusted to 86% if it is 85% or less.
NOTE: If the alarm volume is set to a value less then 8 at power down, it will be reset to 8
when the monitor is next powered on.
Checking the Monitor’s Performance
Pulse oximeters do not require user calibration. If checking the function of the device is desired, an Oximetry Patient Simulator (Smiths Medical PM, Inc. catalog number 1606) is available as an accessory. The simulator attaches to the oximeter in place of the sensor. It provides a known SpO2 and pulse rate signal to the oximeter.
NOTE: A Patient Simulator does not calibrate the monitor. The monitor does not require
calibration. A Patient Simulator provides a known SpO2 value and pulse rate to the monitor that allows the monitor’s performance to be checked.
NOTE: A Patient Simulator cannot be used to assess the accuracy of a pulse oximeter and/
or sensor.
NOTE: f Follow the instructions included with the Patient Simulator.
5-8 Home Use Operation Manual
Chapter 5: Operating Instructions
Attaching the Sensor to the Patient
To attach the sensor to the patient:
Choose the appropriate sensor. See sensor table for additional information.1.
If using a reusable sensor, clean or disinfect the sensor per 2. Cleaning or Disinfecting the Sensors section in this chapter. ( 7 Disposable sensors are for single-patient use and do not require cleaning or disinfecting.)
Check the sensor and oximetry cable for damage and integrity. See 3. Checking the Sensor and Oximetry Cable section for additional information.
Attach sensor to the patient.4.
WARNING! Prolonged use or the patient’s condition may require changing the sensor site
periodically. Change sensor site and check skin integrity, circulatory status, and correct alignment at least every 4 hours.
WARNING! When attaching sensors with Microfoam® tape, do not stretch the tape or
attach the tape too tightly. Tape applied too tightly may cause inaccurate readings and blisters on the patient’s skin (lack of skin respiration, not heat, causes the blisters).
WARNING! SpO2 measurements may be adversely aected in the presence of high ambient
light. Shield the sensor area (with a surgical towel, for example) if necessary.
WARNING! Dyes introduced into the bloodstream, such as methylene blue, indocyanine
green, indigo carmine, patent blue V (PBV), and uorescein, may adversely aect the accuracy of the SpO2 reading.
WARNING! Optical cross-talk can occur when two or more sensors are placed in close
proximity. It can be eliminated by covering each site with an opaque material.
WARNING! Remove ngernail polish or false ngernails before applying SpO2 sensors.
Fingernail polish or false ngernails may cause inaccurate SpO2 readings.
WARNING! Signicant levels of dysfunctional hemoglobins, such as carboxyhemoglobin
(with CO-poisoning) or methemoglobin (with sulfonamide therapy), will aect the accuracy of the SpO2 measurement.
WARNING! Tissue damage may result from overexposure to sensor light during
photodynamic therapy with agents such as verteporphin, pormer sodium, and metatetrahydroxyphenylchlorin (mTHPC). Change the sensor site at least every hour and observe for signs of tissue damage. More frequent sensor site changes/inspections may be indicated depending upon the photodynamic agent used, agent dose, skin condition, total exposure time or other factors. Use multiple sensor sites.
Home Use Operation Manual 5-9
Chapter 5: Operating Instructions
Choosing the Sensor
WARNING! Use only SpO2 sensors and cables supplied with, or specically intended for use
with, this oximeter. Use of sensors not intended for use with this device may cause inaccurate readings.
WARNING! Incorrectly applied sensors may give inaccurate readings.
sensor insert for proper application instructions.
Choose the appropriate sensor from the following chart. Select the sensor based on the patient’s size, available application site, attachment method and other pertinent clinical information.
See the sensor’s instruction insert for detailed attachment methods and other important
f
information.
Refer to the
f
BCI® Sensors
PATIENT SITE DESCRIPTION
Adult over 45 kg
Pediatric 15-45 kg
Finger
Finger or Toe
Ear
Finger
Finger or Toe
3044: Sensor, Reusable, Adult 3444: Sensor, Reusable, Comfort Clip
3043: Sensor, Reusable, Universal ‘Y’ 1300: Sensor, Disposable, Adult Finger
WW3078: Sensor, Reusable, Ear
3044: Sensor, Reusable, Adult (>20 kg) 3444: Sensor, Reusable, Comfort Clip 3178: Sensor, Reusable, Pediatric Finger (5-45 kg)
3043: Sensor, Reusable, Universal ‘Y’ 1301: Sensor, Disposable, Pediatric Finger 7
®
7
®
Ear
Infant 3-15 kg
Neonate under 3 kg
All Extension Cable 3311: Cable, Oximetry, 1.5 meters (5 feet)
Hand or Foot
Toe
Finger or Toe
Hand or Foot
Foot
WW3078: Sensor, Reusable, Ear
3043: Sensor, Reusable, Universal ‘Y’
3025: Sensor, Reusable, Wrap, Infant
1303: Sensor, Disposable, Infant 7
1302: Sensor, Disposable, Neonate 7
3026: Sensor, Reusable, Wrap, Neonate
Nellcor® Sensor
PATIENT SITE DESCRIPTION
Adult over 45 kg
Finger DS100A nger sensor (reusable)
5-10 Home Use Operation Manual
Chapter 5: Operating Instructions
Cleaning or Disinfecting the Sensors
Clean or disinfect reusable sensors before attaching to a new patient.
WARNING! Unplug the sensor from the monitor before cleaning or disinfecting.
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in liquid.
Clean the sensor with a soft cloth moistened in water or a mild soap solution. To disinfect the sensor, wipe the sensor with a 70% isopropyl alcohol solution. If there is contamination with blood borne pathogens (BBPs) or other potentially infectious materials (OPIMs), then the use of a facility approved disinfectant of appropriate spectrum for the suspected organisms is appropriate.
CAUTION! Do not immerse the sensor in any liquid.
CAUTION! Cleaning with disinfectants, including alcohol, may shorten the life of the plastic
or electronic parts; but appropriate disinfection must still be performed.
Checking the Sensor and Oximetry Cable
Follow these instructions each time before you attach the sensor to the patient. This helps ensure the sensor and oximetry cable are working properly.
WARNING! Using a damaged oximetry sensor or cable may cause inaccurate readings.
Inspect each sensor and cable. If a sensor or cable appears damaged, do not use it. Use another sensor or cable or contact your authorized service representative for help.
WARNING! Do not use more than one Oximetry Extension Cable. The monitor may fail to
operate properly or could fail to alarm if multiple Oximetry Extension Cables are connected together.
WARNING! Misuse or improper handling of the sensor and cable may result in damage to
the sensor. This may cause inaccurate readings.
Before the sensor is attached, check the integrity of the sensor and cable.1.
If not using the oximetry extension cable, connect the sensor to the oximeter. Push the 2. sensor’s connector rmly into the oximeter.
If using the oximetry extension cable, connect the sensor to the cable and the cable to the oximeter. Push the cable connector rmly into the oximeter.
Make sure the red light in the sensor is illuminated.3.
Now the sensor can be attached to the patient.4.
WARNING! If any of the integrity checks fail, do not attempt to monitor the patient. Use
another sensor or oximetry extension cable, or contact the authorized service representative for help if necessary.
NOTE: Obstructions or dirt on the sensor’s red light or detector may cause the checks to
fail. Make sure there are no obstructions and the sensor is clean.
Home Use Operation Manual 5-11
Chapter 5: Operating Instructions
Hold the connector rather than the cable when connecting or disconnecting the nger sensor to the device.
Figure 5-7: Disconnecting or Connecting the Finger Sensor to the Device
Do not use excessive force or unnecessary twisting when connecting, disconnecting, storing, or when using the sensor.
Pulse Amplitude Index
The Pulse amplitude Index (PI) bar graph can be useful in assessing the relative quality of the chosen sensor site. The PI value is a relative measure of pulse-signal strength over time at a pulse oximeter monitoring site, and is non-pulsatile in nature. Pulse amplitude Index is dened as PI = (100 × AC)/DC where AC is the alternating current (pulsatile component of the signal) and DC is direct current (non-pulsatile component of the signal).
The PI value is represented as a 9-segment bar graph. The more bars lit, the higher the PI value, and generally the better the sensor site. If only the rst one or two segments are lit, the segment color changes to yellow, indicating a technical alert condition. This indicates that the oximeter is receiving a low signal quality from that sensor site, and further degradation of the signal quality could cause the oximeter to lose its ability to obtain readings. A dierent sensor site should be considered.
The PI value approximately maps to a 9-segment bar graph as shown below. The two lowest bars (1 and 2) are bi-color (yellow and green) and bars 3 through 9 are green.
10.24 - 20.47
5.12 - 10.23
2.56 - 5.11
1.28 - 2.55
0.64 - 1.27
0.32 - 0.63
0.16 - 0.31
0.08 - 0.15
0.00 - 0.07
NOTE! The PI value is a relative value that varies from patient to patient.
5-12 Home Use Operation Manual
Chapter 5: Operating Instructions
When placing the sensor on the patient, allow the cable to lay across the top of the hand and parallel to the arm of the patient as shown in Figure 5-8.
1
2
Figure 5-8: Positioning the Cable of the Finger Sensor
1
Sensor (nger sensor shown for illustration only)
2
Cable
Storing the Sensor
Upon completion of patient monitoring, detach the sensor and loosely coil the nger sensor cable. Store the sensor in the Sensor Storage cradle or other safe place when not in use. Use the proper cradle. Three dierent sensor cradles are available for this oximeter.
CRADLE SENSOR TYPE
1 Should be used for BCI® pediatric size nger sensors
2 Should be used for the 3444 Comfort Clip® sensor
3 Should be used for the BCI® adult size nger sensors
Sensor
Sensor Cradle
Oximeter
Figure 5-9: Attaching the Sensor and Sensor Cradle to the Monitor
Home Use Operation Manual 5-13
Chapter 5: Operating Instructions
Changing the Pulse Beep Volume
A “beep” tone sounds with each pulse beat. The volume of the “beep” can be adjusted to fteen (15) settings and o. This setting is retained at power down/power up.
To adjust the volume to the “o” setting, press and hold the down arrow (o). From the “o” setting, set the volume by pressing the up arrow (n). The volume is changed with each key press.
5-14 Home Use Operation Manual
Chapter 6: Alarms
Chapter 6: Alarms
The WW1030 is intended for continuous patient monitoring and is equipped with audible and visual alarm indicators.
WARNING! It is the operator’s responsibility to set alarm limits appropriately for each
individual patient.
WARNING! Always verify that the alarm volume is appropriate for the environment in
which the monitor is being used.
Alarm Priorities
Each alarm is categorized as high, medium, or low priority. In general, only the highest priority alarm is displayed. For example, if a patient alarm (high priority) is active at the same time as a remote alarm cable fault (medium priority), the remote alarm cable fault will not be displayed. The following is an exception to this general rule:
During a low battery alarm (medium priority), the low battery indicator in the battery • gauge will always flash even if the other alarms are active.
NOTE: Some medium priority alarms are generated when the device detects an internal
malfunction. During these conditions, the oximeter does not monitor a patient. No high priority alarms can occur.
NOTE: During low priority alarms conditions, the patient is not being monitored. No high
priority alarms can occur.
Home Use Operation Manual 6-1
Chapter 6: Alarms
B
B
Silencing Alarm Tones
Alarm Silence Indicator
Alarm Silence Key
Figure 6-1: Silencing Alarm Tones
The audible tones can be paused (silenced) for two minutes. To silence the alarm tones, momentarily press the Alarm Silence button (B ). The Alarm Silence indicator (B ) lights during the two-minute pause: solid for the rst minute and 45 seconds, ashing for the nal 15 seconds. To cancel the two-minute alarm tone silenced condition, momentarily press the Alarm Silence button (B ); the alarm silenced indicator turns o.
Visual indications of alarms are not aected by the Alarm Silence button. The parameter numbers, battery indicator LEDs and the beacon will continue to ash or light as appropriate.
6-2 Home Use Operation Manual
High Priority Alarms
A high priority alarm warns of an abnormal patient condition.
A high priority alarm is activated when:
The patient’s SpO•
The patient’s pulse rate reading matches or exceeds the pulse rate alarm range. •
There is a lost pulse condition (the sensor no longer detects a pulse while a finger is • inserted in the sensor, when a pulse was previously detected).
During a high priority alarm:
The high priority alarm tone sounds, if not silenced. The high priority alarm tone consists of • two bursts of five tones each, repeated every 7 seconds.
The numeric display of each exceeded parameter flashes twice per second. • During a lost pulse condition, pulse rate and SpO2 displays will flash “--”.
The Alarm Indicator flashes red twice per second.•
Each time new trend data is saved it is marked with an alarm active flag.•
reading matches or exceeds the SpO2 alarm range.
2
Chapter 6: Alarms
The alarm condition is sent to the data output port.•
Alarms active at the time of a real time data output are indicated on the optional WW1026 • thermal printer.
NOTE: Both the SpO2 and pulse rate numbers will ash if both readings are equal to or
exceed their alarm range.
NOTE: The alarm actions occur for each violated alarm, even if more than one alarm is
violated at the same time.
Home Use Operation Manual 6-3
Chapter 6: Alarms
Medium Priority Alarm
A medium priority alarm warns of a low battery signal or Internal Communication Error.
A medium priority alarm is activated when:
There is less than about 30 minutes of battery life remaining in the monitor’s battery.•
An Internal Communication Error is detected.•
During a medium priority alarm:
The tone sounds if not silenced. The medium priority alarm sound is a set of 3 tones • repeated every 20 seconds.
The Alarm Indicator flashes yellow once every 2 seconds.•
The alarm condition is sent to the data output port.•
The display shows the error source.•
Low Battery
The low battery signal alerts the operator that less than about 30 minutes of battery life remain in the monitor’s battery.
WARNING! When the Low battery indicator ( ) ashes, charge or replace the monitor’s
battery. Otherwise, the monitor turns itself o about 10 minutes after the yellow segment ( ) begins to ash.
There are four green LED segments in the battery charge display on the oximeter. When all four are lit, the battery is fully charged. As the charge is used fewer bars will be lit. When the charge level is down to one bar that segment turns solid yellow. When the unit has less than about 30 minutes of charge left the segment will start to ash and the low battery alert will ash and sound. See Chapter 5: Operating Instructions for details of battery installation and use.
During a low battery alarm, the actions listed above along with the following, will occur:
The Battery Charge Indicator flashes one yellow segment.•
Alarms active at the time of a real time data output are indicated on optional WW1026 • thermal printer.
6-4 Home Use Operation Manual
Chapter 6: Alarms
Low Priority Alarms
A low priority alarm warns of an abnormal monitor condition.
WARNING! During a low priority alarm the monitor cannot measure the patient’s SpO2
or pulse rate. You must immediately check the patient’s condition. After the patient’s condition has been checked, you must correct the low priority alarm. See Correcting the Alert in Chapter 9: Troubleshooting for help.
A low priority alarm is activated when:
The sensor is not connected to the monitor. •
The monitor searches too long for an initial reading. •
The sensor is not properly attached to the patient. •
The sensor is connected to the monitor, but no finger is detected in the sensor.•
A fault is detected in the sensor or sensor cable. •
During a low priority alarm:
The low priority alarm tone sounds if not silenced. The low priority alarm sound is a single • tone pair of beeps with a 20 second pause.
The Alarm Indicator lights yellow. •
Each time new trend data is saved. It is marked with an alert active flag.•
The alarm condition is sent to the data output port.•
Alarms active at the time of a real time data output are indicated on the optional WW1026 • thermal printer.
Alarm Summary
TYPE DISPLAY INDICATOR
High Priority Alarms
Medium Priority Alarms (low battery, internal comm error)
Low Priority Alarms
Numbers corresponding to violated alarm will ash twice per second.
For low battery: battery charge indicator ashes one yellow segment For internal communication error: display shows error code.
Dashes display in the SpO2 and pulse rate areas.
ALARM INDICATOR EFFECTS AUDIO
Flashes red twice per second.
Flashes yellow once every 2 seconds.
Lights yellow
Overrides any other alarm and pulse beeps.
Overrides a Low Priority Alarm and pulse beeps.
Overrides pulse beeps.
2 bursts of 5 tones each, repeated every 7 seconds.
Set of 3 tones each, repeated every 20 seconds.
Single tone pair of beeps, repeated every 20 seconds.
Home Use Operation Manual 6-5
Chapter 6: Alarms
This page is intentionally left blank.
6-6 Home Use Operation Manual
Chapter 7: Optional Docking Station and Printer
Chapter 7: Optional Docking Station and Printer
Description
Figure 7-1: Docking Station with Printer Attached
The WW1025 Docking Station serves many purposes depending on individual needs and selection of optional equipment. The Docking Station is powered by the WW1095 AC Power Supply, which can power the oximeter and operate the printer while charging the internal and spare battery packs.
The Docking Station:
Provides a convenient and secure “home base” for the WW1030 oximeter.•
Recharges WW1090 Lithium-Ion (Li+) rechargeable battery pack installed in the oximeter.•
Recharges an additional WW1090 Lithium-Ion (Li+) rechargeable battery pack stored in the • Docking Station.
May be equipped with a WW1026 thermal printer.•
Allows connection to a PC for trend memory dump or real time data transmission. •
Transfers USB power to the oximeter if no AC is connected (only when the USB interface • cable, WW1089, is connected to an active source of USB power).
CAUTION! If the docking station’s electrical connectors are damaged, operating the dock
with or without the oximeter may cause overheating and equipment damage. Remove all power from the docking station and contact your authorized service representative.
Home Use Operation Manual 7-1
Chapter 7: Optional Docking Station and Printer
Docking Station
2
1
Figure 7-2: Indicators on Docking Station Front Panel
1
AC Power Indicator
This indicator will light when AC power is connected to the Docking Station.
2
USB Power Indicator
This indicator will light when a USB cable is connected to the Docking Station, but AC power is not.
3
Charging Spare Battery Indicator
This indicator will ash green when the WW1090 Lithium-Ion (Li+) rechargeable battery pack is charging. After the battery is fully charged, the indicator lights solid green. Battery or charging errors are indicated by a yellow LED. See Chapter 9: Troubleshooting for details.
Powering the Docking Station
3
WARNING! Do not plug the Docking Station AC power supply into an outlet controlled by a
wall switch.
WARNING! Do not allow any moisture to contact the AC power supply connectors or a
safety hazard may result. Ensure that hands are thoroughly dry before handling the AC power supply.
WARNING! Do not place the Docking Station in the patient’s bed or crib. Do not place the
Docking Station on the oor.
WARNING! Failure to place the Docking Station away from the patient may allow the
patient to turn o, reset, or damage the monitor, possibly resulting in the patient not being monitored. Make sure the patient cannot reach the monitor from their bed or crib.
The WW1095 AC Power Supply provides power to the Docking Station and connected accessories. Connect the AC Power Supply to the dock using the data port or Power Input Connector. The Docking Station’s AC power indicator ( ) will light when AC power is connected. The Docking Station has built-in intelligence that prioritizes available power to the oximeter, printer and chargers. If USB power is used for the Docking Station, some accessories may not operate.
When the WW1089 USB interface cable is connected to the Docking Station, data can be transferred from the oximeter’s data port through the Docking Station to a compatible device. If the USB cable is used without AC power, the USB ( ) indicator is lit and USB power is available to the oximeter.
NOTE: The WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack can be fast charged by
installing it in the oximeter and supplying power, using the AC Power Supply either directly or through the Docking Station. The WW1090 Li+ Rechargeable Battery Pack can also be fast charged by installing it directly in the Docking Station and supplying power using the AC Power Supply.
7-2 Home Use Operation Manual
Chapter 7: Optional Docking Station and Printer
NOTE: To slow charge the WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack, install the
Battery Pack in the oximeter and connect to USB power. Slow charging may take 20 hours or more. USB power cannot charge the spare Li+ Rechargeable Battery Pack in the Docking Station.
NOTE: USB power may fail if AC power is interrupted to its PC or powered USB hub. Always
use charged batteries in the oximeter.
WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack
The Docking Station (when powered by the WW1095 AC Power Supply) will charge two WW1090 Lithium-Ion (Li+) rechargeable battery packs simultaneously. It will recharge the currently installed oximeter battery pack as well as a spare pack mounted in the Docking Station battery charger.
The WW1090 Lithium-Ion (Li+) rechargeable battery pack is placed in the dock as shown in gure 7-3. When the battery is charging, the indicator ( ) ashes green. After the battery is fully charged, the indicator ( ) lights solid green. Battery or charging errors are indicated by a yellow LED. See Chapter 9: Troubleshooting for details.
Figure 7-3: Connecting the Rechargeable Battery Pack
NOTE: The battery in the Docking Station battery charger cannot power the oximeter
without being installed in the oximeter. In the event of loss of power to the Docking Station, the spare battery will not automatically provide power.
Installing the Oximeter to the Dock
The WW1030 is placed bottom rst into the Docking Station facing out as shown in gure 7-3. Conrm that good connection is made by observing that the oximeter’s external power indicator (X) is lit.
Downloading Data to PC
Data may be sent to a computer through the Docking Station using the WW1089 USB Interface Cable.
Home Use Operation Manual 7-3
Chapter 7: Optional Docking Station and Printer
Printer
1
4
2
3
Figure 7-4: Printer Keys and Indicators
1
Print Mode Indicators
These indicators light according to what print mode is selected. See Choosing the Print Mode section later in this Chapter.
The Print Mode Indicator will blink green when printing is pending or in progress.
2
Start/Stop Print Key
Press this key to start or stop printing.
3
Print Error Indicator
This indicator will light if there is an error in printing.
4
Select Print Mode Key
Press this key to change the print mode.
7-4 Home Use Operation Manual
Chapter 7: Optional Docking Station and Printer
Attaching the Printer
The optional WW1026 thermal printer attaches to the Docking Station with a single screw as shown in Figure 7-5C. Follow the steps below.
WARNING! The Docking Station must have a Printer or Printer Port Cover installed. Failure
to do so may cause a risk of electrical shock to the patient or operator or risk damage to the equipment.
To attach the printer to the Docking Station:
Remove the oximeter and battery and disconnect any cable from the Docking Station.1.
NOTE: Failure to remove the oximeter and
battery from the Docking Station prior to installing the printer will result in an error which may cause a faulty printout.
Remove the Docking Station printer port 2. cover.
Hook the tab on the top of the printer to the Docking Station here.
Figure 7-5B: Align and Connect the Dock and Printer
Reconnect any cables and 5. replace the oximeter and battery.
Remove port cover using a screwdriver
Figure 7-5A: Remove the Docking Station
Printer Port Cover
Hook the tab on the top of the printer 3. to the groove at the top of the Docking Station. Then swing the printer down to align and attach the printer to the dock’s electrical connectors.
Install the screw as shown in gure 7-5C.4.
The printer is now ready to load 6. paper.
Install screw here
Figure 7-5C: Mate and Align the Dock and Printer
Home Use Operation Manual 7-5
Chapter 7: Optional Docking Station and Printer
Loading Paper
The printer uses 58mm wide thermal paper. See Chapter 10: Optional Supplies & Accessories for part number and ordering information. To load the paper, follow the steps illustrated below.
Release printer door by lifting clear 1. cover.
Swing open paper holder by 2. continuing to pull on clear door.
Lift here
Figure 7-6A: Release Printer Door
Remove existing spool if present.3.
Place paper spool in holder so that 4. the paper exits over the top of the roll and drapes over the rubber roller as shown in gure 7-6C.
Figure 7-6B: Swing Open Paper Holder
Close the paper holder door and the clear 5. cover.
Tear o any excess paper by pulling the 6. paper up toward the front of the printer.
Figure 7-6C: Place Paper Spool in Holder
The printer is now ready to use. 7.
Figure 7-6D: Close Paper Holder Door and Clear Cover
7-6 Home Use Operation Manual
Chapter 7: Optional Docking Station and Printer
Choosing the Print Mode
Data can be printed in real time, numeric trend or graphic trend mode. In either trend mode, up to 45 days of previously stored data (depending on trend interval) collected from 1 to 99 patients can be printed. The printer select key sets the printer format in the oximeter. When a new oximeter is installed in the Docking Station, it may have a dierent print format. Always check the printer format prior to pushing the start key.
Change modes by pushing the select key ( ) until the desired mode is lit.
To start printing, push the print (F ) key. The Print Mode Indicator on the printer will blink green when printing is pending or in progress.
NOTE: The oximeter must be installed in the Docking Station to print.
NOTE: Thermal paper must be installed.
Mode 1 - Real Time Mode prints data every 5 seconds. See gure 7-7.
2008-JUN-22
1
2
3
4
REALTIME DATA ID: 002_____________________ hh:mm:ss SpO2 Rate PI (%) (bpm) (%) 18:38:15 97% 77 bpm 4.9% 18:38:20 97% 76 bpm 5.6% 18:38:25 97% 77 bpm 5.4% 18:38:30 95% 72 bpm 5.1% 18:38:35 94% 70 bpm 4.9% 18:38:40 95% 69 bpm 4.0% 18:38:45 96% 71 bpm 3.0% 18:38:50 96% 72 bpm 2.9% 18:38:55 96% 73 bpm 2.9%
Date when the printout
1
was started
2
Title
3
Patient Record Number
4
Real time %SpO2, pulse rate and PI values printed every 5 seconds
Figure 7-7: Sample Real Time Data Log
Mode 2 - Numeric Trend Data prints in a tabular form. See gure 7-8.
2008-JUN-22
1
2
3
4
5
Home Use Operation Manual 7-7
TREND DATA ID: 009__________________________ Trend Start:2008-JUN-07 23:16:13 Trend End: 2008-JUN-07 23:16:48 hh:mm:ss SpO2 Rate PI (%) (bpm) (%) 23:16:48 96% 93 bpm 7.5% 23:16:43 96% 94 bpm 8.3% 23:16:38 96% 90 bpm 8.8% 23:16:33 96% 89 bpm 9.2% 23:16:28 96% 89 bpm 9.6% 23:16:23 96% 87 bpm 8.7% 23:16:18 96% 87 bpm 6.0% 23:16:13 96% 90 bpm 2.9%
Figure 7-8: Sample Numeric Trend Data
1
Date when the printout was started
Title
2
3
Patient Record Number
4
Start and end time for trended data
5
Trended %SpO2, pulse rate and PI values printed every 5 seconds
Chapter 7: Optional Docking Station and Printer
Mode 3 - Graphic Trend Mode prints in a chart format. See gure 7-9.
TREND DATA ID: 009______________________
Trend Time Scale=20 Sec/Point
0
...........PI...........
0
► ► ► ► ►
Pulse Rate(bpm) ► ► ► ► ►
50
▪ ▪ ▪ ▪ ▪ ▪ ▪
04
00:08 00
Figure 7-9: Sample Graphic Trend
SpO2(%)▪ ▪ ▪ ▪ ▪ ▪ ▪
20
254
100
NOTE: While printing trends, the printer will pause for approximately 20 seconds after
every 10 seconds of printing. This allows the thermal print head to cool. A small gap may appear on each printout when printing resumes.
NOTE: If the printer runs out of paper during a printout, the printer will not automatically
continue printing when a new roll of paper is installed. After installing a new roll of paper, the printout must be restarted.
NOTE: Invalid SpO2 data and SpO2 values between 0 and 50 will be printed as 50.
Trend Data Condition Flags
Each time a trend interval occurs and data is stored, certain conditions, active at that time, are stored with the data. These are indicated by symbols on the print out.
CONDITION SYMBOL DESCRIPTION
Parameter Alarm Indicates a parameter has met or exceeded its alarm limit.
Artifact indicator informs user of excess motion, noise or other signal information that the algorithm interprets as
Artifact
Small Pulse Indicates the signal strength is ≤ 3.
Check Sensor
Searching too Long
Lost Pulse
potentially non-physiological.
This ag is an indicator that pulse rate data has changed and now may be invalid.
Indicates a problem with sensor placement or that no sensor is plugged into the sensor connector. No valid parameter data is available.
Only displayed if the oximeter has not detected a valid pulse at any time after power up. Indicates that the oximeter has searched for more than 20 seconds but no pulse was detected.
Indicates the oximeter has searched for more than 20 seconds, a nger is detected in the sensor, but a previously detected pulse is no longer present.
7-8 Home Use Operation Manual
Chapter 8: Maintenance
Chapter 8: Maintenance
Smiths Medical PM, Inc. products have been designed to operate continuously. However, in order to ensure a continued high level of performance and safety of operation, routine maintenance must be performed daily.
The WW1030 Oximeter Service Manual (< WW1925) also contains the circuit diagrams, parts lists, and descriptions required for carrying out repairs. The Service Manual is shipped with the monitor.
Routine Maintenance
MAINTENANCE ITEM RECOMMENDED ACTION MAINTENANCE INTERVAL
WW1090 Li-Ion rechargeable battery pack
Monitor Surfaces and Docking Station /Printer
Cables Clean and/or disinfect
Reusable SpO2 sensor
Charge the battery by connecting AC power to the monitor.
Replace the rechargeable battery pack.
Clean and/or disinfect As required
Inspect for signs of damage or deterioration; replace as required
Clean and/or disinfect When attaching a new patient
When Low Battery Signal is observed
After continuous use under battery power.
After approximately 300 charge cycles.
When attaching a new patient
Daily
Home Use Operation Manual 8-1
Chapter 8: Maintenance
Cleaning and Disinfecting
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the monitor in liquid.
Clean the surfaces of the monitor with a soft cloth moistened in water or a mild soap solution. If disinfecting is necessary, wipe the surfaces of the monitor with a 70% isopropyl alcohol solution. If there is contamination with blood borne pathogens or other potentially infectious materials, then the use of an approved disinfectant of appropriate spectrum for the suspected organisms is appropriate. Then wipe the surfaces with a soft, water-moistened cloth.
WARNING! Do not allow water, isopropyl alcohol or any other liquid to enter any of the
openings on the monitor. Unplug the AC power cord from the monitor before cleaning or disinfecting.
CAUTION! Where the equipment has accidentally gotten wet, it should be wiped dry
externally and allowed to dry thoroughly before use.
CAUTION! Before cleaning or disinfecting the printer, unplug the AC adapter, remove the
batteries and remove the paper.
CAUTION! Do not allow printer paper to become wet. If the printer paper gets wet remove
the paper immediately. Do not use the printer until the paper is replaced.
CAUTION! Disinfectant chemicals may aect the outer case over prolonged use, however
disinfection must be performed.
NOTE! Use only a soft cotton cloth to clean the monitor’s screen. Do not clean the screen
with tissues, paper towels, or any other paper-based wipe. Paper-based wipes can scratch the screen.
Storage
Whenever possible, the monitor should be stored inside at room temperature in a dry environment. If it is necessary to store the monitor for an extended period of time, the unit should be packed in its original shipping container. Storing the monitor for a long period of time may degrade the battery capacity. Batteries should be removed from the monitor before storing.
8-2 Home Use Operation Manual
Chapter 9: Troubleshooting
Chapter 9: Troubleshooting
WARNING! If the accuracy of any measurement is in question, check the patient’s vital signs
by an alternative method and then check the monitor for proper functioning.
Correcting an Alert Condition
An alert warns of an abnormal monitor condition. During an alert, the Alarm Indicator lights yellow and the alert tone sounds, if not silenced. The alert sound is a single tone pair of beeps with a 20 second pause. See Chapter 6: Alarms for details. If the monitor is equipped with the optional thermal printer, additional information about the cause of the alert can be viewed in the real time mode.
To correct an alert:
Ensure the sensor, oximetry cable and oximeter connectors are all rmly seated.1.
Ensure the sensor is properly attached to the patient. See 2. Attaching the Sensor to the Patient section in Chapter 5: Operating Instructions for help.
Ensure the tape used to hold the sensor is not wrapped too tightly. Wrapping the tape too 3. tightly may prevent the monitor from measuring SpO2 and pulse rate.
Check the pulse signal strength and PI indicators. If the readings are low, try repositioning the 4. sensor and/or changing the sensor site to a location with better perfusion.
If the alert is still on, contact the equipment provider or authorized service representative for 5. help.
Smiths Medical PM, Inc. N7W22025 Johnson Drive Waukesha, WI 53186 USA
web site: www.smiths-medical.com
E-mail address: info.pm@smiths-medical.com
Phone: (262) 542-3100 Toll-Free: (800) 558-2345 (USA only) Fax: (262) 542-0718
Home Use Operation Manual 9-1
Chapter 9: Troubleshooting
Power
PROBLEM POSSIBLE CAUSE CORRECTIVE ACTION
The oximeter doesn’t turn on.
Batteries weak and/ or no AC power.
Replace or recharge the batteries. Connect to source of AC power.
The oximeter turns on, but display reads:
L0 Bat
The oximeter turns o unexpectedly.
Cannot turn o monitor with ON/ OFF key.
The External Power indicatorX is not lit. (AC Power).
Batteries not installed or batteries incorrectly installed.
AC power is connected, but no or weak batteries are installed.
Batteries are weak or dead and no AC power source is connected.
Monitor is in Home “K” mode.
An External AC Power Supply cord is not connected to the monitor or accessory cable. The accessory cable is not connected to the monitor.
The AC power cord is connected to a wall outlet that is controlled by a wall switch.
Ensure the batteries are installed correctly. Connect to source of AC power.
This is proper operation. Replace or recharge the batteries.
Replace or recharge the batteries. Connect to source of AC power.
This is proper operation. To turn the monitor o while in Home Mode, press and hold the Exit key and then press the ON/OFF key.
Check all power supplies and cables for proper connections.
Only connect the AC power cord to an outlet that is not controlled by a wall switch.
The External Power indicatorX is not lit. (USB Cable)
The USB Power indicator is not lit. (Docking Station)
The monitor operates on AC power, but not on battery power.
A non user-serviceable fuse may have opened.
The USB cable is not connected to a source of power or the USB power source is not operating.
AC Power is connected.
The USB cable is not connected to a source of power or the USB power source is not operating.
The battery is missing.
The battery is drained.
The battery is defective.
Contact your authorized service representative.
Check all cable connections and conrm PC, USB hub or other source of USB power is working correctly.
This is proper operation.
Check all cable connections and conrm PC, USB hub or other source of USB power is working correctly.
Replace the battery.
Charge or replace the battery.
Contact your authorized service representative if using LI-Ion rechargeable battery pack.
9-2 Home Use Operation Manual
Chapter 9: Troubleshooting
PROBLEM POSSIBLE CAUSE CORRECTIVE ACTION
The monitor displays
27
when powered
ERR
up.
Battery run time is excessively short on a fully charged battery.
The battery is defective. Disconnect the AC power cord
and then reconnect it. If the error message persists, the battery is defective. Contact your authorized service representative.
The Li-Ion rechargeable battery pack must be replaced.
Contact your authorized service representative.
Sensor
PROBLEM POSSIBLE CAUSE CORRECTIVE ACTION
No pulse shown on the bargraph or PI graph.
Patient cable or sensor is disconnected from the oximeter.
Check sensor connections to the patient cable and to the oximeter.
The pulse rate is erratic, intermittent, or incorrect.
Sensor is incorrectly positioned on the patient.
Poor patient perfusion.
Defective sensor or patient cable.
The SpO positioned on the patient.
The patient is experiencing poor perfusion.
The patient is moving too much.
There is too much ambient light around the SpO2 sensor.
Defective sensor or patient cable.
sensor is improperly
2
Reposition the sensor.
Reposition the sensor.
Try a new sensor or contact your authorized service representative for help.
Reposition the sensor on the patient.
Conrm signal level with PI and signal bar graphs. Reposition the sensor on the patient.
Make sure that the patient remains still. Place the extremity on a pillow that acts as a buer to motion
Shield the SpO2 sensor with a towel.
Try a new sensor or contact your authorized service representative for help.
.
Home Use Operation Manual 9-3
Chapter 9: Troubleshooting
PROBLEM POSSIBLE CAUSE CORRECTIVE ACTION
SpO2 value is erratic, intermittent, or incorrect.
Poor patient perfusion.
Patient motion.
Conrm signal level with PI and signal bar graphs.
Reposition the sensor on the patient. Patient must remain still to obtain an accurate measurement.
Defective sensor or patient cable.
Oximeter Alert. Oximeter cable or sensor
is disconnected from the oximeter.
Sensor is incorrectly positioned on the patient.
Poor patient perfusion.
Oximeter searching too long for initial SpO2 signal.
Try a new sensor or contact your authorized service representative for help.
Check sensor connections to the patient cable and to the oximeter.
Reposition the sensor.
Conrm signal level with PI and signal bar graphs. Reposition the sensor on the patient.
Conrm signal level with PI and signal bar graphs. Check sensor connections to the patient cable and to the oximeter. Reposition the sensor on the patient.
Printer and Data Communication
PROBLEM POSSIBLE CAUSE CORRECTIVE ACTION
No printout on optional printer.
AC power is not connected to the Docking Station.
Connect AC Power to the Docking Station.
No trends in memory.
No paper or paper incorrectly loaded.
“?” malfunction indicator on the printer is lit.
Real time or trend data is not transmitted.
9-4 Home Use Operation Manual
Printer interface malfunction.
Printer door open.
Printer out of paper.
An accessory cable is defective.
Oximeter is not properly seated in Docking Station.
The communications setup is not correct.
Take trend data.
See Chapter 7: Optional Docking Station and Printer for details of loading paper.
Contact your authorized service representative for help.
Close the printer door.
Install a roll of printer paper.
Contact your authorized service representative.
Remove the oximeter from the Docking Station and replace it assuring proper alignment.
Check the user-connected auxiliary equipment and software.
Other
PROBLEM POSSIBLE CAUSE CORRECTIVE ACTION
Cannot change alarm limits after pushing the menu key.
No sounds from monitor. Audio paused (silenced).
Monitor is in Home “K” mode.
Chapter 9: Troubleshooting
This is proper operation.
Push silence key.
Clock shows erroneous values.
Display shows
sr
ERR
Display shows
24
ERR
Display shows
25
ERR
Display shows ERR
Defective Speaker.
Clock battery disconnected or discharged.
No sensor attached to the oximeter.
Defective sensor or patient cable.
EEPROM checksum Error Contact your authorized
Trend Checksum Error Contact your authorized
Internal oximetry failure. Contact your authorized
Do not use to monitor patients. Contact your authorized service representative.
Contact your authorized representative.
Attach a sensor to the oximeter.
Try a new sensor. If the problem persists, contact your authorized service representative.
service representative.
service representative.
service representative.
Home Use Operation Manual 9-5
Chapter 9: Troubleshooting
This page is intentionally left blank.
9-6 Home Use Operation Manual
Chapter 10: Optional Supplies and Accessories
Chapter 10: Optional Supplies and Accessories
CAT. NO. DESCRIPTION Q T Y.
WW1018R
WW1018Y
WW1018G
WW1018B
WW1025X1
WW1026
WW1027
WW1030
WW1067NC
WW1067NO
WW1080
WW1089
WW1090
WW1095
WW1098
1300
1301
1302
1303
1606
WW1924X1
WW1924X1HU
WW1925X1
3025
3026
3043
3044
3049
WW3078
3134
3135
3136
3137
3138
3178
3311
3339
WW3350
3444
Protective glove - red
Protective glove - yellow
Protective glove - green
Protective glove - blue
Docking Station
Printer (Must be used with Docking Station WW1025)
Thermal Printer Paper
Pulse Oximeter
Remote Alarm Cable - Normally Closed
Remote Alarm Cable - Normally Open
Replacement Sensor Cradles (3)
USB interface cable
Rechargeable battery pack, LI-Ion
Universal AC mains adapter - 30W
Universal Mounting Bracket
Sensor, Oximetry, Disposable, Adult Finger
Sensor, Oximetry, Disposable, Pediatric. Finger, 15-45 kg
Sensor, Oximetry, Disposable, Neonate, < 3 kg
Sensor, Oximetry, Disposable, Infant, 3-15 kg
Simulator, Oximeter
Manual, Operation
Manual, Home Use
Manual, Service
Sensor, Oximetry, Wrap, Infant, 3-15 kg
Sensor, Oximetry, Wrap, Neonate, < 3 kg
Sensor, Oximetry, Universal ‘Y’
Sensor, Oximetry, Finger
Microfoam Strips, Adhesive for use with 3025, 3026 and 3043
Sensor, Oximetry, Ear
Tape, Attachment, Neonatal
Tape, Attachment, Infant
Tape, Attachment, Neonatal
Tape, Attachment, Infant
Posey Wrap, Attachment, Universal ‘Y’ for use with 3025, 3026 and 3043
Sensor, Pediatric Finger, 5-45 kg
Cable, Oximetry, 1.5 m (5 feet)
PC adapter cable
Printer adapter cable
Sensor, Oximetry, Finger, Comfort Clip®
each
each
each
each
each
each
5/pk
each
each
each
set
each
each
each
each
10/box
10/box
10/box
10/box
each
each
each
each
each
each
each
each
40/pkg
each
50/pkg
50/pkg
100/pkg
100/pkg
10/pkg
each
each
each
each
each
Home Use Operation Manual 10-1
Chapter 10: Optional Supplies and Accessories
Ordering Information
For ordering information, contact your local distributor.
10-2 Home Use Operation Manual
2
@
Authorized Representative (as dened by the Medical Device Directive):
Smiths Medical International Ltd. Colonial Way, Watford, Hertfordshire, WD24 4LG, UK
Australian Representative:
Smiths Medical Australasia Pty. Ltd. 61 Brandl Street, Eight Mile Plains, QLD 4113, Australia
Phone: (44) 1923 246434 Fax: (44) 1923 240273
Tel: +61 (0) 7 3340 1300
H
Smiths Medical PM, Inc. N7W22025 Johnson Drive Waukesha, WI 53186-1856 USA
MEDICAL EQUIPMENT
WITH RESPECT TO ELECTRIC SHOCK, FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL60601-1, IEC60601-1, CAN/CSA C22.2 NO. 601.1
21JU
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