Copyright 2005 Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any
form, this manual or any part thereof without permission from Welch Allyn.
Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the
product, that may result from failure to use this product in accordance with the instructions, cautions,
warnings, or statement of intended use published in this manual.
Welch Allyn
®
, Spot Vital Signs®, and SureTemp® are registered trademarks of Welch Allyn.
Braun ThermoScan
™
LNCS
is a trademark of, and SET®, LNOP®, and Masimo® are registered trademarks of, Masimo
Corporation. Possession or purchase of a Masimo SpO
is a registered trademark of the Braun Company.
®
-equipped device does not convey any express or
2
implied license to use the device with unauthorized sensors or cables which would, alone or in
combination with this device, fall within the scope of one or more of the patents relating to this device.
Nellcor
®
and Oxi-Max® are registered trademarks of Nellcor Puritan Bennett Inc.
Software in this product is Copyright 2005 Welch Allyn or its vendors. All rights are reserved. The software
is protected by United States of America copyright laws and international treaty provisions applicable
worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with
this instrument as intended in the operation of the product in which it is embedded. The software may not
be copied, decompiled, reverse-engineered, disassembled, or other wise reduced to human-perceivable
form. This is not a sale of the software or any copy of the software; all right, title, and ownership of the
software remain with Welch Allyn or its vendors.
For information about any Welch Allyn product, call Welch Allyn Technical Support:
USA +1 800 535 6663
+ 1 315 685 4560
Canada +1 800 561 8797China +86 21 6327 9631
European Call Center +353 46 90 67790France +33 1 55 69 58 49
Germany +49 7477 9271 70Japan +81 3 3219 0071
Latin America +1 305 669 9003Netherlands +31 157 505 000
Singapore +65 6419 8100South Africa +27 11 777 7555
United Kingdom +44 207 365 6780Sweden +46 85 853 6551
Australia +61 2 9638 3000
+800 074 793
Manual Material No. 704432 Rev.
Welch Allyn
4341 State Street Road
Skaneateles Falls, NY 13153 USA
All users of the Spot Vital Signs LXi must read and understand the safety summary, and
all additional specific warnings and cautions located throughout the documentation.
Warnings and Cautions
Familiarize all operating personnel with the general safety information in this summary.
Specific warnings and cautions are also found throughout this manual.
General Warnings
A warning statement in this manual identifies a condition or practice, which if not
corrected or discontinued immediately, could lead to patient injury, illness, or death.
These warnings pertain to the entire Spot Vital Signs LXi device.
WARNING The information in this manual is a comprehensive guide to the
operation of Spot LXi. For best results, read this manual thoroughly before using
the device.
WARNING Spot LXi is designed for medical clinician use. Although this manual
may illustrate medical spot-check techniques, only a trained clinician who knows
how to take and interpret a patient’s vital signs should use this device.
WARNING Spot LXi is not intended for use in environments that are without
health care practitioner supervision.
WARNING Spot LXi is not intended for continuous monitoring. Do not leave
the device unattended while taking measurements on a patient.
WARNING To ensure data integrity, save readings and clear the Spot LXi display
between patients.
WARNING The Spot LXi is not defibrillator proof.
WARNING Spot LXi is not intended for use during patient transport.
WARNING This device is not suitable for use in the presence of a flammable
anesthetic mixture with air or oxygen or nitrous oxide. An explosion may result.
WARNING To ensure patient safety, use only accessories and supplies (i.e.,
cuffs, hoses, temperature probes, SpO
supplied with Spot LXi. Using unapproved accessories with Spot LXi can affect
patient and/or operator safety.
sensors, etc.) recommended for or
2
2Safety SummaryWelch Allyn Spot Vital Signs LXi
WARNING Take care to prevent water or other fluid from entering any
connectors on the device. Should this occur, dry the connectors with warm air.
Check the accuracy of all operating functions.
WARNING Every three months, inspect the blood pressure cuff, SpO
and other accessories for fraying or other damage. Replace as necessary.
WARNING Do not use Spot LXi on patients who are on heart/lung machines.
WARNING Electric shock hazard. There are no user-serviceable parts inside Spot
LXi other than battery replacement (see “Battery Replacement” on page 69). An
operator may only perform maintenance procedures specifically described in this
manual. For service, refer the device to an Authorized Service Center.
WARNING This device is not intended for hand-held use during operation.
WARNING Do not autoclave.
WARNING This device complies with current required standards for
electromagnetic interference and should not present problems to other
equipment or be affected by other devices. As a precaution, avoid using this
device in close proximity to other equipment.
WARNING Welch Allyn is not responsible for the integrity of any mounting
installation. Welch Allyn recommends that the customer contact their Biomedical
Engineering Department or maintenance service to ensure professional
installation for safety and reliability of any mounting accessory.
WARNING The Spot LXi consists of high-quality precision parts. Protect it from
severe impact and shock. A qualified service technician must check any Spot LXi
that is dropped or damaged for proper operation prior to further use. Do not use
the Spot LXi if you notice any signs of damage. Contact the Welch Allyn
Customer Service Department for assistance.
cable,
2
WARNING Do not use an SpO
simultaneously on the same limb. Doing so may result in inaccurate pulse rate
and perfusion readings.
WARNING The USB port is for service only. Do not use this connection for any
external equipment connections.
Blood Pressure Warnings
These warnings pertain to the Spot LXi blood pressure feature.
WARNING Spot LXi is not intended to measure BLOOD PRESSURE on
neonatal patients. The AAMI SP10:2002 standard defines neonates as children 28
days or less of age if born at term (37 weeks gestation or more); otherwise up to
44 gestational weeks.
WARNING To ensure pediatric blood pressure accuracy and safety, the Child
Reusable Two-Piece Blood Pressure Cuff (4500-01), Infant Durable One-Piece
Cuff (5082-82-4MQ), and the Infant Disposable One-Piece Cuff (5082-92-4MQ)
are the smallest cuffs approved for use with young children and infants. The
child’s arm must fit within the range markings on the cuff.
WARNING Avoid compression of the blood pressure hose or cuff tubing of Spot
LXi. This may cause system errors to occur in the device.
finger clip sensor and a blood pressure cuff
2
Service ManualSafety Summary3
WARNING Patients who are experiencing moderate to severe arrhythmias may
give inaccurate blood pressure measurements.
WARNING Spot LXi does not operate effectively on patients who are
experiencing convulsions or tremors.
WARNING Use only Welch Allyn blood pressure cuffs and/or hoses. Using other
manufacturers’ blood pressure cuffs and/or hoses may produce inaccurate blood
pressure readings.
WARNING When several blood pressure measurements are taken on the same
patient, regularly check the cuff site and extremity for possible ischemia, purpura,
and/or neuropathy.
WARNING Do not allow a blood pressure cuff to remain on the patient more
than 10 minutes when inflated above 10 mmHg. This may cause patient distress,
disturb blood circulation, and contribute to injury of peripheral nerves.
WARNING Do not place the cuff on any extremity that is used for intravenous
infusions or any area where circulation is compromised.
WARNING Excessive cuff tightness may cause venous congestion and
discoloration of the limb.
WARNING Wrapping the cuff too loosely (preventing proper inflation) may result
in errors.
4Safety SummaryWelch Allyn Spot Vital Signs LXi
Temperature Warnings
These warnings pertain to the Spot LXi temperature feature.
SureTemp® Plus
These warnings are specific to the SureTemp Plus thermometer option.
WARNING Use only Welch Allyn probe covers. Using other manufacturers’
probe covers or no probe cover may produce temperature measurement errors
and/or inaccuracy.
WARNING Long-term continuous monitoring beyond three to five minutes is
not recommended in any mode.
WARNING Oral/axillary probes (blue ejection button at top of probe) and blue
removable probe wells are used for taking oral and axillary temperatures only.
Rectal probes (red ejection button) and red removable probe wells are used for
taking rectal temperatures only. Use of the probe at the wrong site will result in
temperature errors. Use of the incorrect removable probe well could result in
patient cross-contamination.
WARNING The thermometer connectors and probe are not waterproof. Do not
immerse or drip fluids on these items. Should this occur, dry the connectors and
probe with warm air. Check all functions for proper operation and accuracy.
WARNING Do not take an axillary temperature through patient’s clothing. Direct
probe cover to skin contact is required.
WARNING Do not autoclave.
WARNING Use Welch Allyn single-use disposable probe covers to limit patient
cross-contamination.
WARNING Incorrect insertion of probe can cause bowel perforation.
WARNING Washing hands greatly reduces the risk of cross-contamination and
nosocomial infection.
WARNING To ensure optimal accuracy, always confirm that the correct mode is
selected.
Service ManualSafety Summary5
Braun Thermoscan PRO 4000
These warnings are specific to the Braun ThermoScan PRO 4000 thermometer option.
WARNING Keep the probe window clean, dry, and undamaged at all times to
ensure accurate measurements. To protect the probe window, always keep the
thermometer in the storage cover while transporting or when not in use.
WARNING Only use Braun ThermoScan probe covers with this thermometer.
Using other manufacturer’s probe covers or no probe cover may produce
temperature measurement errors and/or inaccuracies. If the thermometer is used
without a probe cover attached, clean the lens (see “Braun ThermoScan PRO
4000 Thermometer” on page 78).
WARNING Do not autoclave.
WARNING The thermometer is not waterproof. Do not immerse or drip fluids
on it. Should this occur, dry the thermometer with warm air. Check for proper
operation and accuracy.
SpO2 Warnings
These warnings pertain to the Spot LXi SpO2 feature.
WARNING Only use Spot LXi with Masimo or Nellcor SpO2 option with Masimo
or Nellcor brand sensors and accessories, respectively. Using the wrong or
unapproved sensors or cables may cause improper performance.
WARNING The SpO
sensor and extension cables are intended for use only for
2
pulse oximetry measurements. Do not attempt to connect these cables to a PC
or any similar device.
WARNING Before using, carefully read the sensor Directions for Use, including
all warnings, cautions, and instructions.
WARNING Do not use a damaged sensor or pulse oximetry cable or a sensor
with exposed optical components.
WARNING Incorrect application or a long duration of use of an SpO
cause tissue damage. Inspect the sensor site periodically as directed in the
sensor’s Directions for Use.
WARNING Certain ambient environmental conditions, sensor application errors,
and certain patient conditions may affect SpO
WARNING Do not immerse the sensor or patient cables in water, solvents, or
cleaning solutions (the sensors and connections are not waterproof). Do not use
irradiation, steam, or ethylene oxide for sterilization.
WARNING The SpO
in the Spot LXi device is not intended for use as an apnea
2
monitor.
sensor may
2
readings and pulse signal.
2
WARNING Consider the SpO
an early warning device. As a trend toward
2
patient deoxygenation is indicated, use laboratory instruments to analyze blood
samples to completely understand the patient’s condition.
6Safety SummaryWelch Allyn Spot Vital Signs LXi
Caution If the accuracy of any measurement is in question, check the patient’s
vital sign(s) with an alternate method and then check to verify the device is
functioning properly.
Caution Place the device on a secure surface or use one of the optional
mounting accessories.
Caution Do not place fluids on or near the device.
Caution It is recommended that the device is used within stated operating
temperature ranges (see “Environmental” on page 73). The device will not meet
its performance specifications if used outside these temperatures ranges.
Caution For proper patient electrical isolation, use only a Welch Allyn power
supply (4500-101A) to charge Spot LXi and its attached peripheral devices. Do not
use an external charger while the printer is attached to Spot LXi.
Caution Always unplug the AC power transformer from the outlet before
moving the mobile stand to a new location.
Caution The basket has a three-pound weight limit. Take care not to exceed
this limit.
Caution Only use a 9V battery with the Health-o-Meter scale. Remove and
discard the wall mounted power supply.
Caution When using the Health-o-Meter scale, remove the two hex nuts on the
RS-232 cable, as supplied, before screwing the cable into the scale base.
WARNING Tissue damage can be caused by incorrect application or duration of
use of a Nellcor OxiMax sensor. Inspect the sensor site as directed in the sensor
Directions for Use.
WARNING Do not use the sensors during magnetic resonance imaging (MRI)
scanning. Induced current could potentially cause burns. The MS board pulse
oximeter may affect the MRI image, and the MRI unit may affect the accuracy of
the oximetry measurements.
WARNING Carefully route patient cabling to reduce the possibility of patient
entanglement or strangulation.
WARNING Failure to cover the Nellcor OxiMax sensor site with opaque material
in high ambient light conditions may result in inaccurate measurements.
General Cautions
A caution statement in this manual identifies a condition or practice, which if not
corrected or discontinued immediately, could lead to equipment failure, equipment
damage, or data loss.
These cautions pertain to the entire Spot Vital Signs LXi device.
Service ManualSafety Summary7
Caution Minimize extremity and cuff motion during blood pressure readings.
Caution If the blood pressure cuff is not at heart level, note the difference in
reading due to the hydrostatic effect. Add the value of 1.80 mmHg (.2 kPa) to the
displayed reading for every inch (2.5 cm) above heart level. Subtract the value of
1.80 mmHg (.2 kPa) from the displayed reading for every inch (2.5 cm) below
heart level.
Caution Proper blood pressure cuff size and placement is essential to the
accuracy of the blood pressure determination. See Reusable Two-Piece Cuff
Measurements or Durable One-Piece Cuff Measurements of the Directions for
Use for sizing information.
Caution The position and physiologic condition of the subject can affect a blood
pressure reading.
Caution The SureTemp Plus feature only operates with the probe well in place.
Caution Do not use alkaline batteries in the Braun ThermoScan PRO 4000.
Caution Biting the probe tip may result in damage to the probe.
Caution The pulse oximeter is calibrated to determine the percentage of
arterial oxygen saturation of functional hemoglobin. Significant levels of
dysfunctional hemoglobin such as carboxyhemoglobin or methemoglobin may
affect the accuracy of the measurement.
Caution Some sensors may not be appropriate for a particular patient. If at
least 10 seconds of perfusion pulses cannot be observed for a given sensor,
change sensor location or sensor type for perfusion to resume.
Caution Physiological conditions, medical procedures, or external agents that
may interfere with the pulse oximeter’s ability to detect and display
measurements include dysfunctional hemoglobin, arterial dyes, low perfusion,
dark pigment, and externally applied coloring agents such as nail polish, dye, or
pigmented cream.
Caution When selecting a sensor, consider the patient’s weight and activity
level, the adequacy of perfusion, the available sensor sites, the need for sterility,
and the anticipated duration of monitoring.
Blood Pressure Cautions
These cautions pertain to the Spot LXi blood pressure feature.
Temperature Cautions
These cautions pertain to the Spot LXi temperature feature.
SpO2 Cautions
These cautions pertain to the Spot LXi SpO2 feature.
8Safety SummaryWelch Allyn Spot Vital Signs LXi
Electrostatic Discharge (ESD)
Electrostatic discharge is a sudden current flowing from a charged object to another
object or to ground. Electrostatic charges can accomulate on common items such as
foam drinking cups, cellophane tape, synthetic clothing, untreated foam packaging
material, and untreated plastic bags and work folders, to name only a few.
Electronic components and assemblies, if not properly protected against ESD, can be
permanently damaged or destroyed when near or in contact with electrostatically charged
objects. When you handle components or assemblies that are not in protective bags and
you are not sure whether they are static-sensitive, assum that they are static-sensitive
and handle them accordingly.
•Perform all service procedures in a static-protected environment. Always use
techniques and equipment designed to protect personnel and equipment from
electrostatic discharge.
•Remove static-sensitive components and assemblies from their static-shielding bags
only at static-safe workstations - a properly grounded table and grounded floor mat and only when you are wearing a grounded wrist strap (with a resistor of at least 1
megohm in series) or other grounding device.
•Use only grounded tools when inserting, adjusting, or removing static-sensitive
components and assemblies.
•Remove or insert static-sensitive components and assemblies only with monitor
power turned off.
•Insert and seal static-sensitive components and assemblies into their original staticshielding bags before removing them from static-protected areas.
Always test your ground strap, bench mat, conductive work surface, and ground cord
before removing components and assemblies fromtheir protective bags and before
beginning any disassembly or assembly procedures.
Service ManualSafety Summary9
Pb
IPXØ
Navigation ButtonsSelect
Blood PressureMemory
Power On/Off
MEM
Symbols
The following symbols are associated with the Spot Vital Signs LXi.
Safety Symbols
Identifies information within the
manual to avoid injury.
Caution: consult accompanying
documents
Handle with Care Transport Temperature
Storage HumidityRecycle
Class II EquipmentEquipment is not protected against
Type BF EquipmentOn/Off
Do not dispose of this product as
unsorted municipal waste. Prepare this
product for reuse or separate
collection as specified by Directive
2002/96/EC of the European
Parliament and the Council of the
European Union on Waste Electronic
and Electrical Equipment (WEEE). If
this product
directive does not apply.
is contaminated, this
Identifies information within the
manual to avoid equipment failure.
Internally Powered, Lead Acid
Battery
the ingress of liquid.
Non-ionizing radiation (RF
transmitter)
Button Symbols
For more specific disposal information,
see www.welchallyn.com/weee,
or contact Welch Allyn Customer
Service at +44 207 365 6780.
Mode of Operation: Continuous
10Safety SummaryWelch Allyn Spot Vital Signs LXi
CERTIFIED TO:
CAN/CSA STD C22.2 NO. 601.1
CONFORMS TO:
UL STD 60601-1
IEC 60601-1
EMC Framework of Australia
The CE mark on this product indicates that it has been tested to and conforms with
the provisions noted within the 93/42/EEC Medical Device Directive.
European Regulatory Manager
Welch Allyn Ltd.
Navan Business Park
Dublin Road
Navan, County Meath, Republic of Ireland
Tel.: 353 46 90 67700
Fax: 353 46 90 67756
C
US
166292
ECREP
Connection Symbols
USB ConnectionSerial Port Connection
Agency Symbols
11
2
Overview
Purpose and Scope
The Spot Vital Signs LXi Service Manual is intended as a reference for maintenance and
repair to the field replaceable unit (FRU) level and are listed on
provides the technical qualified service person with troubleshooting information, repair
procedures, and calibration and performance verification instructions. A technical
overview of the Spot LXi subsystems is provided as an introduction to the device’s
circuitry and pneumatics.
This manual is intended for the technical qualified service person. Service training classes
on Welch Allyn’s products are available. Contact Welch Allyn Technical Service for
information.
Other Applicable Documents
The Spot Vital Signs LXi Directions for Use manual is also available. Refer to this
document for information other than maintenance and repair.
Welch Allyn 9600 Plus Calibration Tester Directions for Use - for all models.
Braun ThermoScan PRO 4000 User’s Guide - for models 450E0, 45NE0, 45ME0.
page 65. This manual
Masimo Directions for Use - for models 45MT0, 45ME0.
Nellcor Directions for Use - for models 45NT0, 45NE0.
12OverviewWelch Allyn Spot Vital Signs LXi
Contents Checklist
Unpack the Spot LXi and any applicable accessories and then inspect for missing items.
Retain the shipping materials in the event of shipping damage or for return, if necessary,
to Welch Allyn for repair or warranty service. Report any signs of shipping damage to the
carrier. Report any missing or damaged items to the Welch Allyn Service Center near you.
All Spot LXi devices include the following components:
Spot LXi Device. This device automatically measures and displays blood pressure, pulse
rate, and temperature.
Directions for Use Manual. Read this manual thoroughly before using Spot LXi. Save
this manual for reference.
Warranty Card. This card validates the Spot LXi warranty. Fill out the warranty card and
mail it today.
Blood Pressure Cuff. One cuff with connectors. Other size cuffs are available separately.
Blood Pressure Hose. Latex-free pressure hose with connectors to attach various sizes of
blood pressure cuffs to the Spot LXi.
AC Power Transformer and Cord Assembly. Provides power to the Spot LXi and charges
the internal battery.
Quick Reference Card. Attach this quick operating guide to the device handle, mobile
stand, or wall mount.
Possible Attachments
Spot LXi may include the following items based on the model and accessories purchased:
SureTemp Plus Temperature Probe, Well, and Covers. One oral temperature probe
(blue ejection button and well) and one box of 25 single-use, disposable probe covers.
Braun ThermoScan PRO 4000 Thermometer and Covers. One ear thermometer; one
box of 20 single-use, disposable probe covers; one rechargeable battery pack; and
one lock release pin.
Wireless Radio and Mounting Bracket. Attach these items to the back of the mobile
stand or wall mount basket.
Barcode Scanner and Mounting Bracket. Attach these items on the basket of the
mobile stand or wall mount.
Pulse Oximetry (SpO
with adult and pediatric patients. Other sensors are available separately.
Printer. Attach to the basket of the mobile stand or wall mount. The printer comes with a
roll of paper. Rolls of paper and labels are available separately.
). The finger clip SpO2 sensor and extension cable are for use
2
Service ManualOverview13
Caution Unauthorized repairs will void the warranty.
Service
A Welch Allyn Service Center must perform all repairs on products under warranty.
Qualified electronics personnel or a Welch Allyn Service Center should repair products out
of warranty.
Technical Assistance
If you have an equipment problem that you cannot resolve, call the Welch Allyn Service
Center nearest you for assistance. Technical service telephone support is available on
normal business days.
If you are advised to return a product to Welch Allyn for repair or routine maintenance,
schedule the repair with the service center nearest you.
Before returning a product for repair, you must obtain authorization from Welch Allyn.
Service personnel will give you a Service Notification number. Please note this number on
the outside of your shipping box. Returns without a Service Notification number will not
be accepted for delivery.
Field Replacement Units
Included with the Service Manual is a complete list of field replacement units. Order
spare parts from your local Welch Allyn Service Center.
Service Loaners
Service loaners are provided, on request, if a Welch Allyn Service Center provides repair
service. Loaners for products repaired while under the original warranty, or while under
service contract, are provided free of charge and are shipped within 48 hours of
notification of need.
For service repairs outside of warranty or contract, loaners are available for a nominal
charge and shipment is subject to availability. Loaners are shipped pre-paid; however, this
charge is added to the service charges.
Service Intervals
Verify Spot Vital Signs LXi on an annual basis for blood pressure, temperature, and SpO2
accuracy.
14OverviewWelch Allyn Spot Vital Signs LXi
BP
AM
SYS
TEMP
SpO2
PULSE
/min
mmHg
mmHg
F
DIA
%
Weight
Respiration
Pain
4 WEST
Reading
Patient ID 0123456789
Height
Send/Next Reading
Clear
Power button: controls
power to the device.
Blood Pressure Start/Stop button:
initiates a new blood pressure cycle.
Pressing again aborts an active blood
pressure measurement.
Navigation button: move
throughout the options in
the Navigation Window or
to increase/decrease
parameter units.
Select button:
accepts the current
option.
SureTemp Plus
thermometer:
remove the probe to
take a temperature.
Memory button:
recalls up to 50 most
recent readings.
Probe cover
storage area:
storage space for one
box of probe covers.
Charging LED: indicates
when device is plugged in and
charging the battery.
Removable probe
well: store the
temperature probe
here when not in use;
remove to clean or
replace to eliminate
cross-contamination.
Spot Vital Signs LXi Configurations
Table 1. Available Versions of Spot Vital Signs LXi
REFDescription
450T0Blood Pressure with SureTemp Plus Thermometer
450E0Blood Pressure with Braun ThermoScan PRO 4000 Thermometer
45MT0Blood Pressure with Masimo SpO
45ME0Blood Pressure with Masimo SpO
45NT0Blood Pressure with Nellcor SpO
45NE0Blood Pressure with Nellcor SpO
and SureTemp Plus Thermometer
2
and Braun ThermoScan PRO 4000 Thermometer
2
and SureTemp Plus Thermometer
2
and Braun ThermoScan PRO 4000 Thermometer
2
Controls
Figure 1. Spot LXi Front Panel with SureTemp Plus Thermometer
21
7
9
8
7
3
5
62
01
Enter
Service ManualOverview15
BP
4 WEST
AM
SYS
TEMP
SpO2
PULSE
/min
mmHg
mmHg
Reading
F
DI
A
%
Enter
Patient ID 0123456789
Weight
Respiration
Pain
Height
Send/Next Reading
Clear
BRAUn
Blood Pressure Start/Stop button:
initiates a new blood pressure cycle.
Pressing again aborts an active blood
pressure measurement.
Navigation button: move
throughout the options in
the Navigation Window or
to increase/decrease
parameter units.
Select button:
accepts the current
option.
Braun ThermoScan PRO 4000
thermometer: store the probe
covers toward the back of the
thermometer housing; remove the
thermometer to access the covers.
Memory button:
recalls up to 50 most
recent measurements.
Power button: controls
power to the device.
Charging LED: indicates
when device is plugged in
and charging the battery.
Charging LED: indicates
the thermometer battery
is charging.
Figure 2. Spot LXi Front Panel with Braun ThermoScan PRO 4000 Thermometer
7
21
01
3
5
7
9
8
62
16OverviewWelch Allyn Spot Vital Signs LXi
Select
Display Window
Note
Before using Spot LXi for the first time, you must program an initial configuration
screen.
1.Press the Power button. The display window shows the initial configuration screen.
Figure 3. Initial Configuration Screen
Change Local Defaults Menu
Model No.: 45NTO
Serial No.: 2005040004
Language:
BP Units:
Temperature Units:
Height Units:
Weight Units:
Date Format:
Time Format:
2. Use the Select button to access the options and accept the entries, and use the
Navigation buttons to move through the menu.
3. The word “Exit” appears at the bottom of the list after you have programmed all
items in the menu. You must program all items before you can start to use the device.
4. Scroll to Exit and press the Select button to save the entries.
Service ManualOverview17
{
{
{
{
Systolic and Diastolic
display: if MAP is turned on,
the screen toggles between
the systolic and diastolic
values, and the word “MAP”
and the MAP value.
SpO
2
display: shows the
percent saturation of arterial
hemoglobin. For devices with
SpO
2
only.
Pulse Signal Bar Graph: shows
the strength of the pulses detected.
Pulse display: shows the pulse
rate.
Temperature display and
indicator: shows the
temperature in Fahrenheit or
Celsius.
Thermometer probe setting
indicators: shows temperature
mode. For devices with SureTemp
Plus thermometer only.
Battery level indicator:
displays the battery charge level.
Reading number indicator:
shows what reading the device is
on. Spot LXi retains up to 50
readings in memory.
Clock: shows the current time.
Location identifier: shows
where the device belongs. If no
location is entered, this area
displays the date.
Mode. For devices with SureTemp
Plus thermometer only.
Connectivity indicator:
shows the wireless
intranet signal strength.
Out-of-range indicator: shows
the patient’s temperature reading
above or below the measurement
range limits. For devices with
SureTemp Plus thermometer only.
The liquid crystal display (LCD) may indicate any of the following: systolic blood pressure
(mmHg or kPa), diastolic blood pressure (mmHg or kPa), MAP (mmHg or kPa),
temperature ( F or C), temperature mode, pulse rate, pulse signal level, SpO2 percent,
department location, date, time, record number, height (in or cm), weight (lb or kg),
respiration rate, pain level, connectivity signal strength, and battery charge level.
Figure 4. Display Window
BP
SYS
mmHg
21
DIA
mmHg
7
TEMP
9
8
SpO2
Patient ID 0123456789
Weight
Height
Respiration
%
Pain
Clear
Send/Next Reading
7
3
5
4 WEST
Reading
01
F
PULSE
62
Enter
AM
/min
18OverviewWelch Allyn Spot Vital Signs LXi
SureTemp Plus thermometer
connection port (for units
with SureTemp Plus only)
Port I for external
device connection
USB connection for PC
(behind plug)
Port II for external
device connection
SpO2 cable connection port
(for units with SpO
2
only)
Blood pressure hose
connection port
DC power connection port
Mobile stand or wall
mount screw connection
Battery door
Connections
Use the following instructions to connect the blood pressure hose, thermometer probe,
and optional attachments to the Spot Vital Signs LXi.
Figure 5. Spot LXi Side and Rear Panel Connections
Service ManualOverview19
Lock release hole
Lock release pin
Lock tab
Caution The SureTemp Plus feature only operates with the probe well in place.
Braun ThermoScan PRO 4000 Lock
Press the lock tab toward the Braun ThermoScan PRO 4000 thermometer until it clicks. To
release the housing, insert the lock release pin into the lock release hole until the lock tab
snaps back.
Figure 6. Spot LXi with Braun ThermoScan PRO 4000 Lock
Blood Pressure Hose and Cuff
Identify and have available the Spot LXi, blood pressure cuff, and the blood pressure hose.
1.Inspect the blood pressure hose; notice that one end has a single, gray connector
fitting and the other end has two white fittings.
2. Squeeze the side tabs on the gray connector and completely push the blood pressure
hose connector into the blood pressure hose connection port until it clicks into place
(see
Figure 5 on page 18).
3. Twist the white connectors on the blood pressure hose and cuff connectors together.
Thermometer
Spot LXi is available with either the SureTemp Plus thermometer or the Braun
ThermoScan PRO 4000 thermometer.
SureTemp Plus
SureTemp Plus is available with two probes and matching wells; one for oral/axillary
temperatures (blue ejection button and probe well) and one for rectal temperatures (red
ejection button and probe well).
1.Align the probe well with the tabs facing up and down into the round opening of the
SureTemp Plus housing on the right side of Spot LXi. Push it into place.
20OverviewWelch Allyn Spot Vital Signs LXi
Caution Do not use alkaline batteries in the Braun ThermoScan PRO 4000
thermometer.
Note
Use only Masimo or Nellcor SpO2 sensors and accessories with the Spot LXi with
Masimo or Nellcor configurations, respectively.
2. Align the temperature probe connector with the SureTemp Plus thermometer
connection port on the back of the Spot LXi (see
insert the connector into the port one way.
3. Press the tab on the connector and push it until it clicks into place.
4. Insert the temperature probe into the probe well.
Figure 5 on page 18). You can only
Braun ThermoScan PRO 4000
1.Open the package of rechargable batteries and follow the installation guide provided.
2. Open the box of probe covers as directed on the box and slide the box into the metal
3. Hold the Braun thermometer at a 45° angle then insert the probe and the top of the
guides toward the back of the thermometer housing with the opening at the top and
perforation facing forward.
thermometer into the housing.
4. Lower the bottom portion of the thermometer into the housing until it snaps into
5. Slide the thermometer housing into the thermometer slot on the right side of the
6. Push the lock tab forward to prevent the thermometer housing from falling out of
SpO2 Sensor
Spot LXi is available with a wide variety of SpO2 sensors and ships with a reusable finger
clip sensor.
1.Align the shape and pin configuration of the extension cable connector to the SpO2
2. Push the connector firmly into the SpO
3. Align the opposite end of the extension cable to the sensor cable connector and
place. If you do not properly seat the thermometer, it could fall out of the holder and
become damaged.
Spot LXi device.
Spot LXi (see
To release the lock, insert the lock release pin into the lock release hole.
cable connection port on the left side of the Spot LXi device.
into place (see
firmly push them together.
Figure 6 on page 19).
Figure 5 on page 18).
cable connection port until you hear it click
2
Quick Reference Card
Attach the Quick Reference Card to the Spot LXi handle, mobile stand, or wall mount
using the supplied plastic cable tie.
Service ManualOverview21
AC Power Transformer
Battery
Note
The operator can use the Spot LXi with AC or battery power (after charging the battery).
1.Insert the round transformer connector into the AC power connection port on the
2. Insert the line cord into the line connector on the transformer then plug the power
Charge the battery for 6 hours before initial use. Charge the device an additional hour if it
includes a Braun ThermoScan PRO 4000 thermometer. If there is an external printer,
connect the printer to the Spot LXi, enable it in the Internal Configuration Mode (see
“Initial Configuration Screen” on page 16 if this is the first time you power on the device
and then Table 7 on page 26), and then charge the Spot LXi for an additional 4 hours.
While Spot LXi is charging, the charging LED (~) flashes and the battery level indicator
segments on the display continuously sequence.
charging LED is solid and the battery level indicator is steady with all segments
continuously shown on the display.
If the device includes a Braun ThermoScan PRO 4000 thermometer, the charging LED
below the thermometer will illuminate orange as it is charging. When the battery is fully
charged, the LED will power off.
To assure proper electrical isolation, replace the AC power transformer/charger
using only the Welch Allyn specified part.
back of the Spot LXi (see
cord on the transformer into the AC main power source to charge the battery.
Figure 5 on page 18).
When the battery is fully charged, the
If the device has an external printer, the charging LED on the printer will flash orange and
green when Spot LXi is plugged into the AC main power source.
Note
There is no hazard associated with leaving the battery in the device, even if the
device is not used for long periods of time.
Standby Mode
The Standby Mode conserves battery power. The device goes into Standby Mode if it is
not used for two minutes. Press any button to bring the Spot LXi out of Standby Mode.
22OverviewWelch Allyn Spot Vital Signs LXi
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