Professional Documents
Culture Documents
Smartsigns
Compact
Software Version: V3.X.X
1. Quality Reliability and Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Table of Contents
2. Preliminary Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
3. Recommended Clinical Applications . . . . . . . . . . . . . . . . . . . . . . . .6
4. Introduction ....................... . . . . . . . . . . . . . . .7
5. Accessories ....................... . . . . . . . . . . . . . . .9
6. Front Panel Controls and System Displays . . . . . . . . . . . . . . . . . .14
7. Rear Panel ....................... . . . . . . . . . . . . . .15
7.1 Removing the application modules . . . . . . . . . . . . . . . .15
8. Symbols ....................... . . . . . . . . . . . . . .16
9. Operation ....................... . . . . . . . . . . . . . .17
9.1 Operating from internal batteries . . . . . . . . . . . . . . . . . .17
9.2 Switching the unit ON . . . . . . . . . . . . . . . . . . . . . . . . . .17
9.2.1 Setting the unit to Standby . . . . . . . . . . . . . . . .19
9.2.2 Switching the unit OFF . . . . . . . . . . . . . . . . . . .19
9.3 Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
9.4 System controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
9.4.1 Setting the language* . . . . . . . . . . . . . . . . . . . .21
9.4.2 Setting the time and date* . . . . . . . . . . . . . . . .21
9.4.3 Suspend* . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
9.4.4 Brilliance* . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.5 Volume* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.6 Alarm Volume* . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.7 Demo Mode . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.8 Access Level . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.5 Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
9.6 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
9.7 Defaults* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
10. Trace Speed ....................... . . . . . . . . . . . . . .24
11. Trends ....................... . . . . . . . . . . . . . .25
11.1 Graphical or tabular display of trends . . . . . . . . . . . . . .25
11.2 Clearing Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
11.3 Closing the trends screen . . . . . . . . . . . . . . . . . . . . . . .25
12. ECG Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
12.1 Electrode site preparation . . . . . . . . . . . . . . . . . . . . . . .26
12.2 Adult ECG Electrode placement . . . . . . . . . . . . . . . . . .27
12.3 Neonatal ECG Electrode placement . . . . . . . . . . . . . . .27
12.4 Setting up the ECG waveform . . . . . . . . . . . . . . . . . . . .28
12.5 The ECG waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
12.6 ECG Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . .30
13. Respiration Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
13.1 Respiration electrode placement . . . . . . . . . . . . . . . . . .32
13.2 Respiration set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
13.3 The Respiration waveform . . . . . . . . . . . . . . . . . . . . . . .34
13.4 Respiration Error Messages . . . . . . . . . . . . . . . . . . . . .34
14. SpO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
14.1 Patient preparation / connection . . . . . . . . . . . . . . . . . .36
14.2 SpO2 set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
14.3 The SpO2 waveform . . . . . . . . . . . . . . . . . . . . . . . . . . .39
14.4 SpO2 Error Messages . . . . . . . . . . . . . . . . . . . . . . . . .40
15. Temperature Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
2 15.1 Temperature set up . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
16. Non-Invasive Blood Pressure (NIBP) Monitoring . . . . . . . . . . . . .42
Table of Contents
16.1 Connecting the cuff to the SC1000 . . . . . . . . . . . . . . . .42
16.2 NIBP set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
16.3 Making a BP measurement . . . . . . . . . . . . . . . . . . . . .46
16.4 NIBP error messages . . . . . . . . . . . . . . . . . . . . . . . . . .47
17. Invasive Blood Pressure Monitoring . . . . . . . . . . . . . . . . . . . . . . .48
17.1 Transducer set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
17.2 Priming the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
17.3 Zeroing the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
17.4 Calibrating the System . . . . . . . . . . . . . . . . . . . . . . . . .50
17.5 IBP set up options . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
17.6 The invasive pressure waveform . . . . . . . . . . . . . . . . . .52
17.7 IBP error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
18. CO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
18.1 Connecting the sampling line . . . . . . . . . . . . . . . . . . . .55
18.2 Ambient Pressure (restricted access) . . . . . . . . . . . . . .55
18.3 Zeroing the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
18.4 Compensation (restricted access) . . . . . . . . . . . . . . . . .56
18.5 Mode (restricted access) . . . . . . . . . . . . . . . . . . . . . . . .56
18.6 Nasal sampling line - Directions for use . . . . . . . . . . . .56
18.7 Airway adaptor kit - Directions for use . . . . . . . . . . . . .57
18.8 CO2 Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
18.9 CO2 Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . .58
19. Recorder ......................... . . . . . . . . . . . .59
19.1 Paper Loading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
19.2 Setting up the Recorder . . . . . . . . . . . . . . . . . . . . . . . .60
19.2.1 Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
19.2.2 Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
20. Alarms ......................... . . . . . . . . . . . .61
20.1 Altering and Viewing Alarms . . . . . . . . . . . . . . . . . . . . .61
20.2 Alarm Setup (Restricted Access) . . . . . . . . . . . . . . . . . .61
20.3 Alarm Activation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
20.4 Alarm Ranges and default settings . . . . . . . . . . . . . . . .63
21. Specifications ......................... . . . . . . . . . . . .65
21.1 Equipment classification . . . . . . . . . . . . . . . . . . . . . . . .65
21.2 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
21.3 Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
21.4 ECG ......................... . . . . . . . . . . . .67
21.5 Non-invasive Blood Pressure . . . . . . . . . . . . . . . . . . . .68
21.6 Invasive Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . .68
21.7 SpO2 ......................... . . . . . . . . . . . .69
21.8 Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
21.9 Temperature (Dual Channel) . . . . . . . . . . . . . . . . . . . . .70
21.10 CO2 ......................... . . . . . . . . . . . .70
21.11 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
22. Accessories ......................... . . . . . . . . . . . .72
23. Care of your Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
24. Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76
25. Fault Finding ......................... . . . . . . . . . . . .79
27. Maintenance ......................... . . . . . . . . . . . .80
26 Warranty ......................... . . . . . . . . . . . .80 3
Quality Reliability and Safety
1. Quality Reliability and Safety
Before using this equipment, please study this manual
carefully and familiarise yourself with the controls, display
features and operating techniques. Ensure each user fully
understands the safety and operation of the unit, as mis-
use may cause damage to the unit or injury to the user or the
patient.
Cautions
2. Preliminary Checks
Huntleigh Healthcare takes every precaution to ensure that their
goods reach you in perfect condition. We recommend that a
thorough visual inspection is made prior to installation. Should any
damage be evident or any parts missing, ensure that Huntleigh
Healthcare, Diagnostic Products Division are informed at once.
3. Recommended Clinical
Applications
6
Introduction
4. Introduction
The Smartsigns Compact series is a portable multi-parameter
Vital Signs monitor capable of displaying the patient's vital signs on
a 10.4" colour TFT screen.
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Model SC1000
Module 2 NiBP
7
Introduction
A 50 mm wide high-speed thermal printer is available as a factory
fit option.
Respiration rates are derived from the end tidal CO2 waveform.
All controls, with the exception of the front panel ON/OFF switch, are
via the 'on screen' touch panel.
The SC1000 weighs 3.7 kg (inc battery), and may be operated via
any of the following methods: -
8
Accessories
5. Accessories
The system is supplied with the following standard accessories: -
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1 x SC1000 t10
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1 x Power Cord
IN
FOR SUTSRUCTIONS
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1 x Instructions For Use
9
Accessories
Module 1- ECG, SpO2, TEMP (2), RESP
T1
T2
ECG SpO 2
5 Lead Cable
1 x Surface
1 x Rectal
1 x Central
3 Lead Cable
NIBP
1 x NiBP Hose
3 x NIBP Cuffs
11
Accessories
Module 3 - IBP
1 x Dual IBP
Cable
2 x Pressure
Transducers
1 x Stand Clamp
12 1 x Monitoring Set
Accessories
Module 4 - Capnography
CO2
Recorder
1 x Chart Paper
ON/OFF/STANDBY
Interchangeable
Application
Modules
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NOTE
The ECG waveforms are colour coded green and are always
displayed at the top of the screen (position 1 & 2).
3 Lead display
If the 3 lead option is fitted, the user can select lead I, II or III to be
displayed in waveform position 1. The same cascaded waveform
can be displayed in position number 2.
5 Lead display
If the 5 lead option is fitted, the user can select lead I, II, III, AVR,
AVL, AVF and V.
Key Description
I/O sockets: -
3 4
Ethernet socket
Serial Port
Keyboard
External monitor 3
Equipotential
earth point
1
4 Integral carry handle
Module release
5 mechanism 5
Press the module release mechanism (5) located on the rear of the
unit, hold the module by it's TAB and carefully withdraw it from the
system.
15
Symbols
8. Symbols
The following symbols are used on the SC1000, their definitions are
described below: -
Symbol Description
On/Off/Standby
Equipotentiality
Alternating Current
Serial port
Keyboard
External monitor
Battery
16
Operation
9. Operation
Connect the monitor to the local mains supply. FUSE TYPE IEC 127
2AH250V
Press the button on the front panel to switch the unit on;
the amber LED will illuminate.
17
Operation
Application screen
Position 1
Parameter Identification
Position 2
Position 3
Position 4
Position 5
Position 6
Command Bar
Command Bar
Date, time and battery status are displayed 14 Jan 2003 14.25
along side the command bar. 85%
18
Operation
Above the command bar is an area
JONES I
reserved for the patient's name,
123456-A N
identification number and system
CO2 CALIB. OK F
messages. REC: OK (MANUAL) O
Press the ON/OFF button on the front panel once to set the
unit into Standby Mode.
The Amber LED will flash whilst the unit is in Standby Mode.
Press and hold the front panel ON/OFF button for 4 seconds
- the unit will switch off.
19
Operation
9.3 Set-up
Set-up SETUP
screen. SYSTEM
PATIENT
RECORDER
ECG RESP
SPO2 TEMP
IBP1 IBP2
NIBP CO2
DEFAULTS
ALARM SETUP
From this screen the operator can adjust the following parameters:-
System
Patient
Alarm set-up
If the set-up screen is not accessed for more than 20 seconds, the
display will switch back to the main application screen.
20
Operation
9.4 System controls
SYSTEM
SETUP Press the TAB at the top of the
set-up screen to enable the following
SYSTEM options: -
PATIENT
RECORDER Language (English, Espaol, Franais,
Portuguese, Deutsch, Svenska, Italiano
ECG RESP
Nederlands, Cestina and )*
SPO2 TEMP
Set Time and Date*
IBP1 IBP2
NIBP CO2 Alarm suspend options*
DEFAULTS Display brilliance*
ALARM SETUP QRS Bleep volume*
Alarm volume*
DEMO Mode*
Access Level*
9.4.3 Suspend*
* Restricted Access 21
Operation
9.4.4 Brilliance*
9.4.5 Volume*
Access level:
* Restricted Access
22
Operation
9.5 Patient
SETUP
SYSTEM Pressing the PATIENT TAB from the
PATIENT
screen displays the patient
information screen. From this screen,
RECORDER the operator can add the patient's
ECG RESP name and reference number to the
SPO2 TEMP system.
IBP1 IBP2
NIBP CO2
DEFAULTS
ALARM SETUP
PATIENT NAME/REF
Name Name
Ref Ref
Change Name/Ref A B C D E F
Bed - -- + G H I J K L
M N O P Q R
Pressing the New Patient? S T U V W X
button clears all of the Y Z 0 1 2 3
patient information fields New Patient? 4 5 6 7 8 9
and resets the alarm level DEL SPC - . ' /
to the default settings.
Place the cursor in the Name field and using the keypad, enter the
patient's name.
Place the cursor in the Ref field and using the keypad, enter the
patient's REF number.
23
Operation / Trace Speed
9.6 Recorder
SETUP
If a recorder option is fitted, pressing
SYSTEM
RECORDER provides access to the
PATIENT format of the printout.
RECORDER
ECG RESP See section 19 for specific details.
SPO2 TEMP
IBP1 IBP2
NIBP CO2
DEFAULTS
ALARM SETUP
9.7 Defaults*
SETUP Pressing DEFAULTS allows the user to
select the factory default alarm settings.
SYSTEM
PATIENT The levels can be changed by pressing
RECORDER the + and - keys either side of the
ECG RESP parameter.
SPO2 TEMP DEFAULTS
DEFAULTS DEFAULTS
IBP1 IBP2 PI1 SYS
ECG FC
alto - 150 + DEFAULTS
PI2 SYS
NIBP CO2 SPO2 P
bajo - 50 +
PI1 DIA NIBP SYS
alto - 160 +
alto - 50 + - 50 +
DEFAULTS RESP FR
CO2 RR
bajo - 10 +
PI2 DIA
bajo
SETUP
Enable / disable parameter trend selection.
TRENDS
IMPORTANT
Total leakage currents of the system must not exceed the limits
specified by IEC 60601-2-27:1994
Check the expiry date of the ECG electrodes, if the date has
expired, discard the electrodes.
Clean the area with an alcohol pad to remove all abrading residues
and oils.
26
ECG Monitoring
12.2 Adult ECG Electrode placement
There are several sites for positioning ECG electrodes; these are
dependant on the patients' physiological characteristics and condition.
YELLOW
RED YELLOW
RED
GREEN
GREEN
WHITE
BLACK
Press anywhere on the ECG display area to display the ECG set-up
options: -
ECG SETUP
Parameter
OFF
ON
Lead
II
x2, x4, x 1 2
Gain
x1
DIAGNOSTIC Mode
MONITOR
Filter 50Hz, 60Hz *
OFF
OFF QRS Beep
ON
DUAL OFF
1MV ON
HR
High - 150 +
Low - 50 +
Auto Limit
* Restricted Access
Parameter
1mV
Pressing the 1mV TAB produces a 1mV calibration pulse on the
ECG waveform, which should measure 1 cm high on the screen.
Press to exit from this function.
Dual
Press ON to display two ECG waveforms, or OFF to display a single
waveform.
If a 3 Lead cable is being used, this area displays a continuation of
the first waveform.
If a 5 Lead cable is being used, the second ECG waveform will
always show lead II. 29
ECG Monitoring
Alarms
Use the touch screen to adjust the setting. The alarm levels can be
set for both high and low limits using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.
The user can select alternative vectors from the set-up as required.
Only use the patient cable supplied with the system. Respiration
monitoring is achieved using a special patient cable. This cable
does not contain protective resistors found on the standard SC1000
ECG cable.
Total leakage currents of the system must not exceed the limits
specified by IEC 60601-2-27:1994
Check the expiry date of the ECG electrodes, if the date has
expired, discard the electrodes.
31
Respiration Monitoring
13.1 Respiration electrode placement
32
Respiration Monitoring
13.2 Respiration set up
Press the RESP area of the screen to display the RESP SETUP .
The following options will be available: -
RESP SETUP
Parameter
OFF
ON
Sens
1 /cm 3
BR High - 50 +
Low - 10 +
Auto Limit
Parameter
Sens
33
Respiration Monitoring
Alarms
Use the touch screen to adjust the setting. The alarm levels can be
set for both high and low limits using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.
Pediatric 15 - 45Kg
Infant 3 - 15Kg
37
SpO2 Monitoring
14.2 SpO2 set up
Press the SpO2 area of the screen and set Parameter "ON", this
activates the trace.
Press the SpO2 area of the screen to display the SETUP options.
From this point, the operator can select from the following: -
SPO2 SETUP
Parameter
OFF
ON
Pulse Beep
OFF
ON
PR
High - 150 +
Low - 50 +
%O2
High - 99 +
Low - 92 +
Auto Limit
Parameter
Pulse Beep
Press the Pulse Beep area of the screen to switch the beep ON or
OFF.
38
SpO2 Monitoring
Alarms
Use the touch screen to the adjust setting. The alarm levels can be
set for both high / low heart rate limits and the % saturation level
using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.
39
SpO2 Monitoring
14.4 SpO2 Error Messages
Hardware is being
'PULSE SEARCH' Change site or sensor
adjusted for best signal
40
Temperature Monitoring
15. Temperature Monitoring
Temperature probes are not supplied with the system, however, the
SC1000 supports YSI 400 compatible sensors.
Follow the manufactures instruction for use.
Insert the temperature probe(s) into the sockets labelled T1 and or
T2 on the ECG / TEMPERATURE / SpO2 module.
Auto Limit
Alarms
Use the touch screen to the adjust setting. The alarm levels can be
set for both high / low heart rate limits and the % saturation level
using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.
42
Non-invasive Blood Pressure (NIBP) Monitoring
The following table can be used as a guide to help with site
selection: -
Press the NIBP area of the screen to display the NIBP SETUP
options. From this point, the operator can select from the following:
NIBP SETUP
NIBP SETUP NEONATE
Cuff
ADULT
SETTINGS AUTOMATIC
Mode
MANUAL TURBO
Cycle
OFF 2,3,4,5,10,15,30
OFF
SYS
- 160
High + Start Pressure
60,90 minutes
ON
140 mmHg
- 50
Low + 160 mmHg
OFF 180 mmHg
DIA High - 160 +
ON
ENABLE CALIBRATION MODE Adult cuff mode
Low - 50 +
OFF
High -
100 mmHg
MAP
ON 160 +
120 mmHg
Low - 50 +
ALARMS Neonate cuff mode *
Auto Limit
43
Non-invasive Blood Pressure (NIBP) Monitoring
Cuff
This switches between ADULT and NEONATE cuff type and sets
the target pressure and inflation times.
Mode
Manual
Press the Mode TAB to select Automatic , Turbo or
operation. This option is linked to the Cycle option.
Cycle
Cycle
Press the TAB to select the measurement period 2, 3, 4, 5,
10, 15, 30, 60 or 90 minutes.
44
Non-invasive Blood Pressure (NIBP) Monitoring
Start Pressure*
Press the Start Pressure TAB to set the target cuff pressure.
In adult mode, the target pressure can be set to 140, 160 or 180
mmHg. In neonatal mode, the target pressure can be set to either
100 or 120 mmHg.
Press to exit this function.
Alarms
NIBP SETUP
SETTINGS
SYS
ON - 160
High +
Low - 50 +
DIA High - 160 +
ON
Low - 50 +
MAP High - 160 +
ON
Low - 50 +
Auto Limit
The alarm levels can be set for both high and low limits using the +
or - symbols.
NIBP
Press the GO/STOP TAB at the bottom of the screen to initiate the
measurement. The cuff will gradually inflate.
After approximately 30 seconds the system will complete the
measurement and display the readings in the NIBP area of the
screen: -
120/80
MAP (97) 160/50
160
50
100
N
I
B
P
ADULT MANUAL mmHg 50
The NIBP area will display the cuff type and operating mode,
Systolic (SYS), Diastolic (DIA) and Mean Arterial Pressure (MAP) and
the time of the last measurement.
NIBP
To cancel a BP measurement, press the GO/STOP TAB.
---/---
MAP (---) 160/50
160
50
100
N
I
B
P
LOOSE CUFF mmHg 50
46
Non-invasive Blood Pressure (NIBP) Monitoring
16.4 NIBP error messages
47
Invasive Blood Pressure Monitoring
17. Invasive Blood Pressure
Monitoring
Invasive Blood Pressure measurements must only be
carried out by, or under the supervision of qualified
personnel.
The catheters should not be used on limbs which are
being used for other medical procedures.
Line to patient
Pressure
transducer Pressure dome
CAL
Flush Device
100mmHg
Line to flush
solution
flush solution
48
Invasive Blood Pressure Monitoring
Connect the transducer cable to the transducer paying particular
attention to the channel identification (I or II).
Each of the free ends must be inserted into the appropriate blue
socket/s on the IBP module labelled I and II.
Operating the
FLUSH system
49
Invasive Blood Pressure Monitoring
17.3 Zeroing the system
Each channel can be set up / calibrated independently.
Touch the appropriate IBP area of the screen to display the set-up
screen and press ZERO to zero the transducer.
A two second delay occurs while the zero adjustment takes place.
Precautions: -
50
Invasive Blood Pressure Monitoring
17.5 IBP set up options
Touch the appropriate IBP area of the screen to display the set up
screen: -
IBP1 SETUP
Parameter
OFF
ON
ZERO
Layout - - (-- -/ -)- - - ---
OFF --- --- *
SYS
ON
High - 160 + IBP2 SETUP
Low - 50 + Parameter
OFF
OFF ON
DIA
ON
High - 160 + ZERO
Low - 50 + Layout - - (-- -/ -)- - - *
OFF ---
--- ---
MEAN
ON
High - 160 + SYS OFF
High - 20.0 +
ON
Low - 50 + Low - 5.0 +
Auto Limit OFF
DIA
ON
High - 20.0 +
Low - 5.0 +
OFF
MEAN
ON
High - 20.0 +
Low - 5.0 +
Auto Limit
Parameter
Zero
A two second delay occurs while the zero adjustment takes place.
* Restricted Access 51
Invasive Blood Pressure Monitoring
Layout*
Press the Layout TAB to select the format of the IBP display: -
SYS / DIA
SYS/DIA (MAP)
(MAP)
Alarms*
Use the touch screen to the adjust setting. The alarm levels can be
set for both high / low heart rate limits and the % saturation level
using the + or - symbols.
* Restricted Access
52
Invasive Blood Pressure Monitoring
17.7 IBP error messages
53
CO2 Monitoring
18. CO2 Monitoring
The SC1000 uses a sidestream technique to monitor CO2 .
Using the appropriate sampling line, the system can be used with
intubated and non intubated patients.
Typical connection
to Non-Intubated
Sample Patient
Line
For non-intubated
patients apply the
nasal cannula to
the patient and
connect the free
end of the
sampling line to
Elbow connector the system.
to breathing
apparatus
5.2
RR 15 C
O
%
2
COMPENSATION
Mode
%
high - 50 +
RR
CO2 low - 10 +
high - 7.7 +
etCO2
low - 2.5 +
Auto Limit
mmHg, kPa
To adjust the pressure setting, the user must select a higher level of
access control (user or engineer).
Wait for the sensor warm up message to clear from the monitor
display (for best results, wait 5 minutes for the module / sensor to
warm up before performing the zero function).
Make sure the sampling line is exposed to room air; avoid close
contact with alternative sources of CO2.
Press the Zero tab in the CO2 set up screen. Zeroing could take
between 15 and 20 seconds.
Press the CO2 area on the screen to display the CO2 set up options.
5.2
RR 15 C
O
%
2
Always insert the sampling line into the module before connecting to
the ventilator circuit. 57
CO2 Monitoring
ZERO the system if prompted by the
monitor.
Connecting to integrated
airway adaptor via elbow
type of connector
Press the CO2 area on the screen to display the CO2 set up options.
Check Sampling Line Check that sampling line is not occluded or kinked.
Recorder
1.
19.1 Paper Loading
2.
2. Remove
the spent
paper core by pulling it towards
you gently.
Place a new paper roll between the
two tabs of the paper holder. Ensure
that the sensitive (shiny) side of the
paper is uppermost.
3.
10cm
Using the touch screen, press the TAB and select RECORDER
to display the recorder set up options.
RESET
19.2.2 Mode
MODE provides two options, MANUAL or ALARM .
MANUAL
In mode the printer starts and stops in response to the
tab press.
The ALARM mode enables the printer to start and run for
sufficient time to give a full record of the event both before and after
it took place.
09 : 38 : 49 06 - Feb - 2002
NAME :
ECG
REF :
Wave 1
RESP
HR 60 bpm Wave 2
BR 15 r / m
SP02
Press ....
ALARM SETUP
MEDIUM
ALARM SETUP (SOUND 2)
MEDIUM
ECG ASYSTOLE HIGH
(SOUND 1)
(SOUND 1)
MEDIUM
The ALARM SETUP screen is ECG HR low
(SOUND 1) HIGH
displayed. ECG HR high
MEDIUM
(SOUND 2)
(SOUND 1)
HOLD ECG ALARMS
OFF ON
MEDIUM
RESP APNOEA
(SOUND 1) MEDIUM
RESP BR MEDIUM (SOUND 2)
high/low (SOUND 1)
HIGH
(SOUND 1)
HIGH
(SOUND 2)
From this screen the operator can adjust the Alarms to suit.
(Depending on access.)
61
Alarms
20.3 Alarm Activation
The alarm will sound when the alarm limits have been exceeded,
unless they have been muted or the alarm suspension is active.
If an alarm has been disabled from the set-up screen, the alarm
OFF symbol will be displayed continuously to the right of the display.
The alarm priority and tone are determined in the Alarm Setup
menu, Section 20.2 (Restricted Access).
By default, the ASYSTOLE alarm has priority over the other alarms.
62
Alarms
20.4 Alarm Ranges and Default settings
Alarm
High Low
Description
Max Min Max Min
HR(ECG & Sp02)
Programmable in steps of
one unit. A minimum
separation of 5 BPM is
maintained between the High 250 25 245 20
and Low values. ASYSTOLE
& LEAD OFF alarms are set
automatically.
Programmable in steps of
SpO2 %
Default Setting 99 92
Programmable in steps of
Temp
Programmable in steps of
one unit. The minimum
250 10 245 5
separation between values is
5 mmHg
NIBP
63
Alarms
Alarm
High Low
Description
Max Min Max Min
Programmable in steps of
one unit. The minimum 250 10 245 5
separation between the High (50) (5) (45) (0)
IBP 1 (2)
125 9 120 4
separation between high and
low values is 5.
Default Setting 50 10
Programmable in steps of
0.1%. High and low limit
alarm. The minimum 13 2 11 0
separation between values is
2%
etCO2
64
Specifications
21. Specifications
21.1 Equipment classification
Type of protection Class 1 and internally powered equipment
against electric
shock
Degree of protection Type CF - equipment with an applied part,
against electric intended for direct electrical connection to the
shock heart. The equipment is defibrillation discharge
protected. The SpO2, NIBP and invasive blood
pressure defibrillation discharge protection is
provided by the applied parts themselves and
intrinsically by the probe and blood pressure
cuff.
The ECG module is designed with spark gaps
to minimise problems associated with stray
currents generated by defibrillation, diathermy
etc.
Mode of operation Continuous
65
Specifications
21.2 General
Power Input 90 VA
66
Specifications
21.3 Environmental
Operating Storage
21.4 ECG
Heart rate range 15-300 BPM
67
Specifications
21.5 Non-invasive Blood Pressure
68
Specifications
21.7 SpO2
Range 0 - 99%
Resolution 1%
12.8 Respiration
69
Specifications
12.9 Temperature (Dual Channel)
Method Thermistor (YSI 400 series compatible)
Display T1 or T1+T2+
Trends 1, 8 or 24 hour trend of T1 and T2
12.10 CO2
Core technology Respironics LoFlo
O2 Range: 0 to 100%
Compensation Resolution: 1%
Default: 16%
N2O Range: 0 (off) or 1 (on)
Compensation Default setting: Off
Note: If ON, the monitor assumes the balance of
the mixture is O2
He Range: 0 (off) or 1 (on)
Compensation Default setting: Off
Note: If ON, the monitor assumes the balance of
the mixture is O2
Airway pressure Range:
+ 120cmH2O (88.27mmHg)
- 45cmH2O (33.11mmHg)
12.11 Recorder
Type Thermal array up to 24 dots/mm horizontally, 8
dots/mm vertically
Paper 50mm width x 30m long thermal roll
71
Accessories
22. Accessories
ECG / RESP
Item Part No.
5 Lead ECG / RESP Cable Set ACC-VSM-147
3 Lead ECG / RESP Cable Set ACC-VSM-05
5 Lead ECG Main Cable ACC-VSM-146
3 Lead ECG Main Cable ACC-VSM-68
5 Chest Lead Pack ACC-VSM-148
3 Chest Lead Pack ACC-VSM-06
SpO2 sensors
Item Part No.
Reusable Adult finger sensor ACC-VSM-171
Reusable Pediatric finger sensor ACC-VSM-170
Reusable Universal Y sensor ACC-VSM-169
Reusable Ear Sensor ACC-VSM-162
Reusable Infant Wrap sensor ACC-VSM-167
Reusable Neonate Wrap sensor ACC-VSM-168
Disposable Adult finger sensor ACC-VSM-163 (box 10)
Disposable Pediatric finger sensor ACC-VSM-164 (box 10)
Disposable Neonate finger sensor ACC-VSM-165 (box 10)
Disposable Infant finger sensor ACC-VSM-166 (box 10)
3 metre Extension cable ACC-VSM-188
72
Accessories
NIBP
Item Part No.
Disposable Neonatal Cuff Size 1(Box of 10) ACC-VSM-129
Disposable Neonatal Cuff Size 2 (Box of 10) ACC-VSM-130
Disposable Neonatal Cuff Size 3 (Box of 10) ACC-VSM-131
Disposable Neonatal Cuff Size 4 (Box of 10) ACC-VSM-132
Disposable Neonatal Cuff Size 5 (Box of 10) ACC-VSM-133
Reusable Infant Cuff 8 - 13cm ACC-VSM-195
Reusable Child Cuff 12 - 19cm ACC-VSM-196
Reusable Small Adult Cuff 17 - 25cm ACC-VSM-197
Reusable Adult Cuff 23 - 33cm ACC-VSM-198
Reusable Large Adult Cuff 31- 40cm ACC-VSM-199
Reusable Thigh Cuff 38 - 50cm ACC-VSM-200
Neonatal Hose 3.5M ACC-VSM-184
Adult Hose 3.5M ACC-VSM-185
Temperature sensors
Item Part No.
Central - Adult ACC-VSM-11
Central - Infant ACC-VSM-12
Central - Neonate ACC-VSM-13
Surface - Adult ACC-VSM-14
Surface - Infant ACC-VSM-15
Surface - Neonate ACC-VSM-16
Rectal - Adult (Flange) ACC-VSM-17
74
Care of your Equipment
23. Care of your Equipment
Although the SC1000 is robust and has been designed to withstand
normal clinical use, the unit contains delicate components such as
the display and the accessories, which should be handled and
treated with care.
75
Cleaning and Disinfecting
24. Cleaning and Disinfecting
The Monitor
The unit and power lead should be kept clean and checked for
signs of damage. It is recommended that it is wiped clean with a
cloth or tissue dampened with water and detergent.
Observe that the green ' ~ ' indicator and amber "CHG" are
illuminated.
76
Cleaning and Disinfecting
Invasive BP equipment
The recommended MEDEX domes are disposable and should NOT
be reused.
For cleaning, use a mild detergent solution to clean blood and other
foreign material from the external surfaces of the transducer and
cable.
For liquid sterilisation, place the cleaned transducer and cable (except
the connector) in a solution of activated dialdehyde, glutaraldehyde or
equivalent. Immerse for a minimum of 10 hours to destroy resistant
pathogenic spores including Clostridium sporogenes and Clostridium
tetani.
Using a sterile technique remove the transducer and cable from the
sterilising solution and rinse with sterile water avoiding fluid contact
with the connector. Wrap the transducer in sterile gauze and wrap in
a sterile dressing. Place in sterile wrapping and label 'liquid sterilised'.
77
Cleaning and Disinfecting
Temperature probe cleaning and sterilisation
After use, the probe should be cleaned with warm water and wiped
clean and dry. Sterilisation may be achieved by:
1. Low temperature steam 73C 2C
2. Ethylene oxide
3. Cold sterilisation fluids under medical supervision
Under no circumstances should probes be boiled, autoclaved or
cleaned with chlorhexidine based fluids.
The accessories can be cleaned between uses.
Disinfect sensors and cables by following local infection control
policies or wipe with a wipe or swab dampened with Isopropyl
alcohol 70% w/v.
Gently wipe the cuff with a cloth dampened with a suitable cleaning
solution. Thoroughly wipe off excess cleaning solutions.
Do not allow water to enter into the cuff.
Approved cleaning solutions include: -
Common hospital disinfectants including, Clorox, liquid bleach
(1:10 solution of Clorox /water), isopropyl alcohol. Lysol solution,
Phisorex, Quatricide, Virex and Vesphene.
Gently wipe the tube with a cloth dampened with a suitable cleaning
solution (mild detergent solution).
Thoroughly wipe off excess cleaning solutions.
DO NOT use any of the following cleaning solutions as they may
cause permanent damage to the hose assembly: -
Butyl alcohol, Denatured ethanol, Freon, Mild chlorine bleach
solution, Isopropyl alcohol, Trichloroethane, Trichloroethylene,
Acetone, Vesphene II, Enviroquat, Staphene, Misty,
Glutaraldehyde.
78
Fault Finding
25. Fault Finding
The following table is intended to help the user if they encounter any
problems:-
Continuous alarm
indications. No ECG
Defective patient cable Electrode or lead off
signal on display (LEAD
OFF displayed)
Faulty cuff connection
and related NIBP
See table in NIBP section
errors indicated on
screen display
Temperature digits
Replace temperature sensor
reading 20 degrees
79
Maintenance / Warranty
26. Maintenance
Huntleigh Healthcare recommends that preventative maintenance
checks are carried out at least annually.
Maintenance must only be carried out by suitably qualified personnel.
27. Warranty
Huntleigh Healthcare Diagnostic Products Division standard terms
and conditions apply to all sales. A copy is available on request.
These contain full details of warranty terms and do not limit the
statutory rights of the consumer.
Service Returns
If for any reason the SC1000 has to be returned, please:
Clean the product following the instructions in this manual.
Pack it in suitable packing.
Attach a decontamination certificate (or other statement declaring
that the product has been cleaned) to the outside of the package.
Mark the package 'Service Department '
For further details, refer to NHS document HSG(93)26 (UK only).
Huntleigh Healthcare reserves the right to return product that does
not contain a decontamination certificate.
A service manual is available for the Smartsigns series. It contains
service information, parts lists and fault finding guidelines. The
service manual can be obtained by contacting your local supplier or:-
80
Medical Devices Directive 93/42/EEC as
ammended by 2007/47/EC