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Table of Contents

Section 1 - Introduction Section 6 Pulse Oximetry Monitoring


A. About this Manual ..................................................................2 A. Patient connections ....................................................36
B. Manufacture's Responsibility ............................................2 B. SpO2 monitoring ........................................................37
C. Warranty ...........................................................................2 C. SpO2 Waveform and Bar-graph...................................38
D. General Safety .....................................................................2 D. SpO2 Alarm Limits ......................................................39
E. Unpacking and Accessories .................................................3 E. SpO2 Alarm Messages ...............................................39
Section 2 Quick Start Section 7 - CO2 Mainstream Monitoring
A. Description ...........................................................................4 A. Overview..........................................39
B. Turning-On ...........................................................................8 Section 7.1 - CO2 Mainstream Monitoring
C. Alarm and Pulse Sound.........................................................8 A. Principle of Operation .....................40
D. Patient Management..............................................................8 B. Indications for Use...................................40
E. Date and Time........................................................................9 C. Patient Connections..................41
F. Monitoring Screen...................................................................9 D. Monitoring CO2 ....................44
G. Traces Setting........................................................................9 Section 7.2 - CO2 Sidestream Monitoring
H. Patient Type...........................................................................9 A. Principle of Operation ................................45
I. ECG Monitoring ....................................................................10 B. Indications for Use ..............................................45
J. Impedance Respiration Monitoring....10 C. Patient Connections ......................46
K. SpO2 Monitoring....................................................................10 D. Monitoring CO2...................51
L. CO2 Monitoring......................................................................10 Section 8- NIBP Monitoring
M. NIBP Monitoring....................................................................11 A. Cuff Selection and Placement................53
N. Temperature Monitoring........................................................11 B. NIBP Monitoring.............................................................55
O. Invasive Pressure Monitoring................................................12 C. NIBP Alarm Messages....56
P. FIO2 Monitoring..............................................................12 Section 9- Temperature Monitoring
Q. Trends. .........................................................................13
A. Patient Connections........................................................57
R. Discharge Patient and Save Data..13
B. Temperature Monitoring..................................................57
S. Battery Operation ...........................13
Section 10- Invasive Pressure Monitoring
T. Turning-OFF.............................13
A. Pressure Transducer......................................................58
Section 3 Print, Reports and Networking
B. Transducer Connection....................................................59
A.. Printing and Reports....14
C. IP Scale and Label....................................................60
B. Networking...........................20
D. Trigger Source...................................................61
Section 4 - ECG Monitoring E. Pulsatile / Static Mode...........................................61
A. Introduction...............23 F. Transducer Zero................................................61
B. Safety Considerations............................................................23 G. IP Alarm Limits..................................................62
C. Patient Connections...............................................................23 H. IP Alarm Messages...........................................62
D. ECG Monitoring......................................................................25 Section 11 Fraction of Inspired Oxygen
E. ECG Menu...................................................................26
A. Principle of Operation .....................................................62
F. ECG Scale...................................................................26
B. Patients Connections ......................................................63
G. 5 Lead Mode.......................................................................27
C. Calibration.........................................................................64
H. 3 Lead Mode....................................................................27
D. FIO2 Monitoring.. .............................................................65
I. ECG Filter..27
Section 12 - Technical Specification
J. Heart Rate Limits.28
A. Mechanical Description ...................................................67
K. Pace Maker..28
B. Power Requirements .......................................................67
L. ECG Sweep Speed.....28
C. ECG ................................................................................67
M. ECG Pulse Test..28
D. SpO2 Pulse Oximeter .......................................................67
N. ECG Patient Type...28
E. Non-Invasive Blood Pressure............................................67
O. ECG Interpretation.28
F. Temperature.................................................68
P. ECG ST Segment...29
G. CO2...................................................68
Q. ECG Arrhythmia Detection.......31
H. Invasive Pressure..........................................69
R. ECG Alarm Messages32
I. FIO2.....................................................69
Section 5 Bioimpedance Respiration
J. Bioimpedance Respiration....70
A. Overview..33
K. Display ..............................70
B. Patient Connections...33
L. Environment Specifications ................................................70
C. Respiration Menu...34
M. Trends ...............................................................................70
D. Respiration Size.35
N. Auxiliary Output (Rear Panel) ..............................................70
E. Respiration Rate Alarm Limits..35
Section 13- Maintenance
F. Respiration Apnea Alarm Delay..............................................35
A. The Monitor ........................................................................71
G. Respiration Coincidence..35
B. Probes ................................................................................71
H. Respiration ON/OFF..35
C. Patient Cables .....................................................................72
I. Respiration Alarm Messages.35
D. Battery ................................................................................72
Warranty Terms & Conditions ........................................73
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SECTION 1 INTRODUCTION
A. ABOUT THIS MANUAL
This operators manual has been prepared to provide information on the correct use of the
LifeWindow 6000 multi-parameter patient monitor. It contains performance specifications,
installation, operation and maintenance information. It is intended for trained health-care
professionals.

B. MANUFACTURERS RESPONSIBILITY
The manufacturer of this equipment is responsible for the effects on safety, reliability, and
performance of the equipment only if:
The equipment is used in accordance with the instructions in this manual.
The electrical installation complies with all applicable regulations.
Assembly operations, extensions, re-adjustments, or repairs are carried out by persons
authorized by the manufacturer.

Incorrect operation or failure of the user to maintain the monitor in accordance with
proper maintenance procedures relieves the manufacturer or his agent from all
consequent non-compliance, damage or injury.

It is up to the user to ensure that any applicable regulations respecting the installation and
operation of the monitor be observed.

C. WARRANTY
All products manufactured by Digicare Biomedical Technology Inc. are warranted to be free
from defects in material and workmanship and to operate within published specifications, under
normal use, for a period of one year from date of original shipment. The warranty on
accessories is ninety (90) days.
If an examination by Digicare, discloses such products or component parts to be defective, then
our obligation is limited to repair or replacement (at our option).

D. GENERAL SAFETY
1 - INDICATIONS
The LifeWindow 6000 series is a Class 1 device designed for continuous operation in
accordance with the Safety Standard EN60601-1. The Class 1 device MUST BE connected to
the external protective conductor to be operated with the external MAINS LINE. It is intended for
use by persons trained in professional health care, in the hospital / clinic environment. The
operator must be thoroughly familiar with the instructions in this manual before using the
instrument.

The unit is configured to measure and monitor the following available parameters:
ECG Waveform 3 leads, (5 leads optional);
Heart Rate (HR) from ECG ;
ECG arrhythmia and ST segment analysis;
Blood oxygen saturation (SpO2 or pulse oximetry);

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SpO2 waveform (Plethysmogram);


Two Temperature channels;
Four Invasive Pressure channels;
Pulse ( from SpO2 ,NIBP, IP1, IP2, IP3 or IP4) rate;
NIBP Systolic, Diastolic and mean arterial pressure;
End-tidal CO2 concentration (EtCO2) Mainstream or Sidestream;
Inspired CO2 concentration (inCO2) Mainstream or Sidestream;
Respiration rate (from EtCO2 waveform);
Inspired Fraction of O2 ( FIO2 );
Inspired Anesthetic Agent (isofluran, sevofluran, halothan, desfluran and enfluran);
End-tidal Anesthetic Agent (isofluran, sevofluran, halothan, desfluran and enfluran);
Inspired N2O concentration;
End-tidal N2O concentration;
Cardiac Output / Right Ventricular Ejection Fraction by thermodilution;
Derived hemodynamic parameters;
CONFIGURATION CODE
Electrocardiogram 3 Lead ECG........................................................................................ E
Electrocardiogram 3 and 5 Lead ECG.............................................................................5E
Pulse Oximeter and Plethysmogram ................................................................................. S
FIO2 Inspired Fraction of Oxygen ................................................................................... F
CO2 DualCap Mainstream and Sidestream Capnography .............................................. D
CO2 - Mainstream Capnography ....................................................................................... M
CO2 - Sidestream Capnography ........................................................................................ C
CO2 Sidestream with Anaesthetic Agents ...G
Non-invasive Blood Pressure - NIBP .................................................................................. N
Invasive Pressure ( up to 4 two channels) ......................................................................... #P
Temperature (up to 2 channels) ......................................................................................... #T
Cardiac Output / REF............................................................................................................O

2 - CAUTIONS
The LifeWindow 6000 was designed and tested accordingly to the ELECTRO-MAGNETIC
COMPATIBILITY Standard IEC601-1-2. However, the operator is responsible to verify if the
monitor is been affected or affecting others electrical equipment. Equipments like electrocautery
and image scanners can generate interference and cause degradation of the
LifeWindow 6000 performance. To avoid this situation, it should be installed as far as
possible of those equipment.

3- CONTRAINDICATIONS
The LifeWindow 6000 series is NOT intended to be used during MRI (magnetic resonance
imaging).
The LifeWindow 6000 is NOT suitable for use in the presence of a flammable anaesthetic
mixture with air or with oxygen or nitrous oxide.

E. UNPACKING AND ACCESSORIES


Carefully remove the monitor and its accessories form the shipping carton. Save the packing
materials in case the monitor must be shipped or stored. Ensure your LifeWindow 6000 has
the items listed in the SHIPPING LIST inside the carton.

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SECTION 2 QUICK START


A. DESCRIPTION
1 FRONT PANEL

FIG.1
1- TFT Active Matrix Color Flat Panel Display: Windows based Graphic Interface displays 6
user selectable physiologic waveforms, numeric values, indicators, alarm messages and
physiologic parameters menu.
2- Mouse Pointer actuator.
3- Mouse Click Pushbuttom.
4- ALARM DISABLE dedicated pushbutton.
5- FREEZE TRACES dedicated pushbutton.
6- ECG LEAD SELECTION dedicated pushbutton.
7- NIBP START dedicated pushbutton.
8- NIBP STOP dedicated pushbutton.
9- PRINT dedicated pushbutton.
10- BATTERY charge status LED indicator.
11- AC mains line LED indicator.

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2 PATIENT CONNECTIONS PANEL

FIG. 2
12- NIBP hose receptacle. Accept cuff to Non Invasive Blood Pressure and Pulse determination
and monitoring.
13- CO2 connector for external Plug & Play Sidestream or Mainstream CO2 and Respiration
Rate determination and monitoring.
14- Cardiac Output Connector. Accepts Cardiac Output bifurcated cable for determination of
Cardiac Output and Right Ventricle Ejection Fraction (REF) (Optional).
15- Temperature Channel 1 connector. Accepts temperature cable and sensor for non-invasive
Temperature determination and monitoring.
16- Temperature Channel 2 connector. Accepts temperature cable and sensor for non-invasive
Temperature determination and monitoring.
17- FIO2 connector. Accept cable and sensor to Inspired Fraction of Oxygen determination and
monitoring, using an air way adaptor.
18- SpO2 connector. Accepts pulse oximetry patient sensor cable to non-invasive determination
and monitoring of the blood oxygen content.
19- Invasive Pressure Channel 1 connector. Accepts pressure transducer cable to invasive
determination and monitoring of blood pressure.
20- Invasive Pressure Channel 2 connector. Accepts pressure transducer cable to invasive
determination and monitoring of blood pressure.
21- Invasive Pressure Channel 3 connector. Accepts pressure transducer cable to invasive
determination and monitoring of blood pressure.

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22- Invasive Pressure Channel 4 connector. Accepts pressure transducer cable to invasive
determination and monitoring of blood pressure.
23- ECG connector. Accepts ECG cable for electrocardiogram and Heart Rate monitoring.

3 REAR PANEL

FIG.3

24- Mains Line IEC connector. Accepts power cable from mains line. Have 1 main fuse and 1
spare fuse inside.
25- General Power switch. Interrupt power from internal battery and mains power supply.
26- On / Standby switch. Momentary contact switch to turn-on and off the unit. To turn-on the
unit, double click this switch.
27- USB 1 connector for external printer, keyboard and USB storage devices.
28- Ethernet Connector. Connection to Ethernet network standard.
29- Keyboard Connector. PS2 connection to a standard AT type keyboard used only to service
purposes.
30- Video Connector. Connection to a standard CRT video.
31- Auxiliary Connector. Supply analog output signals, trigger signals and one RS232
communication port.
32- Antenna for wireless networking.
33- Internal CO2 Sidestream Vent port for connection to scavenger systems or keep open.

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4 MONITORING SCREEN

FIG.4
29 First waveform user selected area, showing ECG Lead II waveform in Thin Line Style,
scale (-1 to +1mV), sweep speed of 25mm/s and QRS detected INDICATOR (HEART).
30 Second waveform user selected area, showing ECG Lead I waveform in Thin Line Style,
scale (-1 to +1mV) and sweep speed of 25mm/s.
31 Third waveform user selected area, showing ECG Lead III waveform in Thin Line Style,
scale (-1 to +1mV) and sweep speed of 25mm/s.
32 Forth waveform user selected area, showing SpO2 waveform in Thin Line Style, with
Pulse Level strength scale (1 to 8), sweep speed of 25mm/s.
33 Fifth waveform user selected area, showing Impedance Respiration waveform in Thin Line
Style, with Resp Size Scale, sweep speed of 12.5mm/s.
34 Sixth waveform user selected area, showing ECG Lead aVf waveform in Thin Line Style,
scale (-1 to +1mV) and sweep speed of 25mm/s.
35 ECG menu selection.
36 RESP menu selection (optional).
37 SpO2 menu selection.
38 FIO2 menu selection.
39 CO2 menu selection.
40 NIBP menu selection.
41 Temperature menu selection.
42 Traces configuration menu selection.
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43 Trends menu selection.


44 Print menu selection.
45 System configuration menu selection.
46 Patient Name and ID indicator, Date and Time indicators.
47 Battery Status Indicator.
48 Adult / Neonatal Mode selector and indicator.
49 ECG Heart Rate (BPM) and ECG settings.
50 ECG ST Segment and Arrhythmias Indicators .
51 SpO2 Indicator in %, SpO2 settings and FIO2 Indicator in % and settings.
52 Impedance Respiration Rate (BPM) and settings.
53 Indicators: NIBP mode selected indicator: Manual, Stat or Auto.
NIBP cycle interval selected indicator.
NIBP time to next cycle remaining indicator.
54 Additional ECG Indicators for 5 Leads Mode (optional)
55 Temperature Channel 1, Channel 2 and Differential Temperature Indicators .

B. TURNING-ON
Plug the AC power cord in AC MAINS receptacle at rear panel connector (24) and in the AC
outlet. The LifeWindow 6000 accepts 110 or 220 VAC with automatic selection by the
power supply.
The electrical installation of the room must have three pin outlets with earth connection for
protection of patient, users and equipment.
The AC-ON LED indicator will light green and the BATTERY status indicator will light green if
the battery is fully charged or yellow if charging.
Power-on the unit by double-clicking the ON switch (26) on the rear panel.
The monitor will then perform a boot sequence (approx. 1.5 min.).

C. ALARM AND PULSE SOUND


When the unit turns-on, the Alarm Sound is disabled by 2 minutes.
To disable the Alarm Sound for more 2 minutes press and release the Alarm Sound
dedicated pushbutton ( 4 ) in the front panel. The AUDIBLE ALARMS OFF message flashes in
screen.
To permanently disable the Alarm Sound press and hold 4 seconds the Alarm Sound
dedicated pushbutton ( 4 ). The AUDIBLE ALARMS OFF message is displayed steady on
screen.
The Pulse and Alarm sound volume levels are set to default levels. To change the Pulse and
Alarm Sound volume level, touch in System menu and Sound Volume. Select the Beep
Volume, Alarm Volume and Beep Source, if it is from the ECG, SpO2 or OFF (no Beep).

D. PATIENT MANAGEMENT
the LifeWindow 6000 starts the monitoring screen and start storing all Vital Signs.
The Patient Management screen can be opened at any time by touching the System menu.
The Patient Management screen is automatically displayed when the monitor is turned-on
with two options: Admit New Patient and Cancel Pat Mangmt.
Touching Cancel Pat Mangmt, closes the Patient Management screen.
Although the Patient can be admitted at a later time, we recommend to admit the Patient
before Patient data starts to be stored to prevent losing Patient Data.
To admit a patient, touch on the Admit New Patient button.
Enter the Patients Name and Patient Control ID.
Touch the Admit Patient & Start Monitoring button.
If less then 5 minutes of monitoring occurred, the Patient is admitted and the screen is closed.
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If more then 5 minutes of data is available, you need to choose what to do with the with the
patients data in the buffer, with three options:
Keep for the new patient. Touch to include data to new patient.
Save as different patient. Touch to save data to different patient.
Discard Data. Touch to discard.

E. DATE AND TIME


Check if the current Date and Time displayed in the Indicator (47) are correct.
To change the Date and Time, touch the SYSTEM menu and touch Date/Time Settings.
Set current location Date and Time. Touch OK to finish.

F. MONITORING SCREEN
The LifeWindow 6000 monitoring screen is pre-configured accordingly to the Vital Signs
parameters that are installed and turned-on. The traces are pre-configured to keep In-line
Logic with the Indicators area in the right of the traces area.
To turn-off any Vital Sign that is not going to be used in patients monitoring, touch the Vital
Sign menu and touch ECG OFF or SPO2 OFF, etc. The monitoring screen may change some
Traces settings and Indicators.
Factory Default Settings are configured to standard applications. As the user changes Alarm
Limits and other settings, the LifeWindow 6000 will save the changes when turned-off.
Next time the unit is turned-on, the last saved settings will remain.
To return the unit to the Factory Defaults, touch in the System menu and touch in Load
Factory Default Settings.

G. TRACES SETTING
The LifeWindow 6000 six traces are configured and cascaded accordingly to the Vital
Signs parameters installed and turned-on.
You can select any physiological waveform from one to six of the available traces. You can
also cascade the traces up to 3 individual loops.
Move the Pointer to TRACES icon and press the Select pushbutton.
Select TRACE waveform source (ECG, SpO2 Plethysmogram, Capnogram, or No Selection).
Select TRACE sweep speed (6.25mm/s, 12.5mm/s, 25mm/s, 50mm/s or 100mm/s).
Select TRACE color.
Select TRACE style (Thin line or Fill In).
Press the Cascade Traces button if you want to cascade two or more traces.
You can create up to 3 cascade loops: Loop 1, Loop 2 and Loop 3. Select the Loop
waveform Source. Select the Sweep Speed, Color and Style for each trace.
Press the Done button to finish.
Note: When the LifeWindow 6000 is turned-off and turned back on, the traces will return
to the original pre-configuration accordingly to the physiological parameters that are installed
and turned-on, to keep In-line Logic with the Indicators area in the right of the traces area.

H. PATIENT TYPE
Patient Type has two modes: Adult and Neonatal. It affects the ECG and NIBP functions only.
All other Vital Signs functions are not affected by the Patient Type selected.
Selection of Patient Type shall be based on the Patients Heart Rate range for ECG monitoring
and Cuff size to be used for NIBP monitoring.

Adult Patient Type : ECG Heart Rate Range: 5 to 220 BPM


NIBP Cuff Size #: 5, 7, 8, 9, 10 and 11
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Neonatal Patient Type : ECG Heart Rate Range: 30 to 300 BPM


NIBP Cuff Size #: 1, 2, 3, 4 and 6
I. ECG MONITORING
The ECG function is pre-configured with the following default settings. To change the ECG
settings touch the ECG menu and change the desired setting.
Heart Rate High Limit : 140 BPM
Heart Rate Low Limit : 60 BPM
Heart Rate Averaging : 8 Beats for Adult, 16 Beats for Neonatal.
ECG Scale : - 0.5 mV to +1.0 mV
ECG Filter Mains Notch : ON
ECG Filter Digital : ON
ECG Lead Selection : II
Prepare the electrode sites in the standard configuration for RA (Right Arm), LA (Left Arm)
and LL (Left Leg). Application sites should be clean and dry. Shave or clip excess hair if
necessary. Use conductive ECG gel if necessary.
Connect the 3 Leadwires to the ECG cable. Connect the ECG cable to the receptacle (13) in
the patient panel. Install the 3 electrodes in the patient. More details in Section 4.
A visual indicator () and a beep Sound indicates R wave detection and the ECG waveform
and Heart Rate reading are displayed.

J. IMPEDANCE RESPIRATION MONITORING


The Impedance Respiration function is pre-configured with the following default settings. To
change the Resp settings touch the Resp menu and change the desired setting.
Resp. Rate RPM High Limit : OFF
Resp. Rate RPM Low Limit : 5 RPM
Apnea Alarm Delay : 20 seconds
Respiration Size : 3
Coincidence Alarm : ON
Make sure to use high quality ECG electrodes with Low Resistance.
The quality of ECG electrodes directly affect the Impedance Respiration detection.
The Respiration Size adjust the Respiration waveform size but do not change the Impedance
Respiration sensitivity and Respiration Rate count.

K. SpO2 MONITORING
The SpO2 function is pre-configured with the following default settings. To change the SpO2
settings touch the SpO2 menu and change the desired setting.
SpO2 % High Limit : OFF
SpO2 % Low Limit : 88%
SpO2 Pulse High Limit : 140 BPM
SpO2 Pulse Low Limit : 60 BPM
Choose the SpO2 sensor type and prepare the SpO2 sensor and clip.
Connect the sensor assembly to the SpO2 Patient Cable:
Plug the SpO2 Patient Cable into the SpO2 connector (18) on the side panel of the monitor.
Push the cable in until you hear an audible click.
The yellow SpO2 SENSOR message changes for the green Searching SpO2 message, the
Bar-graph shows the SpO2 Pulse Level, the SpO2 waveform, SpO2 % and Pulse Rate
values are displayed.

L. CO2 MONITORING
The LifeWindow LW 6000 automatically starts the CO2 function when CO2 sensor is
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connected to the unit.


The CO2 function is pre-configured with the following default settings. To change the CO2
settings touch the CO2 menu and change the desired setting.
CO2 Waveform Scale : 0 to 50 mmHg
EtCO2 High Limit : 45 mmHg
EtCO2 Low Limit : 20 mmHg
InsCO2 High Limit : 10 mmHg
InsCO2 Low Limit : OFF
Resp Rate High Limit : 50 BPM
Resp Rate Low Limit : 5 BPM

Select the appropriate airway adapter for mainstream or sample line with adapter for
sidestream based on the patient and monitoring situation.
Connect the sample line with adapter to receptacle (10) in the Patient Panel, or;
Connect the sample line with adapter to the External Sidestream module and connect the
module to connector (17) in the Patient Panel, or;
Connect the Mainstream sensor assembled in the airway adapter to connector (17).
Wait for the Sensor Warm Up message to clear. If the Zero Required message is
displayed, proceed with a Zero Calibration Procedure as explained in Sections 6.1 and 6.2.
Connect the airway adapter to the patients air way assembled circuit.

M. NIBP MONITORING
The NIBP function is pre-configured with the following default settings. To change the NIBP
settings touch the NIBP menu and change the desired setting.
NIBP Cycle Mode : Manual
NIBP Systolic Upper Limit : 160 mmHg
NIBP Systolic Lower Limit : 100 mmHg
NIBP Diastolic Upper Limit : 100 mmHg
NIBP Diastolic Lower Limit : 60 mmHg
NIBP Mean Upper Limit : 120 mmHg
NIBP Mean Lower Limit : 80 mmHg
NIBP Pulse Upper Limit : 140 BPM
NIBP Pulse Lower Limit : 60 BPM
The widest cuff that can be placed on the patient, without extending beyond the joint, should
be selected. Cuff width should be 40 60% of limb circumference. Wrap for a snug fit.
The monitor comes standard with six different sizes of cuffs. They are marked to aid in proper
cuff selection. When a cuff is wrapped around a site, its index edge should be in the range
indicated on the cuff. The cuff is too small or too large if the index edge is outside the range.
On the NIBP menu, select the NIBP mode (Manual, Auto or Stat) and the cycle time. Press
the NIBP Start button (7) in the front panel or in the NIBP menu to start a determination cycle.

N. TEMPERATURE MONITORING
The Temperature function is pre-configured with the following default settings. To change the
Temperature settings touch the TEMPs menu and change the desired setting.
Temperature Channel 1 : On
Temperature Channel 2 : OFF
Temperature Unit : F
Temperature 1 Upper Limit : 100.4F (38.0 C)
Temperature 1 Lower Limit : 95.9F (35.5 C)
To enable Temperature 2 channel, touch in TEMPs menu, Temperature 2 and select ON.
To enable Differential T1-T2, touch in TEMPs menu, Differential T1-T2 and select ON.
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Connect the temperature cable to receptacle (15) Temperature 1 or (16)Temperature 2.


In the Temperature menu select Temperature1, Temperature2 or T1-T2.
The temperature value is displayed when the probe temperature is in the 50 to 122 F (10 to
50C), range otherwise the temperature display is blanked.

O. INVASIVE PRESSURE MONITORING


The Invasive Pressure function is pre-configured with the following default settings. To change
the Invasive Pressure settings touch the IBPs menu and change the desired setting.
IP # : OFF
IP # Scale : 0 to +150 mmHg
IP # Mode : Pulsatile
IP # Label : IP #
IP # Trigger Source : Pulse
IP # Systolic Upper Limit : 160 mmHg
IP # Systolic Lower Limit : 60 mmHg
IP # Diastolic Upper Limit : 160 mmHg
IP # Diastolic Lower Limit : 60 mmHg
IP # Mean Upper Limit : 120 mmHg
IP # Mean Lower Limit : 60 mmHg

The Invasive Pressure Channels 1 and 2 are turned off in the factory default settings.
Turn-on Invasive Pressure Channel 1 or 2 touching in the IBPs menu.
The message NO TRANSDUCER is displayed until a Transducer is connected.
Connect the pressure transducer cable to connector IP1 (19), IP2 (20), IP3 (21) or IP4 (22).
Connect the catheter to the pressure transducer.
Install the flow system and maintain the entire system with liquid.
Hold the transducer at the heart level (axial line). Additional information at Section 9.
The message ZERO TRANSDUCER is displayed until a zero calibration is executed.
Open the TRANSDUCER input to the air (Local Atmospheric Pressure). Touch in the IBP
menu and touch in the Invasive Pressure #. Touch the Zero Xducer button.
If the transducer Zero calibration procedure was successful, the Invasive Pressure waveform
shall be displayed at ZERO baseline and the Invasive Pressure readings are displayed.
If the transducer Zero calibration procedure was NOT successful, the IP# ERROR
ZEROING message is displayed on screen.

P. INSPIRED FRACTION OF OXYGEN MONITORING


The FIO2 function is pre-configured with the following default settings. To change the FIO2
settings touch the FIO2 menu and change the setting.
FIO2 function : OFF
FIO2 Upper Limit : OFF
FIO2 Lower Limit : 20 %
Turn-on the FIO2 function touching the FIO2 menu and select ON.
Connect one end of the FIO2 patient cable into the jack receptacle on the back end of sensor.
Connect the other end of the cable into the receptacle (17) located on the patient panel.
The LifeWindow 6000 should be calibrated before each use and every 8 hours to
maintain maximum accuracy. See Section 10 for more information.
It can be used to measure a gas mixture for oxygen in two basic modes:
In the inhalation side of breathing circuit ahead of humidifiers and medicating devices or other
instances where gases are flowing to a patient in breathing circuits. When monitoring oxygen
in breathing circuits, the flow diverter must be used.
In confined volumes such as tents and hoods. In these applications the flow diverter must be
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removed from the sensor so that it does not interfere with the rapid exchange of gases to and
from the sensing surface of the sensor.
Never install the sensor in a location that will expose the sensor to patients exhaled breath or
secretrions unless you intend to dispose of the sensor and flow adapter after use.

Q. TRENDS
The LifeWindow 6000 stores all measured parameters from patient, every minute since
the monitoring screen starts until the monitor is turned-off.
The stored values can be visualized in tabular or graphic form, for trend analysis.
Touch the Trends menu.
Touch in Tabular to visualize all values trends in a tabular form, with indication of values
measurement time.
Touch in Graphical to select display all stored physiologic values in graphic trends format.
Touch the period of time to display the Trends: 15min, 1H, 4H, 12H, 24H, 48h e 72h.
The Trends for all measured physiologic parameters are displayed simultaneously.
Touch in the windows maximize button to increase the trends screen size.
Use the cursor to move the Trends up, down, right or left.

R. DISCHARGE PATIENT AND SAVE DATA


At the end of monitoring, touch the System menu and Patient Management menu. Touch
Discharge Patient button. Press Yes to confirm. Press Yes to save the patient data. Make
sure the selected directory is the desired place to save the data (default is c:\Patient Data).
To save to a different directory in a network computer, touch the Select Another Directory
button. Select the desired directory in the Look in field and touch the Done button.
Touch the Save Report button to save the report to the selected directory.

S. BATTERY OPERATION
The LifeWIndow 6000 internal battery has autonomy to approximately 1 hour of operation
when fully charged.
The CHARGE STATUS LED indicator (10) stays yellow when battery is recharging, green
when fully charged and Off when the battery is disconnected or in battery operation.
With the monitor ON, the battery status indicator (48) displays the battery charge status of
the battery.
In battery operation, the LOW BATTERY alarm message is triggered when there is charge to
approximately 10 minutes of operation. After 5 minutes with LOW BATTERY message, the
unit shut-down.

T. TURNING-OFF
To Shut down the unit just press and release the ON / Standby (26) pushbutton on the rear
panel or touch the Shutdown option in the system menu. A screen asking to confirm if you
want to shutdown the unit is displayed.
If any problem occurs with the shutdown function, the user can shut-off the unit by pressing
and hold the ON / Standby (26) pushbutton for 15 seconds. In this option patient data is lost.

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SECTION 3 PRINT, REPORTS AND NETWORKING


A. PRINTING AND REPORTS
The LifeWindow 6000 can connect to any external windows based printer, connected to
the rear panel of the unit USB connector (27), or to a network printer.
The Epson C88 Plus is installed as default printer. It also prints to a PDF virtual printer
creating PDF print reports.
An optional Strip Chart Recorder can be installed in the the unit.

1 EXTERNAL PRINTER
The Epson C88 Plus printer is pre-configured with the following default settings. To change
the printer settings touch the Print Menu and select Printer and PDF.
To install another Local or Network printer, read Section 3 F.
ECG Trace Settings
Printer DPI : 360 DPI Printers
Charting Speed : 25 mm/s
Scales : 5 mm/mV
Grid : Grid On
Tabular Reports
Interval Between Measurements (minutes) :1
Numbers of Pages to Print :1
(45 measurements / Page)

Set the Print DPI. Default is set to 360 DPI (Epson). Other manufacturer uses 300 DPI.
Check your printer documentation to verify correct DPI.
Set Charting Speed. Options are: 6.25, 12.5, 25, 50, 100 and 200 mm/s.
Set Scale. Changing scale will change the amplitude of the ECG in the printout. Options are:
2.5, 5, 10, 20, 40, 80 and 160 mm/mV. As you increase the Scale it will increase the size of
the ECG in the printout.
Set Grid On (default) or Off.
Set Interval Between Measurements (minutes), for Tabular Reports printout.
Set Numbers of Pages to Print. Each page has 45 measurements.
Touch the Print ECG to Printer button to start printing in the installed printer. The printout will
have the last 10 seconds of ECG followed by current time ECG.
Touch the Print ECG to PDF button to create a PDF printout of the ECG. The printout will
have the last 10 seconds of ECG followed by current time ECG.
Touch the Print Report to Printer to print the Tabular Report in the installed printer.
Touch the Print Report to PDF to create a PDF Tabular Report.

2 STRIP CHART RECORDER (Optional)


The Strip Chart Recorder is pre-configured with the following default settings. To change
the printer settings touch the Print Menu and select Strip Chart.
ECG Trace Settings
Charting Speed : 25 mm/s
Scales : 20 mm/mV
Grid : Grid On
Triggering Events : OFF
Tabular Reports
Interval Between Measurements (minutes) :1
Numbers of Pages to Print :1
(45 measurements / Page)
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The Tabular Reports # measurements in memory is displayed in the Strip Chart Setup.
The Tabular Reports # of pages that can be printed is displayed in the Strip Chart Setup.
Select the charting speed to the ECG trace :6.25mm/s, 12.5mm/s, 25mm/s or 50mm/s.
Select the Grid ON or OFF to be printed with the ECG waveform.
Select the ECG Scale :2.5mm/mV, 5mm/mV, 10mm/mV, 20mm/mV, 40mm/mV, 80mm/mV
or 60mm/mV.
Activate or disable the Triggering events to automatically start printing the ECG in case of an
ECG alarm.
Press the PRINT (9) button in the Front Panel overlay or the Start Charting button in the
Strip Chart Setup to start printing the ECG waveform on the Strip Chart Recorder.
Press the Print Report button in the Strip Chart Setup to print the report in the Strip Chart.
Press the Stop Recorder button in the Strip Chart Setup to stop printing.

3 EXCEL REPORTS
The LifeWindow 6000 Excel report contains a Tabular Report and Trends Graphical
Report.
The Tabular Report stores the patients Vital Signs every minute. The Report can be
reconfigured at the moment of printing, changing the time between readings from 1 minute up
to 99 minutes.
The Graphical Trends Report has options for 2, 4 and 24 Hours graphic trends report.
To generate a Excel Report the patient shall be admitted in the Patient Management Setup.

SAVING PATIENT VITAL SIGNS TO EXCEL REPORT.


As soon the LifeWindow 6000 start the monitoring screen, the patient data is being
stored.
Admitting the patient, transfers these data to the patients buffer. The patient can be admitted
any time after start monitoring.
To save the patients data touch in the System menu and touch in the Save Patient Vital
Signs Report. If the current patient is not admitted at this time, an Error No Patient has
been admitted screen is displayed. Touch OK and follow the steps to Admit Patient.
If the current patient is admitted the Save Vital Signs Report screen is displayed. The
Current Selected Directory to save the patient data is displayed (default is c:\Patient Data),
with the Report File Name. The Report File Name contains the Patients ID and the date
and time of the Report generation.
To save to a different directory in a network computer, touch the Select Another Directory
button. Select the desired directory in the Look in field and touch the Done button.
Touch the Save Report button to save the report to the selected directory.

VIEWING PATIENTS VITAL SIGNS EXCEL REPORT.


To view the Patients Vital Signs Excel Report, touch in the System menu and touch in the
View Reports with MS Excel.
In the Microsoft Excel screen, touch in File and Open. All saved Excel reports will be
listed. Touch in the desired report name to select it and touch in Open.
The Excel Report has three tabs: Tabular, 2 Hour, 4 Hour and 24 Hour. The Tabular report
default time interval is 5 minutes. To print the Tabular Report with the default time interval
touch in the Printer icon or in File and Print. In the Print screen touch to select the
desired printer and touch OK.
To change the Excel Report time interval, touch in the maximize button in the top right
corner to expand the report screen. Using the right arrow button, move the Tabular Excel
Report to the left. Using the Up and Down big arrows, change the Measurement Interval in
Minutes. Touch in the Click here to renew the interval of Measurement button. The Excel

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Report will change to the selected interval.


To view the Graphical Trends Report, touch in the 2 Hours, 4 Hours or 24 Hours tab in the
bottom of the Microsoft Excel screen.

4- INSTALLING A LOCAL PRINTER


The LifeWindow OS is Windows XP embedded. Printers with driver to XPe are supported. Some
printers with driver to XP can also be installed. Please contact Digicare about installation of your
specific printer in the LifeWindow.

The LifeWindow has the Epson C88 plus inkjet printer installed as default. To install a new printer
(Epson C88 was used to illustrate):
1. Copy the entire content of the printer installation CD to one USB flash drive in a folder with the
Printer name.
2. Turn on the LifeWindow monitor
Move the touch screen mouse pointer to the TRACES icon on the top of the monitor screen.
Hold down the FREEZE and NIBP Start buttons and touch the TRACES icon simultaneously.
(This will cause the LW program to stop and start the Windows Desktop.)
1. Connect the USB flash drive to the USB port in the rear panel of the LifeWindow.
2. Copy the Printer folder from the USB flash to the LIFEWINDOW C:
3. Remove the USB flash drive and connect the Printer to the USB port in the LifeWindow and turn-on
the printer.
6. Click Start, Settings and then Printers and Faxes.
7. Click Add a printer in the taskbar on the left.
8. In the Welcome to the Add Printer Wizard, click Next.
9. Select Local Printer attached to this computer.
10. Uncheck Automatically detect and install my Plug and Play printer, click Next.

11. In the Use the following port: select: USB001 (Virtual printer port for USB), click Next.

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12. Click Have DiskF and click Next.


13. Click BrowseF
14. In the Locate File screen click in the down arrow and click in the LIFEWINDOW (C:).
15. Open the Folder with the new printer driver copied from the USB flash drive and click Open.
16. Make sure the driver is displayed in the Copy manufacturers files from: field and click OK.

17. The new printer being installed shall be displayed. Click Next.

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18. The name of the printer will be displayed. Click Yes to select the new printer to be used as default
printer. This selection can be changed after the installation if needed. Click Next.

19. If youd like to share the printer on the network, click on Share name and enter a friendly
name. Click Next.

20. If youd like to print a test page, click Next. Otherwise, click No then click Next.
21. Click Finish to complete the printer install.
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5- CONNECT TO A NETWORKED PRINTER

1. Make sure the LifeWindow and the network printer are connected to the network and turned-on.
2. On the LifeWindow monitor
Move the touch screen mouse pointer to the TRACES icon on the top of the monitor screen.
Hold down the FREEZE and NIBP Start buttons and touch the TRACES icon simultaneously.
(This will cause the LW program to stop and start the Windows Desktop.)

3. Click Start, Settings and then Printers and Faxes


4. Under Printer Tasks, click Add a printer to open the Add Printer Wizard, and then click Next.

5 .Click A network printer, or a printer attached to another computer, and then click Next.

6. Connect to the desired printer using one of the following three methods. Click a method for
instructions.

Search for it in Active Directory.


This method is available if you are logged on to a Windows domain running Active Directory.
1.Click Find a printer in the directory, and then click Next.
2.Click the Browse button to the right of Location, click the printer location, and then click OK.
3.Click Find Now.
4.Click the printer you want to connect to, and then click OK.

Type the printer name or browse for it.


1.Click Connect to this printer.
2.Do one of the following:
Type the printer name using the following format: \\printserver_name\share_name
Browse for it on the network. Click Next, click the printer in Shared printers.

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3.Click Next.

Connect to an Internet or intranet printer.


Using a printers URL allows you to connect to a printer across the Internet, provided you have
permission to use that printer. If you cannot connect to the printer using the general URL format below,
please see your printer's documentation or contact your network administrator.
1.Click Connect to a printer on the Internet or on your intranet.
2.Type the URL to the printer using the following format:
http://printserver_name/Printers/share_name/.printer
3.Follow the instructions on the screen to finish connecting to the network printer.
Note To open Printers and Faxes, click Start, click Control Panel, click Printers and Other
Hardware, and then click Printers and Faxes.
You can also connect to a printer by dragging the printer from the Printers folder on the print
server and dropping it into your Printers folder, or by right-clicking the icon and then clicking
connect.
Another way to add a printer is to double-click Add Printer. This option is available only if
folders are set to the Windows XP classic folder look, and if a printer is not currently selected.
After you have connected to a shared printer on the network, you can use it as if it were
attached to your computer.

SHARING FILES AND FOLDERS


Sharing a folder is even easier than sharing a printer:

1. Open a folder (such as My Documents), click Make A New Folder in the Task Panel and name
your new folder.
2. With the new folder highlighted, click Share This Folder.
3. In the Sharing tab of the Properties dialog box, select Share This Folder On The Network.
4. Provide a descriptive name for the folder. This name should make it easy for others on the
network to recognise the folder; it doesn't have to be the same as the folder name you selected
in step 1.
5. You can let other people on the network view and edit your files or view them only. If you want
to protect your files from tampering, remove the tick from Allow Other Users To Change My
Files.

There are a variety of ways to access a shared folder. Here's one way:
1. Click Start -> My Network Places -> View Workgroup Computers.
2. Click the computer whose files you wish to access and then click the shared folder.

You can create shortcuts to shared folders to make them easier to access.

Note: Be wary of sharing files and printers if you have an always-on Internet connection. Doing
so can make your files vulnerable to outside access. If you do enable sharing, make sure you
use password protection, that you don't share the root (C:\) folder of any computer on the
network, and that you install and use a strong, commercial firewall.

B. NETWORKING
The LifeWindow 6000 can be connected to your local network using Ethernet and wireless LAN. The
Ethernet connector is standard in all units.

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Note: Digicare can supply WIFI cards for your Life Window 6000. Contact sales and support for more
information on this at 561-689-0408.

1 - LIFEWINDOW SETUP

Turn on the LifeWindow monitor


Move the touch screen mouse pointer to the TRACES icon on the top of the monitor screen.
Hold down the FREEZE and NIBP Start buttons and touch the TRACES icon simultaneously.
(This will cause the LW program to stop and start the Windows Desktop.)

2 - WINDOWS XP SETUP
To change the computer name, to join a domain or workgroup, or to add a computer description for a
Windows XP-based computer, use the Computer Name tab in the System Properties dialog box.
Click Start, Settings click Control Panel, double-click System.

3 - CHANGE COMPUTER NAME AND JOIN A DOMAIN OR A WORKGROUP


To change a computer name and to join a domain or a workgroup, follow these steps.

Warning Before you change a computer's membership from a domain to a workgroup, be sure that you
know the user name and the password for an account in the local Administrators group.

You cannot log on after you remove the computer from the domain
1. Click the Computer Name tab, and then click Change.
2. Type the new computer name in the Computer name dialog box.
3. Type the new domain or workgroup in either the Domain dialog box or the Workgroup dialog
box.
4. Click More to change the primary Domain Name System (DNS) suffix.
5. Click OK three times, and then restart the computer.

4 - ADD A COMPUTER DESCRIPTION


To add a computer description, type a name or a description in the Computer description box on the
Computer Name tab, and then click Apply.
Network ID Wizard

If you do not know how to complete these tasks, you can use the Network Identification (ID) Wizard to
help you. To start the Network ID Wizard, follow these steps:
4. In the System Properties dialog box, click Network ID. (Refer to steps 1-5 under Change the
Computer Name to find Systems Property)

Note This wizard is new to Windows XP. With this wizard, you can add the computer to a
workgroup or to a domain.
5. Move backward and forward in the wizard by using the Back and Next buttons.

The first set of options in the Network ID Wizard is as follows:


Option 1
"This computer is part of a business network, and I use it to connect to other computers at
work."
Option 2
"This computer is for home use and is not part of a business network."
If you select option 1, the following options appear:

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Option 1a
"My company uses a network with a domain."
Option 1b
"My company uses a network without a domain."
If you select option 1a, a dialog box appears that requests the following information:
User name
Password
User account domain
Computer name
Computer domain
If you select option 1b, you can also configure the computer as a "Workgroup Member," and you can
type the name of the workgroup.

If you select option 2, you are prompted to click Finish to restart the computer. If you follow this step,
the computer is configured as a "Workgroup Member." By default, the name of the workgroup is
"Workgroup."

Then, the next page requires the domain name to which the computer is to be added. Also, the next
page requires the username and the password of an account that has the rights to add a computer to
the domain. Additionally, the next page enables the user account from the previous page to be added
to this computer. Finally, the next page enables the new user to have various rights on the local
computer.

The user may be added to the following built-in groups on the local computer:
Administrators
Backup operators
Debugger users
Guests
HelpServicesGroup
Network configuration operators
Power users
Remote desktop users
Replicator
Users

Note If the computer is a member of a domain, the computer also maintains a local domain that
has security accounts. If the Domain box does not appear, click the Options button to display
the Domain box, and then select the required domain from the menu.

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SECTION 4 ECG Monitoring

A. INTRODUCTION
The LIFEWINDOW continuously monitors the ECG waveform and Heart Rate (HR) through a 3 / 5
Leads system. The screen displays up to six electrocardiogram lead vectors simultaneously, the Mean
Heart Rate, Heart Rate alarm limits, the QRS detected () indicator, Filters status, ST segment
readings, PVC counter readings and ECG alarm messages.

B. SAFETY CONSIDERATIONS
ECG Patient connections are electrically isolated Type CF . For ECG connections use insulated probes.
Dont let patient connections contact other conductive parts, including ground. See instructions for
patient connections in this manual.

This monitor is supplied with protected lead wires. Do not use cables and leads with unprotected lead
wires having exposed conductors at the cable end. Unprotected lead wires and cables may pose an
unreasonable risk of adverse health consequences or death.

Leakage current is limited internally by this monitor to less than 10 A. However, always consider
cumulative leakage current that can be caused by other equipment used on the patient at the same
time as this monitor.

To avoid the potential of electrosurgery burns at ECG monitoring sites, ensure proper connection of the
electrosurgery return circuit as described by manufacturers instructions. If improperly connected, some
electrosurgery units might allow energy to return through the electrodes.

CAUTION: Even though the ECG patient circuit is electrically isolated, it has not been designed for
direct application on a patients heart.

C. PATIENT CONNECTIONS
To ensure conformance with all safety and performance specifications, use only the
recommended accessories. These are available from DIGICARE with the following part number:

Use only high quality silver-chloride electrodes or equivalent which have a negligible offset
potential.

The ECG patient circuit and connections are electrically isolated type CF. The monitor is
protected against damage from defibrillator discharge. Do not let patient connections contact
other conductive parts including earth.

Leakage current is limited internally by this monitor to less than 10uA. However, always
consider additional leakage current that can be caused by other equipment used on the patient
at the same time as this monitor.

Avoid electro-surgery burns at monitoring sites by ensuring proper connection of the electro-
surgery return circuit. If improperly connected, some electro-surgery units might allow energy to
return through the electrodes.

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ECG Accessories Description P/N


ECG patient cable (10 length) 3 Leads
Digicare EC101

Set of 3 ECG lead-wires with snap-in (40 length)


for Digicare Patient Cable PN EC101 EC104

ECG Patient Cable (10 Length) 5 Leads


Digicare EC111

Set of 5 ECG lead-wires with snap-in (40 length) EC113


for Digicare Patient Cable PN EC111

ECG electrode 141003


(bag of 30) EC008
(20 bags of 30) EC009

Prepare the patients skin, attach the leads to the electrodes, place the electrodes in the three
(or five) correct locations, and plug the ECG cable into the monitor.

Thoroughly clean the patients skin at each place where an electrode will be attached.
Shave if necessary. Attach lead wires to the electrodes before applying them to the
patient.

Apply the electrodes to the patient as shown in the diagrams for 3 wire and 5 wire locations.

Press the adhesive inwards about 1.5 cm towards the center, being careful, NOT to actually
apply any direct pressure to the center section of the electrode. Any direct excessive pressure
applied to the center of these electrodes while attaching them could cause the conductive gel
to be dispensed away from the effective working area.

Support the ECG cable so it does not stress the electrode wires, the ECG cable connectors, or
electrodes. Ensure that conductive parts of the electrodes and their connectors do not contact
any other conductive parts, including earth.

Verify that the monitor is configured for the number of leads you are using.

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V-Lead Placement The brown V-lead connector can be placed at one of six standard
locations:
V1 Right Sternal border, fourth intercostal space.
V2 Left sternal border, fourth intercostal space.
V3 Between V2 and V4, midpoint between the two, in a line that joins all three.
V4 Mid-clavicular line, fifth intercostal space.
V5 Anterior axillary line, fifth intercostal space.
V6 Mid-axillary line fifth intercostal space.

3 LEAD WIRE COLOR AND SYMBOLS


LEAD AHA IEC
Right Arm White RA Red R
Left Arm Black LA Yellow L
Left Leg Red LL Green F

5 LEAD WIRE COLOR AND SYMBOLS


LEAD AHA IEC
Right Arm White RA Red R
Left Arm Black LA Yellow L
Left Leg Red LL Green F
Right Leg Green RL Black N
Chest Brown V White C

D. ECG MONITORING
You should now see an ECG waveform scrolling across the upper part of the monitor screen. If
you do not, check the wires, electrodes and cable.

A sound beep and the indicator () indicates the QRS detection. Check that the monitor is
accurately detecting the heartbeat. The heartbeat detection is automatic in the mode selected.

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The electrode connection to the skin is extremely important to reduce noise detection from mains
supply.

E. ECG MENU
Touch the ECG menu or the ECG indicators area to open the ECG menu screen

F. ECG SCALE
The ECG scale default mode is Auto. The gain automatically changes to best possible scale based on
the ECG amplitude.

To change to a fixed scale touch the ECG menu and select the desired scale in the ECG SCALES
menu. The ECG scales options are:

-0.1 mV to +0.1 mV
-0.25 mV to +0.25 mV
-0.5 mV to +0.5 mV
-1 mV to +1 mV
-2 mV to +2 mV
-3 mV to +3 mV
-4 mV to +4 mV
-5 mV to +5 mV
-6 mV to +6 mV

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G. 5 LEAD MODE
The LifeWindow ECG function default is 5 Lead Mode. It can be changed to 3 Lead Mode in the ECG
menu.

The 5 Lead Mode has two physical ECG channels and two operation modes:

In the 6 channels mode, Lead I, Lead II, Lead III, AVR, AVL and AVF waveforms are displayed
simultaneously. In this mode Lead V is not displayed as the two channels are selected to Leads I and II
and the other leads are derived from them.

In the 2 channels mode, Lead I, Lead II, Lead III, AVR, AVL, AVF and V can be selected in each
channel. The two ECG Lead selected waveforms are displayed simultaneously.

In 5 Lead Mode, pressing the ECG LEAD dedicated key in the front panel, changes the selected ECG
Lead waveform in the first trace, from I, II, III, AVR, AVL and AVF.

H. 3 LEAD MODE
To change the ECG function to 3 Lead Mode, touch the ECG menu and select 3 Lead Mode. On the 3
Lead Mode only one ECG channel is available and Lead selection options are Lead I, Lead II and Lead
III.

Pressing the ECG LEAD dedicated key in the front panel in the 3 Lead Mode, changes the selected
Lead in the sequence I, II and III.

I. ECG FILTER
The LifeWindow has two filters to decrease mains line and other interference.

The Mains Notch filter when ON, reduces the noise interference caused by the AC mains 50 or 60 Hz in
the ECG waveform.

The Mode Monitoring Filter can be set to: Diagnostic, Monitoring 1, Monitoring 2, Surgery and Strong
Filter. Both Filters are applied to both ECG channels simultaneously.

Diagnostic is the mode with less filtering. This is useful to improve the ECG waveform quality for
diagnostic purposes. In the diagnostic mode, the ECG electrodes good interface is more critical in order
to reduce the interference and noise in the signal.

Monitoring 1 (default) and Monitoring 2 cuts more the interference and noise, reduce the ECG
waveform high frequency components and are used for most of the monitoring applications.

Surgery and Strong Filter cuts more the interference and noise and reduce even more the ECG
waveform high frequency components. These modes of filtering shall be used in situations where high
level of noise and interference are being detected in the ECG waveform, created by electrosurgery and
other high frequency and high power equipments.

WARNING
In the DIAGNOSTIC mode the monitor provides non-processed real time waveforms. In the
MONITORING, SURGERY and STRONG filtering mode, the ECG waveforms may have slight
distortions and the result of the ST segment analysis and arrhythmia detection may be affected. Hence,
the DIAGNOSTIC mode is recommended when monitoring a patient in an environment with slight
interference and the use of ST segment analysis and arrhythmia detection is desired.
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J. HEART RATE LIMITS


Heart Rate Limits are set by default to:
High Heart Rate Limit: 140 BPM.
Low Heart Rate Limit: 60 BPM.

Change the Heart Rate Limits in the ECG menu.


High Heart Rate Limit Range: 5 to 300 BPM or OFF - non overlaping.
Low Heart Rate Limit Range: 0 to 295 BPM or OFF - non overlaping.

The Alarm Limit values selected are stored by the unit after power-off. To return to the factory default
values, go to the SYSTEM menu and select the Load Factory Default Settings.

K. PACE MAKER
In the ECG menu, the Pace Maker default is Not Installed.
Patients with Pace Maker can generate erroneous ST Segment and arrhythmia alarms.
For patients with Pace Maker, set in the ECG menu the Pacer Maker to Installed.

L. ECG SWEEP SPEED


There are 5 sweep speeds for the ECG waveform in the display: 6.25, 12.5, 25, 50 and
100mm/sec. To change the sweep speed, touch the TRACE menu and select the sweep speed for the
desired trace.

M. ECG PULSE TEST


An ECG Test waveform can be generated to test the functioning of the ECG module.

To generate the ECG Test, touch the ECG menu and press the Test ON-OFF button. A screen ECG
Calibration Test Waveform will open with the message:

This command will generate calibration test waveforms for: ECG Channel input > 1mV.

Press Yes and the Square Test waveform with 1mV amplitude will be generated in the screen for 30
seconds. No Heart Rate count or BEEP are generated by the Test waveform function.

N. ECG PATIENT TYPE


Patient Type has three modes: Adult, Pediatric and Neonatal.

Adult mode sensitivity : 0.2 mV QRS amplitude.


Pediatric mode sensitivity : 0.2 mV QRS amplitude.
Neonatal mode sensitivity : 0.2 mV QRS amplitude.

Change the Patient Type direct in the main screen Patient Type Selector Indicator ( 49 ) or in the ECG
menu.

O. ECG INTERPRETATION
When analyzing the electrocardiogram the following parts of the P-QRS-T sequence are routinely
measured: P wave, P-R interval, QRS complex, S-T segment, T wave, and Q-T interval. Values are
determined for the duration (width) and amplitude (height) of the P wave, QRS complex, and T wave.
Values are determined for the duration (length) of the P-R interval, S-T segment, and Q-T interval.

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P. ECG ST SEGMENT

The Lifewindow continuously measure and monitor the ECG segment ST in both ECG channels. The
ST segment is measured in mV (miliVolts) and is displayed in the ECG Indicators area.

Note: The ST ANALYSIS shall be used with the LifeWindow Mode Filter in the Diagnostic mode. The
Monitoring 1 mode also can be used, however the ST readings might be distorted by excessive filtering.

To enter in the ECG ST menu screen, touch the ECG menu and touch the ST & Arrhyt button.

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The ST Analysis and Arrhythmia Detection Setup screen displays the ECG P-QRS-T event for both
channels, with indication for the Isoelectric reference point and for the ST measurement point.

The ISO point is the base point, used to indicate the baseline point of the ST analysis. The Indicator
ISO displays the time in ms (milliseconds) from the selected ISO point to the R wave (default is -53.340
ms).

The ST point is the ST measurement point. The Indicator ST displays the time in ms (milliseconds) from
the R wave to the ST point where it is being measured (default is 72.009 ms).

The two measurement points shall be checked by the operator and can be changed, specially if the
patient's HR or ECG morphology changes significantly. To change the ISO and ST measurement point,
use the mouse or touchscreen to click in the reference line (Isoelectric or ST) and drag the line to new
desired point in the ECG waveform and click in Set. To return the points to its original location click in
Def't (default).

As shown bellow, the peak of the R wave is the reference point for ST measurement. The ST
measurement value for a beat complex is equal to the vertical difference between the two
measurement points.

Both ECG channels displays the current ST measured value and the High and Low ST alarm limits.

The ST alarm limits range is from -2.00 to +2.00 mV in 0.1mV steps.


The default High ST alarm limit is +0.2mV
The default Low ST alarm limit is -0.2mV

To change the ST High and Low alarm limits use the up or down arrow in the ST Analysis and
Arrhythmia Detection Setup screen.

The ST Segment Analysis Can be turned-OFF and ON in the ST Analysis and Arrhythmia Detection
Setup screen.

In the LifeWindow equipped with the optional internal strip chart recorder, the ST Segment alarm can
be set to automatically trigger the printing of the ECG. This function can be turned ON and OFF in the T
Analysis and Arrhythmia Detection Setup.

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Q. ECG ARRHYTHMIA DETECTION


The LifeWindow has an Arrhythmia Detection software that automatically interpret and detect some
arrhythmia. The ECG Filter Mode shall be selected to DIAGNOSTIC mode for better Arrhythmia
Detection performance.

When the ECG being detected is considered normal, the message NORMAL in green color is displayed
in the Arrhythmia Messages Indicator area.

The Arrhythmia Detection software Learn the ECG waveform every time the monitor is turned on and
the ECG waveform starts to be detected. This Learn process determines the Normal ECG waveform
pattern.

The ECG waveform Normal pattern can be Relearned at any moment by pressing the Relearn
button in the ST Analysis and Arrhythmia Detection Setup.

When an Arrhythmia is detected the corresponding Alarm message is displayed in Red and an audible
alarm is triggered.

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Each Arrhythmia has its own counter that accumulates each individual arrhythmia totals.
All detected Arrhythmia are counted in the Arrhythmia event counter. To see the Arrhythmia event
counter, open the ECG menu and click on the ST & Arrhyt.

Each individual ECG arrhythmia can be set to automatically trigger the ECG printing in the optional
internal strip chart recorder.

The ECG Arrhythmia Audio Alarm and the ECG Arrhythmia function can be set ON or OFF in the ST
Analysis and Arrhythmia Detection Setup in the ECG menu.

R. ECG ALARM MESSAGES


ECG LEADS OFF Yellow message - indicates that any of the five leadwires,
LA, RA, LL, RL and Vx are disconnected from the patient.
ECG ASYSTOLE Red message - indicates NO detection of R waves from
ECG waveform.
ECG LOW HR Red Message - indicates that HR value is lower than the
selected LOW HR LIMIT.
ECG HIGH HR Red Message - indicates that HR value is higher than
the selected HIGH HR LIMIT.
ECG CHANNEL 1 HIGH ST Red Message - indicates that ECG lead at Channel 1 ST
segment value is higher than the selected ECG Channel
1 HIGH ST LIMIT.
ECG CHANNEL 1 LOW ST Red Message - indicates that ECG lead at Channel 1 ST
segment value is lower than the selected ECG Channel
1 LOW ST LIMIT.

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ECG CHANNEL 2 HIGH ST Red Message - indicates that ECG lead at Channel 2 ST
segment value is higher than the selected ECG Channel
2 HIGH ST LIMIT.

ECG CHANNEL 2 LOW ST Red Message - indicates that ECG lead at Channel 2 ST
segment value is lower than the selected ECG Channel
2 LOW ST LIMIT.

The following arrhythmia are detected by the LifeWindow:

ARRHYTHMIA ALARM MESSAGE EVENT COUNTER


Assystole Assystole ASY
Ventricular Tachycardia Vtach / Vfib VF/VT
Ventricular Fibrillation Vtach / Vfib VF/VT
Biggeminy BGM BGM
Triggeminy TGM TGM
Ventricular Premature Beat VPB Single Premature Ventricular VPB
Pair of PVC Couplets CPT
Run of 3 or 4 PVC Run of 3 / 4 of Premature Ventricular RUN
R on T Premature Ventricular R on T Premature Ventricular R on T
Missed Beat (MIS) Miss Beat MIS
Bradycardia Bradycardia BRD
SupraventricularTachycardia Supraventricular Tachycardia TAC
Pace Not Paced (PNP) Pace Not Paced PNP
Pace Not Capture (PNC) Pace Not Capture PNC

SECTION 5 BIOIMPEDANCE RESPIRATION


A. OVERVIEW
The LifeWindow 6000 detects the Respiration by measuring the thoracic impedance. The
monitor measures the change of the impedance between the RA and LL electrodes of the ECG
lead II and produces a respiration waveform.

B. PATIENT CONNECTIONS
Since the same electrodes are used for ECG and respiration monitoring, the electrode
placement is very important. Some patients, due to their clinical condition, expand their chest
laterally, causing a negative intrathoracic pressure. In these cases it is better to place the two
electrodes used for respiration monitoring laterally in the right axillary and left lateral chest
areas, at the maximum point of the breathing movement, to optimize the respiratory waveform.

NOTE
Please use only the ECG cable with no resistance for RESP monitoring.

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ELETRODE PLACEMENT ECG LEAD II

C. RESPIRATION MENU
Touch the RESP menu or the RESP indicators area to open the RESP menu screen.

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D. RESPIRATION SIZE
The amplitude of the Respiration waveform in the screen is set in the Respiration Size. This setting do
not affect the Respiration Rate detection and count.

The Respiration Size Default is 3. To change the Respiration Size, open the Resp menu and set the
Respiration Size from 1 to 10.

E. RESPIRATION RATE ALARM LIMITS


Respiration Rate Limits are set by default to:
High Resp Rate Limit: OFF.
Low Resp Rate Limit: 5 RPM.

Change the Respiration Rate Limits in the Resp menu.


High Resp Rate Limit Range: 5 to 150 RPM or OFF - non overlaping.
Low Resp Rate Limit Range: 0 to 145 RPM or OFF - non overlaping.

The Alarm Limit values selected are stored by the unit after power-off. To return to the factory default
values, go to the SYSTEM menu and select the Load Factory Default Settings.

F. RESPIRATION APNEA ALARM DELAY


The Respiration Apnea Alarm delay default is 20 seconds. To change the Respiration Apnea Alarm
delay or to turn-off, open the Resp menu and set the Respiration Apnea Alarm delay.

Respiration Apnea Alarm Delay Options


10, 15, 20, 25, 30, 35, 40 seconds and Apnea Alarm OFF.

G. RESPIRATION COINCIDENCE
The Respiration Coincidence Alarm is triggered in case the Respiration Rate Indicator is close to the
ECG Heart Rate Indicator. In this situation the Respiration circuits may be detecting artifact from the
ECG signal. This is very important in Neonatal patients with very low impedance respiration volume
change.

The Respiration Coincidence Alarm is set to ON in the default. To turn-off the Respiration Coincidence
Alarm open the Resp menu and change the Respiration Coincidence Alarm to OFF.

H. RESPIRATION ON/OFF
The Respiration function can be turned-Off and turned back On in the Resp menu.

I. RESPIRATION ALARM MESSAGES


Imp Resp APNEA Indicates that No detection of RESP pulses was detected over the
selected time to APNEA ALARM.
Imp Resp LOW RR Indicates that RESP RATE value is lower than the selected LOW RR
LIMIT.
Imp Resp HIGH RR - Indicates that RESP RATE value is higher than the selected HIGH RR
LIMIT.
Imp Resp COINCIDENCE Indicates that RESP RATE values are close to the HEART RATE
values and Respiration detection is NOT accurate.

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SECTION 6 PULSE OXIMETRY MONITORING

The LifeWindow LW6000 Pulse Oximetry provide continuous, non-invasive, automatically


calibrated measurements of oxygen saturation.

The Pulse Oximeter (SpO2) determines arterial oxyhemoglobin saturation by measuring the
absorption of red and infrared light passing through the tissue. Changes in absorption caused
by pulsations of blood are used to determine Arterial Saturation (%SpO2) and Pulse Rate (PR).

A. PATIENT CONNECTIONS
To ensure conformance with all safety and performance, use only the recommended
accessories. These are available from DIGICARE using the following part number:

SpO2 Finger Sensor with 10 (3m) cable for


Digicare PO731

Patient Cable for Digicare and Nellcor OxiMax


SpO2 Sensors PO734

SpO2 Finger Sensor with 3 (1m) cable for


Digicare PO732

SpO2 Ear sensor with 3 (1m) cable for Digicare


PO725

SpO2 wrap sensor with 3 (1m) cable for Digicare


PO723

Nellcor OxiMax Finger Sensor with 3 (1m) cable


PO733

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Nellcor OxiMax SpO2 Wrap Probe with 3 (1m)


cable PO735

Band for Nellcor OxiMax SpO2 Wrap Probe


(Box of 50) PO721

B. SPO2 MONITORING

FINGER PROBE ADULT

ICA
RE

G
DI

WRAP PROBE - NEONATAL

Connect the sensor assembly to the Interface Cable and lock the plastic hinged cover to
prevent accidental cable disconnection (If using 3 cable sensors).
Connect the sensor patient cable into the LifeWindow LW 6000 SpO2 side panel connector
(12). Push the connector in until you hear an audible click.
The message SpO2 SENSOR is displayed on screen until the probe is placed in the patient.
A few seconds after the sensor is placed in the patient, the SpO2 SENSOR message changes
to Searching SpO2, the Bar-graph shows the SpO2 Pulse Level and SpO2 and Pulse Rate
values are displayed.

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Verify if the sensor is properly positioned by observing at least ten seconds of a continuous
plethysmogram waveform being displayed.
If the Bar-graph Pulse Level is at a low level, weak pulse message will be displayed.
Reposition the sensor or try a different sensor.
The LifeWindow LW 6000 audible beep is by default generated by the ECG detection,
modulated in tone by the SpO2 value. The source of the beep can be changed to SpO2
pulse detection. To change the beep source, touch the System menu and touch Sound
Volume menu. Select the Beep Source to SpO2.

NOTE:
Reusable sensors may be used on the same site for a maximum of four (4) hours, provided the
site is inspected routinely to ensure skin integrity and correct positioning. Because individual
skin condition affects the ability of the skin to tolerate sensor placement, it may be necessary to
change the sensor site more frequently with some patients.

Loss of pulse can occur if:

The sensor is to tight.


There is excessive illumination (e.g., a surgical or bilirubin lamp or direct sunlight).
The sensor is placed on an extremity with a blood pressure cuff, arterial catheter or
intravascular line.
The patient experiences shock, hypertension, severe vasoconstriction, severe anemia,
hypothermia, arterial occlusion to the sensor, or cardiac arrest.

Inaccurate measurements may be caused by:

Incorrect application of dysfunctional hemoglobins, such as carboxyhemoglobin or


methemoglobin.
Significant, levels of indocyanine green, ethylene blue or other intravascular dyes.
Exposure to excessive illumination, such as surgical lamps, especially ones with a xenon light
source; bilirubin lamps, fluorescent lights; infrared heating lamps; or direct sunlight.
Excessive patient movement.
Venous pulsations.
Electrosurgical interference.
Placement of the sensor on an extremity that has a blood pressure cuff, arterial catheter or
intravascular line.

Do not attach a probe to the same limb with a blood pressure cuff. The data received will not be
valid when the cuff is inflated. Attach the probe to the limb opposite the site used for the blood
pressure cuff.

C. SpO2 WAVEFORM AND BAR GRAPH


The SpO2 waveform sweep speed can be selected from: 6.25, 12.5, 25, 50 and 100 mm/sec
in TRACE menu.
The amplitude of the pulse waveform is automatically adjusted in screen.
The Bar graph indicates the pulse signal height and varies from 1 to 8. Increasing the signal
amplitude increases the Bar graph value. Bellow number 2 in bar graph, the message WEAK
PULSE is displayed.

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D. SpO2 ALARM LIMITS


SpO2 Alarm Limits are set by default to:
SpO2 Upper Limit: OFF
SpO2 Lower Limit: 88 %
Change the SpO2 Alarm Limits in the SpO2 menu.
SpO2 Upper Limit Range: 1 to 100 % or OFF - non overlapping.
SpO2 Lower Limit Range: 0 to 99 % or OFF - non overlapping.
Pulse Alarm Limits are set by default to:
Pulse Upper Limit: 140 PPM
Pulse Lower Limit: 60 PPM
Change the Pulse Alarm Limits in the SpO2 menu.
Pulse Upper Limit Range: 5 to 450 PPM or OFF - non overlapping.
Pulse Lower Limit Range: 0 to 445 PPM or OFF - non overlapping.
The values selected are stored by the unit after power-off.
To return to the factory default values, go to the SYSTEM menu and select the Load Factory
Default Settings.

E. SpO2 ALARM MESSAGES


SENSOR SpO2 - Indicate that SpO2 probe is disconnected from the patient or the patient
cable is disconnected from the monitor or a malfunction in sensor or in
patient cable.
SpO2 LOW AND HIGH ALARM LIMITS - Indicate that SpO2 value overlap the LOW or HIGH
ALARM LIMIT selected.
WEAK PULSE - Indicate the pulse signal amplitude is low causing instability in SpO2
monitoring. Check the probe installation, site perfusion and body
temperature.
CHECK SITE - Indicate instability in the SpO2 readings. Verify the probe installation and
change probe site.
NO PULSE - Indicate the SpO2 pulse amplitude is smaller then the minimum pulse.

SECTION 7 CO2 MONITORING


A. OVERVIEW
The LifeWindow LW 6000 Patient Monitor has a plug and play CO2 technology, with Micro-
Flow sidestream CO2, MainFlow mainstream CO2 and Dual Capnography, designed
with sophisticated infrared absorption spectroscopy.

The Micro-Flow sidestream module can be assembled internally in the unit or it can be one
small and lightweight external module. The sample lines used are the same for both internal
and external Micro-Flow sidestream modules.

The MainFlow mainstream sensor is assembled in the air way adapter. The connection of
the MainFlow mainstream sensor is the same as the external Micro-Flow sidestream CO2
module.

The Dual Capnography is enabled by the interchangeability of the Micro-Flow sidestream


and MainFlow mainstream external sensors. The LifeWindow LW 6000 automatically
recognize what type of CO2 external sensor is connected and configures the CO2 function.

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The LifeWindow LW 6000 with internal Micro-Flow sidestream module does not have the
connection for the external Micro-Flow sidestream and the MainFlow mainstream sensor.

SECTION 7.1 MAINSTREAM CO2 MONITORING


A. Principle of Operation
The LifeWindow LW 6000 MainFlow mainstream CO2 sensor is used for the continuous
measurement of CO2 and respiratory rate. The sensor measures CO2 by using the infrared
absorption technique. The principle is based on the fact that CO2 molecules absorb infrared
(IR) light energy of specific wavelengths, with the amount of energy absorbed being directly
related to the CO2 concentration. When an IR beam is passed through a gas sample
containing CO2, the electronic signal from the photodetector (which measures the remaining
light energy) is measured. This signal is then compared to the energy of the IR source and
adjusted to accurately reflect CO2 concentration in the sample. The MainFlow mainstream
CO2 sensors response to a known concentration of CO2 is stored at the factory in the
sensors memory. A reference channel accounts for optical changes in the sensor, allowing
the system to remain in calibration without user intervention.

The LifeWindow LW 6000 MainFlow mainstream CO2 sensor is designed specifically for
measurement of CO2 using sophisticated infrared absorption spectroscopy. With
mainstream, measurements are taken at the patients airway at a sampling frequency of 100
Hz, so response is faster and there is less chance of erroneous, artifact data. The analyzer
portion of the sensor cannot be contaminated with patient secretions, and there are no
pumping or pneumatic components to replace. So, maintenance requirements and overall
cost-of-ownership are minimized. The family of airway adapters are easy to use and durable
enough even for long-term ventilator patients.

B. Indications for Use


The MainFlow mainstream CO2 Sensor is to be used by a physician or licensed health care
professional trained in the use of the equipment.
The use of the MainFlow mainstream CO2 Sensor is contraindicated in patients where the
physician or licensed health care professional deems it invalidated by the nature of the
patient, procedure or equipment.

WARNINGS
Explosion Hazard: DO NOT use in the presence of flammable anesthetics. Use of the MainFlow
mainstream CO2 Sensor in such environment may present an explosion hazard.
Electrical Shock Hazard: Always disconnect the MainFlow CO2 Sensor before cleaning. Do NOT
use if it appears to have been damaged. Refer servicing to qualified service personnel.
Follow precautions for electrostatic discharge (ESD) and electromagnetic interference (EMI) to and from
other equipment.
Failure of Operation: If the MainFlow mainstream CO2 Sensor fails to respond as described in this
user guide; DO NOT use it until approved for use by qualified personnel.
DO NOT position the sensor cables or tubing in any manner that may cause entanglement or
strangulation. Support the mainstream CO2 airway adapter to prevent stress on the ET tube.
Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use CO2 airway adapters may
compromise functionality and system performance leading to a user or patient hazard. Performance is
not guaranteed if an item labeled as single patient use is reused.
Inspect the CO2 airway adapters for damage prior to use. DO NOT use the CO2 airway adapters if they
appear to be damaged or broken.
Replace the CO2 airway adapters if excessive secretions are observed.

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If the CO2 waveform (Capnogram) appears abnormal, inspect the CO2 airway adapters and replace if
needed.
Monitor the CO2 waveform (Capnogram) for elevated baseline. Elevated baseline can be caused by
sensor or patient problems.
Periodically check the MainFlow CO2 sensor and tubing for excessive moisture or secretion buildup.
While using the MainFlow CO2 sensor, a system leak, such as that caused by an uncuffed
Endotracheal tube or a damaged MainFlow CO2 sensor may significantly effect flow-related readings.
These include flow, volume, pressure and other respiratory parameters.
Do not operate the MainFlow CO2 Sensor when it is wet or has exterior condensation.

CAUTIONS
Electrical Shock Hazard; the MainFlow CO2 Sensor is not user serviceable.
Follow precautions for electrostatic discharge (ESD) and electromagnetic interference (EMI) to and from
other equipment.
Use only Digicare Biomedical Technology approved accessories.
DO NOT use the MainFlow CO2 sensor if it is wet or has exterior condensation.
DO NOT use the MainFlow CO2 sensor if it appears to have been damaged. Refer servicing
Digicare.
DO NOT use the MainFlow CO2 sensor if it fails to operate properly.
DO NOT sterilize or immerse the MainFlow CO2 sensor in liquids.
DO NOT clean the MainFlow CO2 sensor except as directed in this guide.
Avoid possible damage to the MainFlow CO2 sensor by following the cleaning and disinfection
instructions in this guide.
Do not apply excessive tension to the MainFlow CO2 sensor cable.
Do not apply excessive tension to any sensor cable or pneumatic tubing.
Excessive moisture in the MainFlow CO2 sensor may affect the accuracy of the flow measurement.
To avoid the affects of excessive moisture in the measurement circuit, insert the MainFlow CO2
sensor in the ventilator circuit with the tubes upright.
It is recommended that the MainFlow CO2 sensor be removed from the circuit whenever an
aerosolized medication is delivered. This is due to the increased viscosity of the medications which may
contaminate the sensor windows, causing the sensor to fail prematurely.
Do not store the MainFlow CO2 sensor at temperatures less than -40 F (-40 C) or greater than 158
F (70 C).
Do not operate the MainFlow CO2 sensor at temperatures less than 32 F (0 C) or greater than 113
F (45 C).
C. PATIENT CONNECTIONS
1 - CO2 MAIN-STREAM MAINFLOW SENSOR
The MainFlow CO2 sensor is a rugged, solid-state, mainstream sensor. It is factory
calibrated and does not require further calibration.

2 - CO2 ADAPTERS
For monitoring CO2, select an airway adapter based on the patient and monitoring situation.
Airway adapter taper meets ISO 5356-1.

Airway Adapter Disposable for Main-Stream


MainFlow sensors
Part Number CAP112
For intubated patients with endotracheal tube
diameters greater than 4 mm
Adds 5 cc of deadspace
Weight: 7.7 grams
Pressure drop: 0.40 cmH2O @ 60 LPM
Color: Clear
Airway Adapter Disposable for Main-Stream

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MainFlow sensors (Low Dead Space for


Neonatal)
Part Number CAP113
For intubated patients with endotracheal tube
diameters less than or equal to 4 mm
Adds less than 1 cc of deadspace
Weight: 9.1 grams
Pressure drop: 0.74 cmH2O @ 10 LPM
Color: Purple
Airway Adapter Reusable for Main-Stream
MainFlow sensors
Part Number CAP110
For intubated patients with endotracheal tube
diameters greater than 4 mm
Adds 5 cc of deadspace
Weight: 12.0 grams
Pressure drop: 0.38 cmH2O @ 60 LPM
Color: Black
Airway Adapter Reusable for Main-Stream
MainFlow sensors (Low Dead Space for
Neonatal)
Catalog No. 7053
For intubated patients with endotracheal tube
diameters less than or equal to 4 mm
Adds less than 1 cc of deadspace
Weight: 14.9 grams
Pressure drop: 0.68 cmH2O @ 10 LPM
Color: Red

Note: All components are Latex free.


Note: All dimensions are in millimeters.
Note: Color pigment does not alter the specifications of the material.

Attach the MainFlow CO2 sensor onto a clean and dry CO2 adapter.

3 CONNECTION WITH LIFEWINDOW


The LifeWindow LW 6000 CO2 function is a Plug and Play technology built in the hardware
and software of the unit. Without the MainFlow CO2 sensor connected, the message CO2
is Off is displayed in the CO2 screen indicator area and no CO2 trace is present. If the CO2

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menu or CO2 indicator area is touched in this situation, nothing happen as the CO2 function
is turned off.

Insert the MainFlow CO2 Sensor connector into the receptacle ( 17 ) of the LifeWindow
LW 6000 Patient Panel.

Make sure the arrows on the connector line up the two keys of the connector with the
receptacle and insert.

To remove the connector, grasp the body portion of the connector back and remove.
Note: Do not remove by pulling cable.

The CO2 monitoring screen is automatically configured, with the CO2 indicator area, CO2
traces, scales and CO2 alarm messages.

Wait for the Sensor Warm Up message to clear. If a Zero Calibration message is displayed,
perform a Zero Calibration process.

4 ZEROING THE MAINFLOW CO2 MAINSTREAM SENSOR


The MainFlow CO2 sensor is compatible only with Digicare Biomedical Technology CO2
airway adapters.

Each airway adapter has a unique set of optical characteristics. The adapter zero allows the
MainFlow CO2 sensor to adjust to the optical characteristics of each of the different
adapter types.

An Adapter Zero is a quick process that allows the LifeWindow LW 6000 to adjust to the
special characteristics of a particular MainFlow CO2 sensor; it is necessary only when
requested. Such a request may occur the first time a particular MainFlow CO2 sensor is
connected to the LifeWindow LW 6000, or if a change is detected in the MainFlow CO2
sensor or in the adapter.

Keep the MainFlow CO2 sensor attached to the adapter exposed to room air and away
from all sources of CO2, including the ventilator, the patients breath and your own.

Touch in the CO2 menu and touch in the Calibration Zero. A Warning message: Is input
exposed to 0 mmHg concentration is displayed. Touch in the Yes button to perform a
Zero Calibration. The message Zero in Progress is displayed during the zero process,
typically 15 to 20 seconds (maximum time of 40 seconds).

5 PATIENT CIRCUIT
Attach the MainFlow CO2 sensor and airway adapter to the patient circuit as close as
possible to the patients mouse.

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D. CO2 MONITORING
The LifeWindow LW 6000 start displaying the CO2 waveform in two cascaded traces and
function and ETCO2, insCO2 and Respiration Rate measured values, with all alarm limits and
settings in the defaults values or the last saved settings.

1 CO2 WAVEFORM AND SCALE


The CO2 waveform traces are by default selected to traces 5 and 6 cascaded. The traces and
cascade options can be changed in the TRACES menu. The traces settings return to the
default every time the unit is turned-on.

The CO2 waveform default sweep speed is 6.25 mm/sec. To change the CO2 waveform
sweep speed, touch the Traces menu and select the desired sweep speed. The options are:
6.25, 12.5, 25, 50 and 100 mm/sec

The CO2 waveform scale default is 0 to 50 mmHg. To change the CO2 waveform scale touch
the CO2 menu and select the desired waveform scale. The options are:
0 to 5 mm Hg, 0 to 10 mmHg, 0 to 50 mmHg and 0 to 100 mmHg.

2 CO2 ALARM LIMITS


CO2 Alarm Limits are set by default to:
ETCO2 Upper Limit: 45 mmHg
ETCO2 Lower Limit: 20 mmHg
InsCO2 Upper Limit: 10 mmHg
InsCO2 Lower Limit: OFF
Resp Rate Upper Limit: 50 BPM
Resp Rate Lower Limit: 5 BPM
Change the CO2 Alarm Limits in the CO2 menu.
ETCO2 Upper Limit Range: 1 to 100 % or OFF - non overlapping.
ETCO2 Lower Limit Range: 0 to 99 % or OFF - non overlapping.
InsCO2 Upper Limit Range: 1 to 100 % or OFF - non overlapping.
InsCO2 Lower Limit Range: 0 to 99 % or OFF - non overlapping.
Resp Rate Upper Limit Range: 1 to 150 BPM or OFF - non overlapping.
Resp Rate Lower Limit Range: 0 to 149 BPM or OFF - non overlapping.

To return to the factory default values, go to the SYSTEM menu and select the Load Factory
Default Settings.

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3 CO2 ALARM MESSAGES

High and Low ETCO2 Are triggered if the ETCO2 value overlaps the High or Low Limits
respectively
High and Low InsCO2 Are triggered if the InsCO2 value overlaps the High or Low
Limits respectively.
High and Low Resp Are triggered if the Resp Rate value overlaps the High or Low
Limits respectively.

Sensor Falty - Indicates a hardware error in the sensor or sensor


connection. Reinsert or reset the sensor if necessary. If error
persists, contact Digicare.

Comps not Set - Indicates the Barometric Pressure or gas compensations have
not been set since power on. This message normally flashes
quickly after power on of the sensor and is automatically cleared
as the sensor set all compensations. If the message stays steady
reinsert or reset the sensor. If error persists, contact Digicare.

Zero in Progress - Indicates the MainFlow CO2 sensor Zero is currently in


progress.

Sensor Warm Up Indicates the MainFlow CO2 mainstream sensor is warming up.
It takes about 2 minutes typically for the sensor achieve
monitoring temperature.

Zero Required - Indicates a Zero calibration process is required. This is required


every time as new airway adapter is in use. Check the airway
adapter and clean if necessary. Perform the Zero Adapter
calibration process. If you need to perform the Zero more than
once, a possible adapter or sensor faulty may exist.

CO2 Out of Range - Indicates the value being calculated is out of the CO2 range.
Check the airway adapter and perform a Zero calibration process.
If error persists, contact Digicare

Check Adapter - Usually indicates the airway adapter was removed from the
MainFlow CO2 sensor or when there is an optical blockage on
the windows of the airway adapter. May also be caused by failure
to perform MainFlow CO2 sensor Zero when adapter type is
changed. Clean or change airway adapter if mucus or moisture is
seen. If the adapter is clean, perform a Zero calibration process. If
problem persists contact Digicare.

Zero Error - Indicates the Zero calibration process was not successful. Clean
or change the airway adapter. Disconnect and reconnect the
MainFlow CO2 sensor in the LifeWindow connector.
Perform a Zero calibration process. If problem persists contact
Digicare.

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4 CO2 SENSOR ACCURACY CHECK


The MainFlow CO2 sensor is a rugged, solid-state, mainstream sensor. It is factory
calibrated and does not require further calibration. The only calibration required is the Zero
Calibration , witch does not require any special setup, as explained before.

In applications where it is mandatory to perform a routine Accuracy check, the MainFlow


CO2 Mainstream sensor shall be compared against calibration gas every 12 months. Contact
Digicare Biomedical Technology for more information.

SECTION 7.2 SIDESTREAM CO2 MONITORING


A. PRINCIPLE OF OPERATION
The LifeWindow LW 6000 MicroFlow Sidestream CO2 module is specifically designed for
sidestream measurement of CO2 and Respiratory Rate, using sophisticated infrared absorption
spectroscopy. MicroFlow Sidestream is a sidestream sampling system with a 50 ml/ minute
low sampling rate that is used to measure the CO2 of non-intubated and intubated patients.
Because of its unique design, response is fast and there is less chance of erroneous, artifact
data. The analyzer portion of the sensor cannot be contaminated with patient secretions,
therefore maintenance requirements and overall cost-of-ownership are minimized.

The exclusive Digicare Biomedical Technology family of sidestream sampling and on-airway
adapter kits are easy to use and durable enough even for long-term ventilator patients. Yet, they
are inexpensive and disposable.

The LifeWindow LW 6000 MicroFlow Sidestream CO2 module can be installed built-in or
used as an external module interchangeable with the MainFlow CO2 Mainstream Sensor
making it easy for you to configure your patient monitoring systems with state-of-the-art CO2
monitoring technology that is affordable and easy to use.

B. INDICATIONS FOR USE


The intended use of the MicroFlow Sidestream CO2 module is to provide carbon dioxide
monitoring to a during anesthesia / recovery, in the intensive care unit (ICU), and in
emergency Medicine/Transport or Respiratory care.

WARNINGS
Explosion Hazard: DO NOT use in the presence of flammable anesthetics. Use of the MicroFlow
sidestream CO2 Module in such environment may present an explosion hazard.
Electrical Shock Hazard: Always disconnect the MicroFlow CO2 Sidestream Module before cleaning.
Do NOT use if it appears to have been damaged. Refer servicing to qualified service personnel.
Follow precautions for electrostatic discharge (ESD) and electromagnetic interference (EMI) to and from
other equipment.
Failure of Operation: If the MicroFlow sidestream CO2 Module fails to respond as described in this
user guide; DO NOT use it until approved for use by qualified personnel.
DO NOT position the sensor cables or tubing in any manner that may cause entanglement or
strangulation. Support the sidestream CO2 airway adapter to prevent stress on the ET tube.
Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use cannula kits and on
airway adapters may compromise functionality and system performance leading to a user or patient
hazard. Performance is not guaranteed if an item labeled as single patient use is reused.
Inspect the sidestream on airway adapters and sidestream sampling kits for damage prior to use. DO
NOT use the sidestream on airway adapters and sidestream sampling kits if they appear to be
damaged or broken.

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Replace the sidestream on airway adapters and sidestream sampling kits if excessive secretions are
observed.
Monitor the CO2 waveform (Capnogram). If you see changes or abnormal appearance check the
patient and the sampling line. Replace line if needed.
Do not operate the MicroFlow CO2 Sidestream Module when it is wet or has exterior condensation.
Do not apply excessive tension to any cable.
Electrical Shock Hazard; No user serviceable parts inside.
DO NOT use device on patients that can not tolerate the withdrawal of 50 ml/min +/- 10
ml/min from the airway or patients that can not tolerate the added dead space to the airway.
Do not connect the exhaust tube to the ventilator circuit.

CAUTIONS
Electrical Shock Hazard; the MicroFlow sidestream CO2 Module is not user serviceable. Refer
servicing to qualified personnel.
Follow precautions for electrostatic discharge (ESD) and electromagnetic interference (EMI) to and from
other equipment.
Use only Digicare Biomedical Technology approved accessories.
DO NOT use the MicroFlow sidestream CO2 Module if it fails to operate properly, appears to have
been damaged, is wet or has exterior condensation.
DO NOT sterilize or immerse the MicroFlow sidestream CO2 Module in liquids.
DO NOT clean the MicroFlow sidestream CO2 Module and accessories except as directed in this
guide.
DO NOT apply excessive tension to the MicroFlow sidestream CO2 Module cable.
DO NOT store the MicroFlow sidestream CO2 Module at temperatures less than -40 F (-40 C) or
greater than 158 F (70 C).
DO NOT operate the MicroFlow sidestream CO2 Module at temperatures less than 32 F (0 C) or
greater than 104 F (40 C).
Remove the LoFlo sampling kit sample cell from the receptacle when not in use.
DO NOT stick appendage into sample receptacle.
Always insert sample cell before inserting the on-airway adapter into the ventilated circuit.
Always remove the on-airway adapter from the ventilated circuit before removing the sample cell.

C. PATIENT CONNECTIONS
1- CO2 MICROFLOW SIDESTREAM MODULE
The MicroFlow CO2 sidestream Module is a rugged, solid-state, sidestream sensor. It is
factory calibrated and does not require further calibration. The Module can be internally
installed or external to the LifeWindow LW 6000.
When using the external module, connect it to the ( 17 ) connector in the LifeWindow
patient connections panel.

2 - SINGLE PATIENT USE SIDESTREAM ON-AIRWAY ADAPTERS


For monitoring CO2, select a sidestream on-airway adapter kit that is appropriate for the
patient size and application.

Sidestream Sampling line Regular


for MicroFlow Capnography (high humidity)
Part Number: CAP120
Weight: 4.5 grams
Deadspace adds approximately 7 cc
For use with ET Tube sizes > 4.0 mm

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Sidestream Sampling line Regular


for MicroFlow Capnography (low humidity)
Part Number: CAP121
Weight: 4.5 grams
Deadspace adds approximately 7 cc
For use with ET Tube sizes > 4.0 mm

Sidestream Sampling line Low Dead Space


for MicroFlow Capnography (high humidity)
Part Number: CAP122
Weight: 5.8 grams
Deadspace adds approximately 1 cc
For use with ET Tube sizes < = 4.0 mm

Sidestream Sampling line Low Dead Space


for MicroFlow Capnography (low humidity)
Part Number: CAP123
Weight: 5.8 grams
Deadspace adds approximately 1 cc
For use with ET Tube sizes < = 4.0 mm

3 CONNECTION WITH LIFEWINDOW


The LifeWindow LW 6000 CO2 function is a Plug and Play technology built in the hardware
and software of the unit.
The LifeWindow LW 6000 screen, with internal MicroFlow CO2 sidestream module
installed, displays the CO2 indicators and waveform after turned-on. It displays a Pump is Off
message until a Sample Line is connected.
The LifeWindow LW 6000 screen, with external MicroFlow CO2 sidestream module,
displays the message CO2 is Off in the CO2 indicator area and no CO2 trace is present
until the CO2 module is connected. If the CO2 menu or CO2 indicator area is touched in this
situation, nothing happen as the CO2 function is turned off. Insert the MicroFlow CO2
sidestream module connector into the receptacle ( 17 ) of the LifeWindow LW 6000. It
displays a Pump is Off message until a Sample Line is connected.
The LifeWindow LW 6000 MicroFlow CO2 sidestream Module has one exhaust port
located in the rear panel of the unit (28) for internal modules or in the external module itself for
attaching scavenging tubing.
Insert the sample cell of the sampling kit into the sample cell receptacle of the MicroFlow
CO2 sidestream Module or in the ( 10 ) receptacle in the LifeWindow LW 6000 as shown. A
click will be heard when the sample cell is properly inserted.

Figure 1
Inserting the sample cell into the receptacle automatically starts the sampling pump.
Removal of the sample cell turns the sample pump off.
To remove the sampling kit sample cell from the sample cell receptacle, press down on the
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locking tab and pull the sample cell from the sample cell receptacle.

Sample Cell Figure 2


Wait for the Sensor Warm Up message to clear. If a Zero Calibration message is displayed,
perform a Zero Calibration process.

4 - ZEROING THE MICROFLOW CO2 SIDESTREAM MODULE


The MicroFlow CO2 sidestream Module is compatible only with Digicare Biomedical
sidestream CO2 accessories. The sample cell zero allows the MicroFlow CO2 sidestream
Module to adjust to the optical characteristics of the sample cell.
A Sample Cell Zero is a quick process that allows the LifeWindow LW 6000 to adjust to
the special characteristics of a particular MicroFlow CO2 sidestream Module; it is necessary
only when requested. Such a request will occur if a change is detected in the MicroFlow
CO2 sidestream Module.
Keep the MicroFlow airway adapter exposed to room air and away from all sources of CO2,
including the ventilator, the patients breath and your own.
Touch in the CO2 menu and touch in the Calibration Zero. A Warning message: Is input
exposed to 0 mmHg concentration is displayed. Touch in the Yes button to perform a Zero
Calibration. The message Zero in Progress is displayed during the zero process, typically 15
to 20 seconds (maximum time of 40 seconds).

5 PATIENT CIRCUIT
The regular sidestream on-airway adapter kits should be used when monitoring intubated
patients with Endotracheal Tube diameters greater than 4.0 mm. Use the Low Dead Space
on-airway adapter kits when monitoring intubated patients with Endotracheal Tube diameters
less than or equal to 4.0mm.
CAUTION: The Regular and the Low Dead Space on-airway adapters are intended for single
patient use. Do NOT reuse or sterilize the adapter kit as system performance will be
compromised.
Verify that the on-airway adapter is clean, dry and undamaged. Replace the on-airway
adapter kit if necessary.
Insert the sample cell into the sample cell receptacle as shown in the figure 1. A click will be
heard when properly inserted.
Perform a sample cell zero if prompted by the LifeWindow LW 6000.
Place the on-airway adapter at the proximal end of the airway circuit between the elbow
and the ventilator circuit wye.
Check that connections have been made correctly by verifying the presence of a proper
capnogram on the Patient Monitor.

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Figure 3

CAUTION: Always insert the Sample Cell of the Sample line into the Sample Cell
Receptacle on the MicroFlow CO2 sidestream module before inserting the on-airway
adapter into the ventilator circuit. Failure to follow this, may introduce a leak in the circuit,
thereby reducing set minute volume.
CAUTION: Remove the MicroFlow sample cell from the receptacle when not in use.
NOTE: Do not place the on-airway adapter between the ET tube and the elbow as this may
allow patient secretions to accumulate in the adapter. If pooling does occur, the on-airway
adapter may be removed from the circuit, rinsed with water (or sterile water) and reinserted
into the circuit. If rinsed, make sure that no water has entered the sampling tubing. If so, blow
out water or replace the sample line. To prevent moisture from draining into the on-airway
adapter kit tubing, always place the on-airway adapter tubing in an up position (see Figure 3).

6 CHECK SAMPLE LINE MESSAGE


The sample flow rate of the MicroFlow CO2 sidestream module is continually monitored. If
the flow rate falls outside the nominal operating range and continues for 15 seconds, the
message Check Sample Line will be displayed. The pump will shut off after 2 minutes if the
condition that caused this change is not corrected.

7 CONDITIONS THAT CAN CAUSE A CHANGE IN FLOW RATE


Water, mucous or other patient contaminate has entered the sample tubing.
The sample tubing is crimped or pinched so that the sample flow rate has decreased.
The exhaust port of the MicroFlow CO2 sidestream module is obstructed.
The sample line is damaged.
The sample line has been cut, or split, causing the flow rate to increase.

8 CLEARING THE CHECK SAMPLE LINE MESSAGE


When the Check Sample Line message is displayed, the user should inspect the sample
line kit to verify that none of the conditions described above are present. Replace with a
new sample kit if needed.
If the user removes the sample cell for inspection and then reinserts the sample cell without
correcting the condition, the Check Sample Line message will reappear.
The user should verify that the exhaust port is not obstructed or blocked. If tubing is
connected to the exhaust port, the user should also inspect the tubing for any crimping or
pinching.

The Check Sample Line message will clear and the sample pump will not be turned off if
the condition that caused the flow rate change is corrected within 2 minutes.
The Check Sample Line message will clear if the sample cell is removed or if the
LifeWindow LW 6000 is reset.

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D. CO2 MONITORING
The LifeWindow LW 6000 start displaying the CO2 waveform in two cascaded traces and
function and ETCO2, insCO2 and Respiration Rate measured values, with all alarm limits and
settings in the defaults values or the last saved settings.

1 CO2 WAVEFORM AND SCALE


The CO2 waveform traces are by default selected to traces 5 and 6 cascaded. The traces and
cascade options can be changed in the Traces menu. The traces settings return to the default
every time the unit is turned-on.
The CO2 waveform default sweep speed is 6.25 mm/sec. To change the CO2 waveform
sweep speed, touch the Traces menu and select the desired sweep speed. The options are:
6.25, 12.5, 25, 50 and 100 mm/sec
The CO2 waveform scale default is 0 to 50 mmHg. To change the CO2 waveform scale touch
the CO2 menu and select the desired waveform scale. The options are:
0 to 5 mm Hg, 0 to 10 mmHg, 0 to 50 mmHg and 0 to 100 mmHg.

2 CO2 ALARM LIMITS


CO2 Alarm Limits are set by default to:
ETCO2 Upper Limit: 45 mmHg
ETCO2 Lower Limit: 20 mmHg
InsCO2 Upper Limit: 10 mmHg
InsCO2 Lower Limit: OFF
Resp Rate Upper Limit: 50 BPM
Resp Rate Lower Limit: 5 BPM

Change the CO2 Alarm Limits in the CO2 menu.


ETCO2 Upper Limit Range: 1 to 100 % or OFF - non overlaping.
ETCO2 Lower Limit Range: 0 to 99 % or OFF - non overlapping.
InsCO2 Upper Limit Range: 1 to 100 % or OFF - non overlapping.
InsCO2 Lower Limit Range: 0 to 99 % or OFF - non overlapping.
Resp Rate Upper Limit Range: 1 to 150 BPM or OFF - non overlapping.
Resp Rate Lower Limit Range: 0 to 149 BPM or OFF - non overlapping.

To return to the factory default values, go to the SYSTEM menu and select the Load Factory
Default Settings.

3 CO2 ALARM MESSAGES

High and Low ETCO2 Are triggered if the ETCO2 value overlaps the High or Low Limits
respectively.
High and Low InsCO2 Are triggered if the InsCO2 value overlaps the High or Low
Limits respectively.
High and Low Resp Are triggered if the Resp Rate value overlaps the High or Low
Limits respectively.
Sensor Faulty - Indicates a hardware error in the module or module connection.
Reinsert or reset the module if necessary.

Comps not Set - Indicates the Barometric Pressure or gas compensations have
not been set since power on. This message normally flashes
quickly after power on of the sensor and is automatically cleared
as the sensor set all compensations. If the message stays steady

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reinsert or reset the sensor.

Zero in Progress - Indicates the MicroFlow CO2 sidestream module Zero is


currently in progress.

Sensor Warm Up - Indicates the MicroFlow CO2 sidestream module is warming up.
It takes about 2 minutes typically for the sensor achieve monitoring
temperature.

Zero Required - Indicates a Zero calibration process is required. This is required


every time as new sample line and airway adapter is used. Check
the sample line and airway adapter and clean if necessary.
Perform the Zero Adapter calibration process. If you need to
perform the Zero more than once, a possible sample line - adapter
or module faulty may exist.

CO2 Out of Range - Indicates the value being calculated is out of the CO2 range.
Check the sample line and airway adapter and perform a Zero
calibration process.

Zero Error - Indicates the Zero calibration process was not successful. Clean or
change the airway adapter. Disconnect and reconnect the
MicroFlow CO2 sidestream module in the LifeWindow
connector. Perform a Zero calibration process.

No SS Line - Indicates that no sample line is connected to the MicroFlow


CO2 sidestream module.

Occlusion - Indicates the pneumatic pressure in the MicroFlow CO2


sidestream module is out of expected range. Check if the sample
line is occluded or kinked.

Pump is Off - Indicates the MicroFlow CO2 sidestream module pump is


turned off. The pump is turned off when no sampling line
connected to the module.

Check Samp Line - Indicates the pneumatic pressure in the MicroFlow CO2
sidestream module is out of expected range. Check if the sample
line is occluded or kinked.

4 CO2 SENSOR ACCURACY CHECK


The MicroFlow CO2 sidestream is a rugged, solid-state, sidestream module. It is factory
calibrated and does not require further calibration.. The only calibration required is the Zero
Calibration , witch does not require any special setup, as explained before.

In applications where it is required to perform a routine Accuracy check, the MicroFlow


CO2 sidestream module shall be compared against calibration gas every 12 months.

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SECTION 8 - NIBP MONITORING


A. CUFF SELECTION AND PLACEMENT
The use of properly designed and sized cuffs is essential for the accurate non-invasive
measurement of blood pressure.

The widest cuff that can be placed around the limb should be used. A cuff that is too small for
the limb will not supply sufficient occlusion pressure to the artery. This can cause an
erroneously high blood pressure reading. Ideally, cuff width should be 40% of the limb
circumference. Substitution of a cuff different from that supplied might result in a
measurement error.

NOTE: Overlapping the cuff will not affect the measurement results.

For best results, a cuff should be wrapped for a snug fit and be positioned reasonably close to
heart level. Measurements made above the level of the heart will give reduced blood pressure
readings. Measurements made below the heart level will give increased readings.

NOTE: Avoid compression or restriction of the NIBP Inflation Hose. The hose must not be
kinked or pinched.
WARNING: The cuff should not be applied on a limb being used for an intravenous infusion. Do
not place the cuff on any extremity being used for SpO2 monitoring.

CUFF SIZE SELECTION


The widest cuff that can be placed on the patient, without extending beyond the joint, should
be selected. Appropriate sized cuffs may be selected based on published guidelines that cuff
width should be 40 60% of limb circumference. The cuff should be wrapped for a snug fit.
Overlapping the cuff will not affect measurement results. Make sure the hook and loop
sections of the cuff are fully engaged when it is wrapped around the limb. If not fully engaged,
the cuff will detach during bladder inflation. If that happens, select the next size bigger cuff.
The correct selection of cuff size have a significant influence measurement accuracy. A cuff
that is too narrow will produce artificially elevated readings, while a cuff that is too wide will
produce spuriously low values.
The monitor comes standard with six different sizes of cuffs. They are marked to aid in proper
cuff selection. When a cuff is wrapped around a site, its index edge should be in the range
indicated on the cuff. The cuff is too small or too large if the index edge is outside the range.

Arm
Locate the cuff as you would to do an auscultatory blood pressure. Place the cuff around the
patients upper arm with the bottom edge of the cuff at least one inch above the inner aspect of
the arm. As the cuff is wrapped around the arm, be sure it fits snugly and evenly, and the
bladder of the cuff is over the brachial artery.

Thigh
Place the cuff around the patients thigh with the bottom edge of the cuff at least one inch above
the inner aspect of the knee. Be sure the cuff fits snugly and evenly, and the bladder of the cuff
is over the popliteal artery.

Calf of Leg
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Place the cuff around the calf of the leg with the top edge of the cuff at least one inch below the
inner aspect of the knee. Be sure the cuff fits snugly and evenly, and the bladder of the cuff is
over the popliteal artery.

Cuff #3 showing artery position and circumference measurements

NIBP Cuff #1 3-6cm (1.2 2.4 in) (Plastic) for


neonatal and similar-sized patients BP006

NIBP Cuff #2 4-8cm (1.6 3.2 in) (Plastic) for


neonatal and similar-sized patients BP007

NIBP Cuff #3 6-11cm (2.4 4.3 in) (Plastic)


BP008

NIBP Cuff #4 7-13cm (2.7 5.1 in) (Plastic)


BP009

NIBP Cuff #5 8 -15cm (3.2 5.9 in) (Plastic)


BP010

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NIBP Cuff #6 8 -13cm (3.2 5.1 in) (Cloth)


BP005

NIBP Cuff #7 12 -19cm (4.7 7.5 in) (Cloth)


BP003

NIBP Cuff #8 17-25cm (6.7 9.8 in) (Cloth)


BP004

NIBP Cuff #9 28-40cm (11.0 15.7 in) (Cloth)


BP002

NIBP Cuff #10 31-40cm (12.2 15.7 in) (Cloth)


BP001

NIBP Cuff #11 45-65cm (17.7 25.6 in) (Cloth)


BP000

NIBP Hose 10 Feet


BP011

B. NON-INVASIVE BLOOD PRESSURE MONITORING


The NIBP monitor have three modes of operation: MANUAL, AUTOMATIC and STAT mode.
At power-on the MANUAL mode is selected. To start a manual cycle press the dedicated NIBP
START ( 5 ) pushbutton in the front panel. To stop the cycle and deflate the cuff, press the
dedicated NIBP STOP ( 6 ) pushbutton in the front panel.
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1 - MANUAL MODE
The MANUAL mode is a ONE CYCLE function. User can START a MANUAL cycle or STOP
any type of cycle using the dedicated pushbuttons ( 5 ) and ( 6 ) in the front panel or in the
NIBP menu.

2 - AUTOMATIC MODE
In the Automatic mode a cycle is repeated upon a selected period of time continuously.
In the NIBP menu select the AUTO mode and the cycle interval from 1 to 99 minutes.
Press the START button to start the NIBP determinations.

3 - STAT MODE
In the STAT mode a cycle is repeated many times as possible during a selected period of
time (1 to 4min).
In the NIBP menu select the STAT mode and the cycle (1 to 4 min). Press the NIBP START
button to start the STAT cycle. At the end of each cycle the SYSTOLIC, DIASTOLIC, MEAN
and Pulse values are displayed and the time to STAT total cycle finish is decremented in
display.

4 - ADULT / NEONATAL MODE SELECTION


The Mode (adult / neonatal) selection affects the NIBP operation. For Cuff sizes 1, 2, 3, 4 and
6 the NEONATAL mode should be selected. For Cuff sizes 5, 7 and 8, or larger, ADULT mode
should be selected.

5 - NIBP DETERMINATION
On the NIBP menu, select the NIBP mode (Manual, Auto or Stat) and the cycle time. Press
the Start button to Start a determination cycle. The pump will raise the pressure in the cuff to
a default level for the Mode (Adult or Neonatal) selected. The pressure in the cuff deflates in a
determined deflation rate Sensing the pressure oscillations in the cuff. If the Systolic
pressure is equal or higher than the start pressure, the pump inflates again to increase the
cuff pressure until it is higher than the systolic pressure. When the cuff pressure is lower than
the diastolic pressure, at the end of the measurement cycle, the pump fully deflates the cuff
and displays the Systolic, Diastolic and Mean Arterial Pressure values. The NIBP function is
motion tolerant.

C. NIBP ALARM MESSAGES


NIBP LOW SYS Indicates that Systolic value is lower than the selected SYSTOLIC
LOWER LIMIT.
NIBP HIGH SYS Indicates that Systolic value is higher than the selected SYSTOLIC
UPPER LIMIT.
NIBP LOW DIA Indicates that Diastolic value is lower than the selected DIASTOLIC
LOWER LIMIT.
NIBP HIGH DIA Indicates that Diastolic value is higher than the selected DIASTOLIC
UPPER LIMIT.
NIBP LOW MAP Indicates that MAP value is lower than the selected MAP LOWER
LIMIT.
NIBP HIGH MAP Indicates that MAP value is higher than the selected MAP
UPPER LIMIT.

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Air Leak Indicates the pressure in the cuff is not reaching the necessary value.
Check if the cuff is properly connected in the hose and in the NIBP
receptacle in the Patient Panel. Check for air leaks in the cuff or hose.
Excessive Motion Indicates the motion artifact is affecting the NIBP determination.
Time Too Long Indicates the NIBP cycle is lasting too long for the NIBP determination
and was aborted.

SECTION 9 - TEMPERATURE MONITORING


The LifeWindow 6000 has two temperature channels and one Indicator to T1 T2
temperature difference. The temperature probes are YSI 400 series compatible.

A. PATIENT CONNECTIONS
To ensure conformance with all safety and performance specifications, use only the
recommended accessories. These are available from DIGICARE.
Temperature rectal/esophageal probe TP001
disposable

Temperature skin probe disposable TP002

Temperature patient cable for disposable probe TP003

Temperature rectal/esophageal probe reusable TP004

Temperature skin probe reusable TP005

B. TEMPERATURE MONITORING
Connect the temperature patient cable to receptacle (15 ) Temperature 1 or (16)
Temperature 2.
In the Temperature menu select Temperature1, Temperature2 or T1-T2.

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Select Temperature alarm High and Low limits.


Select Temperature measurement unit: F or C.
The temperature value is displayed when the probe temperature is in the 10 to 50C (50 to
122 F), range otherwise the temperature display is blanked.

1 - TEMPERATURE ALARM MESSAGES


TEMP# SENSOR Indicates the Temperature sensor is not connected to the unit or a sensor
failure.
TEMP# LOW Indicates the Temperature value is lower than the selected Temperature
Lower Limit.
TEMP# HIGH Indicates the Temperature value is higher than the selected Temperature
Upper Limit.

SECTION 10 INVASIVE PRESSURE MONITORING


The LifeWindow 6000 can have 1, 2, 3 or 4 Invasive Pressure Channels installed. The
following information apply for all channels.
The Invasive Pressure Channels are turned off in the factory default settings, to avoid
alarms when not in use.
Turn-on Invasive Pressure Channel by touching in the IBPs menu, then touching Invasive
Pressure 1, 2, 3 or 4 and touching IP# On.
The message NO TRANSDUCER is displayed until a Transducer is connected to the
monitor.

A. PRESSURE TRANSDUCER
To assure the performance specifications in this manual, use only the pressure transducer and
accessories recommended by the manufacturer of this equipment.

IBP cable for reusable transducer


IBP001

IBP reusable transducer IBP002


Sensitivity: 50V / V / mmHg

IBP disposable dome for reusable transducer IBP003

IBP monitoring kit for reusable transducer (Includes IBP004


lines, stopcocks and disposable dome)

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IBP IV Pole bracket for reusable transducer IBP008

IBP Dual Transducer bracket for reusable transducer IBP009

IBP cable for disposable transducer


IBP005

IBP disposable transducer with line (monitoring kit) IBP006


Sensitivity: 50V / V / mmHg

IBP disposable transducer without line IBP007


Sensitivity: 50V / V / mmHg

B. PRESSURE TRANSDUCER CONNECTION


Connect the pressure transducer cable to connector IP1 (19),IP2 (20), IP3 (21) or IP4 (23).
Connect the catheter to pressure transducer.
Install the flow system and maintain the entire system with liquid.
Hold the transducer at the heart level (axial line).
Following is a generic transducer line assembly example.

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C. IP SCALE AND LABEL


Touch in the IBPs menu or in the IBP channel Indicators area to open the IP menu screen.
The pre-configured default scale for the Invasive Pressure waveform is 0 to +180 mmHg. To
change the scale touch in the IP# Scales drop down menu and touch the desired IP scale.
The Scale options are: -30 to +30 mmHg
0 to +30 mmHg
0 to +60 mmHg
0 to +90 mmHg
0 to +120 mmHg
0 to +180 mmHg
0 to +240 mmHg
0 to +300 mmHg
+30 to +90 mmHg
+60 to +120 mmHg
+90 to +150 mmHg
+120 to +180 mmHg
+150 to +210 mmHg
+180 to +240 mmHg
+210 to +270 mmHg
+240 to +300 mmHg

The Label displayed in the right side of the Invasive Pressure waveform can be selected to
reflect the site where the Invasive Pressure is being measured.
The pre-configured default Label is IP1, IP2, IP3 and IP4 for Invasive Pressure 1, 2, 3 and 4
respectively.
To change the IBP Label, touch in the IBP# Label drop down menu and select the desired
Label. The Labels are color coded.
IP1 - Blue - Invasive Pressure Channel 1

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IP2 - Blue - Invasive Pressure Channel 2


IP3 - Blue - Invasive Pressure Channel 3
IP4 - Blue - Invasive Pressure Channel 4
ART - Red - Arterial Pressure
CVP - Cyan - Central Venous Pressure
PA - Yellow - Pulmonary Artery
LAP - Green - Left Atrium Pressure
ICP - Gray - Intracranial Pressure

D. TRIGGER SOURCE
The LifeWindow 6000 determine the Systolic (maximum amplitude) and Diastolic
(minimum amplitude) values based on a period of time generated by Trigger Pulses. The
default trigger pulses are generated by the IP board based on the systole slope of the Invasive
Pressure waveform.
For each systole detected, the IP board generates one Trigger Pulse and the Invasive
Pressure Pulse Indicator is displayed.
The CVP and other low frequency Invasive Pressure waveforms do not generate Trigger
Pulse, so the unit can not determine the Systolic and Diastolic values.
Using the ECG trigger pulses the LifeWindow 6000 is capable to determine the Systolic
and Diastolic values in these cases.
To use the ECG as the source for triggering the IP function, touch in the IPBs menu and
select in the Trigger Source drop down menu to ECG.
The LifeWindow 6000 using the ECG as trigger source for Invasive Pressure
determination will display the Systolic and Diastolic values of any Invasive Pressure
waveform, as long as the ECG is being detected normally and Heart Rate is being displayed.
Note: When using the ECG as trigger source for IP, the Invasive Pressure Pulse Indicator is
NOT displayed

E. PULSATILE / STATIC MODE


The LifeWindow 6000 Invasive Pressure function has two main modes of operation,
Static Mode and Pulsatile Mode. The Pulsatile mode is pre-configured as default.
In the Pulsatile mode, the Invasive Pressure Indicators and Alarms are set for Systolic,
Diastolic and Mean Pressure. In this mode, the IP NO PULSE alarm will be displayed if the
Invasive Pressure waveform is not generating Trigger Pulses. Note: If the ECG is being used
to trigger the IP determination, the IP NO PULSE alarm will NOT be displayed.
In the Static mode , the Invasive Pressure Indicators and Alarms are set only for Static
Pressure. The IP NO PULSE alarm is disabled in this mode.
To change from Pulsatile to Static Mode, touch the IBP menu and select in the drop down
menu the Static mode.

F. TRANSDUCER ZERO
The message ZERO TRANSDUCER is displayed until a zero calibration procedure is
executed.
Open the TRANSDUCER input to the air (Local Atmospheric Pressure). Touch in the IBP
menu and touch in the Invasive Pressure #. Touch the Zero Xducer button.
If the transducer Zero calibration procedure was successful, the Invasive Pressure waveform
shall be displayed at ZERO baseline and the Invasive Pressure readings are displayed.
If the transducer Zero calibration procedure was NOT successful, the IP# ERROR
ZEROING message is displayed on screen.
The invasive pressure range to execute the Zero Calibration procedure is from 150 mmHg to
+ 150 mmHg.
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G. INVASIVE PRESSURE ALARM LIMITS


The LifeWindow 6000 Invasive Pressure alarm limits default and range is:
Systolic Upper Limit: 160 mmHg Range: 0 to 300 mmHg
Systolic Lower Limit: 60 mmHg Range: 0 to 300 mmHg
Diastolic Upper Limit: 100 mmHg Range: 0 to 300 mmHg
Diastolic Lower Limit: 60 mmHg Range: 0 to 300 mmHg
Mean Upper Limit: 120 mmHg Range: 0 to 300 mmHg
Mean Lower Limit: 60 mmHg Range: 0 to 300 mmHg
Static Upper Limit: 120 mmHg Range: 0 to 300 mmHg
Static Lower Limit: 60 mmHg Range: 0 to 300 mmHg
In the IP# menu, select the Invasive Pressure Systolic, Diastolic and Mean Upper and Lower
alarm limits. To return to the factory DEFAULT alarm limits, go to the SYSTEM menu and
press the Load Factory Default Settings.

H. INVASIVE PRESSURE ALARM MESSAGES


IP# NO TRANSDUCER Indicates the Invasive Pressure transducer is not connected to
the unit or a transducer failure.
IP# ZERO TRANSDUCER Indicates the need to perform a transducer Zero Calibration
procedure.
IP# ERROR ZEROING Indicates error in transducer Zero Calibration procedure.
IP# LOW SYSTOLIC Indicates the Systolic value is lower than the selected
Systolic Lower Limit.
IP# HIGH SYSTOLIC Indicates that Systolic value is higher than the selected
Systolic Upper Limit.
IP# LOW DIASTOLIC Indicates the Diastolic value is lower than the selected
Diastolic Lower Limit.
IP# HIGH DIASTOLIC Indicates the Diastolic value is higher than the selected
Diastolic Upper Limit.
IP# LOW MEAN Indicates that Mean value is lower than the selected Mean
Lower Limit.
IP# HIGH MEAN Indicates that Mean value is higher than the selected Mean
Upper Limit.
IP# LOW STATIC Indicates that Mean value is lower than the selected Mean
Lower Limit.
IP# HIGH STATIC Indicates that Mean value is higher than the selected Mean
Upper Limit.

SECTION 11 FRACTION OF INSPIRED OXIGEN - FIO2


A. PRINCIPLE OF OPERATION
The LifeWindow 6000 provides fast and accurate oxygen monitoring. It is designed to
monitor up to 100% oxygen concentration in medical gas mixtures. It is capable of rapidly
measuring the oxygen content of an atmosphere or environment.
The LifeWindow 6000 is intended to continuously measure and display the
Concentration of oxygen in a gas mixtures used in medical applications such as Anesthesia
and Respiratory therapy.

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B. PATIENT CONNECTIONS
The LifeWindow 6000 uses one polarographyc oxygen sensor. Attached to the sensor
is a removable plastic diverter. This diverter is used to facilitate the transport of gas mixtures
through the sensor. The diverter, packaged separately when shipped, is necessary when the
tee adapter is used to sample gas flowing through a tube. The diverter is not necessary and
should not be used when the sensor is placed directly in a chamber, or when the sensor is
used in confined volume monitoring, such as incubators and inhalation tents.

1 - SENSOR INSTALLATION OR REPLACEMENT


Remove the new sensor from its protective bag. Inspect the sensor for damage or electrolyte
leakage. If the sensor is damaged, obtain a replacement. Do not use the defective sensor as it
may damage the unit.
WARNING: The sensor electrolyte is caustic. Do not let it come in contact with skin. If it does, flush
affected area with water. Do not attempt to open or repair the sensor.
WARNING: The sensor also contains lead. Leaking or exhausted sensors should be handled and
disposed of in accordance with local regulations.
Connect one end of the FIO2 patient cable into the jack receptacle on the back end of sensor.
Connect the other end of the cable into the receptacle (17) located on the patient connections
panel of the unit.

Mounting the Sensor in the Tee Adapter

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FiO2 Accessories
FIO2 Cell F001

FIO2 Cable F002

FIO2 T Adapter F003

C. CALIBRATION
The LifeWindow 6000 should be calibrated before each use and every 8 hours to
maintain maximum accuracy.

1 ONE POINT CALIBRATION


As with most oxygen analyzer(s) the highest level of accuracy is achieved when calibration is
conducted using 100% oxygen.
One Point Calibration procedure is used as a option when a 100% oxygen is not available.
After installing the flow diverter keep the oxygen sensor exposed to fresh air.
The actual FIO2 reading will be displayed and it should be close to the local atmospheric
oxygen content ( ex. 21% ).
Touch the FIO2 menu and select CAL 1 Point. The message: Are you sure you want to
make a 1 point calibration on FIO2? is displayed. Press Yes.
In the Low Point FIO2 Calibration screen, select the O2 concentration (default 21%). Make
sure the oxygen sensor is exposed to the selected O2 concentration and press enter to start
calibration. The FIO2 reading will change to the Value selected.

2 TWO POINT CALIBRATION


As with most oxygen analyzer(s) the highest level of accuracy is achieved when calibration is
conducted using Two Point Calibration with 100% oxygen.
After installing the flow diverter keep the oxygen sensor exposed to fresh air.
The actual FIO2 reading will be displayed and it should be close to the local atmospheric
oxygen content ( ex. 21% ).
Touch the FIO2 menu and select CAL 2 Point. The message: Are you sure you want to
make a 2 point calibration on FIO2? is displayed. Press Yes.
In the Low Point FIO2 Calibration screen, select the O2 concentration (default 21%). Make
sure the oxygen sensor is exposed to the selected O2 concentration.
Select in the High Point FIO2 Calibration screen the second calibration point (100% default).
Expose the oxygen sensor to the selected O2 concentration (default 100%) supply of pure dry
oxygen flowing at 1 2 liters per minute. Wait about 20 seconds to insure the sample line is
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completely purged with the calibration gas and press Enter to calibrate.
Remove the sensor from the oxygen supply and confirm the FIO2 indicator reads less than
22% in room air.
It is important to perform the calibration carefully and thoroughly, using calibration gases that
are free from contaminates. Wait for a stable reading before locking in calibration point.

3 DEFAULT CALIBRATION
The Default Calibration procedure returns the FIO2 function calibration to factory default
calibration.
To return the FIO2 function to the factory default calibration touch the FIO2 menu and touch
the Cal Default button.

D. FIO2 MONITORING
The LifeWindow 6000 can be used to measure a gas mixture for oxygen in two basic
modes:
In the inhalation side of breathing circuit ahead of humidifiers and medicating devices or other
instances where gases are flowing to a patient in breathing circuits. When monitoring oxygen
in breathing circuits, the flow diverter must be used.
In confined volumes such as tents and hoods. In these applications the flow diverter must be
removed from the sensor so that it does not interfere with the rapid exchange of gases to and
from the sensing surface of the sensor.
CAUTION: Check the breathing circuit for leaks. Be certain that the circuit downstream of the
sensor does not produce any backpressure or restriction to flow. Errors in readings will result
if this is not followed.
Never install the sensor in a location that will expose the sensor to patients exhaled breath or
secretrions unless you intend to dispose of the sensor and flow adapter after use.

1 - GAS SAMPLING
1.1 - HUMIDITY
Humidity does not directly affect the accuracy of the sensor's measurement. However, when a
nebulizer or other device is used to increase moisture levels in gas mixtures, the moisture
actually dilutes the mixture. This dilution effect decreases the oxygen concentration. The
LifeWindow 6000 oxygen monitor accurately measures decreases in the oxygen
concentration due to the dilution effects of moisture added to gas mixtures.
As with all oxygen sensors, excessive condensation on the sensing surface will block the
diffusion of oxygen to the sensor, rendering it inoperative. We recommend installing the
sensor on the dry side of the breathing circuit at all times.

1.2 - TEMPERATURE
The oxygen sensor adjusts for ambient temperature changes in the range of 040C (32
106F). Since the thermistor that compensates for these changes is located in the rear of the
sensor assembly, it is important that gas mixtures, flowing over the front of the sensor, be at
room temperature. Reading errors may occur if hot gases from a heated humidifier are
directed past a sensor teed into a breathing circuit.

1.3 - PRESSURE
Virtually all gas sensors and monitors measure the partial pressure, not the percentage, of the
gas that they sense. The only time that these instruments can accurately read percentages is
when the total pressure does not vary over time between calibrations and use. For this reason
it is important to calibrate the LifeWindow 6000 oxygen sensor at regular intervals. It is
recommended that the unit be calibrated prior to each use or every 8 hours.
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When the sensor is connected to a ventilator circuit, the alternating breathing pressure
cycles generated by the ventilator will be sensed as an increase in the oxygen percentage. In
reality, the percentage of oxygen is not changing; it is the total pressure that is increasing
producing a corresponding increase in the partial pressure of oxygen. A hundred centimeter of
water pressure pulse will produce a 0.11 atmosphere, or an 11% increase in the total and
therefore partial pressure of oxygen. The reading will rise proportionally less for smaller
pressures.

1.4 - ANESTHETIC GASES


When using the LifeWindow 6000 oxygen sensor in the presence of anesthetic gases
such as Isoflurane, the oxygen reading may fall (see Table below). The magnitude of this error
will depend upon the level of oxygen and the duration of exposure.
Halothane 4% < 1.5% O2
Enflurane 5% < 1.5% O2
Isoflurane 5% < 1.5% O2
Sevoflurane 5% < 1.5% O2
Desflurane 15% < 1.5% O2
Note: Errors are approximate and may vary based on exposure times and concentrations.
These performances meet or exceed the requirements of ISO 7767: 1997 (E).
Caution: The LifeWindow 6000 should not be used in the presence of flammable anesthetics
such as diethyl ether or cyclopropane.

2 - FIO2 ALARM LIMITS


The LifeWindow 6000 FIO2 alarm limits default and range is:

FIO2 Upper Limit: OFF Range: 5 to 100%


FIO2 Lower Limit: 20% Range: 0 to 95%

In the FIO2 menu, select the Upper and Lower alarm limits. To return to the factory DEFAULT
alarm limits, go to the SYSTEM menu and press the Load Factory Default Settings.

3 - FIO2 ALARM MESSAGES

FIO2 HIGH Indicates the FIO2 reading is higher than the Upper Limit set.
FIO2 LOW Indicates the FIO2 reading is lower than the Lower Limit set.

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SECTION 12 TECHNICAL SPECIFICATIONS


A. MECHANICAL DESCRIPTION
Size : 13.6 x 9.0 x 8 inches (280 x 140 x 203 mm)
Weight : 18lb (8Kg)
Color : White

B. POWER REQUIREMENTS
AC voltage Input : 100-240 VAC / 50-60 Hz max 80W
Universal Power Input
C. ECG
Lead Selection : I, II, III, avR, avL, avF, Vx (Standard 5 lead configuration)
Waveforms : Display simultaneously 3 Lead, 6Lead, 12 Lead (I, II, III, aVL, aVR, aVF,V1- V6)
Input Isolation : Isolated from Ground related circuits by 4KV rms / 5.5 KV peak
Frequency Response Diagnostic: 0.05 - 100Hz
Monitoring: 0.5 35Hz
Surgery: 1 15Hz
Leakage Current : < 10 A at 120 to 240 Vac 50 / 60 Hz
Defibrillator & ESU Protection : Max. 360J
Test Signal : 1 mV square wave
Heart Rate Range : 15 to 300 BPM
Accuracy : 1%
Resolution : 1 BPM
Sensibility Large Mode : 0.3 mV peak
Small Mode : 0.2 mV peak
Pacemaker Rejection Amplitude : 2mV to 700 mV, Duration : 0.1 to 2 ms
Sweep Speed : 6.25, 12.5, 25, 50 mm/sec
Lead Fault Alarm : Audible and visual
Input : 3 / 5 Lead ECG patient cable
Gain Selection : Auto and Manual by operator
QRS Indicator : Adjustable audible, visual
Patient Cable : 6 pin AAMI standard
CMRR : 90 dB
Input impedance : 5 M at 10 Hz with patient cable
Electrode Offset potential : 0.3 V

D. SpO2 - PULSE OXIMETER


SpO2 Range : 0 to 100% adult/pediatric/neonate
SpO2 Accuracy : 2% (70 - 100%), 3% (50 - 69%) unspecified (0 - 49%)
SpO2 Resolution : 1%
SpO2 averaging : 8 seconds
Pulse Rate Range : 30 to 450 BPM
Pulse Rate Accuracy : 2%
Pulse Rate Resolution : 1 BPM
Pulse Rate Averaging : 16 pulses
Sensor Types : Finger Probe and Wrap

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E. NON-INVASIVE BLOOD PRESSURE


Method : Automatic Oscillometric
Measured Parameters : Systolic, Diastolic, Mean Arterial Pressure, Pulse.
Scale : mmHg (Kpascal optional)
Operating Modes : Manual, Automatic, Stat
Auto Repeat Cycles : 1 - 120 minutes
Stat Cycle : 1 - 4 minutes
NIBP Range : 10 270 mmHg
Systolic Range : Adult 40 - 270 mmHg
: Neonatal 40 - 270 mmHg
Diastolic Range : Adult 10 - 210 mmHg
: Neonatal 10 - 210 mmHg
Mean Range : Adult 20 - 230 mmHg
: Neonatal 20 - 230 mmHg
Absolute Maximum
Inflation Pressure : Adult 300 mmHg
: Neonatal 300 mmHg
Inflation Time : Adult 15 sec
: Neonatal 4.5 sec
Measurement Time : Adult 30 seconds typical
100 seconds maximum
: Neonatal 30 seconds typical
80 seconds maximum
Pressure Display Accuracy : 3 mmHg
Pressure Resolution : 1mmHg
BP Pulse Rate Accuracy : 3 BPM 40 - 200 BPM
: 5 BPM 200 - 255 BPM
F. TEMPERATURE
0 0
Range : 30 - 122 F (-1 to 50 C)
Probe : YSI - 400 Compatible, Skin or Rectal / esophageal and
disposable
Scale : Degrees C (Fahrenheit optional)
0 0
Accuracy : 0.1 F from 77 to 103 F (: 0.1 C from 25 45 C)
0
Resolution : 0.1 F ( 0.1 C )

G. CO2
Transducer Type : Mainstream
Principle of Operation : Non-dispersive infrared (NDIR) single beam
optics, dual wavelength, no moving parts.
Initialization Time : Capnogram displayed in less than 15 seconds,
CO2 Measurement Range : 0 to 150 mmHg
CO2 Rise Time : Less than 60 ms - reusable or single patient use
CO2 Resolution : 0.1 mmHg 0 to 69 mmHg
: 0.25 mmHg 70 to 150 mmHg
CO2 Accuracy : 0 - 40 mmHg 2 mmHg
:41 - 70 mmHg 5% of reading
:71 - 100 mmHg 8% of reading
: 101 - 150 mmHg 10% of reading
CO2 Short Term Drift : shall not exceed 0.8 mmHg maximum.
CO2 Long Term Drift : Accuracy specification will be maintained over
a 120 hour period.
CO2 Noise RMS : noise of the sensor shall be less than or equal
to 0.25 mmHg at 7.5% CO2
Sampling Rate :100 Hz
Respiration Rate Range : 0 to 150 breaths per minute (BPM)
Respiration Rate Accuracy : 1 breath
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Calibration : No routine user calibration required. An


airway adapter zero is required when
changing to a different style of airway
adapter.
Compensations for : Expired O2, balance gas (N2, N2O, He) and
anesthetic agents
Weight : 25 grams Sensor only
Size : 33 mm high x 43 mm wide x 23 mm deep
3 meter cable standard
Temperature and Humidity Operating : 0 to 45C, 10 to 90% RH, non-condensing

Mode of Sampling : Sidestream


Principle of Operation : Non-dispersive infrared (NDIR) single beam
optics, dual wavelength, no moving parts.
Initialization Time : less than 20 seconds
CO2 Measurement Range : 0 to 150 mmHg
CO2 Response Time : <3 seconds - includes transport time and rise time
CO2 Resolution : 0.1 mmHg 0 to 69 mmHg
: 0.25 mmHg 70 to 150 mmHg
CO2 Accuracy : 0 - 40 mmHg 2 mmHg
: 41 - 70 mmHg 5% of reading
:71 - 100 mmHg 8% of reading
:101 - 150 mmHg 10% of reading
: Above 80 breath per minute 12% of
reading
CO2 Short Term Drift : shall not exceed 0.8 mmHg maximum.
CO2 Long Term Drift : Accuracy specification will be maintained
over a 120 hour period.
CO2 Noise RMS : less than or equal to 0.25 mmHg
Sampling Rate :100 Hz
Respiration Rate Range : 2 to 150 breaths per minute (BPM)
Respiration Rate Accuracy : 1 breath
Calibration : No routine user calibration required.
Inspired CO2 Measurement Range : 3 to 50 mmHg
Compensations for :Expired O2, Balance gas (N2, N2O, He)
and Anesthetic Agents
Module weight : less than 9.6 oz (272.16 g)
Module Size : < 2.6" wide x 1.5" high x 3.5" deep
[< 66.0 x 38.1 x 88.9 mm]
Cable length :22 inches (55.88 cm)
Temperature and Humidity Operating : 0 to 40C, 10 to 90% RH, non-condensing

H. INVASIVE PRESSURE
IBP Range : -40 to 360 mmHg
Frequency Response : DC to 12 Hz
Input Impedance : 500 K
Transducer sensitivity : 5V / V / mmHg
Excitation voltage : + 5 VDC
Zero : Auto push-button 150 mmHg
Drift : 0.1mmHg/C
Accuracy : 2% F.S.
Isolation : Isolated from ground related circuits by 4KV RMS, 5.5KV peak

I. FIO2
Range : 0-100% oxygen
Accuracy : +2% of full scale (at constant temperature
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and pressure)
Response Time : 90% in less than 8 seconds at 25 C
Sensor Expected Life : 36 months in air. (10 months when continuously exposed
to 100% oxygen)
J. BIOIMPEDANCE RESPIRATION
Method : Impedance between R-F(RA-LL)
Measuring Impedance Range : 0.3~3.0
Base line Impedance Range : 200 4.5 Kinclude the impedance of ECG Lead wire
Bandwidth : 0.2 ~ 2.5 Hz(-3dB)
Resp. Rate
Measuring range : 0 to 200 rpm (breaths per minute)
Resolution : 1 rpm
Accuracy :2 rpm

K. DISPLAY
Type : 12.1 TFT Active Matrix Color Flat Panel Display
Effective Display Area : 246.0(H) x 184.5(V) mm.

L. ENVIRONMENT SPECIFICATIONS
Temperature : Operating 5C to 45C
: Transport and Storage 5C to 55C
Relative Humidity : Operating 30 - 75% (Non-Condensing)
: Transport and Storage 30 - 75% (Non-Condensing)
Atmospheric Pressure : Operating 700 1060hpa
: Transport and Storage 700 1060hpa
M. TRENDS
GRAPHICAL TRENDS: Present all physiologic variables trend waveforms for a passed period
of time selected by the operator: 15 min, 1, 4, 12, 24, 48 and 72 hours.
TABULAR TRENDS: Present all physiologic variables trend in tabular data format since the
patient was admitted until the present time.

N. AUXILIARY OUTPUT
Pin 1 - Impedance Respiration waveform.
Pin 2 - ECGx1000 analog waveform.
Pin 3 - ECG Trigger Pulses: +12V positive pulses to defibrillator synchronism.
Pin 4 - Impedance Respiration Trigger Pulses.
Pin 5 - Invasive Pressure 1 analog waveform.
Pin 6 - Invasive Pressure 2 analog waveform.
Pin 7 - Invasive Pressure 3 analog waveform.
Pin 8 Invasive Pressure 4 analog waveform.
Pin 9, Pin10, Pin11, Pin12 - GND 8 7 6 5 4 3 2 1
Pin13 - RS232 RXD optional depends on the model.
Pin14 - RS232 TXD optional depends on the model. 15 14 13 12 11 10 9
Pin15 - RS232 GND optional depends on the model. DB15

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SECTION 13 MAINTENANCE
A. THE MONITOR
When necessary, clean the exterior surfaces of the monitor with a cloth or swab dampened with
warm and a mild detergent solution. Do not allow fluids to enter the interior of the instrument.

WARNING: Electrical shock and flammability hazard - always turn the monitor off and
disconnect it from AC mains power before cleaning.

CAUTION: Do not autoclave or pressure sterilize this monitor. Do not stack or immerse this
monitor in any liquid. Do not gas sterilize this monitor.

Do not touch, or rub the display panel with abrasive cleaning compounds, instruments,
brushes, rough surfaced materials or make contact with anything that can scratch the panel.

B. PROBES
The probes are the only surfaces of this monitor that come in contact with the patient. Clean
the probes after each patient use.
Clean the monitors probes with a commercial cleaning solution before attaching a new
patient. Probes should be cleaned until signs of wear or splitting occur. At this time a new
probe is required.
If disinfection is required, wipe the surfaces with Isopropyl alcohol or cider and use a water
rinse. When sterilization is required, use ethylene oxide and be sure to follow hospital
procedures.
Inspect the probe for wear or splitting after every disinfecting/sterilization process is complete.
If wearing or splitting of the probe is found upon visual inspection, a new probe should be
used

1 - MAINFLOW CO2 MAINSTREAM SENSOR


Use a cloth dampened with isopropyl alcohol 70%, a 10% aqueous solution of sodium
hypochlorite (bleach), disinfectant spray cleaner such as Steris Coverage Spray HB,
ammonia, or mild soap.
Wipe down with a clean water-dampened cloth to rinse and dry before use. Make certain that
the sensor windows are clean and dry before reuse.

2 - MAINFLOW CO2 MAINSTREAM AIRWAY ADAPTERS CLEANING


REUSABLE ADAPTERS
Clean by rinsing in a warm soapy solution followed by soaking in a liquid disinfectant such as
isopropyl alcohol 70%, a 10% aqueous solution of sodium hypochlorite (bleach), a
gluteraldehyde 2.4% solution such as Cidex, Steris System 1 or ammonia. It should then be
rinsed out with sterile water and dried.
May be disinfected using the methods listed below:
Steam Autoclave Large adapters only
Immerse and soak in Cidex or equivalent 2.4 glutaraldehyde solution for a 10 hour soak.
Immerse and soak in Perasafe or equivalent peracetic acid .26% solution for 10 minutes.
Cidex OPA - follow the manufacturers instructions for use.
Before reusing the adapter, ensure the windows are dry and residue free and that the adapter
has not been damaged during handling or the cleaning/disinfecting process.

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DISPOSABLE ADAPTERS
Treat all single patient use airway adapters in accordance with institutional protocol for single
patient use items.
DO NOT insert any object, such as a brush, into the MainFlow CO2 mainstream Sensor
airway adapter. Irreparable damage may occur to the CO2 windows.

3 - MICROFLOW CO2 SIDESTREAM MODULE CASE, CABLE AND CONNECTOR


Use a cloth dampened with isopropyl alcohol 70%, a 10% aqueous solution of sodium
hypochlorite (bleach), a 2% gluteraldehyde solution, ammonia, mild soap or disinfectant spray
cleaner such as Steris Coverage Spray HB.
Wipe down with a clean water-dampened cloth to rinse and dry before use. Make certain that
the sensor windows are clean and dry before reuse.

4 - SIDESTREAM AIRWAY ADAPTERS AND SAMPLE LINE


MicroFlow CO2 sidestream on-airway adapters and sidestream sample lines are single
patient use. Treat in accordance with hospital protocols for handling single patient use devices.

5 OXYGEN SENSOR, DIVERTER AND TEE ADAPTER


The external surfaces of the oxygen sensor and cable may be cleaned by wiping with a cloth
moistened with a mild detergent solution.
The diverter and tee adapter may be disinfected by washing them with isopropyl alcohol or
Cidex. The parts must be thoroughly dry before they are used.

C. PATIENT CABLES
Do not autoclave the patient cables.
Wipe the cables using soap and water or alcohol. Never submerge the cables in any liquid or
allow liquids to enter the electrical connections.

D. BATTERY
The LifeWindow 6000 series monitor has two batteries 12V / 2.9AH SEALED
ACID. To ensure long life and proper operation follow the instructions:
Use the 6000 powered by its internal batteries at least once time a month until
the LO BATTERY message appears on display.
If the 6000 is stored for long period without use, connect the 6000 to
the AC line to recharge the batteries for at least 18 hours once for each month period.
In case you need to replace the batteries refer to the service manual.

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WARRANTY TERMS & CONDITIONS


DIGICARE BIOMEDICAL TECHNOLOGY, INC. covers all of their monitors with a 1 year
warranty:
Monitors
1 year parts and labor

Accessories:
90 days on accessories only

DIGICARE BIOMEDICAL TECHNOLOGY, INC. will provide the necessary parts and labor to
maintain the monitor (s) listed on the Warranty Certificate in a usable condition during the
covered period.

DIGICARE BIOMEDICAL TECHNOLOGY, INC. will, at its option, repair or replace any product
which proves to be defective during the warranty period, if returned to the factory with prior
authorization, transportation prepaid.

Not covered by this agreement are repairs necessitated by any of the following conditions:

1 - Inadequate power or power failure.


2 - Neglect, abuse or misuse of equipment.
3 - Servicing of equipment by persons other than DIGICARE INC.
4 - Any unit opened or tampered with, without prior authorization.

When returning a monitor for extended warranty repair, you must first contact DIGICARE
BIOMEDICAL TECHNOLOGY, INC. to receive a Returned Goods Authorization Number (RGA
#) that is to be clearly marked on top of the shipping carton. Please make sure that your
company name, shipping address, area code and telephone number and person to contact is
located in and/or on the box. ANY UNIT THAT IS RETURNED TO THE FACTORY WITHOUT
AN RGA# WILL BE REFUSED.

FOR YOUR RECORDS

Model # __________________________ Serial # _____________________


Dealer Name: ________________________________________________

Date Equip. Purch.: ________________________ Expiration Date: ___________________

DIGICARE BIOMEDICAL TECHNOLOGY INC.


107 Commerce Road
Boynton Beach, FL 33426

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