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SC1000

Smartsigns
Compact
Software Version: V3.X.X
1. Quality Reliability and Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Table of Contents
2. Preliminary Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
3. Recommended Clinical Applications . . . . . . . . . . . . . . . . . . . . . . . .6
4. Introduction ....................... . . . . . . . . . . . . . . .7
5. Accessories ....................... . . . . . . . . . . . . . . .9
6. Front Panel Controls and System Displays . . . . . . . . . . . . . . . . . .14
7. Rear Panel ....................... . . . . . . . . . . . . . .15
7.1 Removing the application modules . . . . . . . . . . . . . . . .15
8. Symbols ....................... . . . . . . . . . . . . . .16
9. Operation ....................... . . . . . . . . . . . . . .17
9.1 Operating from internal batteries . . . . . . . . . . . . . . . . . .17
9.2 Switching the unit ON . . . . . . . . . . . . . . . . . . . . . . . . . .17
9.2.1 Setting the unit to Standby . . . . . . . . . . . . . . . .19
9.2.2 Switching the unit OFF . . . . . . . . . . . . . . . . . . .19
9.3 Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
9.4 System controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
9.4.1 Setting the language* . . . . . . . . . . . . . . . . . . . .21
9.4.2 Setting the time and date* . . . . . . . . . . . . . . . .21
9.4.3 Suspend* . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
9.4.4 Brilliance* . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.5 Volume* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.6 Alarm Volume* . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.7 Demo Mode . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.8 Access Level . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.5 Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
9.6 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
9.7 Defaults* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
10. Trace Speed ....................... . . . . . . . . . . . . . .24
11. Trends ....................... . . . . . . . . . . . . . .25
11.1 Graphical or tabular display of trends . . . . . . . . . . . . . .25
11.2 Clearing Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
11.3 Closing the trends screen . . . . . . . . . . . . . . . . . . . . . . .25
12. ECG Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
12.1 Electrode site preparation . . . . . . . . . . . . . . . . . . . . . . .26
12.2 Adult ECG Electrode placement . . . . . . . . . . . . . . . . . .27
12.3 Neonatal ECG Electrode placement . . . . . . . . . . . . . . .27
12.4 Setting up the ECG waveform . . . . . . . . . . . . . . . . . . . .28
12.5 The ECG waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
12.6 ECG Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . .30
13. Respiration Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
13.1 Respiration electrode placement . . . . . . . . . . . . . . . . . .32
13.2 Respiration set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
13.3 The Respiration waveform . . . . . . . . . . . . . . . . . . . . . . .34
13.4 Respiration Error Messages . . . . . . . . . . . . . . . . . . . . .34
14. SpO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
14.1 Patient preparation / connection . . . . . . . . . . . . . . . . . .36
14.2 SpO2 set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
14.3 The SpO2 waveform . . . . . . . . . . . . . . . . . . . . . . . . . . .39
14.4 SpO2 Error Messages . . . . . . . . . . . . . . . . . . . . . . . . .40
15. Temperature Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
2 15.1 Temperature set up . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
16. Non-Invasive Blood Pressure (NIBP) Monitoring . . . . . . . . . . . . .42

Table of Contents
16.1 Connecting the cuff to the SC1000 . . . . . . . . . . . . . . . .42
16.2 NIBP set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
16.3 Making a BP measurement . . . . . . . . . . . . . . . . . . . . .46
16.4 NIBP error messages . . . . . . . . . . . . . . . . . . . . . . . . . .47
17. Invasive Blood Pressure Monitoring . . . . . . . . . . . . . . . . . . . . . . .48
17.1 Transducer set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
17.2 Priming the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
17.3 Zeroing the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
17.4 Calibrating the System . . . . . . . . . . . . . . . . . . . . . . . . .50
17.5 IBP set up options . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
17.6 The invasive pressure waveform . . . . . . . . . . . . . . . . . .52
17.7 IBP error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
18. CO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
18.1 Connecting the sampling line . . . . . . . . . . . . . . . . . . . .55
18.2 Ambient Pressure (restricted access) . . . . . . . . . . . . . .55
18.3 Zeroing the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
18.4 Compensation (restricted access) . . . . . . . . . . . . . . . . .56
18.5 Mode (restricted access) . . . . . . . . . . . . . . . . . . . . . . . .56
18.6 Nasal sampling line - Directions for use . . . . . . . . . . . .56
18.7 Airway adaptor kit - Directions for use . . . . . . . . . . . . .57
18.8 CO2 Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
18.9 CO2 Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . .58
19. Recorder ......................... . . . . . . . . . . . .59
19.1 Paper Loading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
19.2 Setting up the Recorder . . . . . . . . . . . . . . . . . . . . . . . .60
19.2.1 Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
19.2.2 Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
20. Alarms ......................... . . . . . . . . . . . .61
20.1 Altering and Viewing Alarms . . . . . . . . . . . . . . . . . . . . .61
20.2 Alarm Setup (Restricted Access) . . . . . . . . . . . . . . . . . .61
20.3 Alarm Activation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
20.4 Alarm Ranges and default settings . . . . . . . . . . . . . . . .63
21. Specifications ......................... . . . . . . . . . . . .65
21.1 Equipment classification . . . . . . . . . . . . . . . . . . . . . . . .65
21.2 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
21.3 Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
21.4 ECG ......................... . . . . . . . . . . . .67
21.5 Non-invasive Blood Pressure . . . . . . . . . . . . . . . . . . . .68
21.6 Invasive Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . .68
21.7 SpO2 ......................... . . . . . . . . . . . .69
21.8 Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
21.9 Temperature (Dual Channel) . . . . . . . . . . . . . . . . . . . . .70
21.10 CO2 ......................... . . . . . . . . . . . .70
21.11 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
22. Accessories ......................... . . . . . . . . . . . .72
23. Care of your Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
24. Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76
25. Fault Finding ......................... . . . . . . . . . . . .79
27. Maintenance ......................... . . . . . . . . . . . .80
26 Warranty ......................... . . . . . . . . . . . .80 3
Quality Reliability and Safety
1. Quality Reliability and Safety
Before using this equipment, please study this manual
carefully and familiarise yourself with the controls, display
features and operating techniques. Ensure each user fully
understands the safety and operation of the unit, as mis-
use may cause damage to the unit or injury to the user or the
patient.

This equipment has been manufactured using quality components


and designed to operate safely and reliably.
If the integrity of the protective earth conductor is in doubt, the
equipment should be operated from its internal electrical power
source.
All modifications and repairs to the equipment must carried out by
qualified service engineers, agents or hospital technicians
authorised by Huntleigh Healthcare.

Cautions

Note The following are descriptions of general hazards and


unsafe practices that could result in death, severe
injury or product damage. Specific warnings and
cautions not appearing in this section are found
throughout the manual.
Possible Fire A possible explosion hazard exists if used in the
or Explosion presence of flammable anaesthetics. Explosion or fire
can result.
Possible Do not mount the equipment directly above the
Safety patient. Place the equipment in a location where it
Hazard cannot harm the patient should it fall from its shelf or
other mount.
Possible Do not operate the equipment using damaged cables
Electrical and wires, or loose snap fittings, which may cause
Hazard interference or loss of signal.

Do perform frequent electrical and visual inspections


on cables and wires
Caution Electromagnetic Compatibility (EMC). This product
complies with the requirements of applicable EMC
Standards. The use of accessories not specified by
the manufacturer may result in increased emmisions
by, or decreased immunity of, the equipment,
affecting its performance.
4
Quality Reliability and Safety
Possible Do not immerse any portion of the instrument in water.
Equipment Fluid spills may damage the instruments electrical
Damage components.

Do not sterilise this product. Sterilisation environments


can cause severe damage.

Do not autoclave or gas sterilise accessories unless


manufacturer instructions clearly approve it.
Possible Do not substitute accessories. Use only
Safety Risk recommended accessories listed in this manual.
Substitution may cause the instrument to work
improperly. The correct accessories are shielded to
prevent conductive parts of the electrodes contacting
other conductive parts or earth.
Warning When several pieces of equipment of various origins
are interconnected, they should comply with
EN60601-1-1. Any equipment connected should
comply with EN60601-1, EN60950, EN60065,
EN60335 or EN61010.
Warning The accuracy of the readings obtained from this
equipment may be affected by the presence of a
pacemaker or cardiac arrhythmia.

Do not use this equipment in the presence of flammable gases.


Do not immerse any part of the equipment in any liquids.
Do not use solvent cleaner on any part of the system.
Do not use high temperature sterilising or E-beam / gamma
sterilisation processes.

This product contains sensitive electronics; strong radio


frequency fields could interfere with the operation of the
system. In the event where this occurs, we suggest that the
source of interference is identified and the equipment is
used 'out of range'.

Do not destroy packing, either retain for future use or return to


supplier.

If any doubt exists concerning the use of this equipment, an


alternative method should be used.
5
Preliminary checks / Recommended clinical applications

2. Preliminary Checks
Huntleigh Healthcare takes every precaution to ensure that their
goods reach you in perfect condition. We recommend that a
thorough visual inspection is made prior to installation. Should any
damage be evident or any parts missing, ensure that Huntleigh
Healthcare, Diagnostic Products Division are informed at once.

Should the unit not be required for immediate use, it should be


stored in its original packing, after carrying out the initial delivery
inspection, and stored under covered conditions at a temperature
between -10 and 50 C, and relative humidity of 0 -99% (non-
condensing).

3. Recommended Clinical
Applications

The Smartsigns Compact series is intended for monitoring of


blood pressure, pulse rate, temperature, respiration rates, oxygen
saturation (SpO2) and capnography of adult, paediatric and
neonatal patient groups.

6
Introduction
4. Introduction
The Smartsigns Compact series is a portable multi-parameter
Vital Signs monitor capable of displaying the patient's vital signs on
a 10.4" colour TFT screen.

Interchangeable application modules can be fitted to the unit to suit


the demands of the different clinical setting.

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Model SC1000

The SC1000 provides the following monitoring capability: -

Module 1 ECG 3 (Lead I, II, or III)


ECG 5 (Lead I, II, III, AVR, AVL, AVF OR V)
Pulse Oximetry
Dual Temperature
Respiration

Module 2 NiBP

Module 3 Dual Channel Invasive Blood Pressure

Module 4 CO2 Sidestream method

7
Introduction
A 50 mm wide high-speed thermal printer is available as a factory
fit option.

ECG and respiration are obtained via conventional electrode


placement via a standard ECG patient cable.

Temperature readings are obtained via a range of YSI 400


compatible temperature sensors.

Non-invasive Blood Pressure measurements are made using the


Oscillometric technique.

SpO2 measurements are obtained from a series of oximetry


sensors.

Invasive blood pressure measurements are made using standard


catheterisation techniques.

Respiration rates are derived from the end tidal CO2 waveform.
All controls, with the exception of the front panel ON/OFF switch, are
via the 'on screen' touch panel.

The SC1000 weighs 3.7 kg (inc battery), and may be operated via
any of the following methods: -

Direct from the local AC mains supply


Via the integral rechargeable battery pack
The system can be mounted onto a mobile cart, operated as a
tabletop unit, wall mounted, or carried using the integral carry
handle.

8
Accessories
5. Accessories
The system is supplied with the following standard accessories: -

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1 x Power Cord

IN
FOR SUTSRUCTIONS
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1 x Instructions For Use

9
Accessories
Module 1- ECG, SpO2, TEMP (2), RESP

T1

T2
ECG SpO 2

5 Lead Cable
1 x Surface

1 x Rectal

1 x Central
3 Lead Cable

Temperature Probes (optional)

1 x ECG / RESP Patient Cable

1 x Adult Finger Sensor 1 x SpO2 Interface Cable


10
Accessories
Module 2 - NIBP

NIBP

1 x NiBP Hose

3 x NIBP Cuffs

11
Accessories
Module 3 - IBP

1 x Mounting Bracket (dual)

1 x Dual IBP
Cable
2 x Pressure
Transducers

1 x Stand Clamp

12 1 x Monitoring Set
Accessories
Module 4 - Capnography

CO2

1 x Sampling line for


Intubated patients
(Adult, Paediatric or
Infant / Neonate) 1 x Samplng line for NON
Intubated patients (Adult,
Paediatric or Infant / Neonate)

Factory Fit Option

Recorder

1 x Chart Paper

A wide range of accessories is available for the Smartsigns range


and can be ordered from your supplier or by contacting Huntleigh
Healthcare Diagnostic Products Division directly. 13
Front Panel Controls and System Displays
6. Front Panel Controls and
System Displays
The system ON/OFF button is located on the right hand side of the
unit. Pressing the button once switches the system ON.

ON/OFF/STANDBY

Interchangeable
Application
Modules

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NOTE

The colour coded waveforms are determined by the options fitted to


the system.

The ECG waveforms are colour coded green and are always
displayed at the top of the screen (position 1 & 2).
3 Lead display
If the 3 lead option is fitted, the user can select lead I, II or III to be
displayed in waveform position 1. The same cascaded waveform
can be displayed in position number 2.
5 Lead display
If the 5 lead option is fitted, the user can select lead I, II, III, AVR,
AVL, AVF and V.

If the system is fitted with the impedance respiration option, the


RESP waveform is displayed below the ECG waveform and colour
coded yellow. The RR and alarm settings are displayed along side
the RESP waveform.

The Pleth waveform is colour coded cyan and displayed in position


number 3. The PLETH bar, saturation level (%) and alarm status is
14 displayed along side the waveform.
Rear Panel
7. Rear Panel
The following components are located on the rear / side of the unit :-

Key Description

1 50mm High speed thermal printer (factory fit option)

2 Mains input socket

I/O sockets: -
3 4
Ethernet socket
Serial Port
Keyboard
External monitor 3
Equipotential
earth point
1
4 Integral carry handle
Module release
5 mechanism 5

7.1 Removing the application modules


Ensure the unit is switched OFF and power is removed from the
system before removing / adding or replacing any of the modules.

Press the module release mechanism (5) located on the rear of the
unit, hold the module by it's TAB and carefully withdraw it from the
system.

Refitting is the reversal of the above.

DO NOT use the system if any of the modules are missing.

15
Symbols
8. Symbols
The following symbols are used on the SC1000, their definitions are
described below: -

Symbol Description

Green LED indicating that mains power is connected.

CHG Yellow LED indicating that the internal battery is charging.

Type CF with defibrillator protection

On/Off/Standby

Protective earth (ground)

Equipotentiality

Alternating Current

Attention - consult accompanying documents

Connection point for SmartSigns Central View monitoring


system

Serial port

Keyboard

External monitor

Battery

16
Operation
9. Operation
Connect the monitor to the local mains supply. FUSE TYPE IEC 127
2AH250V

The green AC power LED on the front panel will


illuminate. Use only 250V fuses

Note: To isolate the SC1000 from the mains or line


supply, disconnect the power cable from the mains inlet
at the rear of the unit.

9.1 Operating from internal batteries


The battery, when fully charged will provide approximately 3 hours
continuous use. An on screen battery indicator provides a
continuous indication of battery status. When the battery capacity
drops below 15%, the system will sound an audible tone and the
battery status graphic will flash red.

Battery charging takes place whenever the SC1000 is connected to


the mains supply.

9.2 Switching the unit ON

Press the button on the front panel to switch the unit on;
the amber LED will illuminate.

The unit will display a brief a status NAME : S MOORE


message and then display the
REF: 12345
welcome screen:-
CHANGE DETAILS
Press CHANGE DETAILS to change
the Name and Ref. No. or press
CONTINUE to proceed with the CONTINUE
Monitoring session.

The application screen will be displayed and be configured


according to the options / modules fitted to the unit.

17
Operation
Application screen

The screen is arranged into a series of waveforms and numerical


indicators.

Position 1

Parameter Identification
Position 2

Position 3

Position 4

Position 5

Position 6

Command Bar

Command Bar

At the bottom of the display area is a command bar, which provides


the following facilities: -

SET-UP TRENDS RECORDER SUSPEND


GO / STOP

25mm/sec NiBP GO / FREEZE


(Trace Speed) STOP

Date, time and battery status are displayed 14 Jan 2003 14.25
along side the command bar. 85%
18
Operation
Above the command bar is an area
JONES I
reserved for the patient's name,
123456-A N
identification number and system
CO2 CALIB. OK F
messages. REC: OK (MANUAL) O

Patient information and system settings are saved in


the systems memory when the unit is switched OFF.

Enabling / Disabling the Touch Screen

The touch screen may be locked / un-locked


by pressing the Huntleigh Healthcare logo in
the bottom right hand corner of the screen.

9.2.1 Setting the unit to Standby

Press the ON/OFF button on the front panel once to set the
unit into Standby Mode.
The Amber LED will flash whilst the unit is in Standby Mode.

Press the ON/OFF button once again to exit Standby Mode


and switch the unit ON.

9.2.2 Switching the unit OFF

Press and hold the front panel ON/OFF button for 4 seconds
- the unit will switch off.

19
Operation
9.3 Set-up

Press the 'Set-up' TAB to display the Set-up screen.

Set-up SETUP
screen. SYSTEM
PATIENT
RECORDER
ECG RESP
SPO2 TEMP
IBP1 IBP2
NIBP CO2
DEFAULTS
ALARM SETUP

From this screen the operator can adjust the following parameters:-

System

Patient

Recorder (if fitted)

Parameter set-up (ECG, RESP, SpO2, TEMP, IBP1, IBP2, NiBP,


CO2)

Default settings (Alarms)

Alarm set-up

If the set-up screen is not accessed for more than 20 seconds, the
display will switch back to the main application screen.

20
Operation
9.4 System controls

SYSTEM
SETUP Press the TAB at the top of the
set-up screen to enable the following
SYSTEM options: -
PATIENT
RECORDER Language (English, Espaol, Franais,
Portuguese, Deutsch, Svenska, Italiano
ECG RESP
Nederlands, Cestina and )*
SPO2 TEMP
Set Time and Date*
IBP1 IBP2
NIBP CO2 Alarm suspend options*
DEFAULTS Display brilliance*
ALARM SETUP QRS Bleep volume*
Alarm volume*
DEMO Mode*
Access Level*

9.4.1 Setting the language*

From the start-up screen press , SYSTEM and then rotate


through the various language options.
Press to exit from this function.

9.4.2 Setting the time and date*

From the start-up screen press , SYSTEM and then


SET TIME/DATE . Use the + or - symbols set the time and date.

Press to exit from this function.

9.4.3 Suspend*

From the start-up screen press , SYSTEM then SUSPEND


to display the Alarm suspend options.
The operator can select 2, 5 or 15 minute alarm suspend periods.
Alternatively, selecting will suspend the alarms indefinitely.
Press to exit from this function.

* Restricted Access 21
Operation
9.4.4 Brilliance*

Press the + or - symbols to increase or decrease the screen


brilliance. The current level is indicated by the graphical symbol.
Press to exit from this function.

9.4.5 Volume*

Press the + or - symbols to increase or decrease the pulse tone


level. The current level is indicated by the graphical symbol.
Press to exit from this function.

9.4.6 Alarm Volume*

Press the + or - symbols to increase or decrease the alarm level.


The current level is indicated by the graphical symbol.
Press to exit from this function.

9.4.7 Demo Mode


The demonstration mode should only be used for training and
demonstration purposes.
This facility must not be used when the system is connected to a
patient.
A password is required to enable this function - refer to your service
department for the authorisation code.

9.4.8 Access Level


Access to various options is protected by an access code.

Refer to you Biomedical Department for the specific access codes.

Access level:

Engineering - Full Access

User - Limited Access

Basic - Restricted Access (Default Access Level)

* Restricted Access
22
Operation
9.5 Patient

SETUP
SYSTEM Pressing the PATIENT TAB from the
PATIENT
screen displays the patient
information screen. From this screen,
RECORDER the operator can add the patient's
ECG RESP name and reference number to the
SPO2 TEMP system.
IBP1 IBP2
NIBP CO2
DEFAULTS
ALARM SETUP
PATIENT NAME/REF
Name Name
Ref Ref
Change Name/Ref A B C D E F
Bed - -- + G H I J K L
M N O P Q R
Pressing the New Patient? S T U V W X
button clears all of the Y Z 0 1 2 3
patient information fields New Patient? 4 5 6 7 8 9
and resets the alarm level DEL SPC - . ' /
to the default settings.

This action will also clear


the TREND information.

To add the patient's name, press Change Name/Ref TAB. The


system will display the data entry keypad.

Place the cursor in the Name field and using the keypad, enter the
patient's name.

Place the cursor in the Ref field and using the keypad, enter the
patient's REF number.

Press to exit the patient entry screen.

23
Operation / Trace Speed
9.6 Recorder
SETUP
If a recorder option is fitted, pressing
SYSTEM
RECORDER provides access to the
PATIENT format of the printout.
RECORDER
ECG RESP See section 19 for specific details.
SPO2 TEMP
IBP1 IBP2
NIBP CO2
DEFAULTS
ALARM SETUP

9.7 Defaults*
SETUP Pressing DEFAULTS allows the user to
select the factory default alarm settings.
SYSTEM
PATIENT The levels can be changed by pressing
RECORDER the + and - keys either side of the
ECG RESP parameter.
SPO2 TEMP DEFAULTS
DEFAULTS DEFAULTS
IBP1 IBP2 PI1 SYS

ECG FC
alto - 150 + DEFAULTS
PI2 SYS
NIBP CO2 SPO2 P
bajo - 50 +
PI1 DIA NIBP SYS
alto - 160 +
alto - 50 + - 50 +
DEFAULTS RESP FR
CO2 RR
bajo - 10 +
PI2 DIA
bajo

PI1 MEDIA NIBP DIA


alto - 160 +
ALARM SETUP SPO2 %O2
alto - 99 +
PI2 MEDIA
bajo - 50 +
bajo - 92 + alto - 160 +
NIBP MAP
bajo - 50 +
DEFAULTS
USE DEFAULTS TEMP T1
alto - 40.0 +
bajo - + DEFAULTS
30.0USE
alto - 40.0 +
TEMP T2
bajo - 30.0 +
alto - 7.8 +
* Restricted Access CO2 etCO2
-
bajo
2.6 +

10. Trace Speed


Press the 6.25, 12.5, 25 or 50mm/s TAB, ( ), to change the
trace speed.

The default setting is 25 mm/second.


24
Trends
11. Trends
Trends are displayed graphically or tabular over a 1, 8 or a 24-hour
period.
From the main application screen, pressing the TAB
displays the trends screen.
The system displays three buttons. From this point, the operator
can customise the data.

Switches the trend scale between 1, 8 or 24


1 HOUR
hours.

Switches the display between graphical and


GRAPH
tabular format.

SETUP
Enable / disable parameter trend selection.
TRENDS

11.1 Graphical or tabular display of trends

Switching from GRAPH to TABLE shows a table of readings, with


the time at the left side. The up and down arrows enable the user
to scroll the table as required.
If temperature has been selected as a trend, a button at the top of
the temperature column can be pressed to switch between T1 and
T2. If any other dual readout trends are present and selected these
will also be provided with similar buttons.

11.2 Clearing Trends

The SET UP TRENDS screen also contains a button marked CLEAR


TRENDS, pressing this clears all stored trend information from
memory. Alternatively, switching the unit off will clear all trend
information.

11.3 Closing the trends screen

Press to close the trends screen.


25
ECG Monitoring
12. ECG Monitoring

IMPORTANT

Check all cables before operation.

Only use the patient cable supplied with the system.

DO NOT connect any NON-ISOLATED accessories to the system


when connected to a patient.

The system provides an isolated circuit for the ECG capability;


ensure that the conductive parts of the ECG patient cable do not
contact any other conducting parts including ground.

Total leakage currents of the system must not exceed the limits
specified by IEC 60601-2-27:1994

When using ES equipment, do not place the ECG electrodes near


the grounding plate of the ES equipment.

If the patient has a pacemaker, a qualified healthcare professional


must supervise the procedure at all times. The rate meter may
count the 'pacer' rate during an arrest or arrhythmia - in this
situation, DO NOT rely upon the system's alarms.

Check the expiry date of the ECG electrodes, if the date has
expired, discard the electrodes.

12.1 Electrode site preparation

If necessary, shave the area where the electrode is to be placed.

The skin should be abraded slightly with a gauze pad or,


alternatively, commercially available electrode preparation solutions
may be used in place of abrasion.

Clean the area with an alcohol pad to remove all abrading residues
and oils.

Dry the skin.

26
ECG Monitoring
12.2 Adult ECG Electrode placement

There are several sites for positioning ECG electrodes; these are
dependant on the patients' physiological characteristics and condition.

In most cases, ECG signal deficiencies may be improved by


repositioning one or more of the electrodes.

The best monitoring results will be obtained by placing the electrodes


on the chest.

The following diagrams illustrates typical electrode positions for 3 and


5 lead ECG monitoring on adult and 3 lead ECG on neonatal patients.

3 LEAD ECG 5 LEAD ECG

YELLOW
RED YELLOW
RED

GREEN
GREEN

WHITE

BLACK

12.3 Neonatal ECG Electrode placement

Using the diagram opposite, L (YELLOW)


R (RED)
place the electrodes into
position.

Place the Red electrode (RA)


under the right clavicle.

Place the Yellow electrode


(LA) under the left clavicle. F (GREEN)

Place the Green electrode


(LL) under the 6th rib on the
lower left of the abdomen.
27
ECG Monitoring
Do not allow the ECG cable to place stress on to the ECG
electrodes, as this will produce poor quality recordings.
NOTE - If reusable or non-gelled electrodes are used, apply gel to
the centre of the electrodes.
If pre-gelled disposable electrodes are used, peel the backing from
the electrode adhesive and apply the electrodes according to the
manufacturers instructions.
The patient cable must be inserted into the green ECG socket on
the system.

12.4 Setting up the ECG waveform

Press anywhere on the ECG display area to display the ECG set-up
options: -

ECG SETUP
Parameter
OFF
ON
Lead
II
x2, x4, x 1 2
Gain
x1
DIAGNOSTIC Mode
MONITOR
Filter 50Hz, 60Hz *
OFF
OFF QRS Beep
ON
DUAL OFF
1MV ON
HR
High - 150 +
Low - 50 +
Auto Limit
* Restricted Access

Parameter

This switches the ECG monitoring function ON or OFF.


Use the touch screen to the adjust setting. If the ECG channel is
switched OFF, OFF is displayed in large letters on the right hand
side of the screen.
Press to exit from this function.
28
ECG Monitoring
Lead
Press the Lead TAB to select the appropriate lead selection (STD,
I, II, III, AVR, AVL, AVF & V).
Use the touch screen to adjust the setting.
Press to exit from this function.
Gain
Press the Gain TAB to display the gain selection (x , x1, x2, and x4).
Use the touch screen to adjust the setting. The default setting is x1.
Press to save from this function.
Mode
Press the Mode TAB to display and select either MONITOR or
DIAGNOSTIC mode of operation.
Use the touch screen to adjust the setting
Press to exit from this function.

Filter (Restricted Access)


Press the Filter TAB to set the 50 or 60 Hz filters ON or OFF.
Use the touch screen to adjust the setting
Press to exit from this function.
QRS Beep
Press the QRS Beep TAB to switch the beep ON or OFF. (See the
description under the SYSTEM set-up for a description of how the
QRS volume is adjusted).
Use the touch screen to adjust the setting.
Press to exit from this function.

1mV
Pressing the 1mV TAB produces a 1mV calibration pulse on the
ECG waveform, which should measure 1 cm high on the screen.
Press to exit from this function.
Dual
Press ON to display two ECG waveforms, or OFF to display a single
waveform.
If a 3 Lead cable is being used, this area displays a continuation of
the first waveform.
If a 5 Lead cable is being used, the second ECG waveform will
always show lead II. 29
ECG Monitoring
Alarms
Use the touch screen to adjust the setting. The alarm levels can be
set for both high and low limits using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.

Alarm ON Alarm OFF

Press to save and exit from function.

12.5 The ECG waveform


Having prepared the patient and placed the electrodes in the
appropriate positions, the ECG waveform will be displayed on the
screen.
The ECG waveform will be:

The user can select alternative vectors from the set-up as required.

12.6 ECG Error Messages


The following section provides the user with a description of ERROR
messages, which may be displayed during ECG monitoring: -

Error Message Cause Rectification

System does not detect an


'ASYSTOLE' Attend to patient
ECG signal
The ECG leads become Check and replace
'LEAD OFF'
detached from the patient leads
System has detected pacing Close observation of
'PACER'
30 pulses the patient is required
Respiration Monitoring
13. Respiration Monitoring
IMPORTANT

This system uses a transthoracic method to determine the


respiration rate.

Check all cables before operation.

Only use the patient cable supplied with the system. Respiration
monitoring is achieved using a special patient cable. This cable
does not contain protective resistors found on the standard SC1000
ECG cable.

DO NOT connect any NON-ISOLATED accessories to the system


when connected to a patient.

The system provides an isolated circuit for the RESP capability;


ensure that the conductive parts of the RESP patient cable do not
contact any other conducting parts including ground.

Total leakage currents of the system must not exceed the limits
specified by IEC 60601-2-27:1994

When using ES equipment, do not place the ECG electrodes near


the grounding plate of the ES equipment.

Check the expiry date of the ECG electrodes, if the date has
expired, discard the electrodes.

31
Respiration Monitoring
13.1 Respiration electrode placement

Note that the electrode positioning may be optimised for either


transthoracic or transabdominal respiratory monitoring. These
positions will offer the maximum strength for combined respiration
and ECG signals when both parameters are to be monitored.

Proper electrode application is particularly critical when monitoring


respiration. Use the following steps to apply the electrodes.

If necessary, shave the area where the electrode is to be placed

The skin should be abraded


slightly with a gauze pad or,
alternatively, commercially
available electrode preparation
solutions may be used in place of LA
abrasion. RA

Clean the area with an alcohol


pad to remove all abrading
residues. L
RL
Dry the skin.

Snap the electrodes onto each of


the lead wires prior to placement
on the patient's chest.
LL
If reusable or non-gelled electrodes are used, apply gel to
the centre of the electrodes.

If pre-gelled disposable electrodes are used, peel the backing from


the electrode adhesive and apply the electrodes.

NOTE Do not apply excessive pressure to the centre of the


electrode as it may force gel beneath the adhesive and
cause the electrode to loosen.

32
Respiration Monitoring
13.2 Respiration set up

Press the RESP area of the screen to display the RESP SETUP .
The following options will be available: -

RESP SETUP
Parameter
OFF
ON
Sens
1 /cm 3

BR High - 50 +
Low - 10 +
Auto Limit

Parameter

This switches the RESP monitoring function ON or OFF. Use the


touch screen to adjust the setting.

If the RESP channel is switched OFF, OFF is displayed in large


letters on the right hand side of the screen.

Press to exit from this function.

Sens

Press the Sens TAB to select the appropriate sensitivity 1 or 3 .


Use the touch screen to adjust the setting

Press to exit from this function.

33
Respiration Monitoring
Alarms

Use the touch screen to adjust the setting. The alarm levels can be
set for both high and low limits using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.

Alarm ON Alarm OFF

Press to exit from function.

13.3 The Respiration waveform

After a short period the respiration wave will be displayed in position


3 on the screen.
The breathing rate (BR) will be displayed on the right had side of the
display.

13.4 Respiration Error Messages

The following section provides the user with a description of ERROR


messages, which may be displayed during respiration
measurement.

Error Message Cause Rectification

Electrode leads become


'LEAD OFF' Reposition electrode(s)
detached from the patient
CABLE Cable becomes detached Check and re-position
DISCONNECTED from the unit or patient cable
RR is less than the limit set Check patient and
'APNOEA'
by the user reset alarm
34
SpO2 Monitoring
14. SpO2 Monitoring
IMPORTANT

The SC1000 series uses an advanced digital pulse oximetry system


supplied by BCI.
The BCI oximetry sensors are indicated for use in continuous non-
invasive monitoring of arterial oxygen saturation and pulse rate
determination.
Only use BCI oximetry sensors with the SC1000 series of monitoring
systems. Using other sensors with this system may cause patient
injury, result in inaccurate readings or damage the system.
Check the sensor at least every 4 to 8 hours and reposition every 24
hours.
Avoid applying the sensor to oedematous or fragile tissue.
Excessive patient movement, ambient light, electromagnetic
interference, dysfunctional haemoglobin, low perfusion, intra-vascular
dyes, nail polish or long or artificial nails may affect the performance
of the sensor and present inaccurate results.
Do not use the sensor if it is damaged, the sensor is contraindicated if
the patient exhibits any reaction to the application of adhesive tape.
Note - The material used in the manufacture of the sensor contain no
natural latex protein.
DO NOT use this equipment in an MRI environment.

The SC1000 is supplied with an Adult re-useable finger probe.


Refer to Section 22 for the full range of available sensors

Patient Weight Classifications

Adult Over 45Kg

Pediatric 15 - 45Kg

Infant 3 - 15Kg

Neonate Under 3Kg

Connect the sensor to the SpO2 sensor extension cable, and


connect the assembly to the to the socket marked SpO2.
35
SpO2 Monitoring
14.1 Patient preparation / connection
For Use With Adults

Insert the patient's digit to the sensor.


The preferred digit is the index finger
(adult).
The digit is correctly inserted when
the tip of the finger touches the rear
of the guideposts.

Ensure the sensor cable


extends along the top of
the patient's hand.

Application of the Multi-Site Y


Sensor (for Adults)

Secure sensor with wrap, tape, or


bandage. Secure sensor cable to patient,
to provide additional strain relief

Place Ear-Clip with sensor onto


earlobe, so that the Detector side
(identified by the raised dot on the
back of the paddle) is behind the
earlobe. Press sensor paddles into
monitoring site once to ensure firm
sensor placement. Secure sensor
cable to the patient , to provide
36 additional strain relief.
SpO2 Monitoring
For Use With Neonates

Application of the Neonate Multi-


Site Sensor.

Secure sensor with wrap, tape, or


bandage. Secure sensor cable to
patient, to provide additional strain
relief.

Secure sensor with wrap, tape, or


bandage. Secure sensor cable to
patient, to provide additional
strain relief.

Secure sensor with wrap, tape, or


bandage. Secure sensor cable to
patient, to provide additional strain
relief.

37
SpO2 Monitoring
14.2 SpO2 set up

Press the SpO2 area of the screen and set Parameter "ON", this
activates the trace.

Press the SpO2 area of the screen to display the SETUP options.
From this point, the operator can select from the following: -

SPO2 SETUP
Parameter
OFF
ON

Pulse Beep
OFF
ON
PR
High - 150 +
Low - 50 +
%O2
High - 99 +
Low - 92 +
Auto Limit

Parameter

Press the Parameter area of the screen to switch the SpO2


channel ON or OFF.

Press to exit from this function.

Pulse Beep

Press the Pulse Beep area of the screen to switch the beep ON or
OFF.

Press to exit from this function.

38
SpO2 Monitoring
Alarms

Use the touch screen to the adjust setting. The alarm levels can be
set for both high / low heart rate limits and the % saturation level
using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.

Alarm ON Alarm OFF

Press to exit from function.

14.3 The SpO2 waveform

After a short period, the SpO2 signal will be displayed on the


screen.

The pleth waveform is violet in colour and is displayed in position 4


with the saturation level appearing along side it.
The beep tone alters frequency according to the saturation level -
the higher the saturation level, the higher the pitch.
The 'pleth' bar graph provides the operator with an indication of the
signal strength and therefore, to some extent, the reliability of the
reading.
If the signal strength is low then check that the probe and finger are
free from any material, which may reduce the light strength. Also
ensure that the blood flow to the measuring site is not impeded
resulting in a reduced pulse.

39
SpO2 Monitoring
14.4 SpO2 Error Messages

The following section provides the user with a description of ERROR


messages, which may be displayed during respiration
measurement.

Error Message Cause Rectification

No sensor connected to Connect the sensor to


'NO SENSOR'
system the system

'SENSOR OFF Sensor detached from Re-apply sensor to the


PATIENT' patient patient

'SENSOR System detected a


Replace sensor
DEFECTIVE' defective sensor

'LOW Patient perfusion is too Check patient status and


PERFUSION' low patient connection

Hardware is being
'PULSE SEARCH' Change site or sensor
adjusted for best signal

'TOO MUCH Excessive light for the Reduce the ambient


AMBIENT LIGHT' sensor to function level around the patient

'INSUFFICIENT Patient perfusion is too Check patient status and


SIGNAL' low patient connection

40
Temperature Monitoring
15. Temperature Monitoring
Temperature probes are not supplied with the system, however, the
SC1000 supports YSI 400 compatible sensors.
Follow the manufactures instruction for use.
Insert the temperature probe(s) into the sockets labelled T1 and or
T2 on the ECG / TEMPERATURE / SpO2 module.

15.1 Temperature set up

Press the TEMP area of TEMP SETUP


OFF
the screen to display the Parameter
ON
TEMP SETUP .The
following options will be
available: -
T1
High - 40.0 +
Low - 30.0 +
T2
High - 40.0 +
Low - 30.0 +

Auto Limit
Alarms
Use the touch screen to the adjust setting. The alarm levels can be
set for both high / low heart rate limits and the % saturation level
using the + or - symbols.
Pressing the or symbol turns the alarm OFF or ON.

Alarm ON Alarm OFF

Press to exit from this function.

Depending on the number of sensors fitted to the system, the


appropriate number of digital displays (a maximum of two) will
appear in the lower part of the screen display.
If dual temperatures are being monitored, is also displayed.
41
Non-invasive Blood Pressure (NIBP) Monitoring
16. Non-Invasive Blood Pressure
(NIBP) Monitoring
The system uses the Oscillometric method via a cuff which is
inflated and deflated through the SC1000.

16.1 Connecting the cuff to the SC1000

Connect the hexagonal bayonet-fitting end of the cuff extension


hose to the NIBP socket on the module, push the connector gently
and turn clockwise until it locks.

N.B. Do not force the connector.

The required cuff should be wrapped comfortably around the


patient's limb.
Connect the extension tube via the push in male-to-female
connector device (Luer fitting). Ensure that there are no kinks or
compression restrictions in the tube.

Check the limb concerned to ensure that there is no likelihood of


prolonged impairment of the patient's circulation. Set the
appropriate cuff type, to adult or neonate, and may be selected
using the 'SET' function.

The SC1000 is capable accurately sensing blood pressure on any


portion of the arm or leg, which has sufficient blood flow. This
includes the general regions of the upper arm, lower arm, thigh,
calf, ankle, and arch of foot.

Change cuff placement site every 4 to 6 hours.

Avoid cuff placement which could interfere with infusions.

42
Non-invasive Blood Pressure (NIBP) Monitoring
The following table can be used as a guide to help with site
selection: -

Patient group Measurement site

Adult Upper arm

Paediatric Upper arm

Neonatal Upper arm or leg

16.2 NIBP set up

Press the NIBP area of the screen to display the NIBP SETUP
options. From this point, the operator can select from the following:

NIBP SETUP
NIBP SETUP NEONATE
Cuff
ADULT
SETTINGS AUTOMATIC
Mode
MANUAL TURBO
Cycle
OFF 2,3,4,5,10,15,30
OFF
SYS
- 160
High + Start Pressure
60,90 minutes
ON
140 mmHg
- 50
Low + 160 mmHg
OFF 180 mmHg
DIA High - 160 +
ON
ENABLE CALIBRATION MODE Adult cuff mode
Low - 50 +
OFF
High -
100 mmHg
MAP
ON 160 +
120 mmHg
Low - 50 +
ALARMS Neonate cuff mode *
Auto Limit

* Please Note: This option may not be available on some versions of


software.

43
Non-invasive Blood Pressure (NIBP) Monitoring
Cuff

This switches between ADULT and NEONATE cuff type and sets
the target pressure and inflation times.

Use the touch screen to select the required option.

Press to exit this function.

Mode
Manual
Press the Mode TAB to select Automatic , Turbo or
operation. This option is linked to the Cycle option.

NOTE in automatic mode, measurements can be made every 2, 3,


4, 5, 10, 15, 30, 60 or 90 minute intervals.

TURBO mode provides consecutive readings during a 5-minute


period.

MANUAL mode allows the operator to perform single BP


determinations.

Use the touch screen to select the appropriate setting.

Press to exit this function.

Cycle
Cycle
Press the TAB to select the measurement period 2, 3, 4, 5,
10, 15, 30, 60 or 90 minutes.

Press to exit this function.

This option is linked to the CYCLE option.

44
Non-invasive Blood Pressure (NIBP) Monitoring
Start Pressure*

Press the Start Pressure TAB to set the target cuff pressure.
In adult mode, the target pressure can be set to 140, 160 or 180
mmHg. In neonatal mode, the target pressure can be set to either
100 or 120 mmHg.
Press to exit this function.

* Please Note: This option may not be available on some versions of


software.

Alarms

Use the touch screen to adjust the setting.

NIBP SETUP
SETTINGS

SYS
ON - 160
High +
Low - 50 +
DIA High - 160 +
ON

Low - 50 +
MAP High - 160 +
ON

Low - 50 +
Auto Limit

The alarm levels can be set for both high and low limits using the +
or - symbols.

Pressing the or symbol turns the alarm status OFF or


ON.

Alarm ON Alarm OFF

Press to exit this function.


45
Non-invasive Blood Pressure (NIBP) Monitoring
16.3 Making a BP measurement

NIBP
Press the GO/STOP TAB at the bottom of the screen to initiate the
measurement. The cuff will gradually inflate.
After approximately 30 seconds the system will complete the
measurement and display the readings in the NIBP area of the
screen: -

120/80
MAP (97) 160/50
160
50
100
N
I
B
P
ADULT MANUAL mmHg 50

The NIBP area will display the cuff type and operating mode,
Systolic (SYS), Diastolic (DIA) and Mean Arterial Pressure (MAP) and
the time of the last measurement.

NIBP
To cancel a BP measurement, press the GO/STOP TAB.

---/---
MAP (---) 160/50
160
50
100
N
I
B
P
LOOSE CUFF mmHg 50

In certain circumstances, error messages may be displayed.

46
Non-invasive Blood Pressure (NIBP) Monitoring
16.4 NIBP error messages

The following table gives some examples of error message and


their rectification: -

Error Message Cause Rectification

'LOOSE CUFF' Cuff incorrectly or loosely Reposition and tighten


positioned. cuff.
Press NIBP to restart.
'AIR LEAK' Cuff tubing loose at Disconnect and
connectors. Tubing reconnect at tubing
constricted. connections pushing
home firmly. Ensure
that the tubing is not
pinched i.e. kinked or
trapped.
Press NIBP to restart.
'SIGNAL Constant fluctuations of Check the cuff for
SATURATED' pressure preventing the correct adjustment and
Oscillometric determination calm the patient.
of systolic or diastolic blood Press NIBP to restart.
pressure. This can arise if
the patient is restless and
can flex the arm at the
elbow thereby trapping the
cuff or if the patient tenses
the muscles of the forearm.
'PRESSURE Evoked by a combination of Work through above
ERROR' the above. correction procedures.
Press NIBP to restart.
'ABORTED' Caused by problems with Re-try
fitting of the cuff, which
meant that an accurate
determination is not
possible.
'EXCESSIVE Caused by patient Comfort patient and
MOTION' movement. re-try
'REPOSITION System is unable to Re-position cuff
CUFF' measure BP

47
Invasive Blood Pressure Monitoring
17. Invasive Blood Pressure
Monitoring
Invasive Blood Pressure measurements must only be
carried out by, or under the supervision of qualified
personnel.
The catheters should not be used on limbs which are
being used for other medical procedures.

17.1 Transducer set-up

The following procedures must be strictly observed and carried out


in the sequence indicated.
The MEDEX monitoring kit supplied with the system is not designed
for re-use.
Remove the monitoring kit from its packaging and assemble the
pressure transducer according to the manufacturers instructions
supplied
The following diagram illustrates the set-up for the MEDEX Logical
series supplied with the SC1000.

Line to patient

ZERO stop cock

Pressure
transducer Pressure dome

CAL
Flush Device
100mmHg

Line to flush
solution

flush solution
48
Invasive Blood Pressure Monitoring
Connect the transducer cable to the transducer paying particular
attention to the channel identification (I or II).

Each of the free ends must be inserted into the appropriate blue
socket/s on the IBP module labelled I and II.

17.2 Priming the system

Follow the manufacturers priming


instruction.

Actuate the flush system gently and


continue to prime without pressure.

Pressurise the system to 300 mmHg and


fast flush the system for 2 -3 seconds.

Check for air bubbles.

The system is now ready to zero and


calibrate

Operating the
FLUSH system

49
Invasive Blood Pressure Monitoring
17.3 Zeroing the system
Each channel can be set up / calibrated independently.

Allow the transducer to warm up for 5 minutes before zeroing.

Vent the transducer to atmospheric pressure by turning the ZERO


stopcock off to the patient.

Touch the appropriate IBP area of the screen to display the set-up
screen and press ZERO to zero the transducer.

A two second delay occurs while the zero adjustment takes place.

17.4 Calibrating the System

System calibration is automatic, however the user


can check the system by pressing the CAL button on
the transducer.
100mmHg

The appropriate IBP channel will display 100 on the


screen.

Precautions: -

Avoid conductive connections with other monitoring devices.

Allow the system to warm up for 5 minutes before calibrating.

Do not use a syringe smaller than 5 ml.

Do not use excessive force on the syringe while attaching fluid-filled


components.

Do not twist cables.

Do not autoclave or ethylene oxide sterilise transducers, interface


cables or clamps.

If any part of the equipment becomes accidentally wetted during


use, disconnect from the patient, isolate from the mains supply and
dry the parts before reconnecting.

50
Invasive Blood Pressure Monitoring
17.5 IBP set up options

Touch the appropriate IBP area of the screen to display the set up
screen: -

IBP1 SETUP
Parameter
OFF
ON
ZERO
Layout - - (-- -/ -)- - - ---
OFF --- --- *
SYS
ON
High - 160 + IBP2 SETUP
Low - 50 + Parameter
OFF
OFF ON
DIA
ON
High - 160 + ZERO
Low - 50 + Layout - - (-- -/ -)- - - *
OFF ---
--- ---
MEAN
ON
High - 160 + SYS OFF
High - 20.0 +
ON
Low - 50 + Low - 5.0 +
Auto Limit OFF
DIA
ON
High - 20.0 +
Low - 5.0 +
OFF
MEAN
ON
High - 20.0 +
Low - 5.0 +
Auto Limit
Parameter

This switches the IBP 1 monitoring function ON or OFF.

If the IBP 1 channel is switched OFF, 'OFF' is displayed in large


letters on the right hand side of the screen.

Press to exit from this function.

Zero

Press the ZERO TAB to zero the transducer.

A two second delay occurs while the zero adjustment takes place.

If an error message appears, check that the pressure transducer is


not pressurised and that the electrical connectors are correctly
fitted.

* Restricted Access 51
Invasive Blood Pressure Monitoring
Layout*

Press the Layout TAB to select the format of the IBP display: -

SYS / DIA
SYS/DIA (MAP)
(MAP)

Press to exit from this function.

Alarms*

Use the touch screen to the adjust setting. The alarm levels can be
set for both high / low heart rate limits and the % saturation level
using the + or - symbols.

Pressing the or symbol turns the alarm OFF or ON.

Alarm ON Alarm OFF

Press to exit from this function.

17.6 The invasive pressure waveform

After a short period, the signal will be displayed on the screen.

The invasive waveforms are colour coded according to their user


selectable labels: -
ART = RED CVP = BLUE

* Restricted Access
52
Invasive Blood Pressure Monitoring
17.7 IBP error messages

The following table gives some examples of error message and


their rectification: -

Error Message Cause Rectification

'NOT ZEROED' System not zeroed Re-zero system

53
CO2 Monitoring
18. CO2 Monitoring
The SC1000 uses a sidestream technique to monitor CO2 .
Using the appropriate sampling line, the system can be used with
intubated and non intubated patients.

Typical connection
to Non-Intubated
Sample Patient
Line
For non-intubated
patients apply the
nasal cannula to
the patient and
connect the free
end of the
sampling line to
Elbow connector the system.
to breathing
apparatus

Typical connection to Intubated


Patient

For intubated patients connect the


sampling line to the breathing circuit.

Refer to the sample line manufacturer instructions for use for


specific details.

After a short period, the capnogram will be displayed on the screen


together with the respiration rate and CO2 value.

5.2
RR 15 C
O
%
2

If the gas being sampled is thought to be


inflammable, then a tube should be fixed to the
exhaust outlet.

This exhaust should be led away to a safe distance


from the SC1000 and any other non-flameproof
electrical equipment.
54
CO2 Monitoring
Press the CO2 area on the screen to display the CO2 set up
options. Ensure the parameter is set ON

N2O, HELIUM OFF


CO2 COMPENSATION CO2 SETUP
O2 Parameter
%
- 15 + ON
Amb. Pessure
Balance Gas
AIR mmHg
- 762 +
Anaesthetic
- 0.0 + ZERO
%

COMPENSATION
Mode
%
high - 50 +
RR
CO2 low - 10 +
high - 7.7 +
etCO2
low - 2.5 +
Auto Limit

mmHg, kPa

18.1 Connecting the sampling line


Insert the sampling line into the
module, a 'click' will be heard
when the sampling line is
engaged.
The pump will start automatically
and draw a sample through the
sampling line.
To remove the sampling line
from the module, press down on
the locking tab and gently pull
the line from the module.
Removing the sampling line will turn the pump OFF.

18.2 Ambient Pressure (restricted access)


The ambient pressure setting is set to the factory default setting of
760 mmHg. The user can adjust this setting if the monitor is going
to be used at different altitudes.

To adjust the pressure setting, the user must select a higher level of
access control (user or engineer).

Use the + or - softkeys to adjust setting.

Close the set up screen to save settings.


55
CO2 Monitoring
18.3 Zeroing the system
Connect the sampling line to the module.

Wait for the sensor warm up message to clear from the monitor
display (for best results, wait 5 minutes for the module / sensor to
warm up before performing the zero function).

Make sure the sampling line is exposed to room air; avoid close
contact with alternative sources of CO2.

Press the Zero tab in the CO2 set up screen. Zeroing could take
between 15 and 20 seconds.

Close the set up screen to save settings.

18.4 Compensation (restricted access)


To adjust any of these settings, the user must select a higher level
of access control (user or engineer).

Press the CO2 area on the screen to display the CO2 set up options.

Use the + or - softkeys to adjust the setting as necessary.

Close the set up screen to save settings.

18.5 Mode (restricted access)


To change the MODE, the user must select a higher level of access
control (user or engineer).

Press the MODE tab and select %, mmHg or kPa.

Close the set up screen to save settings.

18.6 Nasal sampling line - Directions for use


These sampling lines are intended for monitoring the CO2 of non
intubated patients. Select the sampling line which is appropriate for
the patient group and application.

Sampling Line Patient Group Application


Nasal CO2 sampling line Adult Non intubated monitoring
Nasal CO2 sampling line Paediatric Non intubated monitoring
56 Nasal CO2 sampling line Infant Non intubated monitoring
CO2 Monitoring
These items are single patient use - DO NOT re-use!

Insert the sampling line into


the module as shown in 18.1

ZERO the system if


prompted by the monitor.

Apply the sampling line to


the patient as shown.

After a short period, the


capnogram will be displayed
on the monitor's screen.

5.2
RR 15 C
O
%
2

18.7 Airway adaptor kit - Directions for use


Select an adaptor kit which is compatible with the endotrachial tube
diameter, patient group and monitoring situation.

Sampling Line Patient Group Application

Airway adaptor kit Adult / Paediatric Use with ET tube of >4mm


Airway adaptor kit
Adult / Paediatric Use with ET tube of >4mm
with filter
Airway adaptor kit Infant/Neonate Use with ET tube of <4mm
Airway adaptor kit
Infant/Neonate Use with ET tube <=4mm
with filter
Intended for use with ventilator and
Sample line, male
All anaesthetic circuits which have
leur
integrated airway adaptor (female leur)
Intended for use with ventilator and
Sample line, male
All anaesthetic circuits which have
leur with filter
integrated airway adaptor (female leur)

These items are single patient use - DO NOT re-use!

Insert the sampling line into the module as shown in 18.1.

Always insert the sampling line into the module before connecting to
the ventilator circuit. 57
CO2 Monitoring
ZERO the system if prompted by the
monitor.

Apply the sampling line to the proximal


end of the airway circuit as shown.
Connecting to
After a short period, the capnogram integrated airway
will be displayed on the monitor's adaptor
screen.

Connecting to integrated
airway adaptor via elbow
type of connector

18.8 CO2 Alarm Settings

Press the CO2 area on the screen to display the CO2 set up options.

Use the + or - softkeys to adjust the setting as necessary.

Furthermore, the user can set AUTO LIMIT which automatically


adjusts the alarms to match patient status.

Close the set up screen to save settings.

18.9 CO2 Error Messages

Error Message Rectification

Ensure sensor is not exposed to extreme heat (eg.


Sensor Over Temp
heat lamp).
Check sensor is properly plugged in. Re-insert if
Sensor Fault
necessary.

Zero Required Check airway adaptor and clean if necessary.

Out of Range CO2 out of range

Check Airway adaptor Check and clean airway adaptor if necessary.

Check Sampling Line Check that sampling line is not occluded or kinked.

System Error Contact Huntleigh Healthcare Service Dept.

Error XXX Contact Huntleigh Healthcare Service Dept.


58
19. Recorder

Recorder
1.
19.1 Paper Loading

1. Open the door at the side of the unit


by de-pressing the release
mechanism. The door will swing down.

2.
2. Remove
the spent
paper core by pulling it towards
you gently.
Place a new paper roll between the
two tabs of the paper holder. Ensure
that the sensitive (shiny) side of the
paper is uppermost.

3.

3. Pull the paper towards you until


approximately 4 inches (10 cm) of
paper has been unrolled.
Align the paper with the pinch roller
attached to the
4. recorder door.

10cm

4. Holding the paper


against the roller,
close the recorder 5.
door.

5. Ensure that the paper is aligned in the slot,


pull the loose edge until a few inches of
paper is showing.
The recorder is now ready to print.
59
Recorder
19.2 Setting up the Recorder
The recorder can display up to four waveforms on the chart strip.
The system has two modes of operation: -

ALARM - The recorder will start automatically when


an ECG related alarm occurs other than
'lead off'.
MANUAL - The recorder will print a chart strip when the
TAB is pressed.

Using the touch screen, press the TAB and select RECORDER
to display the recorder set up options.

Note:- Recorder operation is disabled if operating from internal


batteries when the battery capacity drops below 15%.

19.2.1 Wave RECORDER SETUP


Wave 1
OFF ECG
Pressing Wave 1 will position the ECG Wave 2 RESP
OFF
complex as the first trace on the printout. Wave 3
SPO2
OFF
IBP1
Cycle through the functions until the order Wave 4
OFF IBP2
is set. Mode
MANUAL
ALARM
Repeat the above operation with Wave 2
Wave 3 and Wave 4 .

RESET
19.2.2 Mode
MODE provides two options, MANUAL or ALARM .
MANUAL
In mode the printer starts and stops in response to the
tab press.

The ALARM mode enables the printer to start and run for
sufficient time to give a full record of the event both before and after
it took place.

09 : 38 : 49 06 - Feb - 2002
NAME :
ECG

REF :
Wave 1
RESP

HR 60 bpm Wave 2
BR 15 r / m
SP02

%02 97% PR 60 bpm


P1 : ART 120 / 80 (100) mmHg Wave 3
P2 : CVP 15 . 0 / 9 . 6 ( 12 . 0 ) mmHg
IBP1

CO2 40 mmHg RR 15 r / m Wave 4


60 T1 37 .9 T2 38 .1
Alarms
20. Alarms
20.1 Altering and Viewing Alarms

Alarms are provided for each monitoring function.


Alarm levels can be adjusted by entering the appropriate parameter
set-up screen.
Alarms can be adjusted up or down within its maximum and
minimum permissible values.
Alternatively, when a stable waveform or reading has been
established, the Auto Limit area of the set-up screen can be
pressed to set limits around the measurement.

20.2 Alarm Setup (Restricted Access)

Access to the Alarm Setup is restricted to engineering access level


only.

Press ....

ALARM SETUP
MEDIUM
ALARM SETUP (SOUND 2)
MEDIUM
ECG ASYSTOLE HIGH
(SOUND 1)
(SOUND 1)
MEDIUM
The ALARM SETUP screen is ECG HR low
(SOUND 1) HIGH
displayed. ECG HR high
MEDIUM
(SOUND 2)
(SOUND 1)
HOLD ECG ALARMS
OFF ON
MEDIUM
RESP APNOEA
(SOUND 1) MEDIUM
RESP BR MEDIUM (SOUND 2)
high/low (SOUND 1)
HIGH
(SOUND 1)

HIGH
(SOUND 2)

From this screen the operator can adjust the Alarms to suit.
(Depending on access.)
61
Alarms
20.3 Alarm Activation

The alarm will sound when the alarm limits have been exceeded,
unless they have been muted or the alarm suspension is active.

If an alarm has been disabled from the set-up screen, the alarm
OFF symbol will be displayed continuously to the right of the display.

If the area at the bottom of the screen is pressed, all alarms


will be disabled and SUSPEND will be displayed in large letters in
the patient information area.

If the alarm on any function is triggered, an intermittent sharp beep


will be audible. The function digits will also flash indicating which
function or functions are in alarm. For all alarms there is a few
seconds delay, between the condition exceeding the limits and the
alarm being triggered, to eliminate false events.

The alarm priority and tone are determined in the Alarm Setup
menu, Section 20.2 (Restricted Access).
By default, the ASYSTOLE alarm has priority over the other alarms.

When the ASYSTOLE alarm is triggered a warning message is


displayed on screen and a continuous audible tone is sounded.

The APNEA alarm is a long continuous tone by default, that is


activated when the number of breaths per minute drops below 4.
This is accompanied by the word 'APN' flashing on the trace.

62
Alarms
20.4 Alarm Ranges and Default settings
Alarm
High Low
Description
Max Min Max Min
HR(ECG & Sp02)

Programmable in steps of
one unit. A minimum
separation of 5 BPM is
maintained between the High 250 25 245 20
and Low values. ASYSTOLE
& LEAD OFF alarms are set
automatically.

Default Setting 150 50

Programmable in steps of
SpO2 %

one unit. The minimum


100 55 95 50
separation between the High
and Low values is 5%

Default Setting 99 92

Programmable in steps of
Temp

45.0 21 44.5 20.5


0.1C
Default Setting 40 30

Programmable in steps of
one unit. The minimum
250 10 245 5
separation between values is
5 mmHg
NIBP

Default setting Systolic 160 50

Default setting Diastolic 160 50

Default setting MAP 160 50

63
Alarms

Alarm
High Low
Description
Max Min Max Min

Programmable in steps of
one unit. The minimum 250 10 245 5
separation between the High (50) (5) (45) (0)
IBP 1 (2)

and Low values is 5 mmHg.

Default setting Systolic 160 (20) 50 (5)

Default setting Diastolic 160 (20) 50 (5)

Default setting MAP 160 (20) 50 (5)

APNEA alarm is set


automatically. The minimum
RESP

125 9 120 4
separation between high and
low values is 5.

Default Setting 50 10

Programmable in steps of
0.1%. High and low limit
alarm. The minimum 13 2 11 0
separation between values is
2%
etCO2

Default setting RR As Above

Default setting % 7.8 2.6

Default setting mmHg 59 19

Default setting Kpa 7.9 2.6

All of the alarm limits are checked automatically and continuously.


The alarms can be modified independently by selecting the
appropriate parameter set up screen.
All enabled alarms may be auto set.
Alarms that have been silenced are supported by a graphical symbol
and a screen message to inform the user.

64
Specifications
21. Specifications
21.1 Equipment classification
Type of protection Class 1 and internally powered equipment
against electric
shock
Degree of protection Type CF - equipment with an applied part,
against electric intended for direct electrical connection to the
shock heart. The equipment is defibrillation discharge
protected. The SpO2, NIBP and invasive blood
pressure defibrillation discharge protection is
provided by the applied parts themselves and
intrinsically by the probe and blood pressure
cuff.
The ECG module is designed with spark gaps
to minimise problems associated with stray
currents generated by defibrillation, diathermy
etc.
Mode of operation Continuous

Degree of protection IPX0


against harmful
ingress of water
Degree of safety of Equipment not suitable for use in the presence
application in the of a FLAMMABLE ANAESTHETIC MIXTURE
presence of a WITH AIR or WITH OXYGEN OR NITROUS
flammable OXIDE
anaesthetic
Electrosurgery This unit does not provide protection against
Surgical Equipment HF burning from other surgical equipment

65
Specifications
21.2 General

Supply Voltage 100-240V 50/60Hz.

Fuse Type T2AH 250VAC (SCHURTER 0001-2707)

Power Input 90 VA

Screen 10.4 inch diagonal high brightness TFT flat


panel display
Trace Speed 50, 25, 12.5 and 6.25mm per second for
ECG and SpO2 waveforms. The Respiration
waveform trace speed is 6.25mm per
second.

Trace Freeze On all traces

Battery The battery is recharged when AC mains


power is supplied to the unit. A fully charged
battery provides approximately 3 hours
continuous use. Battery recharge time is
approximately 3 hours.
Size 310mm wide, 240mm high (including feet),
140mm deep
Weight 3.7Kg

Outputs 10/100 Ethernet socket (RJ45) for connection


to Smartsigns Central View Central Station,
Serial Port (9 pin D) for software upgrade, 6
way mini DIN for external keyboard and a
VGA socket for a slave monitor.

66
Specifications
21.3 Environmental

Operating Storage

10C - 40C Temperature Range -10C to +50C

30% - 90% (non 0% - 99% (non


Relative Humidity
condensing) condensing)

860mb - 1060mb Pressure 860mb - 1060mb

21.4 ECG
Heart rate range 15-300 BPM

Selectable leads 3 lead:- I, II or III


5 lead:- I, II, III, V, AVR, AVF or AVL

Selectable Gain 0.5, 1, 2 or 4mV/cm

Lead fault detection Displays LEAD OFF warning

QRS indication Flashing heart symbol, and audible tone with


volume control / off
Pacemaker P symbol replaces QRS, trace displays a
Indication positive 2cm pulse
Esis/defibrillator Yes
protection
Bandwidth 0.5 - 30Hz (monitor mode), 0.5 - 100Hz
(diagnostic mode)
Filter Off, Line (50Hz/60Hz)
Input Impedance >20M at 10Hz
Trend 1, 8 or 24 hour trend of ECG heart rate

Alarms High and Low rate, Asystole with visual and


audible warning.

67
Specifications
21.5 Non-invasive Blood Pressure

Range 30 to 280mmHg. Cuff over pressure 300mmHg

Accuracy 5mmHg with a standard deviation no greater


than 8mmHg
Display Systolic/diastolic and mean numerical display:
graphical manometer display during cuff
inflation/deflation also graphical bar display, with
mean, on trend screen.
Automatic Turbo or continuous repeated measurements
Repeat Interval taken from manual start to manual stop
commands. Repeat intervals programmable from
1-90 minutes in steps of 2, 3, 4, 5, 10, 15, 30, 60
or 90minutes.
Trends Graphical and tabular display of last 24 readings
of systolic, diastolic and MAP readings.

Alarms Systolic, Diastolic, MAP, High and Low pressure


with visual and audible warning.

21.6 Invasive Blood Pressure

Range -10 to 245mmHg

Accuracy 2mmHg or 2% of reading

Display Dynamic waveform and digital display of diastolic,


systolic and MAP
Trends Graphical representations of 1, 8 or 24 hour
trends of systolic, diastolic and MAP

Alarms Systolic, Diastolic, MAP, High and Low pressure


with visual and audible warning.

68
Specifications
21.7 SpO2

Range 0 - 99%

Resolution 1%

Accuracy Adult 70 - 99% 2% Less than 70% undefined


Neonate 70 - 99% 3% Less than 70% undefined
Averaging 8 beat average

Pulse Rate 30 - 254bpm, 2bpm or 2%


Range
Patient Input < 10 A
Leakage

Trends 1, 8 or 24 hour trend of SpO2%, and Pulse rate.

Alarms SpO2 saturation, High (55 - 100%), and Low (50 -


95%).
Pulse Rate, High (250 - 25 BPM), and Low rate (245 -
20 BPM)

12.8 Respiration

Method Impedance measurement via the ECG chest


electrodes
Accuracy 2% 1 digit
Sensitivity 1 or 3 selectable.
Range 4 - 125 Resp/min

Trends 1, 8 or 24 hour trend of respiration rate.

Alarms Apnea, high and low rate

69
Specifications
12.9 Temperature (Dual Channel)
Method Thermistor (YSI 400 series compatible)

Accuracy 0.1C 1 digit


Range 20 - 45.5C

Display T1 or T1+T2+
Trends 1, 8 or 24 hour trend of T1 and T2

Alarms High and Low temperature on T1 and T2.

12.10 CO2
Core technology Respironics LoFlo

Mode of sampling Sidestream


Principle of NDIR single beam dual wavelength optics
operation
Initialisation time Capnogram displayed in less than 20s
(ambient temp of 25C), full specification within
2 minutes
CO2 measurement 0 to 150mmHg
range 0 to 19.7%
0 to 20kPa
CO2 Calculation BTPS (Body Temperature Pressure Saturated)
method
CO2 Response <3s - Includes transport and rise time
time
CO2 Resolution 0.1mmHg - 0 to 69mmHg
0.25mmHg - 70 to 150mmHg
CO2 Accuracy 0 - 40mmHg +/- 2mmHg
41 - 70mmHg +/- 5% of reading
71 - 100mmHg +/- 8% of reading
101 - 150mmHg +/- 10% of reading
Above 80 breaths per minute +/- 12% of
reading
CO2 Stability <0.8mmHg in 4 hrs

Respiration rate 2 to 150 breaths per minute


70
Accessories
CO2 - cont.
Calibration No routine user calibration required

Compensation Expired O2, Balance gas (N2, N2O, He) and


anaesthetic agents

O2 Range: 0 to 100%
Compensation Resolution: 1%
Default: 16%
N2O Range: 0 (off) or 1 (on)
Compensation Default setting: Off
Note: If ON, the monitor assumes the balance of
the mixture is O2
He Range: 0 (off) or 1 (on)
Compensation Default setting: Off
Note: If ON, the monitor assumes the balance of
the mixture is O2
Airway pressure Range:
+ 120cmH2O (88.27mmHg)
- 45cmH2O (33.11mmHg)

12.11 Recorder
Type Thermal array up to 24 dots/mm horizontally, 8
dots/mm vertically
Paper 50mm width x 30m long thermal roll

Speed 50, 25, 12.5, 6.25mm/s

Waveform Up to 4 as selected in the menu function.

Alarms Recorder will record on alarm if required

71
Accessories
22. Accessories
ECG / RESP
Item Part No.
5 Lead ECG / RESP Cable Set ACC-VSM-147
3 Lead ECG / RESP Cable Set ACC-VSM-05
5 Lead ECG Main Cable ACC-VSM-146
3 Lead ECG Main Cable ACC-VSM-68
5 Chest Lead Pack ACC-VSM-148
3 Chest Lead Pack ACC-VSM-06

SpO2 sensors
Item Part No.
Reusable Adult finger sensor ACC-VSM-171
Reusable Pediatric finger sensor ACC-VSM-170
Reusable Universal Y sensor ACC-VSM-169
Reusable Ear Sensor ACC-VSM-162
Reusable Infant Wrap sensor ACC-VSM-167
Reusable Neonate Wrap sensor ACC-VSM-168
Disposable Adult finger sensor ACC-VSM-163 (box 10)
Disposable Pediatric finger sensor ACC-VSM-164 (box 10)
Disposable Neonate finger sensor ACC-VSM-165 (box 10)
Disposable Infant finger sensor ACC-VSM-166 (box 10)
3 metre Extension cable ACC-VSM-188

72
Accessories
NIBP
Item Part No.
Disposable Neonatal Cuff Size 1(Box of 10) ACC-VSM-129
Disposable Neonatal Cuff Size 2 (Box of 10) ACC-VSM-130
Disposable Neonatal Cuff Size 3 (Box of 10) ACC-VSM-131
Disposable Neonatal Cuff Size 4 (Box of 10) ACC-VSM-132
Disposable Neonatal Cuff Size 5 (Box of 10) ACC-VSM-133
Reusable Infant Cuff 8 - 13cm ACC-VSM-195
Reusable Child Cuff 12 - 19cm ACC-VSM-196
Reusable Small Adult Cuff 17 - 25cm ACC-VSM-197
Reusable Adult Cuff 23 - 33cm ACC-VSM-198
Reusable Large Adult Cuff 31- 40cm ACC-VSM-199
Reusable Thigh Cuff 38 - 50cm ACC-VSM-200
Neonatal Hose 3.5M ACC-VSM-184
Adult Hose 3.5M ACC-VSM-185

Invasive blood pressure


Item Part No.
Reusable transducer (One off) ACC-VSM-26
Single line monitoring kit (Red) ACC-VSM-27
Single line monitoring kit (Blue) ACC-VSM-28
Dual Line Monitoring Kit ACC-VSM-29
Blood pressure cable (Dual) ACC-VSM-30
Bracket for two transducers ACC-VSM-31
Stand clamp for bracket above ACC-VSM-32
Single line IBP cable-Edwards ACC-VSM-86
Single line IBP cable-B & D ACC-VSM-87
Single line IBP cable-Abbott ACC-VSM-88
Single line IBP cable-MEDEX (MX9504 SERIES) ACC-VSM-89
Single line IBP cable-KIMAL / ARROW ACC-VSM-90
73
Accessories
CO2 (Side stream)
Item Part No.
Adult Nasal Cannula, (Box of 10) ACC-VSM-203
Paediatric Nasal Cannula, (Box of 10) ACC-VSM-204
Infant/Neonatal Nasal Cannula, (Box of 10) ACC-VSM-205
Straight Sampling Line, (Box of 10) ACC-VSM-206
Straight Sampling Line with Filter, (Box of 10) ACC-VSM-207
Adult/Paediatric Airway Adaptor Kit >4mm,
ACC-VSM-208
(Box of 10)
Infant/Neonatal Airway Adaptor Kit <4mm, (Box
ACC-VSM-209
of 10)
Adult/Paediatric Airway Adaptor Kit with Filter
ACC-VSM-210
>4mm, (Box of 10)
Infant/Neonatal Airway Adaptor Kit with Filter
ACC-VSM-211
<4mm, (Box of 10)

Temperature sensors
Item Part No.
Central - Adult ACC-VSM-11
Central - Infant ACC-VSM-12
Central - Neonate ACC-VSM-13
Surface - Adult ACC-VSM-14
Surface - Infant ACC-VSM-15
Surface - Neonate ACC-VSM-16
Rectal - Adult (Flange) ACC-VSM-17

Rectal - Infant (Flange) ACC-VSM-18

Rectal - Neonate ACC-VSM-19

74
Care of your Equipment
23. Care of your Equipment
Although the SC1000 is robust and has been designed to withstand
normal clinical use, the unit contains delicate components such as
the display and the accessories, which should be handled and
treated with care.

It is recommended that the unit and accessories are tested on a


regular basis.

We recommend that the system is included into an annual


calibration programme where the accuracy of the system is
checked against the manufacturers' specifications.

If any part of the system appears to be damaged, the system


should be returned to your service centre for repair.

The system, excluding the display, can be wiped with a soft


disposable cloth dampened with a mild detergent and warm water
solution, avoid the electrical contacts and connectors. Do not allow
any fluid to seep into the system.

Ensure the unit is completely dry before use.

The display can be wiped with a soft dry tissue.

75
Cleaning and Disinfecting
24. Cleaning and Disinfecting
The Monitor
The unit and power lead should be kept clean and checked for
signs of damage. It is recommended that it is wiped clean with a
cloth or tissue dampened with water and detergent.

Check mains power connections weekly and examine outer sheath


of power lead for signs of damage. If signs of damage are found,
consult or refer to a qualified technician for repair.

Functional checks - If the unit is not in constant use, the battery


charge level should be checked monthly and recharged if
necessary.

Recharging a flat battery will take 3 hours and is achieved by


connecting the unit to the mains power.

Observe that the green ' ~ ' indicator and amber "CHG" are
illuminated.

NOTE: The monitor does not have to be running for battery


charging.

Phenolic, detergent based disinfectants containing cationic


surfactants, ammonia based compounds, or antiseptic solutions
such as Steriscol or Hibiscrub should never be used on any part of
the system, as permanent damage will result.

76
Cleaning and Disinfecting
Invasive BP equipment
The recommended MEDEX domes are disposable and should NOT
be reused.

The MEDEX transducer is reusable and may be cleaned and/or


sterilised.

For cleaning, use a mild detergent solution to clean blood and other
foreign material from the external surfaces of the transducer and
cable.

For liquid sterilisation, place the cleaned transducer and cable (except
the connector) in a solution of activated dialdehyde, glutaraldehyde or
equivalent. Immerse for a minimum of 10 hours to destroy resistant
pathogenic spores including Clostridium sporogenes and Clostridium
tetani.

To disinfect only, immerse for a minimum of 10 minutes to destroy


viruses and vegetative pathogens.

Using a sterile technique remove the transducer and cable from the
sterilising solution and rinse with sterile water avoiding fluid contact
with the connector. Wrap the transducer in sterile gauze and wrap in
a sterile dressing. Place in sterile wrapping and label 'liquid sterilised'.

SpO2 equipment cleaning


Unplug the device before cleaning or disinfecting. Do not autoclave
or ethylene oxide sterilise, or immerse in any liquid. Clean with
soapy water and dry.

Patient ECG leads

The patient leads should be cleaned with warm water or a neutral


cleaner and wiped dry.

To disinfect use chemical disinfectants containing ethanol (70% -


80%), propanol (70% - 80%) or alderhydes (2% - 4%).

Do not autoclave the patient cable.

Electrical connectors must not be immersed in any fluid

77
Cleaning and Disinfecting
Temperature probe cleaning and sterilisation

After use, the probe should be cleaned with warm water and wiped
clean and dry. Sterilisation may be achieved by:
1. Low temperature steam 73C 2C
2. Ethylene oxide
3. Cold sterilisation fluids under medical supervision
Under no circumstances should probes be boiled, autoclaved or
cleaned with chlorhexidine based fluids.
The accessories can be cleaned between uses.
Disinfect sensors and cables by following local infection control
policies or wipe with a wipe or swab dampened with Isopropyl
alcohol 70% w/v.

Cleaning the NiBP cuffs

Gently wipe the cuff with a cloth dampened with a suitable cleaning
solution. Thoroughly wipe off excess cleaning solutions.
Do not allow water to enter into the cuff.
Approved cleaning solutions include: -
Common hospital disinfectants including, Clorox, liquid bleach
(1:10 solution of Clorox /water), isopropyl alcohol. Lysol solution,
Phisorex, Quatricide, Virex and Vesphene.

Cleaning the NiBP Hose

Gently wipe the tube with a cloth dampened with a suitable cleaning
solution (mild detergent solution).
Thoroughly wipe off excess cleaning solutions.
DO NOT use any of the following cleaning solutions as they may
cause permanent damage to the hose assembly: -
Butyl alcohol, Denatured ethanol, Freon, Mild chlorine bleach
solution, Isopropyl alcohol, Trichloroethane, Trichloroethylene,
Acetone, Vesphene II, Enviroquat, Staphene, Misty,
Glutaraldehyde.

78
Fault Finding
25. Fault Finding
The following table is intended to help the user if they encounter any
problems:-

Symptom Possible cause/remedy


Power cable not connected to live power
Green power indicator source
not illuminated Defective power cable
Mains input fuses blown

Amber unit ON.


Unit is not switched on
Indicator not illuminated

No signal on trace Defective patient cable


Electrode site not properly prepared
Excessively noisy trace Poor electrode contact
Defective patient cable
No heart rate display or
Patient electrodes incorrectly sited
flashing heart symbol

No QRS bleep Volume set too low

Continuous alarm
indications. No ECG
Defective patient cable Electrode or lead off
signal on display (LEAD
OFF displayed)
Faulty cuff connection
and related NIBP
See table in NIBP section
errors indicated on
screen display

Check connection of probe to module


No temperature digits
Replace temperature sensor

Temperature digits
Replace temperature sensor
reading 20 degrees

79
Maintenance / Warranty
26. Maintenance
Huntleigh Healthcare recommends that preventative maintenance
checks are carried out at least annually.
Maintenance must only be carried out by suitably qualified personnel.

27. Warranty
Huntleigh Healthcare Diagnostic Products Division standard terms
and conditions apply to all sales. A copy is available on request.
These contain full details of warranty terms and do not limit the
statutory rights of the consumer.

Service Returns
If for any reason the SC1000 has to be returned, please:
Clean the product following the instructions in this manual.
Pack it in suitable packing.
Attach a decontamination certificate (or other statement declaring
that the product has been cleaned) to the outside of the package.
Mark the package 'Service Department '
For further details, refer to NHS document HSG(93)26 (UK only).
Huntleigh Healthcare reserves the right to return product that does
not contain a decontamination certificate.
A service manual is available for the Smartsigns series. It contains
service information, parts lists and fault finding guidelines. The
service manual can be obtained by contacting your local supplier or:-

Customer Care Department.


Huntleigh Healthcare, Diagnostic Products Division,
35, Portmanmoor Rd.,
Cardiff. CF24 5HN
United Kingdom.
Tel: +44 (0)29 20496793 - Service (24hr answer machine)
Tel: +44 (0)29 20485885
Fax: +44 (0)29 20492520
Email: sales@huntleigh-diagnostics.co.uk
service@huntleigh-diagnostics.co.uk

80
Medical Devices Directive 93/42/EEC as
ammended by 2007/47/EC

Manufactured in the UK by Huntleigh Healthcare Ltd. As part of the ongoing


development programme the company reserves the right to modify specifications
and materials of the Smartsigns range without notice.

Smartsigns, Huntleigh and 'H' logo are registered trademarks of Huntleigh


Technology Ltd. 2006.

Huntleigh Healthcare Ltd. 2006


Visit our Website for
downloadable clinical &
educational material and
product information

...with people in mind


Huntleigh Healthcare Ltd. - Diagnostic Products Division
35 Portmanmoor Road, Cardiff, CF24 5HN, United Kingdom
T: +44 (0)29 20485885 F: +44 (0)29 20492520
E: sales@huntleigh-diagnostics.co.uk
W: www.huntleigh-diagnostics.com

DISTRIBUTED IN GERMANY BY:

HNE Huntleigh Nesbit Evans Healthcare GmbH


Industriering Ost 66, 47906 Kempen
T: +49 (0) 2152-5511-10 F: +49 (0) 2152-5511-20
E: Verkauf@huntleigh.de

Registered No: 942245 England. Registered Office: 310-312


Dallow Road, Luton, Beds, LU1 1TD

Huntleigh Healthcare Limited 2005

MEMBER OF THE GETINGE GROUP


and are trademarks of Huntleigh Technology Limited
As our policy is one of continuous improvement, we reserve the right to modify designs without
prior notice.
724601-1

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