Pulse Oxymeter Oxyvet Digital
Contents
1. sss Primary Applications for Sensors Large and Mini Y Sensor and Mini Clip Sensor C SONS OF iuto endete bu NR E re ra Ne NO he un oae n na eau d eet ipee Tail Wrap Sensor and Reflectance Sensor ssssssssscsssecsseccssecssscssecssecsseessneecssseesseecsutecssecsaeesseessuses Handheld Digital Pulse Oximeter Operation Manual i Table of Contents EInilieueoiec c 4 6 Checking the Sensor and Oximetry Cable essescssssccssessssecseccsseccsesssseccssecsssccssecssecsaeeccseecsseesaeessneeessees 4 6 Cleaning or Disinfecting the Sensors Tumming ON the MONITO e High Priority ALANIS tccsssccsssssstesscssascsectsesznazssescusssacapsserasesceussssnazsetestosentasaivbesbeostesustazsenscasausdeps SARDOR RR LOW Priority Alarms tecti irr re Pr EH Ebo ERR HU RE iis E rf eerie e LOW Battery ajo iato f High and Low Priority Alarm SUMIMALY sssssssssssescsssescsssscccssscccsssecesssscessnsceesnseecssnsesesssecesnsecessnseeesneeeesnees 4 11 Turning OFF the MOhItOL uti tre teret rite tenir ORENSE SHEER Na Nt Checking the Monitor s Performance Chapter 5 Changing the Monitor s Settings csccscccsssssssscssssssccsssseees D 1 Silencing Alarm TOMES ccc sssssiesesssssseessasesssosevessasessusvavensssesssavasenocazesssnssshotertnssseestaduvstetastesavasshesasensapscstaua cesssassenanistns Changing the2. 9 Maintenance ssssosssssoocessssocesssoocessosocesosocesssoosesssoocesssoosessossesssss J T Schedule of Maintenance SIRO E a E EAR A AAE AE E E A AA IA EAEE Chapter 10 Troubleshooting isccsssssssscsesssssesecsevscsecstscssecosnssseceencssosssvsasseseces 10 1 EMI Interference Chapter 11 Optional Supplies and Accessories 11 1 Ordering Information irte tene aedi D trt PED etc ENSE EHE 11 1 ii Handheld Digital Pulse Oximeter Operation Manual Chapter 1 Introduction Chapter 1 Introduction About this Manual The Operation Manual provides installation operation and maintenance instructions for veterinary health care professionals and other users trained in monitoring respiratory and veterinary activity These instructions contain important information for the safe use of the product Read the entire contents of these Instructions For Use including Warnings and Cautions before using the monitor Failure to properly follow warnings cautions and instructions could result in death or serious injury to the patient Definition of Symbols SYMBOL DEFINITION typecrequipmens O mwwmg SSCS eoe Oa imu S 5 scene poweatey einer HeartRatelED 0000000 9 bpm Heart Rate LED ew Date of Manufacture E je OoOo IPX1 Drip Proof monitor on o O Rx Caution Federal U S A law restricts
3. Pulse Beep Volume Changing the Alarm Lirnits asscssssesassscesasssavavsszeadsisuvassncoaadadensssezveissdonss acuesusczoadddcassateasssheadsianuasotoeaitieeastetoaissionas ETT MM 5 2 ACIE 5 2 Low Priority Alarms Delay itii reti ERR HU MERE iis ERE RR PUR EUER eH 5 3 Permanent Silence Disable ou cssssssssssscsssecsssccsssccsssecsssccsusccsuscessscessecessscesseecssecssscesssessaseesseesaccesuceesuseesesesses 5 3 Chapter 6 Patient Numbers and Trend Data cere 6 1 bajo 6 1 Incrementing the Patient NUMbBEL cssssecsssecsseessssecsseecsssccsseecssscesseccsssessecssscesscesssecsuecsaeessuecesuceesneeesseerses 6 1 Adjusting the Trend Storage Interval eminin 6 1 CIS AMIN hend Dafa eo 6 1 Chapter 7 Printer sssiscscssssscacicsiscicnstisc sacstasseccatadisersiatessdtniieansincameaiceies d bajen oiniiat 7 1 What You ll Need for Printing Trend Printouts Collecting Tend Dr PEN 7 2 Chapter 8 PC Communication Setup eee eere ee eene eene eeesseeess B 1 Irene 8 1 PC Communication SetuP e 8 1 Chapter
4. high ambient light Shield the sensor area with a surgical towel for example if necessary Dyes introduced into the bloodstream such as methylene blue indocyanine green indigo carmine patent blue V PBV and fluorescein may adversely affect the accuracy of the SpO reading Any condition that restricts blood flow such as use of a blood pressure cuff or extremes in systemic vascular resistance may cause an inability to determine accurate pulse rate and SpO readings Significant levels of dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin will affect the accuracy of the SpO measurement The monitor was not designed or tested to be an apnea monitor Optical cross talk can occur when two or more sensors are placed in close proximity It can be eliminated by covering each site with an opaque material Tissue damage may result from overexposure to sensor light during photodynamic therapy with agents such as verteporphin porfimer sodium and metatetrahydroxyphenylchlorin mTHPC Change the sensor site at least every hour and observe for signs of tissue damage More frequent sensor site changes inspections may be indicated depending upon the photodynamic agent used agent dose skin condition total exposure time or other factors Use multiple sensor sites Chapter 1 Introduction WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING When connecting this monit
5. this device to sale by or on the order of a ONLY Licensed Veterinarian Veterinary Handheld Digital Pulse Oximeter Operation Manual 1 1 Chapter 1 Introduction H mmm Collect Disposal EU Countries Under the Waste Electrical and Electronic Equipment WEEE Directive 2006 96 EC and implementing regulations all devices and service items within the scope of the Directive purchased new after August 13 2005 must be sent for recycling when ultimately becoming waste Devices and items must not be disposed of with general waste If purchased before that date they may also be sent for recycling if being replaced Separately on a one for one like for like basis this varies depending on the country Recycling K instructions to customers using Smiths Medical products are published on the internet at http www smiths medical com recycle Disposal other countries When disposing of this device its batteries or any of its accessories ensure that any negative impact on the environment is minimized Contact your local waste disposal service and use local recycling or disposal schemes Separate any other parts of the equipment where arrangements can be made for their recovery either by recycling or energy recovery The main batteries are potentially harmful and will require separate disposal according to manufacturer s instructions or local regulations Note If applicable EU national or local regulations concerning waste disp
6. CAUTION The monitor should be operated from its internal power source if the integrity of the protective earth conductor is in doubt CAUTION Pressing front panel keys with sharp or pointed instruments may permanently damage the keypad Press front panel keys only with your finger CAUTION Do not allow water or any other liquid to spill onto the monitor Unplug the external power supply from the monitor before cleaning or disinfecting the monitor Evidence that liquid has been allowed to enter the monitor voids the warranty CAUTION Ensure the device s AC rating is correct for the AC voltage at your installation site before using the monitor The monitor s AC rating is shown on the external power supply If the rating is not correct do not use the monitor contact the Smiths Medical PM Inc Clinical Support department or your local distributor for help CAUTION Connect only the printer PC interface cable specifically intended for use with this device see Optional Supplies and Accessories CAUTION Chemicals used in some cleaning agents may cause brittleness of plastic parts Follow cleaning instructions in this manual Notes NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE Batteries are user replaceable Follow local governing ordinances and recycling instructions regarding disposal or recycling of device components including batteries When using AC power the Digital Oximeter is a class Il device
7. Table of Contents Table of Contents Warranty and Service Information eere eee eee eene eene eene ee een ese essseess V Proprietaty NOTICE ossicles ente cer etae eer sed vitet et iniee Ven tee tee tabe vel Vent estis aai so Ee Neo re Eee Uer ani V Warranty V limited Warranty certet paite ted rad pue a nep QR n V Loaner Device Domestic Sales Only cesssscssscsssscsssecsssccsssccssecssusccssceessccsssecesscessecsasecsseesaseesseecsaceesasees V Disclaimer Of E IECIDD vi Conditions of Wartanty iade tieniti tens tena A vi Limitation of Remedies datione tritt tees bre trei rc aeter aiki vi Ecos e vi CE NOTICE T vii Chapter 1 Introduction ooi niei ieri bb ob E Op FERRE EREN UR EEApe ER eeu iesic ines P5 Aboutthis Manu al 5 tenendam iion aie iet eti usd a 1 1 Definition of SYMONS pee 1 1 MES 1 2 Rec o re M 1 5 per R 1 5 Chapter 2 Intended Use and General Information 2 1 Jaen USE sor e 2 1 Wfernproldu s rf M Q 2 1 Theory of Operation ieoop oce roo pU t E I acie e EE e ei dee ba te 2 2 Patented Technology iisi hnnain a a aaa iaaea setaa oe iNi aa 2 3 Chapter 3 Controls and Fe
8. ata to the optional IR printer Pressing the key again will stop printing Pressing and holding the Print Clear key will clear the trend data Veterinary Handheld Digital Pulse Oximeter Operation Manual 3 3 Chapter 3 Controls and Features This page is intentionally left blank 3 4 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 4 Operating Instructions Chapter 4 Operating Instructions WARNING This device must be used in conjunction with clinical signs and symptoms This device is only intended to be an adjunct in patient assessment Unpacking the Monitor 1 Carefully remove the monitor and its accessories from the shipping carton Save the packing materials in case the monitor must be shipped or stored 2 Compare the packing list with the supplies and equipment you received to make sure you have everything you ll need Install the Batteries The oximeter uses 6 six standard AA alkaline cells IEC Type LR6 To install replace the batteries 1 Depress the battery door tab and lift up 2 Install the negative end of each battery first compressing the battery terminal spring until the positive terminal clears the positive tab Press the battery down into place 3 Place battery door tabs into the slots of the monitor back panel depress the door tab and press the door into place NOTE If you install disposable batteries be sure to dispose of them in compliance with your institution s guideli
9. atures sssosesssoocessosocesssoscessooceesooocessssoeessssesessss 37 T MohitorErontPallel sss tee ttetesirit ette esetees eter a aE EAE ra ddar a EAEE EAEE 3 1 Monitor Operatirig Keys ceeerioreiietet toit reins rn Ir tentare etre carb LEE Ge ooa Dea reso EORR NEAR esai Saanane aet 3 3 Chapter 4 Operating Instructions eee e eee eere eee eee eere eee eee eosseeees osse A 1 Unpacking the Monitor iicet rtt erii Rb He EAR te ER I teer tpe a int 4 1 Install thie Batteries sccisiscsssscssccuiscsusscensssteassecusnsnssecvessnovastacabondcodsstecusltvocseyechesscstusdbosideducnsatecdessectastdcadeaseedsciecsivlted 4 1 Deu 4 1 Attaching the Sensor to the Patient 0 sessssssssccssseccssssscsssesesssssessnssecsssesessssesssssssesssscessnseceessecessnsesssnseessses 4 2 Choosing the SOMSON e 4 2 Care and Handling of the SQnsor ssssssssssccsssssccssseccsssescsssssessssesssnsecessssseesnsesssnssessssseessnseseessesessnsesesneeeesees 4 3 Pulse Oximeter Senisois caie concen rorteseite tie ce heel ERU OE OD Tie cei top Celo Hie Ss do eee droit 4 4 Reflectance Sensors acc cmt pe tette verte res eris ete ree E voveo tosstsnysdvestestectsa eestesteevastucnseaeatscienstvlied 4 4 Pulse Oximeter Sensor Application Tips csssecsssccsssecsssecsssccssccessscesecsssccssscecssecsssecsscesuseesaceesuseesuceesueerses Testing Sensor Function
10. commended to enhance performance Fur dark pigmentation poor perfusion and movement can affect the sensor s ability to obtain accurate readings 4 4 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 4 Operating Instructions Pulse Oximeter Sensor Application Tips There is some variation depending on the manufacturer but there are three basic types of pulse oximeter sensors made for the small animal patient Large and Mini Y sensors Mini Clip sensor C sensor may also be used on large animals Tail Wrap sensor Reflectance sensor It is very important to have a variety of sensors in order to monitor the majority of the small animal patients It is also important to select the proper sensor for animals based on their size color fur type medical condition and type of procedure Testing Sensor Function 1 To test the large and mini Y sensor functions turn on the monitor with the lingual sensor attached View the sensor to make sure a red light is being emitted then place the sensor on a small finger without nail polish Rest the hand with the sensor on it on a table to minimize motion Note that in most cases the red light should be shining in the same direction as the overhead or surgical lights It is important that the light receptor is shielded in order to avoid interference from ambient light Once placed on a patient site the red light should be shining continuously In some cases a blinking light i
11. d Digital Pulse Oximeter Operation Manual WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 1 Introduction In the event that earth ground integrity is lost the performance of this device and or other devices nearby may be affected due to excessive RF emissions Any monitor that has been dropped or damaged should be inspected by qualified service personnel prior to use to insure proper operation If the accuracy of any measurement is in question verify the patient s vital sign s by an alternative method and then check the monitor for proper functioning Remove device batteries prior to long term storage When attaching sensors with Microfoam tape do not stretch the tape or attach the tape too tightly Tape applied too tightly may cause inaccurate readings and blisters on the patient s skin lack of skin respiration not heat causes the blisters Operation of this device may be adversely affected in the presence of strong electromagnetic sources such as electrosurgery equipment Operation of this device may be adversely affected in the presence of computed tomograph CT equipment Use only SpO sensors supplied with or specifically intended for use with this device SpO measurements may be adversely affected in the presence of
12. d light in the sensor is illuminated NOTE Obstructions or dirt on the sensor s red light or detector may cause the checks to fail Make sure there are no obstructions and the sensor is clean 7 You are now ready to attach the sensor to the patient Cleaning or Disinfecting the Sensors Clean or disinfect reusable sensors before attaching to a new patient WARNING Do not autoclave ethylene oxide sterilize or immerse the sensors in liquid CAUTION Unplug the sensor from the monitor before cleaning or disinfecting Clean the sensor with a soft cloth moistened in water or a mild soap solution To disinfect the sensor wipe the sensor with isopropyl alcohol Turning On the Monitor Figure 4 6 SpO pulse rate and pulse strength bar graph D Patient s SpO Shown Here 2 Patient s Pulse Shown Here Patient s Pulse Strength Shown Here 1 To turn on the monitor press the key When turned ON the monitor does the following The top segment of the pulse strength bar graph illuminates The monitor s software revision is momentarily displayed The patient number is momentarily displayed WARNING Verify that all LEDs light emitting diodes on the display light up upon startup of the device Veterinary Handheld Digital Pulse Oximeter Operation Manual 4 7 Chapter 4 Operating Instructions 2 The monitor has two averaging settings for SpO and pulse rate To change the averaging setting pres
13. e Connector Figure 4 1 Disconnecting or connecting the sensor Do not use excessive force or unnecessary twisting when connecting disconnecting storing or when using the sensor Veterinary Handheld Digital Pulse Oximeter Operation Manual 4 3 Figure 4 2 Attaching the Y sensor to the lingual clip Chapter 4 Operating Instructions Pulse Oximeter Sensors NOTE Please see insert accompanying each sensor for further details PY Large Y Sensor Mini Y Sensor Mini Clip V1711 V1702 V3078 Figure 4 2 Lingual Sensors Attach the sensor and clip to the patient s tongue Make sure the light source is topside of the tongue Figure 4 3 Attaching the Sensor to the Animal Reflectance Sensors c Tail Wrap Sensor Reflectance sensor V1710 Figure 4 4 Reflectance Sensors V1700 For best results while using the tail wrap sensor V1710 apply to the ventral base of the tail with the divider positioned centrally Moisten the fur and parting at the application site or shaving a small area is required The sensor works best on medium to large sized patients Secure sensor strap Y Tail Clip Sensor Figure 4 5 Attaching the Sensor to the Animal For best results while using the reflectance sensor V1700 apply to the base of the tail This sensor can also be used rectally if needed When using either of the reflectance sensors ultrasound gel is re
14. efully route the cable from the sensor to the monitor may allow the patient to become entangled in the cable possibly resulting in patient strangulation Route the cable in a way that will prevent the patient from becoming entangled in the cable If necessary use tape to secure the cable If there is a risk of the AC power supply becoming disconnected from the monitor during use secure the cord to the monitor several inches from the connection Under certain clinical conditions pulse oximeters may display dashes if unable to display SpO and or pulse rate values Under these conditions pulse oximeters may also display erroneous values These conditions include but are not limited to patient motion low perfusion cardiac arrhythmias high or low pulse rates or a combination of the above conditions Failure of the clinician to recognize the effects of these conditions on pulse oximeter readings may result in patient injury Verify that all LEDs light emitting diodes on the display light up upon startup of the device Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 1 Introduction Cautions CAUTION Do not autoclave ethylene oxide sterilize or immerse the monitor or sensors in liquid Always disconnect the power source and remove all batteries before cleaning or disinfecting the monitor CAUTION Should the device become wet wipe off all moisture and allow sufficient time for drying before operating
15. ging settings are user selectable Artifact indicator informs user of excess motion and other artifacts User adjustable trend storage rate ranging from 4 to 30 seconds per sample for many applications Low battery indicator lights when about 30 minutes of battery use remains A yellow Low priority alarm LED turns on and an audible 5 beep burst notifies the user of low battery life Data log prints SpO and pulse rate readings in real time once every five 5 seconds through the IR port to an optional printer Veterinary Handheld Digital Pulse Oximeter Operation Manual 2 1 Chapter 2 Intended Use and General Information Theory of Operation The pulse oximeter determines SpO and pulse rate by passing two wavelengths of low intensity light one red and one infrared through body tissue to a photodetector Information about wavelength range can be especially useful to clinicians Wavelength information for this device can be found in the SpO Specifications section of this manual Pulse identification is accomplished by using plethysmographic techniques and oxygen saturation measurements are determined using spectrophotometric oximetry principles During measurement the signal strength resulting from each light source depends on the color and thickness of the body tissue the sensor placement the intensity of the light sources and the absorption of the arterial and venous blood including the time varying effects of the pulse in the b
16. gs and blisters on the patient s skin lack of skin respiration not heat causes the blisters Attaching the patient to the monitor requires these steps 1 Choose the sensor 2 Check the sensor and oximetry cable 3 Clean or disinfect the sensor if using the reusable type Disposable sensors are for single patient use and do not require cleaning or disinfecting 4 Attach the sensor to the patient Choosing the Sensor Choose the appropriate sensor from the following chart PATIENT SENSOR DESCRIPTION Small Medium Animal Pinna ears Toe Webbing V1711 Large Y Sensor up to 60 pounds Tongue V1702 Mini Y Sensor V3078 Mini Clip Sensor Rectum Tail V1700 Reflectance Sensor V1710 Tail Wrap Sensor Hock Achilles Tendon etc V1707 Universal C Sensor Large Animals over Pinna ears Toe Webbing V1711 Large Y Sensor 60 pounds Tongue V1702 Mini Y Sensor V3078 Mini Clip Sensor Rectum Tail V1700 Reflectance Sensor V1710 Tail Wrap Sensor Hock Achilles Tendon etc V1707 Universal C Sensor 4 2 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 4 Operating Instructions Care and Handling of the Sensor WARNING Misuse or improper handling of the sensor and cable could result in damage to the sensor This may cause inaccurate readings Hold the connector rather than the cable when connecting or disconnecting the sensor to the device as shown in Figure 4 1 Cabl
17. meter incorporates patented technology and noise reducing hardware to enhance the oximeter s ability to detect pulse amplitude in patients with poor peripheral perfusion Blood Pulse Detection Method Using Autocorrelation patent number 5 558 096 analyzes a digitized signal in real time and compares it with previous pulse data If similar characteristics to previous data are recognized the device confirms a valid pulse In essence an individual s pulse data is retained and used as a template to accept or reject future pulse signals Patented technology digital signal processing and a greatly improved signal to noise ratio provide for improved performance Veterinary Handheld Digital Pulse Oximeter Operation Manual 2 3 Chapter 2 Intended Use and General Information This page is intentionally left blank 2 4 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 3 Controls and Features Chapter 3 Controls and Features Monitor Front Panel Y G N J Figure 3 1 Monitor Controls and Features aD Sensor Printer Connector The sensor connects here or an oximetry extension cable can be connected between the monitor and the sensor The serial printer or PC communication cable is also connected here SpO Numeric Display A numbe
18. ndicates that the tissue thickness is either too thin or thick Once the sensor is placed properly both the SpO and pulse rate should appear in a short period of time 10 15 seconds 2 Testing the C sensor is performed in the same manner This is a stronger sensor and can be used with greater tissue thickness 3 Testing the tail wrap and reflectance sensors are performed in the same manner but it should be pressed between thumb and index finger or into the palm of your hand Primary Applications for Sensors Large and Mini Y Sensor and Mini Clip Sensor The primary application site is the tongue for most animals On cats and small dogs fold the tongue like a taco or use a wet gauze pad of single thickness folded over the tongue and then place the sensor over the gauze Other sites include the prepuce or vulva of larger dogs the achilles tendon of a cat or small dog ears or toe webbing C Sensor For cats and small breed dogs place the sensor on the thigh metatarsal or metacarpal or hock near the saphenous vein For larger breed dogs place the sensor over the Achilles tendon tongue prepuce or vulva or through toe webbing It may be necessary to wet and part the fur with water in order to get the sensor closer to the skin of the patient For large animals e g horses place the sensor on the tongue Veterinary Handheld Digital Pulse Oximeter Operation Manual 4 5 Chapter 4 Operating Instructions Tail Wrap Sens
19. nes and local ordinances NOTE The unit will hold data for about one and a half minutes with no battery power This will insure the safety of trend data during battery replacement AC Power Refer also to Chapter 12 Optional Supplies and Accessories to verify the proper AC power supply for your application NOTE The AC power supply does not act as a battery charger NOTE Do not plug the monitor into an outlet controlled by a wall switch 1611 AC power supply 105 152 VAC 60Hz 1612 AC power supply 208 252 VAC 50 60Hz 1613 AC power supply 90 110 VAC 60Hz NOTE When using AC power the Digital Oximeter is a class Il device with functional earth This earth connection is for device electromagnetic compatibility and does not provide protection to the patient or user NOTE Intermittent use of AC power will require functional AA cells to maintain memory and keep the oximeter from defaulting to clinician mode from other modes Veterinary Handheld Digital Pulse Oximeter Operation Manual 4 1 Chapter 4 Operating Instructions Attaching the Sensor to the Patient WARNING Prolonged use or the patient s condition may require changing the sensor site periodically Change sensor site and check skin integrity circulatory status and correct alignment at least every 4 hours WARNING When attaching sensors with Microfoam tape do not stretch the tape or attach the tape too tightly Tape applied too tightly may cause inaccurate readin
20. ody tissues Figure 2 1 Theory of Operation 1 Low intensity Red and Infrared LED light sources Detector Oximetry processes these signals separating the time invariant parameters tissue thickness skin color light intensity and venous blood from the time variant parameters arterial volume and SpO to identify the pulses and calculate functional oxygen saturation Oxygen saturation calculations can be performed because blood saturated with oxygen predictably absorbs less red light than oxygen depleted blood WARNING Since measurement of SpO depends on a pulsating vascular bed any condition that restricts blood flow such as the use of a blood pressure cuff or extremes in systemic vascular resistance may cause an inability to determine accurate SpO and pulse rate readings WARNING Under certain clinical conditions pulse oximeters may display dashes if unable to display SpO and or pulse rate values Under these conditions pulse oximeters may also display erroneous values These conditions include but are not limited to patient motion low perfusion cardiac arrhythmias high or low pulse rates or a combination of the above conditions Failure of the clinician to recognize the effects of these conditions on pulse oximeter readings may result in patient injury 2 2 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 2 Intended Use and General Information Patented Technology The Handheld Digital Oxi
21. or and Reflectance Sensor e In most animals wet and part the fur at the ventral tail base and use the straps on the tail wrap to hold the tail wrap sensor in place When using the reflectance sensor wet and part the fur at the ventral tail base and use non adhesive tape to hold the sensor in place The reflectance sensor may be used rectally if the patient has a small or no tail t may be necessary to shave a small spot on the ventral tail base in patients with a thick undercoat such as a Husky Limitations Experience will quickly tell you which probes work best under different conditions Fur dark pigmentation poor perfusion and movement can all affect the sensors ability to obtain accurate readings Well perfused sites with little or no hair are preferable It is also important to note that some anesthetic drugs such as Xylazine Rompun Acepromazine or Medetomidine Domitor can affect peripheral pulse pressures causing very weak pulsations All pulse oximeters require a good quality pulse to work properly Other drugs such as ketamine can cause the tongue to twitch limiting the use of a lingual clip on that site Checking the Sensor and Oximetry Cable Follow these instructions each time before you attach the sensor to the patient This helps ensure the sensor and oximetry cable are working properly WARNING Using a damaged sensor may cause inaccurate readings Inspect each sensor If a sensor appears damaged do not u
22. or to any instrument verify proper operation before clinical use Refer to the instrument s user manual for full instructions Accessory equipment connected to the monitor s data interface must be certified according to the respective IEC standards i e IEC 60950 for data processing equipment or IEC 601 1 for electromedical equipment All combinations of equipment must be in compliance with IEC 601 1 1 systems requirements Anyone connecting additional equipment to the signal input port or the signal output port configures a medical system and therefore is responsible that the system complies with the requirements of the system standard IEC 601 1 1 IEC 60950 approved equipment must be placed outside the patient environment The patient environment is defined as an area 1 5 m 4 92 feet from the patient PATIENT ENVIRONMENT e S e Disconnect the AC power supply from the outlet before disconnecting it from the monitor Leaving the AC power supply connected to an AC power outlet without being connected to the monitor may result in a safety hazard Do not allow any moisture to touch the AC power supply connectors or a safety hazard may result Ensure that hands are thoroughly dry before handling the AC power supply Failure to place the monitor away from the patient may allow the patient to turn off reset or damage the monitor possibly resulting in the patient not being monitored Failure to car
23. osal must take precedence over the above advice KEYWORD DEFINITION WARNING Tells you something that could hurt the patient or hurt the operator CAUTION Tells you something that could damage the device NOTE Tells you other important information Warnings WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING 1 2 Do not use this device in the presence of flammable anesthetics Do not use this device in the presence of magnetic resonance imaging MR or MRI equipment Use only SpO sensors supplied with or specifically intended for use with this device Do not plug the monitor into an outlet controlled by a wall switch This device is intended for use by persons trained in professional health care The operator must be thoroughly familiar with the information in this manual before using the device This device must be used in conjunction with clinical signs and symptoms This device is only intended to be an adjunct in patient assessment It is the operator s responsibility to set alarm limits appropriately for each individual patient Prolonged use or the patient s condition may require changing the sensor site periodically Change sensor site and check skin integrity circulatory status and correct alignment at least every 4 hours ELECTRICAL SHOCK HAZARD when cover is removed Do not remove covers Refer servicing to qualified personnel Veterinary Handhel
24. r shows the patient s SpO value in percent Dashes mean the monitor is not able to calculate the SpO value Pulse Rate Numeric Display A number shows the patient s pulse rate value in beats per minute Dashes mean the monitor is not able to calculate the pulse rate value Pulse Strength Bar Graph The pulse strength bar graph sweeps with the patient s pulse beat The height of the bar graph shows the patient s pulse strength Sensor Problem Alert Indicator This indicator lights steadily to inform the operator of an oximeter sensor problem Q o Alarm Silence Indicator This indicator flashes during temporary two minute alarm silence The indictor lights steadily during permanent indefinite alarm silence Q Ww Artifact Alert Indicator This indicator informs the operator about the presence of excess artifacts O 7 Low Battery Indicator During a Low Battery Attention this LED is lit and an audible burst of 5 beeps notifies the user that approximately 30 minutes of battery use remains Veterinary Handheld Digital Pulse Oximeter Operation Manual 3 1 Chapter 3 Controls and Features o High Priority Alarm LED red This LED flashes twice every second during a high priority condition This signal indicates that immediate operator attention is needed Q Low Priority Alarm LED yellow This LED indicates a low priority alarm which lights steadily during a low priority alarm condition D Line Power Indicator g
25. reen This LED lights steadily while external power is applied 12 IR Printer Output The Digital Oximeter can transmit data to an optional HP printer via an infrared link through this port AC Power Jack An optional AC power supply connects here 3 2 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 3 Controls and Features Monitor Operating Keys T 1 ZI ca 3 H BPM SENSOR A eo Figure 3 2 Monitor Operating Keys ON OFF Key Pressing this key turns the monitor ON and OFF Q Upand v Down Arrows The Up and Down arrow keys are used to adjust the following settings Alarm Limits SpO Pulse Rate averaging Trend Interval Low Priority Alarms Delay Alarm Volume Pulse Volume o Alarm Silence Momentarily pressing the Alarm Silence key disables the alarm tone for two 2 minutes Pressing and holding the Alarm Silence key for about three 3 seconds disables the alarm tone indefinitely until canceled or the monitor is turned off To cancel either the indefinite or the two minute alarm and alert tone silenced condition momentarily press the Alarm Silence key The Alarm Silenced indicator will turn off 2 Alarm Select Pressing this key cycles through each of the alarm settings PRINT CLEAR Key Located on the side of the monitor Pressing this key will send d
26. rtation The oximeter will operate accurately over an ambient temperature range of 32 to 131 F 0 to 55 C The oximeter works with all SurgiVet oximetry sensors providing SpO and pulse rate on all patients from neonatal to adult This device is intended for continuous patient monitoring with adjustable alarm limits as well as visible and audible alarm signals NOTE The monitor was not designed or tested to be an apnea monitor Monitor Features Provides fast reliable SpO pulse rate and pulse strength measurements Ideally suited for use in intensive care units outpatient clinics emergency rooms and during emergency land transport Portable and lightweight Weighs only 454 grams 16 ounces with batteries Ergonomically designed to fit comfortably in the palm of your hand Uses six 6 standard AA type IEC LR6 alkaline batteries Battery life is approximately twenty four 24 hours without printing Bright easy to read LED displays indicate SpO and pulse rate measurements An eight segment LED bar graph indicates pulse strength Adjustable volume including silence beep sounds with each pulse beat Pitch of pulse beep corresponds to SpO value Positive identification of SpO or pulse rate alarm Adjustable high and low alarm limits for SpO and pulse rate measurements Adjustable volume for alarm and alert tones including silence User adjustable delayed audible system alarms SpO and pulse rate avera
27. s and hold the A Up Arrow while turning on the monitor This will set the 96SpO and pulse rate averaging to 16 16 Press and hold the sv Down Arrow while turning on the monitor to set the SpO and pulse rate averaging to 4 8 NOTE Increasing or decreasing the averaging setting has no effect on the data update rate NOTE SpO averaging is the number of pulse beats over which the SpO value is averaged pulse averaging is the number of seconds over which the pulse value is averaged High Priority Alarms A high priority alarm warns you about an abnormal patient condition A high priority alarm is activated when e the patient s SpO reading matches or exceeds the SpO alarm range e the patient s pulse rate reading matches or exceeds the pulse rate alarm range Figure 4 7 Alarm Example Q During a high priority alarm the numbers flash that correspond to the alarm The high priority alarm LED flashes a The alarm tone sounds if not silenced The high priority alarm tone consists of 3 short bursts a pause followed by 2 more short bursts Note The alarm tone does not sound if the Alarm Silenced indicator is on or flashing NOTE Both SpO and pulse rate numbers will flash if both readings match or exceed their alarm range 4 8 Veterinary Handheld Digital Pulse Oximeter Operation Manual
28. se it Use another sensor or contact your authorized repair center for help WARNING Using a damaged oximetry cable may cause inaccurate readings Inspect the oximetry cable If the oximetry cable appears damaged do not use it Contact your authorized repair center for help 1 Carefully inspect the sensor to make sure it does not appear damaged 2 If using the oximetry cable carefully inspect the oximetry cable to make sure it does not appear damaged 3 If using the oximetry cable a If the sensor is not already connected to the oximetry cable connect the sensor to the oximetry cable Push the connectors together firmly and close the latch to secure the connectors b If the oximetry cable is not already connected to the monitor connect the oximetry cable to the monitor Push the connector firmly into the monitor 4 If not using the oximetry cable connect the sensor to the monitor Push the connector firmly into the monitor 5 If the monitor is not already on press the 96 key to turn on the monitor WARNING If any of the integrity checks fail do not attempt to monitor the patient Use another sensor or oximetry cable or contact the equipment dealer for help if necessary 4 6 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 4 Operating Instructions 6 Before the sensor is attached to the patient check the integrity of the sensor oximetry cable and oximeter as follows a Make sure the re
29. with functional earth This earth connection is for device electromagnetic compatibility and does not provide protection to the patient or user It is recommended that batteries be used with the monitor when operating with AC power to prevent monitor shutdown with loss of AC power SpO averaging is the number of pulse beats over which the SpO value is averaged pulse averaging is the number of seconds over which the pulse value is averaged All user and patient accessible materials are non toxic Each input and output connection of the monitor is electrically isolated Performance and safety test data are available upon request To comply with government requirements for patient monitoring the indefinite high priority alarm medium priority alarm and low priority alarm tone silence feature may not be available in monitors shipped to your country Veterinary Handheld Digital Pulse Oximeter Operation Manual 1 5 Chapter 1 Introduction This page is intentionally left blank 1 6 Veterinary Handheld Digital Pulse Oximeter Operation Manual Chapter 2 Intended Use and General Information Chapter 2 Intended Use and General Information Intended Use The Veterinary Handheld Digital Pulse Oximeter is a low cost monitor for spot checking or continuous monitoring of SpO pulse rate and pulse strength The monitor is a battery powered pulse oximeter It may be used in the hospital or clinical environment and during emergency land transpo
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