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        VM-2101 User Manual
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1.             The finger has been removed from the finger oximeter   Check that the finger is correctly inserted into the  finger oximeter        Low battery      battery symbol blinking red  The battery is almost completely discharged   Replace batteries immediately     3 3 Problems     Causes     Corrective Actions    Problem  There is no response to the power but   ton  Cause Corrective Action  Ensure that the power  button is fully depressed  The batteries may be mis   sing  discharged  or oriented incorrectly  Install new  batteries     Problem  No pulse signal found   Cause Corrective Action  Check the patient  Check  that the finger oximeter is placed correctly  Test the  monitor on another subject     Perfusion may be too low for the monitor to track the    pulse  Check the patient  Test the monitor on yourself   Change the application site     VM 2101 User Manual   Viamed Ltd  2008       Interference due to patient activity may be preventing  the monitor from tracking the pulse     Keep the patient still  if possible  Change the appli   cation site           There may be interference due to ambient light  or the  finger oximeter may be on an extremity with a blood  pressure cuff  arterial catheter  or intravascular line   Reposition the finger oximeter  as necessary        Electromagnetic interference may be preventing the  monitor from tracking the pulse  Remove the source  of interference        3 4 EMI  Electromagnetic Interference        Caution  This device has be
2. VIAMED    Mt    i   0 il 0    n    Q     E jE    My ill     M VIAMED       Table of Contents    1  Intended Use and Warnings 3  1 1 Intended Use  1 2 Warnings    W Uv    2  Operation   2 1 Battery Installation   2 2 Switching on the Device   2 3 Inserting the Finger   2 4 Commencing Monitoring   2 5 Switching off the Device   2 6 Symbols and Indicators   2 7 Alternating Between Display Modes      short button press 6   2 8 Adjusting Display Brightness      long button press 6          UV bp Sb HB HW  amp     3  Error Messages     Problems     Corrective Actions 7  3 1 General Information 7  3 2 Error Messages     Causes 7  3 3 Problems     Causes     Corrective Actions 7  3 4 EMI  Electromagnetic Interference  7       4  Maintenance     Cleaning 8  5  Symbol Definitions 8  6  Technical Specifications 8  7  Packing List 8  8  Declaration of Conformity 9  9  Contact address 10    VM 2101 User Manual   Viamed Ltd  2008    1  Intended Use and Warnings  1 1 Intended Use    The VM 2101 finger oximeter is indicated for spot  monitoring of functional arterial oxygen saturation   SpO   and pulse rate of adults and pediatrics in hos   pital  hospital type facilities  pre and postoperative  monitoring  transport  emergency care and mobile  environments  sports medicine as well as in the home  care environment     A 1 2 Warnings    Warnings are identified by the WARNING symbol  shown above  Warnings alert the user to potential  serious outcomes  such as death  injury  or adverse  events 
3. ation Road   Cross Hills   Keighley   West Yorkshire BD20 7DT  United Kingdom    Tel   44  0 1535 634542  Fax   44  0 1535 635582    E mail  info viamed co uk    www viamed online com    
4. e visible    Pleth waveform at all times     Multifunctional button     switch device on  short press      change rotate display  short press  when the device  is switched on      Adjustable brightness  press for more than one second   when the device is switched on        VM 2101 User Manual   Viamed Ltd  2008    2 7 Alternating Between Display Modes      short button press    Depending on the personal preferences and applica   tion it is possible to alternate between a display with  plethysmographic waveform and a display which  shows the readings in a larger font size but without  the waveform  Additionally it is possible to rotate the  screen orientation     When the VM 2101 is in operating mode   each short press of the button will change the  display mode     Examples of different display modes    Horizontally orientated  screen with plethysmo   graphic waveform     Horizontally orientated  screen with large digits  but without plethysmo    graphic waveform        Vertically orientated  display        VM 2101 User Manual    Viamed Ltd  2008       2 8 Adjusting Display Brightness      long button press    Attention  Using high display brightness will  consume more battery power than medium  or low brightness levels and a more frequent  change of batteries may be required     The finger oximeter has 6 levels of adjustable bright   ness     If  whilst in operation  the button is kept pressed for  longer than one second  the brightness adjustment be   comes active and the b
5. en tested and found to  comply with the limits for medical devices according  to EN 60601 1 2   second edition   and the Medical  Device Directive 93 42 EEC  These limits are desig   ned to provide reasonable protection against harmful  interference in a typical medical installation        Due to the proliferation of radio frequency transmit   ting equipment and other sources of electrical noise  in healthcare environments  it is possible that high  levels of such interference due to close proximity  or  strength of a source  may result in disruption of perfor   mance of this device  Examples of noise sources in  healthcare environments that could cause electromag   netic interference include           e Electrosurgical units   e Cellular phones   e Mobile two way radios   e Electrical appliances   e High definition televisions  HDTVs     The pulse can be obscured by electromagnetic inter   ference  During such interference  measurements may  seem inappropriate or the finger oximeter may not  seem to operate correctly           Disruption may be evidenced by erratic readings   cessation of operation  or other incorrect functioning   If this occurs  the operating environment should be  surveyed to determine the source of disruption  and  the following actions taken to eliminate the source     e Turn equipment in the vicinity off and on to  isolate the offending equipment    e Reposition or relocate the interfering equipment    Increase the distance between the interfering   eq
6. he patient   s  finger     The light that is emitted by the finger oximeter has  to transmit from the upside of the finger oximeter  through the patient   s finger nail     e Turn the patient   s hand so that you can see  the finger nail    e Nip one end of the finger oximeter to open   Insert the patient   s finger  nail facing the top   of the finger oximeter  so that the finger is   placed fully on the silicone pad    Release the nipped end of the finger oximeter   to secure it on to the patient   s finger        i     i   7        LJ    k            Hi    VM 2101 User Manual   Viamed Ltd  2008    2 6 Symbols and Indicators    spo2  MI    gpm       993 675    Battery level indicator  The three segments represent the  nn  battery charge level  The symbol flashes red when the battery  capacity is low   Sp02  The SpO  value shows the blood oxygen saturation level  expressed as a percentage     Bar graph for pulse amplitude  Indicates the dynamic pulse  amplitude and rate  As the detected pulse becomes stronger   more bars light with each pulse  The reverse is true for weak  pulses  The colour of the bar graph is an indicator for signal  quality    Green  good signal quality  very accurate measurement   Yellow  average signal quality  measurement may be  inaccurate    Red  poor signal quality  unreliable measurement        eM Pulse rate in beats per minute     KWS The reading is automatically adjusted to the pulse strength   therefore  a waveform with strong amplitude should b
7. m the patient through   out magnetic resonance imaging  MRI  scanning  In   duced current could potentially cause burns     A Do not use a device that appears damaged  Do not  use the device when optical components are exposed        2  Operation  2 1 Battery Installation    1  Slide back the cover of the battery compartment  on the rear side of the device in the direction of  the arrow  Tilt the battery compartment cover  on its hinge     2  Insert two batteries  1 5 volt  AAA   ensuring  the correct orientation in accordance with the  polarity markings     3  Tilt and slide the battery compartment  cover closed        2 2 Switching on the Device 2 4 Commencing Monitoring    Press and hold the button on the front panel briefly Once the finger oximeter is switched on and the  until the opening    welcome screen    appears  After patient   s finger is inserted correctly  monitoring will  the power on self test is successfully completed the begin automatically    device is ready for monitoring     Monitoring in  progress     Device ready for monitoring   no finger inserted        2 3 Inserting the Finger 2 5 Switching off the Device    A Externally applied colouring agents  such as nail The VM 2101 will automatically power off after 15  polish may interfere with the monitor   s ability to de  seconds when the patient   s finger is removed   tect and display accurate measurements     To obtain an accurate reading it is essential that the  finger oximeter is placed correctly on t
8. rightness adjustment screen 1s  shown     For every second that the button is kept pressed  the  brightness increases by one level  Once the highest le   vel is reached the brightness will decrease by one level  for every second that the button is kept pressed  When  the lowest brightness level is reached the brightness  will increase again     Button pressed toggles the brightness level    Brightness adjustment   lowest level selected     Brightness adjustment   highest level selected        Release the button when the desired brightness level  has been reached     After a few seconds the device returns automatically  into measurement mode     The device will always start with the last selected  brightness level     3  Error Messages     Problems      Corrective Actions    3 1 General Information    Physiological conditions  medical procedures  or exter   nal agents that may interfere with the finger oximeter   s  ability to detect and display accurate measurements  include     e Incorrect application of the finger oximeter   e Placement of the finger oximeter on an extremity  with a blood pressure cuff  arterial catheter   or intravascular line   e Excessive patient activity   e Intravascular dyes     Externally applied colouring agents  such as  nail polish   e Failure to shield the application site with opaque  material in high ambient light conditions   e Venous pulsation   e Dysfunctional haemoglobin     Low perfusion    3 2 Error Messages     Causes    Display shows   
9. to the patient or user     A Do not make any clinical judgments based solely  on the VM 2101  The monitor is intended only as an  adjunct in patient assessment  It must be used in con   junction with clinical signs and symptoms  The inter   pretation of the measurement values should be done  only by trained health care professionals     A  Explosion hazard  Do not use VM 2101 in the pre   sence of flammable anaesthetic mixture with air  oxy   gen  or nitrous oxide     A  Routinely monitor the patient to ensure that the  VM 2101 is functioning and that the oximeter is  correctly placed        Pulse oximetry measurements and pulse signals  can be affected by certain environmental conditions   oximeter application errors  and certain patient condi   tions  See the appropriate sections of this manual for  specific safety information     A  If you are uncertain about the accuracy of any  measurement  check the patient   s vital signs by alter   nate means  then ensure that the VM 2101 is functio   ning correctly     A The VM 2101 is not defibrillator proof  However   it may remain attached to the patient throughout de   fibrillation or whilst an electrosurgical unit is in use   The measurements may be inaccurate throughout  the defibrillation  or use of an electrosurgical unit     VM 2101 User Manual   Viamed Ltd  2008    and shortly thereafter  To avoid shock  the caregiver  should not touch the VM 2101 while using a defibril   lator on a patient     A  Disconnect the VM 2101 fro
10. uipment and the finger oximeter        4  Maintenance     Cleaning    Maintenance  There are no user serviceable parts inside the  VM 2101  The housing should not be opened     The finger oximeter requires no calibration  If service  is necessary  contact qualified service personnel or  your local sales representative           Caution  Do not spray  pour  or spill any liquid on the VM 2101  as this may damage the finger oximeter     Surface clean   Use a soft cloth dampened with either a commercial   nonabrasive cleaner  or a solution of 70  alcohol in  water  Lightly wipe the surface of the finger oximeter     Disinfection  Use a soft cloth saturated with a solution of 10  chlo     rine bleach in tap water  Lightly wipe the surface of  the finger oximeter     5  Symbol Definitions    Attention  See instructions for use   Manufacturer    Date of manufacture    Type BF    Part number    Observe applicable waste disposal  regulations    C     0000    Serial number       Furopean Union approval    VM 2101 User Manual   Viamed Ltd  2008    6  Technical Specifications    Measurement Range   SpO   0 to 100   Pulse Rate  20 to 300 beats per minute  bpm     Accuracy    SpO       2   70 to 100     Pulse Rate      1 digit    lt  100 bpm        1    gt  100 bpm     Display     e OLED colour graphic display  262 000 colours   128 x 96 pixels   e Data displayed  oxygen saturation  pulse rate   plethysmogram  bar graph   e Indicators  signal quality  pulse amplitude   battery status    En
11. vironmental Conditions    e Operating conditions   20 to 50  C  15 to 95  RH   600 to 1300 hPa     Storage conditions   30 to 70  C  10 to 95  RH   600 to 1500 hPa    Other    e Class IIa product   e Water resistant construction IPX2   e Type BF     Dimensions  L x W x H   57 x 33 x 27 mm   e Weight  including batteries   approx  50 g   e Power Supply  2 batteries  1 5 volt  AAA    e Battery Life  approx  24h of continuous operation    Order Number   0012101    Applied Standards   EN 60601 1 2  BS EN ISO 9919 2005    7  Packing List    e VM 2101  main unit   e Lanyard   e 2x AAA batteries  1 5 volt  e User manual on CD    8  Declaration of Conformity    EC Declaration of Conformity    We hereby declare under sole responsibility that the product    VM 2101    Finger Oximeter for monitoring of functional  arterial oxygen saturation  SpO2  and pulse rate     Product No   0012101    conforms with the essential requirements of Annex Il of the Council Directive 93 42 EEC  of 14 June 1993 concerning medical devices     In accordance with Annex IX of the Directive 93 42 EEC the product has been classified  as Class lla    Application of the CE marking     CE 0086    Issuer   Viamed Ltd   15 Station Road  Cross Hills  Keighley  West Yorkshire  BD20 7DT  United Kingdom    Place  Date  Keighley  4 August 2008    Legally binding signature  A a    Steve Nixon  Director     VM 2101 User Manual   Viamed Ltd  2008                VM 2101     User Manual  Version  EN 1 1    Viamed Ltd    15 St
    
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