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1.      MOVE TOKEN TO PATIENT TRANSCEIVER    indicator will go off     7  Within a few seconds  the Transceivers    STATUS indicators will display FLASHING  GREEN if communicating or SOLID YELLOW if communication failed  If  communication fails repeat steps 1 thru 5     Patient Transceiver ae  STATUS   TRANSMITTING ECG BEDSIDE indicator A  TRANSMITTING ECG    will flash GREEN  Communication in process with a  Monitor Transceiver BEDSIDE CART       Monitor Transceiver  STATUS   RECEIVING ECG indicator will flash ATA  GREEN  Communication in process with Patient       Transceiver eae einen    Copyright   2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   26  LifeSync  Wireless System Operation    The patient s ECG signal will appear on the 12 lead ECG monitor within a few  seconds  If ECG cardiac monitor is respiration capable the respiration signal will  also appear     Cart ECG    Cart mode allows a single Patient Transceiver to communicate with two Monitor  Transceivers simultaneously to monitor 5 lead or 12 lead ECG signal        NOTE  This procedure requires a secondary LifeSync  Monitor Transceiver  configured in Cart mode to be set up on a second ECG device        Confirm LifeSync  Monitor Transceiver Settings       NOTE  Make sure a LifeSync   BLUE Token is installed in the token port of both  Monitor Transceivers   Do not change any settings on the BEDSIDE Monitor Transceiver  The  BEDSIDE Monitor Transceiver is the unit that is already synchro
2.    2  Attach electrodes to all snaps on 5 Lead LeadWear  Disposable  and place on the  patient as indicated in the diagrams and tables below        NOTE  Follow electrode manufacturer s guidelines for skin prep prior to placing  electrodes on patient           NOTE  Place electrode LA on the left shoulder first  See chart for remaining  electrode placements     5 Lead LeadWear  Disposable Electrode Placement    Left shoulder  Right shoulder  LL  Red   Left side of chest below navel    Left side of chest just above LL    V Brown   Fourth intercostal space at right  sternal border  V1 position     NOTE  Place electrode V2 first  See chart for remaining electrode placements        Precordial LeadWear  Disposable Electrode Placement  V2 Fourth intercostal space at left sternal border  V3 Midway between V2 and V4    v2  y3  Fifth intercostal space midclavicular line  y5    V5 At horizontal level of V4 left anterior axillary line  At horizontal level of V4 left midaxillary line       Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   36  LifeSync  Wireless System Operation       NOTE  Although the V1 lead on the Precordial LeadWear  Disposable is not used  for 12 lead operation  it should be fastened to the patient s chest in order  to avoid accidental pulling of the LeadWear  Disposable           NOTE  The position of the RL  Right Leg  electrode with the LeadWear   Disposable is different from standard ECG lead placement           NOTE  Conf
3.    e Separate lead wires from AC  power source   e Check ECG monitor or  telemetry box   e Replace Patient Cable or Cable  Adapter       If problem cannot be resolved contact LifeSync Corporation Customer Service toll free  at 866 ECG 3888  866 324 3888  or email us at CustomerService LifeSyncCorp com    Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   58  Technical   Specifications    Technical   Specifications    Specifications    The LifeSync  System meets all applicable requirements for Cardiac Monitors  Heart Rate  Meters and Alarms as well as applicable requirements for Diagnostic Electrocardiographs per  ANSI AAMI EC13 2002 and ANSI AAMI EC11 1991 respectively     Specification    5 LEAD MODE 12 LEAD MODE   continuous  diagnostic ECG   monitoring       Number of Channels  single ended  wtRL J4 __          J9    _ _ o  up to 500 nA for RL  V  Frequency Response  Method A per EC11 1991 DC 40 Hz 0 0     0 25 dB  40 150 Hz 0 0   1dB  Triangle Response  Method D per EC13 2002 1096 maximum reduction 20 ms vs 200 ms triangle  wave  System test with HP Page Writer 100   Line Filter  60 Hz     Ch Ch Signal noise 30 uV p v maximum per EC13 2002    ECG Signal Gain WRT RL 1 00   0 01 V V  Measured at 10 Hz   Ch Ch Gain Difference 0 196 maximum   DC 150 Hz    CM Rejection   1 mV output with 20 Vrms input at 60 Hz  tested  with Welch Allyn Propaq per EC13 2002   1     Multi channel Crosstalk    0 5 96 maximum    Leadoff  Leadoff sensing perfo
4.    ki k  n cad e lA cae kar   a ekin    eke N e de    HE n   Qere BIR   66    LifeSync  2 1 System User s Manual   1  Preface    Preface    Introduction    Indications for Use    The LifeSync   Wireless System is indicated for use when ECG monitoring is needed and  a wireless cable free connection is desired between the patient and the ECG monitor   The LifeSync  Wireless System will also transmit the patient respiration waveform for  those ECG systems that include a respiration function     Contraindications    The use of the LifeSync   Wireless System is contraindicated     e When ECG monitor output may be used to perform a synchronized cardio version  or intracardiac monitoring   e When using an internal monitoring device synchronized to an external device  i e   in electrophysiology   e During use of MRI or PET scan equipment   e When performing external pacing    Intended Use of LifeSync   Wireless System    The LifeSync  Wireless System is intended for use as a radio frequency signal  transmitter and receiver of diagnostic electrocardiographic physiological signals which  are displayed on the ECG monitors of various manufacturers  systems that have been  validated for compatibility  ECG systems that are not currently wireless in operation will  now be able to be used in a wireless fashion by virtue of being connected to the  LifeSync   System  The LifeSync   System will also transmit the patient respiration  waveform for those ECG systems that include a respiration func
5.   Confirm that the GREEN Battery Charge indicator is flashing  Let batteries charge  for 8 hours before use     System Configuration and Functional Check    The LifeSync   Wireless System is designed for configuration by a Biomed or other  trained individual  The absence of switches and configuration options allows for simple  operation by the healthcare provider without an understanding of the different  configuration modes supported  The following procedure guides the Biomed through a  full system test  including functional tests of all possible configurations  and verifying all  settings are working     A  Battery Preparation       NOTE  Batteries are shipped in a partially charged state  with a plastic film cover  covering the contacts  This film must be removed prior to use        1  Remove the plastic film cover from the battery contacts    2  Leave one battery uncharged  Charge a second battery to the fully charged  state  Partially charge a third battery  to the point that only one LED is lit on the  Monitor Transceiver battery charge indicator     B  Monitor Transceiver Set Up Power on Test Battery Charger  1  Insert blue Token into Token port on the top of the Bedside Monitor Transceiver   2  Place the uncharged battery in this Monitor Transceiver  confirming that the  plastic film contact cover has been removed   3  Connect Monitor Transceiver to the Power Supply and plug to AC Power     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User
6.   Connect lead wires from the 12 lead ECG machine to the ECG machine Monitor  Transceiver  matching colors and lead markings    8  Remove Precordial LeadWear   Disposable from package and connect electrode  snaps on Precordial LeadWear  Disposable to Patient Simulator  do not connect  V1 RED lead     9  Insert Precordial LeadWear  connector into GREEN connector port  Leave 5 Lead  LeadWear  Connector in place     F  Transceiver Synchronizing     Cart 12 Lead   1  Remove blue Token from the ECG machine Monitor Transceiver  Confirm  Insert  Token Into Patient Transceiver  Status indicator on this Monitor Transceiver  glows SOLID YELLOW    2  Insert Token into Token port on the side of Patient Transceiver  Wait for Return  Token To Monitor Transceiver Status indicator on Patient Transceiver to FLASH  YELLOW  Confirm that Patient Transceiver produces a single BEEP when the  Token is fully seated    3  Remove Token from Patient Transceiver  Confirm that Return Token To Monitor  Transceiver Status indicator goes OFF    4  Place Token back into Token port of the ECG machine Monitor Transceiver   Confirm that the Monitor Transceiver produces a single BEEP  and that the   Insert Token Into Patient Transceiver  Status indicator goes OFF  Confirm that  Communication Status indicators on all three transceivers flash GREEN  both   Bedside  and  Cart  on the Patient Transceiver   Confirm that the proper ECG  signals appear on both ECG equipment displays  and that the ECG signals agree  wit
7.   Housing Material  Radio Protocol  Class  Range  Operating Frequency  Channels  Power output level  PT          Lx wireless technology  Class 2  10 m  2 402 2 480 GHz    79 1MHz channels     8 3 dBm maximum    38 mW    MT  2 8 dBm maximum    72 mW    Bluetooth  Revision V1 1    Safety EN60601 1  IEC60601 2 27  UL 60601 1  NNNM  EN  Respiration Specifications   Sensing Electrodes RA LL  in Patient Transceiver     Excitation Frequency 32 kHz  Patient Risk Current 10 pA max with AAMI ES 1 test load       Frequency Response   0 25 2 0 Hz   6 dB    Input Output Dynamic Range 8 ohm p v maximum   Base Impedance Range 0 2000 ohms   Respiration Output Modulated digital potentiometer in series with RA  electrode  in MT        Copyright  2013 LifeSync Corporation LS 216 Rev B    59    LifeSync  2 1 System User s Manual  Technical   Specifications    60       Specification       Minimum Respiration DC coupled 21 2 kOhms  impedance before Lead Fail    EMC Information for the LifeSync System 2 1        Use of Power Supplies  The LifeSync System 2 1 is compliant for EMC with the following power supplies     NEN Input Output f  D EM l N  escription Voltage Voltage C Compliance ote    RDKN55 12M 120 VAC    5 5 VDC  V1 JeromeLineqr Power   60 Hz   yes  750 mA  Supply  WSC155MC  Jerome 120 VAC    A 5 5 VDC  Industries Medical Power  060 Hz   yes  750 mA  Supply       Use of Batteries    Configuration  Tested       The LifeSync System 2 1 is compliant for EMC with the following battery pack    
8.   The Precordial  LeadWear  Disposable may now be removed from the patient  or may be left in  place for a future use  If necessary  move the V  BROWN  lead of the 5 Lead  LeadWear  Disposable to desired V lead location        NOTE  Place ECG lead electrode on V  BROWN  lead before moving on patient        Patient Transfer  Wireless to Wireless    To permanently transfer a patient from one monitor to another monitor        NOTE  This requires an extra LifeSync   Monitor Transceiver   ECG device set up        Confirm Transceiver Settings       NOTE  Make sure a LifeSync  Token is installed in the token port of both Monitor  Transceivers        the extra Monitor Transceiver ON   This is the transceiver attached to     the monitor that the patient is being   ence an  transferred to and will become the primary cs ma   TENA    Monitor    Monitor Transceiver  2  Confirm the indicator  5 LEAD  or  12 LEAD  ME    is illuminated   3  Confirm the    BEDSIDE    is illuminated     1  Press Power On Off switch to turn               MOVE TOKEN TO  PATIENT TRANSCEIVER    REMOVE TOKEN   INSERT INTO PATIENT TRANSCEIVER  AAIE UNT  PATIENT TRANSCTTVER  BEEPS AND LEO LING    RETURN TOKEN TO MONITOR  TRANSCEIVER       Synchronize LifeSync  Transceivers    1  Follow instructions in SETUP section of extra Monitor Transceiver   a  Remove Token  b  Insert into Patient Transceiver  c  Wait until Patient Transceiver beeps and LED blinks  d  RETURN TOKEN TO MONITOR TRANSCEIVER    Copyright  2013 LifeSyn
9.   Transceiver and AC outlet  verify  green A C indicator lit   e Ensure battery is fully inserted  and latched   e Replace battery   e Replace power supply   e Replace Monitor Transceiver     e Ensure battery is fully charged  at installation   e Replace battery    Copyright  2013 LifeSync Corporation LS 216 Rev B    SYmptom  Monitor  Transceiver not  charging  battery  or  Monitor  Transceiver  battery charge  indicator not lit    V Lead Off  for  5 Lead only     No ECG or  Leads Off    No ECG or  Leads Off  Continued    Cause   e Power supply not connected to  Monitor Transceiver or AC  outlet    e Battery not fully inserted    e Battery contacts covered   e Faulty battery   e Faulty power supply   e Faulty AC outlet   e Monitor Transceiver failure   e Monitor Transceiver in 12 LEAD  ECG mode   See No ECG or Leads Off section   e Electrode s  faulty  not properly  placed or skin not properly  prepped   e Poor LeadWear  Disposable  connection to electrode s     e LeadWear   connectors not fully  inserted or defective  curling   scratches  etc      e LeadWear   damaged  e End cap damaged  e Patient Transceiver battery is    discharged or defective    e Power supply not connected to  Monitor Transceiver or AC  outlet    e Monitor Transceiver is Off    e Incorrect 5 Lead or 12 Lead ECG  mode selected   e Lead wire s  damaged or poor  connections to Monitor    LifeSync   2 1 System User   s Manual   53    Maintenance  amp  Troubleshooting    Solution   e Connect power supply to 
10.  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   7  Preface       Notes         Anew LifeSync   Replacement Battery  LS 405  is recommended after one year of  use      All LifeSync   Wireless System components that are applied to the patient are  either passive  LifeSync   LeadWear   Disposables  or internally powered   LifeSync   Patient Transceiver       All LifeSync   LeadWear   Disposables  Patient Cables and Cable Adapter  components that are applied to the patient are passive      The LifeSync   Monitor Transceiver can be operated as a Class II device per EN  60601 1 or internally powered      This device has been tested and certified to comply with emissions portion of  EN 60601 1 2  Medical Electrical Equipment     Electromagnetic Compatibility      Requirements and Tests  Although this device is shielded against  Electromagnetic Interference  EMI   it is recommended that electrically radiating  devices not be used in close proximity to this device      Portable and mobile RF communications equipment can affect the operation of  the LifeSync  Wireless System      Operation of the LifeSync  Wireless System below minimum amplitude of  patient physiological signal may cause inaccurate results     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual    Introduction to the LifeSync   Wireless System    Introduction to the LifeSync  Wireless  2 1 System    System Overview    The LifeSync  Wireless System is d
11.  Cat    Description Type EMC Compliance Note  Configuration    Tested       Lithi         Stacked Equipment       WARNING  This equipment should not be used adjacent to or stacked with other  equipment and that if adjacent or stacked use is necessary  the  Transceivers should be observed to verify normal operation in the  configuration in which it will be used        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   61  Technical   Specifications    Guidance and Manufacturer s Declaration  Electromagnetic Emissions    The LifeSync System 2 1 is intended for use in the electromagnetic environment specified below  The customer or the user of the  LifeSync System 2 1 should assure that it is used in such an environment     Emissions test Compliance Electromagnetic environment     guidance    The LifeSync System 2 1 uses RF energy only for its internal  RF emissions Group 1 function  Therefore  its RF emissions are very low and are  CISPR 11 not likely to cause any interference in nearby electronic  equipment     The LifeSync System 2 1 is suitable for use in all    establishments  including domestic establishments and  RF emissions      Class B those directly connected to the public low voltage power  CISPR 11   DN f  supply network that supplies buildings used for domestic  purposes     Harmonic emissions Class A  IEC 61000 3 2   Voltage fluctuations     flicker emissions Complies  IEC 61000 3 3       Copyright   2013 LifeSync Corporation
12.  Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   15  Introduction to the LifeSync   Wireless System    A new  fully charged battery will power a LifeSync  Patient Transceiver for a maximum  of 16 hours  and a LifeSync  Monitor Transceiver for a maximum of 8 hours  At end of   life battery capacity will be approximately 8096 of original capacity  It is recommended  that batteries be discarded after one year of normal use  400 discharge cycles      LifeSync  Battery Charge Indicator  An easy to read gauge on the Monitor Transceiver  front panel indicates amount of charge  Each LED represents 2596 of battery life  A Low  Battery Indicator on the front panel of the Patient Transceiver indicates when less than  60 minutes of operation remain     Token    The LifeSync   BLUE Token is used to establish communication  or synchronize the LifeSync  Patient Transceiver and LifeSync   Monitor Transceiver  The BLUE Token is not programmed for a  particular transceiver  it works by transferring address and  communication mode information between two transceivers  during the synchronizing process           NOTE  LifeSync  Monitor Transceiver will not operate without BLUE Token  BLUE Token  should remain in Token port of the LifeSync   Monitor Transceiver at all times  except  when it is being used to synchronize a LifeSync  Patient Transceiver     Configuration Tokens    The LifeSync  Monitor Transceiver can  be switched from 5 Lead to 12 Lead  ECG Mode using the GREEN Toke
13.  INTO PATIENT TRANSCEIVER   Pull Ded  s  the flexible cap away from the token port on     pa MOVETOKEN TO  Patient Transceiver and fully insert BLUE    emin ak n OR    Token into token port     4  WAIT UNTIL PATIENT TRANSCEIVER BEEPS  AND LED BLINKS     A single audible BEEP is  produced when BLUE Token is fully inserted  and  RETURN TOKEN INTO MONITOR  TRANSCEIVER     indicator on the Patient  Transceiver will glow FLASHING YELLOW  AWA    RETURN TOKEN TO  6   MONITOR TRANSCEIVER    5  RETURN TOKEN TO MONITOR TRANSCEIVER ea       Remove BLUE token from Patient                 Transceiver and close flexible cap over token is aa  port  the    RETURN TOKEN INTO MONITOR         TRANSCEIVER    indicator on the Patient Transceiver will go off        6  Fully insert the BLUE Token into the token port on the Monitor Transceiver  The  Monitor Transceiver will BEEP when the token is properly re inserted and the     MOVE TOKEN TO PATIENT TRANSCEIVER    indicator will go off     7  Within a few seconds  the Transceivers    STATUS indicators will display FLASHING  GREEN if communicating or SOLID YELLOW if communication failed  If  communication fails repeat steps 1 thru 5     Patient Transceiver  STATUS   TRANSMITTING ECG BEDSIDE indicator   will flash GREEN  Communication in process with kana  aanean  Monitor Transceiver E CARI    STATUS              Monitor Transceiver  STATUS   RECEIVING ECG indicator will flash ATA  GREEN  Communication in process with Patient       Transceiver eae ei
14.  LS 216 Rev B    LifeSync  2 1 System User s Manual   62  Technical   Specifications    Guidance and Manufacturer s Declaration  Electromagnetic Immunity    The LifeSync System 2 1 is intended for use in the electromagnetic environment specified below  The customer or the user of  the LifeSync System 2 1 should assure that it is used in such an environment     i   Electromagnetic environment  Immunity test IEC 60601 test level Compliance level    Electrostatic discharge     ESD     IEC 61000 4 2    Electrical fast  transient burst    IEC 61000 4 4    Surge    IEC 61000 4 5    Voltage dips  short  interruptions and  voltage variations on  power supply input  lines IEC 61000 4 1 1    Power frequency   50 60 Hz  magnetic  field IEC 61000 4 8     6 kV contact     8 kV air     2 kV for power supply lines     1 kV for input output lines     1 kV line s  to line s    2 kV line s  to earth     lt 5 96 UT    gt 95   dip in UT   for 0 5 cycle    40 96 UT   60   dip in Ut   for 5 cycles    70   UT   30   dip in UT   for 25 cycles      b   UT    gt 95 96 dip in Ur   for 5 sec     6 kV contact     8 kV air     2 kV for power supply lines    Not Applicable for input output  lines     1 kV line s  to line s    2 kV line s  to earth     lt 5 96 UT     95 96 dip in Ur   for 0 5 cycle    40   UT   60 96 dip in Ut   for 5 cycles    70   UT   30 96 dip in Ut   for 25 cycles      b   UT      gt 95 96 dip in Ur   for 5 sec    Not Applicable    NOTE Ur is the a c  mains voltage prior to application
15.  Monitor Transceiver and AC  outlet  verify green A C  indicator lit   e Ensure battery is fully inserted  and latched   e Uncover and charge battery   e Replace battery   e Replace power supply   e User another AC outlet   e Replace Monitor Transceiver     e Switch to 5 LEAD ECG mode    e Replace electrode s  and ensure  proper skin prep and placement    e Ensure that LeadWear    Disposable is firmly attached to  electrode snaps   e Remove  inspect for damage  and replace or reinsert  LeadWear   Connector correctly   replaced if damaged   e Inspect for damage and replace  if needed   e Check end cap  replace Patient  Transceiver if damaged     e Charge battery or replace with  fully charged battery and ensure  it is properly latched    e Replace defective battery   e Connect power supply to  Monitor Transceiver and AC  outlet  verify green A C  indicator lit   e Turn Monitor Transceiver On  with power on off switch   e Ensure proper 5 Lead or 12  Lead ECG mode selected   e Check lead wire s  are free of  damage and firmly connected to    Copyright  2013 LifeSync Corporation LS 216 Rev B    Symptom    Inverted signal  on ECG  equipment    Intermittent  ECG  Artifact  and Noise    Intermittent  ECG  Artifact  and Noise  Continued    Cause  Transceiver    e Trunk cable damaged or  disconnected from lead wires or  ECG monitor   e Out of range or at edge of range    e Transceivers not synchronized   e ECG monitor not operating  properly   e Patient Transceiver failure    eMonitor
16.  Transceiver failure    e Incorrect lead wire connections  to Monitor Transceiver    e LeadWear   leads incorrectly  placed   e Electrode s  faulty  not properly  placed or skin not properly  prepped   e Poor LeadWear   Disposable  connection to electrode s     e LeadWear   connectors not fully  inserted or defective  curling     scratches  etc      e LeadWear   damaged    LifeSync   2 1 System User   s Manual   54    Maintenance  amp  Troubleshooting    Solution  Monitor Transceiver  Replace if  damaged   e Check trunk cable for damage  or disconnection  Replace if  damaged   e System range exceeded     move  patient back within 30 feet of  Monitor Transceiver   e Re synchronize   e Check ECG monitor    e Replace Patient Transceiver    e Replace Monitor Transceiver      e Check lead wire s  are in the  correct lead and properly placed  on the Monitor Transceiver   e Check LeadWear  leads are  properly placed   e Replace electrode s  and ensure  proper skin prep and placement    e Ensure that LeadWear   Disposable is firmly attached to  electrode snaps   e Remove  inspect for damage  and replace or reinsert  LeadWear  Connector correctly   replaced if damaged   e Inspect for damage and replace   If needed       e End cap damaged    e Check end cap  replace Patient  Transceiver if damaged         e Battery not fully inserted  e Patient Transceiver battery is    discharged or defective    e Power supply not connected to  Monitor Transceiver or AC    e Ensure battery is fully in
17.  be removed from the Patient Transceiver and stored separately    when not in use for more than a few days   See more information about battery storage  in the Maintenance and Troubleshooting section  on page 50 of this Manual         CAUTION    e Store rechargeable batteries between 10  C and 26  C  50  F and 80  F    e Store rechargeable batteries away from direct sunlight in a low humidity location  with little temperature variation    e Discard rechargeable batteries according to national  state and local regulations        Respiration    If the Monitor Transceiver is being used with a patient monitor that is equipped to  display patient respiration via thoracic impedance pneumography  the patient monitor  will continue to display patient respiration as long as the patient monitor is configured  to derive respiration from Lead    LL LA  or Lead II  LL RA   Consult ECG equipment  manual for more information about proper settings and operation of the respiration  function  Also  refer to the Specifications section on page 58 of this manual for details  on LifeSync   Wireless System respiration function     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   33  LifeSync  Wireless System Operation    User Instructions  LeadWear   Disposable  5 Lead Monitoring    1  Remove LeadWear  Disposable from package        NOTE  Release LeadWear  Disposable from the package insert card with care  by  pressing on the colored side of each snap  DO NO
18.  o er bs arua nt ean ai w   Tan eu ae RE ee 46  bejna e   dj n vay E a N a oe a a a a   46  Battery S LO       O uie me oe    t lee    Ke Ki OK   R SE teli e ten e AN Snnt Ke e   b seen      46  Patient Cables and Cable Adapters Maintenance        l  El keke   47  Cleaning LifeSync  System Components           cccccessecccceesecccceesecccceeseceeceueceeseuseceesenseees 48  Cleaning the Transceivers  Battery and Power Supply           eee 48  Cleaning and Disinfecting Patient Cables and Cable Adapters                                   48  Cleaning the LeadWear DISDOSdDIGS d essct ombra imei weku y   WARA Ku e re bien  49   jI kel el e OO CIS E TTE 50  Technical SDeClllca Ol SA a    e etsi e e e   e   le n e e Leder Occit cud 58  sel se i ez j op SiYa Ya n ND MEN N dd N T dr r KA 58          Use of POWer Supplies  k  y   y   y   kak   jey   s          ka ANAL NAWA   ke A YR eri xr        nan   AW reu vs 60  The LifeSync System 2 1 is compliant for EMC with the following power supplies           60    USE SOL BST telles utet ek   ve KAW di easel sais ta iau w   w   D MEDI datos CEDE KN rc DES 60  The LifeSync System 2 1 is compliant for EMC with the following battery pack               60  e  Stacked E Q   DIT TO    s   my yyi ninay   K  n tu ate ipd E ote database S   t Orestes  60     Bluetooth Class 2 Radio for Communication                    eese 64  Manufacturers INONMA OM yk kiya r  ya a   ad   yA etr waar des tutela etas do die iom 65  R  ordebDlll  FlTI3tlO l gt  bune a
19.  of the test level     Copyright  2013 LifeSync Corporation LS 216 Rev B       Floors should be wood  concrete  or ceramic tile  If floors are  covered with synthetic material   the relative humidity should be  at least 30 96     Mains power quality should be  that of a typical commercial or  hospital environment     Mains power quality should be  that of a typical commercial or  hospital environment     Mains power quality should be  that of a typical commercial or  hospital environment  If the user  of the LifeSync System 2 1  requires continued operation  during power mains  interruptions  it is recommended  that the Monitor Transceiver be  powered from an uninterruptible  power supply or a battery     Power frequency magnetic fields  should be at levels characteristic  of a typical location in a typical  commercial or hospital  environment     LifeSync  2 1 System User s Manual   63  Technical   Specifications    Guidance and Manufacturer s Declaration  Electromagnetic Immunity    The LifeSync System 2 1 is intended for use in the electromagnetic environment specified below  The customer or the user of the       LifeSync System 2 1 should assure that it is used in such an environment     f mplian  Immunity test IEC 60601 test level Eo l    a ud Electromagnetic environment     guidance    Portable and mobile RF communications equipment  should be used no closer to any part of the LifeSync  System 2 1  including cables  than the recommended  separation distance calculated f
20.  s Manual   43  Maintenance  amp  Troubleshooting    4  Press Power On Off switch  Confirm that all indicators light for approximately  one second and an audible BEEP is heard  this is a user interface test  Confirm  that the GREEN Battery Charging indicator is flashing    5   nsert the green configuration Token marked ECG in the Token port on the top  of the Monitor Transceiver  The Monitor Transceiver will BEEP 4 times  and  change the ECG mode  which will be illuminated on the front panel  Confirm  that the configuration function is working by performing this operation several  times  Select ECG 5 Lead mode    6  Insert the yellow configuration Token Marked Bedside Cart into the Token Port  on the top of the Monitor Transceiver  The Monitor Transceiver will BEEP 4  times  and switch between Bedside and Cart Communication Modes  Confirm  that the configuration function is working by performing this operation several  times  Select Bedside Communication Mode    7  Connect lead wires from the cardiac monitor to the Monitor Transceiver   matching colors and lead markings    C  Patient Transceiver Set Up  Power on Test   1  Insert the fully charged battery into the Patient Transceiver    2  Remove 5 Lead LeadWear   Disposable from package  Insert 5 Lead LeadWear    Connector into connector port  matching connector colors and connector keys    3  Confirm that all indicators light for approximately one second and an audible  BEEP is heard  this is a user interface test  Confirm t
21.  the Patient Transceiver  Confirm that the  Communication Status indicator on the ECG machine Monitor Transceiver SOLID  YELLOW  the Communication Status indicator on the cardiac Monitor Transceiver  flashes GREEN  and only the  Bedside  Communication Status indicator on the  Patient Transceiver flashes GREEN     G  Transceivers     Confirm Low Battery Charge Indicators on Patient Transceiver   1  Disconnect Monitor Transceivers from both ECG monitors and turn equipment  OFF    2  Remove the batteries from all Transceivers  Disconnect the Monitor Transceivers  from the Power Supply and plug to AC power    3  Place the partially charged battery in the Patient Transceiver  Confirm that the  Low Battery Charge indicator flashes YELLOW and an audible tone continues to  beep  Remove the LeadWear   connector to turn Patient Transceiver OFF    4  Place the fully charged battery in one Monitor Transceiver  Turn the Transceiver  ON and confirm that all Low Battery Charge and Battery Charging indicators are  OFF  Repeat with the other Monitor Transceiver    5  Place the fully charged battery back into the Patient Transceiver    6  Connect both Monitor Transceivers to the Power Supplies and plug to AC power   Confirm that the GREEN Battery Charge indicator is flashing  Let batteries charge  for 8 hours before use     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   46  Maintenance  amp  Troubleshooting    Rechargeable Battery    Battery Life    I
22.  using a cardiac monitor     Confirm LifeSync  Monitor Transceiver Settings       NOTE  Make sure a LifeSync  BLUE Token is installed in the token port of the  Monitor Transceiver        1  Press Power On Off switch to turn    Monitor Transceiver ON   2  Confirm the indicator    5 LEAD  is    illuminated   3  Confirm the    BEDSIDE    is illuminated          MOVE TOKEN TO  PATIENT TRANSCEIVER    RETURN TOKEN TO MONITOR  RAPES ENTE       Apply LifeSync   LeadWear  Disposable    1  Select appropriate size 5 Lead LeadWear  Disposable  BLUE connector  for the  patient  refer to size chart on page 10      NOTE  For placement of LeadWear  Disposable on patient  refer to  User  Instructions  LeadWear  Disposable for 5 Lead Monitoring   on page 33 of  this Manual     2  Insert BLUE 5 Lead LeadWear  Connector into BLUE slot on LifeSync  Patient  Transceiver  This will turn the LifeSync  Patient Transceiver ON  Ensure that  connector is seated securely and that tabs lock into place     3  The LifeSync   Patient Transceiver may be placed inside Telemetry Pouch  Pouch  can be placed on or near the patient     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   23  LifeSync  Wireless System Operation    Synchronize LifeSync  Transceivers    1  Follow instructions in SETUP section of              Monitor Transceiver      2  REMOVE TOKEN   Remove BLUE Token  the BN    MOVE TOKEN TO PATIENT TRANSCEIVER    EL  indicator will glow SOLID YELLOW    3  INSERT
23. 13 LifeSync Corporation LS 216 Rev B    3    LifeSync  2 1 System User s Manual   4  Preface    snaps  electrodes with opaque posts provide a better indication that LeadWear   Disposable snaps and electrodes are outside the body    To ensure patient safety  only LifeSync   LeadWear   Disposable products should  be used with the LifeSync  Patient Transceiver  The safety of connecting other  devices  leads or cables to the Patient Transceiver has not been evaluated and  may present safety hazards  Furthermore  substandard performance may result  from the use of incompatible components    The LifeSync  Monitor Transceiver should only be connected to patient monitors  as illustrated in the System Set Up section of this manual  and only to those  monitors that have been validated for compatibility with the LifeSync   and meet  ANSI AAMI EC13 2002 and ANSI AAMI EC11 1991  Contact LifeSync Corporation for  the most current list of validated monitors    Only use the approved LifeSync  Power Supply  Model LS 132  in order to ensure  that the Patient Monitor  to which the LifeSync  Monitor Transceiver is  connected  continues to comply with risk  leakage  current  and EMI EMC  requirements    Normal operation of the LifeSync  Wireless System should be verified in the  configuration in which it will be used before engaging in use with a patient   Inspect and test the LifeSync  2 1 Transceivers  rechargeable batteries  and  power supply frequently  Do not operate the LifeSync  Wireless S
24. ATUS   RECEIVING ECG indicator will flash  GREEN  Communication in process with Patient  Transceiver  Eg ea       The patient s ECG signal will appear on both BESIDE ECG monitor and CART ECG  monitor within a few seconds  If CART ECG cardiac monitor is respiration capable  the respiration signal will also appear        NOTE  Cart and Bedside communication modes are independent and can be run  without the other        The Patient Transceiver will communicate with the CART Monitor Transceiver for  two minutes     After two minutes  the Patient Transceiver will automatically end  communication with the CART Monitor Transceiver     The Transceiver indicators will reflect the change in communication status     Patient Transceiver   STATUS   TRANSMITTING ECG BEDSIDE indicator STATUS   will flash GREEN  Communication in process with TRANSMITTING ECG  BEDSIDE Monitor Transceiver  STATUS   9    BEDSIDE CART    TRANSMITTING ECG CART will go off  all  BEDSIDE Monitor Transceiver      STATUS   RECEIVING ECG indicator will flash   GREEN  Communication in process with Patient  Transceiver        CART Monitor Transceiver DIGNE T ee  STATUS   RECEIVING ECG indicator will flash     YELLOW  No Communication            po B      Copyright  2013 LifeSync Corporation LS 216 Rev B       28    LifeSync  2 1 System User s Manual   29  LifeSync  Wireless System Operation    Cart 12 Lead ECG Only   Remove Precordial LeadWear  Disposable    1  Disconnect the GREEN Connector from the Patient Transceiver
25. CG monitoring    Used in combination with  the 5 Lead LeadWear  Disposable  for 12 lead ECG monitoring    Precordial LeadWear  GREEN  Disposable Connector       5 Lead LeadWear  Disposables    LS 228       LS 229    rant  Sue   vied   RAIA   wu  _ls222   9   i      28       lt a              Precordial LeadWear  Disposables      Part    Size   Description   V1 V2   V2 V3   V3 V4   V4 VS   v5 v6_       Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   11    Introduction to the LifeSync  Wireless System    12 Lead LeadWear  Disposables    12 Lead LeadWear  Disposables    LS 208A LS 228 LS 238A       LeadWear  Disposables are packaged three ways     5 Lead One 5 Lead LeadWear  Disposable    One 5 Lead LeadWear  Disposable and    L  lk  One Precordial LeadWear  Disposable       Precordial One Precordial LeadWear  Disposable    LeadWear  connectors are color coded to ensure proper connection to the LifeSync   Patient Transceiver  BLUE connectors on the 5 Lead LeadWear  Disposable and GREEN  connectors on the Precordial LeadWear  Disposable        NOTE  LifeSync  LeadWear  Disposables are non sterile        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync   2 1 System User s Manual   12  Introduction to the LifeSync  Wireless System    2 1 Patient Transceiver    LifeSync  LeadWear   Connector Ports   Color coded ports for attachment of the LeadWear       Disposable    Blue for the 3 5 LeadWear   Disposable    Green for the Precor
26. Corporation       LifeSync  2 1 System    User s Manual    LifeSync Corporation  3350 NW 53  Street  Suite 105  Fort Lauderdale  Florida 33309  U S A     Copyright  2013 LifeSync Corporation  All rights reserved  No part of this manual may be reproduced  photocopied or transmitted without the  express written consent of LifeSync Corporation     LifeSync   and LeadWear  are trademarks of LifeSync Corporation     www LifeSyncCorp com    Table of Contents    METTI UL E E EE E N 1  liar lalo Piinia a D Dm 1  Hadicatons Tor    S  r san TL D Mer ERE 1  Contraindicatii Set DD DD DD Cea de N KN Ka 1  Intended Use of LifeSync WIRE J   SO 5 SL O D asdemeec E E du Ne Eck Y   ve AN EE 1  Caution  Warning CONVENON S xeyl Aerandyna medyay   ae ebaya n b  n kas y  n   day A   Eek nA YA b  d   2  SVM elel SU DD EE E a T DOLUS 3  Sale  VIR ONT A   ON e ee a   Em 3  Lan la DD gvWvo lt oe lt a     ra  wr  w  raZ  h cge 3  CUON c                                                         6  NOTOS eec pr E iV Ken   e                                    7  Introduction to the LifeSync   Wireless 2 1 System            cccccccsssecceceesecceeeeeceeeeeeeceeseeeeeeeees 8  SV SECM OV SI     Si co  e colssinicuactea ttt A cantaes AME RR US On UEM PN Nov DEDERE ORa RUE 8  LIND AGCKING Checks wy yeke kan l  nan   x  n xwi aie AN Nan a eec teams AW AN   edd  9  2A dipinti ILE  9  2 1 MOUItOE Trans ce sued inidetdreniel a omnt er ed Kur   ek KENAN Cord lob Mode ente ub Ui  9  LeadWear PISO SAIC r r        9  Li
27. One LifeSync  Patient Transceiver   LifeSync   LeadWear  Disposable   ECG RESP 12 Lead Patient Simulator   Two LifeSync   System Compatible ECG Monitors   One 5 lead Bedside Monitor  including trunk cable and lead wires   One 12 lead ECG Machine  including trunk cable and lead wires        NOTE  The LifeSync   System performance has been confirmed with a variety of  commonly used ECG equipment  Contact LifeSync Corporation Customer  Service at 866 ECG 3888 for information on ECG monitors that are  compatible with the LifeSync   System        A  Battery Preparation       NOTE  Batteries are shipped in a partially charged state  with a plastic film cover  covering the contacts  This film must be removed prior to use        1  Remove the plastic film cover from the battery contacts    2  Leave one battery uncharged  Charge a second battery to the fully charged state   Partially charge a third battery  to the point that only one LED is lit on the  Monitor Transceiver battery charge indicator     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   40  Maintenance  amp  Troubleshooting    B  Monitor Transceiver Set Up Power on Test Battery Charger   1  Insert blue Token into Token port on the top of the Bedside Monitor Transceiver    2  Place the uncharged battery in this Monitor Transceiver  confirming that the  plastic film contact cover has been removed    3  Connect Monitor Transceiver to the Power Supply and plug to AC Power    4  Press Po
28. Sync  mounting  plate  and slide transceiver unit downward  until it clicks into place     4  Connect leads of the standard ECG lead wire  set from the ECG equipment to the  corresponding snap attachments on the  LifeSync   Monitor Transceiver  matching lead  marking and color codes     5  Ensure a LifeSync   BLUE Token is seated in  the Token port on Monitor Transceiver           NOTE  LifeSync  Monitor Transceiver will not operate without LifeSync  BLUE  Token  BLUE Token should remain in token port of the Lifesync  Monitor  Transceiver at all times  except when it is being used to synchronize a  LifeSync   Patient Transceiver        Copyright   2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   20  LifeSync  Wireless System Operation    Configuration of the LifeSync  2 1 Monitor Transceiver for  5 or 12 Lead Operation    1  Connect LifeSync  Monitor  Transceiver to LifeSync  Power Supply  and AC power source    2  Power up Monitor Transceiver  by depressing On Off switch    3  Current 5 or 12 ECG mode will    be illuminated   4  To change ECG mode configuration     remove the synchronization BLUE Bm r   ES o  Token from the slot on the Monitor  Transceiver  2   MER TEE    5   nsert the GREEN Configuration Token  into the Token slot    6  The Monitor Transceiver will BEEP 4 e  times  and illuminate the new ECG        mode  r     7  Remove the GREEN configuration  Token and replace with the BLUE  synchronization Token           NOTE  LifeSync   Mo
29. T pull snaps out of holes  by tugging on the LeadWear  Disposable itself        2  Attach electrodes to all snaps on the LeadWear  Disposable  and place on the  patient as indicated in the diagram and table below        NOTE  Follow electrode manufacturer s guidelines for skin prep prior to placing  electrodes on patient           NOTE  Place electrode LA on the left shoulder first  See chart for remaining  electrode placements     5 Lead LeadWear   Disposable Electrode  Placement    Black Left shoulder  White   Right shoulder    LL   Red   Left side of chest below navel  Left side of chest just above LL  Center of chest  desired location        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   34  LifeSync  Wireless System Operation       NOTE  The position of the RL  Right Leg  electrode with the LifeSync  LeadWear   Disposable is different from standard ECG lead placement           NOTE  Confirm the fit of LeadWear  Disposable on patient  If lead placements  don t reach or there is too much slack  select a different size        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   35  LifeSync  Wireless System Operation    12 Lead Monitoring    1  Remove LeadWear  Disposable from package s         NOTE  Release LeadWear  Disposable from the package insert card with care  by  pressing on the colored side of each snap  DO NOT pull snaps out of holes  by tugging on the LeadWear  Disposable itself     
30. a Battery Charge Indicator that flashes YELLOW  when its battery is running low  accompanied by a periodic BEEP  Replace  the low battery with a fully charged battery within 60 minutes to maintain  Transceiver operation        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual  LifeSync  Wireless System Operation       WARNING  Battery capacity will change over the life of the battery  A fully  charged unit does not mean that the battery is capable of running the  Patient Transceiver  If battery is more than one year old  it is  recommended that the battery be replaced        Exchanging Batteries    First remove the charged battery from the Monitor Transceivers by releasing the battery  latch and sliding the battery out of the battery slot     Exchange charged battery from Monitor Transceiver with battery in Patient Transceiver   Insert the replacement battery with contacts facing the    transceiver body  and arrows on the battery facing up when  viewing the front of the Transceiver  Secure battery latch        Insert battery from Patient Transceiver into the Monitor Transceiver for charging        NOTE  Exchanging batteries does not require re synchronization of Transceivers        Charging Batteries    When the Monitor Transceiver is connected to the Power Supply and plugged to AC  power  it functions as a charger for the battery  The battery reaches full charge in less  than eight hours        NOTE  At end of life battery capacity will 
31. ach LED  represents 2596 of battery life    2  Release the battery latch by pushing the latch thumb hold toward the back of  the transceiver  Remove battery from each transceiver    3  Re install battery into each transceiver and secure by pulling the latch thumb  hold toward the front of the transceiver until it snaps securely into place        NOTE  Use a fully charged battery  To charge the LifeSync  Rechargeable Battery  ensure the LifeSync   Monitor Transceiver is connected to the LifeSync     Power Supply and plugged to AC power and the battery is fully inserted  and latched       Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   19  LifeSync  Wireless System Operation    Mount the LifeSync  2 1 Monitor Transceiver    1  Connect LifeSync   Monitor Transceiver to  LifeSync   Power Supply and AC power source    The Monitor Transceiver can be used with a fully  charged battery without the Power Supply when  installed on a transport monitor or ECG cart     2  Secure the LifeSync   Mounting Plate to the  desired location  using the supplied double sided  adhesive tape  or other method   The LifeSync   Mounting Plate is pre drilled for attachment to a  variety of third party mounting solutions   including the GCX series of pole and rail mounts   not supplied by LifeSync            NOTE  The arrow on the LifeSync  Mounting Plate must be pointing upward        3  Insert buttons on back of LifeSync   Monitor  Transceiver into slots on Life
32. at Return Token To Monitor  Transceiver Status indicator goes OFF    4  Place Token back into Token port of the Bedside Monitor Transceiver  Confirm  that the Monitor Transceiver produces a single BEEP  and that the  Insert Token  Into Patient Transceiver  Status indicator goes OFF  Confirm that Communication  Status indicators on both Transceivers flash GREEN  over  Bedside  on the  Patient Transceiver   Confirm that the ECG Respiration signals appear on the  cardiac monitor display  and that the ECG Respiration signals agree with the ECG  Patient Simulator settings     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync   2 1 System User s Manual   41  Maintenance  amp  Troubleshooting    E  Monitor Transceiver Set Up     Cart 12 Lead   1  Insert blue Token into Token port on the top of the ECG machine Monitor  Transceiver    2  Placethe third partially charged battery in the ECG machine Monitor  Transceiver  confirming that the plastic film contact cover has been removed    3  Press Power On Off switch  Confirm that all indicators light for approximately  one second and an audible BEEP is heard  this is a user interface test  Confirm  that the YELLOW Low Battery Charge indicator is flashing and that an audible  tone continues to beep    4  Connect the ECG machine Monitor Transceiver to the Power Supply and plug to  AC Power    5  Confirm the ECG Mode indicator shows ECG 12 Lead mode    6  Confirm the Communication Mode indicator shows Cart Communication Mode    7
33. be approximately 8096 of original capacity  It is  recommended that batteries be discarded after one year of normal use  400  discharge cycles           CAUTION  Use only a LifeSync  Monitor Transceiver to recharge the battery        Copyright  2013 LifeSync Corporation LS 216 Rev B    31    LifeSync  2 1 System User s Manual   32  LifeSync   Wireless System Operation    Monitor Transceiver Battery Charging Indicator    The Battery Charging indicator on the front of the  Monitor Transceiver displays a GREEN FLASHING  light when the battery charger function is active  As  the battery is charged or discharged the number of  LEDs illuminated increases or decreases  Each LED represents 2596 of battery capacity        When the Monitor Transceiver is not connected to the Power Supply and plugged to AC  power and is being powered by a rechargeable battery  the battery charger function is  inactive and the Battery Charging indicator will not be lit  and the gauge will indicate the  remaining battery available     When the Monitor Transceiver is connected to the Power Supply and plugged to AC  power and has a less than fully charged rechargeable battery installed  the Battery  Charging indicator will flash GREEN  to indicate that the battery is charging  It will take  up to eight hours for the Monitor Transceiver to finish charging a discharged battery   The Battery Charging indicator will glow SOLID GREEN for all LEDs when charging is  complete     Battery Storage  The battery should
34. ble  Adapters  Intermittent   Noisy ECG or  Respiration    Cause   e ECG monitor or telemetry box  not operating properly   e Patient Cable or Cable Adapter  Failure  housing damage   broken wire s   socket damage   plug damage etc     e Electrode s  faulty  not properly  placed or skin not properly  prepped   e   eadWear  leads incorrectly  placed    e Poor LeadWear  Disposable  connection to electrode s     e   eadWear  connectors not fully  inserted or defective  curling   scratches  etc      e   eadWear  damaged    e Trunk cable damaged or not  properly connected to Cable  Adapter or ECG  monitor telemetry box   e Lead wire s  too close to AC  power source   e ECG monitor or telemetry box  not operating properly   e Patient Cable or Cable Adapter  Failure  housing damage   broken wire s   socket damage   plug damage etc      LifeSync  2 1 System User s Manual   57    Maintenance  amp  Troubleshooting    Solution   e Check ECG monitor or  telemetry box   e Replace Patient Cable and Cable  Adapter      e Replace electrode s  and ensure  proper skin prep and placement    e Check LeadWear  leads are  properly placed  alternative  placement may interfere with  respiration   e Ensure that LeadWear   Disposable is firmly attached to  electrode snaps   e Remove  inspect for damage  and replace or reinsert  LeadWear  Connector correctly   replaced if damaged   e  nspect for damage and replace  if damaged   e Check trunk cable for damage  and proper connection  Replace  if damaged 
35. c Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   30  LifeSync  Wireless System Operation       NOTE  Step by step instructions for 5 LEAD wireless monitoring are found on  page 22  Step by step instructions for 12 LEAD wireless monitoring are  found on page 24        System Removal    1  Leave the Monitor Transceiver attached to the side of the patient monitor until  its next use  The Monitor Transceiver can be left on unless it will not be used for  an extended period of time    To turn the Monitor Transceiver OFF  Press Power On Off switch    2  Remove Patient Transceiver Telemetry Pouch  To remove LeadWear  connectors  from Transceiver  squeeze clips on LeadWear  connector and pull straight out  from Transceiver    3  Gently remove LeadWear  Disposable and electrodes from patient    Discard LeadWear  Disposable  electrodes and Telemetry Pouch    5  Store Patient Transceiver in a designated storage location     P       NOTE  If system is not to be used for an extended period  the batteries should be  removed from the Patient Transceiver and the Monitor Transceiver  and  stored separately        LifeSync   Rechargeable Batteries    The Monitor Transceiver should be connected  to the Power Supply and plugged to AC power  at all times  in order to ensure the battery is  fully charged  When the battery in the Patient  Transceiver runs low  it can quickly be  exchanged for a fully charged battery in the  Monitor Transceiver           NOTE  Each Transceiver has 
36. ce if  damaged   e Separate lead wires from AC  power source   e Check trunk cable for damage  and proper connection  Replace  if damaged   e System range exceeded     move  patient back within 30 feet of  Monitor Transceiver   e Fully insert token on Monitor  Transceiver and synchronize if  needed   e Re synchronize    e Advise patient to be still  e Check ECG monitor    e Replace Patient Transceiver    e Replace Monitor Transceiver      e Replace electrode s  and ensure  proper skin prep and placement    e Check LeadWear  leads are  properly placed  alternative  placement may interfere with  respiration   e Ensure that LeadWear   Disposable is firmly attached to  electrode snaps   e Remove  inspect for damage  and replace or reinsert    Copyright  2013 LifeSync Corporation LS 216 Rev B    Symptom    Patient Cables  and Cable  Adapters   No ECG or  Respiration    Patient Cables  and Cable    Cause   curling  scratches  etc      e LeadWear   damaged  e End cap damaged    e Lead wire s  damaged or poor  connections to Monitor  Transceiver    e Lead wire s  too close to AC  power source   e Trunk cable damaged or  disconnected from lead wires or  ECG monitor   e Respiration function not  selected on ECG equipment   e Patient Transceiver failure   e Monitor Transceiver failure    e Electrode s  faulty  not properly  placed or skin not properly  prepped   e LeadWear   leads incorrectly  placed    e Poor LeadWear   Disposable  connection to electrode s     e LeadWear   connectors 
37. ct  V1 RED lead     9  Insert Precordial LeadWear  connector into GREEN connector port  Leave 5 Lead  LeadWear  Connector in place     F  Transceiver Synchronizing     Cart 12 Lead   1  Remove blue Token from the ECG machine Monitor Transceiver  Confirm  Insert  Token Into Patient Transceiver  Status indicator on this Monitor Transceiver  glows SOLID YELLOW    2  Insert Token into Token port on the side of Patient Transceiver  Wait for Return  Token To Monitor Transceiver Status indicator on Patient Transceiver to FLASH  YELLOW  Confirm that Patient Transceiver produces a single BEEP when the  Token is fully seated    3  Remove Token from Patient Transceiver  Confirm that Return Token To Monitor  Transceiver Status indicator goes OFF    4  Place Token back into Token port of the ECG machine Monitor Transceiver   Confirm that the Monitor Transceiver produces a single BEEP  and that the   Insert Token Into Patient Transceiver  Status indicator goes OFF  Confirm that  Communication Status indicators on all three transceivers flash GREEN  both   Bedside  and  Cart  on the Patient Transceiver   Confirm that the proper ECG    Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   45  Maintenance  amp  Troubleshooting    signals appear on both ECG equipment displays  and that the ECG signals agree  with the ECG Patient Simulator settings    5  Wait for two minutes  After two minutes  the ECG machine Monitor Transceiver  stops receiving signals from
38. dial LeadWear Disposable     LifeSync  Token Port    Insert the Blue Token here to synchronize the  Transceivers  Token port is protected by a flexible  cap when not in use     Battery Latch   Holds battery in place     LifeSync  Battery   Battery is removable for charging  in the Monitor  Transceiver      Turn Patient Transceiver ON by inserting a Blue  3 5 Lead LeadWear Connector into the BLUE  connector port                         a     a            Only use the Blue Token to synchronize Patient  Transceiver     VISUAL STATUS INDICATORS    SETUP    RETURN TOKEN TO MONITOR YELLOW    FLASHING Return Token to Monitor Transceiver  The Transceiver  TRANSCEIVER will BEEP once when Token is fully inserted   STATUS  No Communication    YELLOW   SOLID    GREEN FLASHING Bedside monitor communication in process    No Communication  TRANSMITTING ECG   CART YELLOW   SOLID No Communication  GREEN FLASHING Cart communication in process       F  All leads connected  LEAD OFF    YELLOW   SOLID Check patient leads and electrodes  Battery has operational charge    Low charge level   swap battery with Monitor  Transceiver             LOW BATTERY    _  _u YELLOW   FLASHING    MONITOR TRANSCEIVER       4   SERVICE RED   SOLID OR FLASHING Transceiver malfunction   service required    Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   13  Introduction to the LifeSync  Wireless System    2 1 Monitor Transceiver    LifeSync  Token Port    Insert the Tokens he
39. eSync System 2 1 as  recommended below  according to the maximum output power of the communications equipment     Separation distance according to frequency of transmitter    m  Rated maximum output power of    transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz    d  12 P d  2 3 P    For transmitters rated at a maximum output power not listed above  the recommended separation distance d in metres  m  can  be estimated using the equation applicable to the frequency of the transmitter  where P is the maximum output power rating of  the transmitter in watts  W  according to the transmitter manufacturer     NOTE 1 At 80 MHz and 800 MHz  the separation distance for the higher frequency range applies     NOTE 2 These guidelines may not apply in all situations  Electromagnetic propagation is affected by absorption and reflection  from structures  objects and people          Bluetooth Class 2 Radio for Communication    The LifeSync System 2 1 intentionally receives RF electromagnetic energy for patient monitoring and diagnosis using  Bluetooth Class 2 radios  Although no issues have been observed with coexistence with 802 11 b g equipment  the  user should be aware that the LifeSync System 2 1 operates in the same frequency band as 802 11 b g  The RF band of  reception for the LifeSync System 2 is 2 400 GHz to 2 4835 GHz  The overall band of the signal is 83 5Mhz with 79  channels of adaptive frequency hopping  Each channel has a bandwidth of 1 Mhz     The LifeSync Sy
40. esigned to eliminate the ECG lead wires and cables  that connect patients to cardiac monitoring equipment  The system has several  components which work together to carry signals from the patient to the monitor     The lead wire function is replaced by the LifeSync   LeadWear  Disposable Cable  Replacement System  which attaches directly to electrodes     The trunk cable function is replaced by a pair of two way radios  the LifeSync  2 1  Patient Transceiver and the LifeSync  2 1 Monitor Transceiver  which wirelessly transmit  and receive ECG and respiration data     LeadWear  Disposables connect to the LifeSync  Patient Transceiver  the LifeSync    Monitor Transceiver is connected to the ECG monitor     A LifeSync  Token is used to synchronize the two transceivers  this ensures that the  patient s ECG signal is being sent to the correct monitor     The LifeSync   Patient Transceiver is powered by the LifeSync   Rechargeable Battery   The LifeSync  Monitor Transceiver can also be powered by a LifeSync   Rechargeable  Battery for portable use  but is intended to be operated using LifeSync  Power Supply  connected to standard AC power when available  While connected to AC power  the  LifeSync   Monitor Transceiver functions as a battery charger  When the battery in the  LifeSync  Patient Transceiver runs low  it can be quickly exchanged for the fully charged  battery in the LifeSync   Monitor Transceiver     The LifeSync   Patient Transceiver may be placed in a single patient u
41. feSync  LeadWear DISDOSSDIG uote hti K   ela keze ane catre etus osito ets 10  2 1 PatlenE TrarscelVel aestu Seem gu m MR Nm E m Mu KK e R   MI M 12  241 MODIEOF  iranse Vease Cete iS MR Rt Y   pnt SA Eva tq Debo Numi T usato uates Ge ek   Ka A W   13  LifeSync   Rechargeable Battery  LS AH05                 keke   kek   ka 14  TOKE a  MA YDA NN KANE Stas RA N EE NE sed A    DN N A U a nan 15  Conrigutration TOKENS cesta udo dud ye De i ak a dod tud a K   ee S   ka    A 15  Power SUD DIV LS I3 2   rn   l a eth o v Vti pie ud tti nO Waw    VR a Pis uri uidi  16  PCCOSSONIES yx                   16  Teleme wy POUCH asain n ederent WADAN ec iue a aS R   Naaa wa Tan n  k   ee tat 16  Introduction to LifeSync   Patient Cables and Cable Adapters                                  esses 17  Patient Cables and Cable Adapters                             eene nnne 17  LifeSync   Wireless System Operations dec casia sores eara a Verve mega co serere caa xp Mer dee dins 18  Wireless System Seb UD uice A me cnt cot e a is ye ied de ins va Menno ec n  b   coya Y   18  Install Check Batteries in TranSCce  VIrS         EE E keke keke k   kek K   KK Ae 18  Mount the LifeSync 2l MONOC TratscelVel yy ney neo ie uu iua    Ree KESAN   wandin we Mela r  n   19  Configuration of the LifeSync  2 1 Monitor Transceiver for 5 or 12 Lead Operation   eS 20  Configuration of the LifeSync 2 1 Monitor Transceiver for Bedside or Cart  zena DY TET 21  User Instructions  Wireless MONitoring            ccccsscccc
42. h the ECG Patient Simulator settings    5  Wait for two minutes  After two minutes  the Cart ECG machine Monitor  Transceiver stops receiving signals from the Patient Transceiver  Confirm that the  Communication Status indicator on the Cart ECG machine Monitor Transceiver  SOLID YELLOW  the Communication Status indicator on the cardiac Monitor  Transceiver flashes GREEN  and only the  Bedside  Communication Status  indicator on the Patient Transceiver flashes GREEN     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   42  Maintenance  amp  Troubleshooting    G  Transceivers     Confirm Low Battery Charge Indicators on Patient Transceiver   1  Disconnect Monitor Transceivers from ECG equipment and turn equipment OFF    2  Remove the batteries from all Transceivers  Disconnect the Monitor Transceivers  from the Power Supply and plug to AC power    3  Place the partially charged battery in the Patient Transceiver  Confirm that the  Low Battery Charge indicator flashes YELLOW and an audible tone continues to  beep  Remove the LeadWear  connector to turn Patient Transceiver OFF    4  Place the fully charged battery in one Monitor Transceiver  Turn the Transceiver  ON and confirm that all Low Battery Charge and Battery Charging indicators are  OFF  Repeat with the other Monitor Transceiver    5  Place the fully charged battery back into the Patient Transceiver    6  Connect both Monitor Transceivers to the Power Supplies and plug to AC power 
43. hat the Low Battery Charge  indicator is OFF    4  Connect electrode snaps on 5 LeadWear  Disposable to Patient Simulator    D  Transceiver Synchronizing   Single Bedside   1  Remove blue Token from the Bedside Monitor Transceiver  Confirm  Insert  Token Into Patient Transceiver  Status indicator on Monitor Transceiver glows  SOLID YELLOW    2  Insert Token into Token port on the side of Patient Transceiver  Wait for Return  Token To Monitor Transceiver Status indicator on Patient Transceiver to FLASH  YELLOW  Confirm that Patient Transceiver produces a single BEEP when Token is  fully seated    3  Remove Token from Patient Transceiver  Confirm that Return Token To Monitor  Transceiver Status indicator goes OFF    4  Place Token back into Token port of the Bedside Monitor Transceiver  Confirm  that the Monitor Transceiver produces a single BEEP  and that the  Insert Token  Into Patient Transceiver  Status indicator goes OFF  Confirm that Communication  Status indicators on both Transceivers flash GREEN  over  Bedside  on the  Patient Transceiver   Confirm that the ECG Respiration signals appear on the  cardiac monitor display  and that the ECG Respiration signals agree with the ECG  Patient Simulator settings     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync   2 1 System User s Manual   44  Maintenance  amp  Troubleshooting    E  Monitor Transceiver Set Up     Cart 12 Lead   1  Insert blue Token into Token port on the top of the ECG machine Monitor  Transceive
44. he ECG electrodes sites by ensuring proper connection of the  electrosurgery return pad  so that the return path cannot be made through the    Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   5  Preface    ECG electrodes  Care should be taken to prevent physical contact between  electrosurgical equipment and any LifeSync   Wireless System component  The  ECG and respiration signals will be interrupted for no more than a few seconds if  the electrosurgical current path is close to the ECG leads    To ensure patient safety  the conductive parts of ECG electrodes  any conductive  parts of the LifeSync  LeadWear  Disposable or any other conductive patient  applied parts should not contact any other conductive parts  including earth  ground  at any time    LifeSync   Wireless System and LifeSync  Patient Cables and Cable Adapters  should not be used in a Magnetic Resonance Imaging  MRI  suite  Strong  magnetic fields may affect the device  causing injury to the patient and or  damage to the equipment    The LifeSync  Wireless System and LifeSync  Patient Cables and Cable Adapters  can operate in the presence of pacemaker pulses  and will detect and  communicate these pulses to the ECG monitor  The LifeSync   Wireless System  may miss pacer pulses if high background noise is present  The LifeSync    Wireless System captures signal spikes regardless of whether spikes are due to  noise or pacer pulses  If the LifeSync   Wireless System trigger
45. ic imaging      The LifeSync   Patient Transceiver and LifeSync  Monitor Transceiver have been  tested and shown to comply with FCC Part 15  Any changes or modifications to  the LifeSync   Wireless System not expressly approved by LifeSync Corporation  could cause LifeSync   Wireless System emissions to exceed those permitted  under FCC rules  and would thus void the user   s authority to operate the  equipment      When using a 3 lead patient cable to connect the ECG equipment to the  LifeSync   Monitor Transceiver  Welch Allyn Propag and Philips Viridia monitors  will not properly detect and display a lead fail indication if one of the three  electrodes  RA  LA  LL  becomes detached from the patient  Note that the  monitor will function properly if connected to the LifeSync   Monitor Transceiver  with a 5 lead cable      Only use the LifeSync   Wireless System and LifeSync   Patient Cables and Cable  Adapters with ECG equipment that has been validated for compatibility  Contact  LifeSync Corporation Customer Service at 866 ECG 3888 for information on ECG  Monitors that are compatible with the LifeSync   Wireless System      Medical Electrical Equipment needs special precautions regarding EMC and  needs to be installed and put into service according to the EMC information  provided in this manual    Note  Validation testing for additional ECG equipment is ongoing  Please contact  LifeSync Corporation at 866 ECG 3888 for the current list of compatible equipment     Copyright 
46. ing   on page 33 of  this Manual        2  Connect Patient Cable or Cable Adapter to the trunk  cable or monitoring equipment     3  Connect the LeadWear  Disposable  BLUE connector   to the Patient Cable or Cable Adapter        Copyright  2013 LifeSync Corporation LS 216 Rev    LifeSync  2 1 System User s Manual   38  LifeSync  Patient Cables and Cable Adapters Operation    Patient Transfer  Wireless to Patient Cables and Cable  Adapters    To permanently transfer a patient from wireless monitoring to a wired connection     1  Connect Patient Cable or Cable Adapter to the trunk cable or monitoring  equipment    2  Remove LeadWear  Disposable from the LifeSync  Patient Transceiver  by  squeezing clips on LeadWear  Connector s  and pulling straight out from  transceiver    3  Connect LeadWear  Disposable  BLUE connector 5 Lead or GREEN connector 12  Lead  to the Patient Cable or Cable Adapter     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   39  Maintenance  amp  Troubleshooting    Maintenance  amp  Troubleshooting    System Functional Check    The LifeSync  Wireless System requires neither technical maintenance nor calibration     It is recommended that the following procedure be used to confirm the proper function  of system components before initial use  and at regularly scheduled intervals  as  dictated by the institution s plan for equipment performance confirmation     Required Equipment    Two LifeSync  Monitor Transceivers   
47. irm the fit of LeadWear  Disposable on patient  If lead placements  don t reach or there is too much slack  select a different size           Copyright  2013 LifeSync Corporation LS 216 Rev B    37    LifeSync  2 1 System User s Manual  LifeSync  Patient Cables and Cable Adapters Operation       LifeSync  Patient Cables and Cable  Adapters Operation    User Instructions  Patient Cables and Cable  Adapters    12 Lead Patient Cables and Cable Adapters  To use LeadWear   Disposable directly with 12 Lead ECG monitoring equipment     1  Select appropriate size 5 Lead LeadWear  Disposable  BLUE connector  and  precordial LeadWear  Disposable  GREEN connector  for the patient  refer to  size chart on page 10         NOTE  For placement of LeadWear  Disposable on patient  refer to  User  Instructions  LeadWear  Disposable for 12 Lead Monitoring   on page 35  of this Manual  Ensure the monitor is set for 12 Lead monitoring        2  Connect Patient Cable or Cable Adapter to the trunk cable or monitoring  equipment    3  Connect the LeadWear  Disposables  BLUE and GREEN connector  to the Patient  Cable or Cable Adapter    5 Lead Patient Cables and Cable Adapters    To use LeadWear   Disposable directly with ECG monitoring equipment     1  Select appropriate size 5 Lead LeadWear  Disposable  BLUE connector  for the  patient  refer to size chart on page 10         NOTE  For placement of LeadWear  Disposable on patient  refer to  User  Instructions  LeadWear  Disposable for 5 Lead Monitor
48. ituation where excess force would be applied to the  patient  resuscitation  please have a secondary method of monitor readily  available to avoid a period of time where the patient is not monitored     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   6  Preface      When disconnecting the LifeSync  Patient Cables and Cable Adapters  pull on the  plug itself  not on the cable        Cautions         The LifeSync   Patient Transceiver and LifeSync  Monitor Transceiver are Class 2   Bluetooth devices with a range of 10 meters 30 feet  Range may be reduced  from obstructions such as walls  concrete or metal structures  Optimal range of  communication is achieved by  line of sight  in which both transceivers  see   the other without obstructions  When possible maintain line of sight to improve  range      The rechargeable batteries should be removed  from both the LifeSync   Patient  Transceiver and the LifeSync   Monitor Transceiver  and stored separately when  the system is not in use for extended periods of time      Remove the plastic film cover from the rechargeable battery contacts before  using      Do not autoclave LifeSync  Wireless System components or LifeSync  Patient  Cables and Cable Adapters  Do not submerge LifeSync  Wireless System  components or LifeSync  Patient Cables and Cable Adapters in any liquid      LifeSync   LeadWear   Disposable is radiolucent  Areas of the circuit may show  shadows on x ray or under fluoroscop
49. les with ECG monitoring equipment via direct  electrical connection     Contact your Sales Representative or Customer Service  for a current list of Cable Adapters available           NOTE  LifeSync  Patient Cables and Cable Adapters are connected directly to the  monitor or trunk cable of 5 or 12 lead ECG monitors as well as directly  connected to wireless telemetry transmitters           NOTE  LifeSync  Patient Cables and Cable Adapters are non sterile  reusable and  latex free        Copyright  2013 LifeSync Corporation LS 216 Rev B    17    LifeSync  2 1 System User s Manual   18  LifeSync   Wireless System Operation    LifeSync  Wireless System Operation    The LifeSync  Wireless System works with existing ECG monitor equipment        NOTE  Proper function of the LifeSync   Wireless System with the ECG monitoring  equipment should be confirmed before use with a patient    See System Functional Check on page 39 of this Manual         Wireless System Set Up    Install Check Batteries in Transceivers       NOTE  If battery is new  remember to remove the plastic tape from the battery  contacts before first use  A new battery will need to be charged in a    LifeSync   Monitor Transceiver for approximately eight hours before first  use        1  Check battery charge level by installing each battery into a Monitor Transceiver  connected to A C power  If all four battery indicators are not lit  allow the  battery to fully charge or replace battery with a fully charged battery  E
50. n  and from Bedside Permanent  Monitoring to Cart Temporary  Monitoring using the YELLOW Token           NOTE  Configuration changes are not part of normal operation and should only be  performed by trained individuals  See Wireless System Setup for a full description of the  procedure        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   16  Introduction to the LifeSync  Wireless System    Power Supply  LS 132    The LifeSync  Power Supply converts AC power  to the 5 5 V DC power required to operate the  Lifesync  Monitor Transceiver and charge the  LifeSync   Rechargeable Battery           Note  When the LifeSync   Monitor Transceiver is disconnected from the LifeSync   Power Supply or AC power  the battery will stop charging and LifeSync  Monitor  Transceiver will be powered by the rechargeable battery        Accessories  Telemetry Pouch    A Telemetry Pouch  LS 213  may  be used to protect the LifeSync   Patient Transceiver from fluids  and other hazardous materials        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual  Introduction to the LifeSync   Wireless System       Introduction to LifeSync  Patient Cables  and Cable Adapters    Patient Cables and Cable Adapters    The LifeSync  Patient Cables and Cable Adapters provide  an interface between the ECG equipment and LifeSync    LeadWear  Disposables  The LifeSync  Patient Cables  and Cable Adapters permit the use of LeadWear    Disposab
51. nen    Copyright   2013 LifeSync Corporation LS 216 Rev B    LifeSync   2 1 System User s Manual   24  LifeSync  Wireless System Operation    The patient s ECG signal will appear on the cardiac monitor within a few seconds   If ECG cardiac monitor is respiration capable the respiration signal will also  appear     12 Lead Wireless Monitoring    To continuously monitor 12 lead ECG signals using a 12 lead cardiac monitor     Confirm LifeSync  Monitor Transceiver Settings       NOTE  Make sure a LifeSync  BLUE Token is installed in the token port of the  Monitor Transceiver        E       A     1  Press Power On Off switch to turn  Monitor Transceiver ON     Ku  A        LIFESYNc  2  Confirm the indicator    12 LEAD    is A VAV    illuminated     3  Confirm the    BEDSIDE    is illuminated   a      E  3 5     0 BEDSIDE CART       SETUP         MOVE TOKEN TO  PATIENT TRANSCEIVER    REMOVE TOKE       Apply LifeSync   LeadWear  Disposable    1  Select appropriate size 5 Lead LeadWear  Disposable  BLUE connector  for the  patient  refer to size chart on page 10  and Precordial LeadWear  Disposable   GREEN connector         NOTE  For placement of LeadWear  Disposable on patient  refer to  User  Instructions  LeadWear  Disposable for 12 Lead Monitoring   on page 35  of this Manual        2  Insert both BLUE 5 Lead LeadWear  and GREEN precordial LeadWear   Connectors into BLUE and GREEN slots on Patient Transceiver  matching colors   Inserting the Lead LeadWear   BLUE  Connector will t
52. nitor Transceiver will remember the current pairing and  there is no need to re synchronize with the LifeSync   Patient Transceiver  when changing the ECG configuration        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync   2 1 System User s Manual   21  LifeSync  Wireless System Operation    Configuration of the LifeSync   2 1 Monitor Transceiver for  Bedside or Cart Operation    1  Connect LifeSync  Monitor  Transceiver to LifeSync  Power Supply  and AC power source    2  Power up Monitor Transceiver  by depressing On Off switch    3  Current BEDSIDE  permanent  monitoring  or CART  temporary  monitoring  will be illuminated    4  To change BEDSIDE CART  configuration  remove the   i  synchronization BLUE Token from the       PATIENT TRANSCENER  slot on the Monitor Transceiver      5  Insert the YELLOW Configuration  Token into the Token slot    8  The Monitor Transceiver will BEEP 4  times  and illuminate the new  configuration    9  Remove the YELLOW configuration  Token and replace with the BLUE  synchronization token     RECEIVING ECG          NOTE  LifeSync   Monitor Transceiver will need to re synchronize with the  LifeSync   Patient Transceiver when changing the BEDSIDE CART  configuration        Copyright   2013 LifeSync Corporation LS 216 Rev B    LifeSync   2 1 System User s Manual   22  LifeSync  Wireless System Operation    User Instructions  Wireless Monitoring    5 Lead Wireless Monitoring    To continuously monitor 3 lead or 5 lead ECG signals
53. nized with  the Patient Transceiver        e 8  1  Press Power On Off switch to turn e b   CART Monitor Transceiver ON          LIFESvN  qu    2  Confirm the indicator  5 LEAD  or     12 LEAD    is illuminated   3  Confirm the    CART    is illuminated     _ MOVE TOKEN TO  PATIENT TRANSCEIVER  ut MCOVt K  N  wid NT PTD  PATIENT TRANSCEIVER  WMT WNT PATE     EEE AMD LED Mi IN  SETURN TOREN TO MONITO  WANSC EINER       Cart 12 Lead ECG Only   Apply Precordial  LeadWear  Disposable    1  Select Precordial LeadWear  Disposable  GREEN connector         NOTE  For placement of Precordial LeadWear  Disposable on patient  refer to   User Instructions  LeadWear  Disposable for 12 Lead Monitoring   on  page 35 of this Manual        2  Ensure the V  BROWN  lead of the 5 Lead LeadWear  Disposable  already on the  patient  is in V1 location     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   27  LifeSync  Wireless System Operation    3  Insert GREEN precordial LeadWear  Connector into GREEN slot on Patient  Transceiver  Ensure that connector is seated securely and that tabs lock into  place     Synchronize LifeSync  Transceivers    1  Follow instructions in SETUP section of CART  Monitor Transceiver     y    4    L  FESYN   qm    2  REMOVE TOKEN   Remove BLUE Token  the   MOVE TOKEN TO PATIENT TRANSCEIVER    senior Pronscehvir l  indicator will glow SOLID YELLOW  CW n   3  INSERT INTO PATIENT TRANSCEIVER   Pull   t7  the flexible cap away from the 
54. not fully  inserted or defective  curling   scratches  etc      e LeadWear   damaged    e Trunk cable damaged or  disconnected from Cable  Adapter or ECG  monitor telemetry box   e Respiration function not  selected on ECG equipment    LifeSync   2 1 System User   s Manual   56    Maintenance  amp  Troubleshooting    Solution  LeadWear   blue connector  correctly  replaced if damaged   e Inspect for damage and replace  if needed   e Check end cap  replace Patient  Transceiver if damaged     e Check lead wire s  are free of  damage and firmly connected to  Monitor Transceiver  Replace if  damaged   e Separate lead wires from AC  power source   e Check trunk cable for damage  or disconnection  Replace if  damaged   e Select proper respiration  function settings   e Replace Patient Transceiver     e Replace Monitor Transceiver      e Replace electrode s  and ensure  proper skin prep and placement    e Check LeadWear  leads are  properly placed  alternative  placement may interfere with  respiration   e Ensure that LeadWear   Disposable is firmly attached to  electrode snaps   e Remove  inspect for damage  and replace or reinsert  LeadWear  Connector correctly   replaced if damaged   e  nspect for damage and replace  if damaged   e Check trunk cable for damage  or disconnection  Replace if  damaged    e Select proper respiration  function settings    Copyright  2013 LifeSync Corporation LS 216 Rev B    SYmptom  Adapters  No ECG or  Respiration  Continued    Patient Cables  and Ca
55. ntained in this document is subject to change without notice   LifeSync Corporation makes no Warranty of any kind with respect to this information     For more information concerning the LifeSync  System  contact   LifeSync Corporation  Fort Lauderdale  Florida USA  within the US  954 745 3510  Toll Free  866 ECG 3888  866 324 3888   www LifeSyncCorp com    Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   66  Technical   Specifications    Reorder Information    Printed copies of this User Manual are available directly from LifeSync Corporation   Reorder   LS 216    LifeSync  System components can be reordered from LifeSync Corporation  by calling  toll free 866 ECG 3888  866 324 3888      For convenience  LifeSync   Reorder codes and or Model Numbers appear on all  LifeSync   System components     Copyright  2013 LifeSync Corporation LS 216 Rev B    
56. o battery slots  battery contacts  connector  ports  and Token ports or any other openings or crevices   e Do not immerse any LifeSync System Component in any liquid        Cleaning and Disinfecting Patient Cables and Cable  Adapters    Clean the Patient Cables and Cable Adapters by wiping with a lint free cloth  moistened  with warm water and mild detergent or soap solution        CAUTION  Never use oils or strong solvents        Allow Patient Cables and Cable Adapters to dry completely after cleaning     Disinfect the Patient Cables and Cable Adapters by using a chemical disinfectant such as  ethanol  propanol  or glutaraldehyde     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   49  Maintenance  amp  Troubleshooting       CAUTION  Use only recommended cleaning substances and disinfectants  Others  may cause damage not covered by warranty  reduce the useful life of  the product  or cause safety hazards        Cleaning the LeadWear   Disposables    LifeSync   LeadWear   Disposables are intended for single patient use only  They may be  wiped with a nearly dry cloth  moistened with warm water  If a LeadWear   Disposable  becomes badly soiled  it should be replaced        NOTE  These recommendations are provided for guidance only  The actual  cleanliness of devices depends upon techniques and actual cleaning  practices employed by the user        Copyright   2013 LifeSync Corporation LS 216 Rev B    Troubleshooting    LifeSync  2 1 Sys
57. ocess   receiving ECG       SERVICE RED   SOLID OR FLASHING Transceiver malfunction   service required    All leads connected  LEAD OFF  YELLOW   SOLID Check patient leads and electrodes  GREEN   SOLID Battery is fully charged  GREEN   FLASHING Battery is charging    BATTERY CHARGING AND NOTE  The GREEN light only flashes when the unit is connected to the LifeSync  Power  FUEL GAUGE Supply plugged into AC power   Battery charge level low  currently operating on  lo C  6    YELLOW   FLASHING battery and less than 60 minutes operation time  remains   NOTE  The YELLOW light is only active when the unit is NOT connected to the LifeSync   Power Supply plugged into AC power           A C POWER    e3 GREEN   SOLID Indicates when A C Power is applied  A C       LifeSync   Rechargeable Battery  LS 405    The LifeSync  Rechargeable Battery is a 3 6 Volt rechargeable Lithium ion battery  and is  interchangeable between the LifeSync  Patient Transceiver and the LifeSync  Monitor  Transceiver  Batteries are shipped in a partial charge state     The LifeSync  Battery charges in less than eight  hours  when installed in a Lifesync  Monitor  Transceiver that is connected to the LifeSync   Power Supply plugged into 110V AC power           NOTE  If battery is new  remember to remove the plastic tape from the battery contacts  before first use  A new battery will need to be charged in a LifeSync   Monitor Transceiver for approximately eight hours before first use        Copyright  2013 LifeSync
58. omagnetic propagation is affected by absorption and reflection  from structures  objects and people     Field strengths from fixed transmitters  such as base stations for radio  cellular wireless  telephones and land mobile radios   amateur radio  AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy  To assess the  electromagnetic environment due to fixed RF transmitters  an electromagnetic site survey should be considered  If the  measured field strength in the location in which the LifeSync System 2 1 is used exceeds the applicable RF compliance level  above  the LifeSync System 2 1 should be observed to verify normal operation  If abnormal performance is observed   additional measures may be necessary  such as re orienting or relocating the LifeSync System 2 1     Over the frequency range 150 kHz to 80 MHz  field strengths should be less than 3 V m        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   64  Technical   Specifications    Recommended Separation Distances    between portable and mobile RF communications equipment and the LifeSync System 2 1    The LifeSync System 2 1 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled   The customer or the user of the LifeSync System 2 1 can help prevent electromagnetic interference by maintaining a minimum  distance between portable and mobile RF communications equipment  transmitters  and the Lif
59. r    2  Placethe third partially charged battery in the ECG machine Monitor  Transceiver  confirming that the plastic film contact cover has been removed    3  Press Power On Off switch  Confirm that all indicators light for approximately  one second and an audible BEEP is heard  this is a user interface test  Confirm  that the YELLOW Low Battery Charge indicator is flashing and that an audible  tone continues to beep    4  Connect the ECG machine Monitor Transceiver to the Power Supply and plug to  AC Power    5   nsert the gree configuration Token marked ECG in the Token port on the top of  the Monitor Transceiver  The Monitor Transceiver will BEEP 4 times  and change  the ECG mode  which will be illuminated on the front panel  Confirm that the  configuration function is working by performing this operation several times   Select ECG 12 Lead mode    6  Insert the yellow configuration Token Marked Bedside Cart into the Token Port  on the top of the Monitor Transceiver  The Monitor Transceiver will BEEP 4  times  and switch between Bedside and Cart Communication Modes  Confirm  that the configuration function is working by performing this operation several  times  Select Cart Communication Mode    7  Connect lead wires from the 12 lead ECG machine to the ECG machine Monitor  Transceiver  matching colors and lead markings    8  Remove Precordial LeadWear   Disposable from package and connect electrode  snaps on Precordial LeadWear  Disposable to Patient Simulator  do not conne
60. r and charge battery    e Replace power supply  e Replace Monitor Transceiver      e Remove  inspect for damage  and replace or reinsert  LeadWear  Connector correctly   replace if damaged   e Ensure battery is fully inserted  and latched   e Replace battery   e Check end cap  replace Patient  Transceiver if damaged     e Replace Patient Transceiver      Copyright  2013 LifeSync Corporation LS 216 Rev B    SYmptom  Monitor  Transceiver    Intermittent  On Off    Transceivers  Red Service  light On   All LEDs On    No or  Intermittent  Communication   sync  between  Transceivers    Patient  Transceiver  beeping    Cause   e Power supply not properly  connected to Monitor Transceiver  or AC outlet    e Battery not fully inserted  if  running on battery    e Faulty battery   e Faulty power supply   e Monitor Transceiver failure    e Unit needs servicing    e Unit needs servicing    e Token not fully inserted on  Monitor Transceiver    e Patient Transceiver or Monitor  Transceiver not turned On  e Out of range or at edge of range    e Permanent communication will  drop briefly  3 to 4 seconds  while  initiating Cart 12 lead Monitoring    e 5 Lead LeadWear  blue  connector not fully inserted or  defective  curling  scratches   etc     e End cap damaged    e Patient Transceiver failure  e Monitor Transceiver failure    e Low or faulty battery    e Battery not fully inserted    LifeSync  2 1 System User s Manual   51    Maintenance  amp  Troubleshooting    Solution   e Ensure power 
61. raw a small amount of power from  the battery even when Monitor Transceiver is turned off  If the Monitor  transceiver is turned off  the AC adaptor is removed and the batteries are stored  for more than a month they will need charging        Copyright   2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   47  Maintenance  amp  Troubleshooting       NOTE  Storing the battery for a long period of time without use may degrade the  battery capacity           CAUTION  e Store batteries between  10 C and 26  C  50  F and 80  F   e Keep batteries in low humidity location with little temperature variation   e Keep batteries away from direct sunlight        Patient Cables and Cable Adapters  Maintenance    Before use  check that the product is intact and clean        WARNING  Do not use if you see signs of deterioration or damage  Make sure  there are no cracks  cuts  tears  or breaks in the insulation and that  the connectors are in good condition        Use only recommended cleaning substances and disinfectants listed in the cleaning  section of this Manual  Others may cause damage not covered by warranty  reduce the  useful life of the product  or cause safety hazards        CAUTION  Never immerse or soak the Patient Cables and Cable Adapters           CAUTION  Do not sterilize Patient Cables and Cable Adapters by autoclave   radiation or steam        Always follow and retain the instructions accompanying the cleaning and disinfecting  substances you are 
62. re   BLUE  to synchronize the  Transceivers   GREEN  to select 3 5 lead ECG or 12 lead  ECG  and  1 11     to set between Bedside and Cart     Power ON OFF         Turn Monitor Transceiver ON with On Off switch     ECG Monitor Connections       Posts for connection to ECG lead wire set     _ Bedside Cart   _ Ll   Use YELLOW Token to set between Bedside and Cart         ECG       Use GREEN Token to select 3 5 lead or 12 lead     Battery Charge and A C Indicator     lt  Indicates when connected to A C and amount of remaining  charge on battery     Battery Latch   L7 7 Holds battery in place     LifeSync  Rechargeable Battery        Insert removable battery here for charging  A built in  battery charger automatically charges the battery  whenever the Monitor Transceiver is connected to the  LifeSync  Power Supply plugged into AC power        VISUAL STATUS INDICATORS    MONITOR TRANSCEIVER  POWER ON OFF SWITCH    ON OFF SWITCH Press to turn unit ON or OFF    OF 3 5 lead not selected  ECG   3 5  GREEN   SOLID 3 5 lead selected  TT CE TT 12 lead not selected  ECG   12  GREEN   SOLID 12 lead selected    GREEN   SOLID Bedside selected      OF  _         Catnmotsdeted       O  CART       OFF  OFF  Bedside not selected  BEDSIDE  OFF    Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   14    Introduction to the LifeSync   Wireless System    SETUP    MOVE TOKEN TO PATIENT    STATUS  RECEIVING ECG YELLOW   SOLID  GREEN   FLASHING Communication in pr
63. rmed individually by  PT on all 10 patient electrode connections   e Leadoff sensed by Patient Transceiver respectively leadoff electrodes in MT   e Leadoff simulated by Monitor Transceiver   Leadoff of all electrodes simulated during  loss of radio link   Leadoff of all electrodes simulated during  loss of power to either PT or MT   Note  Power to leadoff circuit in MT is backed   up by internal long life lithium coin cell    batteries     Be    Copyright  2013 LifeSync Corporation LS 216 Rev B       LifeSync  2 1 System User s Manual  Technical   Specifications    Specification    Pacer Pulse Detection  Transmission  and Signals on RA  LA   amp  LL channels only are acquired   Reconstruction at  16 000 sps and monitored for high slew rates   210 000 mV s   When high slew rate is detected  a  high resolution 6 ms data sample is acquired and    transmitted without Captures and transmits 6 ms   Detects and transmits pacemaker pulses of  amplitude 2 700 mV of duration 0 2 2 0 ms and of  amplitude 3 700 mV of duration 0 1 0 2 ms     Pacer Pulse Function Trigger Slew Rate Pacer Pulse functions triggers when ECG signal slew  rate exceeds 10 000 M     Signallatencyduetoradio        ss Latency due to radio  500msmaximum                 ms maximum    Operating Battery 3 6 VDC  po Capadty _________  2200 mA hr    Technology Rechargeable Lithium Ion    Operating Battery Life Patient Transceiver     W xHxT   W xHxT     Storage Temperature  20 to 70  C  Atmospheric Pressure   1060 mbar  
64. rom the equation  applicable to the frequency of the transmitter     Recommended separation distance    Conducted RF 3 Vrms d   1 24 P  IEC 61000 4 6 150 kHz to 80 MHz    Radiated BF 3 V m d  1 24 P80 MHz to 800 MHz  IEC 61000 4 3 80 MHz to 2 5 GHz  d     2 34 P 8o00 MHz to 2 5 GHz    where P is the maximum output power rating of the   transmitter in watts  W  according to the transmitter  manufacturer and d is the recommended separation  distance in meters  m      Field strengths from fixed RF transmitters  as  determined by an electromagnetic site survey   should  be less than the compliance level in each frequency  range       Interference may occur in the vicinity of equipment  marked with the following symbol      2     If operating under conditions according to the EMC   standard 60601 1 2  Radiated Immunity 3V m   field  strengths at this level may cause erroneous  measurements of respiration at various frequencies  when the LifeSync amp  Wireless System is used together  with some Monitor Systems  The criteria for success  that was used for the respiration portion of the  LifeSync System 2 1 for radiated immunity  3 V m  was  oriented toward patient respiration rate monitoring  The  respiration rate as displayed on the patient monitor  tested could not deviate more than   2096 with a 10  second settling time for transmitter switching     NOTE 1 At 80 MHz and 800 MHz  the higher frequency range applies     NOTE 2 These guidelines may not apply in all situations  Electr
65. s frequently from  background noise due to motion artifact  EMI  etc   then pacer pulses could be  masked or missed by the LifeSync   Wireless System  See further disclosure of  pace maker pulse detection information in the Technical section on page 59 of  this manual    The LifeSync   Wireless System may decrease the ability of the monitor to detect  marginal pacemaker pulses  e g   pacemaker pulses having amplitudes  lt  2 0 mV  and or widths  lt  0 2 ms   If the monitor does not detect the pacemaker pulse   then attempt to change the monitored Lead to a Lead exhibiting a larger  amplitude pacemaker pulse  If changing the monitored Lead does not result in  pacemaker pulse detection  then switch the patient to a LifeSync   Patient Cables  and Cable Adapters    The LifeSync   Wireless System should not be used for external pacing   Impedance pneumography detects respiratory effort via changes in chest  volume  Impedance pneumography can be used to detect central apnea  but  apnea episodes with continued respiratory effort  such as obstructive apnea and  mixed apnea  may go undetected  Artifacts due to patient motion  mattress  shaking or use of electrocautery equipment may also cause apnea episodes to go  undetected  Impedance pneumography is not recommended for patients with  pacemakers    A loss of signal can occur if excess force causes damage to a LifeSync   LeadWear    Disposable that is stretched due to electrode placement on the patient  In the  event of an emergency s
66. sceiver or AC  outlet  resulting in low battery    e Battery not fully inserted  if  running on battery    e Faulty battery   e Faulty power supply   e Monitor Transceiver failure   e 5 Lead LeadWear   blue  connector not fully inserted or  defective  curling  scratches   etc     e Battery not fully inserted    e Faulty battery  e End cap damaged    e Patient Transceiver failure   e Power supply not properly  connected to Monitor  Transceiver or AC outlet    e Battery not fully inserted  if  running on battery    e Faulty battery   e Faulty power supply   e Monitor Transceiver failure   e Battery not fully charged at  start when replaced   e Battery at end of life  or faulty    LifeSync   2 1 System User   s Manual   52    Maintenance  amp  Troubleshooting    Solution   e Check 5 Lead LeadWear    connector for damage  replace  if needed    e Check end cap  replace Patient  Transceiver if damaged     e Replace Patient Transceiver     e Connect power supply to  Monitor Transceiver and AC  outlet  verify green A C  indicator lit   e Ensure battery is fully inserted  and latched   e Replace battery   e Replace power supply   e Replace Monitor Transceiver     e Remove  inspect for damage  and replace or reinsert  LeadWear   Connector correctly   replaced if damaged   e Ensure battery is fully inserted  and latched   e Replace battery   e Check end cap  replace Patient  Transceiver if damaged     e Replace Patient Transceiver     e Ensure power supply properly  connected to Monitor
67. se Telemetry Pouch  to protect it from fluids and other hazardous materials     In areas where the wireless capability of the LifeSync   Wireless System is not in use     LifeSync   Patient Cables and Cable Adapters are available to connect the LeadWear    Disposable s  directly to an ECG monitor     Copyright   2013 LifeSync Corporation LS 216 Rev B       8    LifeSync  2 1 System User s Manual   9  Introduction to the LifeSync  Wireless System    Unpacking Checklist    2 1 Patient Transceiver    DI LifeSync  2 1 Patient Transceiver    Q LifeSync   Rechargeable Battery  tt  in    2 1 Monitor Transceiver    LifeSync  2 1 Monitor Transceiver   LifeSync   Rechargeable Battery   LifeSync  Blue synchronization Token   LifeSync   Yellow Bedside Cart configuration Token  LifeSync   Green 5 12 Lead configuration Token  Lifesync  Mounting Plate   Reference Material CD including User s Manual     L1 L1 L1 J   Di i E        LeadWear  Disposable    DI LifeSync  5 Lead LeadWear   Disposable  DI LifeSync  Precordial LeadWear  Disposable  DI LifeSync  12 Lead LeadWear   Disposable         A printed LifeSync  System User s Manual  LS 216  is provided when requested     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   10  Introduction to the LifeSync  Wireless System    System Components    LifeSync  LeadWear   Disposable    There are two types of LifeSync   LeadWear  Disposable     5 Lead LeadWear  BLUE For continuous  Disposable Connector   5 lead E
68. serted  and latched   e Charge battery or replace with  fully charged battery and ensure  it is properly latched    e Replace defective battery   e Connect power supply to  Monitor Transceiver and AC    Copyright  2013 LifeSync Corporation LS 216 Rev B    Symptom    No   Intermittent or  Noisy  Respiration    No   Intermittent  or Noisy  Respiration  Continued    Cause  outlet    e Monitor Transceiver is Off    e Incorrect 5 Lead or 12 Lead ECG  mode selected   e Lead wire s  damaged or poor  connections to Monitor  Transceiver    e Lead wire s  too close to AC  power source   e Trunk cable damaged or not  properly connected to lead  wires or ECG monitor   e Out of range or at edge of range    e Token not fully inserted on  Monitor Transceiver    e Transceivers not synchronized    e Motion artifact   e ECG monitor not operating  properly   e Patient Transceiver failure    e Monitor Transceiver failure    e Electrode s  faulty  not properly  placed or skin not properly  prepped   e LeadWear   leads incorrectly  placed    e Poor LeadWear   Disposable  connection to electrode s     e LeadWear   Blue connector not  fully inserted or defective    LifeSync   2 1 System User   s Manual   55    Maintenance  amp  Troubleshooting    Solution  outlet  verify green A C  indicator lit   e Turn Monitor Transceiver On  with power on off switch   e Ensure proper 5 Lead or 12  Lead ECG mode selected   e Check lead wire s  are free of  damage and firmly connected to  Monitor Transceiver  Repla
69. ssscccessecccesececeuscecsuseceseecesanscesauaees 22  5 XEead Wireless MONItONNE yk   a    b   ken d   Kurdan   Kek   adan dre P  k 68200 22  12 Lead Wireless WMIONILOLING 5 eto dead rrt dh o eb a bene do ape va SEM bA 24  AI e   c E 26    Patient Transfer  Wireless to Wireless h b    eene eme emnes 29    System RemoVdlostss nA Hun   K   KU AD KK    KV aas Doce d KE A    eed vago    KAN   cL H Rud 30  LifeSync  R  chareeable Batteries ion oe   l yen   a   n   V   C Da TEM   k   ka 30   Bo e leri lela T cM 32  User Instructions  LeadWear   Disposable                      eesseeeeeen enne 33  SNR Ure  alice  gil A   RTI 33   12 Lead  MORItOFIDB nak a    k   rie ke ek   cet ni oo Waa eke iu ee Man ep tai v AR elan 35  LifeSync   Patient Cables and Cable Adapters Operation  hAhh      h  A  eee 37  User Instructions  Patient Cables and Cable Adapters eee 37  12 Lead Patient Gables and Gable AdaDte s   i cio arae du ER Pp pao Kin edet S Deb o ERE 37   5 Lead Patient Cables and Cable Adapters M E keke keka 37  Patient Transfer  Wireless to Patient Cables and Cable Adapters                             38  Maintenance   amp  TroubleshOotlhig   si  sla e rien er e e k  n le e e v dee a Cre ua 39  System F  unctional  Check ly Kl ki atendido e Kr is atre    Ke K   oaths UD t Lt ASTA d A pe ed 39  Requirec   EquipImiell ik oed terere dI bara E Po vu VO E Pise ud eth DO v VOR E Pis Uri ETE 39  System Configuration and Functional Check    kk keke   42  Rechargeable Battery  udi tu a em epe
70. stem 2 1 includes low power Bluetooth class 2 RF transmitters for patient monitoring and   diagnosis  Although no issues have been observed with coexistence with 802 11 b g equipment  the user should be  aware that the LifeSync System 2 1 operates in the same frequency band as 802 11 b g  The RF band of transmission is  2 400 GHz to 2 4835 GHz  The overall band of the signal is 83 5Mhz with 79 channels of adaptive frequency hopping   Each channel has a bandwidth of 1 Mhz  The maximum radiated output power is 2 5 mW or 4 dBm     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   65  Technical   Specifications    Manufacturer s Information    The LifeSync  System is covered by one or more of the following Patents   5 862 803  5 957 854  6 289 238  6 441 747  6 496 705  6 577 893  6 611 705   Additional patents are pending     LIFESYNC CORPORATION EXPRESSLY DISCLAIMS ANY IMPLIED WARRANTY OF  MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE     The LifeSync  System complies with UL 60601 1  CSA C22 2 No  601 1  EN 60601 1 and  EN 60601 2 27  LifeSync   LeadWear   Disposables comply with ANSI AAMI EC 53  1995  and EC 53 A1  1998     The LifeSync  System complies with Part 15 of the FCC rules    Operation is subject to the following two conditions    1  This device may not cause harmful interference  and   2  This device must accept any interference received  including interference that  may cause undesired operation     The information co
71. supply properly  connected to Monitor  Transceiver and AC outlet  verify  green A C indicator lit   e Ensure battery is fully inserted  and latched   e Replace battery   e Replace power supply   e Replace Monitor Transceiver      e Replace Patient Transceiver or  Monitor Transceiver      e Replace Patient Transceiver or  Monitor Transceiver      e Fully insert token on Monitor  Transceiver and synchronize if  needed   e Ensure both units are turned On  and synchronize if needed   e System range exceeded   move  patient back within 30 feet of  Monitor Transceiver    e Intermittent condition may last  up to 20 seconds if temporary  communication cannot be  established    e Remove  inspect for damage  and replace or reinsert  LeadWear  Connector correctly   replaced if damaged   e Check end cap  replace Patient  Transceiver if damaged     e Replace Patient Transceiver     e Replace Monitor Transceiver     e Re charge battery  or replace   with fully charged battery   e Ensure battery is fully inserted  and latched    Copyright  2013 LifeSync Corporation LS 216 Rev B    Symptom  Patient  Transceiver  beeping  Continued    Monitor  Transceiver  beeping    Patient  Transceiver All  LEDs  Intermittent  On Off    Monitor  Transceiver All  LEDs  Intermittent  On Off    Battery does  not last 16  hours on  Patient  Transceiver or  8 hours on  Monitor  Transceiver    Cause  e Turns on and off intermittently    e Patient Transceiver failure   e Power supply not connected to  Monitor Tran
72. t is recommended that batteries be discarded after one year of normal use  400  discharge cycles   Recycle or dispose of discarded batteries according to national  state    and local regulations   ke    cus  MH29577    LIFESYNC CORPORATION  1 866 324 3888  USA   www LifeSyncCorp com                   2 0 Rechargeable Li ion Battery  Rating  3 7V 2 3Ah 8 6Wh    HET EA AU  CWWYYZZZZ            2410007   DO NOT disassemble  crush  or puncture  short circuit   incinerate  heat over 60  C   Assembied in China          CAUTION  e Remove the plastic film cover from the battery contacts before using   e Do not short the battery terminals   e Do not try to connect a LifeSync   Rechargeable Battery with any device  other than a LifeSync   Monitor Transceiver or a LifeSync   Patient  Transceiver   e Do not expose to high temperature  above 26  C   80  F            WARNING  e Do not incinerate  submerge  crush  disassemble or autoclave the battery   e Do not recharge or reuse battery that has been submerged  discard or  recycle it immediately        Battery Storage    Batteries should be removed from Patient Transceivers and stored separately when not  in use for more than a few days        NOTE  The Patient Transceiver will continue to draw a small amount of power from the  battery even when LeadWear   Disposables are not connected and all indicators  are off  If batteries are stored for more than a month they will need charging           NOTE  The Monitor Transceiver will continue to d
73. tem User s Manual   50    Maintenance  amp  Troubleshooting    In each section  start at the top of each solution set and work down     Symptom  Patient  Transceiver  won t turn On    Monitor  Transceiver  won t turn On    Patient  Transceiver  Intermittent  On Off    Cause   e 5 Lead LeadWear   blue  connector not fully inserted or  defective  curling  scratches   etc      e Battery is discharged or  defective    e Battery contacts covered  e End cap damaged    e Patient Transceiver failure    e Power supply not connected to  Monitor Transceiver or AC  outlet    e Monitor Transceiver is not On    e Faulty AC outlet   e Battery contacts covered  if  running on battery    e Faulty power supply   e Monitor Transceiver failure    e 5 Lead LeadWear  blue  connector not fully inserted or  defective  curling  scratches   etc     e Battery not fully inserted    e Faulty battery  e End cap damaged    e Patient Transceiver failure    Solution   e Remove  inspect for damage  and replace or reinsert  LeadWear  Connector correctly   replaced if damaged    e Charge battery or replace with  fully charged battery and ensure  it is properly latched    e Replace defective battery   e Uncover and charge battery   e Check end cap  replace Patient  Transceiver if damaged     e Replace Patient Transceiver      e Connect power supply to  Monitor Transceiver and AC  outlet  verify green A C  indicator lit   e Turn Monitor Transceiver On  with power on off switch   e Use another AC outlet   e Uncove
74. tion     The LifeSync  System will eliminate the wires between the ECG patient and the ECG  monitor and will replace the traditional ECG cable with a radio link  The LifeSync    System will support the standard 5 lead ECG hook up  via the Continuous Leadwear for  monitoring and has the capability to add the remaining V1 V6 precordial leads  via the  Discrete Leadwear for 12 lead discrete ECG recording     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   2  Preface       CAUTION  United States Federal law restricts this device to sale  distribution or  use by  or on the order of  a licensed medical practitioner        This User Manual is intended for use by trained clinicians  who are presumed to be  familiar with the use of ECG monitoring equipment  and interpretation of vital signs  collected and displayed by that equipment     The LifeSync  Patient Cables and Cable Adapters are intended to be used in conjunction  with various patient monitoring equipment such as ECG and EKG     Caution Warning Conventions       WARNING  Calls attention to WARNINGS   conditions or practices that could  result in personal injury to the patient or the clinician           CAUTION  Calls attention to CAUTIONS   conditions or practices that could result  in damage to the equipment or other property           NOTE  Calls attention to NOTES   information of particular importance or  assistance to the user        Copyright  2013 LifeSync Corporation LS 216 Re
75. token port on     Rom N    Patient Transceiver and fully insert BLUE  Token into token port     4  WAIT UNTIL PATIENT TRANSCEIVER BEEPS  AND LED BLINKS     A single audible BEEP is  produced when BLUE Token is fully inserted  and  RETURN TOKEN INTO MONITOR  TRANSCEIVER     indicator on the Patient  Transceiver will glow FLASHING YELLOW     5  RETURN TOKEN TO MONITOR TRANSCEIVER   as          Remove BLUE token from Patient TRANSMITTING ECG  Transceiver and close flexible cap over token BEDSIDE   CART       port  the    RETURN TOKEN INTO MONITOR  TRANSCEIVER    indicator on the Patient Transceiver will go off     6  Fully insert the BLUE Token into the token port on the CART Monitor  Transceiver  The CART Monitor Transceiver will BEEP when the token is properly  re inserted and the    MOVE TOKEN TO PATIENT TRANSCEIVER    indicator will go  off     7  Within a few seconds  the Transceivers    STATUS indicators will display FLASHING  GREEN if communicating or SOLID YELLOW if communication failed  If  communication fails repeat steps 1 thru 5     Patient Transceiver  STATUS   TRANSMITTING ECG CART indicator  and BESIDE indicator will both flash GREEN     STATUS    TRANSMITTING ECG    BEDSIDE CART       Copyright   2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual  LifeSync  Wireless System Operation    Communication in process with both BEDSIDE Monitor Transceiver and  CART Monitor Transceiver     CART Monitor Transceiver                     STATUS    ST
76. urn the Patient Transceiver  ON  Ensure that connectors are seated securely and that tabs lock into place     3  Place LifeSync  Patient Transceiver inside Telemetry Pouch  Pouch can be placed  on or near the patient     Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   25  LifeSync  Wireless System Operation    Synchronize LifeSync  Transceivers    1  Follow instructions in SETUP section of ere 2  Monitor Transceiver     A  KT        EN    LIFESYNc    KEMA     2  REMOVE TOKEN   Remove BLUE Token  the     MOVE TOKEN TO PATIENT TRANSCEIVER    Monitor Transceiver    indicator will glow SOLID YELLOW      3  INSERT INTO PATIENT TRANSCEIVER   Pull 1    e  the flexible cap away from the token port on     uorum c  Patient Transceiver and fully insert BLUE  Token into token port     4  WAIT UNTIL PATIENT TRANSCEIVER BEEPS  AND LED BLINKS     A single audible BEEP is  produced when BLUE Token is fully inserted  and  RETURN TOKEN INTO MONITOR  TRANSCEIVER     indicator on the Patient  Transceiver will glow FLASHING YELLOW     5  RETURN TOKEN TO MONITOR TRANSCEIVER          Remove BLUE token from Patient TRANSMITTING ECG  Transceiver and close flexible cap over token oeosioe cant  port  the    RETURN TOKEN INTO MONITOR  TRANSCEIVER    indicator on the Patient Transceiver will go off        6  Fully insert the BLUE Token into the token port on the Monitor Transceiver  The  Monitor Transceiver will BEEP when the token is properly re inserted and the
77. using  Dilute according to the Manufacturer s instructions     Keep Patient Cables and Cable Adapters free of dust and dirt  clean and disinfect the  Patient Cables and Cable Adapters after each use   Protect the Patient Cables and Cable Adapters from strong UV radiation        NOTE  LifeSync  Patient Cables and Cable Adapters are non sterile  reusable and  latex free        Copyright  2013 LifeSync Corporation LS 216 Rev B    LifeSync  2 1 System User s Manual   48  Maintenance  amp  Troubleshooting    Cleaning LifeSync  System Components    Cleaning the Transceivers  Battery and Power Supply    The LifeSync  Patient Transceiver  Monitor Transceiver  Rechargeable Battery and  Power Supply may be cleaned as needed by wiping with a nearly dry cloth  moistened  with one of the following cleaning solutions  warm water and soap  Cidex   7096  isopropyl alcohol  Thoroughly wipe off any excess cleaning solution with a dry cloth        CAUTION  e Do not use the following solvents for cleaning the transceivers  butyl  alcohol  ethanol  Freon  bleach  acetone  hydrogen peroxide   e Use of any of these solvents may lead to deterioration of plastic  components   e Do not sterilize by autoclave  radiation or steam any LifeSync   System Components           CAUTION  e Transceivers should have batteries installed whenever they are  cleaned   e Batteries may be cleaned separately but care must be taken to avoid  wetting the metal battery contacts           WARNING  e Do not allow liquid int
78. v B    LifeSync  2 1 System User s Manual    Symbols    Preface    The following symbols are used throughout this manual  and or may appear on    LifeSync   Wireless System Components     Direct current 19i   6  Input O     Non ionizing electromagnetic    o       radiation   l  Consult accompanying             documents Q Bluetooth    Li   Lithium ion battery Ec   REP    Enclosure Protection Drip  proof  per EN60529  1991    8  C  A     Expiration  Use before N      IPX1    Safety Information    Patient Connections are Type  CF  protected against  defibrillation    Battery should not be  disposed of in fire    ETL listed product    Bluetooth  Wireless  Technology    Authorized representative in  the European Community    Temperature limitation    Manufacturer    Serial Number       Warnings      Explosion Hazard   In accordance with UL 60601 1  which applies to all medical  equipment  do not use this device in the presence of flammable anesthetics      In order for the LifeSync   LeadWear  Disposable to work properly  the RL   Right  Leg   GREEN electrode must be connected to the patient at all times with  appropriate electrode attached  Follow electrode manufacturer s guidelines for    skin prep prior to placing electrodes on patient         ifeSync  LeadWear  Disposable is radiolucent  Using some digital imaging  systems  it may be less apparent that LeadWear  Disposable and radiolucent  electrodes are outside the body  When attached to LeadWear  Disposable    Copyright  20
79. wer On Off switch  Confirm that all indicators light for approximately  one second and an audible BEEP is heard  this is a user interface test  Confirm  that the GREEN Battery Charging indicator is flashing    5  Confirm the indicator shows ECG 5 Lead mode    Confirm the indicator shows Bedside Communication Mode   7  Connect lead wires from the cardiac monitor to the Monitor Transceiver   matching colors and lead markings     e    C  Patient Transceiver Set Up  Power on Test   1  Insert the fully charged battery into the Patient Transceiver    2  Remove 5 Lead LeadWear  Disposable from package  Insert 5 Lead LeadWear   Connector into connector port  matching connector colors and connector keys    3  Confirm that all indicators light for approximately one second and an audible  BEEP is heard  this is a user interface test  Confirm that the Low Battery Charge  indicator is OFF    4  Connect electrode snaps on 5 LeadWear  Disposable to Patient Simulator     D  Transceiver Synchronizing   Single Bedside   1  Remove blue Token from the Bedside Monitor Transceiver  Confirm  Insert  Token Into Patient Transceiver  Status indicator on Monitor Transceiver glows  SOLID YELLOW    2  Insert Token into Token port on the side of Patient Transceiver  Wait for Return  Token To Monitor Transceiver Status indicator on Patient Transceiver to FLASH  YELLOW  Confirm that Patient Transceiver produces a single BEEP when Token is  fully seated    3  Remove Token from Patient Transceiver  Confirm th
80. ystem if any  system component appears damaged or appears not to function properly  See  System Functional Check section of this manual for procedure to verify normal  operation    If either of the LifeSync   Transceivers detects an unrecoverable fault  the RED  Service LED will illuminate continuously  indicating that service is required prior  to use of the LifeSync  Transceiver  Do not attempt to use a LifeSync   Transceiver that indicates service is required  When RED service LED is on  the  LifeSync   Wireless System will stop working    The LifeSync  Wireless System can remain applied to a patient during  defibrillation  The ECG signal will be interrupted for no more than a few seconds  during defibrillation    The LifeSync  Wireless System should not be used to perform a synchronized  cardio version  due to signal latency in the radio transmission    The LifeSync  Wireless System can be used during procedures using  electrosurgery machines  However  even though the LifeSync  Transceivers  contain electrosurgical interference suppression filters  increased noise will likely  be present while an electrosurgery device is in use  Location of the  electrosurgery return pad is very important to minimize interference  be sure to  follow electrosurgical manufacturer s guidelines   This effect can be reduced by  selecting low impedance electrodes and ECG electrode sites that are remote  from the surgical site and electrosurgical return  Avoid electrosurgical surgery  burns at t
    
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