I. Introduction - Veterinary Technics
Contents
1. 10mm 1mV mm 6 Speed 50mm s 41 Time 15 39 00 Date 11 22 2006 Print Mode DRAFT C BOLD PgUp Total Page 5 Current Page 1 X _PgDn Open Single file display format To change pages click PgDn or PgUp button at the lower right corner of the window To print a screen capture click PRINT button The screen capture will be printed through the default printer of the PC as shown on the next page To view trends in a screen capture window click Trend button at the upper left corner of the window as shown below The TREND window pops up wu VetSpecs Dental Fie PetInfo MEI 26 k s TREND 3 HR bpm 11 15 2006 90 CO2 mmHg PA E ey 12 03 12 18 12 33 12 48 13 03 To print the trends page click PRINT button The trend page will be printed through the default printer of the PC as shown on page 28 27 28 To input patient information click PetInfo button at the upper left corner of the window k s VetSpecs Dental File dice Trend X The Petlnformation window pops up as shown below Type in patient information and or comments and click Save button You can make an update in this window at any time When printing the patient information will be printed on the top of each printout To print the diagnostic comments click the PRINT button 29 i a Petinformation Owner Joe Smith Pet s Name champ Bree2. AR CO2 mmHg amp NO DISK NO co2 FREEZE i ECG screening mode 1 Applying the flat clips Attach the foreleg lead s to the appropriate foreleg just above the elbow and the rear leg 43 lead s to the appropriate rear leg immediately proximal to the stifle It is not necessary to clip hair Wet all three contact sites thoroughly with saline In order to register interference free ECG adequate amount of saline must be applied to all three contact sites When using the flat clips for ECG monitoring it is recommended to wet all three contact sites with saline and then apply ECG gel to these sites 2 Placements of the leads With the ECG leads the Monitor can record Lead Lead II and Lead lIll ECG one Lead at a time Lead ll is the Lead of choice for both monitoring and screening Placements of leads flat clips to record different Leads of ECG are listed as below LEAD II ECG GREEN lead attaches to RIGHT REAR LEG RED lead attaches to LEFT REAR LEG WHITE lead attaches to RIGHT FORELEG LEAD I ECG GREEN lead attaches to RIGHT REAR LEG RED lead attaches to LEFT FORELEG WHITE lead attaches to RIGHT FORELEG LEAD IIl ECG GREEN lead attaches to RIGHT REAR LEG RED lead attaches to LEFT REAR LEG WHITE lead attaches to LEFT FORELEG The patient should be laid on its side usually on a towel or rubber mat and relaxed Trembling and panting may produce motion artifacts on ECG For more instructions on ECG s
3. LIMIT 16 e Select HI 50 e Push MENU key to highlight in red e Push or amp key to change the number e Push MENU key to enter CHANGE CO2 ALARM LOW LIMIT e Select LO 20 e Push MENU key to highlight in red e Push or amp key to change the number e Push MENU key to enter CHANGE CO2 ALARM ON OFF e Select ALM ON e Push MENU key to change to ALM OFF The setting will be saved as default CHANGE WAVEFORM SPEED The respiratory or CO2 waveforms have two speeds slow and fast e Select SPEED SLOW e Push MENU key to change to SPEED FAST RESPIRATORY SOUND The Monitor features a digital respiratory sound The respiratory sound can be set ON or OFF as default e Select SOUND OFF e Push MENU key to change to SOUND ON ECG In main menu select ECG and then push MENU key to display ECG submenu as below 17 HI 400 LO 050 ALM ON GAIN AUTO SOUND ON ESC To change a setting follow the same steps as above CHANGE GAIN The ECG amplifier features six levels 1 2 1 2 4 8 and 16 of sensitivities gains The Monitor automatically adjusts the gain to display ECG in an optimal size as large as possible without saturation To suspend the automatic gain adjustment change the gain setting from AUTO default to CAL On CAL the gain of the amplifier will be kept at the level 1 all the time To change the setting e Select GAIN AUTO e Push MENU key to change to GAIN CAL HEARTBEATS
4. the manufacture sale supplying or use of the Monitor VetSpecs liability arising out of the manufacture sale or supplying of the Monitor or its use or disposition whether based upon warranty contract tort or otherwise shall not exceed the actual purchase price paid by Buyer for the Monitor In no event shall VetSpecs be liable to Buyer or any other person or entity for special incidental or consequential damages including but not limited to loss of profits damages to properties and injuries to the patient and or the user arising out of the manufacture sale supplying or use of the Monitor The foregoing Limited Warranty extends to Buyer only and shall not be applicable to any other person or entity including without limitation customers of Buyer 38
5. 1 Vital signs monitoring The Monitor features two work modes monitoring mode and ECG screening mode The Monitor will automatically switch to monitoring mode when the Reps module or CO2 module is connected to the Monitor In monitoring mode the Monitor displays one line of ECG and one line of respiratory waveforms registered with the Resp sensor or one line of CO2 waveforms registered with the CO2 module as well as a heart rate HR a respiratory rate RR a core body temperature TEMP and an end tidal CO2 value CO2 In monitoring mode the Monitor saves a screen capture along with registered trends on the flash drive automatically every five minutes or manually upon pushing the FREEZE key p 09 17 2006 18 42 48 TEMP F RR CO2 mmHg amp 97 7 19 44 NO DISK C02 READY _ FREEZE j Monitoring mode 1 ECG and temperature monitoring The esophageal probe labeled CAT is intended for kittens cats puppies and very small dogs while the esophageal probe labeled DOG is suitable for dogs from small to large sizes In order for the probe to register high quality ECG all three metal rings must establish good contacts with the esophagus If the probe is too small for the patient it will not be able to establish good contacts with the esophagus Applying the CAT probe in dogs may produce erratic ECG Connect the esophageal probe to the ECG Temp module After the patient has been anesthetized and intubated est
6. Dental pops up as shown below Ky VetSpecs Dental x Fie PetInfo Trend Gain 10mm 1mV HR Speed 50mm s Time 00 00 00 Date 01 01 2000 Print Mode Open DRAFT BOLD PgUp Total Page Current Page PRINT 22 Click the Open button located at the lower right corner of the window or click File menu and select Open as shown below to go to the patient s folder i s VetSpecs Dental AE PetInfo Trend lt i If you see the window is partially out of the screen the screen resolution setting on the PC is too low to display the entire window To adjust the screen resolution go to Control Panel window and double click Display icon as shown below amp Control Panel File Edit View Favorites Tools Help ay 7 S P Search Key Folders EK vi Control Panel R x45 A GB Switch to Category View System Display N In Display Properties window click Settings In the window below set Screen resolution to 1024 by 768 pixels or higher and then click Apply button and OK button 23 Display Properties Themes Desktop Screen Saver Appearance Settings Display Plug and Play Monitor on NVIDIA GeForce2 MX 100 200 Screen resolution Color quality Less j More Highest 32 bit x 1024 by 768 pixels nin E Troubleshoot 2 Review and print monitoring records To review saved monitoring records go to the patient s folder and then open it There
7. I Introduction The VetSpecs Dental the Monitor is developed specifically for vital signs monitoring during dental procedures and ECG screening in cats dogs and other similar sized veterinary patients It features ECG core body temperature and airway direct respiration or mainstream capnography The Monitor automatically saves monitoring records waveforms readings and trends and ECG tracings on a USB flash drive any flash drive Simply plug the flash drive into the USB port on the Monitor After a monitoring or screening take the flash drive to your personal computer PC to transfer the saved information to the PC You can then review the information email cases and present the patient records to your clients directly on your PC or by printing out through any PC compatible printers The VetSpecs Dental ll Installation 1 ECG Temp module The Monitor comes standard with an ECG Temp module Connect the ECG Temp module to ECG amp TEMP port on the Monitor For monitoring affix the ECG Temp module to the dental or surgical table with the attached Velcro strip Place the module underneath the dental table to prevent it from being wet 2 Esophageal probes The Monitor comes standard with two esophageal probes of different sizes The one labeled CAT is for kittens cats puppies and very small dogs while the one labeled DOG is for dogs from small to large sizes The esophageal probes are connected to the ECG Te
8. SOUND The Monitor features a heartbeats sound which can be set ON or OFF as default e Select SOUND ON e Push MENU key to change to SOUND OFF TEMP In main menu select TEMP and then push MENU key to display TEMP submenu as below HI 105 LO 095 ALM OFF UNIT e F ESC To change a setting follow the same steps as above SETUP In main menu select SETUP and then push MENU key to display SETUP submenu HOUR 18 MIN SEC MON DAY YEAR ESC To change a setting follow the same steps as above 4 3 Save information 1 Connecting the USB flash drive Connect the USB extension cable attached with the flash drive to the USB port on the back of the Monitor In seconds DISK READY will be indicated on the screen NO DISK is indicated when the flash drive is not plugged in Each time when the flash drive is plugged in or the Monitor is powered on with the flash drive connected a new folder will automatically be created on the flash drive The folder will automatically be named PETO1 PET02 PETO3 as shown below p Bp BP B B p PETOL PETO2 PETOS PETO4 PETOS PETO6 PETO 2 Save in monitoring mode In monitoring mode the Monitor automatically saves on the flash drive information on the screen screen capture along with the trends page every five minutes In other words after a monitoring multiple screen captures and one trends page are saved in the folder created for the patient
9. ased metabolic activity shivering hyperthermia 3 Rise in base line caused by increased levels of inspired CO2 mm Hg 40 Possible causes e Insufficient fresh gas flow in non rebreathing circuit e Excessive dead space in anesthetic circuit e Exhausted soda lime in rebreathing circuit Note that at the same time the end tidal CO2 value will also start to rise 4 Increase in the slope of phase II and phase III mm Hg 40 Possible causes Reduced ability to expire e g e Block ET tube e Bronchial disease asthma e Upper airway obstruction Faulty expiratory valve 5 Abrupt fall in end tidal CO2 level mm Hg 40 Possible causes any effect leading to sudden reduced cardiac output e Pulmonary artery compression e Pulmonary artery embolism e Sudden hemorrhage e Acute cardiac tamponade e Cardiac compression 6 Differential emptying mm Hg 40 mm Hg CO 40 50 The above capnograms can result from the following e Positioning of the ET tube at or beyond the carina so that one side of the lung has impaired emptying This makes the retained gas higher in CO2 and later to empty than from the normal lung The spike can occur anywhere in the plateau phase e Any functional blockage of a major airway below the carina foreign body mucous compressed airway etc 7 Cardiogenic oscillations 10 mm Hg CO 40 i 5 Cardiogenic oscillations are ripples superimp
10. cally adjusted X1 2 1 2 4 8 and 16 Waveform Speeds 25 mm s and 50 mm s default HR Range 0 400 bpm Temp Range 85 F 113 F RR Range 0 150 brpm CO2 Range 0 100 mmHg or 0 10 Vill Modules and accessories Dental A Standard One ECG Temp module one CAT esophageal probe one DOG esophageal probe one set of ECG leads with flat clips one Resp module one Resp sensor one USB flash drive one 36 USB extension cable one power cord one VetSpecs Dental PC software CD and one VetSpecs Dental User s Manual Dental B Standard One ECG Temp module one CAT esophageal probe one DOG esophageal probe one set of ECG leads with flat clips one CO2 module one airway adapter one USB flash drive one USB extension cable one power cord one VetSpecs Dental PC software CD and one VetSpecs Dental User s Manual Optional ECG leads with limb plates esophageal probe for exotics IX Customer services For technical support or ordering accessories please call 770 409 9291 LIMITED WARRANTY VetSpecs Inc VetSpecs warrants the VetSpecs Dental main unit hereinafter the Monitor to be free from defects in materials and workmanship when stored under appropriate conditions and given normal proper and intended usage for TWO 2 years from the date of delivery of the Monitor to the original end user purchaser Buyer VetSpecs agrees during the applicable warranty peri
11. ck on If still the same the CO2 module needs to be serviced VI Maintenance Keep the Monitor away from heat sources liquid and flammable or corrosive materials Avoid dusty humid or wet places Do not block the ventilation vent 35 When using the Monitor in multiple procedures in a row make sure to turn off the Monitor after each procedure Keeping the Monitor powered on between procedures reduces the life span of the Monitor Clean the esophageal probes and ECG leads with a paper towel wet with alcohol after each use Disconnect them from the ECG Temp module before cleaning Never wash the CO2 module or immerse it in liquid Do not use alcohol to clean the CO2 module or the airway adapter If necessary wash the airway adapter with soapy water and then shake it dry Never autoclave any accessories or modules Never modify any accessories Never use any VetSpecs accessories on any other monitors not made by VetSpecs Never use on the Monitor any cables leads sensors or probes which were not provided by VetSpecs Never have the Monitor or its modules or accessories serviced by any unauthorized person Warranty for the Monitor would automatically be voided if any of the above occurred VII Specifications Screen 5 5 color TFT LCD Dimensions 7 5 X 11 X 6 5 D W H Weight 6 Ibs Power Requirements 110V 60HZz or 220V 50Hz ECG Leads Lead Lead ll or Lead Ill ECG Sensitivities Automati
12. creening refer to pages 19 and 30 32 14 IV Operational instructions The POWER switch is located on the back of the Monitor Always turn off the Monitor to refresh its internal memory after a monitoring or screening Otherwise the data of the previous patient will be mixed with the data of the next patient 4 1 Control panel MENU Push MENU key to display main menu enter submenus or change settings in submenus tT y Push ft or key to select items input new numbers or change the volume of the speaker TREND Push TREND key to display trends of HR RR Temp and CO2 One hour of trends are displayed When more than one hour of trends is recorded push or key to change pages FREEZE 15 Push FREEZE key to freeze or release the waveforms and in monitoring mode to make a screen capture and save it on the flash drive SOUND Push SOUND key to turn on or off the heartbeats sound respiratory sound and alarm 4 2 Menu system Main Menu Push MENU key to display main menu as below SPEED 50 CO2 ECG TEMP SETUP ESC SPEED 50 The Monitor features two waveform speeds 50 default and 25 mm s e Select 50 push MENU key to change to 25 e Push ft or key to select ESC and then push MENU key to exit CO2 In main menu select CO2 and then push MENU key to display CO2 submenu as below UNIT mmHg HI 50 LO 20 ALM ON SPEED SLOW SOUND OFF ESC CHANGE CO2 ALARM HIGH
13. d Lhasa Apso Sex 7 Weight jas 1b Age fal 3 Review and print ECG To review saved ECG go to the patient s folder and then open it There may be multiple screen captures in the folder You can open any screen capture by double clicking the file gt a a COUNTER YDT TREND YDT WAVEOO YDT WAYEOL VDT WAYEOZ VDT 7 w l a WAVEOS VDT WAVEO YDT WAYEOS VDT WAVEOG YDT WAYEO VDT Four screen captures are opened up in one window as shown below 30 r VetSpecs Dental File PetInfo Trend WavelD vdt Wavell vdt dadadada meme m 120 Speed 50mm s lee ol peel Uae es eters ie ee P Seale Vaal reese a Date 11 15 2006 brdradnrdndadan mer Pe DRAFT pest C BOLD PgUp Total Page 25 Current Page 1 PRINT Four file display format To display only one screen capture in the window place the cursor in its waveform area and then double click the left key on the mouse 31 1s VetSpecs Dental File PetInfo Trend WavelD vdt Gain 10mm 1mV m 120 Speed 50mm s Time 12 58 10 Date 11 15 2006 sus Mode Open DRAFT C BOLD PgUp Total Page 100 Current Page 1 PRINT Single file display format To view ECG screen by screen click PgDn or PgUp button To go back to four screen captures in one window double click the left key on the mouse To print a screen capture click PRINT button The screen capture will be printed through the default printer of
14. des real time CO2 waveforms end tidal CO2 values respiratory rates and a respiratory sound A The concept Capnography is measurement and waveform display of CO2 concentration at the patient s airway It monitors various components of patient and anesthesia circuit equipment as well as the critical connection between the two A capnogram is the graphical waveform depicting CO2 concentration throughout respiration End tidal CO2 which can be expressed as mmHg or percentage refers to the measurement of CO2 concentration at the end of exhalation The normal range of end tidal CO2 value for most mammals is 30 45 mmHg or 4 0 5 5 It is considered to be abnormal when the end tidal CO2 is higher than 50 mmHg or 6 5 or lower than 20 mmHg or 2 5 The diagram below shows the shape of a normal capnogram mm Hg CO Phase A near zero baseline Exhalation of CO2 free gas contained in dead space Phase Il Rapid sharp rise Exhalation of mixed dead space and alveolar gas Phase III Alveolar plateau Exhalation of mostly alveolar gas At the end of exhalation CO2 concentration reaches the peak end tidal CO2 value Phase 0 Rapid sharp down stroke Inhalation B Clinical implication Normal end tidal CO2 values together with a normal capnogram indicate normal function of the patient s metabolism circulation and ventilation and of the anesthetic machine Increases in end tidal CO2 may be due to anesthet
15. ds the alarm for one minute After a monitoring disconnect the airway adapter from both the endotracheal tube and the breathing circuit but leave the airway adapter on the CO2 module The airway adapter is semi disposable because of the sensitive nature of the optical film on the two windows of the airway adapter After an airway adapter has been used for a number of times it may need to be replaced Generally speaking if the CO2 function does not work properly the airway adapter needs to be replaced To ensure the best performance replace the airway adapter frequently D Digital respiratory sound 12 The CO2 module offers a digital respiratory sound originated from real time CO2 measurements The rhythm of the sound reflects the respiratory rate The respiratory sound allows continuously assessing the patient s respiratory status without constantly watching the screen The respiratory sound can be set ON or OFF in the menus and the setting will be saved as default The volume of the sound can be adjusted 3 2 ECG Screening The Monitor features ECG leads with flat clips designed specifically for ECG screening in cats dogs and other similar sized animals For ECG screening apply the flat clips to the patient and disconnect both the Resp module and the CO2 module from the Monitor The Monitor will automatically enter into ECG screening mode displaying cascaded two lines of ECG AUTO 09 17 2006 18 37 16 TEMP F
16. ic induced respiratory depression increased metabolism or the addition of CO2 to the circulatory system as a result of re breathing CO2 Re breathing CO2 can be due to soda lime exhaustion or incompetent expiratory valve on the anesthetic machine allowing exhaled CO2 to be re inhaled Decreased or abolished end tidal CO2 may be due to hyperventilation low cardiac output respiratory arrest or cardiac arrest Capnogram provides vital information regarding the patient s airway potency A depressed or absent capnogram may be due to a dislodged misplaced or obstructed endotracheal tube or airway a leak around endotracheal tube cuff or disconnection of the endotracheal tube from the anesthetic machine The following are examples of abnormal capnograms 1 Low readings mm Hg 40 If end tidal CO2 readings are consistently below 20 mmHg or 2 5 look for the following causes e Increased respiratory rate e Excessive mechanical ventilation minute volume ventilation too high e Reduced cardiac output failure to deliver CO2 to the lungs e Ifthe animal is intubated check there are no leaks around the tube dilution e Decreased metabolic activity e g hypothermia 7 2 High readings mm Hg CO 40 If end tidal readings are consistently above 50 mmHg or 6 5 look for the following causes e Decreased respiratory rate Insufficient mechanical ventilation minute volume ventilation too low Incre
17. imate how deep to insert by laying the probe onto the patient The distal ring and middle ring should be positioned across the heart after inserted Insert the probe into the esophagus to the depth as estimated above and then watch the screen If registered ECG is erratic i e ECG baseline is unstable adjust the position depth of the probe until stable ECG is registered Motions induced to the patient and or probe during the procedure may produce motion artifacts on the ECG Tie the esophageal probe to the endotracheal probe to minimize motions if necessary Never insert a probe into a patient not anesthetized and intubated Do not use a probe which is defective or damaged externally When using the esophageal probes in electrosurgery the patient must be properly grounded as instructed in the User s Manual for the electrosurgical unit being used 2 Respiration monitoring The Monitor incorporates VetSpecs proprietary airway direct respiration monitoring technology which provides real time respiratory waveforms and RR This technology is suitable for cats and dogs of all sizes and effective and reliable even when motions are induced to the patient To monitor respiration during dental or surgical procedures simply insert the Resp sensor between the breathing circuit and the endotracheal tube 3 Mainstream capnography optional The Monitor offers VetSpecs proprietary mainstream capnography This state of the art technology provi
18. may be a number of files in the folder as shown below WAVEOO0 VDT WAVE01 VDT WAVE02 VDT and WAVE03 VDT are screen captures and TREND VDT is the trends page You can open any of them by double clicking on the file gt a a a ae COUNTER YDT TREND VDT WAYEOO VDT WAVEOL YDT WAVEOZ VDT WAVEO3 Y DT 24 k z VetSpecs Dental Fie PetInfo Trend Wave0D ydt Wavell vat Gain 10mm 1mvV mm 6 Speed 50mm s Temp F aT Wavel2 vdt Wavel3 vdt 41 Time 15 39 00 Date 11 22 2006 Print Mode Open DRAFT C BOLD PgUp Total Page Current Page PRINT Four file display format Four screen captures are opened up in one window To select one of the four files place the cursor in the waveform area see the window on the previous page and then click the left key on the mouse The readings displayed on the right side of the window correspond to the selected screen capture You can delete any screen captures To delete a screen capture place the cursor in the waveform area and then click the right key on the mouse To display only one screen capture place the cursor in the waveform area of a selected screen capture and then double click the left key The selected screen capture is displayed in the whole window as shown below To go back to the four file display format place the cursor in the waveform area and then double click the left key 95 eu VetSpecs Dental Fie PetInfo Trend Wave vdt Gain
19. mp module 3 ECG leads with flat clips The ECG leads with flat clips consist of three wires green red and white each with a flat metal clip The flat clips are to be connected to the ECG Temp module 4 Resp module and sensor The Monitor comes standard with a Resp module and a Resp sensor Connect the sensor to the module and then connect the module to Resp CO2 port on the Monitor For monitoring affix the Resp module to the dental or surgical table with the attached Velcro strip Place the module underneath the dental table to prevent it from being wet 5 CO2 module and airway adapter optional The optional mainstream capnography consists of a CO2 module and an airway adapter Airway adapter Attach the airway adapter to the CO2 module as shown above and then connect the CO2 module to Resp CO2 port on the Monitor 6 USB flash drive and extension cable The Monitor comes standard with a USB extension cable and a USB flash drive connected to the extension cable Connect the USB extension cable with the flash drive to the USB port on the back of the Monitor 7 Connecting the power Plug the power cord into the power port on the back of the Monitor and then into a standard 3 line 110V 60Hz power outlet in North America or a standard 3 line 220V 50Hz power outlet in most other countries For maximum safety only connect the Monitor to a power outlet with three lines Clinical instructions 3
20. nctioning The ECG Temp module needs to be serviced 2 Respiration Channel Problems Possible Causes Recommended Actions The respiratory waveforms are a flat line A wire inside the Resp sensor was damaged Use another Resp sensor 34 After the Resp module is connected the Monitor does not switch to the monitoring mode The Resp module is malfunctioning The Resp module needs to be serviced 3 Mainstream Capnography Problems Possible Causes Recommended Actions PLEASE RE CAL in red is displayed CO2 was detected during the calibration 2 The CO2 module failed to be calibrated properly 3 Registered CO2 value is erroneously high Re calibrate the CO2 module as instructed on pages 11 and 12 If the CO2 module still can not be calibrated properly try another airway adapter CO2 waveforms stay a flat line and both CO2 reading and RR stay 00 The CO2 module was calibrated without the airway adapter being attached Re calibrate the CO2 module with the airway adapter The CO2 function seems not working properly Bad airway adapter Insert another airway adapter and then re calibrate the CO2 module CO2 CAL is not displayed after connecting the CO2 module to the Monitor The CO2 module is malfunctioning Turn off the Monitor and then turn it ba
21. od Bee ae to repair or replace defective monitor without cost to Buyer VetSpecs shall not have any obligation under this Limited Warranty to make replacements which result in whole or in part from catastrophe fault or negligence of Buyer or anyone claiming through or on behalf of Buyer or from improper use of the Monitor or use of the Monitor in a manner for which it was not designed or by cause external to the Monitor The ECG Temp module Resp module CO2 module flash drive and USB extension cable are covered by a six month limited warranty The esophageal probes ECG leads with flat clips ECG leads with limb plates Resp sensor and airway adapter are covered by a one month limited warranty The Monitor PC software is covered by a life time replacement warranty Buyer shall notify VetSpecs of any product which it believes to be defective during the warranty period Such product shall be returned by Buyer transportation and insurance prepaid to VetSpecs for examination and testing VetSpecs shall repair or replace any such product found to be so defective and return such product to Buyer transportation and insurance prepaid The provisions of the foregoing Limited Warranty are exclusive and are expressly in lieu of any other warranty whether express or implied written or oral VetSpecs neither assumes nor authorizes any employee agent distributor or other person or entity to assume for it any other liability in connection with
22. on the flash drive You also can save manually by pushing the FREEZE key The Monitor will make a screen capture and save it on the flash drive 3 Save in ECG screening mode 19 In ECG screening mode the Monitor automatically and continuously saves ECG on the flash drive The Monitor will automatically start saving ECG as soon as valid ECG is registered and automatically stop saving when ECG is no longer registered Up to 99 screen captures can be saved for one screening 4 4 Transfer data to your PC 1 Install the software to your PC The VetSpecs Dental PC software is compatible with any PCs using a Windows XP operating system Insert the software CD into a CD drive on the PC and then open the CD To install the program on the PC simply double click the file named VetSpecs Dental exe red YetSpecs Dental exe The window below pops up Click Yes button Registry Editor j 4re you sure you want to add the information in c vsmiyvsmwin reg to the registry The window below pops up Click OK button Registry Editor e 1 Information in c vsmiyvsmuwin reg has been successfully entered into the registry An icon named VetSpecs Dental appears on the desktop of the PC as shown below as YetSpecs Dental 2 Create a master folder on the hard drive It is highly recommended to create a new folder on the hard drive to be the master folder for storing all patient data recorded by the M
23. onitor before you transfer any data to the PC You can give any name to the master folder For example you can name it My VetSpecs Data J My VetSpecs Data 3 Transfer data to the hard drive Remove the flash drive from the Monitor and insert it to a USB port on the PC The flash drive should be recognized by the PC automatically and indicated as Removable Disk under My Computer It is highly recommended that you copy all folders on the flash drive to the master folder or a folder inside the master folder on the same day they were recorded and then delete all folders on the flash drive Otherwise you may get confused with the folders on the flash drive You must rename all these folders immediately after they are copied to the hard drive and you should rename them in a way that they can be identified easily For example you may rename a patient s folder with the patient s name ID number or name ID number as below me 100001 Champ CJ 100002 Max There can be multiple folders inside a patient s folder For example the data recorded in a 21 monitoring on July 1 2005 are stored in the folder M 07 01 05 while the data recorded in an ECG screening on July 1 2005 are stored in the folder ECG 07 01 05 ECG 07 01 05 M 07 01 05 4 5 Review and print 1 Open the program from the desktop Double click the icon VetSpecs Dental on the desktop to open the program A window titled VetSpecs
24. osed on the expiratory plateau and the descending limb of the capnogram which are caused by small gas movements inside the airway Although cardiogenic oscillations can occur in any animal where the pulsations of the aorta and heart cause areas of lungs to be compressed and thereby emptied and filled they are typically seen in large dogs with slow respiratory rates The guide to the fact that this is happening is that the oscillations are in synch with the heartbeats The displayed respiratory rate can be much higher than the actual respiratory rate when cardiogenic oscillations occur C Operation instructions 1 CO2 module calibration The CO2 module will automatically start calibrating upon being powered on In other words turning on the Monitor or connecting the CO2 module to the Monitor automatically triggers the CO2 module to calibrate CO2 CAL is displayed when the CO2 module is being calibrated The calibration takes about three minutes Upon completing the calibration CO2 CAL goes away To ensure the CO2 module to be calibrated correctly follow these steps 1 Attach the airway adapter on the CO2 module see page 3 before connecting the CO2 module to the Monitor Do not power on the CO2 module without the airway adapter 2 Turn on the Monitor and connect the CO2 module to the Monitor During the entire calibration process both ends of the airway adapter must be open in the air and away from the patient Do not inser
25. t the airway adapter between the breathing circuit and the endotracheal tube until the calibration is completed 11 If CO2 was detected during the calibration or the CO2 module failed to be calibrated properly PLEASE RE_CAL in red would be displayed You would need to re calibrate the CO2 module by disconnecting it from the Monitor and then re connect it 3 During a monitoring if the Monitor is turned off or the CO2 module is disconnected from the Monitor you must re calibrate the CO2 module before continuing the CO2 monitoring Disconnect the airway adapter from both the breathing circuit and the endotracheal tube place the CO2 module away from the patient and then turn on the Monitor or reconnect the CO2 module to the Monitor After the calibration is completed re insert the airway adapter to the breathing circuit and the endotracheal tube 2 CO2 monitoring The CO2 waveforms indicate the real time airflow in and out the patient If the CO2 waveforms are erratic check the patient respiratory status and the placement of the endotracheal tube Adjust the endotracheal tube and or bag the patient if necessary During a monitoring if PLEASE RE_CAL is displayed disconnect the airway adapter from both the breathing circuit and the endotracheal tube and then re calibrate the CO2 module If the patient stops breathing a flat line for the CO2 waveforms an alarm will be sounded Pushing the SOUND key suspen
26. the PC as shown on the next page ee V Troubleshooting 1 ECG Temp Channel 33 Problems Possible Causes Recommended Actions After inserting the esophageal probe the ECG is erratic Not all metal rings have established a good contact with the esophagus 1 Make sure an appropriate sized probe is used 2 Adjust the position depth of the esophageal probe After inserting the esophageal probe the ECG is too small The esophageal probe is inserted too shallow or deep Adjust the position depth of the esophageal probe After inserting the esophageal probe LEAD OFF is still displayed A wire inside the esophageal probe was damaged Use another esophageal probe After inserting the esophageal probe no temperature is registered The temperature sensor inside the esophageal probe was bad Use another esophageal probe After applying the ECG leads the ECG is erratic or having a lot of interference Good electrode to tissue contacts are not established Make sure all three clips are applied to the patient properly and soak all three contact sites with saline LEAD OFF is still displayed after applying all three leads on the patient A lead wire inside was damaged Use another set of leads ECG OFF is displayed while the ECG Temp module is connected to the Monitor The ECG Temp module is malfu
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