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1.                  19  1 4 L                                                                19  1 4 2 POWER SAVING                                                      20  1 4 3 PLACEMENT OF SENSORS                                         20  1 4 3 1 PLACEMENT OF THE SCREEN amp GO POLYGRAPH       20  1 4 3 2 NASAL CANNULA                                    RET 21  1 4 3 3 THERMOCOUPLE AIRFLOW 5    50                           22  1 4 3 4 RESPIRATORY EFFORT BAND                      nee  1 4 3 5 PULSE                                                         24  1 4 3 6 BODY POSITION AND ACTIVITY                            26  1 4 3 7 EVENT MARKER                    Pa        M 27  2  OPERATION      c UEM MAR RE      dai RIEN          28  2 1 WORKING MODES                                         M           28  2 2 SYSTEM CONFIGURATION                       r    eee 29  2 3 INITIAL DEVICE SETUP                                           30    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       2 3 1 SETTING THE DATE AND                                          30  2 3 2 SETTING THE LANGUAGE                                         30  2 3 3 SETTING THE TYPE OF BATTERIES        e ER 31  2 4 MAKING POLYGRAPHY TESTS                         M       31  2 4 1 STARTING AND ENDING A TEST MANUALLY             31  2 4 2 SCHEDULED TESTS                                                                                            32  2 4 2 1 SCHEDULING A TEST IN THE SCREEN amp GO     
2.           534 7AB GR               Accesorios Opcionales   Optional Accessories       08094 1 LECTOR TARJETAS MEMORIA USB PARA PC    USB MEMORY CARD READER FOR PC    08073 1 M  DULO BITMED VISION PARA BITMEDLAB    M  BITMED VISION MODULE FOR BITMEDLAB    KIT DE PULSIOXIMETR  A ADULTOS PARA SCREEN amp GO   SLEEP amp GO  Canales  SPO   BPM    ADULT PULSE  OXIMETRY KIT FOR SCREEN amp GO SLEEP amp GO  Channels   SpO   BPM     MODULO PULSIOXIMETRIA XPOD     XPOD PULSE OXIMETRY MODULE   SENSOR PULSIOXIMETRIA SOFT  ADULTO     SOFT PULSE OXIMETRY SPO  SENSOR  ADULT     MUNEQUERA DE SUJECI  N   WRISTBAND       KIT DE PULSIOXIMETR  A PEDI  TRICO PARA  SCREEN amp GO SLEEP amp GO  Canales  5       BPM     PEDIATRIC PULSE OXIMETRY KIT FOR  SCREEN amp GO SLEEP amp GO  Channels  SpO   BPM     MODULO PULSIOXIMETRIA XPOD    XPOD PULSE OXIMETRY MODULE    SENSOR PULSIOXIMETRIA SOFT  PEDI  TRICO    SOFT PULSE OXIMETRY SPO  SENSOR  PEDIATRIC     MUNEQUERA DE SUJECI  N   WRISTBAND  OPCI  N FIRMWARE CANAL DE RONQUIDO POR PRESI  N    PRESSURE SNORING CHANNEL FIRMWARE OPTION    OPCI  N FIRMWARE CANAL DE POSICI  N CORPORAL    BODY POSITION CHANNEL FIRMWARE OPTION          OPCI  N FIRMWARE CANAL DE ACTIGRAF  A    ACTIGRAPHY CHANNEL FIRMWARE OPTION       OPCI  N FIRMWARE CANAL DE MARCAS DEL PACIENTE    PATIENT S MARKS CHANNEL FIRMWARE OPTION    OPCI  N FIRMWARE CANAL DE PRESI  N CPAP    CPAP PRESSURE CHANNEL FIRMWARE OPTION       OPCI  N FIRMWARE CANAL DE ONDA DE PULSO    PULSE WAVE CHANNEL FIRMWARE OPT
3.         32  2 4 2 2 DISPLAYING THE SCHEDULED                               34  2 4 2 3 CHANNEL CONFIGURATIONS                                35  2 5 TRANSFER AND REVIEW OF THE TESTS                       36  2 0 FIRMWARE UPDATE                 EERERERES NE EREAEERAM EIE REPEMEEEE NIME dEE 36  2 7 DEVICE OPTIONS UPDATE                                          37  3  TECHNICAL SPECIFICATIONS                   TUE 38  3 1 GENERAL DATA ere errr rrr MR Rd CM RUN OD a 38  3 2 PULSE OXIMETER TECHNICAL SPECIFICATIONS         41  3 3 CONDITIONS OF OPERATION AND STORAGE OF   ACCESSORIES                                                 P 42  3 4 APPLICABLE STANDARDS                                           42  DG SYMBOLOGY reer errr rr rer err rer re rrr ree 45  4 1 SYMBOLOGY OF THE SCREENG amp GO                        ae 45  4 2 SYMBOLOGY OF THE ACCESSORIES         eee        46  4 3 VALIDATED           5  0  6                                    48  5 CLEANING AND MAINTENANCE                                      49  5 1 CLEANING         eT               Tee m  DURER rr cree mnie      49  5 2 PREVENTIVE                                                            49  5 2 1 ACTIONS TO BE TAKEN BY THE USER                        49  5 2 2 ACTIONS TO BE TAKEN BY QUALIFIED PERSONNEL 50  5 3 CORRECTIVE                                                             50  ANNEX 1  ELECTROMAGNETIC COMPATIBILITY       RUE 52  ANNEX 2  TROUBLESHOOTING GUIDE                           56    534 70S MU2 e
4.       BANDA DE SUJECION TAMANO PEQUENO  S     FASTENING BELT SMALL SIZE  S        BANDA DE SUJECION TAMANO EXTRA GRANDE  XL     FASTENING BELT XTRA LARGE SIZE  XL        01424    BANDA INDUCTIVA ELASTICA TAMANO PEQUENA  S     ELASTIC INDUCTIVE BAND SMALL SIZE  S        1 BANDA INDUCTIVA ELASTICA TAMANO MEDIANA  M     ELASTIC INDUCTIVE BAND MEDIUM SIZE  M     BANDA INDUCTIVA ELASTICA TAMANO GRANDE  L     ELASTIC INDUCTIVE BAND LARGE SIZE  L        BANDA INDUCTIVA ELASTICA TAMANO EXTRA GRANDE   XL    ELASTIC INDUCTIVE BAND XTRA LARGE SIZE  XL        BANDA INDUCTIVA ELASTICA TAMANO EXTRA EXTRA  GRANDE  XXL    ELASTIC INDUCTIVE BAND XTRA XTRA    LARGE SIZE  XXL        01027       ELECTRODO CUCHARA ORO EXG  PAQUETE 10u    EXG  GOLD CUP ELECTRODES  PACK OF 10u     CABLES PARA ELECTRODOS DE CORCHETE  PAQUETE DE  10u    CABLES FOR BUTTON STUD TYPE ELECTRODES   PACK OF 10u        1 ELECTRODO DE ECG  PAQUETE DE 50u     ECG ELECTRODE  PACK OF 50u        ESTANDAR OPCIONAL NO DISPONIBLE    STANDARD OPTIONAL NOT AVAILABLE             3 4    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       RELACI  N DE CONTENIDO   PACKING LIST 534 708 120 REV 4    SCREEN amp GO SLEEP amp GO 2014 06    ADVERTENCIA       LOS ART  CULOS Y CANTIDADES RELACIONADAS ANTERIORMENTE        SIDO CUIDADOSAMENTE COMPROBADAS   EN CASO DE FALTAS O DESPERFECTOS PROCEDAN A COMUNIC  RNOSLO LO MAS PRONTO POSIBLE    e SI DETECTA CUALQUIER DANO EN EL EMBALAJE  CONTACTE CON SU DISTRIBUIDOR ANTES DE PROCEDER A LA  
5.     534 70S MU2 e REV  1 07    PRODUCT IN COMPLIANCE WITH MEDICAL DEVICE DIRECTIVE  93  42 EEC  CLASS           C   0197    Thank you for choosing this product  SCREEN amp GO system is designed and  manufactured with the best guarantees of quality    Applications SCREEN amp GO and its related software will open a world of  possibilities in the sleep study    If you have any possible improvement for this product  we welcome your    Suggestions may be directed to Customer Service Department     Revised Approved  Date  2014 06 Date  2014 06  Technical Director Sales Director    534 70S MU2 e REV  1 07    Index    Screen amp Go    User   s Manual       TABLE OF CONTENTS    SAFEYT                        6  INTENDED USE         RR RAN eee enm 6  INDICATIONS FOR USE                       7  LIMITATIONS IN USE  CONTRAINDICATION                       7  WARNINGS AND PRECAUTIONS                                           DISPOSAL OF ELECTRICAL AND ELECTRONIC DEVICES BY  DOMESTIC USERS IN THE EUROPEAN UNION                   d  1  INSTRUCTIONS OF INSTALLATION AND USE                  13  PES Rie nr 13  1 2 PACKING LIST                                     14  1 3 LAYOUT OF CONTROLS  INDICATORS AND  CONNECTORS               ON MG DO E ORO          18  1 3 1 FRONT TOP RIGHT                                                 18  1 3 2 LEFT PANNEL                      UT        re tre Te 18  1 2 2 REAR PAN  EL eee rrr rere rer ree RC wawaqa waq 19  1 4 INSTALLATION AND START UP                  
6.    The nasal airflow cannula  refs  07679  07680  07681  08049  is  used to acquire the airflow and snoring signals  by means of the  device s internal pressure transducer     The placement of the nasal cannula has a significant impact in  obtaining high quality signals  Follow these steps to place it    properly     e Place the cannula over the upper lip  Bend the nasal probes  softly until the tips are exposed to the maximum possible  air flow  The tips should not get in contact with the skin or    534 70S MU2 e REV  1 07                           YdvasAjod                          enuen s sN    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go    User s Manual       penetrate the nasal orifice     e Wrap the tube around the ears and place it under the chin   Surgical tape can be used to fasten the tubes to the cheeks of  the patient  If necessary  adjust the tubes under the chin     e Insert the cannula connector in the Luer connector of the  Screen amp Go  labeled as  Nassal cannula   and turn it until  secured        1 4 3 3 THERMOCOUPLE AIRFLOW SENSOR    In addition to the nasal cannula  the Screen amp Go may also use  the thermocouple sensor  ref  06309  in order to measure the  respiratory airflow  Both the thermocouple airflow sensor and the  effort band are to be connected to the connector labeled as  Aux   and therefore both can not be used at the same time     The quality of the registered signal depends on variables such  as the filters sel
7.   pigmentation may affect the operation of the pulse oximeter     e Itis unlikely that organisms are transmitted via pulse oximetry   However  we recommend washing the pulse oximetry sensor for  each change of patient with soapy water or disinfectant solution  as specified by the manufacturer     e The pulse oximetry module and the pulse oximetry probe is CE  marked  The temperature of the area of the probe in contact  with the finger will not reach temperatures    42 9     e See the instructions for use before use  Strictly follow the  manufacturer s safety instructions  as well as those specified  in this manual     e The maximum recommended time of application of an pulse  oximeter in the same place is 24 hours  The point of placement  must be checked frequently to determine the position  circulation  and cutaneous sensitivity of the patient  Reaction to the sensors  by the patients may be different depending on their state of  health and skin condition  Adhesive material must not be used  if the patient shows an allergic reaction to such material        For long term measurements  it is recommended to use flexible  or disposable sensors     e The adult sensor is for people over 12 years of age    40Kg    The pediatric sensor is for children aged between 5 and 12  years of age  15 40 kg     e The system can measure the pulse rate and functional oxygen  saturation  A functional meter can not be used to evaluate the  accuracy of a pulse oximetry sensor or a pulse oximetry mo
8.  07    Screen amp Go    User s Manual       Select    SCHEDULED TESTS   A    Select  NEW TEST   B      Select the  DATE  field and set the starting date for the test   Select  OK  when finished  C  D      Select the  TIME  field and set the starting time for the test   Select  OK  when finished  E      Move to the    DURATION    field and enter the number of hours  and minutes for the test  F      Select the option  CHANNELS CONF      The device displays all  channel configurations stored on the memory card  A channel  configuration establishes which channels are recorded during  the test  as well as their sampling rates  There may be up to 10  different channel configurations  A detailed explanation on how  to change these configurations is given below  Select which  configuration is more suitable for the type of test you want to  do  G      Select  SAVE  once all parameters are configured  You may  switch off now the Screen amp Go     The device will start automatically the test at the designated  date and time  The screen will light for 50 seconds  displaying  the signals acquired by the sensors  The front panel LED will  blink during the whole test     93 92 1105  3594   42 11         B           CHANNELS CONF     d DELETE TEST  BACK        MORE OPTIONS  BACK       534 70S MU2 e REV  1 07    C 93 032 711      f 02   2011  TIME Hy  DURATION  CHANNELS CONF   SAVE       CANCEL      G    SCREENIN  TERMOPAR            w OK    CANCEL       You can see the scheduled tests    the
9.  2x AA alkaline batteries or AA NiMh rechargeable  Battery type   battery life  batteries  2450mAh minimum      24h in holter  mode     Enclosure protection degree  IP22    Device classification  EN60601 1   Class  internally powered    User s Manual   Respiratory polygraph   Screen amp Go    Type BF applied parts  not protected against  defibrillator    Input impedance  20MW    CMRR  common mode rejection  ratio      Signal input connectors        Pressure transducer  respiratory LUER connector   airflow  snore   Polygraphic aux  1 mm key connector   Pulse oximeter Specific 3 pin connector   Actimetry Internal  Body position Internal  Event marker Joystick       534 70S MU2 e REV  1 07    Screen amp Go  User   s Manual    Storage sampling rate  software  selectable      Airflow  pressure transducer   Snore  pressure transducer   Polygraphic aux    Pulse rate   Oxygen saturation   Actimetry   Body position    Selectable  25  50  100 samples s  Selectable  50  100  250 samples s  Selectable  10  25 samples s   1 sample s   1 sample s   Selectable  10  25  50 samples s    Event marker        Resolution    e Resp airflow   pressure 12 bits  transducer   snore  pressure   transducer   polygraphic aux     actimetry    Pulse rate  oxygen saturation  Body position  Event marker    Sample storage size     Input range        5 mVpp      4       2    3 9 hPa  over the cannula    aprox       0 5 cmH70  0 49 hPa  over the cannula    aprox   18     300 BPM  1 min    0 100 96   aprox     3
10.  REV  1 07    xopu    Declaration of conformity    Screen amp Go    User s Manual       SAFETY    The Screen amp Go respiratory polygraph has been developed by  the R D i Department of SIBEL S A  with the collaboration of  reference Health Centers and doctors specialized in the area of  Sleep Disorders    The Screen amp Go respiratory polygraph is designed and manufactured  in accordance with the Quality Manual of SIBEL S A  which is in  consistency with the quality standards EN 13485 and ISO 9001  and European Directive 93 42 EEC concerning medical devices  and 2007 47 EC  According to this directive the equipment is Class  IIa  The Screen amp Go also complies with the EN 60601 1 Electrical  Safety and Electromagnetic Compatibility EN 60601 1 2 standards   as specified in the ELECTROMAGNETIC COMPATIBILITY annex   The Screen amp Go also complies with the following directives and  regulations  Packaging and packaging waste directive 94 62   EC  Waste Electrical and Electronic Equipment Directive  WEEE   2002 96 EC  Regulation EC 1272 2008 on classification  labelling  and packaging of substances and mixtures  REACH      INTENDED USE    Acquisition  storage and display of biomedical signals for the  simplified diagnosis and control of sleep related breathing disorders   mainly Sleep Apnea and Hypopnea Syndrome  being anyone or  any combination of the following signals  respiratory airflow  snore   thoracic effort  SpO   beats per minute  body position  and body  activity     Ne
11.  Screen amp Go  up to    maximum  of 5 tests      Switch on the Screen amp Go and enter the setup mode by making  the following keystrokes with the joystick  y  y  4     Select the    SYSTEM CONFIG     icon and press the joystick to  move to the setup screen     Select    SCHEDULED TEST    Select    SHOW TEST     A      534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       e All scheduled tests are displayed  For more info on any scheduled  test select it  B      e The screen shows the programming data of the test  onset date  and time  duration  channel configuration   C      e To view the channel configuration  enabled channels and  sampling frequencies  select  CHANNELS CONF      D      A                 ES 14 024 sax    11     R NEU TEST  4   02132200    2           DELETE TEST      BACH    C  IE FEL WF   12 18              397   Iois    02152300  DATE  02 15 2011 PRESSURE  100Hz   YE5    TIME  23 00      DURATION  O8h OOmin THERMOC   25Hz  YES    E  THORA   75Hz            DELETE E  ABDOM        A  BACK MOVEMENT  100Hz  TES       2 4 2 3 CHANNEL CONFIGURATIONS    The Screen amp Go may hold up to 10 channel configurations  Each  configuration stores which of the available device   s channels will  be acquired  as well as the sampling rates for each of them  The  available sample rates depend on each type of channel  Some  channels  such as pulse oximetry or body position  have a fixed  sampling frequency  while in others  such as the respiratory effort  bands  t
12.  home   In this case the patient is only authorized to start and stop the  test  and should be adequately instructed by the doctor on this  respect  The Screen amp Go is not designed to be used outdoors  nor in  other conditions or with energy sources not covered in this manual   Using the Screen amp Go systems does not involve any monitoring or  diagnosis of the patient     LIMITATIONS IN USE  CONTRAINDICATION     The interpretation of the tests and any ensuing treatment must  be carried out by a doctor  The acceptability of a test is the  responsibility of the health personnel     The symptoms presented by the patient before starting any test  should be considered by the health personnel     The Screen amp Go should not be used when it is likely that the validity    534 70S MU2 e REV  1 07    Ayayes    Safety    Screen amp Go    User s Manual       of the results may be compromised due to external factors  Electro  Magnetic interference   see section EMC      WARNINGS AND PRECAUTIONS    The Screen amp Go IS NOT CERTIFIED FOR USE IN CONTINUOUS  MONITORING  where a failure in operation may cause injuries or  the death of the patient  This product does not maintain nor does  it help to maintain the life of the patient  The term CONTINUOUS  MONITORING is specified in regulation EN60601 1  The Screen amp Go  is classified as Class IIa in accordance with Directive 93 42 EEC on  medical devices     The pulse oximeter is not provided with physiological type alarms     The pulse oxi
13.  side  if the ambient temperature is  very different from the patient s temperature  the signal level will  be higher     1 4 3 4 RESPIRATORY EFFORT BAND    The inductive plethysmography belt  refs  01425  01424  01421   01420  01417  supplied with the Screen amp Go is based in the RIP  technology  Respiratory Inductive Plethysmography      Strap the sensor band around the patient s chest or abdomen   over any clothing     Attach the first wire of the interfaze box  ref  06314  to the  snap that is on the same side of the band as the Velcro patch     While holding this end to the left of the patient s center line   wrap the band around the patient s chest or abdomen     534 70S MU2 e REV  1 07                    26   Ydvasdjod                        enuen s d  sn    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go    User s Manual       e Pull the other end over the first end  and secure the band on the right  side of the center line  The band  should be snug but not too tight        e Attach the second wire to the  exposed snap     Make the connection and disconnection of the snaps with the    interface box disconnected from the computer        e Both the thermocouple airflow sensor and the effort band are  to be connected to the connector labeled as  Aux  and therefore  both can not be used at the same time     e Fix each of the little boxes to the corresponding belt with the  aid of the provided strips     1 4 3 5 PULSE OXIMETER    The system is abl
14. 0 mg  300 m s    Supine  prone  left  right  seated    Polygraphic aux   Airflow  pressure transducer     Snoring  pressure transducer     Pulse   Oxygen saturation  Actimetry   Body position    Linearity     Resp  airflow  pressure transducer    snore  pressure transducer     Polygraphic aux   actimetry    Accuracy     Pulseoximeter  See pulseoximeter table        534 70S MU2 e REV  1 07                           YdvasAjod                         enue 5 1281    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go  User   s Manual    Fixed hardware filters     Polygraphic aux  0 05     10 Hz  Airflow  pressure transducer  0 05     50 Hz    Snoring  pressure transducer  30 250 Hz  Pulse    Oxygen saturation    Actimetry 0 5     25 Hz    In operation Transportation and     storage    Body position    Temperature  5  C to    40  C    Relative humidity   Environmental conditions  15 93   without    condensation     Barometric pressure   700hPa to 1060hPa     approx  2950 to   350m     Temperature   20  C to     60  C    Relative humidity   lt 93    without condensation     534 70S MU2 e       REV  1 07    Screen amp Go    User s Manual       3 2 PULSE OXIMETER TECHNICAL SPECIFICATIONS    The pulse oximeter of the unit is based on the technology of NONIN    MEDICAL  INC     Range of values   resolution   Oxygen saturation  Pulse rate    Accuracy  Precision      SpO   70 100     1DS  2    Pulse rate    Measuring wavelength   power    Maximum application time    
15. 0S MU2 e REV  1 07    Screen amp Go    User s Manual       e When you have set the desired language select  OK    If you  want to cancel the language settings then select    CANCEL        2 3 3 SETTING THE TYPE OF BATTERIES    It is very important that the type of batteries is correctly configured  for the remaining battery life information to be displayed properly   Alkaline or rechargeable Nickel Metal Hydride  minimum 2450mAh   AA batteries should be used  In the  CUSTOMIZE  screen follow  these steps     e Select  BATTERIES     e Use    and    to select the type of 03 92 1410  99     12 Be   batteries used in the device  The   2  of batteries is marked with the NiMH  mark     e When you have set the desired  language select    OK      If you want  to cancel the language settings then CANCEL  select    CANCEL           2 4 MAKING POLYGRAPHY TESTS    There are two different ways to start and stop the tests  either  manually or automatically  scheduled      2 4 1 STARTING AND ENDING A TEST MANUALLY    In this mode either the patient or the technician will start and end  the test     e Switch on the device by pressing for 3 seconds the ON OFF  button     e Once in the main screen press the joystick  A  to select the     MANUAL START    icon     e This starts the recording of the test  If all sensors are properly  connected then the signals are displayed on the screen and  the LED on the front panel starts flashing  If any of the    534 70S MU2 e REV  1 07    Screen amp Go    
16. 199   72            228          Screen amp GO Manual  Revisi  n  534 70S MU2 Rev  1 07  All rights reserved     Please refer to the device s Service Manual for additional information   This manual can be purchased through the After Sales Service     SIBEL S A    Rossell   500  08026 Barcelona   Spain   National Sales  Tel  93 436 00 08 e mail  comercial sibelmed com  International Sales  Tel   34 93 436 00 07   E mail  export sibelmed com   Technical service  Tel   34 93 433 54 50   E mail  sat sibelmed com   Fax   34 93 436 16 11  Website  www sibelmed com   SIBEL  S A  belongs to SIBELGROUP    COPYRIGHT   No part of this publication may be reproduced  transmitted  transcribed  stored in a  back up system or translated into any language or computer language in any form  or by any means  electronic  mechanical  optical  chemical or manual without the  express written consent from SIBEL S A     DISCLAIMER   SIBEL S A  is responsible for the security  reliability and performance of this  equipment only if    e The place where the systrem is installed or used meets the requirements for  electrical installations IEC and other applicable regulations    e All repairs  revisions or modifications  both in and out of the warranty period  are  made by technical staff of Meditel Ingenier  a M  dica S L  o SIBEL S A    e The system is used by qualified staff in accordance with the recommendations  stated in this User   s Manual     BRANDS  Bitmed is a registered trademark of Sibel  S A 
17. 2  These recommendations may not be applicable in all possible situations  Electromagnetic propagation is affected    by the absorption and reflection of structures  objects  and       534 70S MU2 e REV  1 07    Screen amp Go  User   s Manual    a The field intensities emitted by permanent transmitters such as base stations for radiotelephones  mobile cell phones   wireless  and mobile radios  amateur radio operators  AM  FM radio and TV transmissions  cannot be theoretically  calculated with any accuracy  To know the electromagnetic environment due to permanent RF transmitters  electromagnetic  measurements of the place of use must be considered  If the field intensity of the place of use is superior to the level of    compliance  it must be observed whether the behaviour of the SCREEN amp GO   Screen amp Go is normal  Otherwise  additional    measurements such as the reorientation or change in placement of the SCREEN amp GO   Screen amp Go may be necessary   b Above the frequency range from 150 kHz to 80 MHz  the field intensity must be less than 3 V m     Recommended separation distances between mobile and portable RF communications units and  the SCREEN amp GO Screen amp Go    The SCREEN amp GO Screen amp Go is designed to be used in an electromagnetic environment in which radiated RF disturbances are controlled   The customer or user of the SCREEN amp GO Screen amp Go can help to prevent interferences by keeping a minimum distance between mobile    and portable RF commun
18. 304 2006 AC 2008 Medical device software   Software  life cycle processes    Usability    e EN 60601 1 6 2010 Medical Electrical Equipment   Part 1 6  General requirements for basic safety and essential performance    Collateral standard  Usability   e EN 62366 2008 Medical Devices   Application of usability  engineering to medical devices    Pulse oximetry    e ISO 80601 2 61 2011 Special requirements for basic safety  and essential operation characteristics of pulse oximeters for  medical use    Biocompatibility   e EN ISO 10993 1 2009 AC 2010 Biological evaluation of  medical devices    Vibration and temperature    e levels according to EN 60601 1 11 2010  covers ISO 80601   2 61    e Tests according to EN 680068 2 27 1993 and EN 680068 2   64 1994    Environmental conditions   e Levels and tests according to EN 60601 1 11 2010    Symbology    e EN ISO 15223 1 2012 and EN980 2008 Symbols to be used  with medical device labels  labelling andi nformation to be  suplplied     Packaging and labelling   e Packaging and packaging waste directive 94 62 EC   e Regulation EC 1272 2008 on classification  labelling and  packaging of substances and mixtures  REACH     534 70S MU2 e REV  1 07                    26   YdvasdAjod                        enuen   19       User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go    User s Manual       Information supplied by the manufacturer   e EN 1041 2008 Information supplied by the manufacturer of  medical devices    Elect
19. Biocompatibility and toxicity    0 10096   196  18 321   1 pulse  0   erroneous value    No movement     Finger clip sensor  adults  paediatric   2 digits   neonates   3 digits    Flexible sensor  adults  paediatric  neonates   3  digits  Movement     Finger clip sensor  adults  paediatric   2 digits   neonates   3 digits    Flexible sensor  adults  paediatric   3 digits   neonates   4 digits    Low perfusion   All sensors  adults  paediatric    2d  gitos  neonates      3 digits  No movement  18 300 BPM      Finger clip sensor flexible  paediatric  neonates   3 digits    sensor  adults     Movement  40 240 BPM      Finger clip sensor flexible  paediatric  neonates   5 digits    sensor  adults     Low perfusion  40 240 BPM      Finger clip sensor flexible  paediatric  neonates   3 digits    sensor  adults     Red  660nm    0 8W  Infrared  910nm    1 2mW    Consult the operating instructions of the pulsioximetric  sensor    Sensor       534 70S MU2 e    Consult the operating instructions of the pulsioximetric    REV  1 07                           YdvasAjod                        enuen s sN    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go    User s Manual       1  All precision specifications were determined from studies of hypoxia  induced in healthy adult volunteers  of both sexes  from Caucasian  Indian  and African ethnic groups    2  Standard Deviation  Due to the statistic distribution of the pulse oximeter  measurements   only about two thirds 
20. CUANDO SE ENTREGA LA REFERENCIA 08089 JUNTO CON UN SCREEN SLEEP amp GO NO SE INCLUYE LA REFERENCIA 01420  PAQUETE DE 2 BANDAS  INDUCTIVAS TAMA  O XL   PUESTO QUE YA EST   INCLUIDA EN LA REFERENCIA 08088  LA REFERENCIA 01420 SE INCLUIR   S  LO SI EL M  DULO 08089 SE  SUMINISTRA POR SEPARADO    WHEN THE REFERENCE 08089 IS SUPPLIED WITH A SCREEN   SLEEP  amp  GO DOES NOT INCLUDE REFERENCE 01420  PACK OF 2 BAND INDUCTIVE SIZE XL    SINCE IT IS ALREADY INCLUDED IN THE REFERENCE 08088  THE REFERENCE 01420 IS INCLUDED ONLY IF THE MODULE 08089 IS DELIVERED SEPARATELY     1 4    534 70S MU2 e REV  1 07    Screen amp Go    User   s Manual       RELACION DE CONTENIDO   PACKING LIST 534 708 120 REV  4    SCREEN amp GO SLEEP amp GO 2014 06    03673 2 PILAS ALCALINAS AA 1 5V    AA 1 5V ALKALINE BATTERY    MALET  N TRANSPORTE SCREEN amp GO             08917 1 CARRYING          SCREEN amp GO oe       08010 1 MALET  N TRANSPORTE SLEEP amp GO   2  CARRYING CASE 51        amp        08070 CD SOFTWARE BITMEDLAB  CON LICENCIA      1 CD BITMEDLAB SOFTWARE  WITH LICENSE    1 e MANUAL DE USO   USER   S MANUAL          Doc 534 740 MU_   08072 1 e M  DULO BASE DE DATOS   DATABASE MODULE  08071 1 e M  DULO ANALISIS AUTOM  TICO EVENTOS      AUTOMATIC EVENTS DETECTION MODULE  SCREEN amp GO MANUAL DE USO    SCREEN amp GO USER S MANUAL  Doc  534 70S MU      SLEEP amp GO MANUAL DE USO    SLEEP amp GO USER S MANUAL  Doc  534 7AB MU      1 GU  A R  PIDA SCREEN   SLEEP amp GO    SCREEN SLEEP amp GO QUICK GUIDE
21. ENSOR    M  DULO DE ESFUERZO TOR  CICO INDUCTIVO   INCLUYE ACTIVACI  N DEL CANAL      INDUCTIVE THORACIC EFFORT MODULE  INCLUDES  CHANNEL ACTIVATION        INTERFAZ DE AMPLIFICACI  N BANDA INDUCTIVA  ESFUERZO TORACICO   THORAX EFFORT  INDUCTIVE BAND AMPLIFICATION INTERFACE    BANDA INDUCTIVA EL  STICA TAMA  O EXTRA  GRANDE  XL    ELASTIC INDUCTIVE BAND XTRA  LARGE SIZE  XL     e ANILLA SUJECI  N   FASTENING RING       M  DULO DE ESFUERZO ABDOMINAL INDUCTIVO PARA    SLEEP amp GO  INCLUYE ACTIVACI  N DEL CANAL     INDUCTIVE ABDOMINAL EFFORT MODULE FOR  SLEEP amp GO  INCLUDES CHANNEL ACTIVATION        INTERFAZ DE AMPLIFICACI  N BANDA INDUCTIVA  ESFUERZO ABDOMINAL   ABDOMINAL EFFORT  INDUCTIVE BAND AMPLIFICATION INTERFACE    BANDA INDUCTIVA EL  STICA TAMA  O EXTRA  GRANDE  XL    ELASTIC INDUCTIVE BAND XTRA  LARGE SIZE  XL     e          DE SUJECI  N   FASTENING RING    CANAL AUXILIAR  MOVIMIENTO EXTREMIDADES   PARA SLEEP amp GO  INCLUYE ACTIVACI  N DEL CANAL     AUXILIARY CHANNEL  LIMB MOVEMENT  FOR  SLEEP amp GO  INCLUDES CHANNEL ACTIVATION     5 KIT SENSOR MOVIMIENTO EXTREMIDADES   LIMB  MOVEMENT SENSOR KIT          08091 1 CANAL AUXILIAR  RONQUIDO  PARA SLEEP amp GO   INCLUYE ACTIVACI  N DEL CANAL     AUXILIARY CHANNEL  SNORING  FOR SLEEP amp GO   INCLUDES CHANNEL ACTIVATION          06346 1 e SENSOR RONQUIDO PIEZOEL  CTRICO    PIEZOELECTRIC SNORE SENSOR    TARJETA MEMORIA MICRO SD CON ADAPTADOR SD    MICROSD MEMORY CARD WITH SD ADAPTER       08060 1                           
22. INSTALACI  N DEL EQUIPO       NO SE DEBE DESPRENDER DE LOS EMBALAJES  BOLSAS  ETC  HASTA QUE VERIFIQUE TOTALMENTE EL CORRECTO    FUNCIONAMIENTO DEL EQUIPO       EN CASO DE DEVOLUCI  N DE MATERIAL O EQUIPO EN DEPOSITO  ROGAMOS NOS LO ENV  EN EN PERFECTO  ESTADO  COMPLETO DE ACCESORIOS Y DEBIDAMENTE EMBALADO  CUALQUIER DESPERFECTO OCASIONADO  PROVOCAR  A UN CARGO CORRESPONDIENTE EN LA REPARACI  N O EN LA REPOSICI  N     WARNING        THE ITEMS AND QUANTITIES RELATED BEFORE HAVE BEEN CAREFULLY CHECKED  IN CASE OF ANY PART IS  MISSING OR IS DAMAGED  NOTIFY US AS QUICKLY AS YOU CAN    e IF YOU DETECT ANY DAMAGE IN THE PACKAGING  CONTACT WITH YOUR DISTRIBUTOR BEFORE PROCEEDING       INSTALL IT    e DO NOT THROW AWAY THE PACKAGING  BAGS  ETC  UNTIL THE CORRECT FUNCTIONING OF THE DEVICE IS  VERIFIED   e IN THE CASE OF RETURNING THE GOODS  IT WILL BE APPRECIATED THAT YOU SEND THE DEVICE IN PERFECT  ORDER  WITH ALL THE ACCESSORIES AND PROPERLY PACKAGED  ANY DAMAGE SUFFERED WILL MAKE A CHARGE  CORRESPONDING TO REPAIR OR NEW PARTS                            YdvasdAjod                        enuen s  sN    PREPARADO PREPARED                                                                               4 4    534 70S MU2 e REV  1 07         Ct  oer  rann               D      SCFCC      711 JX i    q          olyg          v atm     1                        R           Manual       Tear N  VJ Sel       KESI    Screen amp Go    User s Manual    1 3 LAYOUT OF CONTROLS  INDICATORS AND  CONNEC
23. ION       OPCI  N FIRMWARE M  DULO BLUETOOTH    BLUETOOTH MODULE FIRMWARE OPTION       M  DULO DE SENSORES EXG    EXG SENSOR MODULE         e PIEZA ANTI APERTURA TAPA BATER  AS    BATTERY COVER BLOCKING PIECE                   2 4    534 70S MU2 e REV  1 07    Screen amp Go    User   s Manual    RELACION DE CONTENIDO   PACKING LIST    SCREEN amp GO SLEEP amp GO    KIT DE ELECTRODOS EEG PARA SLEEP amp GO   EEG  SENSOR KIT FOR SLEEP amp GO    1 ELECTRODO CUCHARA ORO         PAQUETE 100     EXG GOLD CUP ELECTRODES  PACKAGE 10PC     CABLE ADAPTADOR 1MM A 1 5MM    CABLE ADAPTER 1MM TO 1 5MM    PUENTE DE INTERCONEXI  N    INTERCONNECTION BRIDGE       534 708 120 REV  4    2014 06          KIT DE ELECTRODOS ECG PARA SLEEP amp GO   EKG  SENSOR KIT FOR SLEEP amp GO    e CABLES PARA ELECTRODOS DE CORCHETE  PAQUETE  10U    CABLES FOR BUTTON STUD TYPE ELECTRODES   PACKAGE 10 PC     ELECTRODO DE ECG  PAQUETE 50 uni      ECG ELECTRODE  PACKAGE 50 units     CABLE ADAPTADOR 1MM    1 5MM    CABLE ADAPTER 1MM TO 1 5MM    SENSOR RONQUIDO PIEZOELECTRICO   PIEZOELECTRIC  SNORE SENSOR       CANULA NASAL DESECHABLE PROTECH  PAQUETE DE  60u    DISPOSABLE PROTECH NASAL CANNULA  PACK  OF 60u     CANULA ORO NASAL DESECHABLE PROTECH  PAQUETE  DE 30u    DISPOSABLE PROTECH ORO NASAL CANNULA  40cm  PACK OF 30u     CANULA ORO NASAL DESECHABLE SLEEPSENSE   PAQUETE DE 5u    DISPOSABLE SLEEPSENSE ORO   NASAL CANNULA 60cm  PACK OF 5u     CANULA NASAL DESECHABLE SLEEPSENSE    DISPOSABLE SLEEPSENSE NASAL CANNULA 
24. PC     DISPOSABLE SLEEPSENSE NASAL 2412 PING  08049 15805522  CANNULAR  THORAX EFFORT INDUCTIVE BAND 5        INC  06314 91025 61    AMPLIFICATION INTERFACE    FASTENING BELT SMALL SIZE  S  S L P  INC  06311 1348B  FASTENING BELT LARGE SIZE  L  Si p INC  06312 1341  FASTENING BELT EXTRA LARGE S L P  INC  06313 1340  SIZE  XL    ELASTIC INDUCTIVE BAND SMALL S L P  INC  01425 9002 L40  SIZE  S    ELASTIC INDUCTIVE BAND MEDIUM S L P  INC  01424 9002 L60  SIZE  M    ELASTIC INDUCTIVE BAND LARGE S L P  INC  01421 9002 L90  SIZE  L    ELASTIC INDUCTIVE BAND XTRA S L P  INC  01420 9002 L120    LARGE SIZE  XL     ELASTIC INDUCTIVE BAND XTRA SEIN 01417 9002 L150  XTRA LARGE SIZE  XXL     534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       5 CLEANING AND MAINTENANCE    The Screen amp Go polygraph requires  like any electronic equipment   a maintenance in order to     Ensure the safety of the patient  the operator and its environment     Ensure the reliability and accuracy of the functions for which the  Screen amp Go was developed     5 1 CLEANING    To clean the unit and its accessories  excluding the sensors  use a  damp cloth and mild  hand  soap  To disinfect the device you can  use alcohol  ethyl or isopropil   Do not use other chemical products  or detergents for domestic use  Please read carefully the SAFETY  section     Properly dispose the disposable sensors immediately after use  Nasal  cannulas are single use and must be replaced with each patient     For the cle
25. TORS    1 3 1 FRONT TOP RIGHT PANNELS    SpO   XPod pulse  oximeter connector        Nasal cannula  nasal    QUT na connector    Nasal  Cannula    Color LCD ScreengGo    19 06 10 75     E     CONFIG   EQUIPO       Joystick  Status LED    40    1 3 2 LEFT PANNEL    MicroSD memory  card slot    ON OFF button       534 70S MU2 e       Aux  auxiliary channel  connector  suitable for   gt n   both the thermocouple  Z      airflow sensor and the  respiratory effort band     REV  1 07    Screen amp Go    User   s Manual       1 3 3 REAR PANNEL    Battery compartment   2x AA alkaline or  rechargeable batteries       1 4 INSTALLATION AND START UP    This system is made of solid state professional components  manufactured under stringent quality controls  However   accidents may occur during the transportation or storage  being  convenient an initial checking of the device and accessories prior  to installation  If you detect a deterioration in the package  please  contact the transport company and your supplier immediately   prior to installation  Do not dispose the packaging until completely  verifying the proper functioning of the system    Use only accessories described in this manual  The use of not  recommended accessories could adversely affect both the patient  safety and the equipment     1 4 1 BATTERY PLACEMENT    The Screen amp Go system uses two 1 5V AA batteries  You can use  alkaline or rechargeable batteries with  at least  2450mA h  Using  smaller capacity batteries dim
26. User s Manual       sensors to be acquired is not properly connected the message   CHECK SENSOR  is displayed  giving the opportunity to test  the connection  After a few seconds the screen switches off  automatically     e To stop the test just select the  STOP  smp option or hold down  the ON OFF button for 3 seconds  B      A purira    RAEE    PRESSURE AIRFLOW  p  um         EX            MANUAL SYSTEM  START CONF 1 6        T  1                 dL E  x       2 4 2 SCHEDULED TESTS    The Screen amp Go is built with an internal clock suitable for scheduling  new tests in holter mode at certain dates and times  which also end  at the right time as programmed by medical personnel  In this way  the patient does not have to interact at all with the Screen amp Go for  starting or ending the test     You can schedule up to 5 consecutive tests  These tests may  be scheduled right from the Screen amp Go device or by using  the BitmedLab software in the PC  This manual describes the  programming procedure in the Screen amp Go  Refer to the software  manual for information on the programming process in BitmedLab     2 4 2 1 SCHEDULING A TEST IN THE SCREEN amp GO    e Switch on the Screen amp Go and gain access to the setup mode  by making the following keystrokes on the joystick  one after  another and leaving a short interval of time between each of    them  0  V  4        e Select the  SYSTEM CONFIG   icon and press the joystick to  move to the setup screen     534 70S MU2 e REV  1
27. V  1 07    Screen amp Go    User s Manual       DESO        m  x  79                      amp      MANUFACTURING DATE    LATEX FREE    DO NOT STERILIZE    U S  FEDERAL REGULATION RESTRICTS THIS DEVICE TO SALE  BY ORDER OF PHYSICIAN  MAY ALSO BE APPLICABLE IN OTHER  COUNTRIES    PHT  CONTAINS PHTHALATES   DEHP  CONTAINS DIETILHEXIL  PHTALATE     HUMIDITY LIMITATION    USE BY    STACKING LIMITATION    THIS WAY UP    FRAGILE    KEEP AWAY FROM WATER    PREASURE LIMITATION    534 70S MU2 e REV  1 07    Ayyiqneduros onouSgeuiogoo q    xouuy    Annex 1  Electromagnetic compatibility    Screen amp Go    User s Manual       4 3 VALIDATED ACCESSORIES    The Screen amp Go device is used in combination with other medical  accessories manufactured by SIBEL S A  or by other manufactures   We only recommend the use of these accessories for proper  operation of the equipment  see section 1 2 PACKING LIST     The sensors used by other manufacturers are     Accesory SIBEL Manufacturer  reference reference       THERMOCOUPLE SENSOR SS Paine  06309 1401S BI  SOFT PULSE OXIMEMRY SPO  UNIMED MEDICAL 08013 U101S 08  SENSOR SUPPLIES INC    SOFT PULSE OXIMETRY SPO  UNIMED MEDICAL 08012 U401S 08  SENSOR SUPPLIES INC    DISPOSABLE NASSAL CANNULA      ING  08049 15805521  DISPOSABLE PROTECH NASAL PRO TECH 07679 P1328 60    CANNULA  PACKAGE 60PC    DISPOSABLE PROTECH ORO NASAL  PRO TECH 07680 P1343  CANNULA  PACKAGE 30PC    DISPOSABLE SLEEPSENSE ORO  S L P  INC  07681 14802 2 FT  NASAL CANNULA  PACKAGE 5
28. al files to be  copied to the MicroSD memory card of the Screen amp Go     e Insert the memory card in the Screen amp Go and switch it on     e The firmware update starts automatically  When prompted   confirm that you want to update the firmware     e When the update is complete the Screen amp Go switches off  automatically  Your device is already updated     534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       In case you are provided with several files the process will be  repeated as many times as needed     2 7 DEVICE OPTIONS UPDATE    As mentioned in paragraphs 1 2 and 1 3  the Screen amp Go is delivered  with just the airflow channel enabled  The available channels may  be expanded  though  In case new features are purchased please  follow these steps in order to update your device     The Technical Service will provide one file to be copied to the  MicroSD memory card of the Screen amp Go     Insert the memory card in the Screen amp Go and switch it on     The update starts automatically  When prompted  confirm that  you want to update the device s features     When the update is complete the Screen amp Go switches off    automatically  Your device is already updated and the new  channels are available from now on     534 70S MU2 e REV  1 07                           YdvasAjod                          enuen 6 128    Screen amp Go    User s Manual       3  TECHNICAL SPECIFICATIONS    3 1 GENERAL DATA    Useful life for Xpod pulseoximeter  5 years  module    
29. and over the arm and  connect it to  5pO   of Screen amp Go     A        k    Furthermore  the following conditions of use should be observed     The oximeter must not be used by itself to reach important  medical conclusions  Medical caution must always be taken and  other means must be used  whenever possible  for confirmation     Incorrect use or inappropriate handling of the sensor can cause  damage to the sensor or cable  This would lead to incorrect  measurements and readings     Remove nail polish or artificial nails before applying the sensor   as they could cause incorrect readings     The sensors cannot be sterilized  Do not submerge the sensors  in liquid  The sensors must be disconnected from the Screen amp Go  prior to cleaning or disinfection     The operation of the oximeter sensor may be affected by the  presence of strong room lighting  If necessary  the sensor area  must be protected  e g  with surgical tape      The oximeter may not be capable of detecting minimal values  of saturation with the same degree of accuracy and precision as  the maximum values of saturation  It is also possible that it can  not quantify the degree of existing hyperoxemia     534 70S MU2 e REV  1 07    enuege A 5 495      9     Ajod                     S  0    oYU   ydg    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go    User s Manual       e Interferences such as movements  abnormal hemoglobins   intravascular contrasts  states of low perfusion and skin
30. aning and disinfection of reusable sensors  please refer  to the information provided by its manufacturer     The device can not be sterilized  For the cleaning and disinfection  of sensors  please refer to the information provided by its  manufacturer     All sensors should be cleaned properly after each use and before  use in a new patient        5 2 PREVENTIVE MAINTENANCE    Preventive maintenance consists of all actions needed to keep the  equipment in good working order     5 2 1 ACTIONS TO BE TAKEN BY THE USER    Check periodically that all cables  external accessories and other  items are in perfect condition  not broken and with no external  damage  Pay special attention to the cables and connectors     534 70S MU2 e REV  1 07    Ayyiqneduros onouSeuiogoo q    xouuv         Annex 2  Troubleshooting guide       Screen amp Go       User s Manual    It is also advisable from time to time to start a test and check that  the connected sensors respond correctly     If you detect any problems that you can not solve  please get in  contact with the customer service of SIBEL S A  or your distributor  for servicing and repair     You can also check the  Known abnormalities report   534 701   MU2  available to the user from SIBEL S A     5 2 2 ACTIONS TO BE TAKEN BY QUALIFIED PERSONNEL    The Medical Device Directive 93 42 EEC recommends the regular  servicing and   or calibration to ensure the reliability of the medical  devices and the safety of patients  users and the environ
31. ator  should check the documents accompanying the pacemaker with  respect to its certification and requirements of use and  if necessary   contact the manufacturer     Patients must be insistently warned that they must not open the  Screen amp Go or attempt to adjust it     Sensors or accessories in bad condition should not be used    Use only the Screen amp Go with accessories and sensors provided by  the manufacturer or dealer  or those that meet the specifications  of this manual  The use of other sensors with the Screen amp Go can  cause damage to the device or the quality of the signals     Sensors should be handled by their strongest parts  which are  the connectors  Also  they should not get wet or exposed to very    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       abrupt changes of temperature  To clean the sensors  do not use  abrasive chemicals  Do not apply excessive stress to the sensors   In particular  avoid bending any part of the sensors  This means  that the material should not bend more than necessary in normal  use     The polygraph is designed to be used exclusively by medical staff   who should be supervised and instructed by a physician     Medical personnel should inform the patient about precautions to  be found in the WARNINGS AND PRECAUTIONS section and to be  taken when using the equipment     Use the provided carrying case when transporting the device and  its accessories     Do not reuse single use accessories as there is risk of in
32. direct exposure to sunlight  Temperature changes cause    534 70S MU2 e REV  1 07          jew              c   lt     S a fe ty    Screen amp Go    User s Manual       condensation and moisture  Before using the system  allow the  device to acclimate to ambient temperature  For reference  if the  temperature difference between the system and the environment is  above 10   C a 20 minutes wait time in an intermediate temperature  is recommended     The polygraph should not be placed adjacent to or stacked with  other equipment     The system shall be stored and used within the temperature ranges   pressure and humidity specified in section number 3     Artifacts in the signal may be produced as a result of ESD  A trained  operator should be able to recognize these artifacts easily     The operator must be trained to be able to recognize the differences  between a biological signal and signal artifacts caused by patient  movements  RF interference or poor placement of the sensors  The  presence of ESD or RF devices will not lead to wrong conclusions   Unusable data is not considered a risk to the patient safety     Cables or sensors should not surround the patient s neck  especially  when the patient is a child     The Screen amp Go system does not increase the safety risk for patients  with pacemakers in accordance with the EN50061 standard  Medical  electrical equipment   Safety of implantable cardiac pacemakers    Before using the system in patients with pacemakers  the oper
33. e to provide the pulse wave  as well as the  measurement of the pulse rate and the functional oxygen saturation   based on the technology developed by Nonin Medical Inc  The external  pulse oximeter  named XPod   ref  08098  is to be connected on  the top side of the device  The SpO  sensor is to be connected on  the free end  Pay special attention to the sensor being used  Please  consult the manufacturer before using non recommended sensors     In adults  the ideal point for the application of the oximeter sensor  is the index finger  However  it may also be placed in other fingers  when the thickness is between 5mm and 21mm  0 2  and 0 8      dimension  H  in the figure      To place pulse oximeter sensor  follow these steps     e Place the wristband provided in the patient s wrist and insert  the XPod module into the socket     e Insert a finger  preferably the index finger       the sensor until  the finger tip reaches the stop  It is not recommended to place    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       this sensor in the thumb  Keep the fingernail of the patient  pointing toward the top side of the sensor  Make sure that long  fingernails do not interfere with the adequate positioning of the  finger     To obtain the best results  fasten the cable to the finger  using  surgical tape  preferably around the base of the finger  Make  sure that the tape fastening the cable does not restrict blood  circulation     Take the cable coming out of the wristb
34. ected in the software  the sensor placement  the  patient s respiration and room temperature  Filters can reduce the  noise in the respiratory signal  but they can also add distortion to  the signal if used in excess  Filters are applied in the BitmedLab  software  Read that software s manual if you need to modify them     The placement of the thermocouple sensor has a significant impact  in obtaining high quality signals  Follow these steps to place it    properly     e Place the thermocouple on the upper lip  Bend the nasal tips  softly until the ends of the sensor are exposed to the maximum  possible air flow  The tips should not get in contact with the    534 70S MU2 e REV  1 07       Screen amp Go    User s Manual       skin or penetrate the nasal orifice     Wrap the cable around the ears and place it under the chin   Surgical tape can be used to fasten the cables to the cheeks of  the patient  If necessary  adjust the sensor cable on the chin     Bend the oral probe softly in its position in front of the mouth   so that the end of the sensor is exposed to the greatest oral  flow possible  approximately 1 cm from the mouth  The probe  should not touch the skin or the lips  nor penetrate the oral  cavity     xc  E    Insert the sensor connector in the connector of the Screen amp Go  labeled as  Ther      The ambient temperature affects the magnitude of the signal  If the  temperature is similar to the patient s temperature  the signal level  may be very low  On the other
35. fection to  the patient     In case of doubt or unexpected event contact the manufacturer   You can find contact details on page 2 of this manual     The use of nasal cannulas is not recommended in pregnant women  or children  because they contain phtalates     Do not leave the batteries inside the device if it won t be used for  a long period of time     Ensure to perform the adquisition of signals in an acustic and light  environment that allows the patient to sleeping normally     DISPOSAL OF ELECTRICAL AND ELECTRONIC DEVICES BY  DOMESTIC USERS IN THE EUROPEAN UNION    Never dispose of the Screen amp Go  its accessories  and its batteries in the household trash  It must be  disposed of properly and may need to be recycled in  accordance with the statutory requirements in your  country        e Materials according to the RoHS Directive 2011 65 UE   Conform from July 22th  2014   The device uses a lithium battery and could use an optional  NiMh battery     534 70S MU2 e REV  1 07    Ayayes    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go    User s Manual       For devices commercialised before July 22th  2014  Sleepsense  sensors may contain PBB and PBDE     e Materials according to the Medical Device Directive  two of  the sensors that may be used in combination with the device   contains phtalates  Sleepsense nasal cannula and Pro Tech  nasal cannula   The device and all the accesories are latex free     e Materials according to the REACH regulat
36. he SCREEN amp GO Screen amp Go must ensure that it is used in this environment     Guide   Electromagnetic  Immunity Test Test level EN IEC 60601 Compliance level  environment          The floor must be made of wood   Electrostatic discharge    6 kV in contact     ESD      6 kV in contact cement or ceramic  If the floor is    covered with synthetic material     opina Sunoouso qnoa   Z xouuy     8 kV in air the relative humidity must be at  least 30       EN IEC 61000 4 2  8 kV in air     2 kV feeder cables and earth   Not applicable The SCREEN amp GO   Screen amp Go    Electrical fast transient burst   lines runs on batteries     EN IEC 61000 4 4 The length of the E S lines is less   1 kV for input output lines Not applicable than 3 m         1 kV in differential mode Not applicable The SCREEN amp GO   Screen amp Go  urge    runs on batteries     EN IEC 61000 4 5   2 kVin common mode Not applicable      5   Ut   gt 95   drop of Ut  for    0 5 cycles  Voltage dips  short  interruptions and voltage   40   Ut  60   drop of Ut  for The SCREEN amp GO   Screen amp Go    5 cycles Not applicable    variations on power supply runs on batteries     input lines 70 96 Ut  30 96 drop of Ut  for    25 cycles  EN IEC 61000 4 11    95   Ut   gt 5 96 drop of Ut  for    5 seconds    Magnetic field 50   60 Hz The magnetic field in the room  must be low enough to ensure the    EN IEC 61000 4 8 performance of the test     Note  Ut is the alternating current power tension prior to the application 
37. he sampling rate can be chosen among several values     The creation and modification of channel configurations is made in  the BitmedLab software  then they are transferred to the MicroSD    534 70S MU2 e REV  1 07    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go    User s Manual       memory card  See the software s manual for more information on  this point     2 5 TRANSFER AND REVIEW OF THE TESTS    Tests must be transferred to the PC prior to review  Several tests  may be stored in the memory of the Screen amp Go before transferring  them to the PC  Transferring the test immediately after it is finished  is not necessary     In order to transfer the tests to the PC extract the MicroSD memory  card from Screen amp Go and insert it into your PC s card reader  Most  computers are supplied by default with a memory card reader  If  your computer does not have one you can use an USB card reader   After inserting the memory card in your PC run the BitmedLab  software and download the tests as explained in the software s  manual     The tests are automatically deleted from the memory card when  they are transferred to the PC  Do not delete the files in the memory  card before downloading the tests to the PC     2 6 FIRMWARE UPDATE   Over time  new versions of the program managing the Screen amp Go   firmware  might be released  either to improve the operation of  the equipment or to add new features     e The Technical Service will provide one or sever
38. ications units  transmitters  and the SCREEN amp GO Screen amp Go as recommended below  according to the power  output of the communications unit     Viaximum power output o    the transmitter Separation distance depending on the transmitter frequency    m    From 150 kHz to 80 MHz From 80 MHz to 800 From 800 MHz to    3 5 3 5 3 5  ae 1  3  P              ls            For transmitters with a maximum power output not listed above  the recommended separation distance d in metres  m  can  be estimated using the applicable equation according to the transmitter frequency  where P is the maximum power of the    transmitter in watts  W  according to the manufacturer of the transmitter   Note 1 At 800 MHz  apply the highest frequency margin    Note 2 These recommendations may not apply in all possible situations  Electromagnetic propagation is affected by the    absorption and reflection of structures  objects and persons        534 70S MU2 e REV  1 07    opina Sunoous   qnoi  7 xouuy    Annex 2  Troubleshooting guide    Screen amp Go       User s Manual    Annex 2  TROUBLESHOOTING GUIDE    The Screen amp Go does not start    e Make sure the batteries are placed according to the polarity in  the battery compartment       Be sure to use AA alkaline or NiMH rechargeable batteries of at  least 2450mAh    e Make sure you press the power button for at least 3 seconds     In a new test the message  CHECK SENSOR  is displayed  on screen    e Check that the erroneous sensor is correctly con
39. inishes the autonomy  The autonomy  in normal use is about 24 hours    The battery compartment is located on the rear panel  protected by  a cap that needs to be removed to proceed to change the batteries     534 70S MU2 e REV  1 07                           YdvasAjod                          enuen s  sN    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go  User   s Manual    Before opening the battery compartment to replace the batteries  please switch off the Screen  amp  Go        1 4 2 POWER SAVING MODE    To save power  the device switches off the display after 50 seconds  of inactivity  even if it is running a test  and the whole device after  5 minutes if the user does not start a test nor interacts with the  joystick     1 4 3 PLACEMENT OF SENSORS    1 4 3 1 PLACEMENT OF THE SCREEN amp GO POLYGRAPH    The small size and weight of the Screen amp Go system allows the  patient to wear it comfortably fastened with a strap  Follow these  steps to fasten the device to the patient     e Insert the strap between the two guides in the rear side of the  Screen amp Go     e Place the device on the patient   s chest  in a comfortable position  midway between the thoracic effort band  which should be on  top  and the abdominal effort band  which should be below      e Secure the strap by means of the Velcro so that the device  stands firm     534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       General placement schema       1 4 3 2 NASAL CANNULA 
40. ion  neither the device  nor its accessories use any hazardous substance according to  REACH regulation     e In the event that the device or its accessories are infected at  the time of recycling  it must be disinfected or disposed by  following the national regulations regarding the disposal of  infected products     Information on proper disposal is available from your dealer or  from Technical Support at SIBEL S A     534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       1  INSTRUCTIONS OF INSTALLATION AND USE    1 1  OPTIONS    The Screen amp Go screening polygraph is available with the the following features                          Screen amp Go _  Nasal cannula    DPA       a Default      Option    534 70S MU2 e REV  1 07                           YdvasAjod                          enuen 6 128                Screen amp Go    User s Manual       1 2 PACKING LIST          RELACI  N DE CONTENIDO   PACKING LIST 534 708 120 REV 4  SCREEN amp GO SLEEP amp GO 2014 06  MODELOS  MODELS  C  DIGO CANT  DESCRIPCI  N     SLEEP amp  GO  CODE QTY  DESCRIPTION re B  POL  GRAFO   POLYGRAPH    1 SCREEN amp GO SLEEP amp GO SN  347                    Accesorios Est  ndar   Standard Accessories    1 BANDA DE SUJECI  N TAMANO GRANDE  L     FASTENING BELT LARGE SIZE  L   mA i C  NULA DESECHABLE NASAL    DISPOSABLE NASSAL CANNULA    08087 M  DULO TERMOPAR  INCLUYE ACTIVACI  N DEL  CANAL    THERMOCOUPLE MODULE  INCLUDES  CHANNEL ACTIVATION    06309 e SENSOR TERMOPAR   THERMOCOUPLE S
41. lter mode  The icon    MANUAL START    is selected by  default  The patient can not modify the device configuration    Use the joystick to navigate through the different screens that will  be introduced  The joystick supports four directions  4            lt    while pressing it is used to click an option     2 1 WORKING MODES    The Screen amp Go works always in holter mode  In this mode the  Screen amp Go stores the tests in a memory card  Later  the tests  are transferred to the computer for evaluation  It is designed  for home use or at the hospital or clinic  There are two ways of  starting a test in holter mode   a  Manual start and stop  the patient starts and stops  manually the recording of the test  through the color    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       screen and joystick in the Screen amp Go     b  Automatic start and stop  health personnel program  the Screen amp Go to start and stop automatically the test  at a certain date and time     The device s batteries last up to 24 hours with a single charge     2 2 SYSTEM CONFIGURATION    The setup mode in the Screen amp Go is designed to change the device  configuration  date and time  language  type of batteries used  and  schedule new tests  Only healthcare personnel should access the  device settings  To enter to the setup menu of the Screen amp Go do  the following     e Switch on the Screen amp Go and make the following keystrokes on  the joystick  one after another and leaving a shor
42. ment   The general technical verification of safety systems  settings and  features being part of the device  must be made according to the  Procedure of Verification and Adjustment for the Screen amp Go  of  SIBEL S A     These operations must be carried out by service personnel from  the manufacturer or distributor  The latter  must be in possession  of a written authorization from SIBEL S A   at least during the  warranty period  in order to perform such maintenance     The manufacturer is not responsible for malfunction or damage to  the equipment resulting from poor maintenance done by personnel  not certified in writing or belonging to SIBEL S A     Accessories and spare parts should always be original and requested  to the manufacturer or authorized dealer to ensure the proper  functioning of the polygraph     Periodic functional and metrological verification is necessary to  ensure the operation of equipment over the life of the product  The  manufacturer recommends annual inspections by an authorized  service center  and in any case not exceeding two years  according  to the verification and adjustment procedures specified by the  manufacturer and applied during the manufacture of the equipment     5 3 CORRECTIVE MAINTENANCE    Corrective maintenance is the process of leaving the device in  534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       good conditions of use when it stops working due to malfunction  or misuse     If you detect a fault in the equipme
43. meter is calibrated to display functional oxygen  saturation and requires no calibration     The pulse oximeter waveform is not standarized   The Sleep amp Go is not intended for monitoring vital signals     There are no applicable parts to the patient which produce  stimulation     The system has no user serviceable parts  Use only authorized  service and spare parts supplied by the manufacturer     Contact of liquids with the internal parts of the device and the  connectors must always be avoided     The system is only resistant to moderate splashing and dripping   Protection level IP22  protection against access to hazardous parts  with a finger  protected against solid objects with a diameter of  12 5 mm and above  protected against water drops falling vertically  with a maximum inclination of 15 degrees of the envelope      Do not submerge the parts of the device in any liquid  MAY CAUSE  ELECTRIC DISCHARGE     No parts are allowed for temporary immersion     The cleaning instructions in this manual and also in the instructions    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       of use of any sensor supplied but not manufactured by SIBEL S A   must be carefully followed     Keep your device protected from shock and vibration  During  transportation  place all the items in the carrying case  The material  provides enough protection against small accidental impact     Do not use the system in and MRI environment     The system is not designed to work in an e
44. nected  If  the problem is not solved after 5 minutes  the message will  disappear     Pulse oximetry signals are null    e Make sure the pulse oximeter sensor is correctly connected to  the patient  as indicated the PLACEMENT OF SENSORS section    e Make sure the pulse oximetry sensor connector is properly  plugged into the top panel of the Screen amp Go    e Make sure the red light in the pulse oximetry sensor switches  on when connected to the Screen amp Go     534 70S MU2 e REV  1 07    
45. nitor     e Do not use blood flow restrictors because they can lead to loss  of signal     1 4 3 6 BODY POSITION AND ACTIVITY    The Screen amp Go records information about the patient s body    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       position and actigraphy  Both sensors are place inside the  Screen amp Go device  so no external accessory is needed     1 4 3 7 EVENT MARKER    During the test  either online or in holter mode   the patient is  allowed to make a mark by simply pressing the joystick for at  least 3 seconds  After these 3 seconds the screen lights on and  the mark is registered  These marks are used to indicate certain  events  such as the patient getting up to the bathroom  taking  medication and so on     534 70S MU2 e REV  1 07                           YdvasAjod                        enuen s sN    User   s Manual   Respiratory polygraph   Screen amp Go    Screen amp Go       User s Manual    2  OPERATION    The Screen amp Go is fitted with a color screen and a joystick to interact  with the options exposed by the device s software    The top part of the screen displays an info bar with the device  status at any time     00 2010 10      FAA       Free                 Battery  memory card status    This is the screen displayed when the Screen amp Go is switched on     a3 02 11 397   41 44    ee Be                MEMORY    1980      239h    MANUAL  START       This screen displays status information and enables starting a  new test in ho
46. nt that prevents normal    operation  please contact the SIBEL S A  Customer Service  Centre  specifying the type of problem suffered     534 70S MU2 e REV  1 07    opina Sunoouso qnoa   7 xouuy    Screen amp Go    User s Manual       Annex 1  ELECTROMAGNETIC COMPATIBILITY    Manufacturer s guide and statement     electromagnetic emissions    The SCREEN amp GO Screen amp Go is designed to be used in the electromagnetic environment specified below  The customer    or user must ensure that it is used within this environment     Emissions Test Compliance level Guide     Electromagnetic environment    The SCREEN amp GO Screen amp Go uses RF energy    Annex 2  Troubleshooting guide    Radiated RF Emissions Group 1  only for internal use  Therefore its emissions are    very low and unlikely to cause any interference to    CISPR 11  EN 55011  Class B   nearby electronic devices     Conducted RF Emissions    Not applicable The SCREEN amp GO Screen amp Go runs on batteries     CISPR 11  EN 55011     Harmonic Emissions  Not applicable The SCREEN amp GO Screen amp Go runs on batteries     EN IEC 61000 3 2  Flicker and tension fluctuations Not applicable   The SCREEN amp GO Screen amp Go runs on batteries   EN IEC 61000 3 3       534 70S MU2 e REV  1 07    Screen amp Go  User   s Manual    Manufacturer s guide and statement    electromagnetic immunity    The SCREEN amp GO Screen amp Go is designed to be used in the electromagnetic environment specified below  The customer    or user of t
47. of the pulse oximeter measurements         be expected to be found within x Arms of the value measured by a CO   oximeter     3 3 CONDITIONS OF OPERATION AND STORAGE OF  ACCESSORIES    Although the device stands temperatures between  25 and 70   C   the specified temperature range is lower   20   C and 60   C  in  order to ensure the proper storage of all accessories     3 4 APPLICABLE STANDARDS    The Screen amp Go has the CE Marking  CE 0197   The CE mark is a  statement that the Screen amp Go fulfills the guidelines established by  the EU for medical devices     The Screen amp Go is manufactured by SIBEL and the system  including  the software  meets the following standards and regulations     Recommendations   e National consensus document on the apnea hypopnea syndrome   SAHS   Spanish Sleep Group  GES   September 2005     e The AASM Manual for the Scoring of Sleep and Associated  Events  2007    European Directive 93 42 EEC  R D  1591 2009    e EC marking Class II a    Safety    e EN 60601 1 2006 AC 2010  Electrical safety  3rd edition     e EN 60601 1 11 2010 General requirements for basic safety and  essential performance   Collateral standard  Requirements for  medical electrical equipment and medical electrical systems  used in the home healthcare environment     534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       EMC   e EN 60601 1 2 2007 AC 2010 EMC in medical devices  No life  support     See Annex 1 ELECTROMAGNETIC COMPATIBILITY    Software   e EN 62
48. of the test        534 70S MU2 e REV  1 07    Screen amp Go  User   s Manual    Manufacturer   s guide and statement    electromagnetic immunity    The SCREEN amp GO   Screen amp Go is designed to be used in the electromagnetic environment specified below  The customer    or user of the SCREEN amp GO   Screen amp Go must ensure that it is used in this environment     Test Level EN IEC Compliance  Immunity Test Guide     Electroma ronment  60601 level  Portable and mobile R    be used no closer to any part of the SCREEN amp GO    Screen amp Go  including cables  than the recommended    separation distance calculated for the equation    Annex 2  Troubleshooting guide    applicable to the transmitter frequency     Recommended separation distance    Conducted RF    from 150KHz to 80 E from 80 MHz to 800 MHz  MHz    EN IEC 61000 4 6    P       from 80 MHz to 800 MHz    5  d  pa P  E from 800 MHz to 2 5 GHz    where P is the maximum power output of the   transmitter in watts  W  according to the manufacturer   of the transmitter and d is the recommended     separation distance in metres          EN IEC 61000 4 3 from 80 MHz to 2 5 Field intensities from permanent RF transmitters   GHz determined by an electromagnetic measurement of  the place a  must be less than the level of compliance    in each margin of frequency b     Interferences may appear in the vicinity of units    marked with this symbol      5     Note 1  At 80 MHz and 800 MHz  apply the highest frequency margin   Note 
49. rical and electronic waste   e Electrical and electronic equipment and waste management   Transposition of the directive WEEE 2002 96 EC    System quality    e Manufactured according to the SIBEL S A  Quality Manual   which is compliant with EN ISO 13485 2012 AC 2012 and EN  ISO 9001 2008    Risk Management   e EN ISO 14971 2012    The user should follow     e Data protection  Directive 95 46 EC  e 2002 96 EC    534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       4  SYMBOLOGY    4 1 SYMBOLOGY OF THE SCREEN amp GO    SERIAL NUMBER    MANUFACTURER  manufacture date  name and address    of the manufacturer     REFERENCE    CONSULT INSTRUCTIONS FOR USE    WARNING    START UP  STANDBY     BF APPLIED PARTS    NO SPO  ALARMS    IP22  see section WARNINGS AND PRECAUTIONS     DISPOSAL OF WASTE ELECTRICAL   ELECTRONIC  ACORDING TO THE RAEE DIRECTIVE    BATTERIES       534 70S MU2 e REV  1 07                           YdvasdAjod                        enuen s sN    Annex    Electromagnetic compatibility    Screen amp Go    User s Manual       4 2 SYMBOLOGY OF THE ACCESORIES AND PACKAGING    CE MARKING    WARNING    DO NOT REUSE    BATCH NUMBER    REFERENCE    LATEX FREE    PHT  CONTAINS PHTHALATES     MANUFACTURER  manufacture date  name and address of the       manufacturer   AUTHORIZED REPRESENTATIVE IN THE EUROPEAN COMMUNITY     DISPOSAL OF WASTE ELECTRICAL   ELECTRONIC ACORDING  TO THE RAEE DIRECTIVE    4 TEMPERATURE LIMITATION      SN   SERIAL NUMBER    534 70S MU2 e RE
50. t interval of  time between each of them      y  4  4   e The screen changes and a new icon is displayed   SYSTEM  CONFIG    A   Select the  SYSTEM CONFIG   icon and press the  joystick to move to the setup screen     e Select  MORE OPTIONS   B    e Select  CUSTOMIZE   C                         B NEEDLE      SCHEDULED TEST   P  CHANNELS CONF     p  um U           MANUAL SYSTEM  START CONF IG                    534 70S MU2 e REV  1 07    Screen amp Go  User   s Manual               324   12 04   S MAINTENANCE   P  BLUETOOTH  BACK       2 3 INITIAL DEVICE SETUP  2 3 1 SETTING THE DATE AND TIME    Once in the    CUSTOMIZE    screen  14 92 7214          Rae  follow these steps in order to change       the date        time      the Screen amp Go              LANGUAGES    e Select    DATE AND TIME      E BATTERY    IF   E 25      Use    and     and V to access each G  INTERNAL CONF   of the options to set the date and            time in the device  Use    and    to    modify the values in each field   m 6  e Once you have set the date and    time select  OK    To cancel setting F  the date and time select    CANCEL     00  00    CANCEL    2 3 2 SETTING THE LANGUAGE    Once      the  CUSTOMIZE  screen  follow these steps in order to change                          the language in the Screen amp Go               e Select    LANGUAGES     ENGLISH       Use             move along the different  available languages  The selected  language is marked with the    symbol  CANCEL       534 7
51. xplosive environment  or in the presence of flammable anesthetics or gases of any kind   MAY CAUSE EXPLOSION     This product is intended for indoor use  e g  at the patient s home  or hospital  and is not suitable for use during patient transportation     The polygraph is not intended to be used outdoors or with other  conditions or energy sources that are not covered in this manual     The Screen amp Go is not protected against defibrillation shocks   Therefore  never use a defibrillator on a patient connected to a  Screen amp Go system     Do not use an electric scalpel or a high frequency surgical device  while the patient is connected to any sensors of the Screen amp Go     The use of mobile phones  transmitters and similar equipment  generating radio frequency emissions and placed next to the  system is not allowed during the tests  Therefore  do not use the  system in the presence of radio equipment  mobile phones  walkie   talkie       Follow the recommendations regarding the separation  distance specified in the manufacturer s declaration for EMC in this  manual     Remember that when multiple devices are connected to a patient  there is a risk of accumulation of leakage current  Minimize the  number of devices     Do not remove the device cover  The service and repair of the  device should be carried out only by trained personnel     The Screen amp Go system is prepared to work at room temperature   Avoid exposing any part of the system to heat sources  Also  avoid 
52. xt conditions must be taken into account     e Usein a health center  patient s home or similar indoor use  not  for outdoor use      e Not intended for use in moving transport vehicles     e Not intended for monitoring vital signals     534 70S MU2 e REV  1 07    Screen amp Go    User s Manual       INDICATIONS FOR USE    The Screen amp Go has been designed for maximum safety  All of  the operating instructions should been read before proceeding to  operate with the system  Failure to do so may result in injuries to  the user or the patient and damage to the device and or accessories     The Screen amp Go has been designed for being used by a doctor or  a technician trained in the acquisition of respiratory signals and  the transmission of these signals to a PC during polygraphic tests   The user is allowed to configure the device under these conditions   However  it is not recommended that the configuration of the  device is changed without understanding the principles of signal  digitalizing     Minimum age of patients is 5 years  weighing over 15 kg and  a minimum height of 70 cm  The medical staff will instruct the  patient for a correct test execution  to avoid interferences in the  measurement and to replace the sensors in case of movement   It is therefore important that the patient can understand the  instructions given by medical staff     The intended environments of use are hospitals  sleep centres and  sleep clinics  Tests may also be carried out at the patient s
    
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