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Spot Vital Signs - Meena Medical Inc.

1. It is best to place the cuff on a bare arm Clothing interferes with measurement accuracy When wrapping the cuff observe the mark on the cuff that is placed over the artery Insure that the hose is not twisted kinked or compressed as this may cause measurement errors Manual Blood Pressure Measurement To initiate blood pressure measurements on demand 1 Insure that the blood pressure cuff is properly sized and wrapped around the patient s upper arm or alternate site as necessary iy ENS 2 With the device powered on press the Blood Pressure Start Stop button A i The Spot Vital Signs inflates the cuff to the appropriate level 3 The systolic display shows the pressure in the cuff as the blood pressure determination is in process 4 When the measurement cycle is complete the systolic diastolic and pulse rate are displayed 5 The blood pressure reading is displayed for 2 minutes then disappears unless another measurement is active Pressing the Mode button on the Spot Vital Signs front display recalls the blood pressure reading 6 Pressing the Blood Pressure Start Stop button again at any time during a blood pressure determination aborts the measurement and rapidly deflates the cuff Pulse rate as determined from the blood pressure measurement method is displayed with the BP reading only if the SpO option is absent or disabled If the SpO function is operational all pulse rate determinations are a re
2. Diastolic blood pressure in children is the point at which the sound becomes muffled Spot Vital Signs 41 SYMPTOM Inaccurate Blood Pressure Readings Note Differences of up to 10mmHg are considered normal and occur for a number of reasons including intra patient BP variability observer hearing differences and auscultatory deflation rate Possible Cause Explanation and Corrective Action Incorrect cuff size Use Welch Allyn approved cuffs only Determine correct cuff size Use reference markings on cuff Measure patient s arm circumference midway between elbow and shoulder see Chart for Determining Cuff Size on page 29 to select correct cuff size Patient s arm position Ensure patient s arm is at heart level Arm movement during blood pressure cycle Keep arm still during blood pressure cycle e Movement may cause inaccuracies from artifact Blood pressure taken over clothing Take blood pressure on a bare arm Arrhythmia Check for regularity of heart rate palpate pulse or check device Moderate to severe heart rate irregularities may make blood pressure difficult to measure Incorrect reference Use the correct Korotkoff sound to determine diastolic blood pres sure e Many listeners incorrectly equate diastolic blood pressure with the disappearance of sound only phase 5 The Welch Allyn Spot Vital Signs was developed using the American Heart Association
3. SYMPTOM Cuff Deflating Too Slowly Possible Cause Explanation and Corrective Action Normal operation Typical time to take a reading is 20 to 45 seconds 165 seconds is the maximum Pressure Preset too high Check default Pressure Preset setting in internal configuration mode Patient movement Have patient sit still Do not have arm tight against chest wall as respiration may affect speed and accuracy of blood pressure measurement Small leak in pneumatic system Check cuff and tubing for leaks Spot Vital Signs 45 Maintenance Welch Allyn will make available upon request circuit diagrams and other information which will assist appropriately qualified technical personnel in repair of this device Please reference 4200 145E Service Manual on page 50 Cleaning Spot Vital Signs Wipe the Spot Vital Signs clean with a cloth slightly dampened with warm water and a mild detergent solution Never immerse the Spot Vital Signs in any type of fluid Occasionally clean the unit as necessary with appropriately diluted non staining disinfectant solution Use either 7096 isopropyl alcohol 1096 chlorine bleach solution or mild detergent in water Note Prevent water or other fluids from entering any connectors Should this occur dry the connectors with warm air Check all measurement functions for proper operation Every 3 months inspect the temperature probe SpO Cord and accessories
4. proof Do not leave the device unattended while taking measurements on a patient To insure patient safety use only accessories and supplies i e cuffs hoses temperature probes SpO sensors etc recommended or supplied by Welch Allyn for the Welch Allyn Spot Vital Signs See Supplies And Accessories on page 48 Do not operate the Welch Allyn Spot Vital Signs in the presence of flammable anesthetics or other explosive atmosphere An explosion may result Avoid compression of the pneumatic tubing of the Welch Allyn Spot Vital Signs Compression IN of the tubing may cause system errors to occur in the device Care should be taken to prevent water or other fluid from entering any connectors on the device Should this occur the connectors should be dried with warm air All operating func tions should then be checked for proper operation Any Spot Vital Signs which has been dropped or damaged should be checked by qualified ser vice personnel to insure proper operation prior to use Every three months inspect the temperature probe SpO Cord and accessories for fraying 1 X or other damage Replace as necessary Spot Vital Signs 3 gt bob amp EEE There are no userserviceable parts inside the device other than battery replacement Refer to unit to the Authorized Service Center listed on page 52 The Spot Vital Signs should not be used on patients who are linked to heart lung machines The Spot Vital Signs does not oper
5. recommendations which state that phase 5 be used unless sound continues to 0 mmHg in which case the change in the quality of sound phase 4 is to be used Deflate cuff no faster than 3 mmHg per second e One of the major sources of error in auscultatory blood pressure measurement is deflating the cuff too quickly The American Heart Association recommends deflation no faster than 3 mmHg per second Only use a sphygmomanometer that is calibrated e An uncalibrated sphygmomanometer may take inaccurate blood pressure measurements Change in blood pressure between auscultatory reading and Welch Allyn Spot Vital Signs reading Check blood pressure immediately prior to Welch Allyn Spot Vital Signs reading Poor auscultatory sound recog nition by observer Use higher quality stethoscope Have a different observer check patient s blood pressure 42 Welch Allyn SYMPTOM Cuff Inflation and Deflation with No Blood Pressure Reading Displayed or Error Code in Display Possible Cause Explanation and Corrective Action Leak in pneumatic system Ensure all cuff attachments are tight Carefully check for tubing leaks in blood pressure cuff and tubing attached to the device Arm movement during cycle Keep arm still during blood pressure cycle Movement may cause inaccuracies from artifact Tubing movement artifact Do not contact tubing during blood pressure cycle Movement may cause inaccuracies from art
6. Oral and axillary tem peratures are taken using the blue oral probe Rectal temperatures are taken using the red rectal probe In Normal mode the thermometer s microprocessor predicts body temperature in approximately 4 seconds for oral temperatures 10 seconds for axillary temperatures and 15 seconds for rectal temperatures When using Monitor mode allow the temperature read out to stabilize for 3 min utes for oral and rectal temperatures and 5 minutes for axillary temperatures The Monitor mode continues to display an updated temperature as long as the probe remains in place Settings for Fahrenheit or Celsius scales are available for the temperature readings display Spot Vital Signs 13 Maximum and Minimum Temperature Ranges The maximum and minimum temperature ranges are as follows Measurement Maximum Minimum Temperature 109 4 F 86 0 F 43 0 C 30 0 C Normal Temperature Mode Normal oral mode is the default operating mode for temperature determinations In Normal mode the Spot Vital Signs measures temperature at discrete intervals then calculates the rate of change according to a proven algorithm This allows the thermometer to predict the end point the thermistor would reach if it were left in the mouth until it reached mouth tempera ture This predictive feature allows the thermometer to arrive at an accurate oral temperature reading in approximately 4 seconds Operatorselectable patient ala
7. exactitude et la s curit de la pression art rielle p diatrique on doit prendre note que le brassard pour adulte de petite taille 5200 03 le brassard monobloc pour enfant de petite Welch Allyn taille 5200 13 ou le brassard monobloc jetable pour enfant de petite taille 5083 93 3 Welch Allyn sont LES PLUS PETITS BRASSARDS dont l usage a t approuv pour jeunes enfants et nouveau n s La circonf rence du bras de l enfant doit s adapter entre les rep res de plage du brassard Les mesures de pression art rielle peuvent tre fausses si l on utilise des brassards et ou des tuyaux autres que ceux qui sont fournis avec le Signes essentiels de tache Welch Allyn e Les mesures de pression art rielle peuvent ne pas tre exactes si elles sont prises sur des patients atteints d arythmies mod r es intenses e Lorsque plusieurs mesures de pression art rielle sont prises sur le m me patient il est recommand de v rifier r guli rement le site du brassard et l extr mit portant le brassard pour d tecter tous risques d isch mie de purpura et ou de neuropathie A Avertissements relatifs la SpO e est particuli rement recommand de ne pas utiliser un capteur de SpO dans un milieu IRM e N utiliser que des capteurs de SpO et des accessoires qui sont compatibles avec la configuration SpO acquise Le Signes essentiels de tache Welch Allyn option d oxym trie de pouls Nellcor Puritan Bennett ne doit tre ut
8. final temperature reading 9 After the temperature measurement is complete remove the probe from the patient s axilla and eject the probe cover by firmly pressing the ejection button on the probe Dispose of the used probe cover properly 10 Insert the probe into the probe holder before attempting to take another temperature measurement 11 In Normal mode the current temperature is displayed for 2 minutes after the probe is placed back in the holder The display then disappears unless another measurement is active You may recall the last patient reading by pressing the Mode button Note If a probe position icon appears during the temperature determination the temperature display alternates between the final predicted temperature and the letter P Monitor Mode 1 Remove the probe from the probe holder and take an axillary predictive temperature the Thermometer mode must read ALY 2 When the thermometer is finished and a temperature is displayed leave the probe in place and press the Mode button once An M appears on the temperature display to indicate Monitor mode 3 Maintain probe contact with the tissue for at least 5 minutes to obtain an accurate axillary Monitor mode temperature 4 Record the Monitor mode temperature before placing the probe back in the probe holder The Spot Vital Signs does not save the Monitor mode temperature 34 Welch Allyn If the thermometer is in Normal mode you can easily
9. for fraying or other damage Replace as necessary Do not sterilize or autoclave the Spot Vital Signs Blood Pressure Cuff Clean the durable one piece blood pressure cuff with a damp cloth or wash in water with soap or detergent Before washing the cuff remove the tube fitting s close off tubes with plugs available as accessory 5082 163 and place the hook and loop fasteners in the closed position After washing allow the cuff to air dry Re assemble the tube fitting s Disinfection You may use glutaraldehyde type liquid disinfectants on the durable cuff Prolonged use of these disinfectants at full strength may cause discoloration of the white cuff markings Sterilization Do not use steam or heat to sterilize the cuff or tubing If necessary use gas ster lization Do not press with a hot iron Cables and Pressure Hose Wipe the cabling and pressure hose with a damp cloth moistened in a mild detergent solution Do not immerse hose Temperature Probe Periodically clean the temperature probe by wiping with an alcohol dampened cloth or wipe with warm water or properly diluted non staining disinfectant Do not immerse the probe SpO Sensor Clean the reusable SpO sensor with isopropyl alcohol solution and sterilize it using ethylene oxide EtO cold cycle Do not immerse the sensor 46 Welch Allyn Battery Removal and Replacement If necessary replace the internal battery after heavy use When the battery no
10. haha RR 17 DIMENSIONS PET 17 WAT SQM uos 1s purs A nte aly EROR QR p d Sb Cb e o date Bahk opta ap d 17 A siea ee eaae t a RE oos d oou E Mn ME 0 e le Ue de sch FR me nos 18 Portability ups aj do di ico gal a i Het Cb II DRE Sp ott RU ie 18 Electrical Specifications 2 A Y EROR Re S EO aes CU CE eu 18 Power Requirements sarta 4X Aged ete ond ata ati RA eot eot a dur desto 18 Battery uten elo mbi Sag dca Nobb dei b eee ERR ee D rash Ss duds tectus aad 18 Environmental Specifications 18 Operating Temperature 4 525 nest dore la V eR NATI 18 Storage Temperature 3a done qaa Reset olus d ac ao infa 18 Transport Temperature 55 0 qutd A wanna ana goo X re EORR ne 18 Relative HUMIdItY E qa o Bod e doof ao mde o Bo dh o dente B BOR Beton d 18 Operating Altitude q s aC Ed ic ius Mo etui Msz M TO AA Eee al 18 Agency Approvals voe aic Zone ta ss be eal tenure Leda Cw etis que ris 19 Unpacking Checklist 4 te sens A AR A aient 21 Controls Indicators and Connections 22 Front Panel FUNCUONS Gus utt d dvd deo Meca velita don ie aos ONE AA e ONE a 22 LCD Liquid Crystal Display aduer ion derer dd d ud e eredi ve ettet doe Cata a av 23 Top Side and hear Panel Connections s a sr aem au ebd gor ete mas ata 24 Setup Procedure mrii veo eio NEA P REED o is 24 Charging the Battery ce d c du ans neon Fa adt AIR tcs Aug eG nih EE Aube to 24 Blood Pressure Hose and Cuff Conn
11. off When the device is turned on the new temperature scale is established as the default scale The device always reverts to this temperature scale Selecting Temperature Operation Mode When configured with the temperature option the Welch Allyn Spot Vital Signs takes a tempera ture in either Normal or Monitor mode In the Normal mode the thermometer s microprocessor predicts body temperature in approx imately 4 seconds for oral temperatures 10 seconds for axillary temperatures and 15 seconds for rectal temperatures For accurate oral temperatures place the oral probe in the poste z SUBLINGUAL POCKET rior medial sublingual pocket Monitor mode is normally used when difficult situations prevent taking 984 an accurate temperature in the Normal mode In Monitor mode main tain probe contact with the tissue for at least 3 minutes for accurate oral rectal temperature measurement and 5 minutes for accurate axil lary temperature measurement The default setting for the Spot Vital Signs thermometer is Normal mode Note Normal mode axillary temperatures are FDA approved for children under the age of four THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL PATIENTS Spot Vital Signs 31 To place the Spot Vital Signs into Monitor Mode remove the probe from the probe holder and take either oral axillary or rectal predictive temperature When the predictive temperature is dis played press the Mod
12. patient use sensor is for measuring adult and pediatric patients where moderate patient movement is expected or cross contamina tion is possible The preferred application site is the index finger However you may use other fingers or toes where the tissue thickness is between 5 and 21 millimeters Other sites may not give accept able results because of inadequate perfusion or inadequate light transmission The application of these sensors is the same for either adult or pediatric patients the difference is in the size of the sensor For best results secure the cable independently from the sensor Make sure the tape securing the cable does not restrict blood flow Caution Do not stretch the tape while applying the sensor This may cause inaccurate readings or skin blisters Note These sensors may be sterilized using ethylene oxide EtO cold cycle after removal from the plastic shipping bag 1 Grip the tab on the sensor s bottom adhesive cover and peel the adhesive cover off 2 Place the patient s finger or toe into the sensor nail side up with the tip of the finger or toe centered against the center line mark in the curved area Reference the line that indicates the center of the curved area on the tape This will assure vertical alignment between the emitter and detector Wrap the tape around the finger Do not cover the fingernail with tape during this step Grip the top adhesive cover and peel it off 4 Fold the sensor s top o
13. perfusion e Venous pulsations e Anemia or low hemoglobin concentrations e Cardiovascular dyes e Sensor not at heart level e Fingernail polish if finger sensor is used Caution Discontinue use of double backed adhesive strips or the Hydrogel tape strips if the patient exhibits allergic reactions to the adhesive material Caution Check sensor sites periodically to determine circulation sensor positioning and skin sensitivity Applying the Appropriate Oximeter Sensor Finger Clip Sensor The finger clip sensor is for spot check measurement of pediatric and adult patients or continuous measurement less than 10 minutes where patient movement is not expected and the patient s finger is large enough for the sensor to be attached securely Note If patient movement is occurring or the finger size is inappropriate select a different sensor that is appropriate for the patient Insert finger preferably left or right index finger completely into the sensor The thumb is specifically not recommended for use with the finger clip sensor Note For best results secure the sensor cable independently from the sensor preferably around the base of the finger Make sure the tape securing the cable does not restrict blood flow Flex Sensor The flex sensor is for measurement of pediatric and adult patients in which moder ate patient movement is expected Apply the double stick tape to the smooth side of the sensor Position the sensor on the t
14. pressure measurements if cuffs and or hoses other than those provided for the Welch Allyn Spot Vital Signs by Welch Allyn are used e Patients that are experiencing moderate to severe arrhythmias may give inaccurate blood pressure measurements e When several blood pressure measurements are taken on the same patient it is recommended that the cuff site and extremity are regularly checked for possible ischemia purpura and or neuropathy A SpO gt Warnings e The operation of the SpO sensor in MRI environments is specifically not recommended Welch Allyn Use only SpO sensors and accessories that are compatible with the SpO configuration purchased The Welch Allyn Spot Vital Signs with Nellcor Puritan Bennett pulse oximetry option may only be used with Nellcor Puritan Bennett brand sensors and accessories The SpO sensor and extension cables are intended for use only for pulse oximetry measurements Do not attempt to connect these cables to a PC or any similar device AN Temperature Warnings Single use disposable probe covers available from Welch Allyn limit patient cross contamination The use of any other probe cover or the failure to use a probe cover may produce temperature errors and is specifically not recommended Use only oral probes blue for taking oral and axillary temperatures Only use rectal probes red for taking rectal temperatures only The use of the wrong probe may produce temperature errors Do not
15. strips or the overwrap e The reflectance and ear clip sensors generally do not perform as well as sensors located on the finger or toe They are not recommended for applications where the best possible SpO accuracy is important Use the reflectance and ear clip sensors when fingers and toes are not suitable as with peripheral shut down or when measuring central body perfusion for timing response reasons They are also useful in high motion environments such as stress testing Clear Tape Strips or Hydrogel Tape Strips are recommended to provide additional securing for the reusable infant and flex sensors Clean reusable sensors with an isopropyl alcohol wipe Allow enough time for the sensor to dry thoroughly before reusing The reusable sensors are also sterilized using ethylene oxide EtO cold cycle Compatibility Caution Use only the sensors provided by Welch Allyn These sensors are manufactured to meet the calibration requirements for the Spot Vital Signs Caution Each sensor is designed for a specific clinical application Optimal performance is attained only by using each sensor appropriately Spot Vital Signs 55 Factors that may degrade the performance of the pulse oximeter e Excessive ambient light e Excessive motion e Electrosurgical interference e Arterial catheters blood pressure and infusion lines etc e Moisture in the sensor e Improperly attached sensor e Incorrect sensor for patient e Poor patient
16. switch to Monitor mode without taking a predictive temperature first To do this remove the probe from the probe holder attach a new probe cover and wait one minute do not place probe in patient s mouth underarm or rectum at this time After one minute the thermometer automatically switches to Monitor mode You may now proceed to take an axillary temperature After the probe is replaced in the holder the device reverts back to Normal temperature mode Taking a Rectal Temperature To take a rectal temperature in either Normal or Monitor mode 1 Insure that the rectal probe is connected to the Spot Vital Signs The rectal probe has a RED tip Accurate rectal temperatures are obtained only by using the red temperature probe 2 Remove the probe from the probe holder A short self test mode is initiated where every LCD segment on the temperature display is illuminated briefly Following this self test the display shows Rec indicating the rectal probe is in use The display must show Rec prior to the initiation of a rectal temperature measurement 3 Once Rec is displayed load a probe cover onto the probe by holding the probe collar with the thumb and forefinger careful not to hold or press the ejection Ejection gt Button id button 4 Separate the buttocks with one hand Apply a thin coat Y of waterbased lubricant when necessary Using the other hand gently insert the probe ONLY 1cm 5 8 inch for adults and
17. use a smaller or larger cuff it is strongly rec ommended that you use the larger size cuff You may find that the bottom of the cuff extends to the antecubital fossa bend in the elbow on many people but because the device uses oscillometric technology not auscultation this does NOT result in an inaccurate blood pressure Careful sizing of the cuff is important to the accuracy of blood pressure readings If the cuff is too small you may have falsely high readings If the cuff is too large you may have falsely low readings To accurately determine the correct cuff size refer to Chart for Determining Cuff Size on page 29 28 Welch Allyn Determining Cuff Size with the Cuff Markings One way to insure proper cuff size is to wrap the cuff around the patient s upper arm and visually check it The cuff is marked with a distinct white edge and two divisions that indicate range When the cuff is properly fit the edge meets the cuff at some point within the range Chart for Determining Cuff Size You can also determine cuff size by measuring the patient s arm circumference midway between the elbow and shoulder then use the chart below to select the correct cuff Durable One Piece Disposable One Piece Minimum Maximum Minimum Maximum Cuff Cuff Size Single Cuffs 5 cm cm inches inches Unit pack 5200 13 5082 93 3 Small Child 12 4 16 8 4 9 6 6 5200 14 5082 94 3 Child 15 8 213 6 2 8 4 5200 1
18. 1 2 inch for infants and children inside the rectal sphincter Use extreme caution to avoid risk of bowel perforation in children 5 Tiltthe probe to insure good tissue contact Keep hands separating buttocks in place hold the probe in place during the entire measurement process 6 During the temperature measurement cycle the temperature display shows a series of LCD segments in a boxshaped formation This indicates that the temperature measurement is in process 7 When the final temperature is reached a beep sounds and the temperature is displayed This takes approximately 15 seconds 8 After the temperature measurement is complete remove the probe from the patient s rectum and eject the probe cover by firmly pressing the ejection button on the probe Dispose of the used probe cover properly 9 Insert the probe into the probe holder before attempting to take another temperature measurement 10 The current temperature is displayed for 2 minutes after the probe is placed back in the holder The display then disappears unless another measurement is active You may recall the last patient reading by pressing the Mode button Note lf a probe position icon appears during the temperature determination the temperature display alternates between the final predicted temperature and the letter P Spot Vital Signs 35 Monitor Mode 1 Remove the probe from the probe holder and take a rectal predictive temperature the temperatur
19. 5 5082 95 3 Small Adult 20 0 270 79 10 6 5200 16 5082 96 3 Adult 25 3 34 3 10 0 13 5 5200 17 5082 97 3 Large Adult 32 1 43 4 12 6 171 5200 18 5082 98 3 Extra Large 40 7 55 0 16 0 21 7 Adult THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO FOR USE ON NEONATAL PATIENTS To ensure pediatric blood pressure accuracy and safety note that the Welch Allyn Small Child Cuff 5200 03 the Welch Allyn Small Child One Piece Cuff 5200 13 and the Welch Allyn Small Child Disposable One Piece 5082 93 3 are the smallest cuffs approved for use with young chil dren and infants The circumference of the child s arm must fit within the range markings on the cuff Positioning the Cuff The preferred blood pressure measurement site for adults and children is the upper arm Keep the patient s arm relaxed and motion free during measurement s Alternate blood pressure measurement sites include the ankle or forearm Do not place the cuff on any extremity that is used for intravenous infusions or any area where circulation is compromised Warning Note Cuff inflation during an SpO gt measurement may cause inaccurate SpO results when used on the same arm Spot Vital Signs 29 Wrap the cuff snugly with room between the cuff and the arm for two fingers Excessive tight ness may cause venous congestion and discoloration of the limb Possible error may occur if the cuff is wrapped too loosely preventing proper inflation
20. Contains the internal battery Remove the 4 screws to change the battery without affecting other internal parts The Welch Allyn Spot Vital Signs Device may be powered by either AC power or battery power after the battery has been charged UPON INITIALLY RECEIVING THE DEVICE CHARGE THE BATTERY FOR SIXTEEN 16 HOURS OR UNTIL THE CHARGING ICON NO LONGER FLASHES The battery is charged by attaching the AC power transformer to the device and plugging the AC power transformer into the AC mains power source 24 Welch Allyn Blood Pressure Hose and Cuff Connections Identify and have each of the following items available The Welch Allyn Spot Vital Signs e One piece blood pressure cuff e Black pressure hose Perform the following set up procedures 1 Inspect the black pressure hose note that one end has a connector fitting and the other end does not Attach the end without the connector to the pressure hose connector on the Spot Vital Signs Verify that the pressure hose is completely inserted over the connector and that the fit is snug 2 Join the other end of the black pressure hose to the pneumatic tubing attached to the cuff Twist the black connectors together until fingertight DO NOT OVER TIGHTEN Temperature Probe Connection The Welch Allyn Spot Vital Signs is available with two probes one for oral axillary temperatures blue and one for rectal temperatures red The rectal probe is an accessory item that is ordered separ
21. Fax 315 685 3361 Part No 421056 1E Rev D Printed in U S A
22. Range SpO 40 100 oxygen saturation SpO Accuracy 3 in the range of 70 100 oxygen saturation 1 standard deviation 7096 unspecified by the OEM Battery Charging The battery charges to 90 100 capacity in 12 hours Unit operates and charges battery simul taneously when connected to power source Mechanical Specifications Dimensions Height 9 70 inches 24 64 cm Length 5 72 inches 14 53 cm Depth 4 73 inches 12 01 cm Weight Approximately 4 25 pounds 1 91 kg Mounting Self supporting on rubber feet Spot Vital Signs 17 Custom Mobile Stand Custom made Wall Mount Custom made IV Pole Mount Portability May be hand carried when held by the rear handle Electrical Specifications Power Requirements Patient Rated isolation transformer is connected to AC mains North American Version 120VAC 60 Hz 0 20A Input Source 8VDC 0 75A Output Source International Version 230VAC 50Hz 0 20A Input Source 8VDC 0 75A Output Source 240VAC 50Hz 0 20A Input Source 8VDC 0 75A Output Source Battery Lead acid with external charger A fully charged battery supports 150 typical blood pressure determinations taken at 7 minute intervals The battery is 90 100 charged after 12 hours of charging The battery automatically charges when the Spot Vital Signs is powered through the AC power transformer The battery charges faster when the instrument is not in operation Environmental Specifications Opera
23. Supplies 4200 60 4200 62 4200 70 4200 80 Complete Mobile Stand Unit includes Storage Basket Pole and Base Assembly Transformer Mounting Kit Recommended for models 4200B 42NOB 420TB 42NTB Complete Wall Mount Unit includes Storage Basket Wall Mount Bracket Transformer Mounting Kit Recommended for Models 4200B 42NOB 420TB 42NTB Anti Theft Kit for Spot Vital Signs Mobile Stand Mount for Printer Spot Vital Signs 49 Miscellaneous Supplies 14042 14052 53600 53600B 4200 84 4200 85E 421054 1E 4200 145E 4200 150E 4200 100 5200 101A 5200 102A 5200 103A 5200 110 5200 111 5200 112 5200 113 50 Thermal Printer Thermal Printer with Mobile Stand Mount Printer Paper 1 case 6 boxes 24 rolls Printer Paper 4 roll box Lead Acid Battery Operator Manual Quick Reference Card Service Manual Training Video Welch Allyn Spot Vital Signs Carrying Case AC Power Transformer desktop transformer line cord not included 120V 60Hz AC Power Transformer desktop transformer line cord not included 230V 50Hz AC Power Transformer desktop transformer line cord not included 240V 50Hz Line Cord United States Canadian Japanese version Line Cord European version Line Cord United Kingdom version Line Cord Australian version Welch Allyn Warranty and Service Warranty Welch Allyn warrants the Spot Vital Signs when new to be free of defects in material and work manship and to per
24. Vital Signs has no alarm capability Oxygen saturation and pulse rate are displayed on the LCD screen On each detected pulse the pulse signal bar graph flashes The intensity of this signal is a simple visual indicator of wave form signal strength and can identify possible situations of inadequate pulsatile nature of tissue for an accurate SpO reading The update interval bar of the bar graph should correspond to the patient s pulse rate This is an indication of the quality of the SpO signal Maximum and Minimum SpO Ranges The maximum and minimum SpO ranges are as follows Measurement Maximum Minimum SpO 100 40 Pulse Rate The Welch Allyn Spot Vital Signs determines pulse rate as an adjunct to blood pressure measure ment and SpO measurement The pulse rate in beats per minute is determined primarily from the SpO measurement meth odology In the case where SpO is not available or is disabled the pulse rate display is derived by data from the blood pressure measurement method Spot Vital Signs 15 Maximum and Minimum Pulse Rate Ranges The maximum and minimum pulse rate ranges are as follows Measurement Maximum Minimum Using BP determination 200 bpm 40 bpm Using SpO determination 245 bpm 25 bpm Performance Specifications Patient Population The Welch Allyn Spot Vital Signs is designed for use with adult and pediatric patients
25. Welch Allyn defines a pediatric patient as 29 days old or more THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATES Welch Allyn defines neonates as children 28 days or less of age born at term 37 weeks gesta tion or more otherwise up to 44 gestational weeks Cuff Pressure Range 0 mmHg 300mmHg Initial Cuff Inflation 160 mmHg Systolic Determination Maximum 250 mmHg Minimum 60 mmHg Diastolic Determination Maximum 160 mmHg Minimum 30 mmHg Blood Pressure Accuracy Blood pressure accuracy meets or exceeds SP10 1992 AAMI standards for non invasive blood pressure accuracy AAMI standard x 5 mmHg mean error 8 mmHg standard deviation Blood pressure accuracy is validated for pressure measurement using the upper arm only Blood Pressure Determination Time Typical 20 to 45 seconds Maximum 165 seconds Pulse Rate Determination using SpO determination Maximum 245bpm Minimum 25bpm 16 Welch Allyn Pulse Rate Accuracy SpO Module Heart Rate 3 0 bpm Blood Pressure Algorithm Heart Rate 5 0 Overpressure Cutoff 315 mmHg 15 mmHg Temperature Ranges Measurement Maximum Minimum Temperature 109 4 F 86 0 F 43 0 C 30 0 C Temperature Accuracy Calibration accuracy 0 2 F 0 1 C Temperature Determination Time Oral 4 seconds typical 15 seconds maximum Axillary 10 seconds typical Rectal 15 seconds typical Oxygen Saturation
26. WelchAllyn Spot Vital Signs 420 Series SYS kPa immo MINI A A NA A AN NN Em b SpO BBBB HBB Operator s Manual Copyright 2001 Welch Allyn Inc All rights reserved CAUTION United States Federal law restricts this device to sale by or on the order of a health care practitioner Table of Contents About the Operator s Manual 1 Product Overview a oco aan e doa ne en eras MUN Too RR wel BC eR UR REC RR UA R8 1 Symbols and Descriptions 1 64 6 cada y RR eee Ovo ORC KR DR RA A 2 Safety Warnings and Precautions 3 Consignes de s curit et pr cautions 7 Indications Contraindications for Use 11 Special Features 25 o xa arr d OC UR oos nee sida AS ets Eas RAE A 11 Choice of Measurement Modalities 11 Non Invasive Oscillometric Blood Pressure 11 Operator Friendly Results x se anaana aaaea edi dea 11 AC or Self Contained Battery Power 11 Blood Pressure Measurements 13 Maximum and Minimum Blood Pressure Ranges 13 Mean Arterial Pressure MAP 13 Temperature Operating Modes 13 Maximum
27. al Signs off 2 Press both the Power button and the Blood Pressure Start Stop button simultaneously The device enters its internal configuration mode 3 Press the Mode button to cycle through the menu until you see PRP appear in the systolic display and the pressure default level appears in the diastolic display 4 Press the Next Patient Clear or Blood Pressure Start Cancel button to cycle through the 7 options available 120 140 160 180 200 240 and 280 mmHg 5 When the desired Pressure Preset level is illuminated press the Mode button once to save this change 6 Turn the device off When the device is turned on the new Pressure Preset is established as the default level The device always reverts to this Pressure Preset level Caution When measuring blood pressure on children younger than age 3 it is recommended that the Pressure Preset initial inflation pressure be set at 160 mmHg or lower Blood Pressure Cuff Selection Criteria Note An adult durable blood pressure cuff is included with your Spot Vital Signs A full range of cuff Sizes are available as accessory items however the Adult Durable cuff fits the majority of adults and give the most accurate blood pressure measurement Research has shown that an undersized cuff overestimates the true blood pressure by as much as 10 to 30 mmHg Please refer to the reference markings on the cuff for correct cuff sizing When there is an area of overlap whereby you could
28. al hose to provide extended length All appropriate connectors are included 5200 12 Straight Pressure Hose 8ft 2 4M 5200 08 Calibration FConnector 48 Welch Allyn Temperature Accessories and Supplies 02678 100 02679 100 05031 101 06137 000 Oral Probe 9ft 2 7M Rectal Probe 9ft 2 7M Disposable Probe Covers 1000 covers packaged 25 box Temperature Calibration key Nellcor Puritan Bennett Pulse Oximetry Accessories and Supplies DS 100A EC 8 D YS D YSE D YSPD D 25 D 25L D 20 1 20 R 15 OXICLIOS A OXICLIO P OC 3 OXI A N OXI P RS 10 DURASENSOR Adult Oxygen Transducer Extension Cable 8ft DURA Y Oxygen Transducer 1 sensor 40 wraps Ear Clip use with Dura Y sensor PediCheck Pediatric Spot Check use with Dura Y sensor OXISENSOR II Adult Digit Oxygen Transducer case of 24 OXISENSOR II Adult Digit Oxygen Transducer long cable case of 24 OXISENSOR II Pediatric Oxygen Transducer case of 24 OXISENSOR II Infant Digit Oxygen Transducer case of 24 OXISENSOR Adult Nasal Oxygen Transducer case of 24 Adult Oxygen Transducer use with OC 3 cable case of 24 Pediatric Oxygen Transducer use with OC 3 cable case of 24 OXICLIO Sensor Cable OXIBAND Adult Neonatal Oxygen Transducer 1 sensor 50 wraps OXIBAND Pediatric Infant Oxygen Transducer 1 sensor 50 wraps Reflectance Oxygen Transducer 6 sensors 6 headbands Mounting Accessories and
29. allow the tip of the temperature probe to come into contact with any heat source e g hands or fingers prior to taking a temperature measurement If this occurs discard the probe cover and start the temperature determination again N IrDA Communications Port Warnings The Welch Allyn Spot Vital Signs contains an infrared communications port for isolated communications with the external printer see order catalog or with a PC The port is located on the side of the device to preclude direct eye contact on a continual basis when viewing the display As a precaution do not look directly into the infrared port during operation A General Cautions If the accuracy of any measurement is in question check the patient s vital sign s by an alternate method then check to make sure the device is functioning properly Insure the device is placed on a secure surface or use one of the optional mounting accessories Do not place fluids on the device A Blood Pressure Cautions Extremity and cuff motion should be minimized during blood pressure determinations If the blood pressure cuff is not at heart level the difference in reading due to the hydrostatic effect should be noted The value of 1 80 mmHg must be added to the displayed reading for every inch 2 5 cm above heart level The value of 1 80 mmHg must be subtracted from the displayed reading for every inch 2 5 cm below heart level Proper blood pressure cuff size and placement is essent
30. and Minimum Temperature Ranges 14 Normal Temperature Mode sun dne ad e EUER Abi HER Rod den Roda 14 Monitor Temperature Mode vit hah bud bw dias den 14 SpO Operating Mode 2 eR ia dedans m A ERR RR E Ron RUN 14 Maximum and Minimum SpO Ranges 15 Pulse Rate rods pev eio OR UE NE AGE fs ocn deside Ne ERU NR AA 15 Maximum and Minimum Pulse Rate Ranges 16 Performance Specifications siii Lacum ees prs RNS RR Gra a e au als Ra 16 Patent Population 9 599 d pda Uc Ud eon di PAR AA TT dd Rech RSR 16 Cut Pressure Range ee Gh Mute oA ll Casar aoa i uM sorte E 16 latae PT MT ATI Ofrece eto xe x RIED ROLE IDEE SR 16 Systolic Det atl hg asd aua mia ts catus Beck aote cte adt ara A d 16 Diastolic Determination less 16 Blood Pressure Accuracy S 42 8 aaro ana de oa fua Ee ee enl tas BOR AR 16 Blood Pressure Determination Time 16 Pulse Rate Determination using SpO determination 16 Pulse Rate Accuracy arae Sas pest Pun A NE Aedes bale gra IP e du deo MER an dar oft 17 Overpress re Cutoff Lead Ds dict bap tad oe Oe abe DU 17 Temperature Ranges iens Pose dee aba na So A Aot ble OP e a a 17 Oxygen Saturation Range SpO2 ia d rex meto t Rari RE EE CREE 17 SO ACTUA AA a TRAD A id AE TARA 17 Battery CHarging A a A Pe aac teed Ma ih ah ada o ats pe Pared DA 17 Mechanical Specifications vivio iia yx RE
31. and axillary modes of operation The device s display must show ALY prior to the initiation of an axillary temperature measurement Spot Vital Signs 33 4 With the temperature display showing ALY load a probe cover onto the probe by holding the probe collar with the thumb and forefinger careful not to hold or press the ejection button Ejection gt Button 5 Lift the patient s arm so that the entire axilla is easily Y seen Place the probe as high as possible in the axilla Do not allow the probe tip to come into contact with the patient until it is deliberately placed in the measurement site Any tissue contact before this time activates the probe position message and may cause inaccurate temperature readings 6 Verify that the probe tip is completely surrounded by axillary tissue Clothing or other material touching the probe tip may cause inaccurate readings 4 Place the arm snugly at the patient s side Hold the arm in this position without movement of the arm or probe during the measurement cycle Moving the arm may cause inaccurate readings Hold the probe in place during the temperature measurement process to ensure the probe tip maintains tissue contact 8 In Normal mode the Spot Vital Signs beeps and displays the temperature reading when a final temperature is reached This takes approximately 10 seconds In Monitor mode you should allow the temperature readout to stabilize for 5 minutes to accurately display a
32. atalogue de commande ou avec un ordinateur Le port est situ sur le c t du dispositif afin d viter un contact oculaire continuel lors de la lecture de l affichage titre de pr caution ne pas regarder directement dans le port infrarouge lors de l utilisation du dispositif Spot Vital Signs 9 A Mises en garde d ordre g n ral Si l on doute de l exactitude d une mesure v rifier les signes vitaux du patient par une autre m thode puis v rifier le fonctionnement du dispositif S assurer que le dispositif est plac sur une surface fixe ou utiliser l un des accessoires de montage optionnels Ne pas placer de liquides sur le dispositif AN Mises en garde relatives a la pression art rielle Minimiser le mouvement de l extr mit et du brassard lors des d terminations de la pression art rielle Si le brassard de tensiom tre n est pas au niveau du c ur il convient de noter la diff rence des r sultats d coulant de l effet hydrostatique Ajouter alors la valeur de 1 80 mmHg au r sultat affich pour chaque 2 5 cm 1 pouce au dessus du niveau du c ur Soustraire la valeur de 1 80 mmHg du r sultat affich pour chaque 2 5 cm 1 pouce au dessous du niveau du c ur La taille du brassard de tensiom tre et sa mise en place correctes sont essentielles l exactitude de la d termination de la pression art rielle Voir la section Tableau permettant de d terminer la taille du brassard on page 27 pour toutes informat
33. ate effectively on patients who are experiencing convul sions or tremors This device complies with current required standards for electromagnetic interference and should not present problems to other equipment or be affected by other devices As a pre caution avoid using this device in close proximity to other equipment This device is not intended for hand held use during operation Welch Allyn recommends that the battery is left in the device regardless if the device is not used for long periods of time since there is no hazard of leaving the battery in the device Connection of accessories not approved by Welch Allyn with the Spot Vital Signs can affect patient and or operator safety Do not autoclave Welch Allyn is NOT responsible for the integrity of any Wall or IV pole mounting interface Welch Allyn recommends that the customer contact their Biomedical Engineering depart ment or maintenance service to ensure professional installation safety and reliability of any mounting accessory IN Blood Pressure Warnings To ensure pediatric blood pressure accuracy and safety note that the Welch Allyn Small Cuff 5200 03 the Welch Allyn Small Child One Piece Cuff 5200 13 or the Welch Allyn Small Child Disposable One Piece 5083 93 3 are the SMALLEST CUFFS approved for use with young children and infants The circumference of the child s arm must fit within the range markings on the cuff e You may experience inaccurate blood
34. ately To install the temperature probe press down on the tab on top of the connector and insert the connector into the temperature probe connector port on the back of the Spot Vital Signs Make sure the connector clicks into place The probe connector is only inserted one way with the tab on top Insert the temperature probe into the probe holder on the top of the Spot Vital Signs To remove the temperature probe press down on the connector tab and slide the connector out SpO Sensor Connection The Welch Allyn Spot Vital Signs is available with a wide variety of SpO sensors The reusable finger clip sensor is shipped with the Spot Vital Signs Order all other sensors separately as accessory items see Appendix A SpO2 Sensors on page 55 Attach the Nellcor Puritan Bennett SpO sensor to the pulse oximetry extension cable Insert the connector end of the extension cable into the SpO connector port on the top of the Spot Vital Signs The extension cable is only inserted one way match the shape and pin configuration of the connector to the port Push the connector in until it is fully seated on the port Note Only Puritan Bennett M SpO sensors and accessories may be used with this configuration of the Welch Allyn Spot Vital Signs AC Power Connection The Welch Allyn Spot Vital Signs may be powered by either AC power or battery power after the battery has been charged To install the AC power transformer insert the round t
35. attery and variety of mounting accessories make the Welch Allyn Spot Vital Signs convenient for many locations You may choose any combination of simultaneous mea surement modalities The Welch Allyn Spot Vital Signs can be used in a wide variety of health care settings This includes hospital departments as well as alternate care settings such as physicians offices clinics and long term care facilities The Welch Allyn Spot Vital Signs is not intended for continuous monitoring of patients nor for use during the transport of a patient The Welch Allyn Spot Vital Signs is not intended for use in environments that are not supervised by a health care practitioner Spot Vital Signs 1 Symbols and Descriptions Familiarize all operating personnel with the general safety information in this summary Operator s will also find specific warnings and cautions throughout the operator s manual Such specific warn ings and cautions may not appear here in this summary Caution Consult user s manual for additional information Type BF Equipment Handle with Care y Transport Temperature 20 C 95 Storage Humidity Refer to e gt d m 3 Internally Powered Lead Acid Battery For disposal see page 47 Class I Equipment n IPXO Not protected against the ingress of water Mode of Operation Continuous 2 Welch Allyn Safety Warnings and Precautions All operating personnel should be familiarized with the general safety in
36. change the selected date item 5 After making all the desired date changes press the Mode button ONCE to save the changes and advance to the Time Set Screen 6 When in the Time Set Screen the hour in 24 hour format and minutes appear in the systolic and diastolic displays respectively Use the Mode button to select the time item to be changed When selected the time item flashes Use the Next Patient Clear and Blood Pressure Start Stop buttons to set the time in the same manner as described in step 4 7 When the time is set as desired press the Mode button to save the time and advance to the next screen 8 Press the green Power button to turn off the Spot Vital Signs Quick Reference Error Code Card The Quick Reference Error Code Card should be attached either to the Spot Vital Signs handle the Mobile Stand or the Wall Mount 26 Welch Allyn Power On Off and System Check Procedure Each time the Welch Allyn Spot Vital Signs is turned on the unit performs an internal self diag nostic check To turn the unit on press the green Power button Upon power up all the LCD segments in each display turn on briefly and a beep sounds If the internal self check is successful the displays assume their normal functions and the device is ready for operation If the self check fails an error code is shown in the display To turn the unit off press the green Power button Note that turning the unit off erases stored blood pre
37. cordons pour s assurer de l absence d effilochage ou d autres d t riorations les remplacer selon les besoins Ce dispositif ne contient aucune pi ce r parable par l utilisateur autre qu une batterie de rechange R f rez vous l unit au Centres de r parations Welch Allyn la page 52 Ne pas utiliser ce dispositif sur des patients raccord s un coeurpoumon artificiel Ce signes essentiels de tache ne fonctionne pas avec efficacit sur des patients atteints de convulsions ou de tremblements Ce dispositif est conforme aux normes actuelles requises se rapportant aux interf rences lectromagn tiques et ne devrait pas entraver le fonctionnement d autres appareils et r cip roquement titre de pr caution viter d utiliser ce dispositif proximit d autres appareils Ce dispositif n est pas destin pour l usage tenu dans la main lors du fonctionnement Tous les trois mois examinent la corde sonde de la temp rature SpO2 et des accessoires pour d celer dommages frangeants ou autres Substituez selon les besoins Welch Allyn recommande que la batterie est laiss e dans le dispositif sans se soucier si le dispositif n est pas utilis pendant de longues p riodes La connexion des accessoires non approuv s par Welch Allyn avec les signes essentiels Spot peut affecter la s ret de patient et ou d op rateur Ne st rilisez pas l autoclave Avertissements relatifs la pression art rielle e Pour assurer l
38. e Finger Clp Sensor x cuu ace v dede a bee dria a abe IE ese GTA el aterm eat 37 O MR A PAS EE NE NE E t 37 Taking an epo Measurement s a e actora d qa e ear ei EE AE ota 37 Mean Arterial Pressure MAP Mode 38 Troubleshooting Maintenance and Calibration 39 Troubleshooting Error Indications and Interpretation 39 Troubleshooting General Guide to Problems and Corrective Actions 41 Maintenance ii crie m DM MUR eI A rV ccr A 46 CSA pte a doute ees Site Lib ba mer a a ebat E 46 Battery Removal and Replacement esi ne yk wp ek RACE 47 Supplies And Accessories 48 Latex Free Blood Pressure Accessories and Supplies 48 Temperature Accessories and Supplies 49 Nellcor Puritan Bennett Pulse Oximetry Accessories and Supplies 49 Mounting Accessories and Supplies 49 Miscellaneous Supplies 50 Warranty and Service ss i233 odo oak Ged I ane este Ra RC 51 WUE IRIS SR TE OR EU A OE RA 51 SOLVIGESPOl DU e utro a due der dd seri EE D UE ane rire 51 Technical Assistance hoes a ted cei E CR R adda sro ode qol dos be dde 51 Welch Allyn Service Centers 2 25 sun d bb hais ae CERE tvs 52 Service Manual Spare Parts al duvet heat out de week DAE sui 53 Service Loaners 4444444 a dede
39. e artery hinders the ability to hear and may cause inaccurate readings Tight clothing may cause vessel congestion and inaccurate read ings Center the cuff bladder so the lower edge is at least 1 inch 2 5cm above the bend of inner arm of the elbow This places the cuff in the best position for occlud ing the blood flow through the brachial artery Palpate the brachial or radial pulse Determines the most accurate location for assess ment and approximation of systolic pressure Inflate the cuff until the pulsation disappears Continue to inflate until the pressure reads 30 mmHg above the point where the pulse disap peared Facilitates identification of Phase One Korotkoff sounds Listen carefully with stethoscope over brachial artery while controlling the release of air at a rate of 3 mmHg per second One of the major sources of error in auscultatory blood pressure measurement is deflating the cuff too quickly It is a normal operation of the Welch Allyn Spot Vital Signs to deflate at the American Heart Association recommended 3 mmHg per second Systolic is determined by reading the manometer gauge when the first faint but clear tapping sound is heard with the stethoscope Follows AHA recommended standards Diastolic in adults is determined by reading the manometer gauge to the closest even number when the last sound is heard Release the air quickly after at least 10 to 20 mmHg of silence
40. e button down once making sure the position of the probe doesn t change The thermometer switches from Normal mode to Monitor mode An M appears on the temperature display to indicate that the thermometer is in Monitor Mode When taking a Monitor mode temperature maintain probe contact with the tissue for at least 3 minutes for oral rectal temperatures and 5 minutes for axillary temperatures The Spot Vital Signs does not save the Monitor mode temperature Verify and record this temperature before placing the probe back in the probe holder If the thermometer is in Normal mode you may easily switch to Monitor mode without taking a predictive temperature first To do this remove the probe from the probe holder attach a new probe cover and wait one minute do not place probe in patient s mouth underarm or rectum at this time After one minute the thermometer automatically switches to Monitor mode and an M is displayed You may now proceed to take the patient s temperature After the probe is replaced in the holder the device reverts back to Normal temperature mode Taking an Oral Temperature To take an oral temperature 1 Insure that the oral probe is connected to the unit The oral probe is BLUE Accurate oral temperatures are obtained only by using the blue temperature probe 2 Remove the probe from the probe holder A short self test mode is initiated where every LCD segment on the temperature display is illuminated briefly F
41. e display must show ALY 2 When the thermometer is finished and a temperature is displayed leave the probe in place and press the Mode button once An M appears on the temperature display to indicate Monitor mode 3 Maintain probe contact with the tissue for at least 3 minutes to obtain an accurate rectal Monitor mode temperature 4 Record the Monitor mode temperature before placing the probe back in the probe holder The Spot Vital Signs does not save the Monitor mode temperature If the thermometer is in Normal mode you can easily switch to Monitor mode without taking a predictive temperature first To do this remove the probe from the probe holder attach a new probe cover and wait one minute do not place probe in patient s mouth underarm or rectum at this time After one minute the thermometer automatically switches to Monitor mode You may now proceed to take a rectal temperature After the probe is replaced in the holder the device reverts back to Normal temperature mode Measuring SpO The Spot Vital Signs incorporates the Nellcor Puritan Bennett pulse oximetry system which determines arterial oxyhemoglobin saturation SbO2 by measuring the absorption of red and infrared light passed through the tissues Changes in absorption caused by pulsation of blood in the vascular bed are used to determine arterial saturation and pulse rate Oxygen saturation percent is calculated with each pulse detected and the S
42. e out of range Adjust temperature or device location C22 10 minute diagnostic limit exceeded Check patient Read Operator s Manual Verify that the device is not used for mon itoring purposes SpO Error Codes Code Description Corrective Action E7 Internal malfunction Contact Customer Service C9 10 minute diagnostic limit exceeded Check patient Press Next Patient Clear button to clear error code Verify that the device is not used for monitoring pur poses 40 Welch Allyn Troubleshooting General Guide to Problems and Corrective Actions Quick Guide to Taking Manual Auscultatory Blood Pressure Action Explanation Use a certified accurate sphygmomanometer and quality stethoscope Many sphygmomanometers are inaccurate Low quality stethoscopes do not transmit sound well enough to accurately hear blood pressure sounds Select a blood pressure cuff of a suitable size Use a blood pressure cuff of the largest appropri ate size for patient see markings on inside of cuff A cuff that is either too large or too small may cause inaccurate readings Have the patient assume a comfortable position with the upper arm relaxed at heart level and the lower arm passively supported Inaccurate readings result if the arm is not at the proper level Expose the area of the brachial artery by removing clothing or move a sleeve if not too tight above the area where the cuff is placed Clothing over th
43. ections 25 Temperature Probe Connections 8 as dtes M ns a d dedo o ee 25 SpO Sensor Cone LOT ver sd d ae ier tun End pede gata Pte eee 25 AG POWerCOMMECTON ases irascible rada dette 25 Gharaing the Batey tado dco See A eb dta wn bin 26 Quick Reference Error Code Card 26 Power On Off and System Check Procedure 27 Standby Mode ra iulio asus distant Rte du a etw et pig Dr d Ra ae fea d 27 Temperature Measurement Range Indicators 27 Measuring Blood Pressure 28 Setting the Default Inflation Pressure Preset Level 28 Blood Pressure Cuff Selection Criteria 28 Determining Cuff Size with the Cuff Markings 29 Positioning Le LITE s pov ceed ors bate Ines tec eorom A ant cts pan ale etu e 29 Manual Blood Pressure Measurement 30 Reviewing Information from the Last Cycle 30 Measuring Temp rature x mac o A douce one RR RR mana AS 31 Selecting the Temperature Scale va hits ie ime RH Ra aen d Bae sows 31 Selecting Temperature Operation Mode 31 Taking an Oral Temperatures rta Ok EHE osos do o Ua dcn 32 Taking an Axillary Temperature 1 33 Measuring PO AL te ne et ue 36 Using in
44. eee 53 Appendix A SpO Sensors Compatibility Applying the Appropriate Oximeter Sensor About the Operator s Manual The Operator s Manual is designed to help you understand the capabilities and operation of your Welch Allyn Spot Vital Signs The information in this manual includes all options available with the Spot Vital Signs e g SpO temperature external printer mobile stand and wall mount The appli cability of some sections of this Operator s Manual depends on the configuration of your particular unit This manual is a comprehensive guide to the operation of the Spot Vital Signs To achieve satisfac tory results you should read this manual thoroughly before attempting to use the device A Quick Reference card is provided with the device as a convenient reference for experienced operators Product Overview The Welch Allyn Spot Vital Signs non invasively and automatically measures systolic and diastolic pressure pulse rate and oxygen saturation SpO for adult and pediatric patients Further the Welch Allyn Spot Vital Signs measures temperature invasively in natural body orifices i e mouth and rectum THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL PATIENTS All blood pressure pulse temperature and SpO values are viewed on a large easy to read display and can be printed via the IrDA port to an external printer as desired The rechargeable lead acid b
45. enir des r sultats satisfaisants il incombe l utilisateur de lire enti rement ce manuel avant d utiliser le dispositif Le signes essentiels de tache n est pas pr vu pour une surveillance en continu et n est donc pas r sistant aux d fibrillateurs Ne pas laisser ce dispositif sans surveillance lors de la prise de mesures sur un patient Spot Vital Signs 7 PEEP PPE PEP pl ll PEE PE A Pour assurer la s curit du patient n utiliser que des accessoires et du mat riel c est dire brassards tuyaux sondes de temp rature capteurs de SpO etc recommand s ou fournis par Welch Allyn avec le Signes essentiels de tache Welch Allyn Voyez Supplies And Acces sories on page 48 Ne pas utiliser le Signes essentiels de tache Welch Allyn en pr sence d anesth siques inflammables ou dans une atmosphere explosive sous risque d explosion viter la compression de la tubulure pneumatique du Signes essentiels de tache Welch Allyn sous risque d entra ner des erreurs du syst me Veiller viter la p n tration de l eau ou d autres liquides dans les connecteurs du dispositif Si un tel incident survient les s cher l air ti de V rifier ensuite toutes les fonctions pour s assurer du bon tat du dispositif Si un signes essentiels de tache est tomb ou a t endommag il doit tre examin par un personnel de r paration habilit pour assurer son bon fonctionnement avant usage V rifier r guli rement les
46. ervice Center nearest you for assistance Technical service support is available by telephone on normal business days at the phone numbers listed on page 52 If you are advised to return a product to Welch Allyn for repair or routine maintenance schedule the repair with the service center nearest you Before returning a product for repair you must obtain authorization from Welch Allyn An RMA Return Merchandise Authorization number will be given to you by our service per sonnel Be sure to note this number on the outside of your shipping box Returns without an RMA number will not be accepted for delivery Spot Vital Signs 51 Welch Allyn Service Centers For Service or Repair USA Customers Welch Allyn Tycos Inc Technical Service Centers 95 Old Shoals Road Arden NC 28704 9739 Phone 800 535 6663 Fax 704 687 1002 INTERNATIONAL Customers Speidel Keller GmbH Co KG Technical Service Centers Zollerstrasse 2 4 D 72417 Jungingen Germany Phone 011497477927173 Fax 011497477927193 Welch Allyn Ltd Singapore 121 09 Golden Mile Tower 6001 Beach Road Singapore 199589 Republic of Singapore Phone 011652910882 Fax 011652915780 LATIN AMERICA Customers MDI International Technical Service Centers 7324 S W 48th Street Miami FL 33155 USA Phone 305 669 9003 Fax 305 669 8951 CANADA Customers Welch Allyn Canada Limited Technical Service Centers 160 Matheson Blvd East Mississauga Ontar
47. form in accordance with manufacturer s specifications for a period of two years from the date of purchase from Welch Allyn or its authorized distributors or agents Welch Allyn will either repair or replace any components found to be defective or at variance from man ufacturer s specifications within this time at no cost to the customer It shall be the purchaser s responsibility to return the Spot Vital Signs to Welch Allyn or an authorized distributor agent or service representative This warranty does not include breakage or failure due to tampering mis use neglect accidents modification or shipping This warranty is also void if the instrument is not used in accordance with manufacturer s recommendations or if repaired by other than Welch Allyn or an authorized agent Purchase date determines warranty requirements No other express warranty is given IMPORTANT Return the Instrument Registration Card Remember to submit the instrument registration warranty card for warranty validation Com plete the information and mail the pre addressed card to Welch Allyn Service Policy All repairs on products under warranty must be performed or approved by a Welch Allyn Service Center Unauthorized repairs will void the warranty Products out of warranty should be repaired by qualified electronics personnel or a Welch Allyn Service Center Technical Assistance If you have an equipment problem that you cannot resolve you may call the Welch Allyn S
48. formation in this summary Specific warnings and cautions are also found throughout this Operator s Manual Such specific warnings and cautions may not appear here in this summary General Warnings THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO BE USED ON NEONA IN TAL PATIENTS Welch Allyn defines neonates as children 28 days or less of age if born at term 37 weeks gestation or more otherwise up to 44 gestational weeks This definition comes from the AAMI SP10 1992 standard To ensure pediatric blood pressure accuracy and safety note that the Welch Allyn Small Adult AN Cuff 5200 03 the Welch Allyn Small Child One Piece Cuff 5200 13 or the Welch Allyn Small Child Cuff Disposable One Piece 5083 93 3 are the SMALLEST CUFFS approved for use with young children and infants The circumference of the child s arm must fit within the range markings on the cuff The Welch Allyn Spot Vital Signs is designed for use by medical clinicians Although this man ual may illustrate medical spot check techniques only a trained clinician who knows how to take and interpret a patient s vital signs should use this system The information in this Operator s Manual is a comprehensive guide to the operation of the Welch Allyn Spot Vital Signs To achieve satisfactory results you should read the manual thor oughly before attempting to use the device The Spot Vital Signs is not intended for continuous monitoring and is therefore not defibrillator
49. ial to the accuracy of the blood pressure determination See Chart for Determining Cuff Size on page 29 for cuff sizing information When measuring blood pressure on children younger than 3 years of age it is recommended that the Pressure Preset initial inflation pressure be set at 160 mmHg or lower Spot Vital Signs 5 A SpO Cautions The pulse oximeter is calibrated to determine the percentage of arterial oxygen saturation of functional hemoglobin Significant levels of dysfunctional hemoglobin such as carboyhemoglobin or methmoglobin may affect the accuracy of the measurement Some intravascular dyes depending on the concentration may affect the accuracy of the SpO measurement Some sensors may not be appropriate for a particular patient If at least 10 seconds of perfusion pulses cannot be observed for a given sensor change sensor location or sensor type for perfusion to resume A Temperature Cautions Normal mode 10 second axillary temperatures are FDA approved only for children under the age of four Normal mode axillary temperatures may not be accurate on older children or adults THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO BE USED ON NEONATAL PATIENTS Welch Allyn Consignes de s curit et pr cautions Tout le personnel utilisant ce mat riel doit se familiariser avec les consignes de s curit g n rales pr sent es dans ce sommaire Des avertissements et mises en garde sp cifiques se trouvent ga
50. ifact SYMPTOM No Cuff Inflation Possible Cause Explanation and Corrective Action Connections between device and Check all connections do not over tighten cuff loose SYMPTOM Temperature Malfunction Possible Cause Explanation Corrective Action Error code displayed Broken probe Replace probe Consult Technical Manual Notify biomedical department or Welch Allyn Technical Support Low temperature Improper probe Place probe in most posterior sublingual pocket when readings placement in Orl mode No temperature dis Probe not Replace probe in holder prior to taking another temper played replaced ature Spot Vital Signs 43 SYMPTOM SpO Malfunction Possible Cause Explanation Corrective Action Sensor in place but Improperly Insert the patient s finger completely into sensor no SpO on display attached sensor Verify BP and SpO measurements are not taken on the same extremity Cable incor Ensure sensor cable is correctly plugged into device rectly plugged into device Inaccurate Sp0 Incorrect sensor Ensure that correct manufacturer s sensor is in use Reading Use only Nellcor Puritan Bennett sensors SYMPTOM Printer Malfunction Possible Cause Explanation and Corrective Action Paper does not advance Consult printer Technical Manual Notify biomedical department or Welch Allyn Technical Support Printer prints light characte
51. ilis qu avec les capteurs et les accessoires de marque Nellcor Puritan Bennett Le capteur de SpO et les c bles de rallonge ne doivent tre utilis s qu aux fins de mesures de l oxym trie de pouls Ne pas essayer de raccorder ces c bles un ordinateur ou autre dispositif similaire IN Avertissements relatifs la temp rature e Les protections de sonde jetables usage unique disponibles aupr s de Welch Allyn limitent la contamination crois e des patients l utilisation d une autre protection de sonde ou l absence d une telle utilisation risque de produire des erreurs de temp rature et est particuli rement d conseill e e Les sondes buccales bleues sont uniquement destin es aux prises de temp rature par voie buccale et axillaire Les sondes rectales rouges sont uniquement destin es aux prises de temp rature par voie rectale l emploi de la sonde incorrecte risque de produire des erreurs de temp rature Ne pas laisser l extr mit de la sonde de temp rature entrer en contact avec une source de chaleur telle que les mains ou les pieds avant d avoir pris une mesure de temp rature Si un tel incident survient jeter la protection de sonde et recommencer la d termination de temp rature AN lAvertissements relatifs aux prises de communication IrDA e Le Signes essentiels de tache Welch Allyn comprend un port de communication infrarouge pour des communications isol es avec l imprimante externe voir le c
52. io L4Z 1V4 Phone 905 890 0004 or 1 800 561 8797 Fax 905 890 0008 Welch Allyn Australia Pty Ltd Technical Service Centers 38 46 South Street Rydalmere NSW 2116 Phone 01161296383000 Fax 01161296383500 Welch Allyn UK Ltd Cublington Road Aston Abbotts Buckinghamshire HP224ND Phone 011441296682140 Fax 011441296682 104 The CE Mark on this product indicates it has been tested to and conforms with the C provisions noted with the 93 42 EEC Medical Device Directive European contact for regulatory compliance European Regulatory Manager Welch Allyn LTD Navan Co Meath Republic of Ireland Phone 353 46 79060 FAX 353 46 27127 52 Welch Allyn Service Manual Spare Parts service manual is available by request to qualified electronics personnel The service manual is a comprehensive guide to troubleshooting service and repair of the Spot Vital Signs Also included with the service manual is a complete spare parts list Order spare parts from your local Welch Allyn Service Center Service Loaners Service loaners are provided on request when repair service is provided by a Welch Allyn Ser vice Center Loaners for products repaired while under the original warranty or while under extended warranty or service contract are provided free of charge and are shipped within 48 hours of notification of need Shipment charges are paid by Welch Allyn For service repairs outside of warranty or c
53. ions relatives la taille du brassard Lors d une mesure de la pression art rielle sur des enfants de moins de trois ans il est recommand de positionner le pr r glage de pression pression de gonflage initiale sur 160 mmHg maximum N Mises en garde relatives la SpO gt l oxym tre de pouls est talonn pour d terminer le pourcentage de saturation art rielle en oxygene de l h moglobine fonctionnelle Des niveaux significatifs d h moglobine dysfonctionnelle telle que la carboxyh moglobine ou la m th moglobine peuvent influencer l exactitude de la mesure Certains colorants intravasculaires en fonction de leur concentration peuvent influencer l exactitude de la mesure de SpO Certains capteurs peuvent ne pas convenir un patient particulier Si l on ne peut observer au moins 10 secondes de pulsations de la circulation sanguine pour un capteur donn changer l emplacement ou le type de capteur afin que la circulation sanguine reprenne A Mises en garde relatives la temp rature Les temp ratures axillaires en mode Normal 10 secondes ne sont exactes que pour les enfants de moins de quatre ans Elles peuvent ne pas tre exactes pour des enfants plus g s ou des adultes LE SIGNES ESSENTIELS DE TACHE WELCH ALLYN NE DOIT PAS ETRE UTILIS SUR DES PATIENTS N ONATALS 10 Welch Allyn Indications Contraindications for Use The Welch Allyn Spot Vital Signs measures blood pressure pulse rate temperature and ox
54. lement tout au long du manuel d utilisation Ces derniers peuvent ne pas tre inclus dans ce sommaire Avertissements d ordre g n ral A A gt gt LE SIGNES ESSENTIELS DE TACHE WELCH ALLYN NE DOIT PAS ETRE UTILIS SUR DES PATIENTS N ONATALS Welch Allyn d finit les nouveau n s comme des enfants g s de 28 jours ou moins n s a terme 37 semaines de gestation ou plus ou apres un maximum de 44 semaines de gesta tion Cette d finition est tir e de la norme SP10 1992 de IAAMI Pour assurer l exactitude et la s curit de la pression art rielle p diatrique on doit prendre note que le brassard pour adulte de petite taille 5200 03 le brassard monobloc pour enfant de petite taille 5200 13 ou le brassard monobloc jetable pour enfant de petite taille 5083 93 3 Welch Allyn sont LES PLUS PETITS BRASSARDS dont l usage a t approuv pour jeunes enfants et nouveau n s La circonf rence du bras de l enfant doit s adapter entre les rep res de plage du brassard Le Signes essentiels de tache Welch Allyn est con u pour tre utilis par des cliniciens Bien que ce manuel illustre des techniques de monitorage m dical ponctuel ce syst me ne doit tre utilis que par des cliniciens ayant recu la formation n cessaire pour prendre et inter pr ter les signes vitaux d un patient Les renseignements contenus dans ce manuel constituent un guide complet sur l utilisation du Signes essentiels de tache Welch Allyn Pour obt
55. longer charges remove it and replace it with a battery with the same part number To replace the battery 1 Insure the AC power transformer cord is disconnected from the Spot Vital Signs and that the device is turned off Use a phillips head screwdriver to remove the 4 screws holding the battery door Remove the battery door and expose the battery Tip the Spot Vital Signs and slide the battery out Disconnect the in line connector and discard the old battery per local regulations Re connect new battery to unit connector as quickly as possibly to prevent loss of power to the unit and subsequent loss of clock time Attach the battery connector to the new battery as shown Slide the new battery into the battery compartment as far as it will go Do not push the connector down into the case or lay it flat next to the battery The relief pocket in the battery door purposely provides sufficient clearance for the battery connector In Line Connector Replace the battery door tightening each of the 4 screws 7 Relief Connect the AC power Pocket transformer to the Spot Vital 9 i Signs and allow the new battery to charge for approximately 16 hours Itis possible to use the Spot Vital Signs during this charging period If an E38 error code is displayed when the device is owered on refer to section Changing the Time Date Set on page 26 Battery Connector Battery The battery is a non s
56. lyn Spot Vital Signs can be made available in many convenient locations for a variety of spot check needs Spot Vital Signs 11 12 Welch Allyn Blood Pressure Measurements single blood pressure determination is made when the Blood Pressure Start Stop button is pushed a N To cancel a measurement cycle at any time press the Blood Pressure Start Nu Stop button again This action immediately initiates a rapid cuff deflation The blood pressure measurement data appears on the display immediately following the mea surement and remains displayed for 2 minutes After 2 minutes the display goes blank and the device goes into standby mode To recall the most recent blood pressure measurement press the Print Mode Next Patient Clear or Blood Pressure Start Stop button Maximum and Minimum Blood Pressure Ranges The maximum and minimum blood pressure ranges are as follows Measurement Maximum Minimum Systolic Pressure 250 mmHg 60 mmHg Diastolic Pressure 160mmHg 30 mmHg Mean Arterial Pressure MAP The MAP ranges are 40 to 190mmdHg calculated from systolic and diastolic data not directly measured Temperature Operating Modes Thermometry measurements are made with Welch Allyn SureTemp technology Oral and rectal probes utilize single use disposable probe covers that limit cross contamination Oral axillary or rectal temperatures are taken using Normal or Monitor operating modes
57. nds and the pulse signal bar graph blanks The SpO display flashes for 8 seconds then displays the last SpO reading for 2 minutes unless another measurement is active The device then goes into standby mode You may recall the last patient reading by pressing the Mode button Note If the SpO sensor is detached or falls off a patient the SpO reading flashes for 8 seconds If the sensor is not reattached to the patient in 8 seconds a beep sounds notifying you that the SpOs measurement has ended Spot Vital Signs 37 Mean Arterial Pressure MAP Mode You may turn on or off the Mean Arterial Pressure MAP mode by entering the internal configura tion mode 1 Turn the Spot Vital Signs off 2 Press both the Power and Blood Pressure Start Stop buttons simultaneously The device enters its internal configuration mode 3 Press the Mode button to cycle through the menu until you reach the MAP option screen 4 Pressing the BP Start Stop or the Next Patient Clear button turns the MAP on or off When the desired functionality is displayed press the Mode button once to save this change b Turn the device off When the device is turned on the desired MAP functionality is established 38 Welch Allyn Troubleshooting Maintenance and Calibration Troubleshooting Error Indications and Interpretation The following table of conditions and error codes provides a quick reference of the descriptions and probable causes of error c
58. odes For service level troubleshooting refer to the service manual Press the white Blood Pressure Start Stop button to reset flashing patient alarm conditions General Error Codes Code Description Corrective Action E11 Internal safety violation Check patient contact Customer Service C12 Ambient temperature out of range Adjust temperature or device location C13 Battery failure Use wall transformer EO 0 E9 9 Temperature module malfunction Contact Customer Service E20 E50 General internal malfunction Contact Customer Service Blood Pressure Error Codes Code Description Corrective Action C02 Auto zero failure Check for air obstruction limit patient movement COS3 Inflation too rapid Check for kinked hose or air obstruction C04 Excessive inflation time Check for air leaks CO5 Excessive noise Check patient condition cuff placement limit patient movement C06 Measurement was outside of device s Check patient condition measurement range E10 Cuff overpressure condition Check patient condition Temperature Error Codes Code Description Corrective Action C20 Broken missing probe Replace probe Loss of tissue contact Insure proper probe positioning Spot Vital Signs 39 Temperature Error Codes Code Description Corrective Action E0 2 E0 3 Ambient temperatur
59. ollowing this self test the display shows OrL indicating the oral probe is in use 3 Once OrL is displayed load a probe cover onto the Ejection probe by holding the probe collar with the thumb and Button d forefinger careful not to hold or press the ejection button 32 Welch Allyn p Insert the probe tip gently into the patient s slightly opened mouth Carefully slide the probe under the tongue on either side of the mouth to reach the posterial medial sublingual pocket see illustration Accurate temperatures are obtained only in this location Temperatures in other mouth locations can vary by as much as 2 F or 1 C SUBLINGUAL POCKET 5 Hold the probe during the entire temperature measurement process to insure the probe tip maintains tissue contact 6 During the temperature measurement cycle the temperature display shows a series of LCD segments in a boxshaped formation This indicates that the temperature measurement is in process When the final temperature is reached a beep sounds and the temperature is displayed 8 After the temperature measurement is complete remove the probe from the patient s mouth and eject the probe cover by firmly pressing the ejection button on the probe Dispose of the used probe cover properly 9 Insert the probe into the probe holder before attempting to take another temperature measurement 10 In Normal mode the current temperature is displayed for 2 minu
60. on of the strength and quality of the pulses detected by the SpO sensor Shows the pulse rate Shows the temperature in degrees Fahrenheit or Celsius Shows a stick figure to indicate probe setting oral axillary or rectal Displays a broken probe icon to indicate a temperature probe problem Displays a plug icon when the device is powered through the AC power transformer Continuously displays a battery icon with segments to show the battery power level The segments indicate the charge level of the battery A fully charged battery has all segments illuminated As the battery level drops segments turn off While the internal battery is charging the icon segments continuously sequence 23 Top Side and Rear Panel Connections Description A SpO Sensor Connection B Probe Cover Storage Compartment C Temperature Probe Holder D Temperature Probe Connector E IrDA Data Interface F Transformer Power Connector Threaded Insert H Battery Compartment Setup Procedure Charging the Battery Function 9 pin connector for the SpO sensor Convenient storage space for one box of probe covers The active temperature probe is inserted here when not in use Removing and replacing the probe turns the temperature on and off respectively Connector for oral probe Port for communicating with an external computer or printer AC power transformer connector Mounts the Spot Vital Signs to a mobile stand
61. ontract loaners are available for a nominal daily charge and shipment is subject to availability Loaners are shipped pre paid however this charge is added to the service charges Spot Vital Signs 53 54 Welch Allyn Appendix A SpO Sensors The Spot Vital Signs features sensors that are ideal for nearly every application These sensors include the infant sensor the flex sensor the finger clip sensor the ear clip sensor the reflec tance sensor and 3 different flexi form single patient use sensors Each sensor is designed for a specific site application and specific patient size and weight range When selecting sensors for a particular application consider the following e The best performing sensor for most patients is an appropriately sized adhesive style sensor either reusable or single patient use located on the finger or toe e The finger clip sensor is recommended for spot checks or short term continuous measurement The finger clip sensor performs best for most patients when used on fingers other than the thumb The finger clip sensor is not recommended where motion is expected or for relatively long term measurement i e greater than 10 minutes e Infant sensors are recommended for use on the big toe of infants larger than 2 kilograms in weight Use Hydrogel style double stick tape and an overwrap around the sensor when using the reusable style sensor The flexi form sensor does not require the use of additional tape
62. op and bottom of the end of the finger or toe Place the light emitter portion on the finger toe nail side and the detector on the side opposite of the nail In all sensor placement applications align the windows detector and emitter portions of the sensor over the tissue Attach the sensor using 3M Micropore tape or equivalent and wrap the tape or sen 56 Welch Allyn sor wrap over the sensor assembly Wrap the sensor snugly but not so tight that it restricts the blood flow Note For optimum light transmission attach the sensor to the finger or toe For best results secure the cable independently from the sensor Make sure that the tape securing the cable does not restrict the blood flow Micropore is a registered trademark of the 3M Company Infant Sensor The infant sensor is for measuring infants where finger tip measurement is impractical The infant sensor should be applied to the large toe of infants greater than 2 kilo grams Apply the clear double stick tape or Hydrogel Tape Strips to the smooth side of the sen sor Position infant sensor on the big toe Make sure the emitter portion of the sensor is exactly aligned with the detector portion Verify that the light emitter portion of the sensor is on the nail or top side of the foot and the detector is on the opposite side Note Attach the sensor using 3M MicroporeTM tape or equivalent by wrapping the tape or sensor wrap over the sensor assembly snugly but not so
63. pillable lead acid battery In the USA call 1 800 SAV LEAD for instructions on how to recycle For International users contact your local authorities on recycling Spot Vital Signs 47 Supplies And Accessories Latex Free Blood Pressure Accessories and Supplies Cuff and Bag Combination 5200 01 Adult cuff bladder and connector 5200 02 Large Adult cuff bladder and connector 5200 03 Child Print cuff bladder and connector 5200 10 Thigh cuff bladder and connector Durable One Piece Cuff 5200 13 Small Child one piece cuff and connector 5200 14 Child one piece cuff and connector 5200 15 Small Adult one piece cuff and connector 5200 16 Adult one piece cuff and connector 5200 17 Large Adult one piece cuff and connector 5200 18 Extra Large Adult one piece cuff and connector Disposable Monitor Style One Piece Blood Pressure Cuff 5082 93 83 Small Child Cuff 5082 94 3 Child Cuff white 5082 94P 3 Child Cuff print 5082 95 83 Small Adult Cuff 5082 96 3 Adult Cuff 5082 97 3 Large Adult Cuff 5082 98 3 Thigh Cuff Miscellaneous 5082 59 Cuff Adult 5082 61 Cuff Large Adult 5082 63 Cuff Child Print 5082 64 Cuff Thigh 5200 04 Bladder Adult includes connector 5200 05 Bladder Large Adult includes connector 5200 06 Bladder Child includes connector 5200 11 Bladder Extra Large Adult includes connector 5200 07 Coiled Pressure Hose 8ft 2 4M Note For additional length connect one addition
64. pot Vital Signs dis play is continually updated The pulse signal bar graph is an indicator of the strength and quality of the detected pulses SpO is normally measured via pulses detected using a finger clip sensor For certain situations measurement and alternate site measurements for SpO can include the earlobe forehead and toes Use special sensors in these situations see Appendix A Factors that may degrade the performance of the pulse oximeter Excessive ambient light Excessive motion Electrosurgical interference Arterial catheters blood pressure and infusion lines etc Moisture in the sensor Improperly attached sensor Incorrect sensor for patient Poor patient perfusion Venous pulsations Anemia or low hemoglobin concentrations Cardiovascular dyes Sensor not at heart level Fingernail polish if finger sensor is used 36 Welch Allyn Using the Finger Clip Sensor Warning Use only Nellcor Puritan Bennett brand SpO sensors and accessories with Welch Allyn s Spot Vital Signs The finger clip pulse oximeter sensor is designed for spot check measurements of pediatric and adult patients Insert the patient s finger preferably left or right index finger completely into the sensor The thumb is specifically not recommended for use with the finger clip sensor Note f blood pressure measurement is occurring simultaneously insure that the finger clip SpO gt sensor is attached to the limb opposite the limb
65. ransformer connector into the power port on the side of the Spot Vital Signs Insert the connector into the port until it is fully seated Insert the line cord into the line connector on the transformer Spot Vital Signs 25 To power the Welch Allyn Spot Vital Signs plug the line cord into the AC main power source Charging the Battery The Welch Allyn Spot Vital Signs may be powered by either AC power or battery power after the battery has been charged UPON RECEIVING THE SPOT VITAL SIGNS CHARGE THE BATTERY FOR SIXTEEN 16 HOURS PRIOR TO INITIAL USE The battery is charged by attaching the AC power transformer to the Spot Vital Signs and plug ging the AC power transformer into the AC main power source While the Spot Vital Signs is charging the charger icon remains on and the battery icon seg ments continuously sequence Changing the Time Date Set 1 Initiate the Spot Vital Signs internal configuration settings menu by powering on the unit while pressing and holding the Blood Pressure Start Stop button The first message displayed is the revision level of the internal software 2 Press the Mode button to advance to the Date Set Screen The day month and year appear in the systolic diastolic and heart rate displays respectively 3 Use the Mode button to select the date item to be changed When selected the date item flashes 4 Use the Next Patient Clear and Blood Pressure Start Stop buttons arrow up or arrow down to
66. rared light passed through the tissues Changes in absorption caused by pulsation of blood in the vascular bed are used to determine arterial saturation and pulse rate Oxygen saturation percent is calculated with each pulse detected so the display is continually updated The pulse signal bar graph is an indicator of the strength and quality of the detected pulses 14 Welch Allyn The Spot Vital Signs determines pulse rate as an adjunct to blood pressure measurement and SpO measurement The pulse rate in beats per minute is determined primarily from the SpO measurement meth odology In the case where SpO is not available or is disabled the pulse rate display is driven from data collected as part of the blood pressure measurement method Removal of the SpO sensor from the patient initiates an audible beep to alert you to the fact that the sensor is no longer attached to the patient SpO is generally measured via pulses detected using a finger sensor and performs most accu rately with the finger clip sensor All fingers except the thumb can use the finger clip sensor For certain situations measurement and alternate site measurements for SpO can include the ear lobe forehead and toes These situations require special sensors see Appendix A SpO2 Sen sors on page 55 The finger clip sensor is recommended for spot checks or short term evaluation less than 60 minutes Patient supervision is required since the Spot
67. rm limits are not available in Normal temperature mode However temperatures that are outside the operating range of the device are noted on the temperature display see Temperature Measurement Range Indicators on page 27 for further details Monitor Temperature Mode Continuous Monitor mode operation is normally used when difficult situations prevent taking accurate temperatures in the Normal mode or in clinical situations in which the clinician is inter ested in trending the patient s temperature see Temperature Measurement Range Indicators on page 27 for further details Maintain probe contact with the tissue for at least 3 minutes for accurate oral rectal temperature measurement and 5 minutes for accurate axillary temperature measurement Monitor mode temperatures may not match identically to predicted normal temperatures because of ambient temperature influence and other factors The trend in temper ature is the important standard when in Monitor mode Operatorselectable patient alarm limits are not available in Monitor temperature mode However temperatures that are outside the operating range of the device are noted on the temperature display see Temperature Measurement Range Indicators on page 27 for further details SpO Operating Mode The Spot Vital Signs incorporates the Nellcor Puritan Bennett pulse oximetry system which determines arterial oxyhemoglobin saturation 5pO596 by measuring the absorption of red and inf
68. rns off on the backlight Pressing this button while the device is in standby mode recalls the last patient information With the temperature probe removed from the probe holder pressing the Mode button switches the temperature from Oral to Axillary mode Connector for black coiled pressure hose Welch Allyn LCD Liquid Crystal Display The liquid crystal display may indicate any of the following systolic blood pressure kPa or mmHg diastolic blood pressure kPa or mmHg temperature F or C temperature method pulse rate pulse signal level SpO MAP and battery charge level Description G Systolic Display Diastolic Display SpO Display Pulse Signal Bar Graph Pulse Display Temperature Display and Indicator Thermometer Probe Setting Indicator Temperature Probe Problem Indicator Battery Charging Indicator Battery Level Indicator Spot Vital Signs My A o N a ex amp A SYS kPa mmHg 2 ff NA a LS UN UN DIA kPa mmHg MNA W R Mrd Y min BBBB iB Bs LIS Function This LCD shows the systolic blood pressure If MAP is turned on the screen toggles between the systolic value and the word MAP This LCD shows the diastolic blood pressure If MAP is turned on the screen toggles between the diastolic value and MAP value Shows the percent saturation of arterial hemoglobin SpO The bar graph gives a visual indicati
69. rs Check the AA batteries in the printer and replace if necessary boxes or nothing at all SYMPTOM Device Does Not Turn On Possible Cause Explanation and Corrective Action Low battery Check connections between device and transformer and trans former and wall receptacle Device not powering up Unplug unit from wall receptacle and check for breaks in cord If connections are secure check electrical outlet Charging indicator is on if connections are good and the device is plugged into a working outlet Notify biomedical department or Welch Allyn Technical Support 44 Welch Allyn SYMPTOM Cuff Too Tight Over Inflation Possible Cause Explanation and Corrective Action Pressure Preset too high Check default Pressure Preset setting in internal configuration mode Unless patient has underlying systolic hypertension set Pres sure Preset at 160 mmHg If systolic blood pressure greater than Pressure Preset the device automatically increases an additional 40 mmHg SYMPTOM Cuff Pops Off Possible Cause Explanation and Corrective Action Inappropriate cuff size Determine cuff size with the cuff markings or see Chart for Determining Cuff Size on page 29 If cuff continues to pop off notify biomedical department or Welch Allyn Technical Support Cuff applied inside out Re apply cuff Make sure Welch Allyn label is facing away from arm
70. se rate Options include thermometry pulse oximetry and an external printer that communicates via IrDA interface Operator s Manual To achieve satisfactory results you should read this manual thoroughly before attempting to use the Spot Vital Signs Save this manual for helpful product reference Quick Reference Error Code Card The Quick Reference Card provides a quick operation guide and error codes The card is attached to the device handle or mobile stand Instrument Warranty Card Fill the warranty card out today and return to the Welch Allyn Service Center This card validates your warranty Adult Durable Cuff Assembly Includes one adult and pneumatic tubing with connector Other size cuff assemblies are available separately Pressure Hose Includes a latexfree pressure hose with connector This hose connects a variety of sizes of blood pressure cuffs to the Spot Vital Signs Power Transformer and Cord Assembly Operates the Spot Vital Signs and charges the internal battery Certain Spot Vital Signs include the following items based on the options purchased Temperature Probe and Covers The device includes one oral temperature probe blue probe and one box of 25 single use disposable probe covers for temperature determinations Pulse Oximetry SpO Option The finger clip SpO sensor and cord are for use with both adult and pediatric patients Other sensors are available separately see Appendix A SpO2 Sen
71. sors on page 55 Optional External Printer The Spot Vital Signs communicates to the external printer through the infrared port Roll of Printer Paper One roll is pre loaded into the printer Note Report any signs of shipping damage to the carrier If an item is missing or damaged contact the Welch Allyn Service Center near you Spot Vital Signs 21 Controls Indicators and Connections Note In this section all drawing and text are representative of the Spot Vital Signs with all available options Your device may not include all functions depending on the options purchased Front Panel Functions Description A 22 Power Button Start Stop Blood Pressure Button Next Patient Clear Button Print Button Mode Button Pressure Hose Connector Function This on off button controls power to the device Battery power is used unless the device is powered through the AC power transformer Pressing this button initiates a new blood pressure cycle Pressing this button again cancels the cycle and immediately deflates the cuff Pressing this button while the display is active clears the display Pressing this button while the device is in standby mode recalls the last patient information Pressing this button a second time clears the screen Pressing this button initiates a print operation Pressing this button for 2 seconds while the display is active tu
72. ssure temperature SpO gt and pulse rate data Standby Mode When the device is powered up but has not been used for 2 minutes it goes into standby mode Z Z Z appears across the top of the display with no backlight Standby mode conserves bat tery power To bring the Spot Vital Signs out of standby mode press the Mode button Temperature Measurement Range Indicators The high and low measurement ranges of the temperature module are as follows High Measurement Range 109 4 F 43 C Low Measurement Range 86 F Monitor Mode 30 C 94 F Predictive Mode 34 5 C IMPORTANT There is no audible tone to indicate that the temperature is outside the measure ment range of the device There is a visual indicator only The following display appears when temperatures are outside of the measurement range of the device Condition Temperature Display Temperature is outside of high measure Fahrenheit 109 4 ment range of the device Celsius 49 ft Temperature is outside of low measure Fahrenheit 86 ment range of the device Celsius 30 4 Spot Vital Signs 27 Measuring Blood Pressure Setting the Default Inflation Pressure Preset Level The default cuff inflation level for blood pressure measurements is set in the Spot Vital Signs internal configuration menu The factory default level is 160 mmHg If desired change the default pressure preset by following these instructions 1 Turn the Spot Vit
73. sult of the SpO measurement method Reviewing Information from the Last Cycle The Spot Vital Signs holds the last patient vital signs data blood pressure pulse rate and or tem perature and or SpO5 in memory The information is held in memory until the unit is turned off or you initiate the next patient s measurement If the display is blank press the Mode Button to review data from the last vital signs measurement The most recently obtained data appears in the appropriate displays 30 Welch Allyn Measuring Temperature Selecting the Temperature Scale The Welch Allyn Spot Vital Signs can display temperature in either degrees Fahrenheit F or degrees Celsius C To determine the current temperature scale remove the temperature probe from its holder and view the Temperature display which shows either F or C To change the temperature scale you must enter the device s internal configuration mode 1 Turn the Spot Vital Signs off 2 Press both the Power and Blood Pressure Start Stop buttons simultaneously The device enters its internal configuration mode 3 Press the Mode button to cycle through the menu until you reach the temperature option Screen 4 The first option illuminated on the temperature display is F Pressing the Next Patient Clear button once illuminates C 5 When the desired temperature scale is selected press the Mode button once to save this change 6 Turn the device
74. tes after the probe is placed back in the holder The display then disappears unless another measurement is active You may recall the last patient reading by pressing the Mode button Note lf a probe position icon appears during the temperature determination the temperature display alternates between the final predicted temperature and the letter P Taking an Axillary Temperature Note Normal mode axillary temperatures are FDA approved only for children under the age of four In Normal mode the device may not take accurate axillary temperatures for older children or adults If an axillary reading is desired for a patient age four and older use the oral probe in Monitor mode THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL PATIENTS To take an axillary temperature in either Normal or Monitor mode Normal Mode 1 Insure that the oral probe is connected to the unit The oral probe is BLUE Accurate oral temperatures are obtained only by using the blue temperature probe 2 Remove the probe from the probe holder A short self test mode is initiated where every LCD segment on the temperature display is illuminated briefly Following this self test the display shows OrL indicating the oral probe is in use 3 Press the Mode button once and the LCD shows ALY indicating that the device is now ready to take an axillary temperature reading Note that subsequent presses of the Mode button toggle between the oral
75. tight that it restricts blood flow For best results secure cable independently from the sensor preferably around patient s ankle or lower leg Make sure the tape securing the cable does not restrict blood flow Micropore is a registered trademark of the 3M Company Ear Clip Sensor This sensor is for adults where finger tip measurement is impractical Rub the ear lobe vigorously for 5 seconds and then apply the ear clip to the lobe of the ear Make sure the ear clip is positioned so the LED emitters and the detector are completely covered by the ear lobe This ensures no stray light bypasses the earlobe which can lead to SpO inaccuracies Reflectance Sensor The reflectance sensor is for use on well vascularized skin surfaces For adults this is usually the center of the forehead slightly above and between the eyebrows The reflectance sensor holder provides the precise skin pressure this sensor requires Remove the backing from one side of the double back tape and apply to the flange of the holder then remove the back from the other side of the tape Press the sensor into the foam with the windows out and apply to the patient Use additional tape to secure the lead wire to the patient to avoid pulling or tipping the sensor Caution The reflectance sensor is not recommended for pediatric patients because the accuracy is not established for pediatric use Spot Vital Signs 57 Adult and Pediatric Finger Flexi Form Sensor This single
76. ting Temperature 10 to 40 C Thermometer operating temperature 16 to 40 C 50 to 104 F Storage Temperature 20 to 50 C 4 to 122 F Transport Temperature 20 to 49 C 4 to 122 F Relative Humidity 15 to 9096 non condensing Operating Altitude 170 to 4877 m 557 to 416 000 ft 18 Welch Allyn Agency Approvals ICERTIFIED TO CAN CSA STD C22 2 NO 601 1 CONFORMS TO IEC 60601 UL STD 2601 1 C igre US 103235 WELCH ALLYN PTY LTD 5 38 46 SOUTH STREET RYDALMERE EMC Framework of Australia N 344 ausrraua C 0050 The CE mark on this product indicates that it has been tested to and conforms with the provisions noted within the 93 42 EEC Medical Device Directive Authorized European Representative Address European Regulatory Manager Welch Allyn Ltd Kells Road Navan County Meath Republic of Ireland Tel 353 46 79060 Fax 353 46 27128 Spot Vital Signs 19 20 Welch Allyn Unpacking Checklist After you have unpacked the Welch Allyn Spot Vital Signs and applicable accessories identify each item with the following checklist and inspect for missing items Retain the shipping materials in the event of shipping damage or for return if necessary to Welch Allyn for repair or warranty service All Spot Vital Signs include the following components Spot Vital Signs This device is portable lightweight and designed to automatically measure and display blood pressure and pul
77. ver the top of the finger Ensure that the detector and emitter are vertically aligned by the dotted axis line Infant Flexi Form Sensor The preferred application site is the large toe of infants greater than 2 kilograms in weight Other sites may not give acceptable results because of inadequate perfu sion or inadequate light transmission Note For best results secure cable independently from the sensor preferably around patient s ankle or lower leg Make sure the tape securing the cable does not restrict blood flow Caution Check sensor sites periodically to determine circulation sensor positioning and skin sensitivity Caution Do not stretch the tape while applying the sensor This may cause inaccurate readings or skin blisters Note These sensors may be sterilized using ethylene oxide EtO cold cycle after removal from the plastic shipping bag 1 Grip the sensor s adhesive cover and peel the adhesive cover off 2 Place the sensor on the large toe with the center line mark centered on the side of the large toe taking care to have the detector centered on the bottom of the toe and the emitter centered on the toenail 3 Wrap the tape around the toe taking care to ensure that the detector and emitter are vertically aligned by the dotted axis line 58 Welch Allyn WelchAllyn Welch Allyn Inc 4341 State Street Road PO Box 220 Skaneateles Falls NY 13153 0220 U S A Telephone 800 535 6663 or 315 685 4100
78. with the blood pressure cuf Note Check sensor sites periodically to determine circulation sensor positioning and skin sensitivity Other Sensors A wide variety of reusable and disposable pulse oximetry sensors are available for use with the Welch Allyn Spot Vital Signs These sensors expand the utility of the pulse oximetry component of the device For a detailed description of the use and application of these sensors see Appen dix A SpO2 Sensors on page 55 of this manual Warning Use only Nellcor Puritan Bennett brand SpO gt sensors and accessories with Welch Allyn s Spot Vital Signs configured with the Nellcor Puritan Bennett pulse oximetry module Taking an SpO2 Measurement To take an SpO measurement 1 Properly attach the appropriate sensor to the patient 2 The pulse signal bar graph illuminates indicating the relative strength and quality of the patient s pulses at the sensor site The sensor takes approximately 10 seconds to determine the initial SpO296 value and pulse rate When the initial values are determined they are shown in the SpO display and the Pulse Rate display respectively 3 The SpO2 and pulse rate are updated approximately every second The Spot Vital Signs monitors a patient s SpO for up to 10 minutes After 10 minutes a C9 error code is displayed this error code means that the 10 minute time has been exceeded 4 f you remove the SpO sensor from the patient the measurement period e
79. ygen sat uration SpO of adult and pediatric patients The device is not designed sold nor intended for use except as intended THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL PATIENTS To ensure pediatric blood pressure accuracy and safety the Welch Allyn small cuff 5200 03 and the small durable cuff 5200 13 are the smallest cuffs approved for use with young children and infants The circumference of the child s arm must fit within the range markings on the cuff The Welch Allyn Spot Vital Signs is not FDA approved to measure the axillary temperature of children 4 years of age or older The Welch Allyn Spot Vital Signs is not defibrillator proof The Welch Allyn Spot Vital Signs is not recommended for use on patients who are linked to heart lung machines The Welch Allyn Spot Vital Signs is not recommended to continuously monitor a patient s vital signs Special Features The following special features enhance the use of the Welch Allyn Spot Vital Signs Choice of Measurement Modalities The Welch Allyn Spot Vital Signs takes non invasive blood pressure temperature and SpO2 measure ments independently or simultaneously Non Invasive Oscillometric Blood Pressure Eliminates the risk associated with invasive monitoring with no need for microphones or external trans ducers Operator Friendly Results Large easy to read Liquid Crystal Display LCD AC or Self Contained Battery Power The Welch Al

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