SmartMonitor2 PS (English)

Transcription

Professional Series
Parents’ Guide
ii
Warranty
Respironics warrants that the monitor will be free from defects in materials and workmanship for a period of two years from the time
of purchase. Respironics accessories are warranted free of defects in materials and workmanship for a period of 90 days from the
time of purchase.
The Respironics equipment and authorized accessories are designed to function as described in the operator’s manual. The
user/owner of this equipment shall have sole responsibility and liability for any injury to persons or damage to property (including this
equipment) resulting from:

Operation not in accordance with supplied operating instructions;

Maintenance not in accordance with authorized maintenance/operational instructions;

Service by anyone other than a factory authorized service representative;

Modification of the equipment or accessories; or

Use of damaged or unauthorized components and accessories.
THIS LIMITED WARRANTY IS IN LIEU OF ANY AND ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING
WITHOUT LIMITATION IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE; TO
THE EXTENT THAT STATE OR FEDERAL LAW PROHIBITS EXCLUSIONS OF IMPLIED WARRANTIES, ANY SUCH IMPLIED
WARRANTY IMPOSED BY LAW SHALL BE LIMITED TO A PERIOD OF NINETY (90) DAYS FROM THE DATE OF THE INITIAL
PURCHASE FROM RESPIRONICS.
iii
User/Owner Responsibility
The Respironics monitor and accessories are designed to work as described in the operator’s manual. The user(s) of this
equipment should not use parts that have failed, exhibit excessive wear, are contaminated, or otherwise ineffective. The monitor
and its accessories should not be modified. The following list incorporates the owner’s responsibilities:

Periodic check and maintenance of equipment;
Replacement of components as required for safe and reliable operation;

The monitor and any of its accessories should not be modified;
Replacement of ineffective parts with parts supplied by Respironics, Inc.;
Equipment that is not functioning properly must not be used until all necessary maintenance has been completed and a
factory-authorized service representative has certified the equipment as ready for use;
As a general rule, the proper performance of the monitor should be verified with a Respironics Model 5000 Simulator according
to the Checkout Procedure Manual between each patient use and/or every six to 12 months, whichever is more frequent.
Please contact your homecare provider for details.
The user of this equipment is responsible for reading, understanding, and following the Warning and Caution statements throughout
this manual.
iv
Table of Contents
Introduction ........................................................................... 1
About this Manual .................................................................................................1
Indications for Use ................................................................................................1
What Is the Purpose of the SmartMonitor 2 PS?...................................................1
Warnings and Cautions......................................................... 3
Warnings ...............................................................................................................3
Cautions ..............................................................................................................10
How Does the SmartMonitor 2 PS Work?........................... 13
How the Alarms Operate .....................................................................................14
FCC Part 68 Telecom Information.......................................................................22
Registration Number and REN ...................................................................................................... 22
USOC Jack..................................................................................................................................... 22
Compliant Accessories................................................................................................................... 22
Number of RENs ............................................................................................................................ 22
Caution .......................................................................................................................................... 23
Changes in Service ........................................................................................................................ 23
Problems ........................................................................................................................................ 24
Repairs ........................................................................................................................................... 24
Party Lines ..................................................................................................................................... 24
v
Caution .......................................................................................................................................... 24
Industry Canada Requirements...........................................................................25
IC Abbreviation............................................................................................................................... 25
REN................................................................................................................................................ 25
Industry Canada CS-03 Notice............................................................................26
FCC Part 15 ........................................................................................................27
Getting to Know the Monitor................................................ 29
SmartMonitor 2 PS Features...............................................................................31
Top Panel Features........................................................................................................................ 31
Front Panel Features ..................................................................................................................... 33
Side Panel Features....................................................................................................................... 37
Back Panel Features...................................................................................................................... 38
Setting Up the SmartMonitor 2 PS for Respiration, Heart, and
SpO2 Monitoring .................................................................. 40
Responding to Alarms......................................................... 56
Patient Alarms.....................................................................................................56
Testing the Alarm ................................................................................................56
If an Alarm Sounds: Patient Alarms ....................................................................58
System Alarms ....................................................................................................66
Reducing False Alarms .......................................................................................73
vi
Monitoring Your Baby.......................................................... 75
Turning on the SmartMonitor 2 PS ......................................................................75
Turning off the Monitor - Sibling Alarm ................................................................76
Monitoring Your Baby's Breathing .......................................................................78
Respiration Light/Display ............................................................................................................... 78
Apnea Light .................................................................................................................................... 79
Monitoring Your Baby's Heart Activity .................................................................81
Heart Rate Light/Display ................................................................................................................ 81
High Heart Rate Alarm Light .......................................................................................................... 82
Low Heart Rate Alarm Light ........................................................................................................... 83
Monitoring Your Baby’s Oxygen Saturation Level ...............................................84
SpO2 Light/Display ......................................................................................................................... 85
High SpO2 Alarm Light ................................................................................................................... 86
Low SpO2 Alarm Light.................................................................................................................... 87
Portable Operation of the SmartMonitor 2 PS..................... 89
Charging the SmartMonitor 2 PS ........................................................................89
Transferring SmartMonitor 2 PS Information ................. 91
Modem Download ...............................................................................................91
Modem Auto Dial............................................................................................................................ 93
Modem Auto Answer in Communications Mode ............................................................................ 95
Modem Auto Answer in Monitor Mode........................................................................................... 97
vii
Transferring SmartMonitor 2 PS Data to a Memory Card.............................................................. 99
Caring for Your SmartMonitor 2 PS...................................................................103
Cleaning Instructions.................................................................................................................... 103
Performing a Functional Self-Test ............................................................................................... 105
Self-Test Troubleshooting ............................................................................................................ 109
Troubleshooting.............................................................. 112
Glossary ............................................................................ 128
SmartMonitor 2 PS Clinical Summary............................... 130
Index ................................................................................. 132
viii
Introduction
About this Manual
This manual provides all the information you need to set up and operate the Respironics
SmartMonitor 2 PS and explains how to use it to monitor your baby. Carefully read and
understand this manual before using the system. Words that appear in Bold Italics are
defined in the Glossary in the back of this manual.
Indications for Use
The SmartMonitor 2 PS is intended for use in continuous monitoring of respiration, heart
rate and SpO2 levels of infant patients in home or hospital environments. The monitor
detects and alarms for periods of central apnea, high or low heart rate, and high or low
saturation.
What Is the Purpose of the SmartMonitor 2 PS?
The SmartMonitor 2 PS is an apnea monitor designed to monitor and record your baby's
breathing (respiration) heart (cardiac) activity and SpO2 levels (functional oxygen
saturation). The monitor alerts you if any of these activities exceeds the limits prescribed by
your physician.
Patient alarm limits are set by your homecare provider before you receive your
SmartMonitor 2 PS monitor. During your baby’s monitoring, when your baby's breathing
1
Introduction
effort, heart activity and SpO2 levels are not within these set boundaries, an indicator light
comes on and an alarm sounds. This manual explains how to set up the SmartMonitor 2 PS,
how to monitor your baby, and how to transfer the information. Other auxiliary devices may
also be used with the SmartMonitor 2 PS:
Respironics 930
Masimo Radical
Ohmeda OXI
Oximeter
Oximeter
Pulse Oximeter
Nellcor N-200 Pulse
Nellcor NPB-295
Synectics pH
Oximeter
Pulse Oximeter
Meter
Nova Cosmo
Nova Cosmo
Sandhill pH Meter
Oximeter
ETC02
If your physician prescribes any of these devices, your homecare provider can discuss them
with you.
2
Warnings and Cautions
Please read this section carefully before using the SmartMonitor 2 PS.
Warnings
Caution! U.S. federal law restricts this device to sale by or on the order of a licensed
physician.
A warning indicates the possibility for injury to the user or operator.
1. Before using the SmartMonitor 2 PS, charge the internal battery pack. Connect the
power supply to the device, and ensure that it is plugged into a functional AC wall outlet
for a minimum of six hours.
2. The SmartMonitor 2 PS will not operate without the internal battery pack. Contact your
homecare provider if the device does not operate properly.
3. Place the SmartMonitor 2 PS on a secure and level surface to prevent the device from
falling. Do not place the monitor on the floor or in any location where the device could
become a tripping hazard. Do not place the monitor in a crib, ensuring that the baby
cannot roll onto the device’s hard surface.
4. If an emergency occurs and access to the telephone is required while the SmartMonitor
2 PS is connected to the telephone wall jack, unplug the phone cord from the wall jack
and connect a working telephone to the jack.
3
5. Do not use the SmartMonitor 2 PS in the presence of flammable substances such as
anesthetics or cleaning agents.
6. Do not defibrillate a patient who is attached to the SmartMonitor 2 PS.
7. Do not use skin creams, electrode gels, oils or lotions under the sensors.
8. SmartMonitor 2 PS may not be able to detect all episodes of inadequate breathing. If a
baby has apnea due to choking (obstructive apnea), the monitor could mistake
movement caused by choking for breathing.
9. SmartMonitor 2 PS is a monitoring device only. It does not prevent the loss of breathing
or heart activity, nor will it restore breathing or heart activity. It will not prevent death.
10. Anyone using the SmartMonitor 2 PS to monitor an infant should be trained in current
infant Cardiopulmonary Resuscitation (CPR), which is a proper way to restore
breathing and heart activity.
11. The SmartMonitor 2 PS is not intended for use with cardiac or diaphragmatic pacemaker
patients.
12. When using the monitor near patients on oxygen, the monitor must be kept at least three
(3) feet away from the oxygen tank (source) or other flammable gases to prevent a fire
hazard.
13. Do not place the monitor or external power supply in any position that might cause it to
fall on the baby. Do not lift the monitor by the power supply cord or patient cable; use
only the handle on the monitor.
14. Use only those accessories provided by your homecare provider with this monitor.
4
15. Do not allow the patient cables, lead wires or power supply cable to become tangled,
coiled, crossed, or wrapped around the baby’s neck, arms, or legs. This could result in
strangulation.
16. Do not connect to an electrical outlet controlled by a wall switch or dimmer to prevent
inadvertently turning the power to the monitor off.
17. Do not block the speaker or place items in front of the speaker located on the front of the
device. This could prevent the monitor alarm from being heard.
18. Never use the monitor on your baby while your baby is being bathed. This could result in
electrical shock and/or damage to the equipment.
19. Disconnect the power supply and phone line during lightning storms to reduce risk of
electrical shock to the baby. The SmartMonitor 2 PS will not download by modem when
the power supply and phone line are disconnected.
20. Never use an extension cord with the power supply as this may cause a fire and/or
tripping hazard.
21. Be aware of signal interference that can occur from external sources. Electronic signals
are required for the
SmartMonitor 2 PS to function. Sources of external interference
could cause the monitor to miss apnea and heart rate alarms. Even though the monitor
contains methods and techniques which can provide protection from external sources of
interference, you should operate the monitor as follows:
• Keep monitoring equipment, patient, and patient leads at least three (3) feet
away from all electrical appliances. Some examples of this include TV sets,
electric blankets, air conditioners, microwave ovens, cordless telephones, cellular
phones, waterbeds, and home computers.
5
•
Synthetic fabric from draperies or rugs can also cause interference due to static
electricity. Touching a conductive material with a grounded path, such as a wall
or crib, before handling the patient or the SmartMonitor 2 PS often prevents
static build-up problems.
• Strong transmitter signals from TV, radio, airport, police, fire, and ambulance
stations could be picked up as heart and/or breath signals. If located less than
one (1) mile from one or more of these sources, the monitor may be affected.
22. Do not touch the monitor and the baby simultaneously.
23. In some locations, the monitor will not work properly. If the monitor is affected by
external interference in the area, you may not be able to use the monitor. Contact your
homecare provider for further assistance. NOTE: Use of the third (green – RL)
electrode and lead wire is normally not required but may help reduce excessive false
low heart rate alarms.
24. If monitoring two or more infants in the same area, keep the monitors, patient, patient
cables, and lead wires at least three (3) feet apart. Having the patient cables and lead
wires close together may cause missed apneas due to interference.
25. Do not connect the baby to the SmartMonitor 2 PS if the monitor is placed in the
Communications Mode. The apnea and heart alarms do not work when the
SmartMonitor 2 PS is in this mode.
26. Do not use the SmartMonitor 2 PS at the same time as other impedance monitors. This
may cause missed apneas due to interference.
6
27. If you notice any unexplained changes in the performance of the device, if it is making
unusual or harsh sounds, if it has been dropped or mishandled, or if the enclosure is
broken, discontinue use. Contact your homecare provider.
28. Inspect the power cords and cables often for any signs of damage. Replace a damaged
cord or cable immediately.
29. Do not use non-safety style lead wires and patient cable configurations with this
monitor. Their use may pose a risk of severe electrical shock or death. Refer to the
instructions in this manual to ensure proper connections. Use only Respironics
recommended safety lead wires, patient cables, electrodes and sensors.
30. Pins of connectors identified with the ESD warning symbol should not be touched.
Connections should not be made to these connectors unless ESD precautionary
procedures are used. Precautionary procedures include methods to prevent build-up of
electrostatic discharge (e.g., air conditioning, humidification, conductive floor coverings,
and non-synthetic clothing), discharging one’s body to the frame of the equipment or
system or to earth or a large metal object, and bonding oneself by means of a wrist
strap to the equipment or system or to earth.
31. Explosion hazard. Do not use the monitor in the presence of flammable anesthetics or
other flammable substance in combination with air, oxygen-enriched environments, or
nitrous oxide.
32. If an alarm condition occurs while the alarm silence period is active, the only alarm
indications will be visual displays and symbols related to the alarm condition.
7
33. The monitor is to be operated by qualified personnel only. This manual, accessory
directions for use, all precautionary information, and specifications should be read before
use.
34. Do not use damaged patient cables. Do not immerse the patient cables in water,
solvents, or cleaning solutions. (The patient cable connectors are not waterproof.) Do
not sterilize by irradiation, steam, or ethylene oxide. See the cleaning instructions in the
directions for use for reusable patient cables.
35. The SpO2 sensor site must be changed every four (4) hours. Note: Exercise extreme
caution with poorly perfused patients; skin erosion and pressure necrosis can be caused
when the sensor is not frequently moved. Assess the site at least every two (2) hours
with poorly perfused patients.
36. If the SpO2 sensor is damaged in any way, discontinue use immediately.
37. To prevent damage, do not soak or immerse the SpO2 sensor in any liquid solution. Do
not attempt to sterilize.
38. Intravascular dyes may lead to inaccurate SpO2 measurements.
39. Elevated levels of Carboxyhemoglobin (COHb) or Met hemoglobin (MetHb) may lead to
inaccurate SpO2 measurements.
40. Failure to apply the SpO2 sensor properly may cause incorrect measurements.
41. Do not use the SmartMonitor 2 PS or the SpO2 sensor during MRI scanning.
42. Avoid placing the SpO2 sensor on any extremity with an arterial catheter or blood
pressure cuff.
8
43. The conductive parts of electrodes and patient cables should not be in contact with other
conductive parts including earth.
44. Do not use during high frequency surgical procedures.
45. The SmartMonitor 2 PS may only be used on one patient at a time.
46. Do not rock the baby or sleep in the same bed with the baby while monitoring. Touching
or moving near the baby, monitor, or cables could cause the monitor to miss apneas.
47. Remove the electrode belt and the lead wires when the baby is not being monitored.
Long-term wear may be uncomfortable.
9
Cautions
A caution indicates the possibility of damage to the device.
1. Perform the functional self-test if the SmartMonitor 2 PS has been x-rayed by an airport
security check.
2. If your baby is breathing quietly and the respiration light flashes more or fewer times than
your baby breathes, contact your homecare provider for service.
3. Do not send information via modem during electrical storms. Information could be lost or
equipment could be damaged.
4. Handle the lead wires carefully to prevent them from breaking inside the insulation. Always
grasp the lead wire at the strain relief area to remove them from the electrodes or patient
cable.
5. Any foreign matter that gets into the enclosure of the SmartMonitor 2 PS may cause
malfunction.
6. The use of accessories other than those specified, with the exception of cables sold by the
manufacturer of the equipment or system as replacement parts or internal components
could degrade signal quality and may result in increased emissions or decreased immunity
of the equipment or system.
7. Do not place liquids on or near the SmartMonitor 2 PS. Liquids may damage the electronic
components inside the monitor. Should liquid spill onto the monitor, shut the monitor off and
contact your homecare provider.
10
8. Check the monitor’s respiration light. Listen while the baby breathes, and watch the
respiration detection light on the monitor. While the baby is breathing quietly, the light should
flash once and only once for each breath the baby takes. However the light may flash
additional times when the baby is moving. If the baby is breathing quietly and the respiration
light flashes more or fewer times than your baby breathes, stop using the device and contact
your homecare provider.
11
How Does the SmartMonitor 2 PS Work?
Your baby's breathing is measured by simply placing two electrodes on the sides of the baby's
chest under his or her arms. As the baby's chest moves during breathing, the impedance
between the electrodes will change. The SmartMonitor 2 PS detects these changes for
determining the baby's breathing effort. If the SmartMonitor 2 PS does not detect these changes
in breathing effort, a light will come on and an alarm will sound. SmartMonitor 2 PS also uses
the electrodes on the chest to monitor heart activity by picking up the electrical changes
produced by the heart. If the SmartMonitor 2 PS detects the heart rate outside the range
ordered by the physician, a light will come on and an alarm will sound. The device also monitors
blood oxygen levels (SpO2) through a sensor attached to the baby’s toe or finger. If the
SmartMonitor 2 PS detects SpO2 values outside the range ordered by the physician, a light will
come on and/or an alarm will sound.
13
How the Alarms Operate
Whenever your baby’s breathing effort, heart activity and SpO2 levels are not within the limits
set by your physician, an indicator light will come on and an alarm will sound. The
SmartMonitor 2 PS has two types of alarms: patient and system.
Patient Alarms: A beeping alarm indicates one of the following patient alarm events:
•
•
•
•
•
•
Apnea: Baby has stopped breathing for longer than the limit set by your physician.
Low Breath Rate: Breath rate is lower than the limit set by your physician.
Low Heart Rate: Heart Rate is lower than the limit set by your physician.
High Heart Rate: Heart Rate is higher than the limit set by your physician.
Low SpO2: SpO2 level is lower than the limit set by your physician.
High SpO2: SpO2 level is higher than the limit set by your physician.
System Alarms: A constant audible alarm indicates one of the following SmartMonitor 2 PS
conditions:
•
•
•
•
•
•
Loose lead (for breathing and heart activity)
Loose Probe (for SpO2)
Low Battery (or Drained Battery)
Memory Full (or Memory Almost Full)
Accidental Power-Off
Internal System Error
14
Lights on the SmartMonitor 2 PS indicate which of these conditions exists. See the sections on
Monitoring Your Baby, Responding to Patient Alarms and Responding to System Alarms for
more information about alarms.
The SmartMonitor 2 PS may also alarm if there is an internal system error. If your
monitor alarms and the lights are not illuminated, or if all of the lights are blinking on and off,
look at the LCD display on the bottom of the device. If there is an internal error, a code will be
displayed. Discontinue use of the monitor, and contact your homecare provider.
15
Symbols Table
Symbol
Definition
Attention: Important information that should be read
Attention: Read accompanying documents
Type BF Applied Part (also shows Patient Cable
Connector location)
RESET Button
POWER Off/On Button
16
Apnea Alarm Light
Respiration Light
Low Heart Rate Alarm Light
High Heart Rate Alarm Light
Low Battery Light
Memory Full Light
Loose Lead Light
17
Heart Rate Light
Power Light
Charger Light
Power Supply Connection
Input / Output Connection
18
Modem Port
Nurse Call Connection (for institutional use
only)
SN
Serial Number
Beats Per Minute
Breaths Per Minute
19
Oxygen Blood Saturation
Percent of SpO2
High SpO2 Alarm Light
ESD Warning Symbol
20
Power Supply Connector Position
IPX1
Drip Proof Equipment
Class II (Double Insulated)
21
FCC Part 68 Telecom Information
Registration Number and REN
This SmartMonitor 2 PS modem complies with Part 68 of the Federal Communication
Commission (FCC) rules. On the bottom of the SmartMonitor 2 PS is a label that contains,
among other information, the FCC registration number and the ringer equivalence number
(REN) for the modem. If requested, this number must be provided to the telephone company.
USOC Jack
The SmartMonitor 2 PS modem is designed to be used on standard device telephone lines. The
suitable USOC jack (Universal Service Order Code connecting arrangement) for this modem is
RJ11C or RJ11W (single line).
Compliant Accessories
The telephone cord and modular plug provided with this equipment are compliant with
applicable Federal Communication Commission (FCC) rules. This equipment is designed for
connection to the premises wiring and telephone network using a compatible modular jack that
is also compliant. See installation instructions for details.
Number of RENs
The Ringer Equivalence Number (REN) is used to determine the number of devices that may be
connected to a telephone line. Excessive RENs on a telephone line may result in the devices
22
not ringing in response to an incoming call. In most but not all areas, the sum of RENs should
not exceed five (5.0). To be certain of the number of devices that may be connected to a line, as
determined by the total RENs, contact the local telephone company.
Caution
If this SmartMonitor2 PS modem causes harm to the telephone network, the telephone
company will notify you in advance that temporary discontinuance of service may be required.
But if advance notice is not practical, the telephone company will notify you as soon as possible.
Also, you will be advised of your right to file a complaint with the Federal Communications
Commission (FCC) if you believe it is necessary.
Changes in Service
The telephone company may make changes in its facilities, equipment, operations, or
procedures that could affect the operation of this equipment. If this happens, the telephone
company will provide advance notice in order for you to make necessary modifications to
maintain uninterrupted service.
23
Problems
If trouble is experienced with this SmartMonitor2 PS modem, please contact your home care
provider or Respironics at 1-800-345-6443 for repair or warranty information. If the equipment is
causing harm to the telephone network, the telephone company may request that you
disconnect the equipment until the problem is resolved.
Repairs
No repairs are to be made by you. Whenever a technical problem occurs that you cannot
handle, contact your homecare provider. Unauthorized repairs void registration and warranty.
Party Lines
Connection to party line service is subject to state tariffs. Contact the state public utility
commission, public service commission or corporation commission for information.
Caution
If your home has specially wired alarm equipment connected to the telephone line, ensure the
installation of the SmartMonitor 2 PS modem does not disable your alarm equipment. If you
have questions about what will disable alarm equipment, consult your telephone company or a
qualified installer.
24
Industry Canada Requirements
IC Abbreviation
This equipment meets the applicable Industry Canada Terminal Equipment Technical
Specifications. This is confirmed by the registration number. The abbreviation, IC, before the
registration number signifies that registration was performed based on a Declaration of
Conformity indicating that Industry Canada technical specifications were met. It does not imply
that Industry Canada approved the equipment.
REN
The Ringer Equivalence Number (REN) for this terminal equipment is 0.3B. The REN is an
indication of the maximum number of devices allowed to be connected to a telephone interface.
The termination on the interface may consist of any combination of devices subject only to the
requirement that the sum of the RENs of all the devices does not exceed five.
25
Industry Canada CS-03 Notice
NOTICE: The Industry Canada (IC) label on the SmartMonitor 2 PS identifies certified
equipment. This certification means that the equipment meets certain telecommunications
network protective, operational and safety requirements as prescribed in the appropriate
Terminal Equipment Technical requirements document (s). The Department does not
guarantee the equipment will operate to the user’s satisfaction.
Before installing the SmartMonitor 2 PS, users should ensure that it is permissible to be
connected to the facilities of the local telecommunications company. The equipment must also
be installed using an acceptable method of connection. The customer should be aware that
compliance with the above conditions might not prevent degradation of service in some
situations.
The Respironics Service Center should coordinate repairs to certified equipment at 1-800-3456443. Any repairs or alterations made by the user to this equipment, or equipment
malfunctions, may give the telecommunications company cause to request the user to
disconnect the equipment.
Users should ensure, for their own protection, that the electrical ground connections of the
power utility, telephone lines, and internal metallic water pipe system, if present, are connected
together. This precaution may be particularly important in rural areas.
Caution: Users should not attempt to make such connections themselves, but should contact
the appropriate electric inspection authority, or electrician, as appropriate.
26
FCC Part 15
This equipment has been tested and found to comply with the limits for a Class B digital device,
pursuant to Part 15 of the FCC rules. These limits are designed to provide reasonable
protection against harmful interference in a residential installation.
Because this equipment generates, uses, and can radiate radio frequency energy, if it is not
installed and used in accordance with the instructions, it may cause harmful interference to
radio communications.
However, there is no guarantee that interference will not occur in a particular installation. This
can be determined by turning the equipment off and on. If this equipment does cause harmful
interference to radio or television reception, you are encouraged to try to correct the interference
by one or more of the following measures:

27
Reorient or relocate the receiving antenna.
Increase the separation between the equipment and receiver.
Plug the equipment into an outlet on a circuit different from that to which the receiver is
connected.
Consult the dealer or an experienced radio/TV technician for help.
This device complies with Part 15 of the FCC rules. Operation of this device is subject to the
following conditions:
(1) This device may not cause harmful interference, and (2) this device must accept any
interference that may cause undesired operation.
Changes or modifications to this unit not expressly approved by the party responsible for
compliance could void the user’s authority to operate the equipment.
28
Getting to Know the Monitor
When you receive the SmartMonitor 2 PS, make sure that you have all the necessary items and
that they are not damaged. Immediately report anything missing or damaged to your homecare
provider.
The standard package should include the following:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
29
SmartMonitor 2 PS device
Soft Carrying Case
Power Supply and Power Cord
Parents’ Guide
ECG Patient Cable
Oximeter Patient Cable
Electrodes
Lead Wires
Electrode Belt
Handle/Stand and Screws (screws not shown here)
Symbol Reference Card (not shown here)
Phone Line Splitter (not shown here)
Phone Line Cord (not shown here)
8
2
9
1
SpO2
%
%
3
4
7
10
5
4005
LA
RL
RA
6
30
SmartMonitor 2 PS Features
This section describes the physical features
of the SmartMonitor 2 PS device.
Top Panel Features
POWER Button
The gray POWER button turns the
SmartMonitor 2 PS on. When you turn the
monitor on, all lights and the alarm come on
briefly and the monitor performs a system test.
After a pause, monitoring will begin.
To turn the monitor off do the following:
• Press and hold the blue RESET button.
31
•
•
Press and release the gray POWER button.
Wait 2 seconds, and then release the RESET button.
RESET Button
The blue RESET button resets the alarm lights on the
SmartMonitor 2 PS. It also silences the
Memory Full (or Memory Almost Full) and Low Battery warning alarms. For more information,
see the section on Responding to Alarms. The RESET button also answers a ringing modem
phone call when in monitoring mode.
Remember that the RESET button will not silence patient or loose lead alarms.
32
Front Panel Features
SpO2
33
%
%
Patient Input Connectors
Two patient input connectors appear on the SmartMonitor 2 PS. The top connector supports
connection of the oximeter patient cable. The bottom connector is for the ECG patient cable.
Display of Values
Values for heart rate, breath rate and SpO2 level are viewable from the front panel display. The
SpO2 level display may also show “OFF” if no SpO2 sensor is installed when the monitor is
turned on.
Values will only appear on the display if your homecare provider has enabled this feature.
Respiration Lights
The green respiration light blinks with each breath the SmartMonitor 2 PS detects. The red
apnea alarm light will come on if the SmartMonitor 2 PS detects a pause in breathing that is
longer than the limit set by your physician.
34
Heart Lights
The green heart light blinks with each heartbeat the SmartMonitor 2 PS detects. The red high
alarm light comes on when the SmartMonitor 2 PS detects a heart rate higher than the limit
set by your physician. The red low alarm light comes on when SmartMonitor 2 PS detects a
heart rate lower than the limit set by the physician.
SpO2 Lights
The SpO2 light will appear green when the probe is connected to the patient and is monitoring
the SpO2 level. If the probe is disconnected or not transmitting a signal, the SpO2 light will
appear red. The red high light comes on when the SmartMonitor 2 PS detects an SpO2 level
higher than the limit set by the physician. The red low light comes on when the SmartMonitor 2
PS detects an SpO2 level lower than the limit set by the physician.
Speaker
The SmartMonitor 2 PS speaker allows you to hear any alarm that sounds during monitoring.
This speaker uses two internal buzzers, and you may notice two slightly different tones when
the device is alarming.
35
System Lights
The lights across the bottom of the front panel indicate if the SmartMonitor 2 PS is working
properly:
Light
Indicates
Power
The power to the SmartMonitor 2 PS is turned on.
Charger
The power supply is plugged into the SmartMonitor 2 PS. (Blinking if
charging battery; solid if battery is fully charged.)
Low battery
The battery power is low and needs to be charged.
Memory full
The SmartMonitor 2 PS memory is full or almost full.
Loose lead
An electrode, cable, or lead wire connection is loose at one of the
plug-in-ports or the electrodes are not making good contact with the
patient’s skin.
36
Side Panel Features
!
Self-Test Connector
You use the Self-Test Connector when performing a Functional Self-Test to make sure the
lead wires, patient cables, and SmartMonitor 2 PS are working properly. See the section,
Performing a Functional Self-Test for more information.
37
Back Panel Features
Nurse Call
This feature is for institutional use only.
38
Modem (Optional)
The SmartMonitor 2 PS may be equipped with a modem to transfer the SmartMonitor 2 PS
memory to the baby’s homecare provider. See the section Transferring SmartMonitor 2 PS for
more information. See the sections FCC Part 15 and Industry Canada CS-03 Notice for
information on connecting the modem to the telephone line.
DC Power
Use the DC Power connector with the power supply. Whenever the SmartMonitor 2 PS is not in
portable use (on battery power only), it should be connected to the power supply.
I/O Connector
This connector connects the SmartMonitor 2 PS with other devices.
Stand
The SmartMonitor 2 PS comes with a
removable handle. The handle also acts as a
stand that elevates the front panel display
when the monitor is placed on a flat surface.
insert screws here
39
Setting Up the SmartMonitor 2 PS for Respiration, Heart,
and SpO2 Monitoring
After you unpack your SmartMonitor 2 PS and make sure you have all the parts, follow the
steps listed below to set it up:
Step 3: Connect the Lead Wires to the ECG Patient Cable.
The larger end of the ECG patient cable has three openings, marked LA (black), RL (green)
and RA (white).
• Insert the white lead wire into the opening marked RA.
• Insert the black lead wire into the opening marked LA.
• Firmly push each lead wire in until the socket snaps into place.
40
Respiration, Heart and SpO2 Monitoring
Step 2: Connect the ECG Patient Cable
to the SmartMonitor 2 PS.
•
•
•
Insert the round end of the ECG patient cable into
the bottom round connector found on the front of
the SmartMonitor 2 PS.
Line up the notch and arrows on the connector
and push, with the arrows facing up, until you feel
the connector snap into place.
To remove the ECG patient cable, grasp it at the
end of the patient input connector and gently pull
back. You should feel the connector body slide
back and unlock the connector as you pull.
Do not twist or turn the ECG patient cable
to remove it from the SmartMonitor 2 PS as
this may damage the ECG patient cable
and/or monitor.
4005
LA
41
RL
RA
The ECG patient cable should not be
placed over the top of the crib rail. The
cable should be placed between the
vertical bars.
When you need to remove a lead wire, grasp and pull at the strain relief area located near
the connecting tip.
Do not grasp the wire.
Use of the third (green – RL) electrode and lead wire is normally not required but may
help reduce excessive false low heart rate alarms.
42
Step 4: Connect the Lead Wires to the Electrodes.
•
•
• Insert the black LA lead wire into one electrode.
Insert the white RA lead wire into the other electrode.
Make sure the metal tips of the lead wires are fully inserted into the electrodes.
Your homecare provider may provide you with stick-on electrodes that have the lead wires
already attached. In this case, this step is not necessary. Refer to “Disposable Self-Adhesive
Electrodes” later in this section.
43
Step 5: Attach the Electrodes to the Infant Belt.
•
•
•
•
•
Place the electrode belt on a flat surface.
Lay your baby on the belt so that the belt is aligned with the baby’s nipples. (See
illustration.)
Place the electrodes, Velcro-side down, on either side of the belt as follows:
o Place the electrode with the white lead wire on the baby’s right side.
o Place the electrode with the black lead wire on the baby’s left side.
Place the electrodes far enough apart so that when the belt is wrapped around the baby,
the electrode will be located along the mid-line of the side just below or lined up with the
nipples.
Be sure the lead wires and ECG patient cable are leading down and away from the
baby’s face and neck. (See illustration.)
44
Baby’s
right side
Baby’s
left side
The white lead wire location is illustrated with a white
electrode.
Step 6: Wrap the Electrode Belt Around the Baby.
Wrap the belt around the baby’s chest and fasten it with the Velcro tab.
The belt should be snug enough so that you can only insert two of your fingers (with your hand
lying flat against the baby) between the belt and the baby.
45
With newborns and very small babies, you may need to shorten the belt by cutting off a
part of the end. Be sure to leave enough room to fasten the belt securely.
46
These steps describe only one method for electrode placement and positioning.
Your homecare provider may show you another method.
•
•
47
Insert the black LA lead wire into the Velcro side of one electrode.
Place the electrode with the black lead wire on the baby’s left side.
Insert the white RA lead wire into the Velcro side of one electrode.
Place the electrode with the white lead wire on the baby’s right side.
•
Wires must be placed on the infant so they are oriented away from the
baby’s head and neck.
Note downward wire placement in the above illustration.
Remove the electrode belt and the lead wires when your baby is not
being monitored. Long-term wear may be uncomfortable.
Disposable Self Adhesive Electrodes
Follow the steps below if you are using disposable electrodes.
• Attach lead wires to the Self Adhesive Electrodes if not pre-attached.
• Ensure that the infant’s skin is clean and dry.
• Place the electrode with the white lead wire on the baby’s right side, along the mid-line
of the side, two finger widths below or lined up with the nipples.
• Place the electrode with the black lead wire on the baby’s left side, along the mid-line of
the side, two finger widths below or lined up with the nipples.
• An electrode belt is not needed with disposable electrodes.
48
Use of the third (green – RL) electrode and lead wire is not normally required but may
help reduce excessive false low heart rate alarms. Place the green electrode along the outside
of the baby’s upper thigh.
Do not use oils, lotion, or powder on the area of skin on which the electrodes will be
placed.
49
Step 7: Connect the Oximeter Patient Cable to the SmartMonitor 2 PS.
•
Insert the round end of the oximeter patient cable into the top round connector found on
the front of the SmartMonitor 2 PS.
50
•
•
51
Line up the notch (identified by the red dot) on the connector, and push until you feel the
connector snap into place.
To remove the oximeter patient cable, grasp it at the base of the patient input connector
and gently pull back. You should feel the connector body slide back and unlock the
connector as you pull.
Do not twist or turn the oximeter patient cable to remove it from the SmartMonitor 2
PS as this may damage the oximeter patient cable and/or monitor.
The oximeter patient cable should not be placed over the top of the crib rail. It should be
placed between the vertical bars.
If the oximeter patient cable or probe is not connected when the monitor is turned on, the
% (percent) display will show “OFF” and SpO2 alarms will not sound. If the sensor is connected
while the monitor is on, the SpO2 function will resume normal operation from that point including
SpO2 alarms.
Step 8: Connect the Sensor to the Oximeter Patient Cable; Connect the Sensor to the
Baby.
The SmartMonitor 2 PS can be used with one of three compatible Masimo sensors for
use in monitoring patients’ SpO2 levels:
• LNOP NeoPt – Neonatal Preterm Single Patient Adhesive Sensor
• LNOP Neo – Neonatal Single Patient Adhesive Sensor
• LNOP Pdt – Pediatric/Slender Digit Single Patient Adhesive Sensor
52
Please see the instructions packaged with the sensors for directions.
Step 9: Connect the Power Supply.
•
•
•
•
•
53
Insert the connector of the power supply into the socket on the back panel of the
SmartMonitor 2 PS. (See Illustration.)
The flat side of the connector faces upward.
Push until the connector is fully inserted. A gentle tug on the connector will confirm that it
is locked in place.
Plug the power cord into the power supply.
Plug the power supply into a power outlet. The green charge light on the monitor will
now come on.
The power supply connector must be
plugged into the SmartMonitor 2 PS DC power
input as shown to the left.
•
To remove the power supply from the SmartMonitor 2 PS, grasp the power supply
connector at its base and gently pull back. You should feel the connector body slide
back and unlock the connector as you pull. Do not twist or turn the power cable to
remove it from the monitor as this may damage the power supply and/or monitor.
54
When the SmartMonitor 2 PS is not being used portably, keep the power supply
connected and plugged into an AC outlet at all times. Ensure that the AC outlet has been
installed to conform to the National Electrical Code―i.e., a licensed electrician. The batteries
cannot be overcharged. The green charger light stays on as long as the charger is connected.
Do NOT use the device if the power cord is damaged. Contact your homecare provider.
55
Responding to Alarms
Patient Alarms
A patient alarm indicates that your baby’s breathing, heart activity or SpO2 level is outside the
limits prescribed by your physician. The information in this section can help you respond
appropriately to patient alarms. Read this section carefully. If you have any questions, please
Testing the Alarm
Before you use the monitor, test to see if you can hear the alarm in different rooms while there
is noise in your house.
Caution: Be aware that the alarm sound is very loud.
56
•
•
Always keep the area in front of
the speaker clear.
Turn the monitor on (without
the baby attached) to sound the
alarm. Make sure you can hear
the alarm in different areas of
your home.
The SmartMonitor 2 PS contains two buzzers internal to the device that produces the
alarm sounds. Due to normal variation in these buzzers, you may notice two slightly different
alarm tones as these buzzers are alternated. Intermittent alarm sounds alternate buzzers
between beeps, while continuous alarm sounds alternate buzzers every second to produce a
continuous sound. If the alarm sound changes such that one of the two buzzers no longer
functions, contact your homecare provider immediately.
57
If an Alarm Sounds: Patient Alarms
If an alarm sounds while you are monitoring your baby, check your baby first. Then follow the
instructions below to respond to lights and alarms. Always check your baby’s skin color. Is it
normal? Always check to see if your baby is breathing. If your baby is not breathing,
intervene and provide stimulation as you have been instructed.
Light
Red Apnea
and/or Low
(Heart)
Alarms
Intermittent
(1 beep/
sec)
Check Baby’s
Condition
Respond Like This
Skin color is pale
or blue. Baby is
not breathing or is
choking.
Respond as instructed by your physician
or in your CPR class.
An example of your response could be
as follows:
• Gently pat the baby. The baby may
start breathing and correct the cause
of the alarm on his/her own.
• If the baby does not start breathing
start physical stimulation
immediately.
58
Light
Alarms
Check Baby’s
Condition
Respond Like This
•
•
Red Apnea
and/or Low
(Heart
or
SpO2
Intermittent
(1 beep/ sec.)
)
Baby is
responsive and is
breathing.
Color is good.
•
•
•
•
Red High
(Heart)
Intermittent
(2 beeps/
sec.)
Baby is crying.
•
•
•
59
If the baby starts breathing, note it on
your log sheet.
Press the RESET button to reset any
alarm lights.
Wait for a few seconds. Watch to see
if the baby’s breathing and color
remain normal.
If the alarm continues, see section
Reducing False Alarms.
Check the monitor to see which light
is on. Note it on your log sheet.
Check the sensors.
If the baby has frequent high heart
rate alarms not associated with
crying, notify the physician.
Calm the baby.
Check the monitor to see which light
is on. Note the light on your log
sheet.
Light
Red Low SpO2
Alarms
Intermittent
(1 beep/sec)
Check Baby’s
Condition
Respond Like This
Skin color is pale Use response under apnea/low heart
or blue. Baby is rate above.
not breathing or
choking.
60
Light
Alarms
Check Baby’s
Condition
Respond Like This
Skin color is pale Observe the baby closely and respond
or blue. Baby is as instructed by the physician or in your
breathing. CPR class. If the condition does not
improve, notify the physician or EMS.
Check oxygen cannula and oxygen
delivery device. Increase oxygen as
ordered by the physician.
Notify the physician or EMS immediately
if the condition does not improve or
recurs frequently. Record alarm on log
sheet.
61
Light
Red
Low
SpO2
Alarms
Intermittent
(1
beep/sec)
Check Baby’s Condition
Respond Like This
Skin color is pale or Use response under apnea/low heart rate
blue. Baby is not above.
breathing or choking.
Skin color is pale or
blue. Baby is breathing.
Observe the baby closely and respond as
instructed by the physician or in your CPR
class. If the condition does not improve,
notify the physician or EMS.
If the baby is receiving
supplemental oxygen.
Check oxygen cannula and oxygen delivery
device. Increase oxygen as ordered by the
physician.
Notify the physician or EMS immediately if
the condition does not improve or recurs
frequently. Record alarm on log sheet.
62
Light
Alarms
Check Baby’s
Condition
Respond Like This
Skin color is Wait a few seconds. Watch to see if the baby’s
pink, baby is breathing and color remains normal. If the alarm
breathing. continues, see the section “Reducing False Alarms.”
Check the sensors.
Skin color is
pink, baby is
breathing.
Red
High
SpO2
63
Intermittent
(2 beeps/
sec)
Skin color is Note the alarm on the log sheet and report to the
pink, baby is homecare provider or physician as instructed.
breathing.
Light
Red Loose
Lead
Alarms
Check Baby’s
Condition
Continuous Baby is breathing
and is responsive.
Color is good.
Respond Like This
•
•
•
Red Loose
Lead
and is responsive.
Color is good.
Check the connections between the
electrodes, lead wires, ECG patient cable,
and the monitor.
If something has come loose, reconnect it
and press the RESET button. The alarm
should stop.
If the alarm continues, see the section
“Performing a Functional Self Test.”
•
If the monitor passed the Functional Self
Test, turn off the monitor. Then, check the
following items:
•
The electrodes − They should be clean
and there should be no cracks on the
surface..
64
Light
Alarms
Check Baby’s
Condition
Respond Like This
•
•
Red
SpO2
Light
65
and is responsive.
Color is good.
The baby’s skin − Make sure that where the
electrodes are placed is clean and free from
oil, lotions, and perspiration.
The electrode belt − Make sure it is snug
and is keeping the electrodes in place.
Check the connections between the SpO2
probe, oximeter patient cable and monitor. If
something has come loose, reconnect it and
press the RESET button. The alarm should stop.
System Alarms
A system alarm indicates that the monitor may not be functioning properly or at optimum
capacity. The information in this section will help you respond appropriately to system alarms.
When a SmartMonitor 2 PS system alarm occurs, one of the lights on the front panel will come
on.
If this
light is
on
And this condition
exists
It means...
Power
Continuous green
light, no alarm
Normal operation. The green power indicator light will come on
and stay on for as long as the monitor is on.
Charger
Continuous or
blinking green
light, no alarm
Normal operation. The green charger light will come on and
blink when the battery is charging and stay on when the battery
is fully charged while the power supply is plugged into an active
outlet and connected to the SmartMonitor 2 PS.
66
If this
light is
on
And this condition
exists
It means...
Low
Battery
Flashing yellow
light, continuous
alarm
This is a warning that the battery voltage is very low and should
be recharged soon. (See “Charging the Battery” in this
manual.) Press the RESET button to temporarily silence the
alarm. The alarm will resound in two minutes if the monitor has
not been plugged in. The yellow light will continue to flash.
Continuous yellow
light, continuous
alarm
67
This is a warning that the battery is too low for the
SmartMonitor 2 PS to operate properly. The SmartMonitor 2 PS
must be recharged. Turn the monitor off. Then, recharge the
battery. (See “Charging the Battery” in this manual.)
If you do not reconnect the power supply, the system will
automatically shut down.
If this
light is
on
And this condition
exists
It means...
Memory
Full
Flashing yellow
light, continuous
alarm
When the SmartMonitor 2 PS’s Memory Almost Full parameter
is reached, the Memory Full light will flash. The alarm will
sound continuously. (The alarm will sound only if your
homecare provider programs your SmartMonitor 2 PS to do so
at the 50% full or at 80% full). Press the RESET button to
silence the alarm. The light will blink every second.
Flashing yellow
light, no alarm
Memory Almost Full is a warning condition. You can
continue monitoring. Please contact your homecare provider to
resolve the alarm. Note: the Memory Almost Full alarm will
sound every time the monitor is powered off and back on.
68
If this
light is
on
And this condition
exists
It means...
Memory
Full
Continuous yellow
light, continuous
alarm
SmartMonitor 2 PS memory is 100% full. Press the RESET
button to silence the alarm. The light will stay on continuously.
Then contact your homecare provider to download the data
from the monitor.
The Memory Full alarm will sound every time the monitor
is powered off and then back on.
The alarm will sound only if your homecare provider
programs your SmartMonitor 2 PS to do so.
69
If this
light is on
And this condition
exists
It means...
Loose
Lead
Continuous yellow
light and
continuous alarm
The yellow loose lead light and the alarm may sound
continuously when there is a problem with any of the following:
• Lead wires
• Electrodes
• Electrode belt
• Patient cable, or
• Connections between the baby’s skin, and the electrodes,
the lead wires, the patient cable, and the SmartMonitor 2
PS.
70
If this
light is on
And this condition
exists
It means...
Loose
Lead
Continuous yellow
light and no alarm
If you correct the problem, the alarm will stop. However, the
yellow light remains on until you press the RESET button.
Power
Continuous green
light, continuous
alarm, with no
other lights lit
Check the display on the bottom of the monitor for error
messages.
If there are no error messages, the SmartMonitor 2 PS was
turned off improperly causing a sibling alarm.
To resolve:
• Press and release the gray POWER button.
• Wait two seconds, and then release the RESET button.
71
If this
light is on
And this condition
exists
It means...
All Lights
All lights are
blinking and the
alarm sounds
intermittently
Check the display on the bottom of the monitor for error
messages. If there is an error message, enter it in on your log
sheet.
Turn the monitor off and then back on. If the monitor functions
normally continue to use the monitor.
If your monitor does not function normally, contact your
homecare provider to service the monitor.
SpO2
Continuous
red/orange light
and continuous
alarm
(if
enabled)
Check that the SpO2 probe has not become dislodged from the
patient or that the probe has not been disconnected from the
monitor or the oximeter patient cable. If you correct the
problem, the alarm will stop. However the red light remains on
until you press the RESET button.
72
Reducing False Alarms
Proper electrode placement will minimize false alarms.
•
•
•
•
Make sure the electrodes are placed along the mid-line of the side, two finger widths below
or lined up with the nipples.
If using the black reusable electrodes with the Velcro belt, make sure that the belt is quite
snug. Place the electrodes far enough apart so that when the belt is wrapped around the
baby, the electrode will be located along the mid-line of the side, two finger widths below or
lined up with the nipples.
The skin should be clean and dry; if the skin is unusually dry, you may add a few drops of
moisture (water) to the baby’s skin prior to electrode belt placement.
When using the black reusable electrodes, make sure that the electrode surface is clean.
•
Use of the third (green – RL) electrode and lead wire is normally not required but may help
reduce excessive false low heart rate alarms. Place the green electrode along the outside of
the baby’s upper thigh.
•
Check for correct placement of the SpO2 (oxygen) sensor.
Do not place electrodes on the top of your baby’s chest. This may result in false alarms.
73
Baby’s
right side
Baby’s
left side
The white lead wire location is illustrated, above, with a white electrode.
74
Monitoring Your Baby
Turning on the SmartMonitor 2 PS
You have properly set up your SmartMonitor 2 PS, and understand how the monitor functions
and how to respond to alarms. You are now ready to begin monitoring your baby's breathing,
heart activity, and SpO2 level according to the schedule prescribed by the physician.
Push the POWER button. The SmartMonitor 2 PS performs a system check. The lights on the
front of the SmartMonitor 2 PS will come on briefly and the alarm will beep twice. Within 10
seconds, the green respiration and heart lights begin to blink. If the lights do not blink, check
that you have attached the electrode belt properly to the baby, that the lead wires are pushed in,
and that the cables are connected. The SpO2 light will change from red to orange to green.
Once your baby is properly connected to the SmartMonitor 2 PS and the power is on, the
following should occur:
• The green (battery) charger light is on (solid or blinking).
• The green power light is on.
• The green respiration light and green heart light are blinking. The SpO2 light is on (green).
• LEDs display numeric values when the display is enabled.
• All other lights should be off.
• If the lights do not blink, refer to the steps found in the Setting up the SmartMonitor 2 PS
section in this manual. Be sure you have followed all instructions.
75
•
If the alarm does not beep twice or all LEDs do not turn on after the POWER button is
pushed, contact your homecare provider immediately.
Turning off the Monitor - Sibling Alarm
The SmartMonitor 2 PS has a built-in safety feature called a sibling alarm. If the monitor is not
turned off in a specific sequence, the green power light will remain on and the alarm will sound
continuously. This safety feature makes sure the power is not accidentally turned off. To turn the
SmartMonitor 2 PS off:
When the SmartMonitor 2 PS is turned off without pushing the RESET button first, the green
power light will remain on and the Sibling Alarm will sound. To silence the Sibling Alarm:
• Press the POWER button, and make sure that the power light is illuminated.
• To resume monitoring, press the gray POWER button.
76
Turning off the Monitor – System Alarms
If there is an error code number displayed on the bottom LCD of the monitor, this may indicate
an internal software error. In this case, a special power off procedure is required.
Press and hold the RESET button. While still holding down the RESET button, press and hold
the POWER button. Hold both buttons down for five seconds.
Release the POWER button; continue to hold the RESET button until the monitor turns off.
This power-off procedure is also required if the battery is drained.
77
Monitoring Your Baby's Breathing
Respiration Light/Display
The green respiration light will blink
in rhythm with each breath that the
SmartMonitor 2 PS detects. The light
should blink only once for each
breath, although it may flash more
times when your baby is moving.
Respiration Light
SpO2
%
%
Your baby’s average respiration rate
will appear on the front panel display
above BrPM, when the display is
enabled.
Listen and watch your baby breathe. If the respiration light flashes more times or fewer times than
your baby breathes, contact your homecare provider immediately.
78
Apnea Alarm Light
When the SmartMonitor 2 PS
detects a pause in breathing
longer than the limit set by your
physician, the following will
occur:
The red apnea light will come
on, and the alarm will beep once
every second. When the
SmartMonitor 2 PS detects
breathing again, the beeping
alarm stops. The red light will
stay on until you press the
RESET button.
79
SpO2
%
%
Low Breath Rate. Your homecare provider may have set your SmartMonitor 2 PS to signal
Low Breath Rate. If so, the following will occur:
• The breath rate falls below the setting, but pauses are short and do not cause an apnea
alarm.
• The apnea light will blink twice each second, and the alarm will beep once each second.
During a Low Breath Rate alarm, if the SmartMonitor 2 PS detects a pause in breathing
longer than the limit set by your physician, the apnea light will change from flashing to
constant.
Contact your homecare provider immediately if apnea alarms occur while the baby is
breathing.
80
Monitoring Your Baby's Heart Activity
SpO2
%
%
Heart Rate
Display
Heart Rate Light/Display
The green light marked heart blinks with each heartbeat the SmartMonitor 2 PS detects.
The patient’s average heart rate will appear on the front panel display above BPM when the
display is enabled.
81
High Heart Rate Alarm Light
SmartMonitor 2 PS determines if your baby’s heart rate is higher than the limit set by your
physician. The monitor will alert you by the following:
• The red light marked high will come on and the alarm beeps twice each second.
• The beeping alarm stops when that condition no longer exists.
The red light will stay on until you press the blue RESET button.
82
Low Heart Rate Alarm Light
When the SmartMonitor 2 PS determines that your baby’s heart rate is lower than the limit set
by your physician, the following will happen:
• The red light marked low heart rate will come on.
• The alarm beeps once every second.
• The beeping alarm stops when that condition no longer exists.
The red light stays on until you press the blue RESET button.
83
Monitoring Your Baby’s Oxygen Saturation Level
84
SpO2 Light/Display
The SpO2 light will appear solid green when the probe is connected to the patient and is
monitoring the SpO2 level. If the probe is disconnected or not transmitting a signal, the SpO2
light will appear solid red/orange. This light may briefly change to orange when the sensor is
first applied or adjusted.
Your baby’s average SpO2 level will appear on the front panel display above % when the
display is enabled.
If you are not monitoring oxygen saturation levels, the LCD display shows “OFF.”
85
High SpO2 Alarm Light
When the SmartMonitor 2 PS determines that the baby’s SpO2 level is higher than the limit set
by the physician, the following will happen:
• The red light marked High SpO2 Alarm Light will come on, and the alarm beeps twice
each second.
• The beeping alarm stops when the condition no longer exists.
86
Low SpO2 Alarm Light
When the SmartMonitor 2 PS determines that the baby’s SpO2 level is lower than the limit set by
the physician, the following will happen:
87
•
•
The red light marked Low SpO2 Alarm Light will come on, and the alarm beeps once
each second.
The beeping alarm stops when the condition no longer exists.
88
Portable Operation of the SmartMonitor 2 PS
The SmartMonitor 2 PS is designed for portable use. When the power supply is not used, the
monitor relies on the previously charged internal battery for power. The green charger light will
be off during portable operation.
Respironics recommends that the SmartMonitor 2 PS be used with the power supply whenever
possible. However, when the monitor is used without the power supply, the SmartMonitor 2 PS
is fully functional. All alarms are operational. With a fully charged battery, the monitor will run
for 15 hours. The amount of time to completely recharge a fully depleted battery is six hours.
Charging the SmartMonitor 2 PS
Battery: As a rule, a fully charged battery can operate for 15 hours. This may vary, however,
depending on the level of use, number of alarms, and other factors. When the low battery light
comes on, you should recharge the battery immediately. A fully drained battery should be
recharged for six hours. When you need to recharge the SmartMonitor 2 PS battery, follow the
steps below:
•
•
89
Insert the connector of the power supply into the socket on the back panel of the
SmartMonitor 2 PS. (See illustration.) The flat side of the connector faces upward.
Plug the power supply into a power outlet. The green charger light comes on solid if the
battery is fully charged or blinks if the battery is charging.
Transferring Information
Fully drained
batteries need about 6
hours to recharge.
If the SmartMonitor 2 PS is turned on, the yellow low battery light blinks until the minimum
charge level is reached. Then, the yellow light goes off.
Only use Respironics batteries. The power supply connector must be plugged into the
SmartMonitor 2 PS DC power input as shown in
the illustration above.
90
Transferring SmartMonitor 2 PS Information
The SmartMonitor 2 PS contains a memory system that automatically records information about
each monitoring session. This information can be transferred (or downloaded) to a computer to
be reviewed by your physician. You may be involved in the download if your monitor is
equipped with a modem or memory card. Whatever method you use, you must transfer data
when you get a memory 100% full condition. You may choose to transfer data at any time or
whenever you are instructed to do so by your homecare provider or physician.
Modem Download
SmartMonitor 2 PS must be plugged into the electrical outlet and must be powered ON
during modem downloads.
There are three ways to download with a modem. The first choice involves the modem
automatically calling your baby’s homecare provider. This is called Modem Auto Dial. This
doesn’t involve any action on your part other than connecting the monitor to the phone line and
electrical outlet. The monitor must be turned on and monitoring your baby for the download to
occur. It is important to know that the modem inside the unit may use your phone line. If your
homecare provider is going to use this feature, he or she will give you more specific instructions.
91
The second choice is called Modem Auto Answer When in Communications mode. With this
option, the baby is not being monitored and the device is in Communications mode when the
homecare provider calls.
The third option involves the homecare provider calling to the modem built inside the monitor
while the baby is being monitored. This is called Modem Auto Answer When Monitoring. The
homecare provider will contact you when it is time to transfer the data through the modem. All
three methods of modem download appear next.
92
Modem Auto Dial
SmartMonitor 2 PS must be plugged into the electrical outlet and must be powered on
To have SmartMonitor 2 PS call the computer for a download it must be programmed with a
host phone number, which is the phone number to be called to connect with the computer as
well as the date and time to call. If this feature is going to be used, your homecare provider will
have programmed these before you receive the monitor. When the preset time for download
approaches or when the memory full light illuminates, follow these instructions:
If there is an emergency and access to the telephone is required while the modem is in
use, remove the phone cord from the modem slot and use a working phone.
93
•
•
•
•
Plug the telephone wire into the modem
connector on the back of the
SmartMonitor 2 PS. (See illustration.)
Plug the other end of the phone wire into
the wall phone jack.
The SmartMonitor 2 PS will continue to
monitor your baby during the download.
All alarms are functional.
Double-check to make sure that the
monitor is plugged into an electrical
outlet, and that the power light and
charging light are on.
94
The monitor will continue calling every 30 minutes, for four hours, until it connects with
the computer. If no connection is made, the monitor will try again the next day at the
pre-selected time. For example, when the modem is programmed to call at 7 a.m. but
fails to make a connection after eight attempts, it will stop trying. The next day at 7 a.m.,
it will try again. This will continue until a connection is made and the modem has
completed a successful download.
Modem Auto Answer in Communications Mode
1. Connect a phone cord from the wall jack to the modem connector on the back of the
SmartMonitor 2 PS.
2. Make sure that the monitor is plugged into an electrical outlet and that the charging light
is on.
3. To allow the SmartMonitor 2 PS to work with the modem, place the monitor in
Communications Mode:
95
•
•
•
•
•
Press and hold the blue RESET button.
Press and release the POWER button to turn the SmartMonitor 2 PS on.
Wait until the monitor alarms.
Release the RESET button. Briefly press and release the RESET button again. The
SmartMonitor 2 PS bottom display will read “Monitor is in Communication Mode”.
The SmartMonitor 2 PS beeps every 10 seconds whenever it is in the
Communications Mode. This is a reminder that the SmartMonitor 2 PS is powered on
for working with the computer or modem, but NOT for monitoring the baby.
Do not connect the infant to the SmartMonitor 2 PS when in the Communications Mode;
the apnea and heart rate alarms are not operational in this mode.
•
The homecare provider should now call to retrieve the information. The phone may
ring, but do not answer. The modem answers the call and connects the
SmartMonitor 2 PS to the computer through the phone line.
96
4. The amount of time to transfer the information will vary. When the transfer is complete,
the SmartMonitor 2 PS will beep 5 times. After the transfer, you may disconnect the
phone line from the monitor and the phone will work normally. Turn the monitor off in the
normal way.
• You may now reconnect the baby and resume monitoring.
Modem Auto Answer in Monitor Mode
If there is an emergency and access to the telephone is required while the modem is in
use, remove the phone cord from the modem slot and use a working phone.
1. Connect the phone cord from the wall jack to the modem connector on the back of the
SmartMonitor 2 PS.
2. Make sure that the monitor is plugged into an electrical outlet and that the charging light is
on.
97
3. To allow the SmartMonitor 2 PS to work with the modem when the monitor is in monitor
mode (the baby is being monitored):
• When the homecare provider calls for a download and the phone rings, you should press
and hold down the blue RESET button.
• Hold down the RESET button until the phone stops ringing indicating the monitor has
answered the call.
• The amount of time to transfer the information will vary. When the transfer is complete,
the SmartMonitor 2 PS will beep 5 times.
• After the transfer, disconnect the phone line from the monitor and the phone will work
normally.
98
Transferring SmartMonitor 2 PS Data to a Memory Card
The memory card is a credit-card-sized electronic memory transfer device that transfers monitor
data.
All data in the memory card at the time of a download will be overwritten.
When you are ready to use the Memory Card
to transfer SmartMonitor 2 PS data, follow the
steps below:
• Make sure the SmartMonitor 2 PS is off.
• Unscrew the single screw on the right of
the LCD display cover.
• Remove cover.
• With the Memory Card facing you slide the
card into the slot provided on the side
panel of the SmartMonitor 2 PS. The
location of the memory card logo will be on
the bottom edge and facing you. (See
illustration.)
99
•
•
•
•
•
Press the POWER button ON. After a short
delay, the display will read:
INITIALIZING PLEASE WAIT
Then,
MENU MODE? ENTER PROPER KEY
SEQUENCE
Press the keys in the following sequence
within 10 seconds:
Press the ENTER button.
The display will read SMARTMONITOR 2
MENU SELECTION.
100
•
•
•
Closeup of LCD display on the bottom of the SmartMonitor 2
PS.
101
Press the u arrow
until you see “Move
Data To Card?”
Press the ENTER
button. The word NO
will begin to blink. To
select YES press
either arrow button.
Press the ENTER
button. The display will
now show
“Transferring Data.”
Once the transfer is
complete the display
will change to “Data
Transferred.”
•
Turn the monitor power OFF. Press and hold blue RESET button. Press and release gray
POWER button. Continue to hold blue RESET button.
Once the monitor is powered off, press the black RELEASE button by the memory card to
remove it from the monitor.
102
Caring for Your SmartMonitor 2 PS
Use the information in this section to care for your SmartMonitor 2 PS.
Use only approved accessories with the SmartMonitor 2 PS.
When necessary, dispose of the SmartMonitor 2 PS and accessories in accordance with
local regulations.
Cleaning Instructions
Turn the monitor OFF, unplug it from the electrical outlet, and disconnect all accessories before
you begin cleaning. Never immerse the monitor or any of the accessories in water or spray
cleaner directly on them. Apply water or cleaner to a soft cloth and gently wipe the components
to clean them.
Monitor, Power
Supply and Safety
Lead Wires
103
•
Use a clean cloth and any of the following to clean these
components:
Unscented dishwashing detergent.
3% hydrogen peroxide solution (the kind found in most stores)
to clean the monitor.
91% Isopropyl alcohol (the kind found in most stores).
10% bleach solution.
Germicidal cloth.
Caring for Your Monitor
Electrodes
•
•
•
•
Electrode Belt
Soft Carrying Case
Sensors
Do not attempt to clean the disposable style electrodes.
Clean the carbon electrodes with a mild soap and water.
They must be rinsed well to remove any traces of soap film. Soap
film can prevent heart and breathing signals from being picked up
clearly from the monitor.
Ensure that the electrodes are completely dry before using.
Wash by hand with a mild soap and water. Rinse thoroughly and airdry only.
• Although the care label in the carrying case suggests machine
washing in warm water, the appearance of the carrying case will
change noticeably after washing.
• Respironics recommends that you wipe the case with a damp cloth
or sponge using a light detergent, if necessary. Air-dry only.
•
• Follow the instructions packaged with the sensors for information on
cleaning.
104
Performing a Functional Self-Test
The SmartMonitor 2 PS functional self-test checks that all the features of the device are
functioning properly. You should perform a functional self-test at least once a week or
according to the instructions given by your homecare provider. You should also perform the
test:
• after a lead wire is changed
• after one of the patient cables is changed
• when the monitor has been scanned by airport x-ray machines.
To perform the functional self-test, follow the steps listed below:
105
•
•
LA
•
!
RL
•
Insert the ECG patient
cable into the socket
located on the front of the
monitor.
Connect the lead wires to
the ECG patient cable.
Insert the white lead wire
into the opening labeled
RA. Insert the black lead
wire into the opening
labeled LA.
Connect the lead wires to
the functional self-test
socket on the side panel
of the SmartMonitor 2 PS.
Insert the white lead wire
into the RA opening and
then the black lead wire
into the LA opening.
40
05
RA
•
Insert the oximeter patient cable into the socket located on the front of the monitor.
Connect the SpO2 sensor to the oximeter patient cable and place the sensor over your
finger.
106
•
•
•
•
•
•
•
•
107
Turn on the monitor. You will hear two short beeps and the lights on the front come on
briefly, and then go off.
After all the alarm lights go out, the green power and charger lights remain on and the
green heart and respiration lights are blinking. All three numeric displays will begin
displaying values.
The heart and respiration lights continue to blink for about 30 seconds.
When the green lights stop blinking, the red low heart light will come on within about
seven seconds and the alarm beeps once every second.
Next, the red apnea light comes on (the amount of time before the red apnea light comes on
is determined by the apnea delay parameter selected at the time the monitor was set up)
and the low (heart) light remains on. (There should be no green heart or respiration light
flashes during this time).
Remove the SpO2 sensor from your finger. The SpO2 light will turn red and the SpO2 display
will show dashes.
Reapply the SpO2 sensor to your finger.
Follow the instructions in the Self-Test Troubleshooting section, if necessary.
•
•
•
•
•
•
Remove the lead wires from the functional self-test socket. To remove the lead wires,
grasp and pull the strain relief area located near the connecting tip. Do not grasp the wire.
The loose lead light will come on, and the alarm changes from beeping to continuous. This
lets you know the SmartMonitor 2 PS, patient cables, and lead wires are working properly.
Now turn the monitor off.
Press and hold the blue RESET button.
Press and release the gray POWER button.
Wait two seconds, and then release the RESET button.
108
Self-Test Troubleshooting
Follow the instructions given if any of the described conditions occur. Start the test over once
the problem has been corrected.
Alarm
Low
Battery
109
Condition
Solution
If the low battery light
stays on longer than half
a minute, the batteries
are completely
discharged.
•
Turn the monitor off using the correct power off
procedure described in the Turning the Monitor off
– System Alarms section in this manual.
•
Make sure the power supply is plugged into a live
power outlet and is properly connected to the
monitor. (See Charging the Battery for more
information).
•
Plug the monitor in for 30 minutes to allow the
monitor to charge. This will provide sufficient
charge to allow use of the monitor while it
continues to charge. (The monitor should remain
plugged into an electrical outlet.)
•
Allow the SmartMonitor 2 PS battery to recharge
for six hours. If the monitor cannot be used
Alarm
Condition
Solution
because the battery is completely discharged
•
To operate the monitor and recharge battery,
follow the procedures as described in the next
Troubleshooting section under the Condition “No
power, battery drained.”
110
Alarm
Condition
Solution
Memory
Full
The SmartMonitor 2 PS
full memory setting has
been reached.
Loose
Lead
Indicates loose or bad
lead wires and/or patient
cable.
Press the RESET button to silence the alarm. The
SmartMonitor 2 PS memory needs to be transferred
and cleared. Contact your homecare provider for
specific instructions.
Check all connections and/or replace lead wires first,
then the patient cable if necessary.
The SmartMonitor 2 PS lights and alarms should respond as just described. If not,
contact your homecare provider before monitoring your baby.
Do not use your monitor if the alarm sounds weak or does not activate twice
upon initial startup.
111
Troubleshooting
Whenever a technical problem occurs which you cannot handle, contact your homecare
provider. Do not try to fix the SmartMonitor 2 PS. The following are some common
problems:
Problem
Possible Cause
Instructions
Monitor will not
Operate.
Monitor disconnected
from power supply,
batteries discharged.
No power at outlet.
Plug power supply into monitor and outlet.
Defective power supply.
Contact your homecare provider.
Internal part failure.
Locate an outlet with power.
112
Troubleshooting
Problem
Possible Cause
Instructions
All lights will
flash together
and the alarm
will beep in
unison with the
flashing lights.
Pressing the
RESET button
will not silence
alarm.
Internal error condition
detected by
SmartMonitor 2 PS.
If an error number is displayed on the LCD (the
LCD is located on the bottom of the monitor),
record this information. Contact your homecare
provider.
If there is an internal software error, a special
power off procedure is required.
• Press and hold the RESET button. While still
holding down the RESET button, press and
hold the POWER button. Hold both buttons
down for 5 seconds.
• Release the POWER button and continue to
hold the RESET button until the monitor turns
off.
113
Troubleshooting
Problem
Possible Cause
Incorrect power-off
Alarm Sound
Continuous, No sequence.
Lights.
Alarm Sound
Continuous,
Low Battery
Light remains
on.
Alarm sounds
weak.
No power, battery
drained.
Low battery.
Instructions
•
•
Press the POWER button, and ensure that
the power light is illuminated.
Press and hold the RESET button. Press
and release the POWER button. Wait two
seconds. Then release the RESET button.
Connect the power supply. Use Power-Off to
silence the alarm.
• Press and hold the gray POWER button.
Wait five seconds. Then release the POWER
button.
Prior to use, allow the battery to charge
approximately 30 minutes. You may then operate
the monitor while it is plugged in. Allow the battery
to charge for six hours before using the monitor on
battery power.
Charge battery.
114
Troubleshooting
Loose lead.
Continuous
alarm; light
remains on.
Connections between
electrode/sensor lead
wires and patient
cables are not properly
made.
Defective lead wires.
Defective patient
cables.
115
Verify that
(a) baby’s skin underneath the
electrodes/sensors is clean,
(b) electrodes/sensors are clean, and
(c) lead wires are fully inserted into the
electrodes/sensors and patient cables.
Replace lead wires, and perform a Functional SelfTest.
Replace patient cables, and perform a Functional
Self-Test.
Troubleshooting
Unable to
download via
modem.
AC power not
connected to
SmartMonitor 2 PS.
Defective power
supply.
Phone line not
connected to modem
or wall jack.
Plug the SmartMonitor 2 PS into an electrical outlet
during downloads, and make sure charger light is
on. Make sure monitor is not plugged into an outlet
operated by a light switch.
Check power supply for damage. Replace power
supply.
Connect the phone cord to the modem and to the
wall phone jack.
Remove the splitter. Connect the phone cord
directly to modem and to wall phone jack.
Phone splitter not
working.
116
Troubleshooting
SpO2 light
remains red or
orange when
connected to
baby.
117
Connections between
the sensor, oximeter
patient cable and
monitor have not been
made properly.
Check all connections.
Verify that
(a) baby’s skin underneath the sensor is clean,
(b) sensor is clean,
(c) connector is fully inserted into the oximeter
patient cable, and
(d) sensor light is properly aligned.
Defective sensor.
Replace sensor. Contact homecare provider.
Specifications
Specifications
Device Size
Dimensions
Weight
5.72 cm x 18.42 cm x 22.86 cm
1.35 kg
Electrical Ratings
AC Power Consumption
DC Power Consumption
Li Ion Rechargeable Battery Pack
100-240VAC 50/60Hz 36W
12VDC 3.0Amps max.
7.4VDC 4.4AH or greater
Environmental Conditions
Operating Temperature
Operating Humidity
Storage Temperature
Storage Humidity
Battery Charge Temperature
5°C to 40°C
15 to 95% non-condensing
-20°C to 60°C
15 to 95% non-condensing
5°C to 40°C
118
Specifications
IEC Classification
This device is designed to conform to the following standards:
IEC 60601-1 General Requirements for Safety of Medical Electrical Equipment
IEC/EN 60601-1-2:2001 (2nd Edition) Immunity for Medical Electrical Equipment
The SmartMonitor 2 PS system is classified as follows:
Type of protection against electric shock
Degree of protection against electric shock
Degree of protection against ingress of water
Mode of operation
Class II/Internally Powered
Type BF Applied Part
IPX1 – Drip Proof
Continuous
EMC Requirements
Guidance and Manufacturer’s Declaration – Electromagnetic Emissions
This device is intended for use in the electromagnetic environment specified below. The user of
this device should make sure it is used in such an environment.
Emissions Test
119
Compliance
Electromagnetic Environment - Guidance
Specifications
RF emissions
CISPR 11
Group 1
This device RF emissions are uses RF
energy only for its internal function.
Therefore, its very low and are not likely to
cause any interference in nearby electronic
equipment.
RF emissions
CISPR 11
Class B
Harmonic emissions
IEC 61000-3-2
Class A
(not applicable)
Voltage fluctuations/flicker
emissions
IEC 61000-3-3
Complies
This device is suitable for use in all
establishments, including domestic
establishments and those directly connected
to the public low-voltage power supply
network that supplies buildings used for
domestic purpose.
120
Specifications
Immunity Test
IEC 60601 Test
Level
Compliance Level
Electromagnetic Environment Guidance
Electrostatic
Discharge
(ESD)
IEC 61000-4-2
Electrical fast
Transient/burst
IEC 61000-4-4
±6V contact
±8V air
±6V contact
±8V air
±2kV for
power supply
lines
±1kV for
input/output
lines
±1kV
differential
mode
±2kV common
mode
±2kV for supply
mains
Floors should be wood, concrete or
ceramic tile. If floors are covered with
synthetic material, the relative
humidity should be at least 30%.
Mains power quality should be that of
a typical home or hospital
environment.
Surge
IEC 61000-4-5
121
±1kV for
input/output lines
±1kV differential
mode
±2kV common
mode
environment.
Specifications
Voltage dips,
short
interruptions
and voltage
variations on
power supply
input lines
IEC 61000-4-11
Power
frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
<5% UT
(>95% dip in
UT ) for 0.5
cycle
40% UT
(60% dip in
UT)
for 5 cycles
70% UT (30%
dip in UT) for
25 cycles
<5% UT
(>95% dip
in UT) for 5
sec
3 A/m
<5% UT
(>95% dip in UT )
for 0.5 cycles
40% UT
(60% dip in UT) for
5 cycles
70% UT (30% dip in
UT) for 25 cycles
<5% UT (>95% dip
in UT) for 5 sec
environment. If the user of the device
requires continued operation during
power mains interruptions, it is
recommended that the device be
powered from an uninterruptible
power supply or a battery.
3 A/m
Power frequency magnetic fields
should be at levels characteristic of a
typical location in a typical home or
hospital environment.
Note: UT is the AC mains voltage prior to application of the test level.
122
Specifications
Guidance and manufacturer’s declaration – electromagnetic immunity
The SmartMonitor 2 PS is intended for use in the electromagnetic environment specified below. The user of the
SmartMonitor 2 PS should make sure that it is used in such an environment.
Immunity test
IEC 60601 test
Compliance level
Electromagnetic environment - guidance
level
(FDA)
Portable and mobile RF communications
equipment should be used no closer to any part
of the monitor, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.
Recommended Separation Distance
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
123
3 Vrms
150 kHz to 80
MHz outside ISM
Bandsa
3V
10 Vrms
150 kHz to 80
MHz in ISM
a
bands
10 V
10 V/m
80 MHz to 2.5
10 V/m
d = 1 .2 P
d = 1 .2 P
80 MHz to 800 MHz
d = 2.3 P 800 MHz to 2.5 GHz
where P is the maximum output power rating of
Specifications
GHz
the transmitter in watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in meters
b
(m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,c
should be less than the compliance level in each
frequency range.d
Interference may occur in the vicinity of
equipment marked with the following symbol:
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects and people.
a
b
c
d
The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHZ
to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
The compliance levels in the ISM frequency bands between 150 kHz and MHz and in the frequency range 80 MHz and 2.5
GHz are intended to decrease the likelihood that mobile/portable communications equipment could cause interference if it
is inadvertently brought into patient areas. For this reason, an individual factor of 10/3 is used in calculating the
recommended separation distance for transmitters in these frequency ranges.
Field strength fro fixed transmitters such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess
the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the SmartMonitor 2 PS is used exceeds the applicable RF compliance level
above, the SmartMonitor 2 PS should be observed to verify normal operation. If abnormal performance is observed,
additional measures mat be necessary, such as re-orienting or relocating the SmartMonitor 2 PS.
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
124
Specifications
Recommended Separation Distance Between Portable and Mobile RF Communication Equipment
and the Device
The Device is intended for use in the electromagnetic environment in which radiated RF disturbances
are controlled. The user of the Device can help prevent electromagnetic interference by maintaining
a minimum distance between portable and mobile RF communication equipment (transmitters) and
the Device as recommended below, according to the maximum output power of the communications
equipment.
Separation Distance According to Frequency of Transmitter (meters)
Rated
Maximum
Output
Power of
Transmitte
r (Watts)
125
150 kHz to
80 MHz
150 kHz to
80 MHz
outside
ISM bands
in ISM
bands
d = 1 .2 P
d = 1 .2 P
0.01
0.12
0.12
0.12
0.23
0.1
0.38
0.38
0.38
0.73
1
1.2
1.2
1.2
2.3
10
3.8
3.8
3.8
7.3
100
12
12
12
23
80 MHz to
800 MHz
d = 1 .2 P
800 MHz to 2.5 GHz
d = 2 .3 P
Specifications
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can
be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power of the
transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553
MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM
frequency bands between 150 kHz and 80 MHz and in the frequency range of 80 MHz and 2.5 GHz to decrease the likelihood
that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.
Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects and people.
126
Glossary
Apnea – The cessation of breathing
(respiration).
Central apnea – No respiratory effort,
caused when the brain fails to send the
appropriate signals to the breathing
muscles to initiate respirations.
Obstructive apnea – Cessation of
airflow into or out of the mouth or nose
although efforts to breathe continue.
Such obstructions may result from a
spasm of the larynx, reflux, or other
causes.
Cardiopulmonary Resuscitation (CPR) A procedure used after cardiac arrest in
which cardiac massage, mouth-to-mouth
resuscitation, and drugs are used to restore
breathing.
Electrode - A conductor used to establish
electrical contact between the monitor and
the baby’s skin.
Functional Self-Test - A user-performed
test to verify that the SmartMonitor 2 PS,
patient cables, and lead wires are working
properly.
Heart rate – The number of heart beats per
minute.
Impedance - The opposition offered by an
electrical circuit to the flow of an alternating
current, measured by the ratio of the
effective applied voltage to the effective
current. This is the method used by
SmartMonitor 2PS to detect your baby’s
respiration.
LA Connection - The opening on the ECG
patient cable marked LA is the connector for
the black lead wire.
Modem - A device that allows the homecare
provider or hospital to work with a monitor
through telephone lines.
Oximeter – A photoelectric device that
measures the amount of oxygen and other
fluids in the blood.
128
Glossary
% (Percent) SpO2 – a measurement of how
much oxygen is contained in the blood.
Usually measured via a finger, toe, or ear
sensor.
RA Connection - The opening on the ECG
patient cable marked RA is the connector
for the white lead wire.
Respiration - The act of inhaling and
exhaling air.
RL connection - Use of the third (green –
RL) electrode and lead wire is normally not
required but may help reduce excessive
false low heart rate alarms. This is placed
on the outer thigh of the infants left leg.
SpO2 Levels – A measurement of how
much oxygen is contained in the blood.
Strain Relief Area - Located at the
connecting tip of the lead wires or cables,
this area has added insulation surrounding
the wires to prevent breakage when
handled. This area is to be grasped when
removing lead wires.
129
SmartMonitor 2 PS Clinical Summary
NOTE: The following study involved the SmartMonitor 2 predicate device and is being used as
the basis for performance evaluation of the SmartMonitor 2 PS.
The SmartMonitor 2 was evaluated in a clinical study according to the most recent FDA
recommendations. These recommendations are available in the “Class II Special Controls
Guidance Document: Apnea Monitors; Guidance for Industry and FDA,” released in 2002.
The study was completed with babies less than one year of age who were in need of an apnea
monitor. The recorded information was analyzed to identify the number of 10-second apnea
events detected by the monitor. The same events were then scored by a physician.
SmartMonitor 2 sounded an alarm for 51 of 100 apnea events scored by the physician and did
not alarm for 49 scored apnea events. Out of every 100 alarms, 54 sounded when the baby
was breathing normally. Forty-six alarms actually indicated apnea. On average, the monitor
sounded a false alarm once every 67 minutes.
With all apnea monitors, you can expect a certain amount of false alarms. Often times, these
false alarms are caused by the baby’s movement and the amount of contact made by the
electrodes on the baby’s skin. In the home environment, your baby’s apnea monitor will be set
to detect and alarm for apneas that are greater than 15 to 20 seconds rather than the 10
seconds used in the clinical study. When an apnea event occurs that is longer than 15 to 20
130
Clinical Summary
seconds, often the baby’s heart rate will slow down. As an added safety feature, SmartMonitor
2 also detects and alarms for this slowdown in the baby’s heart rate.
If you would like additional clinical information about the function of the monitor prescribed for
your baby, contact your homecare provider or your physician.
131
Index
AC, 3, 55, 116, 122
accessories, 5, 11, 103
accessory, 9
Accidental Power-Off, 15
air conditioners, 6
air conditioning, 8
air-dry, 104
airport, 7
airport security check, 11
airport x-ray machines, 105
alarm, 2, 5, 9, 13, 31, 35, 58, 65, 67, 68, 79,
83, 107, 108, 130
alarm lights, 59
alarms, 7, 15, 75, 89, 94, 96
All Lights, 72
ambulance, 7
anesthetics, 4
apnea, 4, 6, 60, 62, 96, 130
Apnea, 14
apnea alarm, 80
apnea delay parameter, 107
apnea events, 130
apnea light, 34, 79, 80, 107
apnea monitor, 1, 130
apneas, 7
arterial catheter, 10
attention, 16
batteries, 55, 109, 112
battery, 66, 89
battery charge temperature, 118
battery pack, 3, 118
black lead wire, 44, 48, 106
bleach, 103
blood oxygen levels, 13
blood pressure cuff, 10
breath rate, 34
breathing, 11, 13, 34, 56, 58, 60, 62, 64, 75,
79, 104
breathing effort, 2, 13
Breaths Per Minute, 19
BrPM, 78
buzzers, 57
132
Index
cannula, 61, 62
Carboxyhemoglobin (COHb), 10
cardiac, 1
Cardiopulmonary Resuscitation (CPR), 4
carrying case, 104
Carrying Case, 29
caution, 11
cellular phones, 6
charger, 107
Charger, 66
charger light, 75, 89
Charger Light, 18
charging the battery, 89
choking, 4, 58, 60, 62
cleaning, 103
cleaning agents, 4
cleaning instructions, 9
cleaning solutions, 9
clinical study, 130
Communication Mode, 96
Communications Mode, 7, 95
compliance, 119, 121
components, 11
computer, 91, 93, 96
133
computers, 6
conductive floor coverings, 8
conductive material, 6
conductive parts, 10
Connector Position, 21
connectors, 8
cordless telephones, 6
CPR, 58, 61, 62
crib, 6
crying, 60
DC Power, 39
death, 4
defibrillate, 4
dishwashing detergent, 103
disposable electrodes, 48
download, 94, 99
downloads, 116
draperies, 6
Drip Proof Equipment, 21
earth, 8, 10
ECG patient cable, 34, 40, 45, 64, 106
ECG Patient Cable, 29
ECG patient cables, 9
electric blankets, 6
Index
electrical appliances, 6
electrical outlet, 5, 91, 94, 97, 103, 109, 116
electrical shock, 5, 8
electrical storms, 11
electrician, 55
electrode, 36, 43, 47
electrode belt, 44, 65, 73, 75
Electrode belt, 70
Electrode Belt, 29
electrode gels, 4
electrodes, 8, 10, 11, 13, 44, 64, 73, 104,
130
Electrodes, 29, 70
electromagnetic emissions, 119
electromagnetic environment, 119, 121
electronic components, 12
emergency, 3, 93, 97
emissions, 11
emissions test, 119
EMS, 61, 62
ENTER button, 100, 101
error messages, 71
error number, 113
ESD warning symbol, 8
ESD Warning Symbol, 20
ethylene oxide, 9
Explosion hazard, 8
extension cord, 6
false alarm, 130
false alarms, 73
FDA, 130
fire, 6
fire hazard, 5
flammable anesthetics, 8
flammable gases, 5
flammable substance, 8
flammable substances, 4
flicker emissions, 120
foreign matter, 11
front panel, 36, 66
front panel display, 34, 78, 81, 85
functional oxygen saturation, 1
functional self test, 105
Functional Self Test, 64
functional self-test, 11, 105
Functional Self-Test, 37
Germicidal cloth, 103
grounded path, 6
134
Index
handle, 5
Handle, 29
harmonic emissions, 120
harsh sounds, 7
heart, 81, 104, 107
heart activity, 56, 75
heart light, 35, 75
heart rate, 1, 6, 13, 34, 81, 82, 96, 131
heartbeat, 35, 81
HF surgical procedures, 10
high, 82
high heart rate, 60
High Heart Rate, 14
High SpO2, 14
High SpO2 Alarm Light, 20, 86
homecare provider, 1, 2, 3, 5, 7, 11, 15, 29,
34, 39, 43, 47, 55, 56, 63, 68, 72, 76, 78,
80, 91, 93, 96, 98, 105, 109, 111, 112,
131
hospital, 121
host phone number, 93
humidification, 8
hydrogen peroxide, 103
immunity, 11
135
immunity test, 121
impedance, 7, 13
Input / Output Connection, 18
input connector, 51
input connectors, 34
input/output, 121
insulation, 11
interference, 6, 7, 73
Internal error, 113
internal software error, 113
internal system error, 15
Internal System Error, 15
Intravascular dyes, 9
irradiation, 9
Isopropyl alcohol, 103
LCD, 113
LCD display, 15, 101
lead wire, 7, 36, 42, 43, 47, 105
lead wires, 5, 7, 11, 48, 64, 75, 106, 108,
111
Lead wires, 70
Lead Wires, 29
LNOP Neo, 52
LNOP NeoPt, 52
Index
LNOP Pdt, 52
log sheet, 59, 61, 62, 63, 72
loose lead, 32
Loose lead, 14
Loose Lead, 70
loose lead light, 70, 108
Loose Probe, 15
lotion, 49
lotions, 4, 65
Low Battery, 15, 32, 67
low battery light, 89, 90, 109
Low Breath Rate, 14, 80
low heart light, 107
low heart rate, 7, 42, 49, 60, 62, 73, 83
Low Heart Rate, 14
Low SpO2, 14
Low SpO2 Alarm Light, 88
mains, 121
manufacturer, 11
Masimo, 52
Masimo Radical Oximeter, 2
memory, 36, 39, 91, 111
Memory Almost Full, 68
memory card, 91, 99
Memory Full, 15, 32, 68
memory full light, 93
memory transfer device, 99
Met hemoglobin (MetHb), 10
microwave ovens, 6
modem, 5, 11, 32, 39, 91, 93, 96, 97, 116
Modem Auto Answer When in
Communications mode, 92
Modem Auto Answer When Monitoring, 92
Modem Auto Dial, 91
modem connector, 94, 97
modem downloads, 97
Modem Port, 19
monitor maintenance, 103
monitoring mode, 32
MRI, 10
National Electrical Code (NEC), 55
Nellcor N-200 Pulse Oximeter, 2
Nellcor NPB-295 Pulse Oximeter, 2
newborns, 46
nipples, 44, 73
nitrous oxide, 8
noise, 56
non-synthetic clothing, 8
136
Index
Normal operation, 66
Nova Cosmo ETC02, 2
Nova Cosmo Oximeter, 2
numeric displays, 107
obstructive apnea, 4
Ohmeda OXI Pulse Oximeter, 2
oil, 65
oils, 4, 49
operating humidity, 118, 119
operating temperature, 118, 119
oximeter patient cable, 34, 50, 65, 72, 106
Oximeter Patient Cable, 29
oxygen delivery, 61, 62
oxygen tank, 5
oxygen-enriched environments, 8
pacemaker, 4
patient alarm, 56
Patient Alarms, 14
patient cable, 5, 11, 111, 117
Patient cable, 70
patient cables, 5, 7, 10, 16, 37, 105, 108
Percent of SpO2, 20
performance, 7
perspiration, 65
137
phone cord, 4, 95, 97, 116
phone line, 91, 96
Phone line, 116
phone number, 93
Phone splitter, 116
physician, 1, 2, 13, 34, 56, 58, 61, 62, 79,
80, 83, 86, 87, 91, 131
police, 7
portable use, 39, 89
powder, 49
power, 36, 107
Power, 66, 71
POWER button, 71, 75, 76, 96, 97, 100,
102, 108, 113
POWER Button, 31
power cord, 8, 53, 55
power light, 75, 76
power off procedure, 109, 113
Power Off/On Button, 16
power outlet, 53, 89, 109
power supply, 3, 5, 36, 39, 53, 54, 66, 89,
109, 112, 118, 120, 121
Power Supply, 29
Power Supply Connection, 18
Index
power supply connector, 54, 90
pressure necrosis, 9
radio, 7
Red Apnea, 58
Red High, 60
red high light, 35
Red High SpO2, 63
Red Loose Lead, 64
Red Low SpO2, 60, 62
Red SpO2 Light, 65
RELEASE button, 102
Remote Alarm Connection, 19
replacement parts, 11
RESET button, 16, 31, 65, 67, 68, 71, 76,
79, 82, 86, 88, 96, 98, 102, 108, 111, 113
respiration, 1, 107
respiration light, 11, 34, 75, 78
respiration rate, 78
Respironics 930 Oximeter, 2
RF emissions, 120
RF energy, 120
rugs, 6
Sandhill pH Meter, 2
Self Adhesive Electrodes, 48
Self-Test Connector, 37
sensor, 59, 85, 117
sensors, 4, 8, 53, 63, 104
sibling alarm, 71, 76
side panel, 99, 106
signal interference, 6
signal quality, 11
silence, 111
skin, 65
skin color, 58
Skin color, 60, 62, 63
skin creams, 4
skin erosion, 9
SmartMonitor 2 contents, 29
SmartMonitor 2 features
top panel, 31
SmartMonitor 2, turning it off, 76
SmartMonitor 2, turning it on, 75
soap, 104
solvents, 9
speaker, 5, 35, 57
specifications, 9
SpO2, 52, 56, 72
SpO2 probe, 65
138
Index
SpO2 alarms, 52
SpO2 display, 107
SpO2 level, 3, 34, 75, 85, 87
SpO2 levels, 1, 14, 52
SpO2 light, 35, 75, 85, 107
SpO2 probe, 72
SpO2 sensor, 9, 34, 106
static build-up, 6
static electricity, 6
steam, 9
storage humidity, 118, 119
storage temperature, 118, 119
strain relief area, 11, 42
strangulation, 5
supplemental oxygen, 62
Symbol Reference Card, 29
Synectics pH Meter, 2
Synthetic fabric, 6
system alarm, 66
system alarms, 14
System Alarms, 14
system alarms, responding to, 66
139
system check, 75
system test, 31
telephone, 3, 93, 97
telephone wire, 94
third (green – RL) electrode, 49, 73
transfer data, 91
transmitter signals, 7
tripping hazard, 6
TV, 6
Type BF Applied Part, 16
Velcro, 44, 45, 73
voltage, 67
voltage dips, 122
voltage fluctuations, 120, 122
wall jack, 3, 97, 116
wall phone jack, 94
warning, 3, 67
water, 9
waterbeds, 6
white electrode, 45, 74
white lead wire, 44, 48, 74, 106
wrist strap, 8
1015939
[JW 10/20/04]