LifeWindow Lite LW8 - Digicare Biomedical

Transcription

Table of Contents
Section 1 - Introduction
A. About this Manual .......................................... ….2
B. Manufacture's Responsibility ......................... ….2
C. Warranty ........................................................ ….2
D. General Safety .............................................. ….2
E. Unpacking and Accessories .......................... ….3
Section 2 – Quick Start
A. Description ..................................................... ….4
B. Turning-On ..........................................................8
C. Alarm and Pulse Sound................................... ….8
D. Patient Management.............................................8
E. Date and Time.......................................................9
F. Monitoring Screen.................................................9
G. Traces Setting.......................................................9
H. Patient Type..........................................................9
I. ECG Monitoring ...................................................10
J. SpO2 Monitoring...................................................10
K. CO2 Monitoring....................................................10
L. NIBP Monitoring....................................................11
M. Temperature Monitoring.......................................11
N. Invasive Pressure Monitoring...............................12
O. FIO2 Monitoring……............................................12
P. Trends……. ........................................................13
Q. Discharge Patient and Save Data………………..13
R. Battery Operation .........................…………..……13
B. Turning-OFF…......................…………………......14
Section 3 – Print, Reports and Networking
A.. Printing and Reports……………………………...14
B. Networking..........................………………………16
Section 4 - ECG Monitoring
A. Patient Connections............……………….………24
B. ECG Scale .........................................................26
C. Lead Selection.....................................................26
D. ECG Filter…… ...................................................26
E. Heart Rate Limits.................................................26
F. ECG Seep Speed.................................................27
G. ECG Pulse Test...................................................27
H. ECG Patient Type................................................27
I. ECG Alarms...........................................................27
Section 5 – Pulse Oximetry Monitoring
A. Patient connections ....................................... ….28
B. SpO2 monitoring ........................................... ….29
C. SpO2 Waveform and Bar-graph...........................31
D. SpO2 Alarm Limits ......................................... .....31
E. SpO2 Alarm Messages .................................. .....31
Section 6 - CO2 Mainstream Monitoring
A. Overview……………..…...............…….................32
Section 6.1 - CO2 Mainstream Monitoring
A. Principle of Operation …...............…………….....32
B. Indications for Use....................……………….......32
C. Patient Connections…..………………………........33
D. Monitoring CO2 …………..…………………...........36
Section 6.2 - CO2 Sidestream Monitoring
A. Principle of Operation …...............………….........38
B. Indications for Use ............................……..…........38
C. Patient Connections ..………………………............39
D. Monitoring CO2………………………………...........43
Section 7- NIBP Monitoring
A. Cuff Selection and Placement...........……..……….45
B. NIBP Monitoring....................................................48
C. NIBP Alarm Messages.………………….………….49
Section 8- Temperature Monitoring
A. Patient Connections......................................... …..49
B. Temperature Monitoring.................................. …..50
Section 9- Invasive Pressure Monitoring
A. Pressure Transducer...................................... …..50
B. Transducer Connection................................... …..51
C. IP Scale and Label……................................... …..52
D. Trigger Source…….…….......................................53
E. Pulsatile / Static Mode….……......................... …..53
F. Transducer Zero…….……............................... …..53
G. IP Alarm Limits…….……................................. .....54
H. IP Alarm Messages…….…….......................... …..54
Section 10 – Fraction of Inspired Oxygen
A. Principle of Operation ..........................................54
B. Patients Connections .................................... …..54
C. Calibration....................................................... …..56
D. FIO2 Monitoring.. ............................................ …..56
Section 11 - Technical Specification
A. Mechanical Description ................................. …..58
B. Power Requirements ...........................................58
C. ECG .............................................................. …..58
D. SpO2 Pulse Oximeter ..................................... …..59
E. Non-Invasive Blood Pressure................................59
F. Temperature………………............................... …..59
G. CO2………..……………….....................................60
H. Invasive Pressure..……………….................... …..61
I. FIO2.………..………………............................... …..61
J. Display ………..............................………….………61
K. Environment Specifications ........................... …..61
L. Trends ........................................................... …..61
M. Auxiliary Output (Rear Panel) ........................ …..62
Section 12- Maintenance
A. The Monitor .................................................... …..62
B. Probes ........................................................... …..62
C. Patient Cables ................................................ …..63
D. Battery ........................................................... …..63
Warranty Terms & Conditions ........................ …..64
Rev5 Jan 10
Operators Manual Multi-parameter Patient Monitor " LifeWindow Lite LW8 " 1
Digicare Biomedical Technology
SECTION 1 – INTRODUCTION
A. ABOUT THIS MANUAL
This operator’s manual has been prepared to provide information on the correct use of the
LifeWindow Lite LW8 multi-parameter patient monitor. It contains performance specifications,
installation, operation and maintenance information. It is intended for trained health-care
professionals.
B. MANUFACTURER’S RESPONSIBILITY
• The manufacturer of this equipment is responsible for the effects on safety, reliability, and
performance of the equipment only if:
• The equipment is used in accordance with the instructions in this manual.
• The electrical installation complies with all applicable regulations.
• Assembly operations, extensions, re-adjustments, or repairs are carried out by person’s
authorized by the manufacturer.
Incorrect operation or failure of the user to maintain the monitor in accordance with
proper maintenance procedures relieves the manufacturer or his agent from all
consequent non-compliance, damage or injury.
• It is up to the user to ensure that any applicable regulations respecting the installation and
operation of the monitor be observed.
C. WARRANTY
All products manufactured by Digicare Biomedical Technology Inc. are warranted to be free
from defects in material and workmanship and to operate within published specifications, under
normal use, for a period of one year from date of original shipment. The warranty on
accessories is ninety (90) days.
If an examination by Digicare, discloses such products or component parts to be defective, then
our obligation is limited to repair or replacement (at our option).
D. GENERAL SAFETY
1 - INDICATIONS
The LifeWindow LW8 Lite series is a Class 1 device designed for continuous operation in
accordance with the Safety Standard EN60601-1. The Class 1 device MUST BE connected to
the external protective conductor to be operated with the external MAINS LINE. It is intended for
use by person’s trained in professional health care, in the hospital / clinic environment. The
operator must be thoroughly familiar with the instructions in this manual before using the
instrument.
The unit is configured to measure and monitor the following available parameters:
• ECG Waveform (3 and 5 leads);
• Heart Rate (HR) from ECG ;
• ECG arrhythmia and ST segment analysis (5 Leads ECG);
• Blood oxygen saturation (SpO 2 or pulse oximetry);
• SpO2 waveform (Plethysmogram);
Operators Manual Multi-parameter Patient Monitor " LifeWindow Lite LW8 "
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Two Temperature channels;
Two Invasive Pressure channels;
Pulse (from SpO 2 ,NIBP, IP1 or IP2) rate;
NIBP Systolic, Diastolic and mean arterial pressure;
End-tidal CO2 concentration (EtCO2) – Mainstream or Sidestream;
Inspired CO2 concentration (inCO2) – Mainstream or Sidestream;
Respiration rate (from EtCO2 waveform);
Inspired Fraction of O2 ( FIO2 );
CONFIGURATION CODE
Electrocardiogram – 3 Lead ECG........................................................................................ E
Electrocardiogram – 5 Lead ECG.......................................................................................5E
Pulse Oximetry and Plethysmogram ................................................................................. S
FIO2 – Inspired Fraction of Oxygen ................................................................................. F
CO2 - Sidestream Capnography .................................................................................
C
CO2 - Mainstream Capnography .............................................................................
M
CO2 DualCap – Mainstream and Sidestream Capnography .............................................. D
Non-invasive Blood Pressure - NIBP ..........................................................................
N
Invasive Pressure (up to two channels) .........................................................................
#P
Temperature (up to two channels) ...................................................................................... #T
The applied parts are classified accordingly to the degree of electrical isolation from the patient
and defibrillation protection.
• The ECG patient connection is DEFIBRILLATION PROOF type CF applied part.
• The Invasive Pressure connection is type CF applied part and is not DEFIBRILLATION
PROOF.
• The Temperature connection is type BF applied part and is not DEFIBRILLATION PROOF.
• The SpO2 is type BF applied part and is not DEFIBRILLATION PROOF.
• All other patient connections are NOT DEFIBRILATION PROOF type B applied part.
2 - CAUTIONS
The LifeWindow™ Lite LW8 was designed and tested accordingly to the ELECTRO-MAGNETIC
COMPATIBILITY Standard IEC601-1-2. However, the operator is responsible to verify if the
monitor is been affected or affecting others electrical equipment. Equipments like electrocautery
and image scanners can generate interference and cause degradation of the
LifeWindow™ Lite LW8 performance. To avoid this situation, it should be installed as far as
possible of those equipment.
3- CONTRAINDICATIONS
The LifeWindow™ Lite LW8 series is NOT intended to be used during MRI
resonance imaging).
(magnetic
The LifeWindow™ Lite LW8 is NOT suitable for use in the presence of a flammable anaesthetic
mixture with air or with oxygen or nitrous oxide.
E. UNPACKING AND ACCESSORIES
Carefully remove the monitor and its accessories form the shipping carton. Save the packing
materials in case the monitor must be shipped or stored. Ensure your LifeWindow Lite LW8
has the items listed in the SHIPPING LIST inside the carton.
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SECTION 2 – QUICK START
A. DESCRIPTION
1 – FRONT PANEL
FIG.1
1- TFT Active Matrix Color Flat Panel Display: Windows based Graphic Interface displays 6
user selectable physiologic waveforms, numeric values, indicators, alarm messages and
physiologic parameters menu.
2- ALARM DISABLE dedicated pushbutton.
3- FREEZE TRACES dedicated pushbutton.
4- ECG LEAD SELECTION dedicated pushbutton.
5- NIBP START dedicated pushbutton.
6- NIBP STOP dedicated pushbutton.
7- PRINT dedicated pushbutton.
8- BATTERY charge status LED indicator.
9- AC mains line LED indicator.
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2 – PATIENT CONNECTIONS PANEL
FIG. 2
10- Internal CO2 Sidestream module receptacle. Accept sample line to Sidestream CO2 and
Respiration Rate determination and monitoring.
11- NIBP hose receptacle. Accept cuff to Non Invasive Blood Pressure and Pulse determination
and monitoring.
12- SpO2 connector. Accepts pulse oximetry patient sensor cable to non-invasive determination
and monitoring of the blood oxygen content.
13- ECG connector. Accepts ECG cable for electrocardiogram and Heart Rate monitoring.
14- Invasive Pressure Channel 1 connector. Accepts pressure transducer cable to invasive
determination and monitoring of blood pressure.
15- FIO2 connector. Accept cable and sensor to Inspired Fraction of Oxygen determination and
monitoring, using an air way adaptor.
16- Temperature Channel 1 and Channel 2 connectors. Accepts temperature cable and sensor
for non-invasive Temperature determination and monitoring.
17- CO2 External Sidestream or Mainstream module connector. Accepts CO2 mainstream cable
connector. Also accepts External Sidestream module cable connector, for determination and
monitoring of CO2 and Respiration Rate.
18- Invasive Pressure Channel 2 connector. Accepts pressure transducer cable to invasive
determination and monitoring of blood pressure.
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3 – REAR PANEL
FIG.3
19- On / Standby switch. Momentary contact switch to turn-on and off the unit. To turn-on the
unit, double click this switch.
20- Video Connector. Connection to a standard CRT video.
21- Keyboard Connector. PS2 connection to a standard AT type keyboard used only to service
purposes.
22- Auxiliary Connector. Supply analog output signals, trigger signals and one RS232
communication port.
23- Ethernet Connector. Connection to Ethernet network standard.
24- Mains Line IEC connector. Accepts power cable from mains line. Have 1 main fuse and 1
spare fuse inside.
25- General Power switch. Interrupt power from internal battery and mains power supply.
26- Antenna for wireless networking.
27- USB 1 and USB 2 connectors.
28- Internal CO2 Sidestream Vent port. Keep it always open to room air.
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4 – MONITORING SCREEN
FIG.4
29 – First waveform user selected area, showing ECG waveform in Thin Line Style, scale
(-1 to +1mV), sweep speed of 25mm/s and QRS detected INDICATOR (HEART).
30 – Second waveform user selected area, showing Invasive Pressure 1 waveform in Thin Line
Style, scale (0 to 180mmHg), sweep speed of 25mm/s.
31 – Third waveform user selected area, showing Invasive Pressure 2 waveform in Thin Line
Style, scale (0 to 180mmHg), sweep speed of 25mm/s.
32 – Fourth waveform user selected area, showing SpO2 waveform in Thin Line Style, with
Pulse Level strength scale (1 to 8), sweep speed of 25mm/s.
33 – Fifth waveform user selected area, showing Capnogram (CO2) waveform in Fill In Style,
with scale (10 to 50mmHg), sweep speed of 12.5mm/s.
34 – Sixth waveform user selected area, showing Capnogram (CO2) waveform in Fill In Style,
with scale (10 to 50mmHg), sweep speed of 12.5mm/s.
35 – ECG menu selection.
36 – SpO2 menu selection.
37 – FIO2 menu selection.
38 – CO2 menu selection.
39 – NIBP menu selection.
40 – Invasive Pressure menu selection.
41 – Temperature menu selection.
42 – Traces configuration menu selection.
43 – Trends menu selection.
44 – Print menu selection.
45 – System configuration menu selection.
46 – Patient Name and ID indicator
47- Date and Time indicators.
48 – Battery Status Indicator.
49 – Adult / Neonatal Mode selector and indicator.
50 – ECG Heart Rate (BPM) and ECG settings.
50 – Invasive Pressure 1 Indicator and IP1 settings.
51 – Invasive Pressure 2 Indicator and IP2 settings.
53 – SpO2 Indicator in % and SpO2 settings.
54 – Indicators and settings: End tidal CO2 (EtCO2) value display in %.
Inspired CO2 (InsCO2) value display in %.
Respiration Rate in RPM.
55 – FIO2 Indicator in % and settings:
56 – Indicators: NIBP mode selected indicator: Manual, Stat or Auto.
NIBP cycle interval selected indicator.
NIBP time to next cycle remaining indicator.
57 – Indicators: Systolic arterial pressure determined by NIBP in mmHg.
Diastolic arterial pressure determined by NIBP in mmHg.
Mean Arterial Pressure (MAP) determined by NIBP in mmHg.
58 – Temperature Indicators and settings
B. TURNING-ON
• Plug the AC power cord in AC MAINS receptacle at rear panel connector (24) and in the AC
outlet. The LifeWindow™ Lite LW8 accepts 110 or 220 VAC with automatic selection by the
power supply.
• The electrical installation of the room must have three pin outlets with earth connection for
protection of patient, users and equipment.
• The AC-ON LED indicator will light green and the BATTERY status indicator will light green if
the battery is fully charged or yellow if charging.
• Power-on the unit by double-clicking the ON switch ( 19 ) on the rear panel.
• The monitor will then perform a “boot” sequence (approx. 1.5 min.).
C. ALARM AND PULSE SOUND
• When the unit turns-on, the Alarm Sound is disabled by 2 minutes.
• To disable the Alarm Sound for more 2 minutes press and release the “Alarm Sound”
dedicated pushbutton ( 2 ) in the front panel. The AUDIBLE ALARMS OFF message flashes in
screen.
• To permanently disable the Alarm Sound press and hold 4 seconds the “Alarm Sound”
dedicated pushbutton ( 2 ). The AUDIBLE ALARMS OFF message is displayed steady on
screen.
• The Pulse and Alarm sound volume levels are set to default levels. To change the Pulse and
Alarm Sound volume level, touch in System menu and Sound Volume. Select the Beep
Volume, Alarm Volume and Beep Source, if it is from the ECG, SpO2 or OFF (no Beep).
D. PATIENT MANAGEMENT
• the LifeWindow™ Lite LW8 starts the monitoring screen and start storing all Vital Signs.
• The “Patient Management” screen can be opened at any time by touching the “System” menu.
• The “Patient Management” screen is automatically displayed when the monitor is turned-on
with two options: “Admit New Patient” and “Cancel Pat Mangmt”.
• Touching “Cancel Pat Mangmt”, closes the “Patient Management” screen.
• Although the Patient can be admitted at a later time, we recommend to admit the Patient
before Patient data starts to be stored to prevent losing Patient Data.
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To admit a patient, touch on the “Admit New Patient” button.
Enter the Patient’s Name and Patient Control ID.
Touch the “Admit Patient & Start Monitoring” button.
If less then 5 minutes of monitoring occurred, the Patient is admitted and the screen is closed.
If more then 5 minutes of data is available, you need to choose what to do with the with the
patient’s data in the buffer, with three options:
• “Keep for the new patient”. Touch to include data to new patient.
• “Save as different patient”. Touch to save data to different patient.
• “Discard Data”. Touch to discard.
E. DATE AND TIME
• Check if the current “Date and Time” displayed in the Indicator (47) are correct.
• To change the Date and Time, touch the “SYSTEM” menu and touch “Date/Time Settings”.
• Set current location “Date and Time”. Touch OK to finish.
F. MONITORING SCREEN
• The LifeWindow™ Lite LW8 monitoring screen is pre-configured accordingly to the Vital Signs
parameters that are installed and turned-on. The traces are pre-configured to keep “In-line
Logic” with the Indicators area in the right of the traces area.
• To turn-off any Vital Sign that is not going to be used in patient’s monitoring, touch the Vital
Sign menu and touch ECG OFF or SPO2 OFF, etc. The monitoring screen may change some
Traces settings and Indicators.
• Factory Default Settings are configured to standard applications. As the user changes Alarm
Limits and other settings, the LifeWindow™ Lite LW8 will save the changes when turned-off.
Next time the unit is turned-on, the last saved settings will remain.
• To return the unit to the Factory Defaults, touch in the “System” menu and touch in “Load
Factory Default Settings”.
G. TRACES SETTING
• The LifeWindow™ Lite LW8 six traces are configured and cascaded accordingly to the Vital
Signs parameters installed and turned-on.
• You can select any physiological waveform from one to six of the available traces. You can
also cascade the traces up to 3 individual loops.
• Move the Pointer to TRACES icon and press the Select pushbutton.
• Select TRACE waveform source (ECG, SpO2 Plethysmogram, Capnogram, or No Selection).
• Select TRACE sweep speed (6.25mm/s, 12.5mm/s, 25mm/s, 50mm/s or 100mm/s).
• Select TRACE color.
• Select TRACE style (Thin line or Fill In).
• Press the Cascade Traces button if you want to cascade two or more traces.
• You can create until 3 cascade loops: Loop 1, Loop 2 and Loop 3. Select the Loop
waveform Source. Select the Sweep Speed, Color and Style for each trace.
• Press the Done button to finish.
• Note: When the LifeWindow™ Lite LW8 is turned-off and turned back on, the traces will return
to the original pre-configuration accordingly to the physiological parameters that are installed
and turned-on, to keep “In-line Logic” with the Indicators area in the right of the traces area.
H. PATIENT TYPE
• Patient Type has two modes: Adults and Neonatal. It affects the ECG and NIBP functions only.
All other Vital Signs functions are not affected by the Patient Type selected.
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• Selection of Patient Type shall be based on the Patient’s Heart Rate range for ECG monitoring
and Cuff size to be used for NIBP monitoring.
Adult Patient Type
: ECG Heart Rate Range: 5 to 220 BPM
NIBP Cuff Size #: 5, 7, 8, 9, 10 and 11
Neonatal Patient Type
: ECG Heart Rate Range: 30 to 350 BPM
NIBP Cuff Size #: 1, 2, 3, 4 and 6
I. ECG MONITORING
• The ECG function is pre-configured with the following default settings. To change the ECG
settings touch the ECG menu and change the desired setting.
Heart Rate High Limit
: 140 BPM
Heart Rate Low Limit
: 60 BPM
Heart Rate Averaging
: 8 Beats for Adult, 16 Beats for Neonatal
ECG Scale
: - 0.5 mV to +1.0 mV
ECG Filter Mains Notch
: ON
ECG Filter Digital
: ON
ECG Lead Selection
: II
• Prepare the electrode sites in the standard configuration for RA (Right Arm), LA (Left Arm)
and LL (Left Leg). Application sites should be clean and dry. Shave or clip excess hair if
necessary. Use conductive ECG gel if necessary.
• Connect the 3 Leadwires to the ECG cable. Connect the ECG cable to the receptacle (13) in
the patient panel. Install the 3 electrodes in the patient. More details in Section 4.
• A visual indicator (♥) and a beep Sound indicates R wave detection and the ECG waveform
and Heart Rate reading are displayed.
J. SpO2 MONITORING
• The SpO2 function is pre-configured with the following default settings. To change the SpO2
settings touch the SpO2 menu and change the desired setting.
SpO2 % High Limit
: OFF
SpO2 % Low Limit
: 88%
SpO2 Pulse High Limit
: 140 BPM
SpO2 Pulse Low Limit
: 60 BPM
• Choose the SpO2 sensor type and prepare the SpO2 sensor and clip.
• The preferred sensor application site is the finger. Alternatively, the sensor and clip may be
applied to patient’s ear, hand or foot.
• Connect the sensor assembly to the SpO2 Patient Cable:
• Plug the SpO2 Patient Cable into the SpO2 connector (12) on the side panel of the monitor.
Push the cable in until you hear an audible “click”.
• The yellow SpO2 SENSOR message changes for the green Searching SpO2 message, the
Bar-graph shows the SpO2 Pulse Level, the SpO2 waveform, SpO2 % and Pulse Rate
values are displayed.
K. CO2 MONITORING
• The LifeWindow Lite LW8 automatically starts the CO2 function when CO2 sensor is
connected to the unit.
• The CO2 function is pre-configured with the following default settings. To change the CO2
settings touch the CO2 menu and change the desired setting.
CO2 Waveform Scale
: 0 to 50 mmHg
EtCO2 High Limit
: 45 mmHg
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EtCO2 Low Limit
: 20 mmHg
InsCO2 High Limit
: 10 mmHg
InsCO2 Low Limit
: OFF
Resp Rate High Limit
: 50 BPM
Resp Rate Low Limit
: 5 BPM
Select the appropriate airway adapter for mainstream or sample line with adapter for
sidestream based on the patient and monitoring situation.
Connect the sample line with adapter to receptacle (10) in the Patient Panel, or;
Connect the sample line with adapter to the External Sidestream module and connect the
module to connector (17) in the Patient Panel, or;
Connect the Mainstream sensor assembled in the airway adapter to connector (17).
Wait for the “Sensor Warm Up” message to clear. If the “Zero Required” message is
displayed, proceed with a Zero Calibration Procedure as explained in Sections 6.1 and 6.2.
Connect the airway adapter to the patient’s air way assembled circuit.
L. NIBP MONITORING
• The NIBP function is pre-configured with the following default settings. To change the NIBP
settings touch the NIBP menu and change the desired setting.
NIBP Cycle Mode
: Manual
NIBP Systolic Upper Limit
: 160 mmHg
NIBP Systolic Lower Limit
: 100 mmHg
NIBP Diastolic Upper Limit
: 100 mmHg
NIBP Diastolic Lower Limit
: 60 mmHg
NIBP Mean Upper Limit
: 120 mmHg
NIBP Mean Lower Limit
: 80 mmHg
NIBP Pulse Upper Limit
: 140 BPM
NIBP Pulse Lower Limit
: 60 BPM
• The widest cuff that can be placed on the patient, without extending beyond the joint, should
be selected. Cuff width should be 40 – 60% of limb circumference. The cuff should be
wrapped for a snug fit.
• The monitor comes standard with six different sizes of cuffs. They are marked to aid in proper
cuff selection. When a cuff is wrapped around a site, its index edge should be in the range
indicated on the cuff. The cuff is too small or too large if the index edge is outside the range.
• For best results, a cuff should be wrapped for a snug fit and be positioned reasonably close to
heart level.
• Avoid compression or restriction of the NIBP Inflation Hose. The hose must not be kinked or
pinched. It can be placed in any position, but it should be kept off the table surface to avoid
equipment vibrations.
• The cuff should not be applied on a limb being used for an intravenous infusion. Do not place
the cuff on any extremity being used for SpO2 monitoring.
M. TEMPERATURE MONITORING
• The Temperature function is pre-configured with the following default settings. To change the
Temperature settings touch the TEMPs menu and change the desired setting.
Temperature Channel 1
: On
Temperature Channel 2
: OFF
Temperature Unit
: °F
Temperature 1 Upper Limit
: 100.4°F (38.0 °C)
Temperature 1 Lower Limit
: 95.9°F (35.5 °C)
• To enable Temperature 2 channel, touch in TEMPs menu, Temperature 2 and select ON.
• To enable Differential T1-T2, touch in TEMPs menu, Differential T1-T2 and select ON.
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• Connect the temperature patient cable to receptacle (16 ) Temperature 1 or Temperature 2.
• In the Temperature menu select Temperature1, Temperature2 or T1-T2.
• The temperature value is displayed when the probe temperature is in the 50 to 122 °F (10 to
50°C), range otherwise the temperature display is blanked.
N. INVASIVE PRESSURE MONITORING
• The Invasive Pressure function is pre-configured with the following default settings. To change
the Invasive Pressure settings touch the IBPs menu and change the desired setting.
IP #
: OFF
IP # Scale
: 0 to +150 mmHg
IP # Mode
: Pulsatile
IP # Label
: IP #
IP # Trigger Source
: Pulse
IP # Systolic Upper Limit
: 160 mmHg
IP # Systolic Lower Limit
: 60 mmHg
IP # Diastolic Upper Limit
: 160 mmHg
IP # Diastolic Lower Limit
: 60 mmHg
IP # Mean Upper Limit
: 120 mmHg
IP # Mean Lower Limit
: 60 mmHg
• The Invasive Pressure Channels 1 and 2 are turned off in the factory default settings, to avoid
alarms when not in use.
• Turn-on Invasive Pressure Channel 1 or 2 touching in the IBPs menu.
• The message “NO TRANSDUCER” is displayed until a Transducer is connected.
• Connect the pressure transducer cable to connector IP1 (14) or IP2 (18).
• Connect the catheter to the pressure transducer.
• Install the flow system and maintain the entire system with liquid.
• Hold the transducer at the heart level (axial line). Additional information in Section 9.
• The message “ZERO TRANSDUCER” is displayed until a zero calibration is executed.
• Open the TRANSDUCER input to the air (Local Atmospheric Pressure). Touch in the IBP
menu and touch in the Invasive Pressure 1 or 2. Touch the Zero Xducer button.
• If the transducer Zero calibration procedure was successful, the Invasive Pressure waveform
shall be displayed at ZERO baseline and the Invasive Pressure readings are displayed.
• If the transducer Zero calibration procedure was NOT successful, the “IP# ERROR
ZEROING” message is displayed on screen.
O. INSPIRED FRACTION OF OXYGEN MONITORING
• The FIO2 function is pre-configured with the following default settings. To change the FIO2
settings touch the FIO2 menu and change the setting.
FIO2 function
: OFF
FIO2 Upper Limit
: OFF
FIO2 Lower Limit
: 20 %
• Turn-on the FIO2 function touching the FIO2 menu and select ON.
• Connect one end of the FIO2 patient cable into the jack receptacle on the back end of sensor.
• Connect the other end of the cable into the receptacle (15) located on the patient connections
panel of the unit.
• The LifeWindow™ Lite LW8 should be calibrated before each use and every 8 hours to
maintain maximum accuracy. See Section 10 for more information.
• The LifeWindow™ Lite LW8 can be used to measure a gas mixture for oxygen in two basic
modes:
• In the inhalation side of breathing circuit ahead of humidifiers and medicating devices or other
instances where gases are flowing to a patient in breathing circuits. When monitoring oxygen
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in breathing circuits, the flow diverter must be used.
• In confined volumes such as tents and hoods. In these applications the flow diverter must be
removed from the sensor so that it does not interfere with the rapid exchange of gases to and
from the sensing surface of the sensor.
• Never install the sensor in a location that will expose the sensor to patients exhaled breath or
secretions unless you intend to dispose of the sensor and flow adapter after use.
P. TRENDS
• The LifeWindow™ Lite LW8 stores all measured parameters from patient, every minute since
the monitoring screen starts until the monitor is turned-off.
• The stored values can be visualized in tabular or graphic form, for trend analysis.
• Touch the “Trends” menu.
• Touch in “Tabular” to visualize all values trends in a tabular form, with indication of values
measurement time.
• Touch in “Graphical” to select display all stored physiologic values in graphic trends format.
• Touch the period of time to display the Trends: 15min, 1H, 4H, 12H, 24H, 48h e 72h.
• The Trends for all measured physiologic parameters are displayed simultaneously.
• Touch in the windows maximize button to increase the trends screen size.
• Use the cursor to move the Trends up, down, right or left.
Q. DISCHARGE PATIENT AND SAVE DATA
• At the end of monitoring, touch the “System” menu and “Patient Management” menu. Touch
“Discharge Patient” button. Press “Yes” to confirm. Press “Yes” to save the patient data. Make
sure the selected directory is the desired place to save the data (default is c:\Patient Data).
• To save to a different directory in a network computer, touch the “Select Another Directory”
button. Select the desired directory in the “Look” in field and touch the “Done” button.
• Touch the “Save Report” button to save the report to the selected directory.
R. BATTERY OPERATION
• The LifeWIndow Lite LW8 internal battery has autonomy to approximately 30 minutes of
operation when fully charged.
• The CHARGE STATUS LED indicator ( 8 ) stays yellow when battery is recharging, green
when the battery is fully charged and Off when the battery is disconnected or during battery
operation.
• With the monitor ON, the battery status indicator ( 48 ) displays the battery charge status of
the battery.
• In battery operation, the LOW BATTERY alarm message is triggered when there is charge to
approximately 10 minutes of operation. After 5 minutes with LOW BATTERY message, the
unit shut-down.
S. TURNING-OFF
• To Shut down the unit just press and release the ON / Standby (19) pushbutton on the rear
panel or touch the Shutdown option in the system menu. A screen asking to confirm if you
want to shutdown the unit is displayed.
• If any problem occurs with the shutdown function, the user can shut-off the unit by pressing
and hold the ON / Standby (19) pushbutton for 15 seconds. In this option patient data is lost.
13
SECTION 3 – PRINT, REPORTS AND NETWORKING
A. PRINTING AND REPORTS
• The LifeWindow Lite LW8 can connect to any external windows based printer, connected to
the rear panel of the unit USB 1 or 2 connector (27), or to a network printer.
• The Epson C88 Plus is installed as default printer. It also prints to a PDF virtual printer
creating PDF print reports.
• An optional Strip Chart Recorder can be installed in the unit.
1 – EXTERNAL PRINTER
• The Epson C88 Plus printer is pre-configured with the following default settings. To change
the printer settings touch the Print” Menu and select “Printer and PDF”.
• To install another Local or Network printer, read Section 3 F.
ECG Trace Settings
Printer DPI
: 360 DPI Printers
Charting Speed
: 25 mm/s
Scales
: 5 mm/mV
Grid
: Grid On
Tabular Reports
Interval Between Measurements (minutes)
:1
Numbers of Pages to Print
:1
(45 measurements / Page)
• Set the “Print DPI”. Default is set to 360 DPI (Epson). Other manufacturer uses 300 DPI.
Check your printer documentation to verify correct DPI.
• Set “Charting Speed”. Options are: 6.25, 12.5, 25, 50, 100 and 200 mm/s.
• Set “Scale”. Changing scale will change the amplitude of the ECG in the printout. Options are:
2.5, 5, 10, 20, 40, 80 and 160 mm/mV. As you increase the “Scale” it will increase the size of
the ECG in the printout.
• Set “Grid” On (default) or Off.
• Set “Interval Between Measurements” (minutes), for “Tabular Reports” printout.
• Set “Numbers of Pages to Print”. Each page has 45 measurements.
• Touch the “Print ECG to Printer” button to start printing in the installed printer. The printout will
have the last 10 seconds of ECG followed by current time ECG.
• Touch the “Print ECG to PDF” button to create a PDF printout of the ECG. The printout will
have the last 10 seconds of ECG followed by current time ECG.
• Touch the “Print Report to Printer” to print the “Tabular Report” in the installed printer.
• Touch the “Print Report to PDF” to create a “PDF Tabular Report”.
2 – STRIP CHART RECORDER (Optional)
• The Strip Chart Recorder is pre-configured with the following default settings. To change
the printer settings touch the Print” Menu and select “Strip Chart”.
ECG Trace Settings
Charting Speed
: 25 mm/s
Scales
: 20 mm/mV
Grid
: Grid On
Triggering Events
: OFF
Tabular Reports
Interval Between Measurements (minutes)
:1
Numbers of Pages to Print
:1
(45 measurements / Page)
•
•
•
•
•
•
•
•
•
The Tabular Reports “# measurements in memory” is displayed in the Strip Chart Setup.
The Tabular Reports “# of pages that can be printed” is displayed in the Strip Chart Setup.
Select the charting speed to the ECG trace :6.25mm/s, 12.5mm/s, 25mm/s or 50mm/s.
Select the “Grid” ON or OFF to be printed with the ECG waveform.
Select the “ECG Scale” :2.5mm/mV, 5mm/mV, 10mm/mV, 20mm/mV, 40mm/mV, 80mm/mV
or 60mm/mV.
Activate or disable the “Triggering” events to automatically start printing the ECG in case of an
ECG alarm.
Press the “PRINT” (7) button in the Front Panel overlay or the “Start Charting” button in the
“Strip Chart Setup” to start printing the ECG waveform on the Strip Chart Recorder.
Press the Print Report button in the “Strip Chart Setup” to print the report in the Strip Chart.
Press the “Stop Recorder” button in the “Strip Chart Setup” to stop printing.
3 – EXCEL REPORTS
• The LifeWindow Lite LW8 Excel report contains a Tabular Report and Trends Graphical
Report.
• The Tabular Report stores the patient’s Vital Signs every minute. The Report can be
reconfigured at the moment of printing, changing the time between readings from 1 minute up
to 99 minutes.
• The Graphical Trends Report has options for 2, 4 and 24 Hours graphic trends report.
• To generate a Excel Report the patient shall be admitted in the Patient Management Setup.
SAVING PATIENT VITAL SIGNS TO EXCEL REAPORT.
• As soon the LifeWindow™ Lite LW8 start the monitoring screen, the patient’ data is being
stored.
• Admitting the patient, transfers these data to the patient’s buffer. The patient can be admitted
any time after start monitoring.
• To save the patient’s data touch in the “System” menu and touch in the “Save Patient Vital
Signs Report”. If the current patient is not admitted at this time, an “Error – No Patient has
been admitted” screen is displayed. Touch “OK” and follow the steps to “Admit Patient”.
• If the current patient is admitted the “Save Vital Signs Report” screen is displayed. The
“Current Selected Directory” to save the patient data is displayed (default is c:\Patient Data),
with the “Report File Name”. The “Report File Name” contains the “Patient’s ID” and the date
and time of the Report generation.
• To save to a different directory in a network computer, touch the “Select Another Directory”
button. Select the desired directory in the “Look in” field and touch the “Done” button.
• Touch the “Save Report” button to save the report to the selected directory.
VIEWING PATIENT’S VITAL SIGNS EXCEL REPORT.
• To view the Patient’s Vital Signs Excel Report, touch in the “System“ menu and touch in the
“View Reports with MS Excel”.
• In the Microsoft Excel™ screen, touch in “File” and “Open”. All saved Excel reports will be
listed. Touch in the desired report name to select it and touch in “Open”.
• The Excel Report has three “tabs”: Tabular, 2 Hour, 4 Hour and 24 Hour. The Tabular report
default time interval is 5 minutes. To print the Tabular Report with the default time interval
touch in the “Printer” icon or in “File” and “Print”. In the “Print” screen touch to select the
desired printer and touch “OK”.
• To change the Excel Report time interval, touch in the “maximize” button in the top right
corner to expand the report screen. Using the right arrow button, move the Tabular Excel
Report to the left. Using the “Up” and “Down” big arrows, change the “Measurement Interval in
Minutes”. Touch in the “Click here to renew the interval of Measurement” button. The Excel
15
Report will change to the selected interval.
• To view the Graphical Trends Report, touch in the 2 Hours, 4 Hours or 24 Hours “tab” in the
bottom of the Microsoft Excel™ screen.
B. Networking
The LifeWindow™ Lite LW8 can be connected to your local network using Ethernet and wireless LAN.
The Ethernet connector (23) is standard in all units.
Note: Digicare Biomedical Technology Inc can supply WIFI cards for your Life Window Lite
LW8. Contact sales and support for more information on this at 561-689-0408.
1 - LIFEWINDOW LITE LW8 SETUP
Turn on the LifeWindow monitor
• Move the touch screen mouse pointer to the TRACES icon on the top of the monitor screen.
• Hold down the FREEZE and NIBP Start buttons and touch the TRACES icon simultaneously.
(This will cause the LW program to stop and start the Windows Desktop.)
2 - WINDOWS XP SETUP
To change the computer name, to join a domain or workgroup, or to add a computer description for a
Windows XP-based computer, use the Computer Name tab in the System Properties dialog box. To
locate this tab, use one of the following methods:
• Click Start, Settings click Control Panel, double-click System.
• Click Start, click Run, type sysdm.cpl, and then click OK.
3 - CHANGE COMPUTER NAME AND JOIN A DOMAIN OR A WORKGROUP
To change a computer name and to join a domain or a workgroup, follow these steps.
Warning Before you change a computer's membership from a domain to a workgroup, be sure that you
know the user name and the password for an account in the local Administrators group.
You cannot log on after you remove the computer from the domain
1. Click the Computer Name tab, and then click Change.
2. Type the new computer name in the Computer name dialog box.
3. Type the new domain or workgroup in either the Domain dialog box or the Workgroup dialog
box.
4. Click More to change the primary Domain Name System (DNS) suffix.
5. Click OK three times, and then restart the computer.
4 - ADD A COMPUTER DESCRIPTION
To add a computer description, type a name or a description in the Computer description box on the
Computer Name tab, and then click Apply.
Network ID Wizard
If you do not know how to complete these tasks, you can use the Network Identification (ID) Wizard to
help you. To start the Network ID Wizard, follow these steps:
1. In the System Properties dialog box, click Network ID. (Refer to steps 1-5 under Change the
Computer Name to find Systems Property)
Note This wizard is new to Windows XP. With this wizard, you can add the computer to a
workgroup or to a domain.
2. Move backward and forward in the wizard by using the Back and Next buttons.
16
The first set of options in the Network ID Wizard is as follows:
• Option 1
"This computer is part of a business network, and I use it to connect to other computers at
work."
• Option 2
"This computer is for home use and is not part of a business network."
If you select option 1, the following options appear:
• Option 1a
"My company uses a network with a domain."
• Option 1b
"My company uses a network without a domain."
If you select option 1a, a dialog box appears that requests the following information:
• User name
• Password
• User account domain
• Computer name
• Computer domain
If you select option 1b, you can also configure the computer as a "Workgroup Member," and you can
type the name of the workgroup.
If you select option 2, you are prompted to click Finish to restart the computer. If you follow this step,
the computer is configured as a "Workgroup Member." By default, the name of the workgroup is
"Workgroup."
Then, the next page requires the domain name to which the computer is to be added. Also, the next
page requires the username and the password of an account that has the rights to add a computer to
the domain. Additionally, the next page enables the user account from the previous page to be added
to this computer. Finally, the next page enables the new user to have various rights on the local
computer.
The user may be added to the following built-in groups on the local computer:
• Administrators
• Backup operators
• Debugger users
• Guests
• HelpServicesGroup
• Network configuration operators
• Power users
• Remote desktop users
• Replicator
• Users
Note If the computer is a member of a domain, the computer also maintains a local domain that has
security accounts. If the Domain box does not appear, click the Options button to display the Domain
box, and then select the required domain from the menu.
The first step to discuss printing is to install a local print device. A local print device could take many
forms – an inkjet printer, a local laser printer, or a label printer. The printer could be connected to the
machine in a number of ways – USB, parallel, Bluetooth, or infrared.
17
5 INSTALLING A LOCAL PRINTER
Most local printers, when connected via USB, will initiate a Plug’n’Play installation of the printer driver.
Occasionally, we are required to install the printer manually:
1.
2.
Connect the printer to the PC and power both on.
Click Start, Settings and then Printers and Faxes.
3.
4.
Click Add a printer in the taskbar on the left.
Click Next.
5.
6.
Click Next for a local printer attached to the computer.
Windows will search for a Plug’n’Play printer. If it does not find one, click Next.
18
7.
8.
Select the port you have the printer plugged into and click Next.
Select the Manufacturer on the left and the Printer on the right. Click Next.
19
9.
Enter a Printer Name. Click Next.
10.
If you’d like to share the printer on the network, click on Share name and enter a friendly
name. Click Next.
20
11. If you’d like to print a test page, click Next. Otherwise, click No then click Next.
12. Click Finish to complete the printer install.
13. You now have a printer installed.
6 CONNECT TO A NETWORKED PRINTER
1. Click Start, Settings and then Printers and Faxes
2. Under Printer Tasks, click Add a printer to open the Add Printer Wizard, and then click Next.
21
3 .Click A network printer, or a printer attached to another computer, and then click Next.
4. Connect to the desired printer using one of the following three methods. Click a method for
instructions.
Search for it in Active Directory.
This method is available if you are logged on to a Windows domain running Active Directory.
1.Click Find a printer in the directory, and then click Next.
2.Click the Browse button to the right of Location, click the printer location, and then click OK.
3.Click Find Now.
4.Click the printer you want to connect to, and then click OK.
Type the printer name or browse for it.
1.Click Connect to this printer.
2.Do one of the following:
• Type the printer name using the following format: \\printserver_name\share_name
• Browse for it on the network. Click Next, click the printer in Shared printers.
3.Click Next.
Connect to an Internet or intranet printer.
Using a printers URL allows you to connect to a printer across the Internet, provided you have
permission to use that printer. If you cannot connect to the printer using the general URL format below,
please see your printer's documentation or contact your network administrator.
1.Click Connect to a printer on the Internet or on your intranet.
2.Type the URL to the printer using the following format:
http://printserver_name/Printers/share_name/.printer
3.Follow the instructions on the screen to finish connecting to the network printer.
22
Note• To open Printers and Faxes, click Start, click Control Panel, click Printers and Other
Hardware, and then click Printers and Faxes.
• You can also connect to a printer by dragging the printer from the Printers folder on the print
server and dropping it into your Printers folder, or by right-clicking the icon and then clicking
connect.
• Another way to add a printer is to double-click Add Printer. This option is available only if
folders are set to the Windows XP classic folder look, and if a printer is not currently selected.
• After you have connected to a shared printer on the network, you can use it as if it were
attached to your computer.
7 SHARING FILES AND FOLDERS
Sharing a folder is even easier than sharing a printer:
1. Open a folder (such as My Documents), click Make A New Folder in the Task Pane and name
your new folder.
2. With the new folder highlighted, click Share This Folder.
3. In the Sharing tab of the Properties dialog box, select Share This Folder On The Network.
4. Provide a descriptive name for the folder. This name should make it easy for others on the
network to recognise the folder; it doesn't have to be the same as the folder name you selected
in step 1.
5. You can let other people on the network view and edit your files or view them only. If you want
to protect your files from tampering, remove the tick from Allow Other Users To Change My
Files.
There are a variety of ways to access a shared folder. Here's one way:
1. Click Start -> My Network Places -> View Workgroup Computers.
2. Click the computer whose files you wish to access and then click the shared folder.
You can create shortcuts to shared folders to make them easier to access.
Note: Be wary of sharing files and printers if you have an always-on Internet connection. Doing
so can make your files vulnerable to outside access. If you do enable sharing, make sure you
use password protection, that you don't share the root (C:\) folder of any computer on the
network, and that you install and use a strong, commercial firewall.
23
SECTION 4 - ECG MONITORING
The LifeWindow Lite LW8 continuously monitors the ECG waveform and Heart Rate (HR).
The screen displays the electrocardiogram, the Mean Heart Rate, the High and Low Heart Rate
alarm limits, the selected lead (I,II or III), the QRS detected (♥), filters and alarm messages.
A. PATIENT CONNECTIONS
To ensure conformance with all safety and performance specifications, use only the
recommended accessories. These are available from DIGICARE with the following part number:
ECG Accessories
Description
ECG patient cable (10’ length) – 3 Leads
Digicare
P/N
EC101
Set of 3 ECG lead-wires with snap-in (40’ length)
for Digicare Patient Cable PN EC101
EC104
ECG Patient Cable (10’ Length) – 5 Leads
Digicare
EC111
Set of 5 ECG lead-wires with snap-in (40’ length)
for Digicare Patient Cable PN EC111
ECG electrode 141003
(bag of 30)
(20 bags of 30)
EC113
EC008
EC009
Use only high quality silver-chloride electrodes or equivalent which have a negligible offset
potential.
The ECG patient circuit and connections are electrically isolated type CF. The monitor is
protected against damage from defibrillator discharge. Do not let patient connections contact
other conductive parts including earth.
24
• Prepare the electrode sites in the standard configuration for RA (Right Arm), LA (Left Arm) and
LL (Left Leg). Application sites should be clean and dry. Shave or clip excess hair if
necessary.
• Connect the ECG cable to the receptacle in the patient panel.
• Press the adhesive inwards about 1.5 cm towards the center, being careful, NOT to actually
apply any direct pressure to the center section of the electrode. Any direct excessive pressure
applied to the center of these electrodes while attaching them could cause the conductive gel
to be dispensed away from the effective working area.
• Install the electrodes as following:
1 - WHITE (RA)
2 - BLACK (LA)
3 - RED
(LL)
1 2
3
• A sound beep and the indicator (♥) indicates the QRS detection.
• Connect the ECG leads to the electrodes; ensure that the leads are in the correct ECG patient
cable position.
• Connect the leads to the ECG patient cable. The ECG leads and patient cable connector are
color coded according to AAMI standard for ECG leads.
Leakage current is limited internally by this monitor to less than 10uA.
However, always
consider additional leakage current that can be caused by other equipment used on the patient
at the same time as this monitor.
Avoid electro-surgery burns at monitoring sites by ensuring proper connection of the electrosurgery return circuit. If improperly connected, some electro-surgery units might allow energy to
return through the electrodes.
B. ECG Scale
• To change ECG scale, touch the ECG menu and select the desired scale in the ECG
SCALES menu. The ECG scales options are:
-0.05 mV to
+0.1 mV
-0.1 mV
to
+0.2 mV
-0.25 mV to
+0.5 mV
-0.5 mV
to
+1 mV (factory default)
-1 mV
to
+2 mV
-1.5 mV
to
+3 mV
- 0.1 mV to
+0.1 mV
- 0.2 mV to
+0.2 mV
- 0.5 mV to
+0.5 mV
- 1 mV
to
+1 mV
- 2 mV
to
+2 mV
- 3 mV
to
+3 mV
25
C. LEAD SELECTION
The LifeWindow™ Lite LW8 operates with three leads ECG: I, II and III.
RA
I
LA
II
III
LL
•
•
•
•
FIG.7
The LEAD selection enable a proper Heart Rate detection when the ECG has low amplitude
and poor quality.
To change the LEAD, press the dedicated ECG LEADS pushbutton on the front panel or in
the ECG menu.
Adult mode sensitivity is 0.3mV QRS amplitude.
Neonatal mode sensitivity is 0.1 mV QRS amplitude.
D. ECG FILTER
• The LifeWindow™ Lite LW8 has two filters to decrease mains line and other interference.
• The Mains Notch filter when activated reduces the ECG waveform frequency response from
40Hz (diagnostic mode) to 25Hz (monitoring mode). It improve the QRS detection and Heart
Rate count.
• The Digital filter when activated reduces the noise present in the ECG waveform that is
displayed on the screen. It does NOT improve the QRS detection and Heart Rate count.
• To enable or disable the Mains Notch and Digital Filter, touch the ECG menu and select the
ECG Filters on or off.
• The Mains Notch and Digital Filters are set ON by default.
E. HEART RATE LIMITS
• Heart Rate Limits are set by default to:
High Heart Rate Limit: 140 BPM.
Low Heart Rate Limit: 60 BPM.
• Change the Heart Rate Limits in the ECG menu.
High Heart Rate Limit Range: 5 to 300 BPM – or OFF - non overlapping.
Low Heart Rate Limit Range: 0 to 295 BPM – or OFF - non overlapping.
• The values selected are stored by the unit after power-off.
• To return to the factory default values, go to the SYSTEM menu and select the Load Factory
Default Settings.
F. ECG SWEEP SPEED
• There are 5 sweep speeds for the ECG waveform in the display: 6.25, 12.5, 25, 50 and
100mm/sec.
• To change the sweep speed, touch the TRACE menu and select the sweep speed for the
desired trace.
26
G. ECG PULSE TEST
• An ECG Test waveform is generated to test the functioning of the ECG module.
• To generate the ECG Test, touch the ECG menu and press the Test ON-OFF button.
• A screen “ECG Test Waveform” will open with the message:
“This command will generate calibration test waveforms for:
ECG Channel input > 1mV / 70 BPM.
• Press “Yes” and the Test waveform will be generated in the screen, with 1mV amplitude and
70 BPM Heart Rate.
H. ECG PATIENT TYPE
• Patient Type has two modes: Adult and Neonatal.
• Selection of Patient Type changes the ECG sensitivity, Heart Rate range and Heart Rate
Average.
• The Average options are: 8, 16, 32 and 64 Beats.
• Adult mode sensitivity
: 0.3mV QRS amplitude.
• Adult mode Heart Rate Range
: 5 to 220 BPM
• Adult mode Heart Rate Average
: 8 Beats
• Neonatal mode sensitivity
: 0.1 mV QRS amplitude.
• Neonatal mode Heart Rate Range
: 30 to 450 BPM
• Neonatal mode Heart Rate Average : 16 Beats
• Change the Patient Type direct in the main screen Patient Type Selector Indicator ( 49 ).
I. ECG ALARM MESSAGES
“ECG LEADS OFF” –
“ECG ASYSTOLE” –
“ECG LOW HR” –
“ECG HIGH HR” –
Yellow message - indicates that any of the three leadwires,
LA, RA or LL are disconnected from the patient.
Red message - indicates NO detection of R waves from ECG
waveform.
Red Message - indicates that HR value is lower than the
selected LOW HR LIMIT.
Red Message - indicates that HR value is higher than the
selected HIGH HR LIMIT.
27
SECTION 5 – PULSE OXIMETRY MONITORING
The LifeWindow™ Lite LW8 Pulse Oximetry provide continuous, non-invasive, automatically
calibrated measurements of oxygen saturation.
The Pulse Oximeter (SpO2) determines arterial oxyhemoglobin saturation by measuring the
absorption of red and infrared light passing through the tissue. Changes in absorption caused
by pulsations of blood are used to determine Arterial Saturation (%SpO2) and Pulse Rate (PR).
To ensure conformance with all safety and performance, use only the recommended
accessories. These are available from DIGICARE using the following part number:
SpO2 Finger Sensor with 10’ (3m) cable for
Digicare
PO731
Patient Cable for Digicare™ and Nellcor® OxiMax®
SpO2 Sensors
PO734
SpO2 Finger Sensor with 3’ (1m) cable for
Digicare™
PO732
SpO2 Ear sensor with 3’ (1m) cable for Digicare™
PO725
SpO2 wrap sensor with 3’ (1m) cable for Digicare™
PO723
Nellcor® OxiMax® Finger Sensor with 3’ (1m) cable
PO733
28
Nellcor® OxiMax® SpO2 Wrap Probe with 3’ (1m)
cable
PO735
Band for Nellcor® OxiMax® SpO2 Wrap Probe
(Box of 50)
PO721
B. SPO2 MONITORING
FINGER PROBE – ADULT
DI
RE
ICA
G
WRAP PROBE - NEONATAL
• Connect the sensor assembly to the Interface Cable and lock the plastic hinged cover to
prevent accidental cable disconnection (If using 3” cable sensors).
• Connect the sensor patient cable into the LifeWindow Lite LW8 SpO2 side panel connector
(12). Push the connector in until you hear an audible “click”.
• The message SpO2 SENSOR is displayed on screen until the probe is placed in the patient.
• A few seconds after the sensor is placed in the patient, the SpO2 SENSOR message changes
to Searching SpO2, the Bar-graph shows the SpO2 Pulse Level and SpO2 and Pulse Rate
values are displayed.
29
• Verify if the sensor is properly positioned by observing at least ten seconds of a continuous
plethysmogram waveform being displayed.
• If the Bar-graph Pulse Level is at a low level, “weak pulse” message will be displayed.
Reposition the sensor or try a different sensor.
• The LifeWindow™ Lite LW8 audible “beep” is by default generated by the ECG detection,
modulated in tone by the SpO2 value. The source of the “beep” can be changed to SpO2
pulse detection. To change the “beep” source, touch the System menu and touch Sound
Volume menu. Select the Beep Source to SpO2.
NOTE:
Reusable sensors may be used on the same site for a maximum of four (4) hours, provided the
site is inspected routinely to ensure skin integrity and correct positioning. Because individual
skin condition affects the ability of the skin to tolerate sensor placement, it may be necessary to
change the sensor site more frequently with some patients.
Loss of pulse can occur if:
• The sensor is to tight.
• There is excessive illumination (e.g., a surgical or bilirubin lamp or direct sunlight).
• The sensor is placed on an extremity with a blood pressure cuff, arterial catheter or
intravascular line.
• The patient experiences shock, hypertension, severe vasoconstriction, severe anemia,
hypothermia, arterial occlusion to the sensor, or cardiac arrest.
Inaccurate measurements may be caused by:
• Incorrect application of dysfunctional hemoglobin’s, such as carboxyhemoglobin or
methemoglobin.
• Significant, levels of indocyanine green, ethylene blue or other intravascular dyes.
• Exposure to excessive illumination, such as surgical lamps, especially ones with a xenon light
source; bilirubin lamps, fluorescent lights; infrared heating lamps; or direct sunlight.
• Excessive patient movement.
• Venous pulsation’s.
• Electrosurgical interference.
• Placement of the sensor on an extremity that has a blood pressure cuff, arterial catheter or
intravascular line.
Do not attach a probe to the same limb with a blood pressure cuff. The data received will not be
valid when the cuff is inflated. Attach the probe to the limb opposite the site used for the blood
pressure cuff.
30
C. SpO2 WAVEFORM AND BAR GRAPH
• The SpO2 waveform sweep speed can be selected from: 6.25, 12.5, 25, 50 and 100 mm/sec
in TRACE menu.
• The amplitude of the pulse waveform is automatically adjusted in screen.
• The Bar graph indicates the pulse signal height and varies from 1 to 8. Increasing the signal
amplitude increases the Bar graph value. Bellow number 2 in bar graph, the message WEAK
PULSE is displayed.
D. SpO2 ALARM LIMITS
• SpO2 Alarm Limits are set by default to:
SpO2 Upper Limit: OFF
SpO2 Lower Limit: 88 %
• Change the SpO2 Alarm Limits in the SpO2 menu.
SpO2 Upper Limit Range: 1 to 100 % – or OFF - non overlapping.
SpO2 Lower Limit Range: 0 to 99 % – or OFF - non overlapping.
• Pulse Alarm Limits are set by default to:
Pulse Upper Limit: 140 PPM
Pulse Lower Limit: 60 PPM
• Change the Pulse Alarm Limits in the SpO2 menu.
Pulse Upper Limit Range: 5 to 450 PPM – or OFF - non overlapping.
Pulse Lower Limit Range: 0 to 445 PPM – or OFF - non overlapping.
• The values selected are stored by the unit after power-off.
Default Settings.
E. SpO2 ALARM MESSAGES
SENSOR SpO2 -
Indicate that SpO2 probe is disconnected from the patient or the patient
cable is disconnected from the monitor or a malfunction in sensor or in
patient cable.
SpO2 LOW AND HIGH ALARM LIMITS - Indicate that SpO2 value overlap the LOW or HIGH
ALARM LIMIT selected.
WEAK PULSE Indicate the pulse signal amplitude is low causing instability in SpO2
monitoring. Check the probe installation, site perfusion and body
temperature.
CHECK SITE Indicate instability in the SpO2 readings. Verify the probe installation and
change probe site.
NO PULSE Indicate the SpO2 pulse amplitude is smaller then the minimum pulse.
31
SECTION 6 – CO2 MONITORING
A. OVERVIEW
• The LifeWindow™ Lite LW8 Patient Monitor has a plug and play CO2 technology, with MicroFlow™ sidestream CO2, MainFlow™ mainstream CO2 and Dual Capnography, designed
with sophisticated infrared absorption spectroscopy.
• The Micro-Flow™ sidestream module can be assembled internally in the unit or it can be one
small and lightweight external module. The sample lines used are the same for both internal
and external Micro-Flow™ sidestream modules.
• The MainFlow™ mainstream sensor is assembled in the air way adapter. The connection of
the MainFlow™ mainstream sensor is the same as the external Micro-Flow™ sidestream CO2
module.
• The Dual Capnography is enabled by the interchangeability of the Micro-Flow™ sidestream
and MainFlow™ mainstream external sensors. The LifeWindow™ Lite LW8 automatically
recognize what type of CO2 external sensor is connected and configures the CO2 function.
• The LifeWindow™ Lite LW8 with internal Micro-Flow™ sidestream module does not have the
connection for the external Micro-Flow™ sidestream and the MainFlow™ mainstream sensor.
SECTION 6.1 – MAINSTREAM CO2 MONITORING
A. Principle of Operation
• The LifeWindow™ Lite LW8 MainFlow™ mainstream CO2 sensor is used for the continuous
measurement of CO2 and respiratory rate. The sensor measures CO2 by using the infrared
absorption technique. The principle is based on the fact that CO2 molecules absorb infrared
(IR) light energy of specific wavelengths, with the amount of energy absorbed being directly
related to the CO2 concentration. When an IR beam is passed through a gas sample
containing CO2, the electronic signal from the photodetector (which measures the remaining
light energy) is measured. This signal is then compared to the energy of the IR source and
adjusted to accurately reflect CO2 concentration in the sample. The MainFlow™ mainstream
CO2 sensor’s response to a known concentration of CO2 is stored at the factory in the
sensor’s memory. A reference channel accounts for optical changes in the sensor, allowing
the system to remain in calibration without user intervention.
• The LifeWindow™ Lite LW8 MainFlow™ mainstream CO2 sensor is designed specifically for
measurement of CO2 using sophisticated infrared absorption spectroscopy. With
mainstream, measurements are taken at the patient’s airway at a sampling frequency of 100
Hz, so response is faster and there is less chance of erroneous, artifact data. The analyzer
portion of the sensor cannot be contaminated with patient secretions, and there are no
pumping or pneumatic components to replace. So, maintenance requirements and overall
cost-of-ownership are minimized. The family of airway adapters are easy to use and durable
enough even for long-term ventilator patients.
B. Indications for Use
• The MainFlow™ mainstream CO2 Sensor is to be used by a physician or licensed health care
professional trained in the use of the equipment.
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• The use of the MainFlow™ mainstream CO2 Sensor is contraindicated in patients where the
physician or licensed health care professional deems it invalidated by the nature of the
patient, procedure or equipment.
WARNINGS
• Explosion Hazard: DO NOT use in the presence of flammable anesthetics. Use of the MainFlow™
mainstream CO2 Sensor in such environment may present an explosion hazard.
• Electrical Shock Hazard: Always disconnect the MainFlow™ CO2 Sensor before cleaning. Do NOT
use if it appears to have been damaged. Refer servicing to qualified service personnel.
• Follow precautions for electrostatic discharge (ESD) and electromagnetic interference (EMI) to and from
other equipment.
• Failure of Operation: If the MainFlow™ mainstream CO2 Sensor fails to respond as described in this
user guide; DO NOT use it until approved for use by qualified personnel.
• DO NOT position the sensor cables or tubing in any manner that may cause entanglement or
strangulation. Support the mainstream CO2 airway adapter to prevent stress on the ET tube.
• Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use CO2 airway adapters may
compromise functionality and system performance leading to a user or patient hazard. Performance is
not guaranteed if an item labeled as single patient use is reused.
• Inspect the CO2 airway adapters for damage prior to use. DO NOT use the CO2 airway adapters if they
appear to be damaged or broken.
• Replace the CO2 airway adapters if excessive secretions are observed.
• If the CO2 waveform (Capnogram) appears abnormal, inspect the CO2 airway adapters and replace if
needed.
• Monitor the CO2 waveform (Capnogram) for elevated baseline. Elevated baseline can be caused by
sensor or patient problems.
• Periodically check the MainFlow™ CO2 sensor and tubing for excessive moisture or secretion buildup.
• While using the MainFlow™ CO2 sensor, a system leak, such as that caused by an uncuffed
Endotracheal tube or a damaged MainFlow™ CO2 sensor may significantly effect flow-related readings.
These include flow, volume, pressure and other respiratory parameters.
• Do not operate the MainFlow™ CO2 Sensor when it is wet or has exterior condensation.
CAUTIONS
• Electrical Shock Hazard; the MainFlow™ CO2 Sensor is not user serviceable.
other equipment.
• Use only Digicare Biomedical Technology approved accessories.
• DO NOT use the MainFlow™ CO2 sensor if it is wet or has exterior condensation.
• DO NOT use the MainFlow™ CO2 sensor if it appears to have been damaged. Refer servicing
Digicare.
• DO NOT use the MainFlow™ CO2 sensor if it fails to operate properly.
• DO NOT sterilize or immerse the MainFlow™ CO2 sensor in liquids.
• DO NOT clean the MainFlow™ CO2 sensor except as directed in this guide.
• Avoid possible damage to the MainFlow™ CO2 sensor by following the cleaning and disinfection
instructions in this guide.
• Do not apply excessive tension to the MainFlow™ CO2 sensor cable.
• Do not apply excessive tension to any sensor cable or pneumatic tubing.
• Excessive moisture in the MainFlow™ CO2 sensor may affect the accuracy of the flow measurement.
• To avoid the affects of excessive moisture in the measurement circuit, insert the MainFlow™ CO2
sensor in the ventilator circuit with the tubes upright.
• It is recommended that the MainFlow™ CO2 sensor be removed from the circuit whenever an
aerosolized medication is delivered. This is due to the increased viscosity of the medications which may
contaminate the sensor windows, causing the sensor to fail prematurely.
• Do not store the MainFlow™ CO2 sensor at temperatures less than -40º F (-40º C) or greater than 158º
F (70º C).
• Do not operate the MainFlow™ CO2 sensor at temperatures less than 32º F (0º C) or greater than 113º
F (45º C).
33
C. PATIENT CONNECTIONS
1 - CO2 MAIN-STREAM MAINFLOW™ SENSOR
•The MainFlow™ CO2 sensor is a rugged, solid-state, mainstream sensor. It is factory
calibrated and does not require further calibration.
2 - CO2 ADAPTERS
• For monitoring CO2, select an airway adapter based on the patient and monitoring situation.
Airway adapter taper meets ISO 5356-1.
Airway Adapter Disposable for Main-Stream
MainFlow™ sensors
• Part Number CAP112
• For intubated patients with endotracheal tube
diameters greater than 4 mm
• Adds 5 cc of deadspace
• Weight: 7.7 grams
• Pressure drop: 0.40 cmH2O @ 60 LPM
• Color: Clear
Airway Adapter Disposable for Main-Stream
MainFlow™ sensors (Low Dead Space for
Neonatal)
diameters less than or equal to 4 mm
• Adds less than 1 cc of deadspace
• Color: Purple
Airway Adapter Reusable for Main-Stream
MainFlow™ sensors
diameters greater than 4 mm
• Adds 5 cc of deadspace
• Color: Black
Airway Adapter Reusable for Main-Stream
MainFlow™ sensors (Low Dead Space for
Neonatal)
• Catalog No. 7053
diameters less than or equal to 4 mm
• Adds less than 1 cc of deadspace
• Color: Red
Note: All components are Latex free.
Note: All dimensions are in millimeters.
Note: Color pigment does not alter the specifications of the material.
34
• Attach the MainFlow™ CO2 sensor onto a clean and dry CO2 adapter.
3 – CONNECTION WITH LIFEWINDOW LITE
• The LifeWindow™ Lite LW8 CO2 function is a Plug and Play technology built in the hardware
and software of the unit. Without the MainFlow™ CO2 sensor connected, the message “CO2
is Off” is displayed in the CO2 screen indicator area and no CO2 trace is present. If the CO2
menu or CO2 indicator area is touched in this situation, nothing happen as the CO2 function
is turned off.
• Insert the MainFlow™ CO2 Sensor connector into the receptacle ( 17 ) of the LifeWindow™
Lite LW8 Patient Panel.
• Make sure the arrows on the connector line up the two keys of the connector with the
receptacle and insert.
• To remove the connector, grasp the body portion of the connector back and remove.
Note: Do not remove by pulling cable.
• The CO2 monitoring screen is automatically configured, with the CO2 indicator area, CO2
traces, scales and CO2 alarm messages.
• Wait for the Sensor Warm Up message to clear. If a Zero Calibration message is displayed,
perform a Zero Calibration process.
4 – ZEROING THE MAINFLOW™ CO2 MAINSTREAM SENSOR
• The MainFlow™ CO2 sensor is compatible only with Digicare Biomedical Technology CO2
airway adapters.
• Each airway adapter has a unique set of optical characteristics. The adapter zero allows the
MainFlow™ CO2 sensor to adjust to the optical characteristics of each of the different
adapter types.
• An “Adapter Zero” is a quick process that allows the LifeWindow™ Lite LW8 to adjust to the
special characteristics of a particular MainFlow™ CO2 sensor; it is necessary only when
requested. Such a request may occur the first time a particular MainFlow™ CO2 sensor is
connected to the LifeWindow™ Lite LW8, or if a change is detected in the MainFlow™ CO2
sensor or in the adapter.
35
• Keep the MainFlow™ CO2 sensor attached to the adapter exposed to room air and away
from all sources of CO2, including the ventilator, the patient’s breath and your own.
• Touch in the CO2 menu and touch in the Calibration “Zero”. A Warning message: “Is input
exposed to 0 mmHg concentration” is displayed. Touch in the Yes button to perform a
Zero Calibration. The message Zero in Progress is displayed during the zero process,
typically 15 to 20 seconds (maximum time of 40 seconds).
5 – PATIENT CIRCUIT
• Attach the MainFlow™ CO2 sensor and airway adapter to the patient circuit as close as
possible to the patient’s mouse.
D. CO2 MONITORING
• The LifeWindow™ Lite LW8 start displaying the CO2 waveform in two cascaded traces and
function and ETCO2, insCO2 and Respiration Rate measured values, with all alarm limits and
settings in the defaults values or the last saved settings.
1 – CO2 WAVEFORM AND SCALE
• The CO2 waveform traces are by default selected to traces 5 and 6 cascaded. The traces and
cascade options can be changed in the TRACES menu. The traces settings return to the
default every time the unit is turned-on.
• The CO2 waveform default sweep speed is 6.25 mm/sec. To change the CO2 waveform
sweep speed, touch the Traces menu and select the desired sweep speed. The options are:
6.25, 12.5, 25, 50 and 100 mm/sec
• The CO2 waveform scale default is 0 to 50 mmHg. To change the CO2 waveform scale touch
the CO2 menu and select the desired waveform scale. The options are:
0 to 5 mm Hg, 0 to 10 mmHg, 0 to 50 mmHg and 0 to 100 mmHg.
2 – CO2 ALARM LIMITS
• CO2 Alarm Limits are set by default to:
ETCO2 Upper Limit: 45 mmHg
ETCO2 Lower Limit: 20 mmHg
InsCO2 Upper Limit: 10 mmHg
InsCO2 Lower Limit: OFF
Resp Rate Upper Limit: 50 BPM
Resp Rate Lower Limit: 5 BPM
36
• Change the CO2 Alarm Limits in the CO2 menu.
ETCO2 Upper Limit Range: 1 to 100 % – or OFF - non overlapping.
ETCO2 Lower Limit Range: 0 to 99 % – or OFF - non overlapping.
InsCO2 Upper Limit Range: 1 to 100 % – or OFF - non overlapping.
InsCO2 Lower Limit Range: 0 to 99 % – or OFF - non overlapping.
Resp Rate Upper Limit Range: 1 to 150 BPM – or OFF - non overlapping.
Resp Rate Lower Limit Range: 0 to 149 BPM – or OFF - non overlapping.
Default Settings.
3 – CO2 ALARM MESSAGES
High and Low ETCO2 –
High and Low InsCO2 –
High and Low Resp
–
Are triggered if the ETCO2 value overlaps the High or Low Limits
respectively
Are triggered if the InsCO2 value overlaps the High or Low
Limits respectively.
Are triggered if the Resp Rate value overlaps the High or Low
Sensor Falty -
Indicates a hardware error in the sensor or sensor
connection. Reinsert or reset the sensor if necessary. If error
persists, contact Digicare.
Comps not Set -
Indicates the Barometric Pressure or gas compensations have
not been set since power on. This message normally flashes
quickly after power on of the sensor and is automatically cleared
as the sensor set all compensations. If the message stays steady
reinsert or reset the sensor. If error persists, contact Digicare.
Zero in Progress -
Indicates the MainFlow™ CO2 sensor Zero is currently in
progress.
Sensor Warm Up –
Indicates the MainFlow™ CO2 mainstream sensor is warming up.
It takes about 2 minutes typically for the sensor achieve
monitoring temperature.
Zero Required -
Indicates a Zero calibration process is required. This is required
every time as new airway adapter is in use. Check the airway
adapter and clean if necessary. Perform the Zero Adapter
calibration process. If you need to perform the Zero more than
once, a possible adapter or sensor faulty may exist.
CO2 Out of Range -
Indicates the value being calculated is out of the CO2 range.
Check the airway adapter and perform a Zero calibration process.
If error persists, contact Digicare
Check Adapter -
Usually indicates the airway adapter was removed from the
MainFlow™ CO2 sensor or when there is an optical blockage on
the windows of the airway adapter. May also be caused by failure
to perform MainFlow™ CO2 sensor Zero when adapter type is
37
changed. Clean or change airway adapter if mucus or moisture is
seen. If the adapter is clean, perform a Zero calibration process. If
problem persists contact Digicare.
Zero Error -
Indicates the Zero calibration process was not successful. Clean
or change the airway adapter. Disconnect and reconnect the
MainFlow™ CO2 sensor in the LifeWindow Lite connector.
Perform a Zero calibration process. If problem persists contact
Digicare.
4 – CO2 SENSOR ACCURACY CHECK
• The MainFlow™ CO2 sensor is a rugged, solid-state, mainstream sensor. It is factory
calibrated and does not require further calibration. The only calibration required is the Zero
Calibration , witch does not require any special setup, as explained before.
• In applications where it is mandatory to perform a routine Accuracy check, the MainFlow™
CO2 Mainstream sensor shall be compared against calibration gas every 12 months. Contact
Digicare Biomedical Technology for more information.
SECTION 6.2 – SIDESTREAM CO2 MONITORING
A. PRINCIPLE OF OPERATION
The LifeWindow™ Lite LW8 MicroFlow™ Sidestream CO2 module is specifically designed for
sidestream measurement of CO2 and Respiratory Rate, using sophisticated infrared absorption
spectroscopy. MicroFlow™ Sidestream is a sidestream sampling system with a 50 ml/ minute
low sampling rate that is used to measure the CO2 of non-intubated and intubated patients.
Because of its unique design, response is fast and there is less chance of erroneous, artifact
data. The analyzer portion of the sensor cannot be contaminated with patient secretions,
therefore maintenance requirements and overall cost-of-ownership are minimized.
The exclusive Digicare Biomedical Technology family of sidestream sampling and on-airway
adapter kits are easy to use and durable enough even for long-term ventilator patients. Yet, they
are inexpensive and disposable.
The LifeWindow™ Lite LW8 MicroFlow™ Sidestream CO2 module can be installed built-in or
used as an external module interchangeable with the MainFlow™ CO2 Mainstream Sensor
making it easy for you to configure your patient monitoring systems with state-of-the-art CO2
monitoring technology that is affordable and easy to use.
B. INDICATIONS FOR USE
• The intended use of the MicroFlow™ Sidestream CO2 module is to provide carbon dioxide
monitoring to a during anesthesia / recovery, in the intensive care unit (ICU), and in
emergency Medicine/Transport or Respiratory care.
WARNINGS
• Explosion Hazard: DO NOT use in the presence of flammable anesthetics. Use of the MicroFlow™
sidestream CO2 Module in such environment may present an explosion hazard.
• Electrical Shock Hazard: Always disconnect the MicroFlow™ CO2 Sidestream Module before cleaning.
Do NOT use if it appears to have been damaged. Refer servicing to qualified service personnel.
38
other equipment.
• Failure of Operation: If the MicroFlow™ sidestream CO2 Module fails to respond as described in this
user guide; DO NOT use it until approved for use by qualified personnel.
• DO NOT position the sensor cables or tubing in any manner that may cause entanglement or
strangulation. Support the sidestream CO2 airway adapter to prevent stress on the ET tube.
• Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use cannula kits and on
airway adapters may compromise functionality and system performance leading to a user or patient
hazard. Performance is not guaranteed if an item labeled as single patient use is reused.
• Inspect the sidestream on airway adapters and sidestream sampling kits for damage prior to use. DO
NOT use the sidestream on airway adapters and sidestream sampling kits if they appear to be
damaged or broken.
• Replace the sidestream on airway adapters and sidestream sampling kits if excessive secretions are
observed.
• Monitor the CO2 waveform (Capnogram). If you see changes or abnormal appearance check the
patient and the sampling line. Replace line if needed.
• Do not operate the MicroFlow™ CO2 Sidestream Module when it is wet or has exterior condensation.
• Do not apply excessive tension to any cable.
• Electrical Shock Hazard; No user serviceable parts inside.
• DO NOT use device on patients that can not tolerate the withdrawal of 50 ml/min +/- 10
ml/min from the airway or patients that can not tolerate the added dead space to the airway.
• Do not connect the exhaust tube to the ventilator circuit.
CAUTIONS
• Electrical Shock Hazard; the MicroFlow™ sidestream CO2 Module is not user serviceable. Refer
servicing to qualified personnel.
other equipment.
• Use only Digicare Biomedical Technology approved accessories.
• DO NOT use the MicroFlow™ sidestream CO2 Module if it fails to operate properly, appears to have
been damaged, is wet or has exterior condensation.
• DO NOT sterilize or immerse the MicroFlow™ sidestream CO2 Module in liquids.
• DO NOT clean the MicroFlow™ sidestream CO2 Module and accessories except as directed in this
guide.
• DO NOT apply excessive tension to the MicroFlow™ sidestream CO2 Module cable.
• DO NOT store the MicroFlow™ sidestream CO2 Module at temperatures less than -40º F (-40º C) or
greater than 158º F (70º C).
• DO NOT operate the MicroFlow™ sidestream CO2 Module at temperatures less than 32º F (0º C) or
greater than 104º F (40º C).
• Remove the LoFlo sampling kit sample cell from the receptacle when not in use.
• DO NOT stick appendage into sample receptacle.
• Always insert sample cell before inserting the on-airway adapter into the ventilated circuit.
• Always remove the on-airway adapter from the ventilated circuit before removing the sample cell.
C. PATIENT CONNECTIONS
1- CO2 MICROFLOW™ SIDESTREAM MODULE
• The MicroFlow™ CO2 sidestream Module is a rugged, solid-state, sidestream sensor. It is
factory calibrated and does not require further calibration. The Module can be internally
installed or external to the LifeWindow™ Lite LW8.
• When using the external module, connect it to the ( 17 ) connector in the LifeWindow Lite
patient connections panel.
2 - SINGLE PATIENT USE SIDESTREAM ON-AIRWAY ADAPTERS
• For monitoring CO2, select a sidestream on-airway adapter kit that is appropriate for the
patient size and application.
Sidestream Sampling line – Regular
for MicroFlow™ Capnography (high humidity)
Part Number: CAP120
Weight: 4.5 grams
Deadspace – adds approximately 7 cc
For use with ET Tube sizes > 4.0 mm
Sidestream Sampling line – Regular
for MicroFlow™ Capnography (low humidity)
Part Number: CAP121
Weight: 4.5 grams
For use with ET Tube sizes > 4.0 mm
Sidestream Sampling line – Low Dead Space
for MicroFlow™ Capnography (high humidity)
Part Number: CAP122
Weight: 5.8 grams
For use with ET Tube sizes < = 4.0 mm
Sidestream Sampling line – Low Dead Space
for MicroFlow™ Capnography (low humidity)
Part Number: CAP123
Weight: 5.8 grams
For use with ET Tube sizes < = 4.0 mm
3 – CONNECTION WITH LIFEWINDOW LITE
• The LifeWindow™ Lite LW8 CO2 function is a Plug and Play technology built in the hardware
and software of the unit.
• The LifeWindow™ Lite LW8 screen, with internal MicroFlow™ CO2 sidestream module
installed, displays the CO2 indicators and waveform after turned-on. It displays a Pump is Off
message until a Sample Line is connected.
• The LifeWindow™ Lite LW8 screen, with external MicroFlow™ CO2 sidestream module,
displays the message “CO2 is Off” in the CO2 indicator area and no CO2 trace is present
until the CO2 module is connected. If the CO2 menu or CO2 indicator area is touched in this
situation, nothing happen as the CO2 function is turned off. Insert the MicroFlow™ CO2
sidestream module connector into the receptacle ( 17 ) of the LifeWindow™ Lite LW8. It
displays a Pump is Off message until a Sample Line is connected.
• The LifeWindow™ Lite LW8 MicroFlow™ CO2 sidestream Module has one exhaust port
located in the rear panel of the unit (28) for internal modules or in the external module itself for
attaching scavenging tubing.
• Insert the sample cell of the sampling kit into the sample cell receptacle of the MicroFlow™
CO2 sidestream Module or in the ( 10 ) receptacle in the LifeWindow™ Lite LW8 as shown. A
“click” will be heard when the sample cell is properly inserted.
40
Figure 1
• Inserting the sample cell into the receptacle automatically starts the sampling pump.
Removal of the sample cell turns the sample pump off.
• To remove the sampling kit sample cell from the sample cell receptacle, press down on the
locking tab and pull the sample cell from the sample cell receptacle.
Sample Cell
Figure 2
• Wait for the Sensor Warm Up message to clear. If a Zero Calibration message is displayed,
perform a Zero Calibration process.
4 - ZEROING THE MICROFLOW™ CO2 SIDESTREAM MODULE
• The MicroFlow™ CO2 sidestream Module is compatible only with Digicare Biomedical
sidestream CO2 accessories. The sample cell zero allows the MicroFlow™ CO2 sidestream
Module to adjust to the optical characteristics of the sample cell.
• A “Sample Cell Zero” is a quick process that allows the LifeWindow™ Lite LW8 to adjust to
the special characteristics of a particular MicroFlow™ CO2 sidestream Module; it is necessary
only when requested. Such a request will occur if a change is detected in the MicroFlow™
CO2 sidestream Module.
• Keep the MicroFlow™ airway adapter exposed to room air and away from all sources of CO2,
including the ventilator, the patient’s breath and your own.
• Touch in the CO2 menu and touch in the Calibration “Zero”. A Warning message: “Is input
exposed to 0 mmHg concentration” is displayed. Touch in the Yes button to perform a Zero
Calibration. The message Zero in Progress is displayed during the zero process, typically 15
to 20 seconds (maximum time of 40 seconds).
5 – PATIENT CIRCUIT
• The regular sidestream on-airway adapter kits should be used when monitoring intubated
patients with Endotracheal Tube diameters greater than 4.0 mm. Use the Low Dead Space
on-airway adapter kits when monitoring intubated patients with Endotracheal Tube diameters
less than or equal to 4.0mm.
• CAUTION: The Regular and the Low Dead Space on-airway adapters are intended for single
patient use. Do NOT reuse or sterilize the adapter kit as system performance will be
compromised.
• Verify that the on-airway adapter is clean, dry and undamaged. Replace the on-airway
adapter kit if necessary.
• Insert the sample cell into the sample cell receptacle as shown in the figure 1. A “click” will be
heard when properly inserted.
• Perform a sample cell zero if prompted by the LifeWindow™ Lite LW8.
41
• Place the on-airway adapter at the proximal end of the airway circuit between the elbow
and the ventilator circuit wye.
• Check that connections have been made correctly by verifying the presence of a proper
capnogram on the Patient Monitor.
Figure 3
• CAUTION: Always insert the Sample Cell of the Sample line into the Sample Cell
Receptacle on the MicroFlow™ CO2 sidestream module before inserting the on-airway
adapter into the ventilator circuit. Failure to follow this, may introduce a leak in the circuit,
thereby reducing set minute volume.
• CAUTION: Remove the MicroFlow™ sample cell from the receptacle when not in use.
• NOTE: Do not place the on-airway adapter between the ET tube and the elbow as this may
allow patient secretions to accumulate in the adapter. If pooling does occur, the on-airway
adapter may be removed from the circuit, rinsed with water (or sterile water) and reinserted
into the circuit. If rinsed, make sure that no water has entered the sampling tubing. If so, blow
out water or replace the sample line. To prevent moisture from draining into the on-airway
adapter kit tubing, always place the on-airway adapter tubing in an up position (see Figure 3).
6 – CHECK SAMPLE LINE MESSAGE
• The sample flow rate of the MicroFlow™ CO2 sidestream module is continually monitored. If
the flow rate falls outside the nominal operating range and continues for 15 seconds, the
message “Check Sample Line” will be displayed. The pump will shut off after 2 minutes if the
condition that caused this change is not corrected.
7 – CONDITIONS THAT CAN CAUSE A CHANGE IN FLOW RATE
• Water, mucous or other patient contaminate has entered the sample tubing.
• The sample tubing is crimped or pinched so that the sample flow rate has decreased.
• The exhaust port of the MicroFlow™ CO2 sidestream module is obstructed.
• The sample line is damaged.
• The sample line has been cut, or split, causing the flow rate to increase.
8 –CLEARING THE “CHECK SAMPLE LINE” MESSAGE
• When the “Check Sample Line” message is displayed, the user should inspect the sample
line kit to verify that none of the conditions described above are present. Replace with a
new sample kit if needed.
• If the user removes the sample cell for inspection and then reinserts the sample cell without
correcting the condition, the “Check Sample Line” message will reappear.
• The user should verify that the exhaust port is not obstructed or blocked. If tubing is
connected to the exhaust port, the user should also inspect the tubing for any crimping or
pinching.
42
• The “Check Sample Line” message will clear and the sample pump will not be turned off if
the condition that caused the flow rate change is corrected within 2 minutes.
• The “Check Sample Line” message will clear if the sample cell is removed or if the
LifeWindow™ Lite LW8 is reset.
D. CO2 MONITORING
• The LifeWindow™ Lite LW8 start displaying the CO2 waveform in two cascaded traces and
function and ETCO2, insCO2 and Respiration Rate measured values, with all alarm limits and
settings in the defaults values or the last saved settings.
1 – CO2 WAVEFORM AND SCALE
• The CO2 waveform traces are by default selected to traces 5 and 6 cascaded. The traces and
cascade options can be changed in the Traces menu. The traces settings return to the default
every time the unit is turned-on.
• The CO2 waveform default sweep speed is 6.25 mm/sec. To change the CO2 waveform
sweep speed, touch the Traces menu and select the desired sweep speed. The options are:
6.25, 12.5, 25, 50 and 100 mm/sec
• The CO2 waveform scale default is 0 to 50 mmHg. To change the CO2 waveform scale touch
the CO2 menu and select the desired waveform scale. The options are:
0 to 5 mm Hg, 0 to 10 mmHg, 0 to 50 mmHg and 0 to 100 mmHg.
2 – CO2 ALARM LIMITS
• CO2 Alarm Limits are set by default to:
ETCO2 Upper Limit: 45 mmHg
ETCO2 Lower Limit: 20 mmHg
InsCO2 Upper Limit: 10 mmHg
InsCO2 Lower Limit: OFF
Resp Rate Upper Limit: 50 BPM
Resp Rate Lower Limit: 5 BPM
• Change the CO2 Alarm Limits in the CO2 menu.
ETCO2 Upper Limit Range: 1 to 100 % – or OFF - non overlaping.
ETCO2 Lower Limit Range: 0 to 99 % – or OFF - non overlapping.
InsCO2 Upper Limit Range: 1 to 100 % – or OFF - non overlapping.
InsCO2 Lower Limit Range: 0 to 99 % – or OFF - non overlapping.
Resp Rate Upper Limit Range: 1 to 150 BPM – or OFF - non overlapping.
Resp Rate Lower Limit Range: 0 to 149 BPM – or OFF - non overlapping.
Default Settings.
3 – CO2 ALARM MESSAGES
High and Low ETCO2 –
High and Low InsCO2 –
High and Low Resp
Sensor Faulty -
–
Are triggered if the ETCO2 value overlaps the High or Low Limits
respectively.
Are triggered if the InsCO2 value overlaps the High or Low
Are triggered if the Resp Rate value overlaps the High or Low
Indicates a hardware error in the module or module connection.
Reinsert or reset the module if necessary.
43
Comps not Set -
Indicates the Barometric Pressure or gas compensations have
not been set since power on. This message normally flashes
quickly after power on of the sensor and is automatically cleared
as the sensor set all compensations. If the message stays steady
reinsert or reset the sensor.
Zero in Progress -
Indicates the MicroFlow™ CO2 sidestream module Zero is
currently in progress.
Sensor Warm Up -
Indicates the MicroFlow™ CO2 sidestream module is warming up.
It takes about 2 minutes typically for the sensor achieve monitoring
temperature.
Zero Required -
Indicates a Zero calibration process is required. This is required
every time as new sample line and airway adapter is used. Check
the sample line and airway adapter and clean if necessary.
Perform the Zero Adapter calibration process. If you need to
perform the Zero more than once, a possible sample line - adapter
or module faulty may exist.
CO2 Out of Range -
Indicates the value being calculated is out of the CO2 range.
Check the sample line and airway adapter and perform a Zero
calibration process.
Zero Error -
Indicates the Zero calibration process was not successful. Clean or
change the airway adapter. Disconnect and reconnect the
MicroFlow™ CO2 sidestream module in the LifeWindow Lite
connector. Perform a Zero calibration process.
No SS Line -
Indicates that no sample line is connected to the MicroFlow™
CO2 sidestream module.
Occlusion -
Indicates the pneumatic pressure in the MicroFlow™ CO2
sidestream module is out of expected range. Check if the sample
line is occluded or kinked.
Pump is Off -
Indicates the MicroFlow™ CO2 sidestream module pump is
turned off. The pump is turned off when no sampling line
connected to the module.
Check Samp Line -
Indicates the pneumatic pressure in the MicroFlow™ CO2
sidestream module is out of expected range. Check if the sample
line is occluded or kinked.
4 – CO2 SENSOR ACCURACY CHECK
• The MicroFlow™ CO2 sidestream is a rugged, solid-state, sidestream module. It is factory
calibrated and does not require further calibration.. The only calibration required is the Zero
Calibration , witch does not require any special setup, as explained before.
• In applications where it is required to perform a routine Accuracy check, the MicroFlow™
CO2 sidestream module shall be compared against calibration gas every 12 months.
44
SECTION 7 - NIBP MONITORING
A. CUFF SELECTION AND PLACEMENT
The use of properly designed and sized cuffs is essential for the accurate non-invasive
measurement of blood pressure.
The widest cuff that can be placed around the limb should be used. A cuff that is too small for
the limb will not supply sufficient occlusion pressure to the artery. This can cause an
erroneously high blood pressure reading. Ideally, cuff width should be 40% of the limb
circumference. Substitution of a cuff different from that supplied might result in a
measurement error.
NOTE: Overlapping the cuff will not affect the measurement results.
• For best results, a cuff should be wrapped for a snug fit and be positioned reasonably close to
heart level. Measurements made above the level of the heart will give reduced blood pressure
readings. Measurements made below the heart level will give increased readings.
NOTE:
Avoid compression or restriction of the NIBP Inflation Hose. The hose must not be
kinked or pinched.
WARNING: The cuff should not be applied on a limb being used for an intravenous infusion. Do
not place the cuff on any extremity being used for SpO2 monitoring.
CUFF SIZE SELECTION
• The widest cuff that can be placed on the patient, without extending beyond the joint, should
be selected. Appropriate sized cuffs may be selected based on published guidelines that cuff
width should be 40 – 60% of limb circumference. The cuff should be wrapped for a snug fit.
• Overlapping the cuff will not affect measurement results. Make sure the hook and loop
sections of the cuff are fully engaged when it is wrapped around the limb. If not fully engaged,
the cuff will detach during bladder inflation. If that happens, select the next size bigger cuff.
• The correct selection of cuff size have a significant influence measurement accuracy. A cuff
that is too narrow will produce artificially elevated readings, while a cuff that is too wide wi ll
produce spuriously low values.
• The monitor comes standard with six different sizes of cuffs. They are marked to aid in proper
cuff selection. When a cuff is wrapped around a site, its index edge should be in the range
indicated on the cuff. The cuff is too small or too large if the index edge is outside the range.
Arm
Locate the cuff as you would to do an auscultatory blood pressure. Place the cuff around the
patient’s upper arm with the bottom edge of the cuff at least one inch above the inner aspect of
the arm. As the cuff is wrapped around the arm, be sure it fits snugly and evenly, and the
bladder of the cuff is over the brachial artery.
Thigh
Place the cuff around the patient’s thigh with the bottom edge of the cuff at least one inch above
the inner aspect of the knee. Be sure the cuff fits snugly and evenly, and the bladder of the cuff
is over the popliteal artery.
45
Calf of Leg
Place the cuff around the calf of the leg with the top edge of the cuff at least one inch below the
inner aspect of the knee. Be sure the cuff fits snugly and evenly, and the bladder of the cuff is
over the popliteal artery.
Cuff #3 showing artery position and circumference measurements
NIBP Cuff #1 3-6cm (1.2 – 2.4 in) (Plastic) for
neonatal and similar-sized patients
BP006
NIBP Cuff #2 4-8cm (1.6 – 3.2 in) (Plastic) for
neonatal and similar-sized patients
BP007
NIBP Cuff #3 6-11cm (2.4 – 4.3 in) (Plastic)
BP008
NIBP Cuff #4 7-13cm (2.7 – 5.1 in) (Plastic)
BP009
NIBP Cuff #5 8 -15cm (3.2 – 5.9 in) (Plastic)
BP010
46
NIBP Cuff #6 8 -13cm (3.2 – 5.1 in) (Cloth)
BP005
NIBP Cuff #7 12 -19cm (4.7 – 7.5 in) (Cloth)
BP003
NIBP Cuff #8 17-25cm (6.7 – 9.8 in) (Cloth)
BP004
BP002
BP001
BP000
NIBP Hose 10 Feet
BP011
47
B. NON-INVASIVE BLOOD PRESSURE MONITORING
The NIBP monitor have three modes of operation: MANUAL, AUTOMATIC and STAT mode.
At power-on the MANUAL mode is selected. To start a manual cycle press the dedicated NIBP
START ( 5 ) pushbutton in the front panel. To stop the cycle and deflate the cuff, press the
dedicated NIBP STOP ( 6 ) pushbutton in the front panel.
1 - MANUAL MODE
The MANUAL mode is a ONE CYCLE function. User can START a MANUAL cycle or STOP
any type of cycle using the dedicated pushbuttons ( 5 ) and ( 6 ) in the front panel or in the
NIBP menu.
2 - AUTOMATIC MODE
• In the Automatic mode a cycle is repeated upon a selected period of time continuously.
• In the NIBP menu select the AUTO mode and the cycle interval from 1 to 99 minutes.
• Press the START button to start the NIBP determinations.
3 - STAT MODE
• In the STAT mode a cycle is repeated many times as possible during a selected period of
time (1 to 4min).
• In the NIBP menu select the STAT mode and the cycle (1 to 4 min). Press the NIBP START
button to start the STAT cycle. At the end of each cycle the SYSTOLIC, DIASTOLIC, MEAN
and Pulse values are displayed and the time to STAT total cycle finish is decremented in
display.
4 - ADULT / NEONATAL MODE SELECTION
• The Mode (adult / neonatal) selection affects the NIBP operation. For Cuff sizes 1, 2, 3, 4 and
6 the NEONATAL mode should be selected. For Cuff sizes 5, 7 and 8, or larger, ADULT mode
should be selected.
5 - NIBP DETERMINATION
• On the NIBP menu, select the NIBP mode (Manual, Auto or Stat) and the cycle time. Press
the Start button to Start a determination cycle. The pump will raise the pressure in the cuff to
a default level for the Mode (Adult or Neonatal) selected. The pressure in the cuff deflates in a
determined deflation rate Sensing the pressure oscillations in the cuff. If the Systolic
pressure is equal or higher than the start pressure, the pump inflates again to increase the
cuff pressure until it is higher than the systolic pressure. When the cuff pressure is lower than
the diastolic pressure, at the end of the measurement cycle, the pump fully deflates the cuff
and displays the Systolic, Diastolic and Mean Arterial Pressure values. The NIBP function is
motion tolerant.
C. NIBP ALARM MESSAGES
“NIBP LOW SYS” –
“NIBP HIGH SYS” –
“NIBP LOW DIA” –
“NIBP HIGH DIA” –
Indicates that Systolic value is lower than the selected SYSTOLIC
LOWER LIMIT.
Indicates that Systolic value is higher than the selected SYSTOLIC
UPPER LIMIT.
Indicates that Diastolic value is lower than the selected DIASTOLIC
LOWER LIMIT.
Indicates that Diastolic value is higher than the selected DIASTOLIC
UPPER LIMIT.
48
“NIBP LOW MAP” –
“NIBP HIGH MAP” –
Air Leak –
Excessive Motion –
Time Too Long –
Indicates that MAP value is lower than the selected MAP LOWER
LIMIT.
Indicates that MAP value is higher than the selected MAP
UPPER LIMIT.
Indicates the pressure in the cuff is not reaching the necessary value.
Check if the cuff is properly connected in the hose and in the NIBP
receptacle in the Patient Panel. Check for air leaks in the cuff or hose.
Indicates the motion artifact is affecting the NIBP determination.
Indicates the NIBP cycle is lasting too long for the NIBP determination
and was aborted.
SECTION 8 - TEMPERATURE MONITORING
• The LifeWindow™ Lite LW8 has two temperature channels and one Indicator to T1 – T2
temperature difference. The temperature probes are YSI 400 series compatible.
• To ensure conformance with all safety and performance specifications, use only the
recommended accessories. These are available from DIGICARE.
Temperature rectal/esophageal probe – disposable
TP001
Temperature skin probe – disposable
TP002
Temperature patient cable for disposable probe
TP003
Temperature rectal/esophageal probe – reusable
TP004
Temperature skin probe – reusable
TP005
49
B. TEMPERATURE MONITORING
•
•
•
•
•
Connect the temperature patient cable to receptacle (16 ) Temperature 1 or Temperature 2.
In the Temperature menu select Temperature1, Temperature2 or T1-T2.
Select Temperature alarm High and Low limits.
Select Temperature measurement unit: °F or °C.
The temperature value is displayed when the probe temperature is in the 10 to 50°C (50 to
122 °F), range otherwise the temperature display is blanked.
1 - TEMPERATURE ALARM MESSAGES
TEMP# SENSOR – Indicates the Temperature sensor is not connected to the unit or a sensor
failure.
TEMP# LOW –
Indicates the Temperature value is lower than the selected Temperature
Lower Limit.
TEMP# HIGH –
Indicates the Temperature value is higher than the selected Temperature
Upper Limit.
SECTION 9 – INVASIVE PRESSURE MONITORING
• The LifeWindow™ Lite LW8 can have 1 or 2 Invasive Pressure Channels installed. The
following information apply for both channels.
• The Invasive Pressure Channels 1 and 2 are turned off in the factory default settings, to avoid
alarms when not in use.
• Turn-on Invasive Pressure Channel 1 or 2 touching in the IBPs menu, then touching Invasive
Pressure 1 or Invasive Pressure 2 and touching IP1 On or IP2 On.
• The message “NO TRANSDUCER” is displayed until a Transducer is connected to the
monitor.
A. PRESSURE TRANSDUCER
To assure the performance specifications in this manual., use only the pressure transducer and
accessories recommended by the manufacturer of this equipment.
IBP cable for reusable transducer
IBP001
IBP reusable transducer
Sensitivity: 50µV / V / mmHg
IBP002
IBP disposable dome for reusable transducer
IBP003
50
IBP monitoring kit for reusable transducer (Includes
lines, stopcocks and disposable dome)
IBP004
IBP IV Pole bracket for reusable transducer
IBP008
IBP Dual Transducer bracket for reusable transducer
IBP009
IBP cable for disposable transducer
IBP005
IBP disposable transducer with line (monitoring kit)
IBP006
IBP disposable transducer without line
IBP007
B. PRESSURE TRANSDUCER CONNECTION
•
•
•
•
•
Connect the pressure transducer cable to connector IP1 (14) or IP2 (18).
Connect the catheter to pressure transducer.
Install the flow system and maintain the entire system with liquid.
Hold the transducer at the heart level (axial line).
Following is a generic transducer line assembly example.
51
C. IP SCALE AND LABEL
• Touch in the IBPs menu or in the IBP channel Indicators area to open the desired IP menu
screen.
• The pre-configured default scale for the Invasive Pressure waveform is 0 to +180 mmHg. To
change the scale touch in the IP# Scales drop down menu and touch the desired IP scale.
The Scale options are:
-30 to +30 mmHg
0 to +30 mmHg
0 to +60 mmHg
0 to +90 mmHg
0 to +120 mmHg
0 to +180 mmHg
0 to +240 mmHg
0 to +300 mmHg
+30 to +90 mmHg
+60 to +120 mmHg
+90 to +150 mmHg
+120 to +180 mmHg
+150 to +210 mmHg
+180 to +240 mmHg
+210 to +270 mmHg
+240 to +300 mmHg
• The Label displayed in the right side of the Invasive Pressure waveform can be selected to
reflect the site where the Invasive Pressure is being measured.
• The pre-configured default Label is IP1 and IP2 for Invasive Pressure 1 and 2 respectively.
• To change the IBP Label, touch in the IBP# Label drop down menu and select the desired
Label. The Labels are color coded.
52
IP1 IP2 ART CVP PA LAP ICP -
Blue - Invasive Pressure Channel 1
Blue - Invasive Pressure Channel 2
Red - Arterial Pressure
Cyan - Central Venous Pressure
Yellow - Pulmonary Artery
Green - Left Atrium Pressure
Gray - Intracranial Pressure
D. TRIGGER SOURCE
• The LifeWindow™ Lite LW8 determine the Systolic (maximum amplitude) and Diastolic
(minimum amplitude) values based on a period of time generated by Trigger Pulses. The
default trigger pulses are generated by the IP board based on the systole slope of the Invasive
Pressure waveform.
• For each systole detected, the IP board generates one Trigger Pulse and the Invasive
Pressure Pulse Indicator is displayed.
• The CVP and other low frequency Invasive Pressure waveforms do not generate Trigger
Pulse, so the unit can not determine the Systolic and Diastolic values.
• Using the ECG trigger pulses the LifeWindow™ Lite LW8 is capable to determine the Systolic
and Diastolic values in these cases.
• To use the ECG as the source for triggering the IP function, touch in the IPBs menu and
select in the Trigger Source drop down menu to ECG.
• The LifeWindow™ Lite LW8 using the ECG as trigger source for Invasive Pressure
determination will display the Systolic and Diastolic values of any Invasive Pressure
waveform, as long as the ECG is being detected normally and Heart Rate is being displayed.
• Note: When using the ECG as trigger source for IP, the Invasive Pressure Pulse Indicator is
NOT displayed
E. PULSATILE / STATIC MODE
• The LifeWindow™ Lite LW8 Invasive Pressure function has two main modes of operation,
Static Mode and Pulsatile Mode. The Pulsatile mode is pre-configured as default.
• In the Pulsatile mode, the Invasive Pressure Indicators and Alarms are set for Systolic,
Diastolic and Mean Pressure. In this mode, the IP NO PULSE alarm will be displayed if the
Invasive Pressure waveform is not generating Trigger Pulses. Note: If the ECG is being used
to trigger the IP determination, the IP NO PULSE alarm will NOT be displayed.
• In the Static mode , the Invasive Pressure Indicators and Alarms are set only for Static
Pressure. The IP NO PULSE alarm is disabled in this mode.
• To change from Pulsatile to Static Mode, touch the IBP menu and select in the drop down
menu the Static mode.
F. TRANSDUCER ZERO
• The message “ZERO TRANSDUCER” is displayed until a zero calibration procedure is
executed.
• Open the TRANSDUCER input to the air (Local Atmospheric Pressure). Touch in the IBP
menu and touch in the Invasive Pressure 1 or 2. Touch the Zero Xducer button.
• If the transducer Zero calibration procedure was successful, the Invasive Pressure waveform
shall be displayed at ZERO baseline and the Invasive Pressure readings are displayed.
• If the transducer Zero calibration procedure was NOT successful, the “IP# ERROR
ZEROING” message is displayed on screen.
• The invasive pressure range to execute the Zero Calibration procedure is from 150 mmHg to
+ 150 mmHg.
53
G. INVASIVE PRESSURE ALARM LIMITS
• The LifeWindow™ Lite LW8 Invasive Pressure alarm limits default and range is:
Systolic Upper Limit:
160 mmHg Range: 0 to 300 mmHg
Systolic Lower Limit:
Diastolic Upper Limit:
Diastolic Lower Limit:
Mean Upper Limit:
Mean Lower Limit:
Static Upper Limit:
Static Lower Limit:
• In the IP# menu, select the Invasive Pressure Systolic, Diastolic and Mean Upper and Lower
alarm limits. To return to the factory DEFAULT alarm limits, go to the SYSTEM menu and
press the Load Factory Default Settings.
H. INVASIVE PRESSURE ALARM MESSAGES
IP# NO TRANSDUCER –
IP# ZERO TRANSDUCER –
IP# ERROR ZEROING –
IP# LOW SYSTOLIC –
IP# HIGH SYSTOLIC –
IP# LOW DIASTOLIC –
IP# HIGH DIASTOLIC –
IP# LOW MEAN –
IP# HIGH MEAN –
IP# LOW STATIC –
IP# HIGH STATIC –
Indicates the Invasive Pressure transducer is not connected to
the unit or a transducer failure.
Indicates the need to perform a transducer Zero Calibration
procedure.
Indicates error in transducer Zero Calibration procedure.
Indicates the Systolic value is lower than the selected
Systolic Lower Limit.
Indicates that Systolic value is higher than the selected
Systolic Upper Limit.
Indicates the Diastolic value is lower than the selected
Diastolic Lower Limit.
Indicates the Diastolic value is higher than the selected
Diastolic Upper Limit.
Indicates that Mean value is lower than the selected Mean
Lower Limit.
Indicates that Mean value is higher than the selected Mean
Upper Limit.
Indicates that Mean value is lower than the selected Mean
Lower Limit.
Indicates that Mean value is higher than the selected Mean
Upper Limit.
SECTION 10 – FRACTION OF INSPIRED OXIGEN - FIO2
A. PRINCIPLE OF OPERATION
• The LifeWindow™ Lite LW8 provides fast and accurate oxygen monitoring. It is designed to
monitor up to 100% oxygen concentration in medical gas mixtures. It is capable of rapidly
measuring the oxygen content of an atmosphere or environment.
• The LifeWindow™ Lite LW8 is intended to continuously measure and display the
Concentration of oxygen in a gas mixtures used in medical applications such as Anesthesia
and Respiratory therapy in veterinary patients.
B. PATIENT CONNECTIONS
• The LifeWindow™ Lite LW8 uses one polarographyc oxygen sensor. Attached to the sensor
is a removable plastic diverter. This diverter is used to facilitate the transport of gas mixtures
54
through the sensor. The diverter, packaged separately when shipped, is necessary when the
tee adapter is used to sample gas flowing through a tube. The diverter is not necessary and
should not be used when the sensor is placed directly in a chamber, or when the sensor is
used in confined volume monitoring, such as incubators and inhalation tents.
1 - SENSOR INSTALLATION OR REPLACEMENT
• Remove the new sensor from its protective bag. Inspect the sensor for damage or electrolyte
leakage. If the sensor is damaged, obtain a replacement. Do not use the defective sensor as it
may damage the unit.
• WARNING: The sensor electrolyte is caustic. Do not let it come in contact with skin. If it does, flush
affected area with water. Do not attempt to open or repair the sensor.
• WARNING: The sensor also contains lead. Leaking or exhausted sensors should be handled and
disposed of in accordance with local regulations.
• Connect one end of the FIO2 patient cable into the jack receptacle on the back end of sensor.
• Connect the other end of the cable into the receptacle (15) located on the patient connections
panel of the unit.
Mounting the Sensor in the Tee Adapter
FiO2 Accessories
FIO2 Cell
F001
FIO2 Cable
F002
FIO2 “T” Adapter
F003
55
C. CALIBRATION
• The LifeWindow™ Lite LW8 should be calibrated before each use and every 8 hours to
maintain maximum accuracy.
1 – ONE POINT CALIBRATION
• As with most oxygen analyzer(s) the highest level of accuracy is achieved when calibration is
conducted using 100% oxygen.
• One Point Calibration procedure is used as a option when a 100% oxygen is not available.
• After installing the flow diverter keep the oxygen sensor exposed to fresh air.
• The actual FIO2 reading will be displayed and it should be close to the local atmospheric
oxygen content ( ex. 21% ).
• Touch the FIO2 menu and select CAL 1 Point. The message: “Are you sure you want to
make a 1 point calibration on FIO2?” is displayed. Press Yes.
• In the Low Point FIO2 Calibration screen, select the O2 concentration (default 21%). Make
sure the oxygen sensor is exposed to the selected O2 concentration and press enter to start
calibration. The FIO2 reading will change to the Value selected.
2 – TWO POINT CALIBRATION
• As with most oxygen analyzer(s) the highest level of accuracy is achieved when calibration is
conducted using Two Point Calibration with 100% oxygen.
• After installing the flow diverter keep the oxygen sensor exposed to fresh air.
• The actual FIO2 reading will be displayed and it should be close to the local atmospheric
oxygen content ( ex. 21% ).
• Touch the FIO2 menu and select CAL 2 Point. The message: “Are you sure you want to
make a 2 point calibration on FIO2?” is displayed. Press Yes.
• In the Low Point FIO2 Calibration screen, select the O2 concentration (default 21%). Make
sure the oxygen sensor is exposed to the selected O2 concentration.
• Select in the High Point FIO2 Calibration screen the second calibration point (100% default).
• Expose the oxygen sensor to the selected O2 concentration (default 100%) supply of pure dry
oxygen flowing at 1 – 2 liters per minute. Wait about 20 seconds to insure the sample line is
completely purged with the calibration gas and press Enter to calibrate.
• Remove the sensor from the oxygen supply and confirm the FIO2 indicator reads less than
22% in room air.
• It is important to perform the calibration carefully and thoroughly, using calibration gases that
are free from contaminates. Wait for a stable reading before locking in calibration point.
3 – DEFAULT CALIBRATION
• The Default Calibration procedure returns the FIO2 function calibration to factory default
calibration.
• To return the FIO2 function to the factory default calibration touch the FIO2 menu and touch
the Cal Default button.
D. FIO2 MONITORING
• The LifeWindow™ Lite LW8 can be used to measure a gas mixture for oxygen in two basic
modes:
• In the inhalation side of breathing circuit ahead of humidifiers and medicating devices or other
instances where gases are flowing to a patient in breathing circuits. When monitoring oxygen
in breathing circuits, the flow diverter must be used.
• In confined volumes such as tents and hoods. In these applications the flow diverter must be
removed from the sensor so that it does not interfere with the rapid exchange of gases to and
from the sensing surface of the sensor.
56
• CAUTION: Check the breathing circuit for leaks. Be certain that the circuit downstream of the
sensor does not produce any backpressure or restriction to flow. Errors in readings will result
if this is not followed.
• Never install the sensor in a location that will expose the sensor to patients exhaled breath or
secretrions unless you intend to dispose of the sensor and flow adapter after use.
1 - GAS SAMPLING
1.1 - HUMIDITY
• Humidity does not directly affect the accuracy of the sensor's measurement. However, when a
nebulizer or other device is used to increase moisture levels in gas mixtures, the moisture
actually dilutes the mixture. This dilution effect decreases the oxygen concentration. The
LifeWindow™ Lite LW8 oxygen monitor accurately measures decreases in the oxygen
concentration due to the dilution effects of moisture added to gas mixtures.
• As with all oxygen sensors, excessive condensation on the sensing surface will block the
diffusion of oxygen to the sensor, rendering it inoperative. We recommend installing the
sensor on the dry side of the breathing circuit at all times.
1.2 - TEMPERATURE
• The oxygen sensor adjusts for ambient temperature changes in the range of 0–40°C (32–
106°F). Since the thermistor that compensates for these changes is located in the rear of the
sensor assembly, it is important that gas mixtures, flowing over the front of the sensor, be at
room temperature. Reading errors may occur if hot gases from a heated humidifier are
directed past a sensor teed into a breathing circuit.
1.3 - PRESSURE
• Virtually all gas sensors and monitors measure the partial pressure, not the percentage, of the
gas that they sense. The only time that these instruments can accurately read percentages is
when the total pressure does not vary over time between calibrations and use. For this reason
it is important to calibrate the LifeWindow™ Lite LW8 oxygen sensor at regular intervals. It is
recommended that the unit be calibrated prior to each use or every 8 hours.
• When the sensor is connected to a ventilator circuit, the alternating “breathing” pressure
cycles generated by the ventilator will be sensed as an increase in the oxygen percentage. In
reality, the percentage of oxygen is not changing; it is the total pressure that is increasing
producing a corresponding increase in the partial pressure of oxygen. A hundred centimeter of
water pressure pulse will produce a 0.11 atmosphere, or an 11% increase in the total and
therefore partial pressure of oxygen. The reading will rise proportionally less for smaller
pressures.
1.4 - ANESTHETIC GASES
• When using the LifeWindow™ Lite LW8 oxygen sensor in the presence of anesthetic gases
such as Isoflurane, the oxygen reading may fall (see Table below). The magnitude of this error
will depend upon the level of oxygen and the duration of exposure.
Halothane 4% < 1.5% O2
Enflurane 5% < 1.5% O2
Isoflurane 5% < 1.5% O2
Sevoflurane 5% < 1.5% O2
Desflurane 15% < 1.5% O2
Note: Errors are approximate and may vary based on exposure times and concentrations.
These performances meet or exceed the requirements of ISO 7767: 1997 (E).
Caution: The LifeWindow™ Lite LW8 should not be used in the presence of flammable
anesthetics such as diethyl ether or cyclopropane.
57
2 - FIO2 ALARM LIMITS
• The LifeWindow™ Lite LW8 FIO2 alarm limits default and range is:
FIO2 Upper Limit:
FIO2 Lower Limit:
OFF Range: 5 to 100%
20% Range: 0 to 95%
• In the FIO2 menu, select the Upper and Lower alarm limits. To return to the factory DEFAULT
alarm limits, go to the SYSTEM menu and press the Load Factory Default Settings.
3 - FIO2 ALARM MESSAGES
FIO2 HIGH –
FIO2 LOW –
Indicates the FIO2 reading is higher than the Upper Limit set.
Indicates the FIO2 reading is lower than the Lower Limit set.
SECTION 11 – TECHNICAL SPECIFICATIONS
A. MECHANICAL DESCRIPTION
Size
Weight
Color
: 9.25 x 6.89 x 6.49 inches (235 x 175 x 165 mm)
: 10lb (4.5Kg)
: White and Gray
B. POWER REQUIREMENTS
AC voltage Input
: 100-240 VAC / 50-60 Hz max 80W
Universal Power Input
C. ECG
Lead Selection
Input Isolation
Frequency Response
: I, II, III (Standard lead configuration)
: Isolated from Ground related circuits by ≥ 4KV rms / 5.5 KV peak
Filtered : 0.5 - 25Hz ( ±3db)
Unfiltered: 0.5 – 40Hz
Leakage Current
: < 10 µA at 120 to 240 Vac 50 / 60 Hz
Defibrillator & ESU Protection
: Max. 360J
Test Signal
: 1 mV / 100 ms at 70 BPM ± 2 BPM Pulse
Heart Rate
Range
: 15 to 300 BPM
Accuracy
: ± 1%
Resolution
: 1 BPM
Sensibility
Adult Mode
: 0.3 mV peak
Neonatal Mode
: 0.1 mV peak
QRS Detection
: Automatic in the selected mode
Pacemaker Rejection
Amplitude
: 2mV to 700 mV
Duration
: 0.1 to 2 ms
Sweep Speed
: 6.25, 12.5, 25, 50 mm/sec
Lead Fault Alarm
: Audible and visual
Input
: 3 Lead ECG patient cable
Gain Selection
: Manual by operator
QRS Indicator
: Adjustable audible, visual
Patient Cable
: 6 pin AAMI standard
CMRR
: ≥ 90 dB with patient cable and 51KΩ / 47nF
imbalance
Input impedance
: ≥ 20 MΩ at 10 Hz with patient cable
58
: Any lead configuration < 200 nAdc maximum
: ± 0.5 V
: Rejects T waves ≤ R wave
Input Bias Current
Electrode Offset potential
Tall T wave rejection
D. SpO2 - PULSE OXIMETER
SpO2 Range
SpO2 Accuracy
SpO2 Resolution
SpO2 averaging
Pulse Rate Range
Pulse Rate Accuracy
Pulse Rate Resolution
Pulse Rate Averaging
Sensor Types
: 35 to 100% Adult/Neonatal
: ± 2% (70 - 100%), ± 3% (50 - 69%) unspecified (0 - 49%)
: 1%
: 8 seconds
: 30 to 250 BPM
: ± 2%
: 1 BPM
: 16 pulses
: Finger, Wrap, Y, Universal
E. NON-INVASIVE BLOOD PRESSURE
Method
Measured Parameters
Scale
Operating Modes
Auto Repeat Cycles
Stat Cycle
Systolic Range
Diastolic Range
Mean Range
Cuff Pressure Range
Absolute Maximum
Inflation Pressure
Measurement Time
: Automatic Oscillometric
: Systolic, Diastolic, Mean Arterial Pressure, Pulse.
: mmHg (Kpascal optional)
: Manual, Automatic, Stat
: 1 - 99 minutes
: 1 - 4 minutes
: Adult
60 - 250 mmHg
: Neonatal
40 - 130 mmHg
: Adult
40 - 220 mmHg
: Neonatal
20 - 90 mmHg
: Adult
45 - 235 mmHg
: Neonatal
35 - 105 mmHg
: Adult
0 - 330 mmHg
: Neonatal
0 - 160 mmHg
: Adult
: Neonatal
: Adult
: Neonatal
Pressure Display Accuracy
Pressure Resolution
BP Pulse Rate Accuracy
Cuffs
300 mmHg
200 mmHg
30 seconds typical
100 seconds maximum
30 seconds typical
80 seconds maximum
: ± 3 mmHg
: 1mmHg
: ± 3 BPM
40 - 200 BPM
: ± 5 BPM to 255 BPM
: #1, #2, #3, #4, #5, Medium, Large, Extra Large.
: Air Hose with Lure Lock Fitting
F. TEMPERATURE
Range
Probe
Scale
Accuracy
Resolution
: 50 - 130 0F (10 – 50 0C)
: YSI  - 400 Compatible, Skin or Rectal / esophageal and
disposable
: Degrees C (Fahrenheit optional)
: ± 0.1 °F from 77 to 103 °F (: ± 0.1 0C from 25 – 45 0C)
: 0.1 °F ( 0.1 0C )
59
G. CO2
Transducer Type
Principle of Operation
Initialization Time
CO2 Measurement Range
CO2 Rise Time
CO2 Resolution
CO2 Accuracy
CO2 Short Term Drift
CO2 Long Term Drift
CO2 Noise RMS
Sampling Rate
Respiration Rate Range
Respiration Rate Accuracy
Calibration
Compensations for
Weight
Size
3 meter cable standard
Temperature and Humidity Operating
Mode of Sampling
Principle of Operation
Initialization Time
CO2 Measurement Range
CO2 Response Time
CO2 Resolution
CO2 Accuracy
CO2 Short Term Drift
CO2 Long Term Drift
CO2 Noise RMS
: Mainstream
: Non-dispersive infrared (NDIR) single beam
optics, dual wavelength, no moving parts.
: Capnogram displayed in less than 15 seconds,
: 0 to 150 mmHg
: Less than 60 ms - reusable or single patient use
: 0.1 mmHg 0 to 69 mmHg
: 0.25 mmHg 70 to 150 mmHg
: 0 - 40 mmHg ± 2 mmHg
:41 - 70 mmHg ± 5% of reading
: 101 - 150 mmHg ± 10% of reading
: shall not exceed 0.8 mmHg maximum.
: Accuracy specification will be maintained over
a 120 hour period.
: noise of the sensor shall be less than or equal
to 0.25 mmHg at 7.5% CO2
:100 Hz
: 0 to 150 breaths per minute (BPM)
: ± 1 breath
: No routine user calibration required. An
airway adapter zero is required when
changing to a different style of airway
adapter.
: Expired O2, balance gas (N2, N2O, He) and
anesthetic agents
: 25 grams – Sensor only
: 33 mm high x 43 mm wide x 23 mm deep
: 0 to 45°C, 10 to 90% RH, non-condensing
: Sidestream
: Non-dispersive infrared (NDIR) single beam
optics, dual wavelength, no moving parts.
: less than 20 seconds
: 0 to 150 mmHg
: <3 seconds - includes transport time and rise
time
: 0.1 mmHg 0 to 69 mmHg
: 0.25 mmHg 70 to 150 mmHg
: 0 - 40 mmHg ± 2 mmHg
: 41 - 70 mmHg ± 5% of reading
: Above 80 breath per minute ± 12% of
reading
: shall not exceed 0.8 mmHg maximum.
: Accuracy specification will be maintained
over a 120 hour period.
: less than or equal to 0.25 mmHg
60
Sampling Rate
Respiration Rate Range
Respiration Rate Accuracy
Calibration
Inspired CO2 Measurement Range
Compensations for
Module weight
Module Size
Cable length
Temperature and Humidity Operating
:100 Hz
: 2 to 150 breaths per minute (BPM)
: ± 1 breath
: No routine user calibration required.
: 3 to 50 mmHg
:Expired O2, Balance gas (N2, N2O, He)
and Anesthetic Agents
: less than 9.6 oz (272.16 g)
: < 2.6" wide x 1.5" high x 3.5" deep
[< 66.0 x 38.1 x 88.9 mm]
:22 inches (55.88 cm)
: 0 to 40°C, 10 to 90% RH, non-condensing
H. INVASIVE PRESSURE
Frequency Response
Input Impedance
Transducer sensitivity
Excitation voltage
Zero
Drift
Accuracy
Isolation
: DC to 12 Hz
: 500 KΩ
: 5µV / V / mm Hg
: + 5 VDC
: Auto push-button ± 150 mmHg
: 0.1mmHg/°C
: ± 2% F.S.
: Isolated from ground related circuits by ≥ 4KV RMS, 5.5KV
peak
I. FIO2
Range
Accuracy
Response Time
Sensor Expected Life
: 0-100% oxygen
: +2% of full scale (at constant temperature
and pressure)
: 90% in less than 8 seconds at 25 °C
: 36 months in air. (10 months when continuously exposed
to 100% oxygen)
J. DISPLAY
Type
Effective Display Area
: 8.4” TFT – Active Matrix Color Flat Panel Display
: 170.4(H) x 127.8(V) mm.
K. ENVIRONMENT SPECIFICATIONS
Temperature
Relative Humidity
Atmospheric Pressure
: Operating 5°C to 45°C
: Transport and Storage 5°C to 55°C
: Operating 30 - 75% (Non-Condensing)
: Transport and Storage 30 - 75% (Non-Condensing)
: Operating 700 – 1060hpa
: Transport and Storage 700 – 1060hpa
L. TRENDS
GRAPHICAL TRENDS: Present all physiologic variables trend waveforms for a passed period
of time selected by the operator: 15 min, 1, 4, 12, 24, 48 and 72
hours.
TABULAR TRENDS:
Present all physiologic variables trend in tabular data format since the
patient was admitted until the present time.
61
M. AUXILIARY OUTPUT
Pin 1 - Bio-Impedance Respiration analog waveform.
Pin 2 - ECGx1000 analog waveform.
Pin 3 - ECG Trigger Pulses: +12V positive pulses to defibrillator synchronism.
Pin 4 - Bio-Impedance Respiration trigger Pulses.
Pin 5 - Invasive Pressure 1 analog waveform.
Pin 6 - Invasive Pressure 2 analog waveform.
Pin 7 - NA
Pin 8 – NA
8 7 6 5 4 3 2 1
Pin 9, Pin10, Pin11, Pin12 - GND
Pin13 - RS232 – RXD optional depends on the model.
15 14 13 12 1 1 1 0 9
Pin14 - RS232 – TXD optional depends on the model.
Pin15 - RS232 – GND optional depends on the model.
DB15
SECTION 12 – MAINTENANCE
A. THE MONITOR
When necessary, clean the exterior surfaces of the monitor with a cloth or swab dampened with
warm and a mild detergent solution. Do not allow fluids to enter the interior of the instrument.
WARNING: Electrical shock and flammability hazard - always turn the monitor off and
disconnect it from AC mains power before cleaning.
CAUTION: Do not autoclave or pressure sterilize this monitor. Do not stack or immerse this
monitor in any liquid. Do not gas sterilize this monitor.
Do not touch, or rub the display panel with abrasive cleaning compounds, instruments,
brushes, rough surfaced materials or make contact with anything that can scratch the panel.
B. PROBES
• The probes are the only surfaces of this monitor that come in contact with the patient. Clean
the probes after each patient use.
• Clean the monitor’s probes with a commercial cleaning solution before attaching a new
patient. Probes should be cleaned until signs of wear or splitting occur. At this time a new
probe is required.
• If disinfection is required, wipe the surfaces with Isopropyl alcohol or cider and use a water
rinse. When sterilization is required, use ethylene oxide and be sure to follow hospital
procedures.
• Inspect the probe for wear or splitting after every disinfecting/sterilization process is complete.
• If wearing or splitting of the probe is found upon visual inspection, a new probe should be
used
1 - MAINFLOW™ CO2 MAINSTREAM SENSOR
• Use a cloth dampened with isopropyl alcohol 70%, a 10% aqueous solution of sodium
hypochlorite (bleach), disinfectant spray cleaner such as Steris Coverage® Spray HB,
ammonia, or mild soap.
• Wipe down with a clean water-dampened cloth to rinse and dry before use. Make certain that
the sensor windows are clean and dry before reuse.
62
2 - MAINFLOW™ CO2 MAINSTREAM AIRWAY ADAPTERS CLEANING
REUSABLE ADAPTERS
• Clean by rinsing in a warm soapy solution followed by soaking in a liquid disinfectant such as
isopropyl alcohol 70%, a 10% aqueous solution of sodium hypochlorite (bleach), a
gluteraldehyde 2.4% solution such as Cidex®, Steris System 1® or ammonia. It should then be
rinsed out with sterile water and dried.
• May be disinfected using the methods listed below:
• Immerse and soak in Cidex® or equivalent 2.4 glutaraldehyde solution for a 10 hour soak.
• Immerse and soak in Perasafe® or equivalent peracetic acid .26% solution for 10 minutes.
• Cidex® OPA - follow the manufacturer’s instructions for use.
• Before reusing the adapter, ensure the windows are dry and residue free and that the adapter
has not been damaged during handling or the cleaning/disinfecting process.
DISPOSABLE ADAPTERS
• Treat all single patient use airway adapters in accordance with institutional protocol for single
patient use items.
• DO NOT insert any object, such as a brush, into the MainFlow™ CO2 mainstream Sensor
airway adapter. Irreparable damage may occur to the CO2 windows.
3 - MICROFLOW™ CO2 SIDESTREAM MODULE CASE, CABLE AND CONNECTOR
• Use a cloth dampened with isopropyl alcohol 70%, a 10% aqueous solution of sodium
hypochlorite (bleach), a 2% gluteraldehyde solution, ammonia, mild soap or disinfectant spray
cleaner such as Steris Coverage® Spray HB.
• Wipe down with a clean water-dampened cloth to rinse and dry before use. Make certain that
the sensor windows are clean and dry before reuse.
4 - SIDESTREAM AIRWAY ADAPTERS AND SAMPLE LINE
• MicroFlow™ CO2 sidestream on-airway adapters and sidestream sample lines are single
patient use. Treat in accordance with hospital protocols for handling single patient use devices.
5 – OXYGEN SENSOR, DIVERTER AND TEE ADAPTER
• The external surfaces of the oxygen sensor and cable may be cleaned by wiping with a cloth
moistened with a mild detergent solution.
• The diverter and tee adapter may be disinfected by washing them with isopropyl alcohol or
Cidex. The parts must be thoroughly dry before they are used.
C. PATIENT CABLES
• Do not autoclave the patient cables.
• Wipe the cables using soap and water or alcohol. Never submerge the cables in any liquid or
allow liquids to enter the electrical connections.
D. BATTERY
• The LifeWindow Lite LW8 series monitor has one battery 12V / 2.9AH SEALED
ACID. To ensure long life and proper operation follow the instructions:
• Use the LW8 LITE powered by its internal batteries at least once time a month until
the “LO BATTERY” message appears on display.
• If the LW8 LITE is stored for long period without use, connect the LW8 LITE to
the AC line to recharge the batteries for at least 18 hours once for each month period.
• In case you need to replace the battery refer to the service manual.
63
WARRANTY TERMS & CONDITIONS
DIGICARE BIOMEDICAL TECHNOLOGY, INC. covers all of their monitors with a 1 year
warranty:
Monitors
1 year parts and labor
Accessories:
90 days on accessories only
DIGICARE BIOMEDICAL TECHNOLOGY, INC. will provide the necessary parts and labor to
maintain the monitor (s) listed on the Warranty Certificate in a usable condition during the
covered period.
DIGICARE BIOMEDICAL TECHNOLOGY, INC. will, at its option, repair or replace any product
which proves to be defective during the warranty period, if returned to the factory with prior
authorization, transportation prepaid.
Not covered by this agreement are repairs necessitated by any of the following conditions:
1 - Inadequate power or power failure.
2 - Neglect, abuse or misuse of equipment.
3 - Servicing of equipment by person’s other than DIGICARE INC.
4 - Any unit opened or tampered with, without prior authorization.
When returning a monitor for extended warranty repair, you must first contact DIGICARE
BIOMEDICAL TECHNOLOGY, INC. to receive a Returned Goods Authorization Number (RGA
#) that is to be clearly marked on top of the shipping carton. Please make sure that your
company name, shipping address, area code and telephone number and person to contact is
located in and/or on the box. ANY UNIT THAT IS RETURNED TO THE FACTORY WITHOUT
AN RGA# WILL BE REFUSED.
FOR YOUR RECORDS
Model # __________________________
Serial # _____________________
Dealer Name: ________________________________________________
Date Equip. Purch.: ________________________
Expiration Date: ___________________
DIGICARE BIOMEDICAL TECHNOLOGY INC.
107 Commerce Road
Boynton Beach, FL 33426
64

LifeWindow Lite LW8 - Digicare Biomedical

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