Innokas Medical VC150 Operator's Manual

Innokas Medical VC150 Operator's Manual

Vital signs monitor
Table of Contents

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VC150 Vital Signs Monitor
Operator's Manual
LOW RESOLUTION PDF
NOT FOR CUSTOMER PRINT!
VC150 Vital Signs Monitor
English
KO00065K
© 2014 Innokas Medical
All rights reserved.

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Table of Contents
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Summary of Contents for Innokas Medical VC150

  • Page 1 LOW RESOLUTION PDF NOT FOR CUSTOMER PRINT! VC150 Vital Signs Monitor Operator’s Manual VC150 Vital Signs Monitor English KO00065K © 2014 Innokas Medical All rights reserved.
  • Page 2 NOTE The information in this manual applies to VC150 Vital Signs Monitor. Due to continuing product innovation, specifications in this manual are subject to change without notice. Listed below are GE Medical Systems Information Technologies, Inc. trademarks. All other trademarks contained herein are the property of their respective owners.
  • Page 3: Table Of Contents

    VC150 vital signs monitor ........
  • Page 4 Help ............3-27 KO00065K VC150 Vital Signs Monitor...
  • Page 5 Red light in barcode reader ........5-22 KO00065K VC150 Vital Signs Monitor...
  • Page 6 GE TruSignal SpO default settings ....... 7-14 KO00065K VC150 Vital Signs Monitor...
  • Page 7 Masimo low perfusion ..........8-44 KO00065K VC150 Vital Signs Monitor...
  • Page 8 Pulse rate sound and settings ........10-3 KO00065K VC150 Vital Signs Monitor...
  • Page 9 Disposal of batteries ......... . . 13-5 KO00065K VC150 Vital Signs Monitor...
  • Page 10 Monitor ............B-11 KO00065K VC150 Vital Signs Monitor viii...
  • Page 11 Sensors ............D-15 Performance Specifications for DBI™ Series ..... . . D-16 KO00065K VC150 Vital Signs Monitor...
  • Page 12 This page is intentionally left blank. KO00065K VC150 Vital Signs Monitor...
  • Page 13: Introduction

    Introduction KO00065K VC150 Vital Signs Monitor...
  • Page 14: About This Device

    Temperature: Welch Allyn SureTemp Plus or Exergen ® The model of the VC150 vital signs monitor determines which parameters are available in your monitor. Please refer to applicable sections. Using the VC150 vital signs monitor, a caregiver can measure, display and record patient vital sign data that is derived from each parameter.
  • Page 15: Intended Use

    Introduction: Intended use Intended use The VC150 is intended to monitor a single patient's vital signs at the site of care or during intra-hospital transport. The noninvasive oscillometric blood pressure parameter is intended for measurement of systolic, diastolic, and mean arterial blood pressure, as well as pulse rate, for adult, pediatric, and neonatal patients.
  • Page 16: Contraindications

    Introduction: Contraindications "Portable" refers to the ability of the VC150 to be easily moved by the caregiver, such as on a roll stand. The VC150 is not intended to be used for continuous monitoring during patient transport. CAUTION This device is not intended for home use. Federal law (U.S.A.) restricts this device to sale by or on the order of a physician.
  • Page 17: Safety Precautions

    WARNINGS To ensure patient safety, use only parts and accessories manufactured specified in the VC150 supplies and accessories manual. Parts and accessories used shall meet the requirements of IEC 60601-1. Disposable devices are intended for single use only. They should not be reused.
  • Page 18 Place the monitor on a rigid, secure surface or use only mounting hardware that has been specified for this monitor. Refer to the VC150 supplies and accessories document. Only use the monitor in areas where adequate ventilation exists.
  • Page 19 Use only approved accessories. For a list of approved accessories, refer to the VC150 supplies and accessories document. Substitution of a component different from that supplied might result in measurement error. Other cables and accessories may cause a safety hazard or damage the equipment or system.
  • Page 20 As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. Do not place VC150 monitor cables or accessories in any position that might cause them to fall on the patient. Do not lift the monitor or accessories by the patient cables.
  • Page 21 5 minutes. Connect the power cable to continue using the monitor. VC150 is not intended for use as an apnea monitor. NOTES The monitor must be protected by a network firewall and must not be exposed to the Internet.
  • Page 22: Product Compliance

    The alarm system is developed in accordance with IEC 60601-1-8. • The VC150 monitor is a Group 1 Class B device: Group 1 contains all ISM (Industrial, scientific and medical) equipment in which there is radio- frequency energy that is intentionally generated and/or conductively coupled and is necessary for the internal functioning of the equipment itself.
  • Page 23 Introduction: Product compliance • Biocompatibility. The monitor fulfills biocompatibility requirements only when accessories listed in VC150 supplies and accessories document are used. • This product conforms with the essential requirements of the Medical Device Directive 93/42/EEC. Accessories without the CE mark are not guaranteed to meet the Essential Requirements of the Medical Device Directive.
  • Page 24: Exergen Temporal Scanner

    Refer to the service manual for information. Exergen temporal scanner The Exergen temporal scanner has these additional classifications: • Type BF applied part • Internally powered (battery operated) • IPX0, degree of protection against ingress of water 1-12 VC150 Vital Signs Monitor KO00065K...
  • Page 25: Monitor Symbols

    2013-11 Classified with respect to electric shock, fire, and mechanical and other specified hazards only in accordance with CAN/CSA C22.2 No. 601.1 and UL 2601-1 (UL 60601-1). Also evaluated to IEC 60601-2-30. KO00065K VC150 Vital Signs Monitor 1-13...
  • Page 26 Catalog or orderable part number. Device serial number. Consult instructions for use. The unit has a WLAN device inside. USB port. Atmospheric pressure limitations. Fragile. Handle with care. Humidity limitations. 1-14 VC150 Vital Signs Monitor KO00065K...
  • Page 27 Manufacturer: This symbol is accompanied by the name and the address of the manufacturer. Manufacturing date: This symbol is accompanied by the date of manufacture. 2013-11 IPX0 Ordinary Equipment. Measurement On button. KO00065K VC150 Vital Signs Monitor 1-15...
  • Page 28: About This Manual

    Medical or a service provider trained and authorized by Innokas Medical. • In this manual, the VC150 vital signs monitor is referred to as the monitor. • Names of physical or hardware keys on the equipment are written in bold typeface: Reset switch.
  • Page 29: Service Requirements

    Service requirements If your product requires warranty, extended warranty or non-warranty repair service, contact Innokas Medical Technical Support or your local Innokas Medical representative. To facilitate prompt service in cases where the product has external chassis or case damage, please advise the representative when you call.
  • Page 30 Introduction: About this manual This page is intentionally left blank. 1-18 VC150 Vital Signs Monitor KO00065K...
  • Page 31: Product Overview

    Product overview KO00065K VC150 Vital Signs Monitor...
  • Page 32: Front View

    Product overview: Front view Front view The VC150 monitor display is a touch screen where screen items are selected by pressing the touch panel with a fingertip. CAUTION Do not scratch the screen or press the screen with a sharp object. Do not use excessive force on the screen.
  • Page 33: Right Side

    If the monitor does not have the Welch Allyn frame installed, then there are two alternatives. Exergen technology has been ordered and the monitor is configured for use of Exergen. No temperature measurement has been ordered for the monitor. KO00065K VC150 Vital Signs Monitor...
  • Page 34: User Interface And Connections

    Product overview: User interface and connections User interface and connections The VC150 screen design is divided into different sections that are covered more in detail in the tables below. PARAMETERS NOTIFICATIONS TIME/DATE MAIN MENU VC150 Vital Signs Monitor KO00065K...
  • Page 35 Show both last and first name, or either one if available. • Show only last name. • Show only first name. • Show only identification. • Show last name and initial for the first name. Time and Date Time and Date KO00065K VC150 Vital Signs Monitor...
  • Page 36 4. Selected cycle/interval. 5. Cycle icon to select and start automated STAT, Cycle or Profile measurements after the selection. 6. Time to next automated measurement. 7. Diastolic blood pressure, time of last measurement and patient type. VC150 Vital Signs Monitor KO00065K...
  • Page 37 4. Time since last measurement and measurement site. 1. Respiration Rate (optional). 2. The actual measured value. Signal quality indicated by asterisks Source: Perfusion Index (TruSignal and Nellcor) and SIQ (Masimo) KO00065K VC150 Vital Signs Monitor...
  • Page 38 Masimo bar at the bottom of the screen. Masimo data bar (optional) Icon/Text Information displayed Total hemoglobin concentration (optional). Fractional methemoglobin concentration (optional). Fractional carboxyhemoglobin concentration (optional). Total arterial oxygen content (optional). VC150 Vital Signs Monitor KO00065K...
  • Page 39: Operating Modes

    • Service Mode (password-protected area) for additional configuration, calibration and maintenance of the monitor. CAUTION Service Mode is intended for use by qualified and trained service personnel only. KO00065K VC150 Vital Signs Monitor...
  • Page 40: Clinical Mode

    When a menu icon is selected, the related menu screen will be displayed, the menu item will be highlighted and other menu items dimmed. That indicates you are in that section. 2-10 VC150 Vital Signs Monitor KO00065K...
  • Page 41: Alarm Setup

    Alarm Setup screen is displayed as gray and cannot be adjusted. Also, you can select spot-check or monitoring mode here. Refer to “Alarm limit setup” on page 3-14 for instructions. Depending on the purchased licenses for options, the screen items will vary. KO00065K VC150 Vital Signs Monitor 2-11...
  • Page 42 “GE TruSignal SpO2” on page 7-1, “Masimo SpO2” on page 8-1 and “Nellcor SpO2” on page 9-1for more information. Temperature is used to configure temperature measurement. Refer to “Temperature setup” on page 3-25 for more information. 2-12 VC150 Vital Signs Monitor KO00065K...
  • Page 43 • Entering patient information and searching for patients • Logging the caregiver on and off • Viewing, editing and sending snapshots NOTE Refer to “Patient and caregiver data” on page 5-1 for more information. KO00065K VC150 Vital Signs Monitor 2-13...
  • Page 44: Printout

    Snapshot icon. Printed contents vary depending on which SpO or temperature technology is used to provide the data. • Right side: Units of measurement. 2-14 VC150 Vital Signs Monitor KO00065K...
  • Page 45: Remote Management

    4-1 for details and alarm messages. Sounds The monitor generates sounds to indicate parameter events, and physiological or technical alarms. Battery charger sounds Whenever the external DC charger is connected and disconnected, the monitor sounds a short tone. KO00065K VC150 Vital Signs Monitor 2-15...
  • Page 46: Essential Performance

    Product overview: Essential performance Essential performance The VC150 vital signs monitor measures physiological parameters within specified accuracy limits, raises alarms based on user-defined conditions, or generates either a technical alarm or an indication of abnormal operation. The measurement ranges and accuracies depend on the measurement technology and are summarized in the table below.
  • Page 47 Respiration rate accuracy 4 - 70 ± 1 breath per minute SpCO accuracy 1 - 40 ± 3% SpMet accuracy 1 - 15 ± 1% SpHb accuracy 8 - 17 ± 1 g/dl (arterial or venous) KO00065K VC150 Vital Signs Monitor 2-17...
  • Page 48 30 to 240 beats/min (adult/ped) 30 to 240 beats/min (neonate) Measurement accuracy (SuperSTAT algorithm) Blood pressure accuracy mean error ≤ 5 mmHg, standard deviation ≤ 8 mmHg Pulse rate accuracy ± 3.5% or 3 bpm, whichever is higher 2-18 VC150 Vital Signs Monitor KO00065K...
  • Page 49: Product Specifications

    Weight (including battery) 2.8 kg (6.2 lb) Mountings Tabletop (self-supporting on rubber feet), mounted on a roll stand or a wall mount bracket Portability Carried by handle Power requirements Universal power converter PN: MO000145 KO00065K VC150 Vital Signs Monitor 2-19...
  • Page 50 700 hPa to 1060 hPa Storage/transport Storage temperature – 20° C to + 50° C (– 4° F to + 122° F) Atmospheric pressure 500 hPa to 1060 hPa Humidity range 5% to 95% non-condensing 2-20 VC150 Vital Signs Monitor KO00065K...
  • Page 51: Printer Specifications

    WEP: Open System, Shared Key WPA-PSK: WPA-TKIP, WPA2-AES WPA-EAP: TLS, TTLS, PEAP, FAST WPA Custom: free configuration within limits of linux/wpasupplicat support Number of SSID profiles Up to 4 SSID profiles that service can define and configure. KO00065K VC150 Vital Signs Monitor 2-21...
  • Page 52 Radio frequency (i.e., the frequency associated with the channel number) Transmit power in terms of dBm Signal level (RSSI) in terms of dBm Radio diagnostic information displayed Packets received (counters can be reset) Packets transmitted Bytes received Bytes transmitted Receiving errors Transmission errors 2-22 VC150 Vital Signs Monitor KO00065K...
  • Page 53: Open Source Software Notice

    The processing will be done for the purpose of the request and the undertakings related to it. The main reason for storing this data is to prove compliance with the license terms. The data processing will be done in compliance with Innokas guidelines and applicable legislation. KO00065K VC150 Vital Signs Monitor 2-23...
  • Page 54 Product overview: Open source software notice This page is intentionally left blank. 2-24 VC150 Vital Signs Monitor KO00065K...
  • Page 55: Getting Started

    Getting started KO00065K VC150 Vital Signs Monitor...
  • Page 56: Introduction

    Unpack the accessory items carefully. This is also a good time to check for any damage or accessory shortage. If there is a problem or shortage, contact Innokas Medical. It is recommended that all the packaging be retained in case the monitor must be returned for service in the future.
  • Page 57 Use only GE BP cuffs. The size, shape, and bladder characteristics can affect the performance of the instrument. The accuracy of the DINAMAP blood pressure algorithm has only been confirmed when used with GE cuffs. Refer to the VC150 supplies and accessories document for order part numbers. •...
  • Page 58: Setting Up Spo Connections

    Setting up temperature connection Welch Allyn (optional) If the monitor is equipped with Welch Allyn temperature, follow instructions below. The probe connector is located under the cover. Remove the cover. VC150 Vital Signs Monitor KO00065K...
  • Page 59 Welch Allyn device to recognize the used probe, always ensure that the probe and the probe well colors match. Refer to “Welch Allyn temperature” on page 11-1 of this manual for complete instructions on taking a temperature reading. KO00065K VC150 Vital Signs Monitor...
  • Page 60: Connecting Usb Accessories

    5 cm (two inches). Firmly press the door to close it. VC150 Vital Signs Monitor KO00065K...
  • Page 61: Paper Storage

    Use only replacement paper rolls (pn 32018145 for box of 10) ordered from your Innokas Medical representative. Electrical connection Connect the supplied power cord to the mains power. Use only the original cord or a cord listed in the VC150 supplies and accessories document for the country of use. Power sources Refer to “Monitor battery specifications”...
  • Page 62: Monitor On/Off

    If you notice that selections do not accurately track the position of your finger, it is possible to recalibrate the touch screen on this device during power-up. Refer to “Touch screen recalibration” on page 3-9. VC150 Vital Signs Monitor KO00065K...
  • Page 63: Touch Screen Recalibration

    Select the home icon to exit the NIBP screen. If you are not able to perform the commands because the calibration is still off, try again to recalibrate. If even the new calibration does not solve the issue, contact service. KO00065K VC150 Vital Signs Monitor...
  • Page 64: Standby

    If the monitor is disconnected and remains in standby mode for over 15 minutes, the monitor will shut down. Resuming operation Push the On/Off button again or touch the screen to resume the active clinical mode. 3-10 VC150 Vital Signs Monitor KO00065K...
  • Page 65: Turning The Monitor Off

    Switch the monitor off and on to verify tones during power-up. Check that alarm light sequence on top of the monitor during power-up equals BLUE- YELLOW-RED, then clinical mode screen should appear. If it does not, contact service. KO00065K VC150 Vital Signs Monitor 3-11...
  • Page 66: Configuration Mode Settings

    The numeric keypad can be used to enter numeric values, for example, in an alarm limit box. A numeric entry is accepted with Confirm. An numeric entry is canceled with Cancel. Backspace icon. Dash icon. Decimal comma icon. 3-12 VC150 Vital Signs Monitor KO00065K...
  • Page 67: Icons On The Monitor

    Icons on the monitor Using the home icon Whenever the home icon is selected, the system will save changes and return to clinical mode. List of VC150 icons Alarm silenced Auto mode options Auto mode options not available NIBP not available...
  • Page 68: Alarm Limit Setup

    These include selecting Alarm Setup or touching in the limit boxes within the parameter. NOTE If priority for individual parameter items has been set as OFF in configuration mode, the limit box will be dimmed in Alarm Setup and cannot be changed. 3-14 VC150 Vital Signs Monitor KO00065K...
  • Page 69: Changing Limits For A Single Parameter Box

    Select Confirm key to confirm the change or select Cancel to cancel the change. Adjust other limits if necessary. When you are finished with the alarm setup, select the home icon to save the settings and return to clinical mode. KO00065K VC150 Vital Signs Monitor 3-15...
  • Page 70: Changing Multiple Alarm Limits

    Select Confirm to confirm the change or select Cancel to cancel the change. Adjust other limits if necessary. When you are finished with the alarm setup, select the home icon to save the settings and return to clinical mode. 3-16 VC150 Vital Signs Monitor KO00065K...
  • Page 71: Nellcor Feature Setup

    Refer to “Masimo rainbow® SET® SpO2 configuration” on page 8-25 for more information on Masimo features. Enter Alarm Setup. Make necessary selections. Select the home icon to save the settings and exit the Alarm Setup. KO00065K VC150 Vital Signs Monitor 3-17...
  • Page 72: Monitor Setup

    If you select a touch screen item (except for PR), a shortcut will take you to menu screens where you can select options or modify settings. When you are finished with the configuration, select the home icon to return to clinical mode. 3-18 VC150 Vital Signs Monitor KO00065K...
  • Page 73: Menu Selection For Setup Screens

    Monitor Setup > Advanced > Default Setup > General to be something other than 0. KO00065K VC150 Vital Signs Monitor 3-19...
  • Page 74 Day Display Controls the level of backlight on the monitor during Brightness the daytime. Night Display Controls the level of back light on the monitor during Brightness the nighttime. 3-20 VC150 Vital Signs Monitor KO00065K...
  • Page 75: Nibp Setup

    NIBP measurement system. Please refer to the instructions for use of the cuff for further information. Patient position An optional selection of patient position during measurement. KO00065K VC150 Vital Signs Monitor 3-21...
  • Page 76 135 mmHg/18.00 kPa • Neonates, SuperSTAT algorithm: 100 mmHg/13.33 Setting range for systolic target cuff pressure: • Adults/children: 100 to 250 mmHg (13.3 to 33.3 kPa) • Neonates: 70 to 140 mmHg (9.3 to 18.7 kPa) 3-22 VC150 Vital Signs Monitor KO00065K...
  • Page 77: Spo 2 Setup

    “Nellcor SpO2” on page 9-1 for technology-specific options. More Nellcor, GE TruSignal and Masimo settings as well as alarm limits can be set in configuration mode. For all other setup issues, contact service. Masimo KO00065K VC150 Vital Signs Monitor 3-23...
  • Page 78 Refer to “Masimo rainbow® SET® SpO2 configuration” on page 8-25 for more information on optional Masimo features available if licenses for FastSat these were purchased with the unit or afterwards. Averaging Time RRa Averaging Time 3-24 VC150 Vital Signs Monitor KO00065K...
  • Page 79: Temperature Setup

    Password-protected Service Mode is intended only for service personnel. Start Remote Service is activated by the nurse manager or the service and thereafter intended only for the service personnel. KO00065K VC150 Vital Signs Monitor 3-25...
  • Page 80: Patient

    There is no need to select Snapshot for these values. If you want to store all active measurement values when the NIBP measurement is complete, ask the nurse manager or service to select Snapshot upon NIBP completion in configuration mode. 3-26 VC150 Vital Signs Monitor KO00065K...
  • Page 81: Help

    Selected sections of this operator’s manual can be accessed in the Help menu. Select Help to access an index page where you can scroll through the content. You can use the Back and Forward keys to move between pages. Select Close to exit help. KO00065K VC150 Vital Signs Monitor 3-27...
  • Page 82 Getting started: Help This page is intentionally left blank. 3-28 VC150 Vital Signs Monitor KO00065K...
  • Page 83: Alarms

    Alarms KO00065K VC150 Vital Signs Monitor...
  • Page 84: Description

    When an electrical or mechanical failure of the equipment, loss of measurement data, or a sensor or component failure happens, a technical alarm is invoked in the notification area. Technical alarms may also be displayed when an algorithm cannot classify or interpret the available data. VC150 Vital Signs Monitor KO00065K...
  • Page 85: Battery Alarms

    In some cases, the message is also shown as low priority text in the applicable parameter area. NOTE Selecting the silence icon does not acknowledge the alarm. It just silences the audible signal. KO00065K VC150 Vital Signs Monitor...
  • Page 86 If the high priority alarm is cleared, but the lower priority alarm condition still remains, the monitor goes back to sounding the lower priority alarm. NOTE Alarm priorities can be adjusted in configuration mode. VC150 Vital Signs Monitor KO00065K...
  • Page 87 2 minutes. A countdown timer underneath the indicator displays the remaining time for the silence. • Off: Alarm silence is not active. NOTE In spot-check mode, this icon is replaced by the alarm off symbol. KO00065K VC150 Vital Signs Monitor...
  • Page 88 10 seconds. System notifications None Flashing parameter numbers With a high-priority clinical alarm, the parameter field lights up and the message in the notification area blinks to attract attention. VC150 Vital Signs Monitor KO00065K...
  • Page 89: Alarms And Priorities

    For a list of acknowledgeable alarms, refer to “Alarms and priorities” on page 4- Alarms and priorities The following tables list physiological and technical alarm conditions for the VC150 monitor. Messages are either alarms or informative ones. KO00065K VC150 Vital Signs Monitor...
  • Page 90: Physiological Alarm Conditions

    30 to 230 50 beats per minute Perfusion Index High GE TruSignal: 0.3 to 31.8% Masimo and Nellcor: 0.3 to 19.0% Perfusion Index Low GE TruSignal: 0.2 to 31.7% Masimo and Nellcor: 0.2 to 18.0% VC150 Vital Signs Monitor KO00065K...
  • Page 91 3D Perfusion Index Delta MAP alarm can be enabled in Default Setup > Alarm Defaults Licensed feature, availability depends on the OEM measurement module hardware. To change alarm default settings, refer to “Alarm defaults” on page 14-4. KO00065K VC150 Vital Signs Monitor...
  • Page 92: Technical Alarm Conditions

    • An attempt was made to send an EMR record required without a valid caregiver ID. • Provide a valid caregiver ID. Failed to update • System time not received from the NTP server. time Potential network error. • Contact service. 4-10 VC150 Vital Signs Monitor KO00065K...
  • Page 93 • The user is informed that a patient will be discharged is changed if the system time is changed. PM in N days • Preventive maintenance date will pass after N days (where N = the number of days). • Contact service. KO00065K VC150 Vital Signs Monitor 4-11...
  • Page 94 USB not available • Restart the monitor. If the problem persists, contact service. USB <port • Connected USB device does not operate as it is number> drawing excess amount of power. Contact service. overcurrent 4-12 VC150 Vital Signs Monitor KO00065K...
  • Page 95 Temperature too low < 16° C (61° F) HI A High ambient > 40° C (104° F) temperature LO A Low ambient < 16° C (61° F) temperature bAtt Low battery Replace battery soon. KO00065K VC150 Vital Signs Monitor 4-13...
  • Page 96 • Replace sensor. RRa Not Available • SpO module malfunction • Contact service. RRa Replace Cable • Cable life has expired • Replace cable. • Unrecognized cable • Defective cable • Sensor cable fault 4-14 VC150 Vital Signs Monitor KO00065K...
  • Page 97 • Adjust ambient lighting. • Electrical/optical • Clean sensor site. interference • Cool down the site. • Excessive ambient temperature No Cable • No cable connected • Connect cable. • Disconnect and Connected reconnect cables. KO00065K VC150 Vital Signs Monitor 4-15...
  • Page 98 • Replace sensor. life has expired Sensor • Defective adhesive or reusable sensor • Unrecognized sensor Sensor Off • Sensor is off patient • Apply sensor at the appropriate location Patient or adjust the sensor. 4-16 VC150 Vital Signs Monitor KO00065K...
  • Page 99 • Clean sensor site. interference No Sensor • Sensor disconnected • Check all connections. If the Connected problem persists, replace the cable and/or the sensor. Not Available • SpO module malfunction • Contact service. KO00065K VC150 Vital Signs Monitor 4-17...
  • Page 100 AND detected a immediately. Timeout (Nellcor) pulse in the past AND • Reposition or replace now is unable to the sensor. determine the pulse rate value or oxygen saturation. This condition will trigger a high-priority alarm. 4-18 VC150 Vital Signs Monitor KO00065K...
  • Page 101 Check for between determinations hose blockage. • Check hose and cuff tubing for kinks or tangles. • Restart NIBP unless a specific reason not to restart exists. • If the problem persists, contact service. KO00065K VC150 Vital Signs Monitor 4-19...
  • Page 102 Determination cannot be • Restart NIBP unless a made due to residual specific reason not to pressure in the cuff. restart exists. • If the problem persists, contact service. 4-20 VC150 Vital Signs Monitor KO00065K...
  • Page 103 • Reposition the sensor. to provide a valid SpO Replace the sensor if the problem persists. value. Sensor Off • Sensor status is off. • Reposition the sensor. Replace the sensor if Patient the problem persists. KO00065K VC150 Vital Signs Monitor 4-21...
  • Page 104 • Temperature module • Contact service. Available malfunction Temp No • A predictive • Select the snail icon Determination measurement could not to start monitor mode be completed. and to display real- time measurement data. 4-22 VC150 Vital Signs Monitor KO00065K...
  • Page 105 • Contact service. Temp Replace • Probe malfunction. • Re-attach probe well, Sensor If the problem still persists, contact service. Temp Sensor Off • Temperature probe not • Reposition the sensor. Patient on the patient KO00065K VC150 Vital Signs Monitor 4-23...
  • Page 106: Alarm Specifications

    The log file is stored in a permanent memory that survives power loss and removal of the battery. The log is accessible to the service user. All technical alarm conditions are stored in error log, which is accessible to the service user. 4-24 VC150 Vital Signs Monitor KO00065K...
  • Page 107: Patient And Caregiver Data

    Patient and caregiver data KO00065K VC150 Vital Signs Monitor...
  • Page 108: Description

    Monitor Setup. CAUTION If you need to use another unit of measurement for NIBP, first send all important patient data to the hospital EMR and then ask service to change the unit of measurement. VC150 Vital Signs Monitor KO00065K...
  • Page 109: Adding A Caregiver

    Select caregiver button to access Caregiver Info. If you want to scan ID barcode, refer to “Using a barcode reader for caregiver ID” on page 5-5. If another caregiver is logged on, select Log Off Caregiver. KO00065K VC150 Vital Signs Monitor...
  • Page 110 If the identification was not validated and this is required by the hospital policy, re-enter the identification and the password and select Confirm. If a wrong identification was confirmed, select Log off Caregiver to discharge the previous caregiver and start the caregiver identification process again. VC150 Vital Signs Monitor KO00065K...
  • Page 111: Using A Barcode Reader For Caregiver Id

    Caregiver identity can be verified by scanning the ID badge or entering the username and then providing a password. Check that a barcode reader is plugged in. Select Patient. Select the caregiver icon. Select Identification. Select Identification. Read the barcode. KO00065K VC150 Vital Signs Monitor...
  • Page 112: Selecting Or Adding A Patient

    If you want to use a barcode reader to admit a patient, first refer to “Using a barcode reader for patient ID” on page 5-8, then proceed to step 5 on this list. Otherwise continue to step 2. VC150 Vital Signs Monitor KO00065K...
  • Page 113 The Search icon is also disabled if the hospital policy requires caregiver authentication and this has not been done (refer to Providing identification). You can still enter the patient information and admit a new patient. KO00065K VC150 Vital Signs Monitor...
  • Page 114 After scanning, the monitor will launch the Patient info screen and fill in the patient ID into required field. Proceed to step 5 of “Selecting or adding a patient” on page 5-6. VC150 Vital Signs Monitor KO00065K...
  • Page 115: Positive Patient Identification

    If the search returned a wrong name, select Cancel and proceed to “Selecting or adding a patient” on page 5-6. If a wrong patient was confirmed, select Edit patient. Edit patient data and select Confirm. KO00065K VC150 Vital Signs Monitor...
  • Page 116: Snapshots

    Manual (when monitor mode is used, animated snail icon on screen) Exergen Automatic Pulse NIBP Manual Automatic GE TruSignal (if enabled in Snapshot upon NIBP completion) Nellcor Respiration Masimo Respiration SpMet SpCO SpHb SpOC 5-10 VC150 Vital Signs Monitor KO00065K...
  • Page 117: Viewing Snapshots

    Select Patient. Select the patient whose snapshots you want to view. The selected patient will turn orange. Select a snapshot you want to view. Scroll to the snapshot with arrows or with the scroll bar. KO00065K VC150 Vital Signs Monitor 5-11...
  • Page 118: Notes

    Score, Respiration Rate, Consciousness, Input and Output. In addition to these, service can customize five additional fields for notes. Adding notes Select Patient. Select a snapshot to which you want to add a note. 5-12 VC150 Vital Signs Monitor KO00065K...
  • Page 119 Send to send the notes to the hospital EMR via wireless connection. Send is available only if a WLAN connection and EMR are configured. • Close to return to the Patients and Snapshots screen. KO00065K VC150 Vital Signs Monitor 5-13...
  • Page 120 If you sent the snapshot with the notes, then select Close. A pencil image at the intersection of the snapshot column and Notes row indicates there is something in the Notes area. NOTE Service can configure the monitor to delete a snapshot after records have been sent out. 5-14 VC150 Vital Signs Monitor KO00065K...
  • Page 121: Snapshot Output

    WARNING Electromagnetic interference from a desktop or a laptop computer connected to the VC150 may affect the performance of the monitor. Do not use the monitor for vital signs measurements while connected to a PC or laptop via USB-B connection.
  • Page 122 The PDF files can now be copied from the root directory onto the PC or MAC. When you have copied the files, export more files or eject the USB device. Unplug the USB. Confirm the file export to exit the screen. 5-16 VC150 Vital Signs Monitor KO00065K...
  • Page 123 If Delete Sent Records has been enabled by service, the selected snapshot will disappear from the screen after successful transfer to the EMR. Preparing to send Sending Sending failed EMR sent to the HIS KO00065K VC150 Vital Signs Monitor 5-17...
  • Page 124: Assigning Snapshots To A Patient

    Select Patient. Select a patient as instructed in “Selecting or adding a patient” on page 5-6. Then select Confirm to return to the snapshot screen. Select a snapshot. Select To Current Patient. Select Close. 5-18 VC150 Vital Signs Monitor KO00065K...
  • Page 125: Assigning Snapshots To A Caregiver

    Patient and caregiver data: Snapshots Assigning snapshots to a caregiver Select patient as instructed in “Adding a caregiver” on page 5-3. Then select Close to return to snapshot screen. Select one snapshot. Select To Current Caregiver. Select Close. KO00065K VC150 Vital Signs Monitor 5-19...
  • Page 126: Deleting Snapshot And Notes

    If you want to delete a single measurements within a snapshot, select the measurement. Select Confirm to delete the measurement or Cancel to exit the screen. If you want to delete the snapshot with all measurements, select Delete. 5-20 VC150 Vital Signs Monitor KO00065K...
  • Page 127: Deleting Patient History

    EMR. If there is an absolute need to delete local history, contact service. Select the Patient screen. Select a patient in the patient history list. Select Delete. Confirm the deletion with Confirm or cancel the deletion with Cancel. KO00065K VC150 Vital Signs Monitor 5-21...
  • Page 128: Troubleshooting

    Contact hospital IT to reset the password or provide the ID. Barcode reader does not work Unplug and reconnect the barcode scanner. If the problem persists, contact service. Red light in barcode reader There is not sufficient power for barcode reader. Contact service. 5-22 VC150 Vital Signs Monitor KO00065K...
  • Page 129: Nibp

    NIBP KO00065K VC150 Vital Signs Monitor...
  • Page 130: Description

    The RADIAL-CUF has been validated for use only with GE SuperSTAT algorithm for adult obese patients. The RADIAL-CUF has not been validated for use against the GE Auscultatory algorithm. Refer to the RADIAL-CUF instructions for use for sensor requirements. VC150 Vital Signs Monitor KO00065K...
  • Page 131: Differences In Intra-Arterial And Auscultatory References

    It is possible to set the alarm limits for pulse rate outside of the operating range for the NIBP parameter. Under such conditions, an alarm will not occur. KO00065K VC150 Vital Signs Monitor...
  • Page 132 GE blood pressure cuffs are used. A patient’s vital signs may vary dramatically during the use of cardiovascular agents such as those that raise or lower blood pressure or those that increase or decrease heart rate. VC150 Vital Signs Monitor KO00065K...
  • Page 133: Nibp On The Monitor Screen

    The NIBP mode icon above the start icon indicates the chosen NIBP measurement mode. If a measurement is in progress and the cuff fills with air, the current pressure is displayed in digits above the start icon. KO00065K VC150 Vital Signs Monitor...
  • Page 134 Auto Mode NIBP mode icon indicate time left before the next NIBP measurement. NOTE The auto mode option can be selected also in the Monitor Setup > NIBP tab. VC150 Vital Signs Monitor KO00065K...
  • Page 135: Alarms Associated With Nibp

    Once this icon is selected, the audible alarm will remain silent for two minutes. The alarm will reactivate if the monitor continues to receive NIBP measurement information. To acknowledge an alarm, select the alarm message on the notification area. KO00065K VC150 Vital Signs Monitor...
  • Page 136: Nibp Modes Of Operation

    When the patient is discharged, results of his/her NIBP determinations will not be used for the next patient. Adaptive history is cleared if a single NIBP measurement is not performed for more than two minutes. Adaptive history is not cleared in STAT, Cycle or Profile modes. VC150 Vital Signs Monitor KO00065K...
  • Page 137: Single Nibp Determinations

    Clinical alarms for NIBP and NIBP-derived pulse rate are disabled during STAT measurement. These are enabled after the STAT measurement is complete. If STAT mode is started when a determination is already in progress, that determination becomes the first in the series of STAT determinations. KO00065K VC150 Vital Signs Monitor...
  • Page 138: Auto Cycle Determinations

    When a determination is complete, the time till the next determination appears above the auto mode icon. If it becomes necessary to stop the determination at any point, select the red Cycle auto mode icon. 6-10 VC150 Vital Signs Monitor KO00065K...
  • Page 139: Profile Cycle Determinations

    If there is too much pressure or another problem, a lime green cuff image is displayed. Selecting this icon will acknowledge the error condition and return the green inflate icon on screen. KO00065K VC150 Vital Signs Monitor 6-11...
  • Page 140: Nibp Alarm Limits

    5 minutes before the first measurement is performed. The patient should not talk during the procedure. NOTE If the patient is pregnant or is pre-eclamptic, consult with the doctor about whether NIBP can be performed. 6-12 VC150 Vital Signs Monitor KO00065K...
  • Page 141 “Physiological alarm conditions” on page 4-8 for limit ranges. NOTE If you are performing a measurement with a neonatal or pediatric cuff, adjust the limits. Choose the appropriate blood pressure measurement site and patient position. KO00065K VC150 Vital Signs Monitor 6-13...
  • Page 142 AV fistulas are present, or areas where circulation is compromised. Assess limb for risk of lymphedema (due to mastectomy, etc). It is always good clinical practice to document the site of the limb where the BP is taken. 6-14 VC150 Vital Signs Monitor KO00065K...
  • Page 143 15. If you want to perform a single determination, select the inflate icon to inflate the cuff and start the measurement process. 16. If you want to perform an automated determination, select the auto mode icon. KO00065K VC150 Vital Signs Monitor 6-15...
  • Page 144: Taking Nibp Measurements On Different Patients

    NOTES The adaptive target inflation pressure is cleared when 1) the patient is discharged or 2) the values on screen expire. The value will not be cleared if an auto mode measurement is active. 6-16 VC150 Vital Signs Monitor KO00065K...
  • Page 145: Alarms

    85 s (neonate) Overpressure cutoff 300 to 330 mmHg (adult/ped) 150 to 165 mmHg (neonate) BP range (Auscultatory) Systolic 30 to 245 mmHg (adult/ped) 15 to 215 mmHg (adult/ped) Diastolic 10 to 195 mmHg (adult/ped) KO00065K VC150 Vital Signs Monitor 6-17...
  • Page 146: Nibp Troubleshooting

    Try to measure the NIBP again. Increase in determination time Arrhythmias will increase the time required by the NIBP parameter to determine a blood pressure. Ask the patient whether there is need for medical consultation due to arrhythmias. 6-18 VC150 Vital Signs Monitor KO00065K...
  • Page 147: No Determination

    • Maximum allowed time reached for a single determination. • Timeout at single level. Maximum allowed time reached for a single cuff pressure time. • Total timeout. Maximum allowed time reached for a total cuff pressure time. KO00065K VC150 Vital Signs Monitor 6-19...
  • Page 148 NIBP: NIBP troubleshooting This page is intentionally left blank. 6-20 VC150 Vital Signs Monitor KO00065K...
  • Page 149: Ge Trusignal Spo

    GE TruSignal SpO KO00065K VC150 Vital Signs Monitor...
  • Page 150: Description

    Audible and visual alarms occur when SpO levels are outside the alarm limits. and the monitor is in monitoring mode. When a parameter status alarm occurs, an alarm message appears at the top of the screen (rectangle in the image above). VC150 Vital Signs Monitor KO00065K...
  • Page 151: Spo Safety

    - Do not allow tape to block the sensor light emitter and detector as this may cause decreased perfusion and/or low signal strength and potentially cause inaccurate SpO readings. - Before using the GE TruSignal sensor, carefully read the GE sensor instructions for use. KO00065K VC150 Vital Signs Monitor...
  • Page 152 Clean the surface of the probe before and after each patient use. Do not loop the sensor cable into a tight coil or wrap around the device, as this can damage the sensor cable. VC150 Vital Signs Monitor KO00065K...
  • Page 153 Taping the sensor could damage the patient’s skin or impair the venous return, thus causing venous pulsation and inaccurate measurement of oxygen saturation. Excessive pressure from the sensor may cause necrosis of the skin. KO00065K VC150 Vital Signs Monitor...
  • Page 154 • Check that the red light is lit in the sensor. • Check that the waveforms (if enabled in monitor setup) and parameter values are displayed when the sensor is connected to the patient. VC150 Vital Signs Monitor KO00065K...
  • Page 155: Spo On The Screen

    Quality message. The more asterisks there are the better the signal quality. The better the arterial blood flow is, the better signal quality is obtained. A strong pulse signal increases the validity of SpO and pulse rate data. KO00065K VC150 Vital Signs Monitor...
  • Page 156: Changing The Spo Alarm Limits

    Select Waveforms in the drop-down menu under Show Graph in the Monitor Setup > SpO to display the Pleth. Also select parameters to be displayed as waveforms (availability depends on which SpO technology the monitor is equipped with and which options have been purchased). VC150 Vital Signs Monitor KO00065K...
  • Page 157: Spo Procedure

    Never repair a damaged sensor or cable; never use a sensor or cable repaired by others. Ensure the VC150 is connected to power or the battery is fully charged. Ensure the VC150 is powered on. The monitor has to display clinical mode and SpO parameter on screen.
  • Page 158: Spo Sounds

    Follow the manufacturer’s guide to plug in the SpO cable into the monitor and apply the proper SpO sensor. The VC150 reports the appropriate sensor type in the message field when it detects the sensor. Following the directions for use supplied with the sensor, apply the sensor to the patient.
  • Page 159: Trusignal Compatible Accessories

    Use only accessories listed in that document. If you already have an accessory that you want to use with the VC150 monitor, check whether it is listed in that document. If it not listed, do not use it with the VC150 monitor.
  • Page 160: Ge Trusignal Enhanced Spo

    The electronic signal varies according to which light source is “on” (red or infrared) and the oxygenation of the arterial hemoglobin. This information is used to calculate the relative percentage of O Hb and HHb. 7-12 VC150 Vital Signs Monitor KO00065K...
  • Page 161: Calibration

    (COHb) and methemoglobin (MetHb) as well as O and HHb. CO-oximeter readings and pulse oximeter readings will differ when COHb or MetHb is present. KO00065K VC150 Vital Signs Monitor 7-13...
  • Page 162: Ge Trusignal Spo 2 Configuration

    Lower limit: OFF Priority: OFF Latching/Non-latching: Non-latching GE TruSignal SpO specifications Measurement range 0 to 100% Pulse rate 30 to 300 bpm Perfusion Index Value (PI) 0.1 to 32.0% Data update Data update period <2 s 7-14 VC150 Vital Signs Monitor KO00065K...
  • Page 163 Accuracy was calculated as the root-mean-square (rms) difference between paired pulse rate data recorded with the pulse oximeter equipment and with the patient simulator. NOTE Accuracy may vary for some sensors; always check the instructions for the sensor. KO00065K VC150 Vital Signs Monitor 7-15...
  • Page 164: Ge Trusignal Spo Sensor Accuracy Specifications

    GE TruSignal Soft Pediatric Sensor with integrated ±2 digits without motion cable, 3 m - Sensor TS-AP-10 GE TruSignal AP Sensor, 10/box ±2 digits without motion - Sensor TS-AP-25 GE TruSignal AP Sensor, 25/box ±2 digits without motion 7-16 VC150 Vital Signs Monitor KO00065K...
  • Page 165 OXY-AF-10 AllFit Adhesive Sensor, 0.9 m - 10/box ±2 digits without motion - Sensor OXY-F4-GE Integrated finger sensor, 4 m ±2 digits without motion - Sensor OXY-E4-GE Integrated ear sensor ±3 digits without motion KO00065K VC150 Vital Signs Monitor 7-17...
  • Page 166: Troubleshooting

    LEDs Infrared LED 42 µJ/pulse therapy. Red LED 62 µJ/pulse Troubleshooting This section discusses potential difficulties and suggestions for resolving them. If the difficulty persists, contact service or your local Innokas Medical representative. Problem Cause Solution The heart icon •...
  • Page 167 If skin integrity changes, move the sensor catheter, or intravascular line. to another site. • The VC150 monitor calculates the • Try to keep the patient still, or change the sensor site displayed values whereas devices to one with less motion.
  • Page 168 • Ensure the appropriate sensor and monitor. Then, if needed, replace the sensor or the cable are being used. interconnect cable. • Use only compatible sensors and cables. 7-20 VC150 Vital Signs Monitor KO00065K...
  • Page 169: Masimo Spo

    Masimo SpO KO00065K VC150 Vital Signs Monitor...
  • Page 170: Description

    Audible and visual alarms occur when SpO levels are outside the alarm limits. and the monitor is in monitoring mode. When a parameter status alarm occurs, an alarm message appears at the top of the screen (rectangle in the image above). VC150 Vital Signs Monitor KO00065K...
  • Page 171: Spo Safety

    - Do not allow tape to block the sensor light emitter and detector as this may cause decreased perfusion and/or low signal strength and potentially cause inaccurate SpO readings. - Before using the Masimo sensor, carefully read the Masimo sensor instructions for use. KO00065K VC150 Vital Signs Monitor...
  • Page 172 Do not loop the sensor cable into a tight coil or wrap around the device, as this can damage the sensor cable. CAUTION Do not sterilize reusable sensors by irradiation, steam, or ethylene oxide. See the sensor manufacturer's instructions for cleaning, sterilization, or disinfecting methods. VC150 Vital Signs Monitor KO00065K...
  • Page 173 If valid SpO readings are required during the entire blood pressure determination, attach the sensor to the limb opposite the one with the blood pressure cuff. KO00065K VC150 Vital Signs Monitor...
  • Page 174 • Additional information specific to the Masimo sensors compatible with the VC150, including information about parameter/measurement performance during motion and low perfusion, may be found in the sensor's directions for use (DFU).
  • Page 175 A high vertical bar indicates higher confidence in the measurement. A small vertical bar indicates lower confidence in the displayed measurement. When the Signal IQ is very low, this suggests that the accuracy of the displayed measurement may be compromised. KO00065K VC150 Vital Signs Monitor...
  • Page 176: Spo On The Screen

    After performing the above, if the parameter remains dimly lit frequently or continuously, obtaining an arterial blood specimen for CO-Oximetry analysis may be considered to verify the oxygen saturation value. VC150 displays the signal quality also with 0 to 3 asterisks next to the SpO parameter. Changing the SpO...
  • Page 177 SpO parameter window. The selection can be changed between the measurements. Admitting a new patient will reset the selection of the measurement site. KO00065K VC150 Vital Signs Monitor...
  • Page 178: Spo Procedure

    Never repair a damaged sensor or cable; never use a sensor or cable repaired by others. Ensure the VC150 is connected to power or the battery is fully charged. Ensure the VC150 is powered on. The monitor has to display clinical mode and SpO parameter on screen.
  • Page 179: Spo Sounds

    The sensor pad (item 2 in the figure above) should be placed to either side of the larynx, in the area just above the thyroid cartilage and below the jaw line (see figure below). Ensure that there are no skin folds under the sensor pad. KO00065K VC150 Vital Signs Monitor 8-11...
  • Page 180 Remove the release liner from the anchor pad and place the anchor pad on patient’s side of the neck; route the sensor cable in front of patient. Do not place anchor pad on clothing. 8-12 VC150 Vital Signs Monitor KO00065K...
  • Page 181: Alarms

    Use only accessories listed in that document. If you already have an accessory that you want to use with the VC150 monitor, check whether it is listed in that document. If it not listed, do not use it with the VC150 monitor.
  • Page 182: Masimo Rainbow Set Spo And Special Features

    The amount of arterial blood in tissue changes with pulse (photoplethysmography). Therefore, the amount of light absorbed by the varying quantities of arterial blood changes as well. Absorption Spectra Carboxyhemoglobin Oxyhemoglobin Methemoglobin Deoxyhemoglobin Plasma 1000 1200 1400 1600 Wavelength (nm) 8-14 VC150 Vital Signs Monitor KO00065K...
  • Page 183: Pulse Co-Oximetry Vs. Drawn Whole Blood Measurements

    , SpCO, SpMet, SpHb, and SpOC measurements made by Masimo rainbow technology. Any comparisons should be simultaneous, meaning the measurement on the device should be noted at the exact time that blood is drawn. KO00065K VC150 Vital Signs Monitor 8-15...
  • Page 184: General Description For Total Arterial Oxygen Content (Cao 2 )

    = 1.02 x HbO *Martin, Laurence. All You Really Need to Know to Interpret Arterial Blood Gases, Second Edition. New York: Lippincott Williams & Wilkins, 1999. 8-16 VC150 Vital Signs Monitor KO00065K...
  • Page 185: General Description For Spoc

    The sensor connects directly to the Pulse CO-Oximeter or with a patient cable. The sensor collects signal data from the patient and sends it to the instrument. The instrument displays the calculated data as measurement of total hemoglobin concentration. KO00065K VC150 Vital Signs Monitor 8-17...
  • Page 186: Successful Monitoring For Sphb

    WARNINGS Masimo labeled monitors are compatible only with Masimo sensors and cables, which are available from your Innokas Medical representative or from Masimo or its local representative. Other oxygen transducers (sensors) may cause improper SpO performance.
  • Page 187 Therefore, assure proper venous outflow from the monitored site. Sensor should not be below heart level (e.g. sensor on hand of a patient in bed with arm dangling to the floor). Venous pulsations may cause erroneous readings (e.g. tricuspid valve regurgitation). KO00065K VC150 Vital Signs Monitor 8-19...
  • Page 188 For SpHb, the VC150 should be considered an early warning device. Blood samples should be analyzed by laboratory instruments prior to clinical decision making to completely understand the patient’s condition.
  • Page 189 Variation in hemoglobin measurements may be profound and may be affected by sample type, body positioning, as well as other physiological conditions. As with most hemoglobin tests, VC150 test results should be scrutinized in light of a specific patient’s condition. Any results exhibiting inconsistency with the patient’s clinical status should be...
  • Page 190 If the SpO Perfusion Low message is frequently displayed, find a better perfused monitoring site. In the interim, assess the patient and, if indicated, verify oxygenation status through other means. 8-22 VC150 Vital Signs Monitor KO00065K...
  • Page 191: Rainbow Acoustic Monitoring (Ram) Technology

    Although the spectral shape of respiratory sounds varies widely from person to person, it is often reproducible within the same person, likely reflecting the strong influence of individual airway anatomy [2-6]. KO00065K VC150 Vital Signs Monitor 8-23...
  • Page 192 [5] Gavriely N, Cugell DW. Airflow effects on amplitude and spectral content of normal breath sounds. J Appl Physiol 1996; 80: 5-13. [6] Gavrieli N, Palti Y, Alroy G. Spectral characteristics of normal breath sounds. J Appl Physiol 1981; 50: 307-314. 8-24 VC150 Vital Signs Monitor KO00065K...
  • Page 193: Masimo Rainbow ® Set ® Spo

    The Perfusion Index (PI) is the ratio of the pulsatile blood flow to the non-pulsatile or static blood in peripheral tissue. PI thus represents a noninvasive measure of peripheral perfusion that can be continuously and noninvasively obtained from a pulse oximeter. KO00065K VC150 Vital Signs Monitor 8-25...
  • Page 194 0.1-5% down from the lower limit for over 15 seconds an alarm will occur immediately. Options: 5%, 10%, Off. Configure in Alarm Setup or Monitor Setup > Advanced > Default Setup > Alarm Defaults. 8-26 VC150 Vital Signs Monitor KO00065K...
  • Page 195 Pulse CO-Oximetry is a continuous and noninvasive method of measuring the levels of total hemoglobin (SpHb) in arterial blood. The measurement is taken by a sensor capable of measuring SpHb, usually on the fingertip for adult and pediatric patients. KO00065K VC150 Vital Signs Monitor 8-27...
  • Page 196 This feature allows you to adjust unit of measurement options for the SpHb values to measurement) be displayed with either g/dl or mmol/l, according to regional unit of measure. NOTE Ask service to change the unit of measurement if necessary. 8-28 VC150 Vital Signs Monitor KO00065K...
  • Page 197 (for example, NICU). Options (seconds): 2-4, 4-6, 8, 10, 12, 14, 16. Configure in Monitor Setup > Advanced > Default Setup > Measurement Settings. KO00065K VC150 Vital Signs Monitor 8-29...
  • Page 198 Description feature Sensitivity Mode Three sensitivity levels enable a clinician to tailor the response of the VC150 to the needs of the particular patient situation. NORM (Normal Sensitivity) NORM is the recommended sensitivity mode for patients who are experiencing some compromise in blood flow or perfusion.
  • Page 199: Masimo Rainbow Set ® Spo 2 Default Settings

    Latching/Non-latching: Non-latching Upper limit: OFF Lower limit: OFF Priority: OFF Latching/Non-latching: Non-latching Rapid desat alarm threshold Desat Index 3D Alarm Desat occurrences Desat threshold Desat time period 1 hour PI delta time period None KO00065K VC150 Vital Signs Monitor 8-31...
  • Page 200 Methemoglobin Saturation (SpMet) 0 to 99.9% Total Hemoglobin (SpHb) 0 to 25 g/dl Respiratory Rate (RRa) 0 to 70 breaths per minute Total Oxygen Concentration (SpOC) 0 - 35 ml/dl Perfusion Index (PI) 0.02 to 20% 8-32 VC150 Vital Signs Monitor KO00065K...
  • Page 201: Masimo Rainbow Set Spo Specifications

    4 - 70 ± 1 breath per minute Pulse rate accuracy Without motion 25 to 240 bpm ± 3 bpm (rms) With motion 25 to 240 bpm ± 5 bpm (rms) Low perfusion 25 to 240 bpm ± 3 bpm (rms) KO00065K VC150 Vital Signs Monitor 8-33...
  • Page 202 ±Arms compared to the reference value. SpO accuracy is specified from 70% to 100%. Pulse Rate accuracy is specified from 25 to 240 bpm. 8-34 VC150 Vital Signs Monitor KO00065K...
  • Page 203: Masimo Sensor Accuracy Specification

    ± 2% without motion (with motion ± 3%) SpMet) Single patient use 10/box, Use replacement tape 2624. 2501 M-LNCS™ DCI Adult Reusable Sensor, 3 ft. 1/box, ± 2% without motion (with motion ± 3%) KO00065K VC150 Vital Signs Monitor 8-35...
  • Page 204 ± 3% without motion (with motion ± 3%) Use 20/box, Sterilizable. Use replacement wrap 2309. 2520 M-LNCS™ Newborn Infant/Pediatric Infant/Pediatric SpO ± 2% without motion (with motion ± 3%) Sensor Single Patient Use 20/box, Sterilizable. Use replacement wrap 2322. 8-36 VC150 Vital Signs Monitor KO00065K...
  • Page 205 SpMet). 200 Spot Checks or 33 hours continuous monitoring. 3420 rainbow® DCI SC 400 Adult reusable sensor, 3 ft. (SpHb, ± 2% without motion (with motion ± 3%) and SpMet). 400 Spot Checks or 66 hours continuous monitoring. KO00065K VC150 Vital Signs Monitor 8-37...
  • Page 206 LNCS NeoPt-500 ± 3% without motion (with motion ± 3%) 2411 LNCS Trauma Sensor ± 2% without motion (with motion ± 3%) 2412 LNCS Newborn Neonatal Sensor ± 3% without motion (with motion ± 3%) 8-38 VC150 Vital Signs Monitor KO00065K...
  • Page 207 Nonsterile. Available in the US only. 3403 Optical Test Sensor MLNCS Connector, used with Fluke simulator to validate rainbow parameter values. 2308 Replacement Tapes For LNCS®/M-LNCS™ Neo Series sensor accessory; spare parts Sensors For use with LNCS/M-LNCS Neo/Neo-3 102/box, KO00065K VC150 Vital Signs Monitor 8-39...
  • Page 208 RC-1 rainbow 20-pin Patient Cable, 1 ft For use cable; no measuring function with rainbow and M-LNCS SpO Only sensors. 2406 rainbow® RC-4 rainbow 20-pin Patient Cable, 4 ft For use cable; no measuring function with rainbow and M-LNCS SpO Only sensors. 8-40 VC150 Vital Signs Monitor KO00065K...
  • Page 209 Masimo cable red LNC-14 cable; no measuring function 2058 Masimo cable red PC-04 cable; no measuring function 2059 Masimo cable red PC-08 cable; no measuring function 2060 Masimo cable red PC-12 cable; no measuring function KO00065K VC150 Vital Signs Monitor 8-41...
  • Page 210: Patent Information

    Power dissipation Infrared: 22.5 mW (max) Red: 27.5 mW (max) Patent information Masimo patents For patent information, please visit www.masimo.com/patents.htm 8-42 VC150 Vital Signs Monitor KO00065K...
  • Page 211: Troubleshooting

    Masimo SpO : Troubleshooting Troubleshooting This section discusses potential difficulties and suggestions for resolving them. If the difficulty persists, contact service or your local Innokas Medical representative. Problem Cause Solution The heart icon • Excessive patient motion may be • Check the patient.
  • Page 212: Masimo Low Perfusion

    If skin integrity changes, move the sensor catheter, or intravascular line. to another site. • The VC150 monitor calculates the • Try to keep the patient still, or change the sensor site displayed values whereas devices to one with less motion.
  • Page 213: Nellcor Spo

    Nellcor SpO KO00065K VC150 Vital Signs Monitor...
  • Page 214: Description

    Audible and visual alarms occur when SpO levels are outside the alarm limits. and the monitor is in monitoring mode. When a parameter status alarm occurs, an alarm message appears at the top of the screen (rectangle in the image above). VC150 Vital Signs Monitor KO00065K...
  • Page 215: Spo Safety

    - Do not allow tape to block the sensor light emitter and detector as this may cause decreased perfusion and/or low signal strength and potentially cause inaccurate SpO readings. - Before using the Nellcor sensor, carefully read the Nellcor sensor instructions for use (document produced by Covidien). KO00065K VC150 Vital Signs Monitor...
  • Page 216 Clean the surface of the probe before and after each patient use. Do not loop the sensor cable into a tight coil or wrap around the device, as this can damage the sensor cable. VC150 Vital Signs Monitor KO00065K...
  • Page 217 Excessive pressure from the sensor may cause necrosis of the skin. The operating range for respiration rate is 4 to 40 breaths per minute. Use on patients with respiration rates outside this range may result in inaccurate displayed respiration rate values. KO00065K VC150 Vital Signs Monitor...
  • Page 218 • Check that the red light is lit in the sensor. • Check that the waveforms (if enabled in monitor setup) and parameter values are displayed when the sensor is connected to the patient. VC150 Vital Signs Monitor KO00065K...
  • Page 219: Inaccurate Sensor Measurement Conditions

    To prevent interference from ambient light, ensure the recommended sensor is properly applied and cover the sensor with opaque material. KO00065K VC150 Vital Signs Monitor...
  • Page 220: Patient Conditions

    – Defibrillation – Excessive patient talking – Respiration rate outside the range of 4 to 40 breaths per minute – Significantly irregular cardiac rhythms (three or more events of irregularity observed within 30 seconds) VC150 Vital Signs Monitor KO00065K...
  • Page 221: Related Documents

    Refer to “Pulse rate” on page 10-1 for more information. If accuracy for a SpO derived parameter is not yet guaranteed, a dimmed value is displayed on screen. KO00065K VC150 Vital Signs Monitor...
  • Page 222: Alarm Limits

    The Plethysmographic waveform (Pleth) represents a real-time waveform for the relative SpO pulsatile amplitude. The Pleth waveform is always automatically scaled to fit the window for the best display quality. The waveform uses the same color as the SpO field. 9-10 VC150 Vital Signs Monitor KO00065K...
  • Page 223 SpO parameter window. The selection can be changed between the measurements. Admitting a new patient will reset the selection of the measurement site. KO00065K VC150 Vital Signs Monitor 9-11...
  • Page 224: Spo 2 Procedure

    Never repair a damaged sensor or cable; never use a sensor or cable repaired by others. Ensure the VC150 is connected to power or the battery is fully charged. Ensure the VC150 is powered on. The monitor has to display clinical mode and SpO parameter on screen.
  • Page 225: Alarms

    If an abnormal technical status remains for ten seconds, then a low priority alarm is created. An abnormal technical status will create an alarm in both spot-check and monitoring mode. KO00065K VC150 Vital Signs Monitor 9-13...
  • Page 226: Compatible Nellcor Accessories

    Use only accessories listed in that document. If you already have an accessory that you want to use with the VC150 monitor, check whether it is listed in that document. If it not listed, do not use it with the VC150 monitor.
  • Page 227: Nellcor Respiration Rate Theory Of Operations

    Nellcor Respiration Rate theory of operations The Respiration Rate parameter, when used in conjunction with the VC150 and a Nellcor™ Respiratory Sensor, provides continuous non-invasive monitoring of arterial oxygen saturation, pulse rate and respiration rate using a single sensor.
  • Page 228: Nellcor™ Sensor Technology

    Consider a series of events leading to a violation of the SatSeconds alarm limit. An adult patient experiences several minor desaturations, then a clinically significant desaturation. 9-16 VC150 Vital Signs Monitor KO00065K...
  • Page 229 12 SatSeconds; no alarm Because the SatSeconds alarm limit is set to 25 and the actual number of Sat- Seconds equals 12, there is no audible alarm. SpO2 12 SatSeconds First SpO Event: No SatSeconds Alarm KO00065K VC150 Vital Signs Monitor 9-17...
  • Page 230 10% drop below the lower alarm limit threshold x 2.5 second duration below the lower threshold 25 SatSeconds; results in an alarm At this level of saturation, the event cannot exceed 2.5 seconds without invoking a SatSeconds alarm. 9-18 VC150 Vital Signs Monitor KO00065K...
  • Page 231: The Satseconds Safety Net

    These patterns are indicative of repetitive reductions in airflow through the upper airway and into the lungs. With the SPD parameter enabled, the default value for SatSeconds alarms is 100. KO00065K VC150 Vital Signs Monitor 9-19...
  • Page 232 SPD™ Alert parameter. The presence of repetitive reductions in airflow was scored using a standard diagnostic polysomnogram. Study results indicate SPD is a sensitive marker in detecting repetitive reductions in airflow. 9-20 VC150 Vital Signs Monitor KO00065K...
  • Page 233: Pulse Rate Delay Alarm Management Parameter

    • A respiratory sensor is connected to the interface cable and correctly applied to the patient as described in the Instructions for Use. The monitoring system reports the appropriate sensor type in the message field when it detects the sensor. KO00065K VC150 Vital Signs Monitor 9-21...
  • Page 234: Connection To Nellcor™ Sensors

    When the monitoring system detects a valid pulse, it enters the monitoring mode and displays real-time patient data. Apply the recommended sensor to the patient after reading the Instructions for Use accompanying the sensor. Detach the recommended sensor from the patient on completion of monitoring. 9-22 VC150 Vital Signs Monitor KO00065K...
  • Page 235 WARNINGS Nellcor-labeled monitors are only compatible with Nellcor sensors and accessories, which are available from your Innokas Medical representative or from Nellcor or its local representative. Other sensors or accessories may cause improper SpO performance. Use only...
  • Page 236 Safety and effectiveness of respiration rate in pregnant or lactating women have not been established. Use of the Respiration Rate parameter does not change the need to set threshold limits appropriate to the patient being monitored. 9-24 VC150 Vital Signs Monitor KO00065K...
  • Page 237 Low and high respiration rate alarms are triggered immediately when the reported rate falls outside the alarm limits and no further alarm delay is applied. KO00065K VC150 Vital Signs Monitor 9-25...
  • Page 238: Nellcor Spo 2 Default Settings

    Latching/Non-latching: Latching Upper limit: 30 br/min Lower limit: 6 br/min Priority: Medium Latching/Non-latching: Non-latching Upper limit: OFF Lower limit: OFF Priority: OFF Latching/Non-latching: Non-latching Response Mode Normal SPD Sensitivity SatSeconds Pulse Rate Alarm Delay 9-26 VC150 Vital Signs Monitor KO00065K...
  • Page 239: Nellcor Spo Configuration

    Fast mode responds to changes in blood oxygen saturation levels in 2 to 4 seconds when calculating % SpO . This can be particularly helpful for situations that require close monitoring. The fast mode text in italics appears above the SpO parameter value when in fast mode. KO00065K VC150 Vital Signs Monitor 9-27...
  • Page 240 The SatSeconds feature is indicated by a dashed circle icon with the current limit value below the icon. The icon fills clockwise in one-sixteenth increments by the ratio of current SatSeconds value to the current SpO alarm limit. 9-28 VC150 Vital Signs Monitor KO00065K...
  • Page 241 (SRC-MAX) are available from Covidien (Nellcor). Contact Nellcor’s Technical Services Department at 1.800.635.5267 (U.S. only), or your local Nellcor representative. • Review safety labeling based on the intended use of the equipment. KO00065K VC150 Vital Signs Monitor 9-29...
  • Page 242: Nellcor Spo

    70 to 100% saturation range. The root mean square of the difference (rmsd) for set PR and displayed PR was 1.581. Seventy data points were taken in the test in the 40 to 250 BPM pulse rate. All data for this test is stored at Nellcor/Covidien. 9-30 VC150 Vital Signs Monitor KO00065K...
  • Page 243 Arms (root mean square of paired values; previously represented by  1 SD). KO00065K VC150 Vital Signs Monitor 9-31...
  • Page 244: Nellcor Oximax Sensor Accuracy Specifications

    Nellcor Tape ADH-A/N, use with OXI-A/N ADH-A/N Nellcor Tape ADH-P/I, use with Oxi-P/I Sensors ADH-P/I Cable Assy SpO Nellcor OxiMax 3 m - Smart 2021406-001 Cable Assy SpO Nellcor OxiMax 1.2 m - Smart 2021406-002 9-32 VC150 Vital Signs Monitor KO00065K...
  • Page 245: Patent Information

    6,411,833; 6,463,310; 6,591,123; 6,708,049; 7,016,715; 7,039,538; 7,120,479;7,120,480; 7,142,142; 7,162,288; 7,190,985;7,194,293; 7,209,774; 7,212,847; 7,400,919. Troubleshooting This section discusses potential difficulties and suggestions for resolving them. If the difficulty persists, contact service or your local Innokas Medical representative. Problem Cause Solution The heart icon •...
  • Page 246 If skin integrity changes, move the sensor catheter, or intravascular line. to another site. • The VC150 monitor calculates the • Try to keep the patient still, or change the sensor site displayed values whereas devices to one with less motion.
  • Page 247 • Ensure the appropriate sensor and monitor. Then, if needed, replace the sensor or the cable are being used. interconnect cable. • Use only compatible sensors and cables. KO00065K VC150 Vital Signs Monitor 9-35...
  • Page 248 Nellcor SpO : Troubleshooting 9-36 VC150 Vital Signs Monitor KO00065K...
  • Page 249: Pulse Rate

    Pulse rate KO00065K VC150 Vital Signs Monitor 10-1...
  • Page 250: Description

    Lower is 30 to 230 bpm. The limits can be set in increments of 5 bpm. When NIBP is the source for STAT mode measurement, the pulse rate value is not checked against the limits. 10-2 VC150 Vital Signs Monitor KO00065K...
  • Page 251: Pulse Rate Sound And Settings

    A pulse rate tone is indicated by an audible beep each time a beat is detected by the SpO parameter. KO00065K VC150 Vital Signs Monitor 10-3...
  • Page 252 Pulse rate: Pulse rate sound and settings This page is intentionally left blank. 10-4 VC150 Vital Signs Monitor KO00065K...
  • Page 253: Welch Allyn Temperature

    Welch Allyn temperature KO00065K VC150 Vital Signs Monitor 11-1...
  • Page 254: Description

    Do not take an axillary temperature through patient’s clothing. Direct probe cover to skin contact is required. Do not reuse, or sterilize and reuse protective covers. Apply a new cover before each use. 11-2 VC150 Vital Signs Monitor KO00065K...
  • Page 255 The SureTemp Plus feature operates only when the probe well is correctly installed. NOTE Cross-contamination or nosocomial infection risk. Thorough handwashing before and after the measurement greatly reduces the risk of cross- contamination and nosocomial infection. KO00065K VC150 Vital Signs Monitor 11-3...
  • Page 256: Measurement Method

    NOTE Long-term continuous monitoring is not recommended in any mode. The monitor mode is automatically terminated after 10 minutes of monitoring. 11-4 VC150 Vital Signs Monitor KO00065K...
  • Page 257: Temperature Probes

    Measurement site Blue Oral or axillary Rectal Refer to the VC150 supplies and accessories document for temperature probe and probe cover reorder part numbers. Proper storage of thermometer probe covers To reduce the risk of contamination, keep the thermometer probe covers in their original 25-count box and store the box in the storage well provided on the monitor.
  • Page 258 1° C or 2° F. Do not hand axillary the probe to the patient to place in his or her own mouth. Have the patient close his or her lips over the probe. 11-6 VC150 Vital Signs Monitor KO00065K...
  • Page 259 Remove the probe from the probe well. • Insert the probe shaft into a probe cover and firmly press down until retaining rings of the probe cover seat securely over the retaining ring barb of the probe shaft. KO00065K VC150 Vital Signs Monitor 11-7...
  • Page 260 If you question a reading, select the snail icon to switch to monitor mode. 12. When the monitor mode temperature measurement has stabilized, select Snapshot to create a snapshot and remove the probe from the patient. 11-8 VC150 Vital Signs Monitor KO00065K...
  • Page 261 Select the temperature parameter to activate a shortcut to the Monitor Setup > Temperature screen. Select Measurement Site. Check that the temperature area displays Rectal. If this is not displayed, reselect the measurement site. KO00065K VC150 Vital Signs Monitor 11-9...
  • Page 262: Welch Allyn Temperature Calibration And Self-Checks

    Note that the patient will be discharged and non-default settings cleared when the monitor is turned off. If the unit is not turned off after this temperature error message, the temperature measurement may not be accurate. 11-10 VC150 Vital Signs Monitor KO00065K...
  • Page 263: Welch Allyn Temperature Specifications

    Inaccurate readings or retention problems may occur unless Welch Allyn temperature probes and Welch Allyn probe covers are used. Refer to the VC150 supplies and accessories document for reorder part numbers. Patent information Welch Allyn patents For patent information, please visit www.welchallyn.com/patents...
  • Page 264: Troubleshooting

    Rectal measurement: Insert the probe, using current hospital technique for penetration. • Use Welch Allyn oral/axillary or rectal probe covers on the Welch Allyn temperature probe. Refer to the VC150 supplies and accessories document for reorder part numbers. • The lubricant applied to the •...
  • Page 265: Cleaning

    Cleaning Refer to “Cleaning” on page B-4 for instructions for cleaning and disinfecting Welch Allyn device and its accessories. KO00065K VC150 Vital Signs Monitor 11-13...
  • Page 266 Welch Allyn temperature: Cleaning This page is intentionally left blank. 11-14 VC150 Vital Signs Monitor KO00065K...
  • Page 267: Exergen Temperature

    Exergen temperature KO00065K VC150 Vital Signs Monitor 12-1...
  • Page 268: Description

    Do not take temperature over scar tissue, open sores, or abrasions. The thermometer is not shockproof. Do not drop it or expose it to electrical shocks. Do not autoclave. Please note cleaning and sterilizing procedures in this manual. 12-2 VC150 Vital Signs Monitor KO00065K...
  • Page 269: Temperature Measurement Mode

    For service, repair, or adjustments, return your thermometer to Innokas Medical. Never drop or insert any object into any opening, except for opening the battery cover as described in this manual. The VC150 monitor can be used with two Exergen thermometer options: • Oral calibration •...
  • Page 270: Additional Indicators

    Audible selecting tone: Each fast click tone indicates a rise to a higher temperature. A slow selecting tone indicates that the scanner is still scanning, but not finding any higher temperature. The VC150 will sound two beeps when a snapshot is automatically created after completion of a measurement. Procedures for temperature determination Familiarize yourself with the scanner •...
  • Page 271: Basics Of Using The Temporal Scanner

    Item Name Protective disposable cap Protective sheath CAUTION Patient movement during temperature measurement may result in patient injury. Brush patient’s hair aside if covering the temporal artery area or the ear area. KO00065K VC150 Vital Signs Monitor 12-5...
  • Page 272 Clean the Exergen scanner as instructed in “Cleaning the Exergen sensor lens” on page B-6. CAUTION Failure to clean the scanner between patients may increase the risk of cross-contamination. 12-6 VC150 Vital Signs Monitor KO00065K...
  • Page 273: Exergen Temperature Specifications

    Use only Exergen probe covers. The size and shape of the probe covers can affect the performance of the scanner. Inaccurate readings occur unless the proper probe covers are used. Refer to the VC150 supplies and accessories document for reorder part numbers.
  • Page 274: Patent Information

    Femoral artery: scan across the femoral artery following the crease in the groin. • Lateral thoracic artery: slowly scan side-to- side in the area, midway between the axilla and the waist. Mainly used for children. 12-8 VC150 Vital Signs Monitor KO00065K...
  • Page 275 • Loss of electrical contact between monitor. the scanner and the monitor (e.g., corrosion on the connector inside the scanner). • The monitor is not configured to interface with an Exergen scanner. KO00065K VC150 Vital Signs Monitor 12-9...
  • Page 276: Batteries

    B-1 for details on storage, care, replacement, and disposal of batteries for the monitor and the Exergen temporal scanner. Cleaning Refer to “Cleaning” on page B-4” for details on cleaning and disinfecting the Exergen temporal scanner. 12-10 VC150 Vital Signs Monitor KO00065K...
  • Page 277: Battery

    Battery KO00065K VC150 Vital Signs Monitor 13-1...
  • Page 278: Description

    • When the monitor’s battery has been completely discharged, the monitor must be connected to an external power supply before monitoring can resume. • Service must unplug the battery before transport or storage. 13-2 VC150 Vital Signs Monitor KO00065K...
  • Page 279: Battery Charging

    If the monitor is to be stored for longer than one month, first charge the battery and then have service to unplug the battery connector. KO00065K VC150 Vital Signs Monitor 13-3...
  • Page 280: Battery Charge Level

    If the battery becomes faulty during operation, a missing battery indicator is displayed on the screen. If this icon appears on the screen, the monitor must not be disconnected from an external power supply. 13-4 VC150 Vital Signs Monitor KO00065K...
  • Page 281: Storage, Care, And Replacement Of Batteries

    Monitor cannot be restarted when battery charge is critically low. This means that if a high priority Low battery alarm is active and monitor is shut down, it cannot be restarted before the charger is plugged in. This is to protect the battery pack. KO00065K VC150 Vital Signs Monitor 13-5...
  • Page 282: Monitor Battery Specifications

    Approximately 4 hours when the monitor on. Troubleshooting This section discusses potential difficulties and suggestions for resolving them. If the difficulty persists, contact service or your local Innokas Medical representative. The service manual, which is for use by service personnel, provides additional troubleshooting information.
  • Page 283 • Turn the monitor off. • Contact service. The battery low The battery may be defective and Try to charge the battery again. If unsuccessful, indicators remain unable to recharge. replace the battery. lit. KO00065K VC150 Vital Signs Monitor 13-7...
  • Page 284 Battery: Troubleshooting This page is intentionally left blank. 13-8 VC150 Vital Signs Monitor KO00065K...
  • Page 285: Default Setup

    Default setup KO00065K VC150 Vital Signs Monitor 14-1...
  • Page 286: Introduction

    Select Login Default Setup in the Monitor Setup > Advanced screen. Enter the password and select Confirm. Adjust the settings for General, Alarm Defaults, Visual Settings or Measurement Settings. 14-2 VC150 Vital Signs Monitor KO00065K...
  • Page 287 Use low priority alarm Determines whether low priority alarms are tone audible. Selection for active profile (Spot-check or Monitor Profile Monitoring) upon start-up. Type of graphic presentation of SpO data in the Oximetry Graph Graph area. KO00065K VC150 Vital Signs Monitor 14-3...
  • Page 288 Audible and visual alarms will cease only after acknowledging the alarm. 14-4 VC150 Vital Signs Monitor KO00065K...
  • Page 289: Nellcor Spo 2 Configuration

    Configure Nellcor or Masimo options, if necessary. Refer to “Nellcor SpO configuration” on page 9-27 or “Masimo rainbow configuration” ® ® on page 8-25 for more information on these options. KO00065K VC150 Vital Signs Monitor 14-5...
  • Page 290 If the monitor is restarted, the monitor will revert to the default settings. Select the home icon to save changes in the default settings and return to clinical mode. 14-6 VC150 Vital Signs Monitor KO00065K...
  • Page 291 Select Configure NIBP Profiles in the Monitor Setup > Advanced > Login Default Setup > Measurement settings screen. A pop-up screen will appear after the selection. Screen with Masimo Select an NIBP profile name. KO00065K VC150 Vital Signs Monitor 14-7...
  • Page 292 Masimo default settings Refer to “Masimo rainbow configuration” on page 8-25 for more ® ® information on optional Masimo features available if licenses for these were purchased with the unit or afterwards. 14-8 VC150 Vital Signs Monitor KO00065K...
  • Page 293: Connections

    Connections KO00065K VC150 Vital Signs Monitor...
  • Page 294: Connections

    Connections: Connections Connections CAUTION Auxiliary equipment connected to the VC150 vital signs monitor will result in the formation of an electromedical system, and thus, must comply with the requirements of IEC 60601-1-1. All host port signals except for USB-B are non-isolated and should be connected to equipment conforming to IEC-60601-1 or configured to comply with IEC 60601-1-1 only.
  • Page 295 When a USB-A cable is connected, the monitor tries to find an external USB device. When a USB-B cable is connected, the monitor can be connected to a PC. NOTE If you want to have strain relief on USB-A cable, ask service to perform this. KO00065K VC150 Vital Signs Monitor...
  • Page 296 Connections: Connections This page is intentionally left blank. VC150 Vital Signs Monitor KO00065K...
  • Page 297: Maintenance

    Maintenance KO00065K VC150 Vital Signs Monitor...
  • Page 298: Service And Parts

    If you are unable to resolve the problem after checking these items, contact Innokas Medical. Prior to calling, please be prepared to provide: •...
  • Page 299: Maintenance

    Switch the monitor on and wait Speaker test to hear two beeps. Unplug and plug the power supply cord. A chirping sound is heard. If you do not hear either of these, contact service. KO00065K VC150 Vital Signs Monitor...
  • Page 300: Calibration

    If your cleaning agent is not listed in this section, contact your Innokas Medical representative to determine if additional information is available. List of approved cleaning agents for VC150 monitor and accessories (except Welch Allyn SureTemp Plus) ®...
  • Page 301: Cleaning Schedule

    Do not use steam, heat, chemical or gas sterilization on the monitor or its accessories. Do not autoclave the accessories. NOTE Clean the monitor and sensors according to local policies. KO00065K VC150 Vital Signs Monitor...
  • Page 302 Cleaning the screen To clean the VC150 monitor screen or the Exergen screen, use a soft, clean cloth dampened with a cleaning agent listed in “List of approved cleaning agents”...
  • Page 303 Reconnect the latching probe connector to the monitor. Ensure that the connector snaps into place. Reinstall the probe well in the monitor and snap the probe well into place. Insert the probe into the probe well. KO00065K VC150 Vital Signs Monitor...
  • Page 304: Battery And Monitor Storage Care

    Storage temperature When packaged according to instructions in the Service Manual, the device survives a storage temperature range of – 20° C to + 50° C (– 4° F to + 122° F). VC150 Vital Signs Monitor KO00065K...
  • Page 305: Repairs

    Medical representative. Estimates for non-warranty repairs are provided at no charge; however, the product must be sent to Innokas Medical for an estimate. To facilitate prompt service in cases where the product has external chassis or case damage, please advise the representative when you call.
  • Page 306: Packaging Material

    • Remove all hoses, cables, sensors, and power cords from the monitor before packing. • Clean the unit as instructed in “Cleaning” on page B-4. • Ask service to pack the unit for shipping. B-10 VC150 Vital Signs Monitor KO00065K...
  • Page 307: Disposal Of Product Waste

    At the end of its service life, the product described in this manual, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have questions concerning disposal of the product, please contact Innokas Medical or its representatives. KO00065K VC150 Vital Signs Monitor...
  • Page 308 Maintenance: Disposal of product waste This page is intentionally left blank. B-12 VC150 Vital Signs Monitor KO00065K...
  • Page 309: Principles Of Noninvasive Blood Pressure Determination (Nibp

    Principles of noninvasive blood pressure determination (NIBP) KO00065K VC150 Vital Signs Monitor...
  • Page 310: Dinamap Superstat Algorithm

    The process of finding two matched pulses at each step provides artifact rejection due to patient movement and greatly enhances the accuracy of the monitor. The figure shows a full determination sequence for an adult patient. VC150 Vital Signs Monitor KO00065K...
  • Page 311 (auto mode) or operator intervention (manual mode). The figure shows the basic operating cycle for an NIBP determination. Inflation Time Wait Time Evaluation Time Deflation Time Determination Time Cycle Time TIME SuperSTAT NIBP - auto mode KO00065K VC150 Vital Signs Monitor...
  • Page 312: Systolic Search

    The process of finding two matched pulses at each step provides artifact rejection due to patient movement and greatly enhances the accuracy of the monitor. The figure shows the NIBP determination sequence. VC150 Vital Signs Monitor KO00065K...
  • Page 313 Wait time, which varies from mode to mode, is affected by the cycle time (auto mode) or operator intervention (manual mode). The figure shows the basic operating cycle. NIBP operating cycle KO00065K VC150 Vital Signs Monitor...
  • Page 314: Systolic Search

    In these monitors, the reference blood pressure is the auscultatory method for adult and pediatric populations. For neonatal populations, the usual reference is the invasive blood pressure obtained from the umbilical artery. NOTE For neonatal determinations the SuperSTAT algorithm is always used. VC150 Vital Signs Monitor KO00065K...
  • Page 315: Supplemental Analysis Of Clinical

    Supplemental analysis of clinical accuracy test data KO00065K VC150 Vital Signs Monitor...
  • Page 316: Ge Trusignal V2

    Figure 1. Bland-Altman plot of GE TruSignal V2 with Oxy-F sensor. Population mean bias: 0.0, upper 95% limit of agreement: 2.2, lower 95% limit of agreement: -2.2, between subject variance: 10.2, within-subject variance: 0.9. VC150 Vital Signs Monitor KO00065K...
  • Page 317 -2.3, between subject variance: 41.5, within-subject variance: 1.5. Figure 3 Bland-Altman plot of GE TruSignal V2 with Oxy-SE sensor. Population mean bias: 1.3, upper 95% limit of agreement: 4.2, lower 95% limit of agreement: -1.7, between subject variance: 29.2, within-subject variance: 1.2. KO00065K VC150 Vital Signs Monitor...
  • Page 318 -1.4. Between subject variance: 11.4, within-subject variance: 1.3. Figure 5 Bland-Altman plot of GE TruSignal V2 with Oxy-AF sensor. Population mean bias: 0.9, upper 95% limit of agreement: 3.8, lower 95% limit of agreement: -2.0, between subject variance: 10.7, within-subject variance: 1.7. VC150 Vital Signs Monitor KO00065K...
  • Page 319 Figure 7 Bland-Altman plot of GE TruSignal V2 with Oxy-AP sensor, motion conditions. Population mean bias: 0.8. Upper 95% limit of agreement: 5.0, lower 95% limit of agreement:-3.4. Between subject variance: 22.6, within-subject variance: 3.6. KO00065K VC150 Vital Signs Monitor...
  • Page 320: Clinical Test Results

    90 - 100% *The sensors were clinically tested for accuracy with the following sensors: OXY-E 2.3 digits 1.4 digits 1.3 digits OXY-SE 2.5 digits 2.0 digits 1.1 digits OXY-F 1.3 digits 1.0 digits 1.1 digits VC150 Vital Signs Monitor KO00065K...
  • Page 321 OXY-AP (equivalent to OXY-AP-10, OXY-AP-25, TS-AP-10, TS-AP-25) OXY-AF (equivalent to OXY-AF-10, TS-AF-10, TS-AF-25) *The sensors were clinically tested for neonatal accuracy with the following sensors: OXY-SE (equivalent to OXY-SE-3, TS-SE-3) OXY-AF (equivalent to OXY-AF-10, TS-AF-10, TS-AF-25) KO00065K VC150 Vital Signs Monitor...
  • Page 322: Nellcor Accuracy Study Results

    Accuracy for Nellcor™ Sensors vs. CO-oximeters MAX-A MAX-N MAX-FAST decade Data Points Arms Data Points Arms Data Points Arms 60-70 3.05 2.89 2.22 70-80 2.35 2.32 1.28 80-90 1.84 1.73 1.48 90-100 1.23 1.68 0.98 VC150 Vital Signs Monitor KO00065K...
  • Page 323: Masimo Sensor Accuracy

    LNCS Series and LNOP Series sensors with Masimo SET Oximetry Technology in a clinical study. SaO versus error (SpO – SaO ) with linear regression fit and upper 95% and lower 95% limits of agreement. KO00065K VC150 Vital Signs Monitor...
  • Page 324 Supplemental analysis of clinical accuracy test data: Masimo sensor accuracy M-LNCS/LNCS/LNOP - Adtx/Pdtx M-LNCS/LNCS/LNOP - Adtx/Pdtx, measured values Range Arms 90-100% 1.64% 80-90% 1.07% 70-80% 1.55% Overall Claimed Accuracy Value 70-100% ± 2% D-10 VC150 Vital Signs Monitor KO00065K...
  • Page 325 ± 2% Adult ± 3% ± 3% Neonatal *The saturation accuracy of the Neonate and Preterm sensors was validated on adult volunteers and 1% was added to account for the properties of fetal hemoglobin. KO00065K VC150 Vital Signs Monitor D-11...
  • Page 326 ) with linear regression fit and upper 95% and lower 95% limits of agreement. M-LNCS/LNCS/LNOP - DCI and DCIP, measured values Range Arms 90-100% 0.6% 80-90% 0.5% 70-80% 0.7% Overall Claimed Accuracy Value 70-100% ± 2% D-12 VC150 Vital Signs Monitor KO00065K...
  • Page 327: Performance Specifications For Rainbow Resposable Pulse Co-Oximeter

    The table below shows Arms (Accuracy Root Mean Square) values measured using the Rainbow Adhesive and Resposable Sensors sensors with Masimo SET Oximetry Technology in a clinical study. Rainbow Adhesive and Resposable Sensors, measured values Range Arms 90-100% 1.25% 80-90% 1.45% 70-80% 1.94% KO00065K VC150 Vital Signs Monitor D-13...
  • Page 328 For accuracy in the range of 70% - 100% please see “M-LNCS/ LNCS/LNOP DCI and DCIP” on page D-12. Rainbow DCI and DCIP, measured values Range Arms 75-80% 1.56% 70-75% 1.67% 65-70% 1.86% 60-65% 2.13% D-14 VC150 Vital Signs Monitor KO00065K...
  • Page 329: Performance Specifications For Masimo Sensors Spo 2 Multisite Reusable

    /LNOP Multisite sensors with Masimo SET Oximetry ® ® Technology in a clinical study. M-LNCS™/LNCS /LNOP Series ® ® M-LNCS™/LNCS /LNOP Multisite, measured values ® ® Range Arms 90-100% 0.63% 80-90% 0.85% 70-80% 1.04% KO00065K VC150 Vital Signs Monitor D-15...
  • Page 330: Performance Specifications For Dbi™ Series

    The table below shows Arms (Accuracy Root Mean Square) values measured using the DBI reusable sensor with Masimo SET Oximetry Technology in a clinical study. DBI Sensors with Masimo SET Oximetry Technology, measured values Range Arms 90-100% 1.01% 80-90% 1.54% 70-80% 2.06% + SaO D-16 VC150 Vital Signs Monitor KO00065K...
  • Page 331 This page is intentionally left blank.
  • Page 332 Manufacturer: Innokas Yhtymä Oy Vihikari 10 FI-90440 KEMPELE Finland Europe Tel: + 358 8 562 3100 Fax: + 358 8 562 3151 http://www.innokasmedical.fi Innokas Medical is a subsidiary of Innokas Yhtymä Oy. 0598...

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