GlideScope Ranger User Manual
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GlideScope Ranger User Manual

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  • Page 3 Ranger and Ranger Single Use User’s Manual and Quick Reference Guide 0900-1307-05-20...
  • Page 4 Ranger and Ranger Single Use Quick Reference Guide...
  • Page 5 Canada 604.439.3009 Fax: 604.439.3039 For additional contact information please visit our corporate website: verathon.com. GlideScope, GVL, GlideRite, and Verathon are trademarks of Verathon Inc. All other brand and product names are trademarks of their respective owners. ® The GlideScope technology is covered under US Patents (6,655,377) (6,543,447) as well as European Patent 1307131.
  • Page 6 • If using the Ranger Single Use system: Connect the video baton cable con- nector to the monitor as shown for the Ranger GVL® above. Then slide a single-use GVL® Stat over the video baton.
  • Page 7 GlideScope Ranger System Quick Start ® Stat To detach a GVL® Stat from a Ranger Video Baton, grasp the base of the video baton handle and pull firmly. IMPORTANT! A used GVL Stat is a biohazard and ® should be disposed of in compliance with local protocols.
  • Page 8 ® intended, it is protected from direct contact with the patient by the sterile, single-use Stat. Low Level Disinfection is recommended for the Ranger Video Baton after every ® patient use. High Level Disinfection is required for the video baton when it is visibly soiled.
  • Page 9 Tel: +31.30.68.70.570 Tel: 425.867.1348 Fax: 425.883.2896 Fax: +31.30.68.70.512t GlideScope, GVL, and Verathon are trademarks of Verathon Inc. © 2008, 2009 Verathon Inc. GlideScope video laryngoscope systems are CE marked in ® accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certified to ISO 13485:2003 standards.
  • Page 10 GlideScope® video laryngoscope systems are CE marked in accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certified to ISO 13485:2003 standards. © 2009 Verathon Inc.
  • Page 11 3401 MS IJsselstein Netherlands verathon.com Tel: 800.331.2313 (US and Canada only) Burnaby, British Columbia Tel: +31.30.68.70.570 Tel: 425.867.1348 Fax: 425.883.2896 Canada, V5G 1B2 Fax: +31.30.68.70.512 0900-1436-06-60 GlideScope, GVL, GlideRite, and Verathon are trademarks of Verathon Inc. © 2009 Verathon Inc. All rights reserved.
  • Page 12 ® System (reusable) Ranger Single Use System ® Ranger System (reusable) Cobalt AVL System (single use) Note: System configurations vary. The Cobalt AVL and Ranger Single Use Video Batons are reusable. *For use with endotracheal tubes 6.0 mm and larger.
  • Page 13 1.800.331.2313 (U.S. & Canada Only) 425.867.1348 The GlideScope video laryngoscopy systems are CE marked in accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certified to ISO 13485:2003 standards. US Patent No. 6,655,377; 6,543,447; Other patents pending.
  • Page 14 ® Do not expose the Ranger GVL or Ranger Video Baton to temperatures above 140° F (60° C). Do not disinfect the Ranger ® or Ranger Video Baton using devices such as autoclaves, ultrasonic cleaners, or pasteurizers. Use of such methods will cause permanent device damage and void the warranty.
  • Page 15 ® GlideScope Ranger System Components and Features Monitor connector DC power socket (inside cradle) Monitor Protective cap display Temperature gauge Battery charge status LED Power ON/OFF Ranger Video CMOS video camera ® Laryngoscope (GVL with integrated cable (reusable blade shown)
  • Page 16 ® GlideScope Ranger System Preparing for First Use Prior to using the Ranger System for the first time: 1. Charge the monitor battery. 2. Perform a functional check: ® Connect a Ranger GVL or Ranger Video Baton to the monitor...
  • Page 17 ® GlideScope Ranger System General Cleaning and Disinfection Information Table 1: Risk Assessment Device Sterile Spaulding’s sinfection Sterilization Classification Int. High Level Level Level Ranger Non- Reusable Semicritical L® sterile Ranger Sterile Single Semicritical GVL® Stat Ranger Non- Reusable Noncritical...
  • Page 18 ® GlideScope Ranger System Key: * The Ranger Vide o Baton is a nonsterile, reusable device which protected from conta ct with mucous membranes and non- intact skin by the Stat (sterile, singl e-use) when used as intended. Low Level Disinfection is...
  • Page 19 ® GlideScope Ranger System Note: When using any of the chemicals listed below, read and comply with product use instructions in all applications. Table 2: Chemical Compatibility and Disinfectio ® Methods for Ranger Ranger Video Batons Active Disinfec tion Caution/...
  • Page 20 ® GlideScope Ranger System Table 3: Chemical Compatibility and Disinfection ® Methods for GlideRite Rigid Stylet Active Disinfecti tion/ Compatibility Conditions gredient on Level Comments Gluta raldehyde Up to 3.4% 2.0% – exposure for High minimum 20 minutes 20°C or as pe anufacturer’s...
  • Page 21 Bato n aft every patient use. High Lev el Disinfection is uired for the Ranger Video Baton when it is visibly soiled. Risk of equipm ent damage. CAUTION: Bleach can be used on the baton but wit h spe cial attention to the connector.
  • Page 22 ® GlideScope Ranger System Battery Replacement and Device Repair Under normal operating conditions, the monitor battery will last 2 - 3 years; or approximately 500 charge/discharge cycles. The battery is not user-replaceable. In case of battery malfunction, do not attempt to replace the monitor battery. Any...
  • Page 23 ® GlideScope Ranger System Specifications General Specifications Classification: Electrical Class II, Applied Par t BF Line Voltage Range: 100–240 VAC, 50 & 60 Hz Line Current: MAX 0.25 A Operating and Storage Conditions: Operating Conditions Temperature:………………………………………...…10°C to 40°C Relative Humidity:……………………………………..…..0...
  • Page 24 National Differences, as per CB Bulletin 107a, FCC Report of Measurements as per FCC CFR47 Part 18. ymbol Directory The following international regulatory symbols are found on Ranger System components and indicate compliance with international regulatory standards. Symbol Meaning Power connected to m...
  • Page 25 Ranger and Ranger Single Use User’s Manual...
  • Page 27 604.439.3009 Fax: 604.439.3039 For additional contact information please visit our corporate website: verathon.com. GlideScope, GVL, GlideRite, and Verathon are trademarks of Verathon Inc. All other brand and product names are trademarks of their respective owners. ® The GlideScope technology is covered under US Patents (6,655,377) (6,543,447) as well as European Patent 1307131.

  • Page 29: Table Of Contents

    Clinical Application Tips ............25   ® The GlideScope 4-Step Technique ........25   Tips for Ranger Video Laryngoscope Insertion ....26   Tips for Working with Endotracheal Tubes ......27     Cleaning, Disinfecting and Maintenance....... 28 General Maintenance Information .......... 28  ...
  • Page 30   Disinfecting the Ranger Video Baton ........38   Cleaning the Ranger Monitor ..........38   Cleaning the Ranger DVR (Digital Video Recorder) ... 38   Cleaning the Ranger Cradle..........38   Cleaning the Ranger Clam Shell Storage Case....39  ...

  • Page 31: Important Information

    Ranger Video Laryngoscope has been granted Airworthiness Certification from the United States Army. The Ranger is operational in seconds. It is compact for easy carrying and storage. The integrated, rechargeable lithium battery provides a minimum 90-minute continuous-use autonomy and allows for approximately 20 intubations per battery cycle (depending on usage).

  • Page 32: Intended Use

    GlideScope Ranger System Intended Use Ranger video laryngoscopes are intended for use by qualified medical professionals to obtain a clear, unobstructed view of the vocal cords for medical procedures. The Ranger System is designed for field (military and pre-hospital) use.

  • Page 33: Cautions

    Connect the equipment to an outlet on a circuit different from that to which the other device(s) is (are) connected Consult your Verathon Medical Customer Care representative The Ranger System must be used with the supplied NOTE: cables to maintain electromagnetic interference (EMI) within certified limits.

  • Page 34: Introducing The Ranger System

    Ranger System ® Introducing the GlideScope Ranger System Introducing the Ranger System The Ranger System is designed to provide an unobstructed view of the vocal cords through the use of advanced video technology. ® The Ranger System, based on GlideScope...

  • Page 35: Glidescope Ranger System Components

    Two interchangeable video laryngoscope systems are available for use with the Ranger Monitor: The reusable Ranger Ranger Single Use Please refer to page 45 for a listing of Ranger System components and part numbers. Reusable Ranger System The Ranger System includes: The Ranger Video Monitor ®...

  • Page 36: Ranger Single Use System

    The Ranger Single Use System includes: The Ranger Video Monitor Reusable Ranger Video Baton with integrated video cable. The Ranger Video Baton is comprised of a reusable, high resolution, autofocusing, CMOS camera, LED light source, and an innovative anti-fogging mechanism. The Ranger Video Baton is available in two ®...
  • Page 37 Stats (four sizes available). The GVL Stat is a disposable, medical-grade plastic shell that provides mechanical support and protection for the Ranger Video Baton during intubations. ® GlideRite Rigid Stylet Figure 2. Ranger Single Use System. Ranger Video Monitor Reusable Ranger Video Baton (2 sizes) Single use ®...

  • Page 38: Displays, Controls, And Indicators

    ® Displays, Controls, and Indicators GlideScope Ranger System Displays, Controls, and Indicators Displays, Controls, and Indicators Ranger System components and features are illustrated in Figure 3. ® Figure 3. GlideScope Ranger components. Monitor connector DC power socket (inside cradle) Monitor...

  • Page 39: Getting Started

    425.867.1348 (International) +31.30.68.70.570 (Europe) For additional contact information, please see page 44. Preparing for First Use Prior to using the Ranger System for the first time, perform the following steps: 1. Charge the Battery (page 13). ® 2. Connect the Ranger GVL to the monitor (page 18).
  • Page 40 The charge status LED will turn orange, indicating that the charging cycle has begun. When the charge status LED turns green, the charging cycle is complete (Figure 5). Figure 4. Connect the Ranger Monitor to AC power to charge the battery. page 14 User’s Manual...
  • Page 41 ® GlideScope Ranger System Getting Started Figure 5. The charge status LED will turn green when the battery is fully charged. Charge status LED Orange: The monitor is charging Green: The monitor is fully charged User’s Manual page 15...
  • Page 42 Powering the GlideScope® Ranger System The monitor contains a lithium battery that provides power to the Ranger System. The system must be operated exclusively on battery power, without a connection to an AC power source. Under normal conditions, a fully charged battery will last approximately 90 minutes.
  • Page 43 ® GlideScope Ranger System Getting Started IMPORTANT! The battery needs to be fully charged on first receipt. For instructions on charging the battery, see “Charge the Battery” on page 13. To supply power to the monitor: 1. Flip the power switch located on the front of the monitor to the position.
  • Page 44 (Figure 7). Figure 7. Connecting the Ranger Video Cable to the monitor. ® Inserting the Ranger Video Baton into the GVL Stat ®...
  • Page 45 ® GlideScope Ranger System Getting Started Figure 8. Inserting the Ranger Video Baton into the single ® use GVL Stat. ® Stat Ranger Video Baton 2. Take care to avoid inserting the video baton backwards (Figure 9) If the video baton is inserted incorrectly and becomes ®...
  • Page 46 Stat from the Ranger Video Baton ® The GVL Stat is a single-use device. After each use, it should be removed from the Ranger Video Baton and disposed of properly. ® To detach the Ranger Video Baton from the GVL Stat, grasp the handle of video baton and pull firmly (Figure 10).
  • Page 47 2. Connect the Ranger GVL or Ranger Video Baton to the monitor (see page 18). 3. Turn the Ranger on by moving the power switch to the position. 4. Observe the monitor screen to verify that an image is ®...
  • Page 48 Please contact your Verathon Medical Customer Care representative if your Ranger does not function as described above. Figure 11. When the power is on, one corner of the Ranger ® will be visible in the display. ® Edge of GVL ®...

  • Page 49: Optional Accessory

    GlideScope DVR for Ranger ® The GlideScope DVR (Digital Video Recorder) is designed to ® record intubations performed with the GlideScope Ranger Video Laryngoscope. INSTRUCTIONS FOR USE Recording 1. Ensure Monitor is OFF and SD card no larger than 2GB is inserted into DVR ®...

  • Page 50: Cleaning

    ® Getting Started GlideScope Ranger System Troubleshooting If REC LED is blinking, there may be a problem with recording. Possible causes: 1. Connections are not secure. Verify cable connections: ® • GVL /Video Baton to DVR • DVR to Monitor 2.

  • Page 51: Clinical Application Tips

    Ranger System Getting Started Clinical Application Tips ® The GlideScope 4-Step Technique ® Verathon recommends using the GlideScope 4-Step Technique as outlined below: 1. In the Mouth: looking directly into the patient’s mouth ® ® and with the GlideScope in the left hand, ®...

  • Page 52: Tips For Ranger Video Laryngoscope Insertion

    Tips for GlideScope Ranger Video Laryngoscope Insertion ® • The GlideScope Ranger is designed to be inserted down the midline of the tongue to the epiglottis. ® • The Ranger GVL may be used to produce a Macintosh indirect lift of the epiglottis or a Miller lift.

  • Page 53: Tips For Working With Endotracheal Tubes

    Carefully introduce the distal end of the ET tube between the vocal folds. ® • When introducing the GlideScope and/or the endotracheal tube, look directly into the mouth to avoid damaging the endotracheal tube cuff, the patient’s teeth, or the soft tissues such as the soft palate or tonsils.

  • Page 54: Cleaning, Disinfecting And Maintenance

    Cleaning, Disinfecting and Maintenance ® Cleaning the GlideScope Ranger system is an important part of maintaining the system. Make sure that the system is clean before each use. You should also examine the system periodically to make sure it is operating correctly.

  • Page 55: General Cleaning And Disinfection Information

    ® GlideScope Ranger System Cleaning and Maintenance General Cleaning and Disinfection Information Table 2: Risk Assessment Device Sterile Spaulding’s Disinfection Sterilization Classification Int. High Level Level Level Ranger Non- Reusable Semicritical GVL® sterile Ranger Sterile Single Semicritical GVL® Stat Ranger...
  • Page 56 GlideScope Ranger System Note: * The Ranger Video Baton is a nonsterile, reusable device which is protected from contact with mucous membranes and non- intact skin by the Stat (sterile, single use) when used as intended. Low Level Disinfection is recommended for the Ranger Video Baton after every patient use.
  • Page 57 ® GlideScope Ranger System Cleaning and Maintenance Table 3: Chemical Compatibility and Disinfection ® Methods for Ranger GVL and Ranger Video Batons Active Disinfection Caution/ Compatibility Conditions Ingredient Level Comments Surface Enzymatic cleaning only debridement General As per instructions preparation...
  • Page 58 ® Cleaning and Maintenance GlideScope Ranger System Table 4: Chemical Compatibility and Disinfection Methods ® for GlideRite Rigid Stylet Active Disinfection Caution/ Compatibility Conditions Ingredient Level Comments Glutaraldehyde Up to 3.4% 2.0% – exposure for High minimum 20 minutes at 20°C or as per...

  • Page 59: Cleaning And Disinfecting The Ranger Systems

    Cleaning and Disinfecting the GlideScope Ranger Systems Warning ® Make sure that you do not overheat the Ranger GVL or Ranger Video Baton during cleaning. You can monitor the color of the temperature gauge on the handle to avoid overheating the ®...

  • Page 60: Cleaning The Glidescope Ranger Gvl

    GlideScope Ranger System Caution Do not use autoclaves or pasteurizers for the Ranger systems. Use of such methods will cause permanent device damage and void the warranty. Bleach can be used on the baton but with special attention to the connector.

  • Page 61: Disinfecting The Glidescope ® Ranger Gvl

    1. Ensure the equipment is clean (see Cleaning ® Section for Ranger GVL ® 2. Ensure the cable connector and Ranger GVL protective cap is secure (Figure 15) 3. Prepare the disinfectant solution at the concentration and temperature recommended by the disinfectant manufacturer.

  • Page 62: Cleaning The Glidescope ® Ranger Video Baton

    Stat and is not intended to have direct patient contact. Caution Do not place the Ranger Video Baton in the cradle if it is contaminated. The video baton which is protected from direct contact with the patient by the Stat, will normally only require cleaning and wiping down between uses using either IPA or bleach.
  • Page 63 Wash the baton manually using a hospital-grade equipment detergent or an enzymatic debridement agent/ detergent to remove all foreign material (e.g., soil and organic material) from the surface of the device. The Ranger Video Baton can now be disinfected. User’s Manual page 37...

  • Page 64: Disinfecting The Ranger Video Baton

    Disinfect the equipment following the disinfectant manufacturer’s instructions or as stated in Table 3. 4. After the disinfection process, rinse (as applicable) and dry the Ranger Video Baton and then store the equipment in a clean environment. Cleaning the Ranger Monitor Wipe the exterior of the monitor with IPA (70% isopropyl alcohol), bleach (100ppm) or a mild detergent and water.

  • Page 65: Cleaning The Ranger Clam Shell Storage Case

    ® GlideScope Ranger System Cleaning and Maintenance Cleaning the Ranger Clam Shell Storage Case Wipe the Clam shell storage case with IPA (70% isopropyl alcohol), bleach (100ppm) or a mild detergent and water. ® Cleaning and Disinfecting the GlideRite Rigid...

  • Page 66: Storing The Glidescope ® Ranger

    ® Storing the GlideScope Ranger Video Baton ® When not in use, store the Ranger Video Baton and GVL Stat with the monitor cradle (Figure 17) or in the clam shell storage case (Figure 18). When using the clamshell case for storage, please insert the video baton into the cradle as pictured.

  • Page 67: Device Disposal

    ® GlideScope Ranger System Cleaning and Maintenance Figure 18. Storing the Ranger Single Use Video Baton ® The Ranger GVL and Ranger Video Baton can be safely used and stored under the environmental conditions specified on page IMPORTANT: The power switch must be in the (left side) position during storage and shipping.

  • Page 68: Glidescope Warranty Offerings

    This warranty applies for one (1) year from the date of shipment from Verathon. This warranty is given only to the original purchaser of the Ranger System. If a customer’s system requires service or repair, Verathon will either replace or provide a loaner unit within one (1) business day from the date of customer service notification.

  • Page 69: What Is Covered

    ® manual are based upon Verathon experience and judgment with the Ranger System as of October 2008. The contents of this manual should not be considered to be all-inclusive, or to cover all contingencies. User’s Manual...

  • Page 70: Contact Information

    ® Warranty GlideScope Ranger System Contact Information To obtain additional information regarding your Ranger System, please contact Verathon Medical Customer Care at: Corporate HQ: Verathon Medical (US and Canada) (United Kingdom) Ltd. Verathon Inc. The Granary Manor Farm 20001 North Creek Parkway...

  • Page 71: Parts And Accessories

    ® GlideScope Ranger System Specifications Parts and Accessories Parts and Accessories Table 5. Ranger System components and accessories. Product Description Part Number ® GlideScope Ranger System, NA 0270-0374 ® GlideScope Ranger System, EU 0270-0375 ® GlideScope Ranger System, UK 0270-0376 ®...
  • Page 72 ® Specifications GlideScope Ranger System Product Description Part Number Medical Power Supply 0400-0065 ® GlideScope Ranger System 0900-1307 User’s Manual, (English) AC Power Cord, 0.6 m, NA 0600-0247 AC Power Cord, 0.6 m, EU 0600-0246 AC Power Cord, 0.6 m, UK 0600-0248 ®...

  • Page 73: Specifications

    ® GlideScope Ranger System Specifications Specifications Specifications Verathon reserves the right to change product specifications without notice. General Specifications Classification: Electrical Class II, Applied Part BF Line Voltage Range: 100–240 VAC, 50 & 60 Hz Line Current: MAX 0.25 A...

  • Page 74: Glidescope Ranger System Components

    36 mm Max blade width in front of camera: .79 in 20 mm Weight: 4.2 oz 120 g Ranger Video Baton 3-4: Length: camera tip to SS ring: 4.1 in 104.1 mm Height of camera: .42 in 10.7 mm Width of camera: .43 in...

  • Page 75: Power Supply Specifications

    Blade length in front of camera: .59 in 15 mm Max blade width in front of camera: .51 in 13 mm ® GlideScope DVR for Ranger: 4.1 in 103.2 mm Length: 2.3 in 58.2 mm Width: 1.2 in 32.2 mm Height: ~.38 lbs...

  • Page 76: Standards And Approvals

    ® Specifications GlideScope Ranger System Standards and Approvals ISO 13485 Certificate No. 9235 CE marking requirements met for Class 1 and Class 1 Sterile Devices IEC 60601-2-18 (Second Edition, 1996) IEC 60601-1-2:2001 Medical Directive US UL 60601-1 (First Edition) US UL 2601-1 (Second Edition) CAN/CSA C22.2 No.

  • Page 77: Symbol Directory

    GlideScope Ranger System Symbol Directory Symbol Directory Symbol Directory The following international regulatory symbols are found on Ranger System components and indicate compliance with international regulatory standards. Table 6. Ranger System labeling symbols. Symbol Meaning Power connected to mains Power disconnected from mains...
  • Page 79 Look to the monitor to complete the intubation; gently rotate or angle the tube to redirect as needed. GlideScope video laryngoscope systems are CE marked in accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certified to ISO 13485:2003 standards.
  • Page 80 Tel: 800.331.2313 (US and Canada only) Burnaby, British Columbia Tel: +31.30.68.70.570 Tel: 425.867.1348 Fax: 425.883.2896 Canada, V5G 1B2 Fax: +31.30.68.70.512 0900-1436-08-60 GlideScope, the GlideScope symbol, GVL, GlideRite, Verathon, and the Verathon Torch symbol are trademarks of Verathon Inc. © 2009, 2010 Verathon Inc.
  • Page 81 • If using the Ranger Single Use system: Connect the video baton cable con- nector to the monitor as shown for the Ranger GVL above. Then slide a single-use GVL Stat over the video baton.
  • Page 82 Fax: +31.30.68.70.512t GlideScope, the GlideScope symbol, GVL, Verathon and the Verathon Torch symbol are trademarks of Verathon Inc. © 2008, 2010 Verathon Inc. GlideScope video laryngoscope systems are CE marked in accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certified to ISO 13485:2003 standards.
  • Page 83 It is recommended that ® the Ranger GVL is cleaned and disinfected after every patient use using a High Level Disinfectant method. High Level Disinfection is required for the Ranger GVL when it is visibly soiled.
  • Page 84 Fax: +31.30.68.70.512t GlideScope, the GlideScope symbol, GVL, Verathon and the Verathon Torch symbol are trademarks of Verathon Inc. © 2008, 2010 Verathon Inc. GlideScope video laryngoscope systems are CE marked in accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certified to ISO 13485:2003 standards.

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