Page 1 ™ SELECT Basic Vital Signs Monitoring Masimo Rainbow Parameters Multi-Parameter ECG Monitoring Multi-Parameter Monitor User Manual This User Manual describes the features and operations of the SELECT Multi-Parameter monitor: Software Version 2.3 or above. 21-22-0316 Rev E Page 1 of 182...
Page 2: Overview
Zoe Medical, Inc. ™ SELECT is a trademark of Zoe Medical, Inc.
Page 3: Contact Addresses
Overview SELECT CONTACT ADDRESSES Zoe Medical, Inc. 460 Boston Street Topsfield, MA 01983 U.S.A. Phone: (978) 887-4013 Fax: (978) 887-1406 E-Mail: customersupport@zoemedical.com Web: www.zoemedical.com 21-22-0316 Rev E Page 3 of 182...
Page 4 Overview SELECT Manufacturers Declaration of Conformity Electronic Emissions and Immunity Guidance and Manufacturer’s Declaration – Electromagnetic Emissions is intended for use in the electromagnetic environment specified below. The customer or the user of the SELECT should assure it is used in such an environment. SELECT Emissions Test Compliance...
Page 5 Overview SELECT Guidance and Manufacturer’s Declaration – Electromagnetic Immunity is intended for use in the electromagnetic environment specified below. The customer or the user of the SELECT should insure that it is used in such an environment. SELECT Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment - Guidance...
Page 6: Conventions Used In This Manual
Overview SELECT CONVENTIONS USED IN THIS MANUAL Warning: Directions that warn of conditions that put the patient or the caregiver at risk. Caution: Directions that help to avoid damaging the monitors or losing data. SELECT Note: Directions that make it easier to use the monitor.
Page 7: Model Number Format
Models may also be configured for ECG & Resp Parameter. Refer to User SELECT Manual Addendum - ECG & Resp, Zoe Medical PN 21-22-0335. Note: Models may also be software enabled to interface with an EtCO2 module (Masimo or Covidien). Refer to...
Page 8: About This Manual
This Manual may illustrate optional parameters covered in specific User Manual SELECT Addendums:  Refer to User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN SELECT 21-22-0335  Refer to User Manual Addendum - ETCO2 Parameter, Zoe Medical PN 21-...
Page 9: Training
TRAINING Training on this monitor for the safe and effective use of the primary operating functions can be provided through Zoe Medical. Refer to the contact addresses on page 3 for email and phone number information. Zoe Medical recommends in-service training on the...
Page 10 If an estimate is required and the estimate of repairs is declined after the monitor has been evaluated at Zoe Medical, the customer is responsible for the evaluation fee ** plus the shipping back to the customer.
Page 11: Returning The Monitor For Repair
All credit will be issued based on original net purchase price and all credits are subject to a 25% restocking charge. Zoe Medical may evaluate issues reported by the user and available with the monitor’s stored patient data. In accordance with HIPAA requirements, Zoe Medical will not use or disclose any stored patient data to individuals outside Zoe Medical, unless disclosure is required by law.
Page 12: Table Of Contents
Overview SELECT TABLE OF CONTENTS OVERVIEW ......................2 TRADEMARKS ......................2 CONTACT ADDRESSES ..................... 3 CONVENTIONS USED IN THIS MANUAL ..............6 MODEL NUMBER FORMAT ..................7 ABOUT THIS MANUAL ....................8 MANUAL PURPOSE ....................8 INTENDED AUDIENCE ................... 8 TRAINING ........................
Page 13 Overview SELECT ADULT/PEDIATRIC/NEONATE OPERATING MODE ..........47 TURNING THE MONITOR “ON” ................47 TURNING THE MONITOR “Off” ................48 POWER UP SCREEN .................... 49 On Power Up Selection ..................51 Serial Port Selection ....................52 Bar Code Selection ....................52 CO2 Selection ......................
Page 14 Overview SELECT TAKING A NIBP MEASUREMENT............... 111 AUTOMATIC CYCLE FOR BLOOD PRESSURE DETERMINATION ....112 NIBP ALARM SETTINGS ..................112 STAT MODE ......................113 PULSE OXIMETRY MONITORING ..............114 SAFETY MEASURES ....................114 SpO2 ALARM SETTINGS ..................118 PLETHYSMOGRAPH ....................120 TAKING A SpO MEASUREMENT ................
Page 15 Overview SELECT INTERCONNECT CABLE ................148 SENSORS (Reusable) ..................148 FILAC TEMPERATURE PROBES ................149 FILAC TEMPERATURE ISOLATION CHAMBER............. 150 14. MAINTENANCE ....................151 MAINTENANCE INTERVALS .................. 151 WEEE SELECTIVE TREATMENT AND RECYCLING INFORMATION ....151 OXIMETRY CALIBRATION CHECK ................ 151 TEMP CALIBRATION CHECK .................
Page 16 Overview SELECT FIGURES Figure 1: Patient Environment Figure 2: Front Panel View Figure 3: Rear Panel View Figure 4: Left Side Panel View Figure 5: Right Side Panel View Figure 6: Placing the FILAC Temp probe into Isolation Chamber Figure 7: Turning the monitor On Figure 8: New Patient Question Figure 9: Setup System Menu: Spot-Check Workflow mode Figure 10: Setup System Menu: Continuous Monitoring Workflow mode...
Page 17 Overview SELECT Figure 52: Show Event Log Screen Figure 53: Setup Service Screen Figure 54: Setup Configuration Screen (Example only) Figure 55: Setup Display Screen Figure 56: Cuff Application Figure 57: Cuff Positioning Figure 58: SpO Finger Clip Sensor Application Figure 59: Flex Type Adult/Pediatric Application Figure 60: Flex Type Infant Application Figure 61: Flex Type Neonatal Application...
Page 18: Introduction And Intended Use
(predictive) or via the non-invasive Temporal Artery Scanner in as little as three (3) seconds. Refer to the appropriate User Manual Addendum for additional optional parameter information, details and operating instructions:  Refer to User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN 21- SELECT 22-0335  Refer to...
Page 19: Contraindications
Refer to the appropriate User Manual Addendum listed below for Contraindications specific to optional Exergen Temperature, End-Tidal CO2 or Masimo Rainbow parameters.  Refer to User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN SELECT 21-22-0335  Refer to...
Page 20: Brief Description
INTRODUCTION AND INTENDED USE SELECT BRIEF DESCRIPTION multi-parameter monitor is compact, lightweight and portable, allowing it to be SELECT easily carried and used in a variety of clinical settings. The monitor is powered by AC Line Power or by an internal Lithium Ion (Li-ion) rechargeable battery pack. The internal battery pack charges when the monitor is plugged into an AC Line power source.
Page 21 Refer to User Manual Addendum - ETCO Parameter, Zoe Medical PN 21-22-0333 and User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN 21-22-0335 for more information. monitor provides the option to select from either Masimo Rainbow SET or SELECT Covidien OxiMax pulse oximetry technology.
Page 22  Rugged design: Rated for use during professional transport Refer to the appropriate User Manual Addendum for additional optional parameter details:  Refer to User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN SELECT 21-22-0335  Refer to...
Page 23: Patient Environment
INTRODUCTION AND INTENDED USE SELECT PATIENT ENVIRONMENT monitor has been tested with specific parts of the “system” used within the SELECT Patient Environment (refer to Figure 1). Figure 1: Patient Environment The parts of the “system” that can be used in the Patient Environment are defined in Table 1 below: Table 1: Parts of the System multi-parameter monitor...
Page 24: Unpacking The Monitor
Save the damaged shipping carton as evidence. Contact your distributor, Zoe Medical sales representative, or call Zoe Medical to report external damage and to arrange for repair or replacement of damaged equipment.
Page 25: Optional Mounting Accessories
The monitor may be shipped with optional Red Rectal Temp Probe and Red Rectal Isolation Chamber, depending on the sales order. Warning: Do not use any other power supply other than the one supplied by Zoe Medical. Refer to Section 16, OTHER ACCESSORIES for power supply part number information. OPTIONAL MOUNTING ACCESSORIES Several mounting configurations are available to fit your needs.
Page 26: Symbols
ETCO2 module (Masimo or Covidien). Refer to User SELECT Manual Addendum - ETCO2 Parameter, Zoe Medical PN 21-22-0333. Indicates protection against the effects of the discharge of a cardiac defibrillator. Patient connections are Type BF and protected against defibrillation...
Page 27: Symbols Near Patient Connection
SYMBOLS SELECT SYMBOLS NEAR PATIENT CONNECTION Indicates protection against the effects of the discharge of a cardiac defibrillator. Patient connections are Type CF and protected against defibrillation 3 wire ECG connector Indicates protection against the effects of the discharge of a cardiac defibrillator. Patient connections are Type BF and protected against defibrillation NIBP Hose and Blood Pressure Cuff Connector, CASMED MAX (Motion Artifact...
Page 28: Touchscreen Keys On Display
SYMBOLS SELECT This end up TOUCHSCREEN KEYS ON DISPLAY The monitor uses touchscreen keys to facilitate monitoring functions. Touch keys are located on the far right hand side of the display screen in a vertical fashion. The keys are fixed and cannot be changed or reconfigured.
Page 29: Alarms/Audio State Icons
SYMBOLS SELECT ALARMS/AUDIO STATE ICONS Alarms Pause - Indicates the generation of all Alarms has been temporarily paused Audio Pause - Indicates the audio associated with current Alarms has been temporarily paused PATIENT MODE ICONS Adult: Sets the monitor Adult patients - refer to Setup-Patient SELECT Information screen Pediatric: Sets the...
Page 30: Touchscreen Controls On Display
SYMBOLS SELECT TOUCHSCREEN CONTROLS ON DISPLAY Provides the user with interactive touchscreen monitor controls and activity buttons used to configure monitor settings, limits etc. Touchscreen Example: Description: Controls Start/ Stop Used to start or stop an NIBP measurement (Start changes to Stop NIBP when selected).
Page 31 SYMBOLS SELECT Touchscreen Example: Description: Controls Auto When selected, automatically sets alarm limits to a set offset from the current parameter value. Yes/No Used to indicate whether or not a given function is desired. Print Located in the Main and Trends menu, allows user to print measured parameters displayed on the main screen.
Page 32 SYMBOLS SELECT Touchscreen Example: Description: Controls Screen Lock Used to limit access to menus by Screen unauthorized users. Unlock When padlock icon is selected (upper right hand corner of display screen) the Enter password screen is opened. User is required to enter a password to lock access to menus or unlock access to menus.
Page 33 SYMBOLS SELECT Touchscreen Example: Description: Controls Cancel (do not discharge patient) - When selected cancels action and Cancel (do returns the monitor to the main screen. not Discharge OK (discharge patient) – when patient) selected completes removal of current patient IDN, name and Patient Ok (discharge Information from monitor.
Page 34 SYMBOLS SELECT Touchscreen Example: Description: Controls menu. Allows the user the ability to remove all current Trends stored on the monitor. and CO Selecting this button silences the Alarm audible SpO or CO equipment alarm Acknowledge and clears the alarm messages (e.g., check sensor placement) 21-22-0316 Rev E Page 34 of 182...
Page 35: Monitor Safety Measures
25 VAC or 60 VDC and the patient at the same time. Warning: Do not use a frayed or damaged power cords, or any accessory if you notice any sign of damage. Contact Zoe Medical for assistance. 21-22-0316 Rev E Page 35 of 182...
Page 36 ACCESSORIES – The use of accessories and cables other than those specified, with Warning: the exception of the accessories and cables sold by Zoe Medical as replacement parts, may result in increased emissions or decreased immunity of the monitor. ACCESSORIES – It is the responsible organization and/or user to verify the Warning: compatibility of the monitor, probes, and cables before use, otherwise patient injury can result.
Page 37: Cautions
Inspect the monitor, air hose, and sensors for any damage prior to operation. If any damage is noted, the monitor should not be used until it has been serviced. The monitor should be repaired only by personnel authorized to do so by Zoe Medical. Caution: Use only Zoe Medical approved accessories and sensors to preserve the integrity, accuracy and the electromagnetic compatibility of the monitor.
Page 38: Notes
The monitor is not “Category AP or APG Equipment”. Note: The monitor is for “Continuous Operation”. Note: The 740 SELECT ECG applied parts are “Type CF Defibrillation Proof”. Note: The 740 SELECT non-ECG applied parts are “Type BF Defibrillation Proof”. Note:...
Page 39: Installation And Functional Verification
MONITOR OPERATION SELECT INSTALLATION AND FUNCTIONAL VERIFICATION The user should be positioned in front of the monitor, within arm’s length to allow operation of the touchscreen as well as connection/disconnection of cables. The user should be positioned to allow hearing of audible alarm tones generated by the monitor. Perform the following steps to set up the monitor.
Page 40: Monitor Operation
MONITOR OPERATION SELECT MONITOR OPERATION FRONT PANEL Figure 2: Front Panel View FRONT PANEL CONTROLS Refer to Figure 2: On/Off: Press once, to turn “ON” (if it was Off). To turn “Off”, press and hold for two (2) seconds. POWER LED: Indicates External Power is connected.
Page 41: Rear Panel
The monitor offers a choice of thermometry. The monitor can be configured for either FILAC 3000 or Exergen Non-Invasive Temporal Artery thermometry. Refer to User SELECT Manual Addendum - Exergen Temperature, Zoe Medical PN 21-22-0334. 21-22-0316 Rev E Page 41 of 182...
Page 42: Rear Panel Ports & Connections
MONITOR OPERATION SELECT REAR PANEL PORTS & CONNECTIONS: (1) DC CONNECTION Receptacle for the DC power supply is located on the rear panel. Use Only Zoe Medical 01-02-0806 Power Supply. (2) USB CONNECTION Note: Not all flash drives are supported. Use only Zoe Medical PN 01-02-0814 USB Flash Drive.
Page 43: Left Side View
MONITOR OPERATION SELECT and fully charged, is capable of taking 150 NIBP readings when the monitor is set in the 5- minute Automatic Mode (continuous SpO and 15 minute Temp measurements). LEFT SIDE VIEW Refer to Figure 4: Masimo Nellcor Speaker Grill Nellcor SpO...
Page 44: Patient Connections
MONITOR OPERATION SELECT PATIENT CONNECTIONS NIBP CUFF HOSE CONNECTION The NIBP inflation hose is connected to the monitor where the MAX logo is located NIBP (refer to ® NIBP Only Figure 4). An appropriately sized cuff for the patient’s arm must be connected to the hose prior to use.
Page 45 MONITOR OPERATION SELECT NIBP Only Figure 4). The SpO Sensor is then connected to the SpO Patient cable. Note: The SpO Patient cable is keyed and can only be inserted one way. SPEAKER The monitor equipped with an internal speaker to indicate the presence of alarm conditions. Warning: Do not place the monitor left side speaker grill against a solid surface.
Page 46: Right Side View
The monitor offers a choice of thermometry. The monitor can be configured for either FILAC 3000 or Exergen Non-Invasive Temporal Artery thermometry. Refer to SELECT User Manual Addendum - Exergen Temperature, Zoe Medical PN 21-22-0334. 21-22-0316 Rev E Page 46 of 182...
Page 47: Monitor Operating Instructions
MONITOR OPERATION SELECT MONITOR OPERATING INSTRUCTIONS ADULT/PEDIATRIC/NEONATE OPERATING MODE NIBP and Temperature functions are affected by changing between Adult, Pediatric and Neonate operating modes. Caution: Prior to patient monitoring, ensure the monitor is configured to the appropriate patient mode – Adult, Pediatric or Neonate. Refer to page 89, for more information. Once power has been applied, a visual indicator on the display shall indicate the current operating mode.
Page 48: Turning The Monitor "Off
Power On Self-Test is completed, the monitor is ready for use. Boot-Up Sequence (approx. 25-30 seconds):  Power On – switch illuminated green  Zoe Medical splash screen appears  Screen turns blank for approx. 5 seconds  Audio beep to confirm POST completed ...
Page 49: Power Up Screen
MONITOR OPERATION SELECT POWER UP SCREEN The New Patient Question may appear each time the monitor is power cycled. Refer to On Power Up Selection section on page 51. Select Yes (New Patient) or No (Same Patient) as applicable:  Selecting Yes (New Patient) will clear patient information and trend data and restore the monitor to institutional user default settings ...
Page 50: Figure 9: Setup System Menu: Spot-Check Workflow Mode
MONITOR OPERATION SELECT Perform the following to enable Continuous Monitoring workflow mode:  Press the Setup button  Press the Administrator button  Press the System button  Enter the required password 986  Set Workflow selection to Continuous (refer to Figure 10 below) Note: If the monitor has been configured for use in Continuous Monitor workflow mode, selecting OK from the “Save Snapshot?”...
Page 51: On Power Up Selection
MONITOR OPERATION SELECT On Power Up Selection This feature is designed to help manage the monitor boot up behavior based on the clinical setting (e.g., EMS, Dental Offices or General Hospital Operations). The New Patient Question may appear each time the monitor is power cycled. To ask the New Patient Question, resume monitoring the same patient or start monitoring a new patient may be selected via the Setup System menu On Power Up selection.
Page 52: Serial Port Selection
ACCESSORIES for part number information. The Patient ID and the Clinician ID can also be entered using an on-screen keyboard. The bar code reader is shipped from Zoe Medical Plug & Play; no user configuration or additional setup is required.
Page 53: Monitor Operation
MONITOR OPERATION SELECT FRONT PANEL CONTROL – Main Screen Display The monitor has a large and easy to read numerics, 7” color LCD touchscreen display, one-touch access to parameter alarms, settings and Setup menu, and dedicated parameter cells. The display is configurable with or without Plethysmograph (with SpO option) (refer to Figure 12).
Page 54: Patient Information Button
MONITOR OPERATION SELECT PATIENT INFORMATION BUTTON Display of patient information is user configurable. User options may be selected from the Setup / Administrator / Display menu. Options available for the Patient Button Label are outlined in Figure 13. Figure 13: Patient Information Display Options Note: Patient ID should be selected if using the optional Bar Code Reader.
Page 55: Patient Mode (Type)
MONITOR OPERATION SELECT PATIENT MODE (TYPE) The monitor is capable of monitoring Adult, Pediatric, and Neonatal patients. The current patient mode selection is noted on the main screen by the arrow located below the Patient Type image. Arrow (∆) below patient image points to current Patient Mode. In this example the mode is set to ADULT.
Page 56: Screen Lock Icon
MONITOR OPERATION SELECT Figure 16: Confirm Patient Mode Change Screen Caution: Switching modes from Adult, Pediatric or Neonate to any other patient mode, shall recall the last stored values for the patient alarm settings (alarms on/off and limits). Note: Alarm limits are automatically set based on the patient mode selected. SCREEN LOCK ICON Touch the Screen Lock Icon to enable or disable the screen lock function.
Page 57: Figure 17: Plethysmograph Waveform
MONITOR OPERATION SELECT & ETCO2 WAVEFORMS (if so equipped) Display of the Plethysmograph is user configurable and may be found under the Setup Home Screen (refer to Figure 17 and Figure 18). The SpO2 Waveform Select is dependent on if the ETCO2 option is enabled.
Page 58: Figure 20: Setup Waveform Screen
MONITOR OPERATION SELECT Display of the SpO2 / Plethysmograph and ETCO2/ Capnography waveforms are user configurable and may be found under the Setup Waveform (refer to Figure 20). Figure 20: Setup Waveform screen From the Waveform Setup screen you may set the following: 1, 2, 3 - Use the drop down menu to select the Waveform to be displayed on the main screen.
Page 59 MONITOR OPERATION SELECT The Waveform Sweep Speed size selections are dependent on waveform selected. Fill in CO Waveform - Select No to not fill in CO Waveform: Select Yes to fill in CO Waveform: 21-22-0316 Rev E Page 59 of 182...
Page 60: Freezing Waveforms
MONITOR OPERATION SELECT FREEZING WAVEFORMS In some clinical environments the user may want to freeze the displayed waveforms. Touching the right side of the waveform area (under the blue line) will cause all displayed waveforms to be frozen (refer to Figure 21 - SpO2 & ETCO2 waveforms frozen). Only the waveforms are frozen.
Page 61: Date And Time
High Priority Alarms: High Priority Alarm (“No breath detected” Example - ETCO2 parameter): “HR asystole” Example - ECG parameter: Refer to User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN 21-22-0335  Medium Priority Alarm: Medium Priority Alarm (“SpO2 > limit” Example - SpO2 parameter): ...
Page 62: Numeric Area (Alarms)
A value of “0” is displayed “HR asystole” Example - ECG Numeric: The text “ASY” will be displayed in place of a value Refer to User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN 21-22-0335  Medium Priority Alarm “SpO2 <...
Page 63: Alarm Log
MONITOR OPERATION SELECT ALARM LOG The Alarm Log can be viewed at any time by touching the message area located at the bottom of the display screen. Medium Priority Physiologic Alarms (Yellow Background) Alarm Limit changes Equipment Alarms (Cyan Background High Priority Physiologic Alarms (Yellow Background)
Page 64: Maxnibp Nibp Numeric Field
MONITOR OPERATION SELECT NIBP NUMERIC FIELD NIBP Refer to Figure 26 IQ Signal Quality Status SQS Indicator Pulse Pressure Upper & Lower Alarm Limits Sys / Dia (Map) Parameter Name Units of Measure User selectable Start BP Options Measured Value (Refer to Table below (Sys/Dia (MAP) for details)
Page 65: Plethysmograph, Spo & Spo Pulse Numerics (If Spo Equipped)
MONITOR OPERATION SELECT PLETHYSMOGRAPH, SpO & SpO PULSE NUMERICS (if SpO equipped) The appearance of the SpO Numeric field will change depending upon the brand of SpO installed (Masimo or Nellcor) and SpO parameter features and options enabled (refer to Figure 27).
Page 66: Filac Temperature Numeric Field (If Temperature Equipped)
The monitor offers a choice of thermometry. The monitor can be configured for either FILAC 3000 or Exergen Non-Invasive Temporal Artery thermometry. Refer to SELECT User Manual Addendum - Exergen Temperature, Zoe Medical PN 21-22-0334. 21-22-0316 Rev E Page 66 of 182...
Page 67: Alarm Limits And Settings
MONITOR OPERATION SELECT ALARM LIMITS and SETTINGS Touching an individual parameter cell will open a Setup screen to enable the setting of alarm limits or settings specific to that parameter. Setup screens are available for each installed parameter. Setup NIBP To access the Setup NIBP screen, touch anywhere within the NIBP numeric area to open the Setup NIBP window (refer to Figure 29).
Page 68: Figure 30: Nellcor Spo
MONITOR OPERATION SELECT Setup SpO To access the Setup SpO screen, touch anywhere within the SpO cell to open the Setup window (refer to Figure 30 – Nellcor, Figure 31 – Masimo). From the SpO Setup screen you may set the following: ...
Page 69: Figure 32: Pr Setup Screen
MONITOR OPERATION SELECT Select OK to confirm your selection(s) and close the Setup SpO window and return to the main display screen. Current selections (as applicable) will appear within the SpO cell. Select Cancel anytime to return to the main display without making any changes. Note: Selecting this button silences the audible SpO equipment alarm and clears the displayed message (e.g., SpO...
Page 70: Figure 33: Filac Temperature Setup Screen
MONITOR OPERATION SELECT Setup Temperature (Temp) FILAC To access the Setup Temperature screen, touch anywhere within the Temperature cell to open the Setup Temperature window (refer to Figure 33). From the Setup Temperature screen you may set the following:  Alarms On (Yes/No) for temperature ...
Page 71: Audible And Visual Indicators
MONITOR OPERATION SELECT AUDIBLE AND VISUAL INDICATORS The monitor is capable of producing both an audible and a visual indicator for a variety of monitor conditions. Table 2 below provides a cross reference for audible and visual indications. Alarm Tones Priority Audible Indication Alarm Condition...
Page 72: Table 2: Audible And Visual Indicators
MONITOR OPERATION SELECT Visual Indicators Table 2: Audible and Visual Indicators Priority Color Description Level Red Flashing background Alarm is active and has not been High acknowledged (physiologic parameter) Red Solid Background Alarm is currently active and has been High "Silenced"...
Page 73: Displaying Alarms And Messages
MONITOR OPERATION SELECT DISPLAYING ALARMS AND MESSAGES Alarms are annunciated in the following manner (refer to Figure 34):  The background of the parameter cell changes color and flashes from bright to dim.  Alarm text is displayed in the dedicated message area. ...
Page 74 MONITOR OPERATION SELECT Audio Silence When the Audio Silence key is selected, the system will pause the audio and visual alert associated with current alarms for the duration specified under Setup-Administrator- Alarms. Refer to the ALARMS section on page 92. During this period, the background color for the alarming parameter(s) changes to a solid background (indicates Audio Silence has been selected).
Page 75: Table 3: Alarm Limit Adjustment
MONITOR OPERATION SELECT AUTO (set) Alarm Limits Upper and lower alarm limits for each parameter can be set automatically using the Auto feature, which provides a structure to establish alarms limits based upon your patient’s current measured values. To enable Auto limits, open the applicable parameter Setup Window and touch the ‘AUTO” key on the same line with the parameter.
Page 76: Battery Power
If the monitor is in need of repair, it must be referred to the appropriate service personnel. Service performed by unauthorized personnel could be detrimental to the monitor and will void the warranty. For service, contact your dealer or Zoe Medical. Refer to the contact addresses on page 3 for email and phone number information.
Page 77: Error Messages On The Display
Printer Printer option is not enabled  A print has been  Check Printer cable connections  If message persists, contact Zoe Medical requested, but the Printer not connected Printer option is not technical support connected ...
Page 78 NIBP problem  Turn the monitor off, then on detected  If message persists, contact Zoe Medical technical support  Initial inflation pressure  Repeat the measurement (monitor will may not have been automatically adjust to using a higher...
Page 79  Small tissue mass  A hardware problem  Turn the monitor off, then on. problem  If message persists, contact Zoe Medical has been detected detected technical support  The patient's oxygen  Check the patient and provide any...
Page 80  Check that Temp Probe placement is (too high)  There is a problem stable with the connections or  If message persists, contact Zoe Medical with the hardware technical support  Patient movement  Check the Temp Probe cable ...
Page 81: Blood Pressure Monitoring
BLOOD PRESSURE MONITORING SELECT MONITOR SETUP The Setup section allows you to review monitor information and configure it to your patient and institutional requirements. ENTERING THE SETUP MENU To enter the monitor’s Setup Menu, press the Setup touch area located on the main screen (refer to Figure 36).
Page 82 BLOOD PRESSURE MONITORING SELECT Note: If during Alarm Pause condition, a High Priority alarm occurs, the Alarm Pause condition will be exited and the High Priority Alarm shall be annunciated immediately. Note: The duration the Alarm Pause may be configured in Setup-Administrator-Alarms (refer to the ALARMS section on page 92).
Page 83: Home Screen
BLOOD PRESSURE MONITORING SELECT HOME SCREEN Note: software automatically manages the features and settings displayed SELECT in the Setup Home Screen based on the parameters installed and enabled. The Home Screen is used to configure the following display screen features (refer Figure 38): ...
Page 84: Figure 38: Setup Home Screen
BLOOD PRESSURE MONITORING SELECT Figure 38: Setup Home Screen To change settings:  Touch the On or Off button to make your selection. The current selection has a blue background.  Select OK to confirm your selection(s) and close the Audio Setup window. ...
Page 85: Audio
BLOOD PRESSURE MONITORING SELECT AUDIO Provides the ability to manage loudness and touch screen navigation sounds (refer to Figure 39).  Alarm Volume - Monitor alarm volume - Default 6, Range 1-10  Pulse Tone Volume - SpO pulse tone volume - Default 4, Range 1-10 ...
Page 86: Printer
BLOOD PRESSURE MONITORING SELECT PRINTER To configure the monitor for external printer perform the following:  Recording Time - Total amount of time that will be represented on the strip chart - Drop down menu selections: 4, 10, and 16 seconds; Default 10 ...
Page 87: Patient Information
BLOOD PRESSURE MONITORING SELECT PATIENT INFORMATION 1) Press Patient Information key (refer to Figure 36) to enter Patient Information. 2) Use the drop down menus, and the Up/Down arrows to enter patient specific information (refer to Figure 41). 3) Last, First and ID buttons will present a keyboard for data entry 4) Use the keyboard (refer to Figure 42) to enter patient specific information.
Page 88: Figure 43: Patient Information Modifiers Screen
BLOOD PRESSURE MONITORING SELECT Modifiers… Patient modifiers, including Respiration Rate, FiO2 value and Pain level, may be entered by the user for each patient. To enter the Patient Modifiers, complete one of the following methods: Method 1  Touch the Patient ID window displayed on the top left of the main screen to open the Patient Information screen ...
Page 89: Clinician Information
BLOOD PRESSURE MONITORING SELECT CLINICIAN INFORMATION 1) Press Clinician Information key (refer to Figure 36) to enter Clinician Information. 2) Use the keyboard (refer to Figure 44) to enter Clinician specific information. 3) Select OK to confirm and exit window. Figure 44: Enter Clinician Information Screen The Clinician IDN may also be entered using the optional bar code reader.
Page 90: Restore User Defaults
BLOOD PRESSURE MONITORING SELECT RESTORE USER DEFAULTS During clinical practice the User Default may be changed to match patient monitoring needs; at any time the monitor may be reverted back (restored) to the previously Saved User Default. Follow these steps to Restore User Defaults: 1) Select Setup/Restore User Defaults.
Page 91: Administrator
BLOOD PRESSURE MONITORING SELECT ADMINISTRATOR Select Administrator to enter Setup Administrator menu (refer to Figure 46) to access the following: Figure 46: Setup Administrator Screen 21-22-0316 Rev E Page 91 of 182...
Page 92: Alarms
BLOOD PRESSURE MONITORING SELECT ALARMS The Alarms menu is password protected. This menu is typically accessed by the head nurse, nurse manager or hospital bio-med to establish global/ and institutional type alarm settings and monitor features. To enter the Setup Alarms screen, touch [Setup/Administrator/Alarms]. Use the keyboard to enter the password 986.
Page 93: System
BLOOD PRESSURE MONITORING SELECT SYSTEM The Setup System menu is password protected. This menu is typically accessed by the head nurse, nurse manager or hospital bio-med to establish global and institutional type alarm settings and monitor features. To enter the Setup System screen, touch [Setup/Administrator/System]. Use the keyboard to enter the password 986.
Page 94 BLOOD PRESSURE MONITORING SELECT Workflow Configure the monitor for the appropriate clinical workflow options:  Spot-Check a. If the monitor has been configured for use in Spot-Check workflow mode, selecting OK from the “Save snapshot?” screen will: I. Automatically clear patient information (including trend data stored as Intervals), and restore the monitor to the user established default settings.
Page 95 BLOOD PRESSURE MONITORING SELECT On Power Up The On Power Up selection may be configured to ask the New Patient question, Assume a new patient or Assume the same patient. This feature is designed to help manage the monitor boot up behavior based on the clinical setting (e.g., EMS, Dental Offices or General Hospital operations).
Page 96 BLOOD PRESSURE MONITORING SELECT Bar Code Select Patient or Clinician IDN as the primary bar code entry. To configure the primary bar code entry, complete the following steps: Select Setup, followed by Administrator and System Menu Enter the required password 986 From the Bar Code drop-down menu, select the desired configuration (Patient or Clinician ID).
Page 97: Figure 49: Set Date And Time Screen
BLOOD PRESSURE MONITORING SELECT Set Date and Time The year, month, and day are displayed as well as the hour and minutes on the main display screen. The Date & Time value is set at the factory. Should it need to be changed, perform the following steps after selecting Setup.
Page 98: Figure 50: Set Units Of Measure Screen
BLOOD PRESSURE MONITORING SELECT Set Units of Measure / Height Units The patient height can be displayed in either inches or centimeters. To configure the patient height units complete the following steps: Select Setup followed by the Administrator and System menu. Enter the required password 986.
Page 99 BLOOD PRESSURE MONITORING SELECT Set Units of Measure / Temperature Units (if Temperature is installed) The Temperature readings can be displayed in either the Celsius or Fahrenheit units. To configure the monitor’s temperature units complete the following steps: Select Setup followed by the Administrator and System menu. Enter the required password 986.
Page 100: Figure 51: Save User Defaults Screen
BLOOD PRESSURE MONITORING SELECT Save User Defaults User set alarm limits, settings and monitor features may be saved as User Defaults. To save user alarm limits, settings and monitor features complete the following steps: 1) Select Setup followed by the Administrator/System. 2) Enter the required password 986.
Page 101: Figure 52: Show Event Log Screen
USB stick and open the .csv file using Excel or a similar program. Show Event Log The Event Log is intended to be used by hospital bio-medical technician and or Zoe Medical technical support (refer to Figure 52). The log provides NIBP, SpO (if installed), and Temp (if installed) information, etc.
Page 102: Service
FACTORY Factory is reserved and not accessible, no user related or bio-med related functions. Inform Zoe Medical if you are able to enter this menu with or without a password. CONFIGURATION Select Configuration to enter the Setup Configuration window (refer to Figure 54) to review...
Page 103: Display
BLOOD PRESSURE MONITORING SELECT DISPLAY The Setup Display Menu is used to configure the following features (refer to Figure 55):  Patient Button Label – Use the drop down menu to select how patient information will be displayed on the main screen. user configurable selections are: Patient ID is typically selected when the optional bar code reader is used or when the patients IDN is required before capturing...
Page 104: Clear Trends
BLOOD PRESSURE MONITORING SELECT CLEAR TRENDS Select Clear Trends to clear all the trend data stored in the device. The monitor will prompt you to confirm this selection, to avoid doing it accidentally. COMMUNICATIONS The Communications button in the Setup Administrator menu lets you access the Setup Communications menu (please refer to the chapter on External Device Interfacing).
Page 105: Blood Pressure Monitoring
A pneumatic check is recommended once a year. Caution: Do not alter the monitor's air hose. Zoe Medical cannot ensure proper monitor performance if the tubing is altered. Modification of the air hose will void the warranty. Avoid compression or restriction of pressure tubes.
Page 106 BLOOD PRESSURE MONITORING SELECT  The monitor has been designed to promote patient safety. The maximum amount of time allowed to complete a blood pressure measurement is 120 seconds in Adult/Pediatric mode and 90 seconds in Neonate mode. If the measurement has not been completed within that time, the cuff is deflated automatically and a message is displayed indicating the problem.
Page 107: Tips
BLOOD PRESSURE MONITORING SELECT TIPS Rationale to optimize performance and data accuracy of an automated NIBP system: Rationale Clear the prior patient’s data and reset the initial inflation pressure For patient comfort and avoids to the default value for patient comfort (Refer to * NOTE below) clinician loss of NIBP data Cuff should be correctly sized, secured, positioned and placed on For data accuracy and...
Page 108: Cuff Selection And Application
Zoe Medical recommends the use of its reusable, disposable and neonatal cuffs. Note: Zoe Medical recommends the use of the inflation hose supplied with the monitor or a replacement from Zoe Medical. The widest cuff that can be placed around the upper arm or thigh should be used. A cuff that is too small for the arm will not supply sufficient pressure to the artery.
Page 109: Nibp Hoses
NIBP hose (Zoe Medical PN 01-01-0088) is recommended  For Neonatal and Infant patient monitoring use the Neonatal mode and cuffs, the Neonatal six (6) ft (3 m) NIBP hose (Zoe Medical PN 01-03-0255) is recommended Note: Avoid compression or restriction of NIBP hoses.
Page 110: Configuring The Monitor For Nibp
BLOOD PRESSURE MONITORING SELECT CONFIGURING THE MONITOR FOR NIBP MANUAL MODE Select and apply the appropriately sized cuff for the patient being monitored to the extremity. Connect the cuff to the end of the monitor tubing. Connect the monitor tubing to the NIBP connector, located on the left side of the monitor.
Page 111: Taking A Nibp Measurement
BLOOD PRESSURE MONITORING SELECT TAKING A NIBP MEASUREMENT Warning: Excessive patient motion can contribute to inaccurate measurements. It is important that the patient be kept still during a measurement. Make every attempt to alleviate fear, anxiety and pain. Press the Start Button (found in the NIBP Numeric field) to begin a measurement. For the first measurement the monitor will inflate to the default setting or the Initial Inflation Pressure selected per the Start BP Option setting.
Page 112: Automatic Cycle For Blood Pressure Determination
BLOOD PRESSURE MONITORING SELECT AUTOMATIC CYCLE FOR BLOOD PRESSURE DETERMINATION Automatic blood pressure measurements can be taken at pre-selected time intervals. To choose a NIBP Interval, touch the NIBP Numeric field. Select the desired NIBP Interval value and then touch OK to accept or Cancel to ignore the selection. Touch the Home touch area to return to the Main screen.
Page 113: Stat Mode
BLOOD PRESSURE MONITORING SELECT STAT MODE Warning: Readings obtained during STAT mode may not meet the stated accuracy of this monitor. Warning: In some cases, rapid, prolonged cycling of an oscillometric, noninvasive blood pressure monitor cuff has been associated with any or all of the following: ischemia, purpura, or neuropathy.
Page 114: Pulse Oximetry Monitoring
Electric shock hazard - Do not open the monitor cover except to replace the batteries. Only qualified personnel may perform maintenance procedures specifically described in this Manual. Contact Zoe Medical for assistance. Warning: Pulse rate measurement is based on the optical detection of a peripheral flow pulse and therefore may not detect certain arrhythmias.
Page 115 PULSE OXIMETRY MONITORING SELECT Warning: Do not place the monitor or accessories in any position that might cause it to fall on the patient. Do not lift the monitor by the patient cable. Warning: Interfering Substances: Carboxyhemoglobin may erroneously increase SpO readings.
Page 116 PULSE OXIMETRY MONITORING SELECT Warning: Exercise caution when applying a SpO sensor to a site with compromised skin integrity. Applying tape or pressure to such a site may reduce circulation and/or cause further skin deterioration. Warning: With very low perfusion at the monitored site, the readings may read lower than core arterial oxygen saturation.
Page 117 PULSE OXIMETRY MONITORING SELECT Warning: Do not attempt to reprocess, recondition, or recycle any SpO sensors or patient cables as these processes may damage the electrical components, potentially leading to harm. Warning: To avoid cross contamination only use SpO single use sensors on the same patient.
Page 118: Spo2 Alarm Settings
PULSE OXIMETRY MONITORING SELECT SpO2 ALARM SETTINGS Warning: Setting Alarms On to No for any parameter disables all alarm annunciation for that parameter There are three sets of alarm limit parameters, one for Adult, Pediatric, and Neonatal. Alarm Limits will operate on the parameters for the current monitor patient mode. Table 7 Default SpO2 &...
Page 119 PULSE OXIMETRY MONITORING SELECT To set the SpO Pulse Rate Alarm limits: Touch the SpO Pulse Rate Numeric field. Adjust the desired SpO Pulse Rate Upper or Lower Alarm Limit value.  The SpO Pulse Rate Upper and Lower Alarm Limits can be adjusted independently. Touch OK to accept or Cancel to ignore the selection.
Page 120: Plethysmograph
PULSE OXIMETRY MONITORING SELECT PLETHYSMOGRAPH The monitor has the capability to display the Plethysmograph waveform from the SpO sensor. To enable the SpO waveform: Touch Setup then Home Screen. Select SpO Waveform On. Touch OK to accept or Cancel to ignore the selection. Touch the Home touch area to return to the Main screen.
Page 121: Finger Clip Sensors
PULSE OXIMETRY MONITORING SELECT FINGER CLIP SENSORS The finger clip sensor is designed for SpO check monitoring of Adult and Pediatric patients or continuous monitoring where patient movement is not expected, and the patient’s finger is large enough for the sensor to be attached securely (refer to Figure 58). Note: If patient movement is occurring or the finger size is inappropriate, select a different sensor that is appropriate for the patient and the monitoring environment.
Page 122: Disposable Flex-Type Sensors
PULSE OXIMETRY MONITORING SELECT DISPOSABLE FLEX-TYPE SENSORS These types of sensors are designed for patients as a single patient use sensor and are intended for use where moderate patient movement is expected or cross contamination is possible. Figure 59: Flex Type Adult/Pediatric Application Adult and Pediatric: The preferred application site is the index finger, however, other fingers or toes may be used where the tissue thickness is between 5 and 17 millimeters (refer to Figure 59).
Page 123 PULSE OXIMETRY MONITORING SELECT they will be displayed in their respective SpO and SpO Pulse numerics. Warning: Inspect the pulse oximeter site every 2 to 4 hours or per hospital protocol. If there is any skin irritation caused by the sensor, remove the sensor and apply it to a different location.
Page 124: Masimo Oximeter (If So Equipped)
Models may also be software enabled to interface with Masimo Rainbow Parameters (SpCO, RRa & PVI). Refer to User Manual Addendum - Masimo Rainbow SELECT Parameters, Zoe Medical PN 21-22-0332. Note: Monitors equipped with Masimo oximetry will have the Masimo SET logo next to the connector.
Page 125: Removing The Interface Cable
PULSE OXIMETRY MONITORING SELECT REMOVING THE INTERFACE CABLE When SpO monitoring is not required, disconnect the Interface Cable by squeezing the grey tabs with your thumb and index finger while pulling the connector away from the monitor. Note: To avoid damage to the Interface Cable, always hold it by the connector rather than the cable when connecting or disconnecting either end.
Page 126: Nellcor Oximeter (If So Equipped)
PULSE OXIMETRY MONITORING SELECT NELLCOR OXIMETER (if so equipped) The monitor is shipped with Nellcor OxiMax sensors. No other manufacturer’s sensors should be used. Note: Monitors equipped with Nellcor oximetry will have the Nellcor OxiMax logo next to the connector. ATTACHMENT PROCEDURE Select and apply a sensor that is the appropriate size for the patient’s digit or extremity, according to the instructions provided by Nellcor.
Page 127: Spo 2 Messages
If the internal SpO monitor numeric field. Press Silence Button and the monitor will silences the audio alarm tone, and the message remains. Should any of the above problems persist, contact your dealer or Zoe Medical. 21-22-0316 Rev E Page 127 of 182...
Page 128: Spo 2 Messages
If the internal SpO monitor numeric field. Press Silence Button and the monitor will silences the audio alarm tone, and the message remains. Should any of the above problems persist, contact your dealer or Zoe Medical. 21-22-0316 Rev E Page 128 of 182...
Page 129: 10. Temperature (Temp) Monitoring
WARNINGS Warning: During use, single-use disposable FILAC Temp Probe covers supplied by Zoe Medical or Covidien will limit patient cross-contamination. The use of any other Temp Probe cover or the failure to use a Temp Probe cover may produce temperature errors and will invalidate the monitor’s warranty.
Page 130: Cautions
TEMPERATURE (TEMP) MONITORING SELECT CAUTIONS Caution: Use only FILAC 3000 Temp Probe covers with monitor. Use of any other Temp Probe cover will result in erroneous temperature readings. Caution: For proper operation, be sure to insert the FILAC Temp Probe back into the Isolation chamber when not in use.
Page 131: Temperature Alarm Settings
TEMPERATURE (TEMP) MONITORING SELECT TEMPERATURE ALARM SETTINGS Warning: Setting Alarms On to No for any parameter disables all alarm annunciation for that parameter There are two sets of alarm limit parameters, one for Adult, Pediatric and Neonatal. Alarm Limits will operate on the parameters for the current monitor patient mode. Temperature alarm limits are disabled by default.
Page 132: Filac Temperature Messages
TEMPERATURE (TEMP) MONITORING SELECT FILAC TEMPERATURE MESSAGES If FILAC Temp Probe and Isolation Chamber are removed from the Temperature module, the message (“No probe detected”) will appear in the Temperature numeric. When the Isolation Chamber and Temp Probe are re-installed into the Temperature module, the message is cleared.
Page 133: Inserting A Box Of Filac Temp Probe Covers
TEMPERATURE (TEMP) MONITORING SELECT INSERTING A BOX OF FILAC TEMP PROBE COVERS 1) If required, remove the empty box of Temp Probe covers from the isolation chamber (Refer to Figure 62). 2) Open new box of Temp Probe covers by lifting the tab at marked corner (►) and pull to remove the top panel.
Page 134: Applying And Removing The Filac Temp Probe Covers
TEMPERATURE (TEMP) MONITORING SELECT APPLYING and REMOVING THE FILAC TEMP PROBE COVERS 1) Insert a box of Temp Probe covers into the Isolation Chamber (Refer to Figure 62). Warning: To aid infection control, never switch boxes between blue and red Isolation Chambers.
Page 135: Changing The Filac Temperature Isolation Chambers
TEMPERATURE (TEMP) MONITORING SELECT CHANGING THE FILAC TEMPERATURE ISOLATION CHAMBERS Warning: When replacing FILAC Temp Probe, it is recommended to replace the Isolation Chamber received with the Temp Probe. Failure to replace the Isolation Chamber could result in patient cross contamination. Caution: For aiding in infection control, use only the Blue Temp Probe and Blue Isolation Chamber for Oral and Axillary temperature taking.
Page 136: Changing The Filac Temperature Probe
TEMPERATURE (TEMP) MONITORING SELECT CHANGING THE FILAC TEMPERATURE PROBE 1) To change Temp Probes, remove the Isolation Chamber as described previously (refer to Figure 64). 2) Grasp the sides of the L-shaped connector piece with one hand and then using the other hand pull backwards on the latch holding the end of the L-shaped connector.
Page 137: Taking An Oral Filac Temperature
TEMPERATURE (TEMP) MONITORING SELECT TAKING AN ORAL FILAC TEMPERATURE Caution: Never use FILAC Temp Probe without a Temp Probe cover. Accurate Oral temperatures can only be obtained by using the blue Temp Probe. The use of the wrong Temp Probe will produce temperature errors. Follow this procedure to take an Oral temperature (Predictive mode): Make certain the Blue Oral Temp Isolation Chamber / Probe unit is attached.
Page 138 TEMPERATURE (TEMP) MONITORING SELECT Note: Accurate temperatures can only be obtained in this location. Temperatures in other mouth locations can vary by as much as 2°F or 1°C. Accurate body temperature readings can only be obtained in one of these two “heat pocket” locations as shown. Temperatures taken in other mouth locations will result in inaccurate body temperature readings.
Page 139: Taking A Rectal Filac Temperature
TEMPERATURE (TEMP) MONITORING SELECT TAKING A RECTAL FILAC TEMPERATURE Caution: Never use FILAC Temp Probe without a Temp Probe cover. Accurate Rectal temperatures can only be obtained by using the red Temp Probe. The use of the wrong Temp Probe will produce temperature errors. Follow this procedure to take a Rectal temperature: Make certain that the RED Temp Isolation Chamber / Probe unit is attached.
Page 140 TEMPERATURE (TEMP) MONITORING SELECT Caution: Failure to correctly place FILAC Temp Probe back into its Isolation Chamber well may result in failure of the next predictive temperature measurement. The monitor reports a “Temp Probe out of well” if the Temp Probe is not returned into the Isolation Chamber well thirty (30) seconds after completing a measurement.
Page 141: Taking An Axillary Filac Temperature
TEMPERATURE (TEMP) MONITORING SELECT TAKING AN AXILLARY FILAC TEMPERATURE Caution: Never use FILAC Temp Probe without a Temp Probe cover. Accurate Axillary temperatures can only be obtained by using the blue Temp Probe. The use of the wrong Temp Probe will produce temperature errors. Follow this procedure to take an Axillary temperature in Normal (Predictive) mode: Make certain the Blue Temp Isolation Chamber / Probe unit is attached.
Page 142 TEMPERATURE (TEMP) MONITORING SELECT in process. 10) When the final temperature has been reached, the temperature value will be displayed in the Temp Numeric field and an audible tone will be generated. The time of the measurement and the measured temperature will be displayed and also stored in the monitor’s history memory.
Page 143: Filac Quick Mode (Oral Only)
TEMPERATURE (TEMP) MONITORING SELECT FILAC QUICK MODE (Oral Only)  FILAC Quick mode may be selected via the Temp setup screen  Quick mode is provided for more rapid, time consistent, Oral temperature predictions  Rapidly ID patients with “normal” body temperature ...
Page 144: External Printer (Optional)
EXTERNAL PRINTER (OPTIONAL) SELECT 11. EXTERNAL PRINTER (Optional) GENERAL  Powered directly from the serial port; does not require separate battery or AC power  50 mm strip chart printer  Prints: physiologic measurements, trend data, SpO waveform (auto scaled, 25 mm/sec) ...
Page 145: 12. Trends
TRENDS SELECT 12. TRENDS DISPLAY Trends allow the user to recall all trended physiologic patient measurement records and Saved Snapshots. Each trend value and Snapshot is date and time stamped and color coded to match the main display screen displayed values. Up/Down arrows allow the user to view trend information by latest or oldest date and time.
Page 146: Printing
TRENDS SELECT Figure 72: Trends - Time Scale selection PRINTING Select the PRINT button found in the TRENDS screens to print stored Trends and Saved Snapshots. Note: Prior to attempting to print TRENDS, the external printer port should be enabled (Setup Menu), connected to the monitor and paper installed in the printer.
Page 147: 13. Cleaning
“Off”. Unplug the monitor from the AC power source and remove the internal battery. Caution: Do not open the monitor to clean or repair it. Contact Zoe Medical for service needs. Refer to the CONTACT ADDRESSES on page 3 for email and phone number information.
Page 148: Blood Pressure - Cuffs
Refer to the product packaging for additional Cleaning and Disinfecting Instructions were applicable. Note: Zoe Medical does not recommend submersion of the cuff. Liquid should not be permitted to enter the cuff bladder because instrument damage may occur. The cuff should be allowed to thoroughly dry before use.
Page 149: Filac Temperature Probes
CLEANING SELECT FILAC TEMPERATURE PROBES FILAC Temp Probe should periodically be cleaned. FILAC Temp Probe should be removed from the monitor and wiped clean. Follow the “Changing the Filac Temperature Isolation Chambers” instructions explained in this manual. To clean FILAC Temp Probe Isolation Chamber, perform the following: Caution: Do not soak or immerse the Temp Probe or its cable in any liquid solution.
Page 150: Filac Temperature Isolation Chamber
CLEANING SELECT FILAC TEMPERATURE ISOLATION CHAMBER FILAC Isolation Chamber should periodically be cleaned. FILAC Isolation Chamber should be removed from the monitor and wiped clean. Follow the “Changing the Filac Temperature Isolation Chambers” instructions. To clean FILAC Isolation Chamber perform the following: Caution: Do not soak or immerse the Isolation Chamber in any liquid solution.
Page 151: 14. Maintenance
If the monitor is in need of repair, it must be referred to the appropriate service personnel. Service performed by unauthorized personnel could be detrimental to the monitor and may void the warranty. For service, contact your dealer or Zoe Medical. Refer to the Contact Addresses on page 3 for email and phone number information.
Page 152: 15. External Device Interfacing
Serial Communications / Printer Figure 73: Serial Communications / Printer port location This port can be configured for use with a Zoe Medical Printer or for Communications (Zoe Medical ATE Serial protocol). The Zoe Medical ATE Communications Protocol is readily available for EMR connectivity by 3 party providers.
Page 153: Figure 75: Unit Configured With Rj45 To Db9 Cable
Electrical levels for the RJ45 connector port are CMOS levels. To properly interface to standard RS-232 devices (EMR Gateway, Hubs, etc.) these signals must be converted to RS- 232 levels. A RJ45 to female DB9 Serial cable (Zoe Medical PN 01-02-0822) is available for this purpose. Refer to Figure 75 for additional information.
Page 154: Network Communications
EXTERNAL DEVICE INTERFACING SELECT NETWORK COMMUNICATIONS The monitor is capable of interfacing to the Zoe Medical Nightingale MPC central station or to an EMR System via hard-wired Ethernet. Please refer to the MPC User's Guide for information about operating the central station.
Page 155 EXTERNAL DEVICE INTERFACING SELECT The ZNET protocol enables connection to the MPC. The following table contains instructions for setting up this connection. Setting Description Ethernet * Set to ZNET in order to connect to the MPC central station Use DHCP Set to Yes (more common) or No, depending on whether your network uses DHCP Monitor ID...
Page 156: Nurse Call Interface
The following Nurse Call cables are available for connection to the hospital system: SELECT  Nurse Call cable, 12’ length, tinned ends - for hospital customization (Zoe SELECT Medical PN 01-02-1100)  Nurse Call cable, 12’ length, Normally Closed (NC) configuration - 1/4" mono...
Page 157: Figure 79: 3.5 Mm Phone Plug
EXTERNAL DEVICE INTERFACING SELECT For normally open (N.O.) applications, the Nurse Call system needs to be connected to pins 1 and 2 of the stereo output connector. For normally closed (N.C.) applications, the Nurse Call system needs to be connected to pins 1 and 3. Refer to Table 10 for connection information. Refer to Figure 79 for an illustration of actual connector Pins.
Page 158: Handheld Bar Code Reader - Capture Patient Id
EXTERNAL DEVICE INTERFACING SELECT HANDHELD BAR CODE READER - CAPTURE PATIENT ID  The bar code reader (Refer to Figure 80) is customized for out-of-the-box Plug & Play with the monitor. No additional setup or configuration is required  The bar code reader is provide with a fourteen (14) foot coiled USB cable which is inserted into the USB connection on the back of the monitor (refer to Figure 3 on page 41) provides both power and communications ...
Page 159: 16. Accessories
(Single Patient Use BP cuff – Single Tube SoftCheck w/HP fitting) Catalog No. Description 01-01-0606 Adult NIBP Start Up Kit: Zoe Medical  12' Coiled Hose w/Female Bayonet Fittings 01-01-0088  Regular Adult, Range 26 - 35 cm ST2635HP 01-02-0934...
Page 160: Nibp Start-Up Kits - Special Order
(Reusable BP Cuff – Single Tube UltraCheck w/HP fitting) Catalog No. Description 01-01-0607 Reusable NIBP Start-Up Kit #1 : Zoe Medical  12' Coiled Hose w/Female Bayonet Fittings  Infant, Range 8-14 cm 01-01-0088 US0814HP  Child, Range 13-20 cm US1320HP ...
Page 161: Oximetry
Non-sterile, Weight > 30 kg NELLCOR OXIMETRY Use Nellcor Sensors and Cables only with Nellcor Pulse Oximeter Catalog No. Description 01-02-0941 Nellcor SpO Zoe Medical SELECT DOC 10, Pulse Oximeter Interface Cable, 10 ft (3m) 18-02-0263 FILAC TEMPERATURE Catalog No. Description 500026, FILAC 3000 Oral Probe –...
Page 162: Other Accessories
Requires Clamp Block ( Zoe Medical PN 01-02-0918) to mount to roll stand Printer Bracket Mounting Clamp Block (Donut) 01-02-0918 Used with ( Zoe Medical PN 01-02-0810) to attach printer to the roll stand 01-02-0811 Printer Thermal Paper, Pack of 12...
Page 163 01-02-0813 Allows monitor to be attached to a bed rail or IV Pole. 01-02-0173 Swivel Mount (provides fixed surface mounting solution, ambulance applications, etc.). Requires VESA Adapter Plate (Zoe Medical PN 01-02-0809) to attach monitor USB Flash Drive SELECT 01-02-0814...
Page 164: Etco2 Enable License
ACCESSORIES SELECT ETCO2 ENABLE LICENSE Table 11 indicates the Zoe Medical Part Number required to enable the ETCO2 Parameter in a monitor: SELECT FACTORY INSTALLATION Catalog No. Description Masimo CO Software Factory Enable license 01-02-0852 SELECT 01-02-0853 Covidien CO Software Factory Enable license...
Page 165: Masimo Rainbow Enable License
ACCESSORIES SELECT MASIMO RAINBOW ENABLE LICENSE Table 12 indicates the Zoe Medical Part Number required to enable the various Masimo Rainbow SET Parameters in a monitor: SELECT FACTORY INSTALLATION Catalog No. Description 01-02-0835 Masimo Carboxyhemoglobin (SpCO) Factory Enable license (Ref 3879)
Page 166  Masimo Rainbow Remote Field Tool 01-02-0886  Masimo Rainbow USB Cable 01-02-0888  21-03-0366 RRa Field Enable License Instruction SELECT Refer to User Manual Addendum - Masimo Rainbow Parameters, Zoe Medical PN SELECT 21-22-0332 21-22-0316 Rev E Page 166 of 182...
Page 167: Monitor Configuration Examples
Models may also be configured for ECG & Resp Parameter. Refer to User SELECT Manual Addendum - ECG & Resp, Zoe Medical PN 21-22-0335. Note: Models may also be software enabled to interface with an EtCO2 module (Masimo or Covidien). Refer to...
Page 168: 17. Specifications
SELECT 17. SPECIFICATIONS Refer to the appropriate User Manual Addendum for optional parameter specifications:  Refer to User Manual Addendum - ECG & Resp Parameter, Zoe Medical PN 21- SELECT 22-0335  Refer to User Manual Addendum - ETCO2 Parameter, Zoe Medical PN 21-22-...
Page 169: Oximetry (Optional)
SPECIFICATIONS SELECT OXIMETRY (OPTIONAL) Characteristic Specification Masimo Rainbow SET Use only with Masimo Pulse Oximeter Type: Functional Oxygen Saturation Sensors: Type Body Weight M-LNCS DCI > 30 kg LNCS > 30 kg Application Site: Finger, toe Display SpO % Range: 0 - 100% % Accuracy No Motion:...
Page 170 SPECIFICATIONS SELECT A SpO simulator may be used to verify the operation of the pulse oximetry. The following is a partial list of SpO simulators that may be used: Compatible SpO2 Simulator Description Masimo Nellcor Masimo Tester Nellcor SRC-MAX Pocket Tester Fluke ProSim 8 Vital Signs Fluke Index-2 SpO simulator...
Page 171 SPECIFICATIONS SELECT FILAC 3000 TEMPERATURE (OPTIONAL) Characteristic Specification Temperature Range: 30°C to 43°C (86°F to 109°F) Accuracy 35.5 to 42°C: ±0.1°C (±0.2°F) < 35.5 or > 42°C: ±0.2°C (±0.5°F) Meets or exceeds ASTM Standards Operating Mode: Predictive Monitoring Measurement Time: Standard Mode: 6-10 second Oral, 10-15 second Axillary/Rectal Quick Mode: 3-4 second Oral, 10-15 second Axillary/Rectal Cold Mode: 12-15 second Oral, 15-20 second Axillary/Rectal...
Page 172: Control Panel
SPECIFICATIONS SELECT CONTROL PANEL Characteristic Specification Display: Color LCD display of measurement results, instructions & troubleshooting messages Parameters NIBP Systolic Pressure, Diastolic Pressure and Mean Arterial Displayed: Pressure (MAP) NIBP Pulse Rate %SpO and Pulse Rate Temperature (Fahrenheit or Celsius) Patient Types: Adult, Pediatric or Neonatal modes Trends:...
Page 173: Operating Environment
SPECIFICATIONS SELECT OPERATING ENVIRONMENT Characteristic Specification Operating Temperature: 0°C to 40°C (32°F to 104°F) Humidity: 15 to 90% RH, non-condensing Altitude: 0 to 15,000 ft (101 to 57 kPa) Warning: The monitor may not meet performance specifications if stored or used outside temperature and humidity ranges.
Page 174: Parameter Alarm Settings
SPECIFICATIONS SELECT PARAMETER ALARM SETTINGS Adult Pediatric Neonatal Alarms Alarms Alarms Parameter Units Limit Limit Limit Limit Limit Limit Default Default Range Default Default Range Default Default Range NIBPs mmHg 31 - 250 31 - 250 31 - 250 upper NIBPs mmHg 30 - 249...
Page 175: Initial Inflation Pressure
SPECIFICATIONS SELECT INITIAL INFLATION PRESSURE Start BP Options = No (Adaptive BP Enabled) ADULT PEDIATRIC NEONATAL Default Range (mmHg) Default Range (mmHg) Default Range (mmHg) 80-240 80-240 60-120 (Increments of 20) (Increments of 20) (Increments of 20) Start BP Options = Yes (Adaptive BP Disabled) ADULT PEDIATRIC NEONATAL...
Page 176: Non-Specific Settings
SPECIFICATIONS SELECT NON-SPECIFIC SETTINGS MAIN SCREEN Setting Default Range NIBP mode Manual Manual, Auto Interval, STAT NIBP NIBP Interval 1, 2, 3, 5, 10, 15, 30, 60 minutes Start BP Options Yes , No Averaging Time 8 sec 2-4 sec, 4-6 sec, 8 sec, 10 sec, 12 sec, 14 sec, 16 sec Sensitivity Normal Normal, APOD, Max...
Page 177: Setup Screen
SPECIFICATIONS SELECT SETUP SCREEN Setting Default Range Off, On Waveform Off, On Pulse Blip 1 – 10 Alarm Volume 1 – 10 Pulse Tone Volume Pulse Tone Off, On Touch Click Off, On Recording Time 10 sec 5, 10, 16 sec Recording Delay 6 sec 0, 6, 10 sec...
Page 178: Administrator Screen
SPECIFICATIONS SELECT ADMINISTRATOR SCREEN (Password Protected ) Refer to the Field Service Manual, Zoe Medical PN 21-22-0331, to access SELECT Service. Setting Default Range Alarm Silence Time 1.5 minutes 1, 1.5, 2, 3 minutes Alarm Suspend Time 2 minutes 1, 1.5, 2, 3 minutes...
Page 179 SPECIFICATIONS SELECT Ethernet None None, ZNET, ATE, ATE Host, JSON, HL7, ICS Use WiFi No, Yes Use DHCP No, Yes Monitor ID (Blank) Alphanumeric entry via keyboard Host Name or IP Address (Blank) Alphanumeric entry via keyboard Host Port (Blank) Alphanumeric entry via keyboard 21-22-0316 Rev E Page 179 of 182...
Page 180: Standards
SPECIFICATIONS SELECT STANDARDS Unit complies with the following requirements:  IEC 60601-1  ANSI/AAMI ES60601-1  ANSI/AAMI/ISO 81060-2  CSA C22.2 No. 60601-1  ISO 9919  IEC 60601-1-2  IEC 60601-1-6  IEC 60601-1-8  IEC 60601-2-27  IEC 80601-2-30 ...
Page 181: 18. Purchasing Record
PURCHASING RECORD SELECT 18. PURCHASING RECORD Installed Options: MAXNIBP ETCO2 Masimo Covidien Masimo Nellcor Masimo Rainbow Temp SpCO FILAC Exergen Model Number: Serial Number: Service ID: The Model Number & Serial Number may be found on the rear label of the monitor Service ID may be found under Setup/Administrator/Service/Options menu Date of Purchase: Dealer Name:...
Page 182 PURCHASING RECORD SELECT NOTES: 21-22-0316 Rev E Page 182 of 182...

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