Operator's Manual

Table Of Contents
Safety Information
14
BIS™ Advance Monitor
WARNING: Be sure the monitor is mounted securely in place to avoid personal
or patient injury.
WARNING: The BIS™ Advance monitor should not be used adjacent to or
stacked with other equipment. If adjacent or stacked use is necessary, the
monitor should be observed to verify normal operation in the configuration in
which it will be used.
WARNING: To minimize the risk of patient strangulation, the patient interface
cable (PIC) (which is an integral part of the BISx module) must be carefully
placed and secured.
WARNING: Universal precautions shall be observed to prevent contact with
blood or other potentially infectious materials. Place contaminated materials
in a container designated for regulated waste. The BISx module and the
monitor should be cleaned using approved cleaning materials only.
WARNING: The monitor is not designed for use in MRI environment.
WARNING: The software shall reset all settings with defined default values to
Institutional Defaults upon the end of each case, excluding Institutional
Default Language settings. The software will also reset all settings (including
language) to Institutional Defaults upon the restart of the monitor. However, if
a sensor for which certain settings were set (as described in 3.15.3 Advanced
User Settings on page 131, and whether changes were performed by a user or
administrator) is re-attached, the monitor will apply the settings that were in
place when that sensor was used last time.
WARNING: When no longer in use, this electronic equipment must be recycled
or disposed of properly. Follow local ordinances for the safe disposal of
electronic equipment.
WARNING: No modification of this equipment or its accessories is allowed.
WARNING: BIS™ Advance monitoring technology is intended for use as an
adjunct to clinical judgment and training. Clinical judgment should always be
used when interpreting BIS™ values in conjunction with other available clinical
signs. Reliance on BIS™ values alone for intraoperative anesthetic
management is not recommended. As with any monitored parameter, artifacts
and poor signal quality may lead to inappropriate BIS™ values. Potential
artifacts may be caused by poor skin contact (high impedance), muscle activity
or rigidity, head and body motion, sustained eye movements, improper sensor
placement and unusual or excessive electrical interference. BIS™ values should
also be interpreted cautiously with certain anesthetic combinations, such as