User's Manual
Table Of Contents
- Telemetry Transmitter
- Table of Contents
- Conventions Used in This Manual 1-1
- Nurses 1-7
- Monitor Technicians 1-7
- Biomedical Engineers 1-7
- Physicians 1-7
- Patients 1-7
- Sources of Interference 1-8
- Potential Sources of Damage 1-8
- Optional Leadwire Grouper 2-3
- Leadwire Color Codes 2-4
- Telemetry Channel Label 2-5
- Adult Electrode Placement 3-3
- Lead Fault Indication 3-4
- Noise Detection 3-4
- False Alarms 3-5
- Traditional Pulse Oximetry 3-5
- Electrodes, Leadwires, Sensors, and Sensor Cables 3-7
- Electrodes, Leadwires, Sensors and Sensor Cables 3-8
- Spacelabs Healthcare Technology 3-13
- Additional Information for Telemetry Products 3-13
- Telemetry 3-13
- Heart Rate Averaging 3-13
- Spacelabs Healthcare SpO2 Sensors 3-18
- Additional Information 3-18
- Transmitter Batteries 4-1
- Host Monitors 4-2
- Telemetry Receiver Module 4-2
- Assigning a Telemetry Channel 4-3
- Top, Front and Bottom View (96281-C) 4-4
- Rear View (96281-C) 4-5
- Front View (96281-A) 4-6
- Battery Compartment (96281-A, 96281-B, 96281-C) 4-7
- ECG 4-12
- SpO2 4-14
- Cleaning/Disinfecting 5-1
- Recommended Cleaning Solutions 5-2
- Basic Cleaning and Low-level Disinfection 5-3
- Cleaning ECG Leadwires 5-3
- Cleaning Buttons 5-3
- Cleaning the Battery Cover 5-3
- Table 1—Electromagnetic Emmissions A-1
- Table 2—Electromagnetic Immunity A-2
- Table 2—Electromagnetic Immunity (continued) A-3
- Table 3—Separation Distances A-4
- Introduction
- About the Transmitters
- ECG and SpO2
- ECG Overview
- Patient Preparation and Electrode Application
- To Set Up ECG Monitoring
- ECG Problem Solving
- SpO2 Overview
- Warnings and Cautions for SpO2
- Setting Up SpO2 Monitoring
- Ensuring Accurate SpO2 Monitoring
- SpO2 and Pulse Rate Specifications
- Using the Sensorwatch Feature
- Enabling and Adjusting Alarms
- Data Averaging
- Display Details at the Host Monitor
- Printing SpO2 Waveforms
- SpO2 Messages at the Host Monitor
- Sensors
- SpO2 Alarm Delays
- SpO2 Troubleshooting Guide
- Basic Operations
- Getting Started
- Basic Components
- Selecting Options for Leads
- Basic User Actions
- Basic Modes of Operation
- View Mode
- Status Messages at the Host Monitor
- Telemetry Transmitter with ECG Only Troubleshooting Guide
- Telemetry Transmitter with Display Troubleshooting Guide
- Telemetry Transmitter with Display and SpO2 Troubleshooting Guide
- Cleaning, Disinfecting, and Sterilization
- Appendix A — Guidance and Manufacturer’s Declaration
- Appendix B — Symbols
TELEMETRY TRANSMITTER (96281) OPERATIONS MANUAL 1-5
I NTRODUCTION
• The Spacelabs Healthcare digital telemetry transmitters are contra indicated for use
with other medical instrumentation (e.g., respiration monitors using impedance
pneumography, electrocautery) that source electrical current through the patient.
Further, telemetry monitoring is contra indicated for the operating room
environment.
• The device should only ever be used for one patient at a time.
• Opening the battery door and removing one or more of the batteries will result in the
patient NOT being monitored and the ECG signal NOT being processed.
•SpO
2
alarms are inhibited by ECG lead-off conditions.
Cautions:
• This telemetry transmitter has a limited bandwidth range of 0.05 to 40 Hz, which may
adversely affect the recording of high frequency components in the ECG signal,
especially when the morphology of the ECG changes rapidly.
• This telemetry transmitter has a limited dynamic range of +/- 4 mV, which may render
the device vulnerable to saturation by ECG signals with amplitudes higher than 4 mV.
• Patients should not use any type of electronic equipment (for example, portable
radios, cellular telephones, pagers, personal computers) while connected to any
medical electronic device without prior evaluation of that electronic equipment by
the biomedical engineering staff.
Notes:
• Continuous monitoring of blood oxygen saturation values are only supported in conjunction
with ECG monitoring. SpO
2
alarms are inhibited by ECG leads-off condition.
• Operation of this equipment may be subject to licensing requirements by your local
telecommunications authority. Please check with your Spacelabs Healthcare field service
engineer.
• Spacelabs Healthcare’s telemetry equipment complies with Part 95H of the FCC Rules and
with RSS-210 of Industry Canada and with requirements of other national spectrum
management authorities.
- Repeated here are operational cautions for biomedical telemetry from the FCC Rules
(47CFR15.242(f)): “Biomedical telemetry devices must not cause harmful interference to
licensed TV broadcast stations or to other authorized radio services, such as operations on
the broadcast frequencies under subpart G and H of part 74 of this chapter, land mobile
stations operating under part 90 of this chapter in the 470-512 MHz band, and radio
astronomy operation in the 608-614 MHz band. (See section 15.5). If harmful interference
occurs, the interference must either be corrected or the device must immediately cease
operation on the occupied frequency. Further, the operator of the biomedical telemetry
device must accept whatever level of interference is received from other radio operations.
The operator, i.e., the health care facility, is responsible for resolving any interference that
occurs subsequent to the installation of these devices.”
- Installation of this telemetry device is permitted in hospitals and health care facilities only.
This device shall not be operated in mobile vehicles (including ambulances and other
vehicles associated with health care facilities).
D R A F T
22 June 2012