Welch Allyn Medical Diagnostic Equipment REF 420 Thermometer User Manual

Welch Allyn Medical Diagnostic Equipment REF 420 Thermometer User Manual
Welch Allyn Spot Vital Signs
SYS kPa (mmHg)
DIA
kPa (mmHg)
SpO2 %
/ min
Spot Vital Signs
Directions for Use
REF 420 Series
CAUTION: United States Federal Law restricts this device to sale by or on the order of a
health care practitioner.
Welch Allyn Spot Vital Signs
Directions for Use
ii
Welch Allyn Spot Vital Signs
Copyright 2007 Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any
form, this manual or any part thereof without permission from Welch Allyn.
Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the
product, that may result from failure to use this product in accordance with the instructions, cautions,
warnings, or statement of intended use published in this manual.
Welch Allyn®, Spot Vital Signs®, and SureTemp® are registered trademarks of Welch Allyn.
LNCS™, SET®, LNOP®, and Masimo® are registered trademarks of, Masimo Corporation. Possession or
purchase of a Masimo SpO2-equipped device does not convey any express or implied license to use the
device with unauthorized sensors or cables which would, alone or in combination with this device, fall
within the scope of one or more of the patents relating to this device.
Nellcor® and Oxi-Max® are registered trademarks of Nellcor Puritan Bennett Inc.
Software in this product is Copyright 2007 Welch Allyn or its vendors. All rights are reserved. The software
is protected by United States of America copyright laws and international treaty provisions applicable
worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with
this instrument as intended in the operation of the product in which it is embedded. The software may not
be copied, decompiled, reverse-engineered, disassembled, or otherwise reduced to human-perceivable
form. This is not a sale of the software or any copy of the software; all right, title, and ownership of the
software remain with Welch Allyn or its vendors.
For information about any Welch Allyn product, call Welch Allyn Technical Support:
USA +1 800 535 6663
+ 1 315 685 4560
Canada +1 800 561 8797
European Call Center +353 46 90 67790
Germany +49 7477 9271 70
Latin America +1 305 669 9003
Singapore +65 6419 8100
United Kingdom +44 207 365 6780
Reorder No. 4200-87E
Manual Material No. 706272 Ver. C
Welch Allyn
4341 State Street Road
Skaneateles Falls, NY 13153 USA
Printed in USA
Australia +61 2 9638 3000
+800 074 793
China +86 21 6327 9631
France +33 1 55 69 58 49
Japan +81 3 3219 0071
Netherlands +31 157 505 000
South Africa +27 11 777 7555
Sweden +46 85 853 6551
Directions for Use
iii
Configuration
After recharging a dead battery or after disconnecting the battery for a few minutes, you must program the
date and time screen. See page 19 for more details.
SYS
(mmHg)
DIA
(mmHg)
/ min
iv
Welch Allyn Spot Vital Signs
v
Contents
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
1 - Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Related Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Indications/Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Symbols and Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Safety Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Avertissements et précautions de sécurité . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Précautions générales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
2 - Controls, Indicators, and Connections . . . . . . . . . . . . . . . . . . . . . . 15
Unpacking Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Possible Attachments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Front Panel Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LCD (Liquid Crystal Display) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Top, Side, and Rear Panel Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
15
16
17
18
3 - Internal Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
4 - Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Blood Pressure Hose and Cuff Connections. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temperature Probe Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SpO2 Sensor Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Quick Reference/Error Code Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AC Power Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Charging the Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Standby Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
21
21
22
22
22
22
5 - Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Selecting the Blood Pressure Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Reviewing Information from the Last Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Checking the Blood Pressure Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
6 - Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Selecting Temperature Operation Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Temperature Measurement Range Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . 29
vi
Contents
Welch Allyn Spot Vital Signs
Normal Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Monitor Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
7 - Pulse Oximetry (Sp02). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
8 - Error Indications and Interpretation . . . . . . . . . . . . . . . . . . . . . . . . 37
Error Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Causes and Corrective Action. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
9 - Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Patient Population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pulse Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Environmental. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Guidance and Manufacturer’s Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Agency Approvals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43
43
43
44
46
46
46
47
51
51
10 - Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Battery Removal and Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Masimo SpO2 Calibration Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nellcor SpO2 Functional Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SpO2 Accessory Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temperature Calibration Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Service Manual/Spare Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Service Loaners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
53
54
55
55
55
55
56
56
56
56
11 - Supplies and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Latex-Free Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pulse Oximetry Accessories and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Extended Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Miscellaneous. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
57
58
60
60
60
61
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Spot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
1
1
Introduction
This manual is designed to help you understand the capabilities and operation of your
Welch Allyn Spot Vital Signs. The information in this manual includes all options available
with the Spot Vital Signs (e.g., SpO2, temperature, mobile stand, and wall mount). The
applicability of some sections of this manual depends on the configuration of your particular unit. Read this manual thoroughly before attempting to use the device.
Table 1. Available Versions of Spot Vital Signs
REF
Description
4200B
Spot Vital Signs with blood pressure only
420TB
Spot Vital Signs with blood pressure and SureTemp thermometer
42MOB
Spot Vital Signs with blood pressure and Masimo SpO2
42NOB
Spot Vital Signs with blood pressure and Nellcor SpO2
42MTB
Spot Vital Signs with blood pressure, SureTemp thermometer, and Masimo SpO2
42NTB
Spot Vital Signs with blood pressure, SureTemp thermometer, and Nellcor SpO2
Product Overview
The Welch Allyn Spot Vital Signs non-invasively and automatically measures systolic and
diastolic blood pressure, pulse rate, and oxygen saturation (SpO2) for adult and pediatric
patients. Further, the Welch Allyn Spot Vital Signs measures temperature invasively in
natural body orifices (i.e., mouth and rectum).
THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL
PATIENTS.
All blood pressure, pulse, temperature, and SpO2 values are viewed on a large, easy-toread display.
The rechargeable lead acid battery and variety of mounting accessories make the Welch
Allyn Spot Vital Signs convenient for many locations. You may choose any combination of
simultaneous measurement modalities.
The Welch Allyn Spot Vital Signs can be used in a wide variety of health care settings. This
includes hospital departments as well as alternate care settings such as physicians’
offices, clinics, and long-term care facilities. The Welch Allyn Spot Vital Signs is not
intended for continuous monitoring of patients, nor for use during the transport of a
patient. The Welch Allyn Spot Vital Signs is not intended for use in environments that are
not supervised by a health care practitioner.
2
Welch Allyn Spot Vital Signs
Related Publications
Masimo Directions for Use - for models 42M0B and 42MTB
Nelcor Directions for Use - for models 42N0B and 42NTB
Indications/Contraindications for Use
The Welch Allyn Spot Vital Signs measures blood pressure, pulse rate, temperature, and
SpO2 of adult and pediatric patients. The device is not designed, sold, nor intended for
use other than previously stated.
THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL
PATIENTS.
To ensure pediatric blood pressure accuracy and safety, the Welch Allyn Child Print Cuff
(5200-03), the Welch Allyn Small Child Durable One-Piece Cuff (5082-203-3), and the
Welch Allyn Small Child Disposable One-Piece Cuff (5082-93-3) are the smallest cuffs
allowed for use with young children and infants. The circumference of the child’s arm
must fit within the range markings on the cuff.
The Welch Allyn Spot Vital Signs is FDA cleared to measure the axillary temperature in
normal mode for children under the age of 4.
The Welch Allyn Spot Vital Signs is not intended for continuous monitoring and is
therefore not defibrillator proof. Do not leave the device unattended while taking
measurements on a patient.
The Welch Allyn Spot Vital Signs should not be used on patients who are linked to heart/
lung machines.
Directions for Use
3
Symbols and Descriptions
Familiarize all operating personnel with the general safety information in this summary.
Operators will also find specific warnings and cautions throughout the Directions for Use.
Such specific warnings and cautions may not appear here in this summary.
Caution: Consult manual for additional information.
Type BF Equipment
Handle with Care
Transport Temperature
Storage Humidity
+
Pb
Internally Powered, Lead Acid Battery.
Class II Equipment
IPXØ
Not protected against the ingress of water.
Mode of Operation: Continuous
Do not dispose of this product as unsorted municipal waste. Prepare this
product for reuse or separate collection as specified by Directive 2002/
96/EC of the European Parliament and the Council of the European
Union on Waste Electronic and Electrical Equipment (WEEE). If this
product is contaminated, this directive does not apply.
For more specific disposal information, see www.welchallyn.com/weee,
or contact Welch Allyn Customer Service at +44 207 365 6780.
4
Welch Allyn Spot Vital Signs
Safety Warnings and Cautions
All operating personnel should be familiarized with the general safety information in this
summary. Specific warnings and cautions are also found throughout this manual. Such
specific warnings and cautions may not appear here in this summary.
General Warnings
A warning statement in this manual identifies a condition or practice, which if not
corrected or discontinued immediately, could lead to patient injury, illness, or death.
WARNING The Welch Allyn Spot Vital Signs is designed for use by medical
clinicians. Although this manual may illustrate medical spot check techniques,
only a trained clinician who knows how to take and interpret a patient’s vital signs
should use this system.
WARNING The information in this manual is a comprehensive guide to the
operation of the Welch Allyn Spot Vital Signs. To achieve satisfactory results, you
should read the manual thoroughly before attempting to use the device.
WARNING Spot Vital Signs is not intended to take measurements on neonatal
patients. The AAMI SP10:1992 standard defines neonates as children 28 days or
less of age if born at term (37 weeks gestation or more); otherwise up to 44
gestational weeks.
WARNING The Welch Allyn Spot Vital Signs is not defibrillator proof.
WARNING The Welch Allyn Spot Vital Signs is not intended for continuous
monitoring. Do not leave the device unattended while taking measurements on a
patient.
WARNING To ensure patient safety, use only accessories and supplies (i.e.,
blood pressure cuffs, hoses, temperature probes, SpO2 sensors, etc.)
recommended for or supplied with Spot Vital Signs. Using unapproved
accessories with Spot Vital Signs can affect patient and/or operator safety.
WARNING This device is not suitable for use in the presence of a flammable
anesthetic mixture with air or oxygen or nitrous oxide. An explosion may result.
WARNING Avoid compression of the blood pressure cuff tubing or pressure
hose of the Welch Allyn Spot Vital Signs. Compression of the cuff tubing or
pressure hose may cause system errors to occur in the device.
WARNING Care should be taken to prevent water or other fluid from entering
any connectors on the device. Should this occur, the connectors should be dried
with warm air. All operating functions should then be checked for proper
operation.
WARNING Any Spot Vital Signs which has been dropped or damaged should be
checked by qualified service personnel to ensure proper operation prior to use.
Do not use the Welch Allyn Spot Vital Signs if you notice any signs of damage.
Contact the Welch Allyn Customer Service Department for assistance.
WARNING Every three months, inspect the temperature probe, SpO2 cord, and
accessories for fraying or other damage. Replace as necessary.
Directions for Use
5
WARNING There are no user-serviceable parts inside the device other than
battery replacement. Refer Spot Vital Signs to the Authorized Service Center.
WARNING The Spot Vital Signs should not be used on patients who are linked
to heart/lung machines.
WARNING The Spot Vital Signs does not operate effectively on patients who are
experiencing convulsions or tremors.
WARNING This device complies with current required standards for
electromagnetic interference and should not present problems to other
equipment or be affected by other devices. As a precaution, avoid using this
device in close proximity to other equipment.
WARNING This device is not intended for hand-held use during operation.
WARNING Welch Allyn recommends leaving the battery in the device,
regardless if the device is not used for long periods of time, since there is no
hazard of leaving the battery in the device.
WARNING Do not autoclave.
WARNING Welch Allyn is not responsible for the integrity of any mounting
installation. Welch Allyn recommends that the customer contact their Biomedical
Engineering Department or maintenance service to ensure professional
installation for safety and reliability of any mounting accessory.
Blood Pressure Warnings
WARNING To ensure pediatric blood pressure accuracy and safety, the Welch
Allyn Child Print Cuff (5200-03), the Welch Allyn Small Child Durable One-Piece
Cuff (5082-203-3), and the Welch Allyn Small Child Disposable One-Piece Cuff
(5082-93-3) are the smallest cuffs allowed for use with young children and infants.
The circumference of the child’s arm must fit within the range markings on the
cuff.
WARNING You may experience inaccurate blood pressure measurements if
blood pressure cuffs and/or hoses other than those provided by Welch Allyn for
the Spot Vital Signs are used.
WARNING Patients who are experiencing moderate to severe arrhythmias may
give inaccurate blood pressure measurements.
WARNING When several blood pressure measurements are taken on the same
patient, it is recommended that the blood pressure cuff site and extremity are
checked regularly for possible ischemia, purpura, and/or neuropathy.
WARNING Do not change the connector(s) on the blood pressure cuff tubing of
this device to luer type. Luer type connectors are commonly used in intravenous
infusion systems. Using the luer connectors on blood pressure cuff tubing
creates the risk that the blood pressure tubing could be mistakenly connected to
a patient's intravenous line, resulting in the introduction of air into the patient's
circulatory system.
6
Welch Allyn Spot Vital Signs
SpO2 Warnings
WARNING Only use Spot Vital Signs with Masimo or Nellcor SpO2 option with
Masimo or Nellcor brand sensors and accessories, respectively. Using the wrong
or unapproved sensors or cables may cause improper performance.
WARNING The SpO2 sensors and extension cables are intended for use only for
pulse oximetry measurements. Do not attempt to connect these cables to a PC
or any similar device.
WARNING Before use, carefully read the sensor’s directions for use, including
all warnings, cautions, and instructions.
WARNING Do not use a damaged sensor or SpO2 cable. Do not use a sensor
with exposed optical components.
WARNING Tissue damage can be caused by incorrect application or duration of
use of an SpO2 sensor. Inspect the sensor site as directed in the sensor’s
Directions for Use.
WARNING Do not use the sensors during magnetic resonance imaging (MRI)
scanning. Induced current could potentially cause burns. The pulse oximeter may
affect the MRI image, and the MRI unit may affect the accuracy of the pulse
oximetry measurements.
WARNING Certain ambient environmental conditions, sensor application errors,
and certain patient conditions may affect SpO2 readings and pulse signal.
WARNING Do not immerse the sensor or patient cables in water, solvents, or
cleaning solutions (the sensors and connections are not waterproof). Do not use
irradiation, steam, or ethylene oxide for sterilization.
WARNING Do not use the SpO2 cable or power cord to lift the unit because the
cable or cord could disconnect from the unit, causing the unit to drop on the
patient.
WARNING The SpO2 in the Welch Allyn Spot Vital signs is not intended for use
as an apnea monitor.
WARNING Consider the SpO2 an early warning device. As a trend toward
patient deoxygenation is indicated, use laboratory instruments to analyze blood
samples to completely understand the patient’s condition.
Directions for Use
7
Temperature Warnings
WARNING Single-use, disposable probe covers, available from Welch Allyn, limit
patient cross-contamination. The use of any other probe cover or the failure to
use a probe cover may produce temperature errors and is specifically not
recommended.
WARNING Use only oral probes (blue cap) for taking oral and axillary
temperatures. Use only rectal probes (red cap) for taking rectal temperatures. The
use of the wrong probe may produce temperature errors.
WARNING Do not allow the tip of the temperature probe to come into contact
with any heat source (e.g., hands or fingers) prior to taking a temperature
measurement. If this occurs, discard the probe cover and start the temperature
determination again.
WARNING Long-term continuous monitoring beyond three to five minutes is
not recommended in any mode.
IR Communications Port Warnings
WARNING The Welch Allyn Spot Vital Signs contains an infrared
communications port for isolated communications with external devices. The port
is located on the side of the device to preclude direct eye contact on a continual
basis when viewing the display. As a precaution, do not look directly into the
infrared port during operation.
General Cautions
A caution statement in this manual identifies a condition or practice, which if not
corrected or discontinued immediately, could lead to equipment failure, equipment
damage, or data loss.
Caution If the accuracy of any measurement is in question, check the patient's
vital sign(s) by an alternate method, then check to make sure the device is
functioning properly.
Caution Ensure the device is placed on a secure surface or use one of the
optional mounting accessories.
Caution Do not place fluids on the device.
8
Welch Allyn Spot Vital Signs
Blood Pressure Cautions
Caution Extremity and blood pressure cuff motion should be minimized during
blood pressure determinations.
Caution If the blood pressure cuff is not at heart level, the difference in reading
due to the hydrostatic effect should be noted. The value of 1.80 mmHg must be
added to the displayed reading for every inch (2.5 cm) above heart level. The
value of 1.80 mmHg must be subtracted from the displayed reading for every
inch (2.5 cm) below heart level.
Caution Proper blood pressure cuff size and placement is essential to the
accuracy of the blood pressure determination. See “Chart for Determining Blood
Pressure Cuff Size” on page 23 for blood pressure cuff sizing information.
Caution When measuring blood pressure on children younger than 3 years of
age, it is recommended that the Pressure Preset (initial inflation pressure) be set
at 160 mmHg or lower.
SpO2 Cautions
Caution The pulse oximeter is calibrated to determine the percentage of
arterial oxygen saturation of functional hemoglobin. Significant levels of
dysfunctional hemoglobin such as carboxyhemoglobin or methemoglobin may
affect the accuracy of the measurement.
Caution Physiological conditions, medical procedures, or external agents that
may interfere with the pulse oximeter’s ability to detect and display
measurements include dysfunctional hemoglobin, arterial dyes, low perfusion,
dark pigment, and externally applied coloring agents such as nail polish, dye, or
pigmented cream.
Caution Some sensors may not be appropriate for a particular patient. If at least
15 seconds of perfusion pulses cannot be observed for a given sensor, change
sensor location or sensor type for perfusion to resume.
Caution When selecting a sensor, consider the patient’s weight and activity
level, the adequacy of perfusion, the available sensor sites, the need for sterility,
and the anticipated duration of monitoring.
Temperature Cautions
Caution The Welch Allyn Spot Vital Signs is FDA cleared to measure the axillary
temperature in Normal Mode for children under the age of 4. Normal Mode
axillary temperatures may not be accurate on older children or adults. THE
WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO BE USED ON
NEONATAL PATIENTS.
Directions for Use
9
Avertissements et précautions de sécurité
Tout le personnel l’utilisant doit être familiarisé avec les informations globales de sécurité
contenues dans ce résumé. Ce manuel comprend également des avertissements et
précautions spécifiques. Il est possible que ces avertissements et précautions
spécifiques ne soient pas indiqués dans ce résumé.
Avertissements généraux
Les avertissements de ce manuel identifient les conditions ou pratiques qui, si elles ne
sont pas corrigées ou arrêtées immédiatement, risquent de provoquer des blessures, des
maladies ou le décès du patient.
AVERTISSEMENT Le Welch Allyn Spot Vital Signs est conçu pour être utilisé
par des médecins. Si ce manuel présente des techniques de vérification médicale
ponctuelle, seul un clinicien formé sachant comment relever et interpréter les
signes vitaux d’un patient doit utiliser ce système.
AVERTISSEMENT Les informations contenues dans ce manuel sont un guide
détaillé du fonctionnement du Welch Allyn Spot Vital Signs. Pour obtenir des
résultats satisfaisants, merci de lire ce manuel attentivement avant d’essayer
d’utiliser l’appareil.
AVERTISSEMENT Spot Vital Signs n’est pas conçu pour relever des données
sur des patients nouveau-nés. Selon la norme AAMI SP10:1992, un nouveau-né
est un enfant de moins de 28 jours, s’il est né à terme, (37 semaines de gestation
ou plus). Sinon, jusqu’à 44 semaines de gestation.
AVERTISSEMENT Le Welch Allyn Spot Vital Signs n’est pas protégé en cas de
défibrillation.
AVERTISSEMENT Le Welch Allyn Spot Vital Signs n’est pas conçu pour un
monitorage continu. Ne pas laisser l’appareil sans surveillance lors du relevé de
mesures sur un patient.
AVERTISSEMENT Afin d’assurer la sécurité du patient, utiliser uniquement des
accessoires et fournitures (à savoir des brassards, des flexibles, des sondes de
température, des capteurs de SpO2, etc.) recommandés ou fournis avec le Spot
Vital Signs. L’utilisation d’accessoires non-approuvés avec le Spot Vital Signs peut
affecter la sécurité du patient et/ou de l’opérateur.
AVERTISSEMENT Cet appareil n’est pas conçu pour une utilisation en présence
d’un mélange anesthésique inflammable avec l’air, l’oxygène ou le protoxyde
d’azote. Une explosion pourrait se produire.
AVERTISSEMENT Éviter de comprimer les tubes du brassard ou le tuyau de
tensiomètre de tension artérielle du Welch Allyn Spot Vital Signs. La compression
des tubes du brassard ou du tuyau de tensiomètre peut entraîner des erreurs du
système au niveau du dispositif.
AVERTISSEMENT Il convient de procéder avec soin afin d’empêcher l’eau ou
tout autre fluide de pénétrer dans les connecteurs du dispositif. Si cela se produit,
les connecteurs doivent être séchés à l’air chaud. Toutes les fonctions d’utilisation
doivent ensuite être contrôlées.
AVERTISSEMENT Tout Spot Vital Signs ayant subi une chute ou un dommage
doit être vérifié par un technicien qualifié qui s’assurera de son bon
fonctionnement avant utilisation. Ne pas utiliser le Welch Allyn Spot Vital Signs en
cas de signes d’endommagement. Contacter le Service clientèle de Welch Allyn
pour obtenir de l’aide.
10
Welch Allyn Spot Vital Signs
AVERTISSEMENT Tous les trois mois, vérifier que la sonde de température, le
câble SpO2 et les accessoires ne s’effilochent pas et qu’ils ne sont endommagés
de quelque façon. Remplacer si nécessaire.
AVERTISSEMENT Hormis la batterie, aucune pièce de l’appareil n’est
remplaçable par l’utilisateur. Retourner le Spot Vital Signs au centre d’entretien
autorisé.
AVERTISSEMENT Le Spot Vital Signs ne doit pas être utilisé sur des patients
reliés à des machines cardiaques/pulmonaires.
AVERTISSEMENT Le Spot Vital Signs ne fonctionne pas efficacement sur des
patients souffrant de convulsions ou de tremblements.
AVERTISSEMENT Ce dispositif se conforme aux normes courantes exigibles en
matière de brouillage électromagnétique et ne devrait ni provoquer
d'interférences ni en recevoir de la part d'autres équipements. Par mesure de
précaution, éviter d’installer l’appareil à proximité d’autres équipements.
AVERTISSEMENT Ce dispositif n’est pas conçu pour une utilisation manuelle
en cours de fonctionnement.
AVERTISSEMENT Welch Allyn recommande de laisser la batterie dans
l’appareil, même si ce dernier n’est pas utilisé pendant de longues périodes. En
effet, laisser la batterie dans l’appareil ne présente aucun danger.
AVERTISSEMENT Ne pas stériliser en autoclave.
AVERTISSEMENT Welch Allyn n’est pas responsable de l’intégrité de toute
installation de montage. Welch Allyn recommande au client de contacter son
service d’ingénierie biomédicale ou d’entretien afin de s’assurer de la fiabilité, la
sécurité et l’installation professionnelle de tout accessoire de montage.
Avertissements relatifs à la pression artérielle
AVERTISSEMENT Afin d’assurer la précision et la sécurité de la pression
artérielle chez l’enfant, le brassard Welch Allyn pour enfant (5200-03), le brassard
longue durée mono-pièce Welch Allyn pour enfant en bas-âge (5082-203-3) et le
brassard mono-pièce jetable Welch Allyn pour enfant en bas-âge (5082-93-3) sont
les plus petits brassards autorisés pour utilisation sur de jeunes enfants et des
nourrissons. La circonférence du bras de l’enfant doit se situer dans la plage
indiquée sur le brassard.
AVERTISSEMENT Les valeurs de pression artérielle peuvent être imprécises si
des brassards et/ou flexibles de pression artérielle autres que ceux fournis par
Welch Allyn pour le Spot Vital Signs sont utilisés.
AVERTISSEMENT Les patients souffrant d’arythmies modérées à aiguës
peuvent délivrer des mesures de pression artérielle imprécises.
AVERTISSEMENT Lorsque plusieurs valeurs de pression artérielle sont
relevées sur le même patient, il est recommandé de contrôler régulièrement
l’extrémité et le site du brassard de pression artérielle afin de détecter une
ischémie, un purpura et/ou une neuropathie éventuels.
AVERTISSEMENT Ne pas changer le(s) connecteur(s) sur le tuyau du
tensiomètre de cet appareil pour un type luer. Les connecteurs de type luer sont
couramment utilisés dans des systèmes de perfusion par intraveineuse.
L’utilisation de connecteurs luer sur un tuyau de brassard de pression artérielle
crée le risque que le tuyau de pression artérielle soit connecté par erreur à une
intraveineuse du patient, entraînant l’introduction d’air dans l’appareil circulatoire
du patient.
Directions for Use
11
Avertissements relatifs à SpO2
AVERTISSEMENT N’utiliser Spot Vital Signs avec l’option Masimo ou Nellcor
SpO2 qu’avec les accessoires et capteurs de la marque Masimo ou Nellcor,
respectivement. L’utilisation de capteurs ou de câbles erronés ou non-approuvés
peut entraîner des performances incorrectes.
AVERTISSEMENT Les rallonges et capteurs SpO2 sont conçus pour être
utilisés uniquement avec les mesures d’oxymétrie pulsée. Ne pas essayer de
connecter ces câbles à un PC ou tout autre appareil similaire.
AVERTISSEMENT Avant utilisation, lire soigneusement le mode d’emploi du
capteur, y compris tous les avertissements, les précautions et instructions.
AVERTISSEMENT Ne pas utiliser un câble SpO2 ou de capteur endommagé. Ne
pas utiliser un capteur dont les composants optiques sont exposés.
AVERTISSEMENT Un tissu peut être endommagé par une application ou une
durée d’utilisation incorrecte d’un capteur SpO2. Inspecter le site du capteur
comme indiqué dans le mode d’emploi du capteur.
AVERTISSEMENT Ne pas utiliser les capteurs en cours d’examen d’imagerie
par résonnance magnétique (IRM). Le courant produit peut potentiellement
provoquer des brûlures. L’oxymètre de pouls MS board peut affecter l’image de
l’IRM et l’appareil d’IRM peut affecter la précision des mesures de l’oxymètre de
pouls.
AVERTISSEMENT Certaines conditions environnementales ambiantes, erreurs
d’application de capteur et certaines conditions de patients peuvent affecter les
valeurs de SpO2 et le signal de pouls.
AVERTISSEMENT Ne pas immerger les câbles patient ou capteur dans de
l’eau, des solvants ou des solutions de nettoyage (les capteurs et les connexions
ne sont pas étanches). Ne pas utiliser de rayonnement, de vapeur ou d’oxyde
d’éthylène pour la stérilisation.
AVERTISSEMENT Ne pas utiliser le câble SpO2 ou le câble d’alimentation pour
soulever l’unité. En effet, ces deux câbles sont susceptibles de se déconnecter
de l’appareil, entraînant la chute de l’appareil sur le patient.
AVERTISSEMENT Le SpO2 du Welch Allyn Spot Vital signs n’est pas conçu
pour une utilisation comme moniteur d’apnée.
AVERTISSEMENT Considérer le SpO2 comme un dispositif d’avertissement
précoce. Si une tendance à la désoxygénation du patient est indiquée, utiliser des
instruments de laboratoire pour analyser des prélèvements sanguins afin de
comprendre complètement l’état du patient.
12
Welch Allyn Spot Vital Signs
Avertissements relatifs à la température
AVERTISSEMENT Les embouts de sonde jetables à usage unique, disponibles
auprès de Welch Allyn, limitent les contaminations entre patients. Il est
spécialement déconseillé d’utiliser tout autre embout de sonde ou de ne pas
utiliser d’embout. En effet, cela peut générer des erreurs de température.
AVERTISSEMENT N’utiliser que des sondes orales (bleues) pour le relevé de
températures orales et axillaires. N’utiliser que des sondes rectales (rouges) pour
le relevé de températures rectales. L’utilisation de la mauvaise sonde peut
produire des erreurs de température.
AVERTISSEMENT Ne pas laisser l’extrémité de la sonde de température entrer
en contact avec une source de chaleur (par ex. les mains ou les doigts) avant de
procéder à un relevé de température. Si cela se produit, jeter l’embout de la
sonde et reprendre la détermination de la température.
AVERTISSEMENT Un monitorage continu longue durée de trois à cinq minutes
n’est pas recommandé, quel que soit le mode.
Avertissements relatifs au port de communication infrarouge
AVERTISSEMENT Le Welch Allyn Spot Vital Signs contient un port de
communication infrarouge pour les communications isolées avec des
périphériques externes. Ce port se trouve sur le côté de l’appareil pour empêcher
tout contact visuel direct continu lors de la consultation de l’affichage. À titre de
précaution, ne pas regarder directement le port infrarouge en cours de
fonctionnement.
Précautions générales
Dans ce manuel, Attention identifie les conditions ou pratiques qui, si elles ne sont pas
corrigées ou arrêtées immédiatement, risquent de provoquer des pertes de données, un
endommagement ou une défaillance du matériel.
Attention Si la précision de toute mesure est mise en question, vérifier le(s)
signe(s) vital (vitaux) du patient en employant une autre méthode, puis s’assurer
que l’appareil fonctionne correctement.
Attention S’assurer que l’appareil est situé sur une surface sûre ou utiliser un
des accessoires de montage optionnels.
Attention Ne pas placer de fluides sur l’appareil.
Directions for Use
13
Précautions relatives à la pression artérielle
Attention Veiller à minimiser le mouvement de l’extrémité et du brassard de
pression artérielle en cours de détermination de la pression artérielle.
Attention Si le brassard de tensiomètre n’est pas au niveau du coeur, la
différence de valeur due à l’effet hydrostatique doit être notée. La valeur de
1,80 mmHg doit être ajoutée à la valeur affichée pour chaque pouce (2,5 cm)
au-dessus du niveau du coeur. La valeur de 1,80 mmHg doit être retirée à la
valeur affichée pour chaque pouce (2,5 cm) en dessous du niveau du cœur.
Attention Il est essentiel que le brassard de tensiomètre soit à la taille et
l’emplacement adéquats pour assurer la précision de la détermination de la
pression artérielle. Voir “Tableau de détermination de la taille de brassard de
tensiomètre” on page 17 pour obtenir des informations sur la taille du brassard
de pression artérielle.
Attention Lors de la mesure de la pression artérielle sur des enfants de moins
de 3 ans, il est recommandé de définir le réglage de la pression (pression de
gonflage initiale) sur une valeur inférieure ou égale à 160 mmHg.
Précautions relatives à SpO2
Attention L’oxymètre de pouls est étalonné pour déterminer le pourcentage de
saturation en oxygène du sang artériel de l’hémoglobine fonctionnelle. Des
niveaux importants d’hémoglobine dysfonctionnelle comme la
carboxyhémoglobine ou méthémoglobine peuvent affecter la précision de la
mesure.
Attention Certaines conditions physiologiques, interventions médicales ou
substances externes sont susceptibles d’interférer avec les fonctions de
détection et de mesure de l’oxymètre de pouls, par exemple les hémoglobines
dysfonctionnelles, les colorants artériels, les conditions de faible perfusion et les
pigments foncés, ainsi que les agents de coloration appliqués par voie externe,
tels que le vernis à ongle, les teintures ou les crèmes pigmentées.
Attention Certains capteurs peuvent s’avérer inadéquats pour un patient en
particulier. S’il n’est pas possible d’observer au moins 15 secondes d’impulsions
de perfusion pour un capteur donné, modifier l’emplacement du capteur ou le
type de capteur pour la perfusion afin de reprendre l’opération.
Attention Lors du choix d’un capteur, prendre en considération le poids du
patient et son niveau d’activité, l’adéquation de la perfusion, les sites de capteurs
disponibles, le besoin de stérilité et la durée prévue du monitorage.
Précautions relatives à la température
Attention Le Welch Allyn Spot Vital Signs est approuvé par la FDA pour
mesurer la température axillaire en mode normal pour les enfants de moins de
4 ans. Les températures axillaires du mode normal peuvent ne pas être précises
sur des enfants plus âgés ou des adultes. LE WELCH ALLYN SPOT VITAL SIGNS
N’EST PAS CONÇU POUR UNE UTILISATION SUR DES NOUVEAU-NÉS.
14
Welch Allyn Spot Vital Signs
15
2
Controls, Indicators, and Connections
In this section, all drawing and text are representative of the Spot Vital Signs with all
available options. Your device may not include all functions, depending on the options
purchased.
Unpacking Checklist
Unpack the Welch Allyn Spot Vital Signs and applicable accessories, identify each item
with the following checklist and inspect for missing items. Retain the shipping materials in
the event of shipping damage or for return, if necessary, to Welch Allyn for repair or
warranty service. All Spot Vital Signs include the following components:
Spot Vital Signs Device. This device automatically measures and displays blood
pressure and pulse rate. Options include thermometry and pulse oximetry.
Directions for Use Manual. Read this manual thoroughly before using Spot Vital Signs.
Save this manual for reference.
Warranty Card. This card validates the Spot Vital Signs warranty. Fill out the warranty
card and mail it today.
Blood Pressure Cuff. Latex free blood pressure cuff with connectors. Other size cuffs are
available separately.
Blood Pressure Hose. Latex-free pressure hose with connectors to attach various sizes of
blood pressure cuffs to the Spot Vital Signs.
AC Power Transformer and Cord Assembly. Provides power to the Spot Vital Signs and
charges the internal battery.
Quick Reference/Error Code Card. Attach this quick operating and error code guide to
the device handle, mobile stand, or wall mount.
Possible Attachments
Spot Vital Signs may include the following items based on the model and accessories
purchased:
SureTemp Temperature Probe and Covers. One oral temperature probe (blue cap) and
one box of 25 single-use, disposable probe covers.
Pulse Oximetry (SpO2). The finger clip SpO2 sensor and extension cable are for use
with adult and pediatric patients. Other sensors are available separately.
Note
Report any signs of shipping damage to the carrier. If an item is missing or
damaged, contact the Welch Allyn Service Center near you.
16
Welch Allyn Spot Vital Signs
Front Panel Functions
Thermometer Eject Button: push to
remove used temperature probe cover.
SYS kPa (mmHg)
DIA
kPa (mmHg)
SpO2 %
Next Patient/Clear/Cancel Button:
• active display: clears the display.
• in Standby Mode: recalls the last patient
information. Pressing a second time clears
the screen.
• cancels an active blood pressure
measurement and deflates the cuff.
/ min
Pressure Preset Button:
pressing this button allows the
user to change the factory
inflation default for one reading.
Mode Button:
• holding for 2 seconds while
the display is active turns off/on
the backlight.
• in Standby Mode, recalls the
last patient information.
• with the temperature probe
removed from the probe holder,
switches the temperature from
Oral to Axillary Mode.
Blood Pressure Start/Stop Button:
initiates a new blood pressure cycle.
Pressing again cancels an active blood
pressure measurement and deflates the cuff.
Pressure Hose Connector: port for blood
pressure hose.
Spot Vital Signs
Power Button: controls power to the device.
Directions for Use
17
LCD (Liquid Crystal Display)
The LCD may indicate any of the following: systolic blood pressure (mmHg or kPa),
diastolic blood pressure (mmHg or kPa), temperature (°F or °C), thermometer mode,
pulse rate, pulse signal level, SpO2, MAP (mmHg or kPa), and battery charge level.
.
Option no longer available.
SYS
mmHg
DIA
mmHg
Date/Time: indicates that the
user must set/re-set the
current date and time.
SpO2 %
Systolic and Diastolic display:
if MAP is turned on, the screen
toggles between the systolic and
diastolic values, and the word
“MAP” and the MAP value.
SpO2 Display: shows the percent saturation of arterial
hemoglobin (for devices with SpO2 only).
Pulse Display: shows the pulse rate.
Measurement Indicator:
displays the blood
pressure, SpO2, or
temperature icon as Spot
Vital Signs is taking the
respective measurement.
/ min
M
P
Temperature Display and Indicator: shows the
temperature in Fahrenheit or Celsius (for devices with
SureTemp only).
Monitor Mode Temperature: indicates the thermometer is
in Monitor Mode (for devices with SureTemp only).
Out-of-range indicator: shows the patient’s temperature
reading above or below the measurement range limits (for
devices with SureTemp only).
Thermometer Mode icon:
shows temperature mode (for
devices with SureTemp only).
Icon not used.
Temperature Probe Problem:
indicates a temperature probe problem
(for devices with SureTemp only).
Battery Level indicator: displays the battery charge level.
Battery Charging: indicates the device is
powered through the AC power transformer.
18
Welch Allyn Spot Vital Signs
Top, Side, and Rear Panel Connections
Probe Cover Storage Compartment: storage
space for one box of probe covers.
SpO2 Cable Connection Port
(for units with SpO2 only)
Temperature Probe Holder:
storage space for the
temperature probe when not in
use (for devices with SureTemp
only).
Suretemp Thermometer
Connection Port (for
devices with SureTemp only).
IR Data Interface:
Port for
communicating with
an external device.
Battery Door
AC Power
Connection Port
Threaded Insert: to mount the
Spot Vital Signs to a mobile stand.
19
3
Internal Configuration
You can change several device operating parameters in the Internal Configuration Mode.
When changed, these settings become the default power-up settings. You will also see
non-changeable device configurations for technical service purposes.
To enter the Internal Configuration Mode:
1.
Turn the Spot Vital Signs off.
2. Press and hold the Power and Blood Pressure Start/Stop buttons. The device
enters the Internal Configuration Mode and displays the software version.
3. Press the Mode button to cycle through the Internal Configuration menu until you see
the menu option displayed on the screen.
4. Use the Next Patient/Clear/Cancel or Blood Pressure Start/Stop buttons to
change the default setting.
5. Press the Mode button once to save the change and press the Power button to exit
the Internal Configuration Mode.
Table 2. Configuration Menu Options
Setting
Description
Blood Pressure Calibration
Displays “Cal”
Prepares the Spot Vital Signs for calibration. Only qualified personnel should verify the
Spot Vital Signs blood pressure calibration. For more details, see “Checking the Blood
Pressure Calibration” on page 26.
Inflation Pressure Preset Level 120, 140, 160, 180, 200, 240, 280 mmHg. Factory default is 160 mmHg.
Displays “PrP”
Pressure Preset Level
Displays “PrP“
On or off. Disables or enables the front panel Pressure Preset button.
Backlight
Displays “BLT”
On or off.
Mean Arterial Pressure
Displays “MAP”
On or off.
Date/Time
Changes or updates the actual date and time.
Temperature Scale
Displays “TMP MOD”
Fahrenheit (°F) or Celsius (°C) Normal Mode / Fahrenheit (°F) or Celsius (°C) Monitor
Mode
Blood Pressure Units
Displays “BP”
mmHg or kPa.
Battery Readings
Displays “BAT”
Displays the total battery voltage.
Battery Life
Displays “LFE”
Total number unit measurements. Displayed information only; operator cannot change.
20
Internal Configuration
Welch Allyn Spot Vital Signs
21
4
Setup
Blood Pressure Hose and Cuff Connections
Have available the Spot Vital Signs, blood pressure cuff, and blood pressure hose.
1.
Inspect the pressure hose; note that one end has a connector fitting and the other
end does not. Attach the end without the connector fitting to the pressure hose
connector (see page 16). Verify that the pressure hose is completely inserted over the
connector and that the fit is snug.
2. Join the other end of the pressure hose to the blood pressure cuff pneumatic tubing.
Twist the connectors together until finger-tight. DO NOT OVERTIGHTEN.
Temperature Probe Connection
The Welch Allyn Spot Vital Signs is available with two probes — one for oral/axillary
temperatures (blue cap), and one for rectal temperatures (red cap). The rectal probe is an
accessory item that is ordered separately.
Press down on the tab on top of the connector and insert the connector into the
temperature probe connector port on the back of the Spot Vital Signs. The probe
connector only fits into Spot Vital Signs one way. Verify the connector clicks into place.
Insert the temperature probe into the probe holder on the top of the Spot Vital Signs.
To remove the temperature probe, press down on the connector tab and lift out.
SpO2 Sensor Connection
Spot Vital Signs is available with a wide variety of SpO2 sensors and ships with a reusable
finger sensor and extension cable. All other sensors are accessory items that are sold
separately.
1.
Align the shape and pin configuration of the extension cable connector to the SpO2
cable connection port on the top side of the Spot Vital Signs device.
2. Push the connector firmly into the SpO2 cable connection port.
3. Align the opposite end of the extension cable to the sensor cable connector and
firmly push them together.
Note
Use only Masimo or Nellcor SpO2 sensors and accessories with the Spot Vital
Signs with Masimo or Nellcor configurations, respectively.
22
Welch Allyn Spot Vital Signs
Quick Reference/Error Code Card
The Quick Reference/Error Code Card should be attached either to the Spot Vital Signs
handle, the Mobile Stand, or the Wall Mount.
AC Power Connection
Use the Spot Vital Signs with AC or battery power (after charging the battery).
1.
Insert the round transformer connector into the AC power connection port on the left
of the Spot Vital Signs (see page 18).
2. Insert the line cord into the line connector on the transformer then plug the power
cord on the transformer into the AC main power source to charge the battery.
Charging the Battery
CHARGE THE BATTERY FOR SIXTEEN (16) HOURS PRIOR TO INITIAL USE.
Attach the AC power transformer to the Spot Vital Signs then plug the transformer into
the AC main power source.
While charging, the charger icon remains on and the battery icon segments continuously
sequence. When the battery is fully charged, all battery icon segments display.
As the battery voltage level drops the segments turn off from left to right. If the Spot Vital
Signs is not plugged in to charge when the second last segment is turned off the Spot
Vital Signs issues a warning beep. As the voltage level drops to compromise
measurements an error beep is heard and all other display fields turn off. Spot Vital Signs
beeps at increasingly frequent intervals until it finally powers itself off.
If not used for extended periods of time then recharge the battery.
Standby Mode
When the device is powered up, but has not been used for 2 minutes, it goes into
Standby Mode. “Z Z Z” appears across the top of the display with no backlight. Standby
Mode conserves battery power.
To bring the Spot Vital Signs out of Standby Mode, press the Mode or Pressure Preset
button or begin a patient measurement.
23
5
Blood Pressure
Caution When measuring blood pressure on children younger than age 3, it is
recommended that the Pressure Preset (initial inflation pressure) be set at 160
mmHg or lower.
Selecting the Blood Pressure Cuff
Note
A durable blood pressure cuff is included with your Spot Vital Signs. A full range
of blood pressure cuff sizes are available as accessory items.
Careful sizing of the blood pressure cuff is important to the accuracy of blood pressure
readings. If the blood pressure cuff is too small, you may have false high readings. If the
blood pressure cuff is too large, you may have false low readings. Please refer to the
range markings on the blood pressure cuff for correct blood pressure cuff sizing. When
there is an area of overlap whereby you could use a smaller or larger blood pressure cuff,
it is strongly recommended that you use the larger size blood pressure cuff.
Determining Blood Pressure Cuff Size with the Markings
Wrap the blood pressure cuff around the patient’s upper arm and visually check it. The
blood pressure cuff is marked with a distinct white edge and two divisions that indicate
“range.” When the blood pressure cuff is properly fit, the edge meets the blood pressure
cuff at some point within the range.
Chart for Determining Blood Pressure Cuff Size
You can also determine blood pressure cuff size by measuring the patient’s arm circumference midway between the elbow and shoulder, then use the chart below to select the
correct blood pressure cuff.
Cuff Size
Reusable Two-Piece Cuff
(1 per pack)
Maximum Range
(cm)
Maximum Range
(in)
Child
5200-03
20.8
8.2
Adult
5200-01
31.5
12.4
Large Adult
5200-02
38.4
15.1
Thigh
5200-10
47.4
18.7
24
Welch Allyn Spot Vital Signs
Durable
One-Piece Cuff
(Single Unit)
Disposable
One-Piece Cuffs
(5 pack)
Cuff Size
Minimum
(cm)
Maximum
(cm)
Minimum
(inches)
Maximum
(inches)
5082-203-3
5082-93-3
Small Child
12.4
16.8
4.9
6.6
5082-204-3
5082-94-3
Child
15.8
21.3
6.2
8.4
5082-205-3
5082-95-3
Small Adult
20.0
27.0
7.9
10.6
5082-206-3
5082-96-3
Adult
25.3
34.3
10.0
13.5
5082-207-3
5082-97-3
Large Adult
32.1
43.4
12.6
17.1
5082-208-3
5082-98-3
Thigh
40.7
55.0
16.0
21.7
THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL
PATIENTS.
To ensure pediatric blood pressure accuracy and safety, the Welch Allyn Child Print Cuff
(5200-03), the Welch Allyn Small Child Durable One-Piece Cuff (5082-203-3), and the
Welch Allyn Small Child Disposable One-Piece Cuff (5082-93-3) are the smallest cuffs
allowed for use with young children and infants. The circumference of the child’s arm
must fit within the range markings on the blood pressure cuff.
To position the blood pressure cuff:
The preferred blood pressure measurement site for adults and children is the upper arm.
Keep the patient’s arm relaxed and motion-free during measurement(s).
WARNING Do not place the blood pressure cuff on any extremity that is used
for intravenous infusions or any area where circulation is compromised.
WARNING Do not change the connector(s) on the blood pressure cuff tubing of
this device to luer type. Luer type connectors are commonly used in intravenous
infusion systems. Using the luer connectors on blood pressure cuff tubing
creates the risk that the blood pressure tubing could be mistakenly connected to
a patient's intravenous line, resulting in the introduction of air into the patient's
circulatory system.
Note
Blood pressure cuff inflation during an SpO2 measurement may cause inaccurate
SpO2 results when used on the same extremity.
Wrap the blood pressure cuff snugly with room between the blood pressure cuff and the
arm for no more than two fingers. Excessive tightness may cause venous congestion and
discoloration of the limb. Possible error may occur if the blood pressure cuff is wrapped
too loosely, preventing proper inflation.
Place the blood pressure cuff on a bare arm; clothing interferes with measurement
accuracy. Verify that the cuff artery marker is placed over the brachial artery. Ensure that
the hose is not twisted, kinked, or compressed, as this may cause measurement errors.
Directions for Use
25
To set the pressure preset level (one time only):
1.
Press and hold the Pressure Preset button for half a second. Spot Vital Signs displays
“PrP” (pressure preset) in the SYS and the inflation pressure in the DIA displays,
respectively.
2. Push the Pressure Preset button. The blood pressure cuff inflation pressure
decreases in 20 mmHg increments beginning at 160 mmHg (160 -> 140, 120, 200,
180, 160).
To return to the normal operating mode, push the Next Patient/Clear/Cancel button
or wait 3 seconds.
The inflation pressure resets to the default pressure setting after completing one
blood pressure cycle. The factory default is 160 mmHg.
There is a disable feature in the Internal Configuration Mode that allows the facility to
disable this button, see page 19.
To initiate a blood pressure measurement:
1.
Ensure that the blood pressure cuff is properly sized and wrapped around the
patient’s upper arm (or alternate site, as necessary).
2. With the device powered on, press the Blood Pressure Start/Stop
button.The Spot Vital Signs inflates the blood pressure cuff to the
appropriate pressure and displays the pressure as the blood pressure
measurement is in process.
Pressing the Blood Pressure Start/Stop or the Next Patient/Clear/Cancel button at
any time during a blood pressure determination cancels the measurement and rapidly
deflates the blood pressure cuff.
When the measurement cycle is complete the Spot Vital Signs beeps once and
displays the systolic, diastolic, and pulse rate* measurements for two minutes
(unless another measurement is active). If the MAP is turned on then the Spot Vital
Signs toggles between the blood pressure reading and the MAP value.
If Spot Vital Signs cannot take a successful blood pressure measurement it beeps
twice and displays a “C” error code unless the measurement was purposely stopped.
* Pulse rate, as determined from the blood pressure measurement method, is displayed
with the blood pressure reading only if the SpO2 option is not in use. If the SpO2 function
is in use, all pulse rate determinations are a result of the SpO2 measurement method.
Reviewing Information from the Last Cycle
The Spot Vital Signs holds the last patient measurement cycle in memory. The information is held in memory until the unit is turned off or you initiate the next patient’s measurement. If the display is blank, press the Mode button to review data from the last
measurement cycle.
26
Welch Allyn Spot Vital Signs
Checking the Blood Pressure Calibration
The Welch Allyn Spot Vital Signs is manufactured to the highest industry standards for
quality and accuracy. The device is manufactured using calibrated pressure standards
traceable to NIST (National Institute of Standards and Technology). Welch Allyn
recommends that blood pressure calibration for the Spot Vital Signs is checked on an
annual basis using the following procedure.
Put the Spot Vital Signs into its blood pressure calibration check mode. In this mode, the
device continuously displays the measured pressure and closes the pressure release
valve.
1.
Enter the internal configuration mode (see “Internal Configuration” on page 19).
2. Press the Blood Pressure Start/Stop button to close the device’s internal valve to
apply an external pressure.
3. Connect the Spot Vital Signs as shown to
a calibrated pressure meter (verify
certificate is traceable to the National
Institute of Standards and Technology. The
pressure meter testing the Spot Vital
Signs must have an accuracy of better
than ±3 mmHg. Use a fixed volume or a
blood pressure cuff wrapped around a
cylinder for the stabilization volume.
Spot Vital Signs
C
MODE
Stabilization
Volume
(150 - 500cc)
Calibrated Pressure
Meter (traceable to
NIST)
4. Pressurize the Spot Vital Signs to slightly
above 250 mmHg. Bleed the pressure to
approximately 250 mmHg. Clamp and
Pressure Source
record the pressure reading and the
measurement standard. Repeat this step for 150 and 50 mmHg (approximate).
5. Calculate the difference between the readings. Subtract the rated accuracy of the
pressure measurement standard from the ±3 mmHg rated accuracy of Spot Vital
Signs. This is the pass/fail criteria to determine if the device is within calibration or
not. If the differences between Spot Vital Signs and the pressure measurement
standard are within the pass/fail criteria at all specified pressures, then the device is
within calibration.
If the Spot Vital Signs needs re-calibration the procedures are included in the Spot Vital
Signs Service Manual. Alternatively, send the device back to Welch Allyn for calibration by
contacting Technical Service.
Note
The pass/fail criteria for the blood pressure calibration check depends upon the
accuracy of the pressure measurement standard used. For example:
•
•
If the pressure measurement standard used is rated with an accuracy of ±0.1
mmHg, the pass/fail criteria is ±2.9 mmHg in order to guarantee that the
instrument under test is within ±3 mmHg of NIST.
If the pressure measurement standard used is rated with an accuracy of ±1.0
mmHg, the pass/fail criteria is ±2.0 mmHg in order to guarantee that the
instrument under test is within ±3 mmHg of NIST.
Welch Allyn recommends using a pressure meter that is as accurate as possible when
performing calibration checks. Welch Allyn offers two different pressure measurement
standards for use:
Directions for Use
27
•
Setra Pressure Meter, calibrated accuracy of ±0.1 mmHg (part no. 2270-01)
•
Netech Pressure Meter, calibrated accuracy of ±1.0 mmHg (part no. 200-2000IN)
Use of other pressure measurement standards is acceptable, provided they have an
accuracy of better than ±3 mmHg, are traceable to NIST, and have a current calibration.
Note
Do not take more than 3 minutes to take the readings, as the Spot Vital Signs will
open its pressure relief valve as a safety feature. If this occurs, turn the device off
and start over.
The Spot Vital Signs has the option to measure pressure in kPa units. If the device
is set to kPa instead of mmHg, temporarily set the device to mmHg units or
convert all pressures to kPa units.
28
Welch Allyn Spot Vital Signs
29
6
Temperature
WARNING Long-term continuous monitoring beyond three to five minutes is not
recommended in any mode.
Selecting Temperature Operation Mode
When configured with the temperature option, the Welch Allyn Spot Vital Signs takes a
temperature in either Normal or Monitor Mode.
In the Normal Mode, the thermometer “predicts” body temperature in approximately 4
seconds for oral temperatures, 10 seconds for axillary temperatures, and 15 seconds for
rectal temperatures.
Monitor Mode is normally used when difficult situations prevent taking an accurate
temperature in the Normal Mode. In Monitor Mode, maintain probe contact with the
tissue for at least 3 minutes for accurate oral/rectal temperature measurement, and 5
minutes for accurate axillary temperature measurement.
The default setting for the Spot Vital Signs thermometer is Normal Mode.
Temperature Measurement Range Indicators
The following display appears when temperatures are outside of the measurement range
of the device:
Condition
Temperature
Display
Audible
Notification
Temperature is outside of high measurement range of
the device
Fahrenheit
Celsius
109.4° ⇑
43° ⇑
No
Temperature is outside of low measurement range of
the device
Fahrenheit
Celsius
86° ⇓
30° ⇓
No
Normal Mode
Patient actions may interfere with accurate oral temperature readings. Ingesting hot or
cold liquids, eating food, chewing gum or mints, brushing teeth, smoking, or performing
strenuous activity may affect oral temperature readings for up to 20 minutes after activity
has ended.
30
Welch Allyn Spot Vital Signs
Probe contact with electrodes or bandages, poor tissue contact, taking an axillary
temperature over clothing, or prolonged exposure of axilla to ambient air can cause
inaccurate axillary temperature readings.
WARNING To ensure optimal accuracy, always confirm that the correct mode is
selected.
WARNING Use only Welch Allyn probe covers. Using other manufacturers’
probe covers or no probe cover may produce temperature measurement errors
and/or inaccuracy.
To take a temperature in oral or axillary mode:
WARNING Do not take an axillary temperature over the patient’s clothing. Direct
contact between the patient’s skin and the probe is required.
Caution Use the temperature probe with the blue cap to obtain accurate oral or
axillary temperatures.
Normal Mode axillary temperatures are FDA cleared for children under the age of
four. THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON
NEONATAL PATIENTS.
Note
1.
Verify that the correct probe (blue cap) is installed.
2. Hold the probe handle with your thumb and two fingers on the sides of the probe
handle and withdraw the probe.
3. Verify the desired temperature mode is in the temperature display area and the
desired temperature mode icon is flashing.
If the desired mode is not selected, press the Mode button until the LCD displays
“OrL” or “ALy”.
4. Insert the probe into a probe cover and press the probe handle down firmly. The
probe handle moves slightly to engage the probe cover.
5. Quickly put the probe in place.
a.
For oral temperatures, place the probe tip under the patient’s tongue on either
side of the mouth to reach the sublingual pocket and ask the patient to close his/
her lips.
SUBLINGUAL POCKET
SUBLINGUAL POCKET
Directions for Use
31
b. For axillary temperatures, lift the patient’s arm so that the entire axilla is easily
seen and place the probe as high as possible in the axilla. Do not allow the probe
tip to come into contact with the patient until the probe is placed in the
measurement site. Any prior contact between the probe tip and the tissue with
another material may cause inaccurate readings. Verify that axillary tissue
completely surrounds the probe tip and place the arm snugly at the patient’s side.
6. Firmly hold the probe in place and keep the tip of the probe in contact with the tissue
throughout the measurement process. During the measurement process, the
temperature display area displays rotating “walking” segments.
Spot Vital Signs beeps once after reaching the final temperature. The temperature
display area displays the patient temperature. Spot Vital Signs displays the current
temperature for two minutes after the probe is placed back in the holder. The display
then goes blank (unless another measurement is active).
If Spot Vital Signs displays a probe position icon during the temperature
determination, the temperature display alternates between the final predicted
temperature and the letter “P”.
To switch to Monitor Mode, leave the probe in place after obtaining a reading and
press the Mode button once. The temperature display shows an “M” to indicate
Monitor Mode. Once in Monitor Mode proceed to Step 5 on page 33.
7.
Remove the probe after the temperature measurement is complete and firmly press
the ejection button on the top of the probe to release the probe cover.
8. Return the probe to Spot Vital Signs.
To take a temperature in Rectal Mode:
WARNING Incorrect insertion of probe can cause bowel perforation.
WARNING Washing hands greatly reduces the risk of cross-contamination and
nosocomial infection.
Caution To obtain accurate rectal temperatures, use the temperature probe
with the red ejection button.
1.
Verify that the rectal probe (red cap) is installed. Spot Vital Signs only operates in
Rectal Mode if the red rectal probe is installed.
2. Hold the probe handle with your thumb and two fingers on the sides of the probe
handle and withdraw the probe from Spot Vital Signs.
3. Verify the Spot Vital Signs temperature display shows “rEC” to indicate a rectal probe
is in use.
4. Insert the probe into a probe cover and press the probe handle down firmly. The
probe handle moves slightly to engage the probe cover.
5. Separate the patient’s buttocks with one hand. Use the other hand to gently insert the
probe only 5/8 in. (1.5 cm) inside the rectum (less for infants and children). The use of
a lubricant is optional.
6. Tilt the probe so that the tip is in contact with tissue. Continue to separate the
buttocks and hold the probe in place throughout the measurement process. During
the measurement process, the temperature display area displays rotating “walking”
segments.
32
Welch Allyn Spot Vital Signs
Spot Vital Signs beeps once after reaching the final temperature. The temperature
display area displays the patient temperature. Spot Vital Signs displays the current
temperature for two minutes after the probe is placed back in the holder. The display
then goes blank (unless another measurement is active).
If Spot Vital Signs displays a probe position icon during the temperature
determination, the temperature display alternates between the final predicted
temperature and the letter “P”.
To switch to Monitor Mode after obtaining a reading, leave the probe in place after
obtaining a reading and press the Mode button once. The temperature display shows
an “M” to indicate Monitor Mode. Once in Monitor Mode proceed to Step 5 on
page 33.
7.
Remove the probe after the temperature measurement is complete and firmly press
the ejection button on the top of the probe to release the probe cover.
8. Return the probe to Spot Vital Signs and wash your hands.
Directions for Use
33
Monitor Mode
Monitor Mode displays the temperature of the probe as long as the probe remains in
place at the measurement site and remains within the operating patient temperature
range. The patient’s temperature will reach final equilibrium in approximately three
minutes in the oral and rectal sites and five minutes in the axillary site.
WARNING Long-term continuous monitoring beyond three to five minutes is
not recommended in any mode.
Note
To switch to Monitor Mode without taking a predictive temperature, remove the
probe from the holder, attach a new probe cover, and wait one minute. Do not
place the probe in the patient’s mouth, underarm, or rectum. After one minute,
the thermometer switches to Monitor Mode and an “M” shows in the
temperature display. Continue to take the patient’s temperature.
To take a temperature in Monitor Mode:
1.
Verify that the correct probe (oral/axillary = blue cap or rectal = red cap) is installed.
2. Hold the probe handle with your thumb and two fingers on the sides of the probe
handle and withdraw the probe from Spot Vital Signs.
3. Insert the probe into a probe cover and press the probe handle down firmly. The
probe handle moves slightly to engage the probe cover.
4. Take the patient’s temperature using the Normal Mode as previously described. Leave
the probe in place after Spot Vital Signs beeps once and displays the temperature.
Press the Mode button once. An “M” appears on the display to indicate Monitor
Mode.
5. Hold the thermometer in place for a total of three minutes for oral and rectal mode or
five minutes for axillary mode. The thermometer will not beep to indicate a final
temperature.
6. Record the temperature before removing the probe from the site; the monitored
temperature does not remain on the display once the probe is removed from the site
and is not stored in memory for recall.
7.
Remove the probe from the patient and firmly press the ejection button on the top of
the probe to release the probe cover.
8. Return the probe to the Spot Vital Signs to reset the thermometer to Normal Mode.
34
Welch Allyn Spot Vital Signs
35
7
Pulse Oximetry (Sp02)
Factors that may degrade the performance of the pulse oximeter:
• Excessive ambient light
• Sensor not at heart level
• Excessive motion
• Anemia or low hemoglobin
concentrations
• Fingernail polish (if finger sensor • Arterial catheters, blood pressure,
is used)
and infusion lines, etc.
• Moisture in the sensor
• Cardiovascular dyes
• Improperly attached sensor
• Incorrect sensor for patient
• Electrosurgical interference
• Poor patient perfusion
• Venous pulsations
WARNING Tissue damage can be caused by incorrect application or duration of
use of an SpO2 sensor. Inspect the sensor site as directed in the sensor
Directions for Use.
WARNING Do not use a damaged sensor or pulse oximetry cable or a sensor
with exposed optical components.
To take an SpO2 measurement:
If blood pressure measurement is occurring simultaneously, place the finger sensor on
the limb opposite the one with the blood pressure cuff.
1.
Insert the patient’s finger completely into the sensor; the thumb is specifically not
recommended for use with the finger clip sensor.
The pulse signal bar graph illuminates, indicating the patient’s pulse at the sensor site.
The sensor takes approximately 10 seconds to determine the initial SpO2% value and
pulse rate. When the initial values are determined, they are shown in the SpO2
display and the pulse rate display, respectively. If the accuracy of any measurement
does not seem reasonable, first use an alternate means to check the patient’s vital
signs and then check the Spot Vital Signs for proper functioning.
Spot Vital Signs measures a patient’s SpO2 for up to 10 minutes. After 10 minutes,
Spot Vital Signs displays a C9 error code and beeps twice. This error code means that
the use has exceeded the 10-minute time limit.To clear the error code, disconnect the
sensor from Spot Vital Signs and then re-attach it or press the Next Patient/Clear/
Cancel button.
2. Check sensor sites periodically to assess circulation, sensor positioning, and skin
sensitivity.
3. Remove the sensor from the patient. The device continues to display the last SpO2
reading.
36
Welch Allyn Spot Vital Signs
37
8
Error Indications and Interpretation
The following table of conditions and error codes provides a quick reference of the
descriptions and probable causes of error codes.
To clear the error code:
Power the Spot Vital Signs off, wait five seconds, and power on. If the error code
reappears then power the Spot Vital Signs off and disconnect the battery for five minutes.
Reconnect the battery and power on. If the error code continues to reappear, call Welch
Allyn for a Service Notification Number (see “Technical Assistance” on page 56).
Press the Blood Pressure Start/Stop button to reset flashing patient alarm conditions.
Error Codes
Table 1. General
Code
Description
Corrective Action
E11
Internal safety violation
Check patient, contact Technical Service.
C12
Ambient temperature out of range
Adjust ambient temperature or device location.
C13
Battery failure
Use wall transformer.
E0.0 - E9.9 Temperature module malfunction
Contact Technical Service.
E42
Internal communications error
Disconnect the battery and wait 5 minutes.
Reconnect the battery and then set the date and time,
see “Blood Pressure Hose and Cuff Connections” on
page 21.
E20 - E50
General internal malfunction
Contact Technical Service.
Table 2. Blood Pressure
Code
Description
Corrective Action
C02
Auto-zero failure
Check for air obstruction, limit patient movement.
C03
Inflation too rapid
Check for kinked blood pressure cuff tubing, pressure
hose, or other air obstruction.
C04
Excessive inflation time
Check for air leaks.
C05
Excessive noise
Check patient condition, blood pressure cuff
placement, limit patient movement.
C06
Measurement was outside of device’s
measurement range
Check patient condition.
E10
Blood pressure cuff overpressure condition
Check patient condition.
38
Welch Allyn Spot Vital Signs
Table 3. Temperature
Code
Description
Corrective Action
C20
Broken/missing probe
Replace probe.
P
Loss of tissue contact
Ensure proper probe positioning.
E0.2, E0.3
Ambient temperature out of range
Adjust ambient temperature or device location.
C22
10-minute diagnostic time exceeded
Remove probe, discard probe cover, retake
temperature.
Table 4. SpO2
Code
Description
Corrective Action
E7
Internal SpO2 error.
Retake reading.
C6
SpO2 pulse rate out of range
Check patient condition.
C8
Faulty SpO2 sensor.
Replace sensor.
C9
SpO2 time limit exceeded.
Remove sensor from patient. Reapply sensor and
retake reading.
Directions for Use
39
Causes and Corrective Action
Table 5. Inaccurate Blood Pressure Readings
Possible Cause
Explanation and Corrective Action
Incorrect blood pressure cuff
size.
Use Welch Allyn approved
blood pressure cuffs only.
Determine correct blood pressure cuff size.
• Use reference markings on blood pressure cuff.
• Measure patient’s arm circumference midway between elbow and shoulder (see
“Chart for Determining Blood Pressure Cuff Size” on page 23 to select correct
blood pressure cuff size).
Patient’s arm position
Ensure patient’s arm is at heart level.
Arm movement during blood
pressure cycle
Keep arm still during blood pressure cycle.
• Movement may cause inaccuracies from artifact.
Blood pressure taken over
clothing
Take blood pressure on a bare arm.
Arrhythmia
Check for regularity of heart rate (palpate pulse or check device).
• Moderate to severe heart rate irregularities may make blood pressure difficult to
measure.
Incorrect reference
Use the correct Korotkoff sound to determine diastolic blood pressure.
• Many listeners incorrectly equate diastolic blood pressure with the
disappearance of sound only (phase 5). The Welch Allyn Spot Vital Signs was
developed using the American Heart Association recommendations, which state
that phase 5 be used unless sound continues to 0 mmHg, in which case the
change in the quality of sound (phase 4) is to be used.
Deflate blood pressure cuff no faster than 3 mmHg per second.
• One of the major sources of error in auscultatory blood pressure measurement is
deflating the blood pressure cuff too quickly. The American Heart Association
recommends deflation no faster than 3 mmHg per second.
Only use a sphygmomanometer that is calibrated.
• An uncalibrated sphygmomanometer may take inaccurate blood pressure
measurements.
Change in blood pressure
between auscultatory reading
and Welch Allyn Spot Vital
Signs reading
Check blood pressure immediately prior to Welch Allyn Spot Vital Signs reading.
Poor auscultatory sound
recognition by observer
Use higher quality stethoscope. Have a different observer check patient’s blood
pressure.
Note: Differences of up to 10 mmHg are considered normal and occur for a number of reasons including intra-patient
blood pressure variability, observer hearing differences, and auscultatory deflation rate.
Table 6. Cuff Inflation and Deflation with No Blood Pressure Reading Displayed (or Error Code in
Display)
Possible Cause
Explanation and Corrective Action
Leak in pneumatic system
Ensure all blood pressure cuff attachments are tight. Carefully
check for leaks in the blood pressure cuff, tubing, and pressure
hose attached to the device.
Arm movement during cycle
Keep arm still during blood pressure cycle. Movement may cause
inaccuracies from artifact.
Blood pressure cuff tubing or pressure hose
movement artifact
Do not contact blood pressure cuff tubing or pressure hose
during blood pressure cycle. Movement may cause inaccuracies
from artifact.
40
Welch Allyn Spot Vital Signs
Table 7. No Blood Pressure Cuff Inflation
Possible Cause
Explanation and Corrective Action
Connections between device and blood
pressure cuff loose
Check all connections (do not overtighten).
Table 8. Temperature Malfunction
Possible Cause
Explanation
Corrective Action
Error code displayed
Broken probe
Replace probe. Consult Service Manual. Notify biomedical
department or Welch Allyn Technical Support.
Low temperature
readings
Improper probe
placement
Place probe in most posterior sublingual pocket when in
Oral Mode. Verify patient has had nothing to eat or drink
for 20 minutes.
No temperature displayed Probe not replaced
Replace probe in holder prior to taking another
temperature.
Table 9. SpO2 Malfunction
Possible Cause
Corrective Action
Sensor in place but no SpO2 on Insert the patient’s finger completely into sensor.
display
Verify blood pressure and SpO2 measurements are not taken on the same extremity.
Verify the sensor cable is correctly plugged into device.
Verify you are using the correct sensor. Use only Masimo or Nellcor SpO2 sensors
and accessories with the Welch Allyn Spot Vital Signs with Masimo or Nellcor
configurations, respectively.
Table 10. Device Does Not Turn On
Possible Cause
Explanation and Corrective Action
Low battery
Check connections between device and transformer, and transformer and wall
receptacle.
Device not powering up
Unplug unit from wall receptacle and check for breaks in cord. If connections are
secure, check electrical outlet.
Charging indicator is on if connections are good and the device is plugged into a
working outlet.
Notify biomedical department or Welch Allyn Technical Support.
Table 11. Blood Pressure Cuff Too Tight (Over Inflation)
Possible Cause
Explanation and Corrective Action
Pressure preset too high
Check default Pressure Preset setting in internal configuration mode. Unless patient
has underlying systolic hypertension, set pressure preset at 160 mmHg. (If systolic
blood pressure greater than pressure preset, the device automatically increases an
additional 40 mmHg.)
Directions for Use
41
Table 12. Blood Pressure Cuff Pops Off
Possible Cause
Explanation and Corrective Action
Inappropriate blood pressure
cuff size
Determine blood pressure cuff size with the blood pressure cuff markings or see
“Chart for Determining Blood Pressure Cuff Size” on page 23. If blood pressure cuff
continues to pop off, notify biomedical department or Welch Allyn Technical Support.
Blood pressure cuff applied
inside out
Re-apply blood pressure cuff. Make sure Welch Allyn label is facing away from arm.
Table 13. Blood Pressure Cuff Deflating Too Slowly
Possible Cause
Explanation and Corrective Action
Normal operation
Typical time to take a reading is 20 to 45 seconds; 165 seconds is the maximum.
Pressure preset too high
Check default pressure preset setting in internal configuration mode.
Patient movement
Have patient sit still. Do not have arm tight against chest wall, as respiration may
affect speed and accuracy of blood pressure measurement.
Small leak in pneumatic
system
Check blood pressure cuff tubing and pressure hose for leaks.
42
Welch Allyn Spot Vital Signs
43
9
Specifications
Patient Population
The Welch Allyn Spot Vital Signs is designed for use with adult and pediatric patients.
Welch Allyn defines a pediatric patient as 29 days or more of age.
THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATES.
Welch Allyn defines neonates as children 28 days or less of age, born at term (37 weeks
gestation or more), otherwise up to 44 gestational weeks.
Blood Pressure
Cuff Pressure Range
0 mmHg to 300 mmHg
Cuff Inflation Factory
Default
160 mmHg
Systolic Range
60 mmHg to 250 mmHg
Diastolic Range
30 mmHg to 160 mmHg
Accuracy
Determination Time
Pulse Rate Range
Pulse Rate Accuracy
Overpressure Cutoff
Blood pressure accuracy meets or exceeds SP10-1992 AAMI standards for
non-invasive blood pressure accuracy (AAMI standard: ± 5 mmHg mean error,
8 mmHg standard deviation). Blood pressure accuracy is validated for pressure
measurement using the upper arm only.
Typical: 20 to 45 seconds
Maximum: 165 seconds
40 bpm to 200 bpm
±5.0%
305 mmHg -0/+15 mmHg
Temperature
Accuracy
Range
Determination Time
Calibration accuracy: + 0.2° F (+ 0.1° C).
Maximum: 109.4° F/43.0° C
Minimum: 86.0° F/30.0° C
Oral: approximately 4 seconds
Axillary: approximately 10 seconds
Rectal: approximately 15 seconds
44
Welch Allyn Spot Vital Signs
Pulse Oximetry
Masimo Sensor Accuracy Guide
Accuracy specified when used with Masimo SET pulse oximetry monitors or with
licensed Masimo SET pulse oximetry modules using Masimo patient cables, during no
motion. Numbers present ± 1 standard deviation. Plus or minus one standard deviation
represents 68% of the population. SpO2 accuracy from 70% to 100%. Pulse rate
accuracy from 25 to 240 bpm.
Performance Measurement Range
SpO2: 70 to 100%
Pulse Rate: 25 - 240 beats per minute (BPM)
Perfusion
0.02% to 20%
SpO2 Accuracy
Saturation: 70% to 100%
No Motion: Adults, Pediatrics ± 2 digits
Motion: Adults, Pediatrics ± 3 digits
Low Perfusion: Adults, Pediatrics ± 2 digits
Pulse Rate Accuracy
Pulse Rate: 25 to 240 bpm
No Motion: Adults and Pediatrics ± 3 digits
Motion: Adults and Pediatrics ± 5 digits
Low Perfusion: Adults and Pediatrics ± 3 digits
Table 14. Masimo Sensor Accuracy Guide
Saturation Accuracy
Sensor
Pulse Rate Accuracy
Weight Range
No Motion
Motion
No Motion
Motion
LNCS-DCI
> 30 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNCS-DCIP
10 to 50 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNCS-ADTX
> 30 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNCS-PDTX
10 to 50 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNCS INF-L
3 to 20 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNOP-DCI
> 30 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNOP-DCIP
10 to 50 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNOP-ADT
> 30 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNOP-PDT
10 to 50 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
LNOP INF-L
3 to 20 kg
± 2%
± 3%
± 3 bpm
± 5 bpm
Masimo Patents
The Masimo sensors and cables are covered under one or more of the following U.S.A.
patents: 5,758,644; 5,823,950; 6,011,986; 6,157,850; 6,263,222; 6,501,975; and other
applicable patents listed at www.masimo.com/patents.htm.
Directions for Use
45
Nellcor® Sensor Accuracy Guide
Accuracy specifications are based on controlled hypoxia studies with healthy,
non-smoking adult volunteers over the specified saturation SpO2 range. Pulse oximeter
SpO2 readings were compared to SaO2 values of drawn blood samples measured by
hemoximetry. All accuracies are expressed as + “X” digits. This variation equals plus one
standard deviation (+ 1 SD), which encompasses 68% of the population.
Pulse Rate Range
Pulse Rate Accuracy
25 to 240 bpm
±3 bpm
±3 bpm (low perfusion)
Table 15. OxiMax Sensor Models, Single Patient Use
Sensor Models
SpO2 Range
70% to 100%
MAX-AI
±2
MAX-PI
±2
MAX-II
±2
1
MAX-RI
1
± 3.5
The accuracy specification has been determined between saturations of 80% to 100%.
Table 16. OxiCliq Sensor Models, Single Patient Use
Sensor Models
OXICLIQ-PI
SpO2 Range
70% to 100%
± 2.5
Table 17. Reusable Sensor Models
Sensor Models
D-YS (Infant to Adult)
SpO2 Range
70% to 100%
±3
D-YS and D-YSE
± 3.5
D-YS and D-YSPD
± 3.5
DS-100A
OXI-A/N (Adult)
OXI-P/I (Pediatric/infant)
±3
Adult: ± 3
±3
Nellcor Patents
Covered by one or more of the following US Patents: 4,802,486; 4,869,254; 4,928,692;
4,934,372; 5,078,136; 5,351,685; 5,485,847; 5,533,507; 5,577,500; 5,803,910; 5,853,364;
5,865,736; 6,083,172; 6,708,049; Re. 35,122 and foreign equivalents.
46
Welch Allyn Spot Vital Signs
Mechanical
Dimensions
Weight
Mounting
Portability
Height: 9.7 inches (24.6 cm)
Length: 5.7 inches (14.5 cm)
Depth: 4.7 inches (12.0 cm)
Approximately 4.6 pounds (2.2 kg)
Self-supporting on rubber feet
Custom Mobile Stand
Custom Wall Mount
Custom IV Pole Mount
May be hand-carried when held by the rear handle.
Electrical
Power Requirements
Battery
Patient-rated isolation transformer is connected to AC mains:
North American Version:120VAC, 60Hz. 0.13A Input, 7.2VDC, 1.0A Output
International Version:240VAC, 50Hz 0.065A Input, 7.2VDC, 1.0A Output
Australian Version:240VAC, 50Hz, 13VA Input, 7.2VDC, 1.0A Output
Lead acid, with external charger.
A fully charged battery supports 130 typical blood pressure determinations taken at
7-minute intervals. The battery is 90-100% charged after 12 hours of charging. The
battery automatically charges when the Spot Vital Signs is powered through the AC
power transformer. The battery charges faster when the instrument is not in
operation.
Environmental
Operating Temperature
+10° to +40° C (Thermometer operating temperature 16° to 40° C)
+50° to +104° F (Thermometer operating temperature 61° to 104° F)
Storage Temperature
-20° to +50° C
-4° to +122° F
Transport Temperature
-20° to +49° C
-4° to +122° F
Relative Humidity
15 to 90% (non-condensing)
Operating Altitude
-170 to +4877 m
-557 to +16,000 ft.
Directions for Use
47
Guidance and Manufacturer’s Declaration
Emissions and Immunity Information
Electromagnetic Emissions
The 420 Series Spot Vital Signs is intended for use in the electromagnetic environment specified below. The customer or user of the 420 Series
Spot Vital Signs should assure that it is used in such an environment.
Emissions Test
Compliance
Electromagnetic Environment - Guidance
RF emissions
Group 1
The 420 Series Spot Vital Signs uses RF energy only for its internal function. Therefore,
its RF emissions are very low and are not likely to cause any interference in nearby
electronic equipment.
Class B
The 420 Series Spot Vital Signs is suitable for use in all establishments, including
domestic establishments and those directly connected to the public low-voltage
power supply network that supplies buildings used for domestic purposes.
CISPR 11
RF emissions
CISPR 11
Harmonic emissions
Class A
IEC 61000-3-2
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Complies
48
Welch Allyn Spot Vital Signs
Electromagnetic Immunity
The 420 Series Spot Vital Signs is intended for use in the electromagnetic environment specified below. The customer or user of the 420 Series
Spot Vital Signs should assure that it is used in such an environment.
Immunity Test
IEC 60601
Test Level
Compliance Level
Electromagnetic Environment - Guidance
Electrostatic discharge
(ESD)
± 6 kV contact
± 6 kV contact
± 8 kV air
± 8 kV air
Floors should be wood, concrete, or ceramic tile. If floors are
covered with synthetic material, the relative humidity should
be at least 30%.
±2 kV for power supply
lines
Mains power quality should be that of a typical commercial or
hospital environment.
IEC 61000-4-2
Electrical fast transient/ ±2 kV for power supply
burst
lines
IEC 61000-4-4
±1 kV for input/output
lines
±1 kV for input/output
lines
Surge
±1 kV differential mode
±1 kV differential mode
IEC 61000-4-5
±2 kV common mode
±2 kV common mode
Voltage dips, short
interruptions, and
voltage variations on
power supply input
lines.
>95% dip in 0.5 cycle
>95% dip in 0.5 cycle
60% dip in 5 cycles
60% dip in 5 cycles
30% dip for 25 cycles
30% dip for 25 cycles
IEC 61000-4-11
>95% dip in 5 seconds
>95% dip in 5 seconds
Power frequency
(50/60Hz)
magnetic field
3 A/m
3 A/m
IEC 61000-4-8
Mains power quality should be that of a typical commercial or
hospital environment.
Mains power quality should be that of a typical commercial or
hospital environment. If the user of the 420 Series Spot Vital
Signs requires continued operation during power mains
interruptions, it is recommended that the 420 Series Spot Vital
Signs be powered from an uninterruptible power supply or
battery.
Power frequency magnetic fields should be at levels
characteristic of a typical location in a typical commercial or
hospital environment.
Directions for Use
49
Electromagnetic Immunity
The 420 Series Spot Vital Signs is intended for use in the electromagnetic environment specified below. The customer or user of the 420 Series
Spot Vital Signs should assure that it is used in such an environment.
Immunity Test
IEC 60601
Test Level
Compliance Electromagnetic Environment - Guidance
Level
Portable and mobile RF communications equipment should be used no closer
to any part of the 420 Series Spot Vital Signs including cables, than the
recommended separation distance calculated from the equation applicable
to the frequency of the transmitter.
Recommended separation distance
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to 80 MHz
V1 = 3 Vrms
d = (1.17) P
Radiated RF
IEC 61000-4-3
3 V/m
80 MHz to 2.5 GHz
E1 = 3 V/m
d = (1.17) P 80 MHz to 800 MHz
d = (2.33) P 800 MHz to 2.5 GHz
where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer and d is the recommended
separation distance in metres (m).
Field strengths from fixed RF transmitters, as determined by an
electromagnetic site survey,a should be less than the compliance level in
each frequency range.b
Interference may occur in the vicinity of equipment marked with the
following symbol:
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,
objects, and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio,
AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due
to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the 420
Series Spot Vital Signs is used exceeds the applicable RF compliance level above, the 420 Series Spot Vital Signs should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the 420 Series
Spot Vital Signs.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
50
Welch Allyn Spot Vital Signs
Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the 420 Series Spot
Vital Signs
The 420 Series Spot Vital Signs is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The
customer or user of the 420 Series Spot Vital Signs can help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the 420 Series Spot Vital Signs as recommended below, according to the
maximum output power of the communications equipment.
Separation Distance According to Frequency of Transmitter (m)
Rated Max. Output
Power of Transmitter
(W)
150 kHz to 80 MHz
80 MHz to 800 MHz
800 MHz to 2.5 GHz
d = (1.17) P
d = (1.17) P
d = (2.33) P
0.01
0.11667
0.11667
0.23333
0.1
0.36894
0.36894
0.73785
1
1.1667
1.1667
2.3333
10
3.6894
3.6894
7.3785
100
11.667
11.667
23.333
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated
using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,
objects, and people.
Directions for Use
51
Patents
D392,043 and other patents pending.
Agency Approvals
CERTIFIED TO: CAN/CSA STD C22.2 NO. 601.1
CONFORMS TO: IEC 60601, UL STD 60601-1
Welch Allyn PTY, Ltd - Australia
Metro Centre
Unit 5/38 South Street
Rydalmere NSW 2116, Australia
EMC Framework of Australia
The CE mark on this product indicates that it has been tested
to and conforms with the provisions noted within the 93/42/
EEC Medical Device Directive.
Authorized European Representative Address:
EC REP
European Regulatory Manager
Welch Allyn Ltd.
Navan Business Park
Dublin Road
Navan, County Meath, Republic of Ireland
Tel.: +353 46 90 67700 • Fax: +353 46 90 67756
52
Welch Allyn Spot Vital Signs
53
10
Maintenance
Welch Allyn will make available,upon request, circuit diagrams and other information
which will assist appropriately qualified technical personnel in repair of this device. Please
reference “4200-89E” on page 61.
Cleaning
Spot Vital Signs
Caution Do not use ethyl alcohol to clean the Spot Vital Signs device.
Caution Do not sterilize or autoclave the Spot Vital Signs.
Occasionally wipe the Spot Vital Signs, as necessary, with a cloth slightly dampened with
appropriately diluted, non-staining disinfectant solution. Use either 70% isopropyl alcohol,
10% chlorine bleach solution, or mild detergent in warm water. Never immerse the Spot
Vital Signs in any type of fluid.
Note
Prevent water or other fluids from entering any connectors. Should this occur, dry
the connectors with warm air. Check all measurement functions for proper
operation.
Blood Pressure Cuff
Caution Do not press with a hot iron.
Clean the blood pressure cuff with a damp cloth, or wash in water with soap or detergent.
Before washing the blood pressure cuff, remove the tube fitting(s), close off tubes with
plugs (available as accessory 5082-163) and place the hook and loop fasteners in the
closed position. After washing, allow the blood pressure cuff to air dry. Re-assemble the
tube fitting(s).
Disinfection: You may use glutaraldehyde-type liquid disinfectants on the durable blood
pressure cuff. Prolonged use of these disinfectants at full strength may cause
discoloration of the white blood pressure cuff markings.
Sterilization: Do not use steam or heat to sterilize the blood pressure cuff or pressure
hose. If necessary, use gas sterilization.
54
Welch Allyn Spot Vital Signs
Cables and Pressure Hose
Wipe the cabling and pressure hose with a damp cloth moistened in a mild detergent
solution. Do not immerse.
Temperature Probe
Periodically wipe the temperature probe clean with an alcohol-dampened cloth, warm
water, or properly diluted, non-staining disinfectant. Do not immerse the probe.
SpO2 Sensor
WARNING Do not immerse the sensor in water, solvents, or cleaning solutions
(the sensors and connections are not waterproof). Do not use irradiation, steam,
or ethylene oxide for sterilization.
Clean the reusable SpO2 sensor with a 70% isopropyl alcohol solution and allow to air dry.
Do not immerse the sensor or cable.
Every 3 months, inspect the temperature probe, SpO2 cord, and accessories for fraying or
other damage. Replace as necessary.
Battery Removal and Replacement
Caution Only use the Welch Allyn 4200-84 lead acid battery. Using the incorrect
battery will cause damage to the Spot Vital Signs and void the warranty.
As necessary, replace the internal battery after heavy use or the battery no longer
charges. Use a battery with the same part number.
1.
Turn the Spot Vital signs off and disconnect the AC power transformer cord.
2. Remove the 4 screws holding the battery door using a phillips-head screwdriver.
Remove the battery door to expose the battery.
3. Tip the Spot Vital Signs to slide the battery out. Disconnect and discard the old battery
per local regulations. Reconnect the new battery as shown as quickly as possible to
prevent loss of power to the unit and subsequent loss of clock time.
Battery
Connector
Directions for Use
55
4. Slide the new battery completely into the compartment. Lay the connector on the
battery. The relief pocket in the battery door purposely provides sufficient clearance
for the battery connector.
Relief Pocket
Battery
Battery Connector
5. Replace the battery door and tighten each of the 4 screws.
6. Connect the AC power transformer to the Spot Vital Signs and charge the new battery
for 16 hours. It is possible to use the Spot Vital Signs during this charging period.
The battery is a lead-acid battery. In the USA, call 1-800-SAV-LEAD for instructions on how
to recycle. For users outside the US please contact your local authorities on recycling.
Masimo SpO2 Calibration Check
Use a Masimo-approved SpO2 simulator (Fluke Biotek Index 2 or Clinical Dynamics
SmartSat) to check the SpO2 accuracy. There is no way to change the calibration of the
SpO2 module. If the SpO2 is out of calibration, contact Technical Service.
Nellcor SpO2 Functional Check
Use a Nellcor SpO2 simulator (SRC-MAX ) to check the SpO2 functionality. There is no
way to change the functionality of the SpO2 module. If the SpO2 is not functioning
properly, contact Technical Service.
SpO2 Accessory Disposal
Dispose of all finger sensors and cables in accordance with facility, local, and goverment
regulations.
Temperature Calibration Check
Use the 9600 Plus Calibration Tester to check the SureTemp thermometer accuracy. If the
thermometer is out of calibration, contact Technical Service.
56
Welch Allyn Spot Vital Signs
Service Manual/Spare Parts
A Service Manual is available upon request to qualified electronic personnel. The Service
Manual is a comprehensive guide to troubleshooting, service, and repair of the Spot Vital
Signs.
Also included with the Service Manual is a complete spare parts list. Order spare parts
from your local Welch Allyn Service Center listed on page ii.
Service Loaners
Service loaners are provided, on request, when a Welch Allyn Service Center provides
service. Loaners for products repaired while under the original warranty, or while under
extended warranty or service contract, are provided free of charge and are shipped within
48 hours of notification of need. Welch Allyn pays the shipment charges.
For service repairs outside of warranty or contract, loaners are available for a nominal daily
charge and shipment. This is subject to availability. Loaners are shipped pre-paid; however,
this charge is added to the service charges.
Service Policy
A Welch Allyn Service Center must approve and perform all repairs on products under
warranty. Unauthorized repairs will void the warranty. Qualified electronics personnel or a
Welch Allyn service center should repair products out of warranty.
Technical Assistance
If you have an equipment problem that you cannot resolve, call the Welch Allyn Service
Center nearest you during normal business days at the phone numbers listed on page ii.
If you are advised to return a product to Welch Allyn for repair or routine maintenance,
schedule the repair with the service center nearest you.
Before returning a product for repair, you must obtain authorization from Welch
Allyn. Our service personel will give you a Service Notification number. Note this
number on the outside of your shipping box. Service centers will not accept returns
without a Service Notification number for delivery.
57
11
Supplies and Accessories
Latex-Free Blood Pressure
Table 1. Cuff and Bag Combination
Catalog #
Description
Catalog #
Description
5200-01
Cuff and bladder, adult, one tube
5200-10
Cuff and bladder, thigh, one tube
5200-02
Cuff and bladder, large adult, one tube
5200-03
Cuff and bladder, child, one tube
Table 2. One-Piece Cuff
Durable Cuff
Disposable Cuff
Catalog #
Description
Catalog #
Description
5082-203-3
One-piece cuff, small child, one tube
5082-93-3
One-piece cuff, small child, one tube (box of 5)
5082-204-3
One-piece cuff, child, one tube
5082-94-3
One-piece cuff, child, one tube (box of 5)
5082-205-3
One-piece cuff, small adult, one tube
5082-95-3
One-piece cuff, small adult, one tube (box of 5)
5082-206-3
One-piece cuff, adult, one tube
5082-96-3
One-piece cuff, adult, one tube (box of 5)
5082-207-3
One-piece cuff, large adult, one tube
5082-97-3
One-piece cuff, large adult, one tube (box of 5)
5082-208-3
One-piece cuff, thigh adult, one tube
5082-98-3
One-piece cuff, thigh, one tube (box of 5)
Table 3. Replacement Cuffs and Bladders
Catalog #
Description
Catalog #
Description
5200-04
Adult Bladder, one tube
5082-01
Adult cuff (sleeve)
5200-05
Large Adult Bladder, one tube
5082-16
Large adult cuff (sleeve)
5200-06
Child Bladder, one tube
5082-18
Child cuff (sleeve)
5200-11
Thigh Bladder, one tube
5082-64
Thigh cuff (sleeve)
Table 4. Miscellaneous Blood Pressure Accessories
Catalog #
Description
Catalog #
Description
5200-12
Straight Pressure Hose (8ft./2.4M)
5200-08
Calibration T-Connector
5200-19
Straight Pressure Hose (5ft./1.5M)
58
Welch Allyn Spot Vital Signs
Pulse Oximetry Accessories and Supplies
Masimo
Table 5. Adhesive Sensors: Single-Patient Use
Catalog #
Description
Weight Range
LNCS-ADTX
Adhesive Finger Sensor - Adult (20 per case)
LNCS-PDTX
Adhesive Finger Sensor - Pediatric (20 per case)
10 to 50 kg
LNCS INF-L
Adhesive Finger Sensor - Infant (20 per case)
3 to 20 kg
LNOP-ADT
Adhesive Adult sensor (20 per case)
>66 lbs (30 kg)
LNOP-PDT
Adhesive Pediatric sensor (20 per case)
22 to 110 lbs
(10 to 50 kg)
LNOP INF-L
Adhesive Infant sensor (20 per case)
>30 kg
3 to 20 kg
Table 6. Reusable Sensor
Catalog #
Description
Weight Range
Quantity
LNCS-DCI
Finger sensor - adult
>66 lbs (30 kg)
1
LNCS-DCIP
Finger sensor - pediatric
10 to 50 kg
1
LNOP-DCI
Finger sensor - adult
>66 lbs (30 kg)
1
LNOP-DCIP
Finger sensor - pediatric
10 to 50 kg
1
Weight Range
Quantity
Table 7. Sensor Cables
Catalog #
Description
LNC-4-WA
4-foot cable with DB-9 connector for LNCS
NA
1
LNC-10-WA
10-foot cable with DB-9 connector for LNCS
NA
1
PC-04-WA
4-foot cable with DB-9 connector for LNOP
NA
1
PC-08-WA
8-foot cable with DB-9 connector for LNOP
NA
1
Directions for Use
59
Nellcor
Table 8. OxiMax Adhesive Sensors: Single-patient use
Catalog #
Description
Weight Range
Quantity
MAX-AI
Adult sensor
>30 kg
24
MAX-PI
Pediatric sensor
10 - 50 kg
24
MAX-II
Infant sensor
3-20 kg
24
MAX-RI
Adult nasal sensor
>50 kg
24
Weight Range
Quantity
SRC-MAX
Portable oximetry tester
Table 9. OxiMax OxiCliq® Sensors: Reusable cable
Catalog #
OC-3
OXICLIQ PI
Description
OxiCliq sensor cable (3 ft)
Pediatric oxygen transducer, user with OC-3 cable
1
10 - 50 kg
Case of 24
Weight Range
Quantity
>40 kg
1
<3 kg or >40 kg
1 sensor/50 wraps
3 - 40 kg
1 sensor/50 wraps
Table 10. OxiMax Reusable Sensors
Catalog #
Description
® adult oxygen transducer
DS-100A
Durasensor
OXI-A/N
Oxiband® OXI-A/N, adult/neonatal* transducer
OXI-P/I
Oxiband OXI-P/I, pediatric/infant transducer
® oxygen transducer
D-YS
Dura-Y
>1 kg
1 sensor/40 wraps
D-YSE
Ear clip (use with Dura-Y sensor)
>30 kg
1
3 - 40 kg
1
D-YSPD
PediCheck™ pediatric spot-check sensor (use with
Dura-Y sensor)
Table 11. OxiMax Sensor Cables
Catalog #
Description
Quantity
DEC-4
SpO2 extension cable, 4 ft.
1
DEC-8
SpO2 extension cable, 8 ft.
1
* The Welch Allyn Spot Vital Signs is not intended for use on neonatal patients.
60
Welch Allyn Spot Vital Signs
Temperature
Table 12. Accessories and Supplies
Catalog #
Description
Catalog #
Description
02678-100
Oral/axillary probe (9ft./2.7M)
05031-110
Disposable probe covers (10,000 covers, 25/box)
02679-100
Rectal probe (9ft./2.7M)
06137-000
Temperature Calibration Key
05031-101
Disposable probe covers (1,000 covers, 25/box)
01802-110
Model 9600 Plus Calibration Tester
Mounting
Table 13. Accessories and Supplies
Catalog #
Description
Catalog #
Description
4200-60
Mobile Stand
4200-64
IV Pole Mount
4200-62
Wall Mount
4200-70
Anti-Theft Kit
Extended Warranty
Table 14. One-year extended warranty
Catalog #
Description
Catalog #
Description
4200-00B
Model 4200B
4200-M0B
Model 42M0B
4200-OTB
Model 420TB
4200-NTB
Model 42NTB
4200-N0B
Model 42N0B
4200-MTB
Model 42MTB
Directions for Use
61
Miscellaneous
Table 15. Accessories and Supplies
Catalog #
Description
Catalog #
Description
4200-84
Lead Acid Battery
5200-101A
AC Power Transformer (US/Canada/Japan)-120V,
60Hz
4200-87X*
Directions for Use
5200-103A
AC Power Transformer (Europe/UK) -240V, 50Hz
4200-88X*
Quick Reference/Error Code Card
5200-103Z
AC Power Transformer (Australia) - 240V, 50Hz
4200-155
Inservice CD (English only)
76400
Line Cord (US/Canada/Japan)
4200-89E
Service Manual (English only)
76402
Line Cord (Europe)
4200-100
Carrying Case
76404
Line Cord (UK)
4200-170
Connectivity Accessory Kit
76406
Line Cord (Australia)
53600
Printer paper (24 rolls)
4200-250
Pediatric accessory kit (small child, child, small adult
cuffs and Nellcor SpO2 sensor)
53600B
Printer paper (4 rolls)
4200-350
Pediatric accessory kit (small child, child, small adult
cuffs and Masimo SpO2 sensor)
* Replace the “X” with the following letter abbreviation to order the appropriate language
manual.
Table 16. Printed Material Language List
Language
Language
Abbreviation
Language
Language
Abbreviation
Language
Language
Abbreviation
E
English
G
Deutsch
PO
Polish
C
Chinese
I
Italiano
P
Português
DK
Dansk
N
Norsk
S
Español
F
Français
NL
Nederlands
SW
Svensk
FI
Suomi
62
Welch Allyn Spot Vital Signs
63
Warranty
Spot
Welch Allyn warrants Spot Vital Signs, when new, to be free of defects in material and
workmanship and to perform in accordance with manufacturer's specifications for a
period of two years from the date of purchase from Welch Allyn or its authorized
distributors or agents. The battery is covered by a one-year warranty against original
defects in material or workmanship. Welch Allyn will either repair or replace any
components found to be defective or at variance from manufacturer's specifications
within this time at no cost to the customer. It shall be the purchaser's responsibility to
return Spot Vital Signs to Welch Allyn or an authorized distributor, agent, or service
representative. This warranty does not include breakage or failure due to tampering,
misuse, neglect, accidents, modification, or shipping. This warranty is also void if the
instrument is not used in accordance with manufacturer's recommendations or if repaired
by other than Welch Allyn or an authorized agent. Purchase date determines warranty
requirements. No other express warranty is given.
Remember to submit the instrument registration/warranty card for warranty validation.
Complete the information and mail the pre-addressed card to Welch Allyn.
Accessories
The Masimo finger sensor and cable are covered by a six-month warranty against original
defects in material or workmanship.
The Nellcor DS-100A is covered by a one-year warranty and the Nellcor DEC-4 cable is
covered by a three-month warranty against original defects in material or workmanship.
The Reusable Two-Piece Blood Pressure Cuff is covered by a two-year warranty against
original defects in material or workmanship.
The SureTemp probe is covered by a one-year warranty against original defects in material
and workmanship. Probe covers are intended for single-use only.
64
Warranty
Welch Allyn Spot Vital Signs
Reorder No. 4200-87E
Material No. 706272 Ver. C
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