Professional Operator`s Manual

Professional Operator`s Manual
Professional Operator’s Manual
Warranty
Respironics warrants that the monitor will be free from defects in materials and workmanship for a period
of one year from the time of purchase. Respironics accessories are warranted to be free of defects in
materials and workmanship for a period of 90 days from the time of purchase.
The Respironics equipment and authorized accessories are designed to function as described in the
operator’s manual. The user/owner of this equipment shall have sole responsibility and liability for any
injury to persons or damage to property (including this equipment) resulting from:
Operation not in accordance with supplied operating instructions;
Maintenance not in accordance with authorized maintenance/operational instructions;
Service by anyone other than a factory authorized service representative;
Modification of the equipment or accessories; or
Use of damaged or unauthorized components and accessories.
THIS LIMITED WARRANTY IS IN LIEU OF ANY AND ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED,
INCLUDING WITHOUT LIMITATION IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A
PARTICULAR PURPOSE; TO THE EXTENT THAT STATE OR FEDERAL LAW PROHIBITS EXCLUSIONS OF
IMPLIED WARRANTIES, ANY SUCH IMPLIED WARRANTY IMPOSED BY LAW SHALL BE LIMITED TO A PERIOD
OF NINETY (90) DAYS FROM THE DATE OF THE INITIAL PURCHASE FROM RESPIRONICS.
User/Owner Responsibility
This Respironics equipment and the authorized accessories are designed to work as described in the
operator's manual. The user(s) of this equipment should not use parts that have failed, exhibit excessive
wear, are contaminated, or otherwise ineffective. The monitor and its accessories should not be modified.
The following list incorporates the owner's responsibilities:
Periodic check, maintenance, and calibration of equipment;
Replacement of components as required for safe and reliable operation;
Replacement of ineffective parts with parts supplied by Respironics, Inc.;
Equipment which is not functioning properly must not be used until all necessary maintenance has
been completed and a factory-authorized service representative has certified the equipment as ready
for use;
The monitor and any of its accessories should not be modified;
As a general rule, the proper performance of this monitor should be verified with a Respironics Model
5000 Simulator according to the Checkout Procedure Manual #H580-4000-00 between each patient
use and/or every 6 to 12 months, whichever is more frequent.
The user of this equipment is responsible for reading, understanding, and following the Warning and
Caution statements throughout this manual.
Table of Contents
Table of Contents
Introduction ..................................................................................................................... 1
Unpacking and Inspection ............................................................................................................................ 1
About this Manual ......................................................................................................................................... 1
Indications for Use .................................................................................................................................... 1
What is the Purpose of the SmartMonitor 2?............................................................................................ 1
Summary of Clinical Performance Evaluation .......................................................................................... 1
Warnings and Cautions................................................................................................... 7
Warnings....................................................................................................................................................... 7
Cautions........................................................................................................................................................ 9
How Does the SmartMonitor 2 Work?........................................................................... 11
How the Alarms Operate ............................................................................................................................ 11
Electrical Ratings ........................................................................................................................................ 12
Environmental Conditions........................................................................................................................... 12
IEC Classification........................................................................................................................................ 12
Symbols Table ............................................................................................................................................ 12
FCC Part 68 Notice..................................................................................................................................... 13
Industry Canada CS-03 Notice................................................................................................................... 14
FCC Part 15................................................................................................................................................ 14
Getting to Know the Monitor ......................................................................................... 15
SmartMonitor 2 Features............................................................................................................................ 15
Top Panel Features ................................................................................................................................ 15
POWER Button ........................................................................................................................................15
RESET Button..........................................................................................................................................15
Front Panel Features .............................................................................................................................. 16
Patient Input Connector ...........................................................................................................................16
Respiration Lights ....................................................................................................................................16
Heart Lights..............................................................................................................................................16
Speaker....................................................................................................................................................16
System Lights...........................................................................................................................................16
Side Panel Features ............................................................................................................................... 17
Self-Test Connector .................................................................................................................................17
Memory Card (Optional) ..........................................................................................................................17
Back Panel Features............................................................................................................................... 18
Remote Alarm (Optional) .........................................................................................................................18
Modem (Optional) ....................................................................................................................................18
DC Power.................................................................................................................................................18
I/O Connector...........................................................................................................................................18
Setting Alarm and Recording Limits.............................................................................. 19
Manual Set-Up............................................................................................................................................ 19
To Set or Modify Parameters Manually, Enter Menu Mode.....................................................................19
The SmartMonitor 2 Parameters..............................................................................................................20
System Set-up Menu ...............................................................................................................................27
View Menu Mode .....................................................................................................................................28
Using Auxiliary Equipment ............................................................................................ 29
Using the Respironics Model 930 Oximeter ............................................................................................... 29
Table of Contents
Dealer Preparation for Home Setup.............................................................................. 31
Home Setup .................................................................................................................. 33
Step 1: Set the SmartMonitor 2 on a Clean, Flat Surface. ..................................................................... 33
Step 2: Connect the Patient Cable to the SmartMonitor 2...................................................................... 33
Step 3: Connect the Lead Wires to the Patient Cable. ........................................................................... 34
Step 4: Connect the Lead Wires to the Electrodes................................................................................. 34
Step 5: Attach the Electrodes to the Infant Belt. ..................................................................................... 35
Step 6: Wrap the Electrode Belt around the Baby. ................................................................................. 35
Step 7: Connect the Power Cord/Battery Charger. ................................................................................ 38
Responding to Alarms................................................................................................... 39
Patient Alarm .............................................................................................................................................. 39
Testing the Alarm........................................................................................................................................ 39
If an Alarm Sounds ..................................................................................................................................... 39
Responding to System Alarms ................................................................................................................... 41
Reducing False Alarms................................................................................................. 43
Monitoring the Baby ...................................................................................................... 45
Turning the SmartMonitor 2 on................................................................................................................... 45
Turning the Monitor off - Sibling Alarm ....................................................................................................... 45
If there is an internal software error, a special power off procedure is required. ....................................... 45
Press and hold the RESET button, while still holding down the RESET button press and hold the
POWER button. Hold both buttons down for 5 seconds. ........................................................................... 45
Release POWER button; continue to hold the RESET button until the monitor turns off. .............. 45
Monitoring the Baby's Breathing................................................................................................................. 46
Respiration Light ......................................................................................................................................46
Apnea Light ..............................................................................................................................................46
Monitoring the Baby's Heart Activity........................................................................................................... 47
Heart Rate Light.......................................................................................................................................47
High Heart Rate Light ..............................................................................................................................47
Low Heart Rate Light ...............................................................................................................................47
Portable Operation of the SmartMonitor 2 .................................................................... 49
Charging the SmartMonitor 2 Battery ......................................................................................................... 49
SmartMonitor 2 Battery Pack...................................................................................................................... 50
Battery Installation Instructions ..................................................................................... 51
Transferring SmartMonitor 2 Information ...................................................................... 53
Memory Management in the SmartMonitor 2 ............................................................................................. 53
To recover the old data using a PCMCIA card ........................................................................................53
To recover the old data by downloading using Synergy-E ......................................................................53
Modem Download....................................................................................................................................... 53
Modem Auto Dial .................................................................................................................................... 54
Modem Auto Answer in Communications Mode..................................................................................... 54
Modem Auto Answer in Monitor Mode.................................................................................................... 55
Transferring SmartMonitor 2 Data to a Memory Card ................................................................................ 56
Transferring SmartMonitor 2 Data Using a Computer................................................................................ 57
Communications Mode Setup................................................................................................................. 57
Caring for the SmartMonitor 2....................................................................................... 59
Cleaning Instructions .................................................................................................................................. 59
Insect Infestation Decontamination Procedures......................................................................................... 59
Table of Contents
Performing a Functional Self-Test .............................................................................................................. 60
Self-Test Troubleshooting .......................................................................................................................... 61
Troubleshooting ............................................................................................................ 63
Ordering Information ..................................................................................................... 65
Glossary........................................................................................................................ 67
Appendix A ................................................................................................................... 69
Flow Chart of SmartMonitor 2 Parameters................................................................................................. 69
Specifications................................................................................................................ 71
Index ............................................................................................................................. 73
Table of Contents
Introduction
Introduction
Unpacking and Inspection
When you receive the SmartMonitor® 2, unpack the shipping case and:
Carefully examine the contents.
Save the shipping carton.
Make sure you have all the necessary items and that they are not damaged.
Report anything missing or damaged to Respironics.
About this Manual
This manual provides all the information you need to set up and operate the Respironics SmartMonitor 2
and explains how to use it to monitor the baby's vital functions. Carefully read and understand this manual
before using the system. Words that appear in Bolded Italics are defined in the Glossary in the back of
this manual.
Indications for Use
The SmartMonitor 2 is intended for use in continuous monitoring of heart rate and respiration of infant
patients in a home, hospital or portable environment. Its primary function is detection of central apnea.
Its secondary function is measurement of heart rate.
What is the Purpose of the SmartMonitor 2?
SmartMonitor 2 is an apnea monitor designed to monitor and record the baby's breathing (respiration)
and heart (cardiac) activity. The monitor alerts you if either of these activities exceeds the limits
prescribed by the physician.
Patient alarm limits are set by the health care professional before the SmartMonitor 2 monitor is delivered
to the patient. During monitoring, when the baby's breathing effort and heart activity are not within these
set boundaries, an indicator light comes on and an alarm sounds. This manual explains how to set up the
SmartMonitor 2, how to monitor the baby, and how to transfer information.
Other devices may be used with the SmartMonitor 2. Refer to the section Using Auxiliary Equipment for
further information.
Summary of Clinical Performance Evaluation
The SmartMonitor 2 was evaluated in a clinical study according to the most recent FDA
recommendations. These recommendations are available in the “Guidance for Apnea Monitor 510(k)
Submission” released in 2002.
Study Design
This was a multi-center, prospective, non-randomized study carried out at six clinical sites in the
United States. Infants in nurseries and other settings appropriate for attended monitoring, who
were considered to be appropriate candidates for cardio-respiratory monitoring, were recruited
and enrolled into the study.
Methods
Enrollment was competitive and each site was instructed to continue patient enrollment until a
sample size of at least 100 qualified central apneas was obtained.
1
Introduction
Inclusion Criteria
Spontaneously breathing, newborn infant (≤ 12 months of age), either gender without
regard to ethnicity.
Appropriate candidate for cardio-respiratory monitoring including any one or more of the
following:
• Diagnosis of cardiac, respiratory or neurological disease
• Witnessed or suspected episodes of apnea or periodic breathing
• Gestational age less than or equal to 36 weeks
• History of sibling(s) experiencing ALTE’s or SIDS
• Patients requiring supplemental oxygen
Exclusion Criteria
Any candidate with one or more of the following was excluded from enrollment:
• Presence of an artificial airway
• Receiving mechanical ventilation
• Receiving continuous positive airway pressure (CPAP)
• Presence of a cardiac or diaphragmatic pacemaker
Each patient was connected to a data acquisition system that included the Respironics Inc.
SmartMonitor and SmartMonitor 2 and the Alice System. Respiration and heart rate signals were
recorded using infant electrocardiogram electrodes. The Alice system was used to gather
physiological signals and record signals for airflow, breathing effort, and movement.
All Alice System data were reviewed by a qualified, credentialed clinician, using an Alice
polysomnograph system. Waveforms were manually reviewed and scored on an electronic
medium. The beat/breath detection and alarm channels from the SmartMonitor and SmartMonitor
2 were hidden prior to scoring by the clinician. The clinician identified apnea, bradycardia, and
tachycardia events on the Alice System.
Events were identified as required by the Guidance for Infant/Child Apnea Monitor 510(k)
Submissions, released 2002.
Results
Summary of Results
Compared to the SmartMonitor, the new SmartMonitor 2 identified 6.8% more apneas. The
SmartMonitor 2 also had 12.3% fewer false alarms and missed 6.8% fewer central apneas than
the SmartMonitor. The results of this study demonstrate that the new SmartMonitor 2 is
substantially equivalent to the predicate SmartMonitor. A detailed breakdown of study results is
provided in the following sections.
2
Introduction
Recruitment Summary
Total # Enrolled
54 patients
# Evaluated
# with 1 or more central apneas
52 patients
Total # of apneas in analysis
35 patients
142
Two patients were enrolled but not included in the evaluation. Only the first six apneas were used from
any individual patient.
Demographic Summary
Ethnicity
Site #1
10
6
4
10
0
0
0
0
Mean Birth Mean
Weight Gesta(grams) tional
Age
(Weeks)
1779.70
31.10
Site #2
5
4
1
3
2
0
0
0
2340.40
32.80
Site #3
10
2
8
2
2
2
3
1
3746.90
39.20
Site #4
7
3
4
4
2
0
1
0
1387.00
30.00
Site #5
13
4
9
8
1
0
4
0
1504.46
29.77
Site #6
7
5
2
6
1
0
0
0
2565.43
34.86
Total
52
24
28
33
8
2
8
1
2220.65
(Mean
Value)
32.95
(Mean
Value)
Clinical Site
Number of
Patients
#
#
Male Female Cauca African
-sian American
Asian Hispanic
Other
3
Introduction
Diagnosis Summary
Site # 1
Site #2
Site #3
Site #4
Site #5
Site #6
Totals by
Diagnosis
Prematurity
10
0
0
7
13
0
30
RDS, Resp. Failure, HMD
3
0
0
3
5
0
11
ALTE, Apnea, AOI, AOP
8
2
8
6
5
4
33
Bronchiolitis, Pneumonia, RSV
0
3
0
1
0
6
10
Gastro-Esophageal Reflux
0
0
0
2
1
1
4
Broncho-Pulmonary Dysplasia
0
0
0
2
2
0
4
Other
5
2
5
10
10
2
34
26
7
13
31
36
13
126
Diagnosis
Totals by Site
Results for Both Monitors by Site
Study Site
Site #1
Site #2
Site #3
Site #4
Site #5
Site #6
Totals
Apnea
with Alarm
25
2
3
10
21
7
68
SmartMonitor
No Apnea
Apnea
with Alarm
without Alarm
21
20
2
3
12
6
21
10
19
25
22
10
97
74
Apnea
with Alarm
28
2
3
11
18
11
73
SmartMonitor 2
No Apnea
Apnea
with Alarm without Alarm
21
17
2
3
13
6
11
9
19
28
19
6
85
69
Analysis of Results
SmartMonitor
SmartMonitor 2
Difference
% Difference
Apnea with Alarm
Apnea with Alarm
(SmartMonitor 2 – SmartMonitor)
68
73
5
6.8
The sensitivity for SmartMonitor is 100*68/142 = 47.89% with 95% confidence limits (39.44%, 56.42%). The
positive predictive value for SmartMonitor is 100*68/165 = 41.21% with exact 95% confidence limits (33.62%,
49.13%).
The sensitivity for SmartMonitor 2 is 100*73/142 = 51.41% with 95% confidence limits (38.25%, 54.30%).
The positive predictive value of Smart Monitor 2 is 100*73/158 = 46.20% with exact 95% confidence limits
(38.25%, 54.30%).
4
Introduction
SmartMonitor
SmartMonitor 2
Difference
No Apnea with Alarm
No Apnea with Alarm
(SmartMonitor 2 – SmartMonitor)
(False Alarm)
(False Alarm)
97
85
-12
The false apnea rate for SmartMonitor is 97/(95.95) = 1.01.
The false apnea rate for SmartMonitor 2 is 85/95.95 = 0.89.
SmartMonitor Apnea
with No Alarm
(Missed Event)
74
SmartMonitor 2
Apnea with No Alarm
(Missed Event)
69
% Difference
-12.3%
Difference
(SmartMonitor 2 – SmartMonitor)
% Difference
-5
-6.8%
5
Introduction
6
Warnings and Cautions
Warnings and Cautions
Please read this section carefully before using the SmartMonitor 2 to monitor a baby's breathing and
heart activity.
Warnings
A warning indicates a potentially harmful situation.
1. SmartMonitor 2 may not be able to detect all episodes of inadequate breathing. If a baby has apnea
due to choking (obstructive apnea), the monitor could mistake movement caused by choking for
breathing.
2. SmartMonitor 2 is a monitoring device only. It does not prevent the loss of breathing or heart activity,
nor will it restore breathing or heart activity. It will not prevent death.
3. Anyone using the SmartMonitor 2 to monitor an infant should be trained in current infant
Cardiopulmonary Resuscitation (CPR), which is a proper way to restore breathing and heart
activity.
4. The SmartMonitor 2 is not intended for use with cardiac or diaphragmatic pacemaker patients.
5. When using the monitor near patients on oxygen, the monitor must be kept at least three (3) feet
away from the oxygen tank (source) or other flammable gases to prevent a fire hazard.
6. Place the monitor on a sturdy and level surface to prevent the monitor from falling.
7. Do not place the monitor on the floor. It may become a tripping hazard.
8. Do not place the monitor in the crib. The baby may roll on the hard surface and be injured.
9. Use only those accessories provided by Respironics with this monitor.
10. Do not allow the patient cable, lead wires or power cord/battery charger cable to become tangled,
coiled, crossed, or wrapped around the baby’s neck, arms, or legs. This could result in strangulation.
11. Do not connect to an electrical outlet controlled by a wall switch to prevent inadvertently turning the
power off to the monitor.
12. Do not block the speaker or place items in front of the speaker located on the front of the unit. This
could prevent the monitor alarm from being heard.
13. Never use the monitor on the baby while the baby is being bathed. This could result in electrical
shock and/or damage to the equipment.
14. Disconnect the power cord/battery charger and phone line during lightning storms to reduce risk of
electrical shock to the baby.
15. Remove the electrode belt and the lead wires when the baby is not being monitored. Long-term wear
may be uncomfortable.
16. Never use an extension cord with the power cord/battery charger as this may cause a fire and/or
tripping hazard.
17. Be aware of signal interference that can occur from external sources. Electronic signals are required
for the SmartMonitor 2 to function. Sources of external interference could cause the monitor to miss
apnea and heart rate alarms. Even though the monitor contains methods and techniques which can
provide protection from external sources of interference, you should operate the monitor as follows:
• Keep monitoring equipment, patient and patient leads at least three (3) feet away from all
electrical appliances. Some examples of this include TV sets, electric blankets, air conditioners,
microwave ovens, cordless telephones, cellular phones, waterbeds, and home computers.
• Synthetic fabric from draperies or rugs can also cause interference due to static electricity.
Touching a conductive material with a grounded path, such as a wall or crib, before handling the
patient or the SmartMonitor 2 often prevents static build-up problems.
7
Warnings and Cautions
•
18.
19.
20.
21.
22.
Strong transmitter signals from TV, radio, airport, police, fire, and ambulance stations could be
picked up as heart and/or breath signals. If located less than one (1) mile from one or more of
these sources, the monitor may be affected.
In some locations, the monitor will not work properly. If the monitor is affected by external interference
in the area, you may not be able to use the monitor. Contact Respironics for further assistance. Use
of a third (RL) electrode may help reduce electrical interference.
If monitoring two or more infants in the same area, keep the monitors, patient, patient cables and lead
wires at least three (3) feet apart. Having the patient cables and lead wires close together may cause
missed apneas due to interference.
Do not connect the infant to the SmartMonitor 2 if the monitor is placed in the Communications Mode.
The apnea and heart alarms do not work when the SmartMonitor 2 is in this mode.
Do not use the SmartMonitor 2 at the same time as other impedance monitors. This may cause
missed apneas due to interference.
Do not rock the baby or sleep in the same bed with the baby while monitoring. Touching or moving
near the baby, monitor, or cables could cause the monitor to miss apneas.
8
Warnings and Cautions
Cautions
A caution indicates a condition that may lead to equipment damage, malfunction, or inaccurate operation.
Federal law (US) restricts this device to sale by, or on the order of a licensed physician. This
instrument should be used only under the supervision of a physician.
1. Perform the functional self-test if the SmartMonitor 2 has been x-rayed by an airport security check.
2. Do not place liquids on or near the SmartMonitor 2. Liquids may damage the electronic components
inside the monitor. Should liquid spill onto monitor, shut monitor off and call Respironics to have it
serviced.
3. Do not send information via modem during electrical storms. Information could be lost or equipment
could be damaged.
4. Handle the lead wires carefully to prevent them from breaking inside the insulation. Always grasp the
lead wire at the strain relief area to remove them from the electrodes or patient cable.
5. Insure that the auxiliary devices used do not exceed SELV (Safety Extra Low Voltage) levels as
described in EN60601-1. It is the dealer’s responsibility to ensure that auxiliary devices comply with
either UL2601-1 or UL544.
9
Warnings and Cautions
10
How Does the SmartMonitor 2 Work?
How Does the SmartMonitor 2 Work?
SmartMonitor 2 monitors and records a patient's breathing (respiration) and heart (cardiac) activity and
alerts the caregiver if either of these activities exceeds the limits prescribed by the physician.
The patient alarm limits are set before the SmartMonitor 2 is given to the patient. If during monitoring the
patient's breathing effort and heart activity is not within these set boundaries, an indicator light comes on
and an alarm sounds.
This manual explains how to set up the SmartMonitor 2, how to monitor a patient, how to transfer the
information to the physician, and how to use other devices with SmartMonitor 2.
A baby's breathing is measured by placing two electrodes on the baby's chest under his or her arms. As
the baby's chest moves during breathing, the impedance between the electrodes changes. The
SmartMonitor 2 detects these changes to determine the baby's breathing effort. If the SmartMonitor 2
does not detect these changes in breathing effort for longer than the physician-ordered time, a light will
come on and an alarm will sound.
SmartMonitor 2 also uses the electrodes on the chest to monitor heart activity by picking up the electrical
changes produced by the heart. If the SmartMonitor 2 detects the heart rate limit outside the range
ordered by the physician, a light will come on and an alarm will sound.
How the Alarms Operate
Whenever the patient’s breathing effort and heart activity are not within the limits set by the physician, an
indicator light will come on and an alarm will sound. The SmartMonitor 2 has two types of alarms: patient
and system.
Patient Alarms: A beeping alarm indicates one of the following patient alarm events:
Apnea: Baby has stopped breathing for longer than the limit set by the physician
Low Heart: Heart Rate is lower than the limit set by the physician
High Heart: Heart Rate is higher than the limit set by the physician
System Alarms: A constant audible alarm indicates one of the following SmartMonitor 2 conditions:
Loose lead
Low Battery
Memory Full (or Memory Almost Full)
Accidental Power-Off
Internal System Error
Lights on the SmartMonitor 2 indicate which of these conditions exists. See the section on Monitoring the
Baby for more information about alarms.
The SmartMonitor 2 may also alarm if there is an internal system error. If the monitor alarms and
the lights are not illuminated, or if all of the lights are blinking on-and-off, look at the LCD display
on the bottom of the unit. If there is an internal error, a code will be displayed and logged into the
memory. Discontinue use of monitor and contact Respironics Technical Support 1-800-345-6443.
11
How Does the SmartMonitor 2 Work?
Electrical Ratings
Model 4009 power cord/battery charger:
Model 4011 power cord/battery charger:
SmartMonitor 2:
Model 418 Ni-MH Rechargeable Battery Pack:
120VAC 60Hz 7.2W
230VAC 50Hz 7.2W
10.5-11.5VDC 0.1-1A
6VDC 1.85Ah or greater
Environmental Conditions
Operating Temperature:
Operating Humidity:
Storage Temperature:
Storage Humidity:
Battery Charging Temperature:
5ºC to 45ºC
20%RH to 95%RH, non-condensing
-20ºC to +65ºC
10%RH to 95%RH, non-condensing
10ºC to 35ºC
IEC Classification
The SmartMonitor 2 is classified as:
Class II/Internally Powered
Type BF Applied Part
Ordinary Protection against the ingress of liquids
Not suitable for use in the presence of a flammable anesthetic mixture with air or with nitrous oxide
Continuous Operation
Symbols Table
Symbol
Definition
Attention: Important information that should be read
Attention: Read accompanying documents
Type BF Applied Part also shows Patient Cable Connector
location
IOIOI
Serial Port
Reset Button
Power Off/On Button
Apnea Alarm Light
Respiration Light
Low Heart Rate Alarm Light
High Heart Rate Alarm Light
Low Battery Light
12
How Does the SmartMonitor 2 Work?
Symbol
Definition
Memory Full Light
Loose Lead Light
Heart Rate Light
Power Light
---
Alternating Current (charging)
Direct Current (power connection)
Power Cord Connector Position
In-put / Out-put connection
Modem Port
Remote Alarm Connection
SN
REF
3 /
Serial Number
Part Number
Three Electrodes per package
FCC Part 68 Notice
The SmartMonitor 2 complies with Part 68 of the FCC Rules. On the bottom of the SmartMonitor 2 are
labels that contain, among other information, the FCC Registration Number and Ringer Equivalent
Number (REN) for this equipment. If requested, this information must be provided to your telephone
company.
The REN is used to determine the quantity of devices that may be connected to your telephone line.
Excessive RENs on the telephone line may result in the devices not ringing in response to an incoming
call. In most, but not all areas, the sum of the RENs should not exceed five (5.0). To be certain of the
number of devices that may be connected to the line, as determined by the total number of RENs, contact
the telephone company to determine the maximum RENs for the calling area.
If the SmartMonitor 2 causes harm to the telephone network, the telephone company will notify you in
advance that temporary discontinuance of the service may be required. But if advance notice is not
practical, your telephone company will notify you as soon as possible. Also, you will be advised of your
rights to file a complaint with the FCC if you believe it is necessary.
Your telephone company may make changes in its facilities, equipment, operation, or procedures that
could affect the operation of the equipment. If this happens, your telephone company will provide
advance notice in order for you to make the necessary modifications to maintain uninterrupted service.
If trouble is experienced with the SmartMonitor 2, please contact the Respironics Service Center at 1800-345-6443 for repair and/or warranty information. If the trouble is causing harm to the telephone
network, your telephone company may request that you remove the equipment from the network until the
problem is resolved.
13
How Does the SmartMonitor 2 Work?
Industry Canada CS-03 Notice
NOTICE: The Industry Canada (IC) label on the SmartMonitor 2 identifies certified equipment. This
certification means that the equipment meets certain telecommunications network protective, operational,
and safety requirements as prescribed in the appropriate Terminal Equipment Technical requirements
document (s). The Department does not guarantee the equipment will operate to the user’s satisfaction.
Before installing the SmartMonitor 2, users should ensure that it is permissible to be connected to the
facilities of the local Telecommunications Company. The equipment must also be installed using an
acceptable method of connection. The customer should be aware that compliance with the above
conditions might not prevent degradation of service in some situations.
The Respironics Service Center should coordinate repairs to certified equipment at 1-800-345-6443. Any
repairs or alterations made by the user to this equipment, or equipment malfunctions, may give the
telecommunications company cause to request the user to disconnect the equipment.
Users should ensure, for their own protection, that the electrical ground connections of the power utility,
telephone lines, and internal metallic water pipe system, if present, are connected together. This
precaution may be particularly important in rural areas.
Caution: Users should not attempt to make such connections themselves, but should contact the
appropriate electric inspection authority, or electrician, as appropriate.
The Ringer Equivalent Number (REN) assigned to the SmartMonitor 2 provides an indication of the
maximum number of terminals allowed to be connected to a telephone interface. The termination of an
interface may consist of any combination of devices subject only to the requirement that the sum of
Ringer Equivalent Numbers of all the devices does not exceed five (5.0).
FCC Part 15
NOTE: This equipment has been tested and found to comply with the limits for a Class B digital device,
pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against
harmful interference when the equipment is operated in a commercial environment. This equipment
generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with
the instruction manual, may cause harmful interference to radio communications. Operation of this
equipment in a residential area is likely to cause harmful interference in which case the user will be
required to correct the interference at his own expense.
14
Getting to Know the Monitor
Getting to Know the Monitor
When you receive the SmartMonitor 2, make sure that you have all the necessary items and that they are
not damaged. Immediately report anything missing or damaged to Respironics.
The standard package should include the following:
SmartMonitor 2
Soft Carrying
Case (not shown here)
Power cord/battery
charger
Parents’ Guide
Patient Cable
Electrodes
Lead Wires
Electrode belt
Symbol Reference Card
(not shown here)
1 to 2 Phone Jack
Adapter (not shown
here)
SmartMonitor 2
Parents’ Guide
SmartMonitor 2 Features
This section describes the physical features of the
SmartMonitor 2 unit.
Top Panel Features
Reset
Button
reset
power
POWER Button
The gray POWER button turns the SmartMonitor 2 on. When
you turn the monitor on, all lights and the alarm come on briefly
and the monitor performs a system test. After a pause,
monitoring will begin.
To turn the monitor off do the following:
Press and hold the blue RESET button.
Power Off/On
Button
There are two styles of top panels.
Illustrated here are the two different
styles.
Press and release the gray POWER button.
Wait 2 seconds, and then release the RESET button.
RESET Button
The blue RESET button resets the alarm lights on the
SmartMonitor 2. It also silences the Memory Full (or Memory
Almost Full) and Low Battery warning alarms. For more
information, see the section on Responding to Alarms. The
RESET button also answers a ringing modem phone call when
in monitoring mode.
Remember that the RESET button will not silence patient or loose lead alarms.
15
Getting to Know the Monitor
Front Panel Features
Patient Input Connector
The Patient Input connector is for
the Patient Cable.
Respiration Lights
The green respiration light blinks
with each breath the SmartMonitor
2 detects. The red apnea light will
come on if the SmartMonitor 2
detects a pause in breathing that is
longer than the limit set by the
physician.
Heart Lights
The green heart light blinks with each heartbeat the SmartMonitor 2 detects. The red high light comes on
when the SmartMonitor 2 detects a heart rate higher than the limit set by the physician. The red low light
comes on when SmartMonitor 2 detects a heart rate lower than the limit set by the physician.
Speaker
The SmartMonitor 2 speaker allows you to hear any alarm that sounds during monitoring.
System Lights
The lights across the bottom of the front panel indicate if the SmartMonitor 2 is working properly:
Light
Indicates
Power
The power to the SmartMonitor 2 is on.
Charger
The battery charger is on and plugged into the SmartMonitor 2.
Low battery
The battery power is low and needs to be charged.
Memory Full
The SmartMonitor 2 memory is full or almost full.
Loose lead
An electrode, cable, or lead wire connection is loose at one of the
plug-in-ports or the electrodes are not making good contact with the
patient’s skin.
16
Getting to Know the Monitor
Side Panel Features
LA
Connection
!
RA
Connection
Self-Test Connector
You use the self-test connector when performing a Functional Self-Test to make sure the lead wires,
patient cable, and SmartMonitor 2 are working properly. See the section, Performing a Functional SelfTest for more information.
Memory Card (Optional)
The Memory Card transfers monitor data out of the monitor to give to the physician. See the section on
Transferring Monitor Memory for more information.
Memory Card
Push button
to remove
Memory Card
Memory Card
17
Getting to Know the Monitor
Back Panel Features
Remote Alarm (Optional)
The Remote Alarm allows you to
hear the audible alarms from a
different room.
Modem (Optional)
The SmartMonitor 2 may be equipped with a modem to transfer the SmartMonitor 2 memory to
the physician. See the section on Transferring Monitor Memory for more information. See the
sections on FCC Part 68 and IC CS-03 for information on connecting the modem to the
telephone line.
DC Power
Use the DC Power connector with the power cord/battery charger. Whenever the SmartMonitor 2
is not in portable use (on battery power only) it should be connected to the battery charger.
I/O Connector
This connector connects the SmartMonitor 2 with other devices. Ensure that the devices used do
not exceed SELV (Safety Extra Low Voltage) levels as described in EN60601-1.
.
18
Setting Alarm and Recording Limits
Setting Alarm and Recording Limits
The SmartMonitor 2 has the ability to program alarm and recording limits as prescribed by the physician.
There are two methods, including direct connect via serial link to a computer or manually through the
display on the bottom of the monitor.
Manual Set-Up
Remove the display door from the bottom of the monitor. Beneath the display door you will find the
display or LCD and 3 buttons. These buttons are used to key in a “Password” into the monitor. The
menu system has 3 passwords. Each password allows access to a different level of options. These 3
levels are: Monitor Set-Up, System Set-Up, and view only. The following discusses these in detail.
The Monitor Set-Up Menu is used to select all alarm and recording settings. You can adjust settings
manually, by modem, or by direct communication. When you access the Monitor Set-Up Menu, the
SmartMonitor 2 is in Menu mode.
The SmartMonitor 2 will beep once every 10 seconds to signal that it is powered on and in Menu
mode.
To Set or Modify Parameters Manually, Enter Menu Mode
Press the POWER button to turn the monitor ON. After a short delay, the display will read:
INITIALIZING PLEASE WAIT
Then,
MENU MODE? ENTER PROPER KEY SEQUENCE
Press the keys in the following sequence within 10 seconds:
Down arrow, Up arrow, Up arrow, ENTER, ENTER, ENTER
The display will read SMARTMONITOR 2
MENU SELECTION.
INITIALIZING
PLEASE WAIT
Use the down arrow key to display the
preceding menu entry.
When the parameter you want to change is
displayed, press the ENTER button. The
current value for the parameter displayed
will flash.
Memory Card
The SmartMonitor 2 menu has 34 entries
that are presented in a continuous loop.
Use the up arrow key to display the next
menu entry.
Use the or key to change the parameter to the desired value.
When the desired value is displayed, press the ENTER button to accept the value.
Press the up arrow to choose the menu path you want to review.
There are 4 menu paths to choose from:
All Menus
Alarm Menu
19
Setting Alarm and Recording Limits
Recording Menu
System Menu
The SmartMonitor 2 parameters for these menus are in the chart located in Appendix A.
Once the changes are completed turn the SmartMonitor 2 off by pressing the following buttons:
Press and hold the blue RESET button.
Press and release the gray POWER button.
Wait two seconds, and then release the RESET button.
When you power the SmartMonitor 2 off and then back on, the new values will be implemented.
The SmartMonitor 2 Parameters
The following menu flow is for All Menus. That encompasses menus for Alarms, Recording, and
Systems. To quickly access, for instance, an alarm setting, select the Alarm Menu.
Menu Option
PATIENT
NAME
PATIENT ID
LCD Display
PATIENT NAME
PATIENT ID
NUMBER
Description of Option or Instructions
To enter the Patient Name:
Press Enter to begin entering patient name.
Press t or u to browse through the
alphabet and select the letter you need.
When the letter you want appears, press
Enter. Press Enter twice to place a space in
between the first and last name.
When you have finished the name, press t
or u until the ^ appears. Then press Enter.
The ^ is just before the letter “a”.
Press t to proceed to the next menu or u
to move to the previous menu.
To enter the Patient ID:
Press t or u until Patient ID is displayed.
Press Enter to activate
Press t or u to browse through the
numbers and select the digit you need.
When the digit you want displays, press
Enter.
When you have finished the ID, press t or
u until the ^ appears. Then press Enter.
Menu Path
All Menus
Alarm Menu
Record Menu
System Menu
All Menus
Alarm Menu
Record Menu
System Menu
^ is just before “0”.
Press t to proceed to the next menu or u
to move to the previous menu.
20
Setting Alarm and Recording Limits
Menu Option
STD Alarm
Parameters
LCD Display
Are Selected
Or
Are Not
Selected
Description of Option or Instructions
Press Enter to activate.
Press t or u to change the selection.
When you have your selection displayed
press Enter.
Menu Path
All Menus
Alarm Menu
STD Record
Parameters
Are Selected
Or
Are Not
Selected
Are Selected
Or
Are Not
Selected
APNEA ALARM
in seconds
Press Enter to activate.
Press t or u to change the selection.
When you have your selection displayed
press Enter.
Press Enter to activate.
Press t or u to change the selection.
When you have your selection displayed
press Enter.
Establishes the amount of time of no respiration
detection prior to activation of the apnea alarm.
Values:
10, 15, 20, 25, 30, 40 seconds
Standard value: 20 seconds
Establishes the alarm set point based on
frequency of detected respiratory effort.
Values:
OFF, 4, 5, 6, 7, 8, 9, 10, 12, 14, 16, 18, 20, 25,
30 breaths per minute
Standard value: OFF
Establishes the LOW heart rate alarm set point
based on the average detected ECG signal.
Values:
40, 50, 60, 70, 80, 90, 100 beats per minute
Standard value: 80 bpm
Enables a delay to the audible alarm
Values:
0 or 5 seconds
Standard value: 0 seconds
All Menus
Record Menu
STD System
Parameters
Apnea Alarm
Low Breath
Rate Alarm
LOW BREATH
ALARM BrPM
Bradycardia
Alarm
BRADYCARDIA
ALARM BPM
Bradycardia
Alarm Delay
BRADY ALARM
DELAY in
seconds
Tachycardia
Alarm
TACHYCARDIA
ALARM BPM
If this parameter is set to 5 seconds, the
audible alarm will not activate unless the alarm
set point is violated for 5 seconds or more.
This is a physician decision and is based on such
factors as the known condition of the patient,
number of short Bradycardia alarms documented
by the SmartMonitor 2, the current Bradycardia
alarm set point, and the patient's average resting
heart rate.
Establishes the HIGH heart rate alarm set point
based on the average ECG signal.
Values:
OFF, 90, 100, 110, 130, 150, 170, 190, 200, 210,
220, 230, 240, 250, 270 beats per minute
Standard value: 230 bpm
All Menus
System Menu
All Menus
Alarm Menu
All Menus
Alarm Menu
All Menus
Alarm Menu
All Menus
Alarm Menu
All Menus
Alarm Menu
21
Setting Alarm and Recording Limits
Menu Option
Tachycardia
Alarm Delay
LCD Display
TACHY ALARM
DELAY
In seconds
Record Mode
RECORD
MODE
Apnea for
Record
APNEA
RECORD LIMIT
in seconds
Description of Option or Instructions
Enables a delay to the audible alarm.
Values:
0 and 5 seconds
Standard value: 5 seconds
If this parameter is set to 5 seconds, the
audible alarm will not activate unless the alarm
set point is violated for 5 seconds or more.
This is a physician decision and is based on such
factors as the known condition of the patient,
number of short Tachycardia alarms documented
by the SmartMonitor 2, the current Tachycardia
alarm set point, and the patient's average resting
heart rate.
Establishes the method that the data is recorded
under.
Values:
EVENT, CONTINUOUS, EVENT LOG,
Standard value: EVENT
EVENT – Active waveforms are recorded each
time a patient parameter is violated and an entry
is made into the Patient Events Log.
EVENT LOG - Patient alarms are acknowledged
by an entry in the Patient Events Log but no
waveforms are recorded.
CONTINUOUS - Active waveforms are recorded
continuously, regardless of alarm conditions.
All equipment-related events are entered in the
Equipment Events Log.
Allows active waveforms to be recorded during
the respiratory pauses prior to activation of the
Apnea alarm.
Values:
OFF, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28,
30, 32, 34, 36, 38, 40 seconds
Standard value: 16 seconds
When in Event Mode and the Apnea Alarm is set
to 20 seconds and the Apnea for Record is set to
16 seconds, the system will perform as follows:
For a respiratory pause of <16 seconds, no
waveforms will be recorded and no alarm will
occur.
For a respiratory pause of >16 seconds, but less
than 20 seconds, waveforms will be recorded,
but no alarm will occur.
For a respiratory pause of >20 seconds,
waveforms will be recorded and an alarm will
occur.
Menu Path
All Menus
Alarm Menu
All Menus
Record Menu
All Menus
Record Menu
22
Setting Alarm and Recording Limits
Menu Option
Bradycardia
for Record
LCD Display
BRADY
RECORD LIMIT
BPM
Pre/Post
Time
PRE/POST
TIME in seconds
Impedance
Record?
RECORD
IMPEDANCE?
Record
Respiration
Rate
RECORD RESP
RATE?
Heart rate
Record?
RECORD
HEARTRATE?
Description of Option or Instructions
Allows active waveforms to be recorded during a
bradycardia event prior to activation of the
Bradycardia alarm.
Values:
OFF, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100
beats per minute
Standard value: OFF
When in Event Mode and the Bradycardia Alarm
is set to 70 BPM and the Bradycardia for Record
is set to 80 BPM, the system will perform as
follows:
For a heart rate of >80 BPM, no waveforms will
be recorded and no alarm will occur.
For a heart of >70 BPM and <80 BPM,
waveforms will be recorded but no alarm will
occur.
For a heart rate of <70 BPM, waveforms will be
recorded and an alarm will occur.
This parameter allows the user to prescribe both
the number of seconds that waveforms are
recorded prior to the occurrence of a physiologic
event and after the event has terminated.
PRE defines the number of seconds that
waveforms will be recorded prior to the event.
POST defines the number of seconds that
waveforms will be recorded after the event has
terminated.
Values:
30/15, 30/60, 45/45, 60/30, 30/30, 75/15, 60/15,
45/15 seconds
Standard value: 30/15 seconds
This parameter allows the user to select whether
or not the respiration waveform will be recorded.
Values:
YES or NO
Standard value: YES
This parameter allows the user to select whether
or not the Breath-To-Breath & the Average
Respiration Rates will be recorded.
Values:
YES or NO
Standard value: YES
This parameter allows the user to select whether
or not the Beat-To-Beat & the Average Heart
Rates will be recorded.
Values:
YES or NO
Standard value: YES
Menu Path
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
23
Setting Alarm and Recording Limits
Menu Option
ECG Record
LCD Display
RECORD ECG?
Auxiliary 1
Record
RECORD
AUXILIARY 1
Auxiliary 2
Record
RECORD
AUXILIARY 2
Auxiliary 3
Record
RECORD
AUXILIARY 3
Auxiliary 4
Record
RECORD
AUXILIARY 4
External
Physiological
Trigger
EXT. PHYSIO
TRIGGER
External
Equipment
Trigger
EXT. EQUIP.
TRIGGER
Description of Option or Instructions
This parameter allows the user to select whether
or not the ECG waveform will be recorded.
Values:
YES or NO
Standard value: YES
This parameter allows the user to select whether
or not waveforms will be recorded on Auxiliary 1.
Standard value: OFF
For additional information refer to the Auxiliary
Signal Interface section of this manual.
This parameter allows the user to select whether
or not waveforms will be recorded on Auxiliary 2.
Standard value: OFF
For additional information refer to the Auxiliary
Signal Interface section of this manual.
This parameter allows the user to select whether
or not waveforms will be recorded on Auxiliary 3.
Standard value: OFF
For additional information refer to the Auxiliary
Signal Interface section of this manual.
This parameter allows the user to select whether
or not waveforms will be recorded on Auxiliary 4.
Standard value: OFF
For additional information refer to the Auxiliary
Signal Interface section of this manual.
Ext. Physio. Trigger allows external equipment to
trigger a SmartMonitor 2 recording when a
physiological parameter is violated in the external
auxiliary device.
Select from:
OFF
Trigger when high
Trigger when low
See Using Auxiliary Equipment
Ext. Equip. Trigger allows external equipment to
cause an entry in the SmartMonitor 2 Equipment
Log when an equipment parameter is violated in
the external auxiliary device.
Select from:
OFF
Trigger when high
Trigger when low
Menu Path
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
All Menus
Record Menu
See Using Auxiliary Equipment
24
Setting Alarm and Recording Limits
Menu Option
LCD Display
Description of Option or Instructions
Menu Path
When the auxiliary equipment channels are turned on and the auxiliary equipment is not connected
to the SmartMonitor 2, a flat line will be recorded and reported.
The auxiliary channels enable you to interface other signals to SmartMonitor 2. Options for each of
these channels are best defined with the System Software. External auxiliary devices can be interfaced
to provide Sp02, Pulse, EtCO2, pH, or any analog signal in the range of –1.25 to +1.25 volt.
The Synergy-E software will allow you to customize the channel label, voltage range, and value scale.
For instance an Oximeter may have a range of 0-1 volt and a scale of 0-100%. Refer to the Synergy-E
Operators Manual for more information.
Date
DATE
To enter the date:
All Menus
Press Enter to begin.
System Menu
Press t or u until the number required is
displayed.
Press Enter to select.
Once you have entered the date the display
will stop flashing.
Press t to proceed to the next menu or u
to move to the previous menu.
All Menus
Time
TIME
To enter the Time:
System Menu
Press Enter to begin.
Press t or u until the number required is
displayed.
Press Enter to select.
Once you have entered the time the display
will stop flashing.
Press t to proceed to the next menu or u
to move to the previous menu.
Rate Display
RATE DISPLAY Controls whether the patient’s respiration and
All Menus
heart rate will be displayed on the bottom panel
System Menu
display during monitoring.
Values:
ON, OFF
Standard Value: OFF
All Menus
Phone
COMPUTER
Enter the phone number of the modem on the
System Menu
Number for
PHONE #
Computer end of the download.
Computer
You may enter *70 first then the phone
number to disable Call Waiting if necessary.
Press Enter to begin.
Press t or u until the number required is
displayed.
Press Enter to select.
Once you have entered the phone number
press t or u until the ^ appears. Then
press Enter. Any other information following
after the ^ will be cleared.
Press t to proceed to the next menu or u
to move to the previous menu.
25
Setting Alarm and Recording Limits
Menu Option
Time To Call
the Computer
LCD Display
WHEN TO
CALL
Call
Computer
when
memory is full
DIAL IF
MEMORY FULL
Move Data to
Card
MOVE DATA
TO CARD?
(other possible
messages)
Insert Card –
Retry
Transferring
Data…
Memory
Status
Data
Transferred
MEMORY
STATUS
X PERCENT
FULL
Clear
Memory
CLEAR
MEMORY?
Description of Option or Instructions
To enter the Time to call:
Press t or u until WHEN To CALL is
displayed.
Press Enter to activate.
Press t or u to browse through the
numbers and select the digit you need.
When the digit you want displays, press
Enter.
Enter the time in Military Time.
When you have finished, press Enter.
Press t to proceed to the next menu or u
to move to the previous menu.
You may select from On or Off.
Once the Memory Full Alert is reached the
monitor will attempt to call at the next scheduled
calling time.
As an example, if the Dial If Memory Full is
turned ON and the call date and time is set to
3-1-01 at 4:00AM, but the memory reaches the
Memory Full Alert at 3:00PM on 2-1-01, then the
monitor will initiate a call at 4:00AM on 2-2-01.
This menu is used to down load the recorded
data to the PCMCIA card. To move data to the
PCMCIA card:
Press the ENTER button. The word NO will
begin to blink.
To select YES press either arrow button.
Should a PCMCIA card not be inserted the
monitor will ask for the card.
Place card in slot located just below the
display.
Press the ENTER button.
The display will now show “Transferring
Data….”. Once the transfer is complete the
display will show “Data Transferred”.
Menu Path
All Menus
System Menu
This is a display-only menu. It provides an
indication of the amount of memory in use by the
SmartMonitor 2. This display cannot be changed.
The Memory Status setting takes into account
the Patient Event Log, Equipment Event Log,
and Waveform Memory.
Permits the memory to be erased. NOTE:
Erasing memory does not affect the alarm and /
or the record parameters.
The memory should be cleared before using
the SmartMonitor 2 on a new patient or after
the data has been downloaded and saved.
Once the memory is cleared the unit will
display the following:
“It Is Cleared”.
All Menus
System Menu
All Menus
System Menu
All Menus
System Menu
All Menus
System Menu
26
Setting Alarm and Recording Limits
After the new parameters have been entered into the SmartMonitor 2, the monitor must be turned off to
exit Menu Mode.
To set the parameters through the Synergy-E computer software, refer to the Synergy-E Manual for
instructions on communicating with the SmartMonitor 2.
System Set-up Menu
SmartMonitor 2 also has a System Set-up Menu, which displays the entire menu of parameters. This
includes very seldom-used menu choices. In addition to some menus previously seen, you will have
access to the following menus. To access this menu, do the following:
Press the POWER button ON. After a short delay, the display will read:
INITIALIZING PLEASE WAIT
Then,
MENU MODE? ENTER PROPER KEY SEQUENCE
Press the keys in the following sequence within 10 seconds:
Press the t Up arrow 3 times.
Press the ENTER button 3 times.
Scroll to MENU OPTIONS and press ENTER.
Scroll to SYSTEM MENU and press ENTER.
The following table lists the additional options available from the System menu:
Menu Option
LCD Display
Description of Option or Instructions
Date Format
DATE FORMAT
Permits the selection of two formats for
displaying the DATE:
MONTH/DAY/YEAR or
DAY/MONTH/YEAR
Memory Full Alert
MEMORY FULL ALERT
Memory Full Audible
MEMORY FULL AUDIBLE
Modem Speed Monitor
Modem Speed-Monitor
Standard value: Month/Day/Year
Two options are available: 80% full or
50% full.
When the memory usage reaches the
selected limit (50% or 80%), the unit will
generate an alarm.
Standard value: 50%
Used to enable/disable the audible alarm
when the unit reaches the selected
memory almost full limit (50%/80%).
NOTE: This parameter does not affect the
visual indicator; it cannot be disabled.
Values:
ON, OFF
Standard Value: OFF
The default setting is 38,400Bps. This
setting should not be change unless
directed to do so by Respironics
Technical Support.
27
Setting Alarm and Recording Limits
Menu Option
Modem Speed - Host
LCD Display
Modem Speed – Host
Software Revision
SOFTWARE REVISION
Mmode SW Revision
MMODE SW REVISION
Bblk SW Revision
BBLK SW REVISION
Serial Number
SERIAL NUMBER
Description of Option or Instructions
The default setting is 115,500Bps. This
setting should not be change unless
directed to do so by Respironics
Technical Support.
Display-only menu. Displays the revision
of the Embedded Application Code.
Display-only menu. Displays the revision
of the Maintenance Mode Code.
Display-only menu. Displays the revision
of the Boot Block Code.
Display-only menu. Displays the Serial
Number.
View Menu Mode
Should there be a need, the SmartMonitor 2 also allows you to use a View Only option of the Menu
Selections.
The caregiver can download monitor data to a PCMCIA card using the View Menu but cannot
make any changes to the settings in the monitor.
Press the POWER button ON. After a short delay, the display will read:
INITIALIZING PLEASE WAIT
Then,
MENU MODE? ENTER PROPER KEY SEQUENCE
Press the keys in the following sequence within 10 seconds:
Press the ENTER button once.
Use the tu Up and Down arrow button to scroll through the menus.
28
Using Auxiliary Equipment
Using Auxiliary Equipment
There are 4 auxiliary channels available on the SmartMonitor 2. These channels provide the mechanism
for connecting External Devices to the SmartMonitor 2. All External Devices must interface to the
SmartMonitor 2 via the Auxiliary Interface Box, P/N 4010. The output of these Devices must be within the
range of –1.25 to +1.25 volts.
Setup of auxiliary channels can only be done through the Synergy-E software. Refer to the
Synergy-E manual for more information.
SmartMonitor 2 is programmed with 15 signal definitions to interpret the auxiliary signals it receives. For
each of the 4 auxiliary channels you can choose from the list of 15. These are user configurable with the
Synergy-E software. Refer to the Synergy-E manual for more information on auxiliary signal configuration
for the SmartMonitor 2.
Any of the four signals can be programmed to record at one time. The Auxiliary Interface Box, AIB,
connects to the I/O Connections port.
Connect the AIB to the back of
the SmartMonitor 2.
Connect appropriate interface
cable to the number 1 slot on the
AIB. The other end of the cable
should be connected to the
auxiliary device.
Connect device
interface cable into
the #1 slot on the AIB
and the other end
into the external
device
Insert into the I/O
connector on the back
of the SmartMonitor 2
Before turning on the SmartMonitor 2 insure that the external devices are connected.
For every signal you want to record, you will need to connect an auxiliary cable to the AIB and
remember to turn on the Auxiliary Channels in the SmartMonitor 2 menu. For example if you
wish to record SpO2 and Pulse you would need 2 auxiliary cables and this will use 2 auxiliary
channels.
Information required to setup or change the “definition” includes the devices voltage and value range.
This information must come from the Manufacturer of the device.
Using the Respironics Model 930 Oximeter
When the SmartMonitor 2 is interfaced to the 930 Oximeter, it can be configured to trigger recordings
when the Oximeter alarms.
Attach the Auxiliary Interface box to the SmartMonitor 2 and the 4304 cable to the 930 Oximeter. Enter
the System Set-up menu mode and go to Ext. Physio Trigger and set to Trigger When High. When the
Oximeter alarms the SmartMonitor 2 will record all programmed channels that are turned on.
29
Using Auxiliary Equipment
30
Dealer Preparation for Home Setup
Dealer Preparation for Home Setup
Electromagnetic interference (EMI) may adversely affect monitor function. It is recommended that
the monitor be tested in the use environment using the following procedure.
When a monitor is susceptible to electromagnetic interference, the situation should be corrected to
ensure safe monitoring.
If monitoring two or more infants in the same area, keep the monitors, patient, patient cables and
lead wires at least three (3) feet apart. Having the patient cables and lead wires close together may cause
missed apneas due to interference.
To test for EMI at the patient’s home, the following steps must be performed.
• Set the SmartMonitor 2 apnea duration to 20 seconds.
• Connect the monitor to a patient simulator with all cables extended out rather than coiled up.
• Set the simulator to output respiration and heart beats at rates and amplitudes that are
appropriate and in the normal range with respect to the patients’ age.
• Determine that the monitor detects respiration and heartbeats, at the rates to which the simulator
is set.
• Place the simulator in the apnea mode for two (2) minutes.
• Determine that the monitor continues to alarm for apnea at full volume beginning at 20 seconds.
Alarming at reduced volume, false heart rate alarms, or self-silencing of the apnea alarm before
the end of the simulated apnea constitute failure of this test.
If the monitor fails this test, insure that the cautions found at the beginning of this test have been carefully
followed and repeat the test. If the monitor continues to fail the test, it is an indication that the monitor
may not function properly in its current environment. Contact Respironics for further assistance. Use of a
third (RL) electrode may help reduce EMI.
31
Dealer Preparation for Home Setup
32
Home Setup
Home Setup
This section is an overview of the steps you should follow to set up the SmartMonitor 2 in the patient's
home. Read the entire manual prior to relying upon this section (alone) to set up a SmartMonitor 2.
Ensure Memory has been cleared prior to delivery to new patient.
Review use of the SmartMonitor 2 and its accessories with the caregiver(s). Be sure to demonstrate
the Functional Self-Test. Encourage the use of this test at least weekly and whenever lead wires, or
patient cables are changed.
Stress the importance of electrode positioning, belt snugness, clean electrodes, and clean skin.
Leave your emergency phone number(s) and procedures with the caregiver(s).
Step 1: Set the SmartMonitor 2 on a Clean, Flat Surface.
Be sure the speaker is not blocked.
To avoid interference, be sure that no other electrical appliances are within three feet of the monitor,
patient and patient leads.
Make sure the monitor is close enough to connect to the baby comfortably.
Step 2: Connect the Patient Cable to the SmartMonitor 2.
Insert the round end of the patient cable into the
bottom round connector found on the front of the
SmartMonitor 2.
Line up the notch on the connector and push until you
feel the connector snap into place.
To remove the patent cable, grasp the patient cable at
the base of the patient input connector and gentle pull
back. Do not grasp and pull the patient cable to
remove from the SmartMonitor 2.
33
Home Setup
Step 3: Connect the Lead Wires to the Patient Cable.
The larger end of the patient cable has
three openings, marked LA (black), RL
(green), and RA (white).
Take the white lead wire and
insert it into the opening marked
RA.
Take the black lead wire and
insert it into the opening marked
LA.
Firmly push each lead wire in until
the socket snaps into place.
When you need to remove a
lead wire, grasp and pull at the
strain relief area located near
the connecting tip. Do not
grasp the wire.
Strain Relief
Area.
Use of the third (green - RL) electrode and
lead wire is normally not required, but may
help reduce excessive false low heart rate
alarms.
Step 4: Connect the Lead Wires to the Electrodes.
Insert the black LA
lead wire into one
electrode.
Insert the white RA
lead wire into the
other electrode.
Make sure the metal
tips of the lead wires
are fully inserted into
the electrodes.
34
Home Setup
Step 5: Attach the Electrodes to the Infant Belt.
Place the electrode belt on a flat surface.
Lay the baby on the belt so the belt is aligned with
the baby’s nipples (see illustration).
Place the electrodes, Velcro-side down, on either
side of the belt as follows:
Place the electrode with the white lead wire on
the baby’s right side.
Place the electrode with the black lead wire on
the baby’s left side.
Place the electrodes far enough apart so that when
the belt is wrapped around the baby, the electrode
will be located along the mid-line of the side just
below or lined up with the nipples.
Be sure the lead wires and patient cable are leading
down and away from the baby's face and neck (see
illustration).
Baby’s
right side
Baby’s
left side
The white lead wire location
is illustrated with a white
electrode.
Step 6: Wrap the Electrode Belt around the Baby.
Wrap the belt around the baby’s
chest and fasten it with the white
Velcro tab.
The belt should be snug enough
so that you can only insert two of
your fingers (with your hand lying
flat against baby) between the belt
and the baby.
With newborns and very small
babies, you may need to shorten the
belt by cutting off a part of it. Be sure
to leave enough room to fasten the belt
securely.
35
Home Setup
Baby’s
right side
Baby’s
left side
36
Home Setup
Disposable Self Adhesive Electrodes
Follow the steps below if you are using disposable electrodes.
Attach lead wire to the Self Adhesive Electrodes if not pre-attached.
Ensure the infant’s skin is clean and dry.
Place the electrode with the white lead wire on the baby’s right side, along the mid-line of the side,
two finger widths below or lined up with nipples.
Place the electrode with the black lead wire on the baby’s left side, along the mid-line of the side, two
finger widths below or lined up with nipples.
An electrode belt is not needed when using disposable electrodes
Use of the third (green - RL) electrode and lead wire is normally not required, but may help
reduce EMI interference. Place the green electrode along the outside of baby’s upper thigh.
Do not use oils, lotion, or powder on the area of skin that the electrodes will be placed.
37
Home Setup
Step 7: Connect the Power Cord/Battery Charger.
Insert the round connector of the power cord/battery charger into the socket on the back
panel of the SmartMonitor 2 (see illustration).
Push until the connector is fully inserted into place.
Then plug the power cord/battery charger into a power outlet. The green charger light on the
monitor will now come on.
When the SmartMonitor 2 is not operating portably, keep the power cord/battery
charger connected and plugged into an AC outlet at all times. Insure that the AC outlet
has been installed to conform to the National Electrical Code (NEC). The batteries
cannot be overcharged. The green charger light stays on as long as the charger is
connected.
The Power Cord Connector must be plugged into the SmartMonitor 2 DC Power Input
as shown in the illustration above. The Power Cord Connector can only be inserted as
shown above.
38
Responding to Alarms
Responding to Alarms
Patient Alarm
A Patient Alarm indicates that the baby’s breathing or heart activity is outside the limits prescribed by the
physician. The information in this section can help you respond appropriately to patient alarms. Read this
section carefully. If you have any questions, please contact Respironics.
Testing the Alarm
Before you use the monitor, test to see if you can hear the alarm from different rooms while there is noise
in the house.
Caution: Be aware that the alarm sound is very loud.
Always keep the area in front of the
speaker clear.
Turn the monitor on (without the
baby attached) to sound the alarm.
Make sure you can hear the alarm
in different areas in the home.
If the alarm is not loud enough to
hear around the home, a Remote
Alarm may be required. This device
will allow you to hear the alarm from
a different room from where the
monitor is located.
If an Alarm Sounds
If an alarm sounds while the baby is being monitored, check the baby first. Then follow the instructions below to
respond to lights and alarms. Always check the baby’s skin color. Is it normal? Always check to see if the baby is
breathing. If the baby is not breathing, follow the “Respond Like this” instruction.
Light
Alarm
Check Baby's
Respond like this
Condition
Red Apnea
Intermittent
Respond as instructed by the physician or in
Skin color is pale or
and/or Low
(1 beep/sec.)
your CPR class.
blue. Baby is not
(Heart)
An example of your response could be as
breathing or is
follows:
choking.
Gently pat the baby. The baby may start
breathing and correct the cause of the
alarm on his/her own.
If the baby does not start breathing start
physical stimulation immediately.
If the baby starts breathing and corrects
the cause of the alarm, note it on your
log sheet.
Press the RESET button to reset any
alarm lights.
39
Responding to Alarms
Light
Alarm
Check Baby's
Condition
Baby is breathing
and is responsive.
Color is good.
Red Apnea
and/or Low
(Heart)
Intermittent
(1beep/sec.)
Red High
(Heart)
Intermittent
(2 beeps/sec.)
Baby is crying.
Red Loose
Lead
Continuous
Baby is breathing
and is responsive.
Color is good.
Respond like this
Wait for a few seconds. Watch to see if
the baby’s breathing and color remain
normal.
If alarm continues, see section titled
Reducing False Alarms.
Check the monitor to see which light is
on. Note it on your log sheet.
If the baby has frequent high heart rate
alarms not associated with crying please
notify the physician.
Check the connections between the
electrodes lead wires, patient cable, and
the monitor.
If something has come loose,
reconnect it and press the RESET
button. The alarm should stop.
If alarm continues to sound see section
Performing a Functional Self Test.
Red Loose
Lead
Continuous
Baby is breathing
and is responsive.
Color is good.
If the monitor passed the Functional SelfTest turn off the monitor. Then, check the
following items:
The electrodes – They should be clean and
there should be no cracks on the surface.
The baby’s skin – Make sure that where the
electrodes are placed is clean and free from
oil, lotions, perspiration.
The electrode belt – Make sure it is snug
and is keeping the electrodes in place.
Patient alarms cannot be silenced with the RESET button. The alarm will stop only when the
patient signals are within the alarm limits.
40
Responding to Alarms
Responding to System Alarms
A System Alarm indicates that the monitor may not be functioning properly or at optimum capacity. The
information in this section will help you respond appropriately to system alarms. When a SmartMonitor 2
system alarm occurs, one of the lights at the bottom of the front panel will come on.
If this light is
on
Power
And this condition
exists
Continuous green
light, no alarm.
It means...
Charger
Continuous green
light, no alarm.
Normal Operation. The green charger light will come on and
stay on while the battery charger is plugged into an active
outlet and connected to the SmartMonitor 2.
Low Battery
Flashing yellow light,
continuous alarm.
This is a warning that the battery voltage is very low and
should be recharged soon. (See Charging the Battery in this
manual). Press the RESET button to temporarily silence the
alarm. The alarm will resound in 2 minutes if the monitor has
not been plugged in. The yellow light will continue to flash.
Continuous yellow
light, continuous
alarm.
Normal Operation. The green power indicator light will come
on and stay on for as long as the monitor is on.
This is a warning that the battery is too low for the
SmartMonitor 2 to operate properly. The SmartMonitor 2 must
be recharged. Turn the monitor off. Then, recharge the
battery. (See Charging the Battery in this manual).
If you do not recharge the battery, the system will
automatically shut down.
Memory Full
Flashing yellow light,
continuous alarm
When the SmartMonitor 2’s Memory Almost full parameter is
reached, the Memory Full light will flash. The alarm will sound
continuously. The alarm will sound only if the dealer programs
the SmartMonitor 2 to do so at the 50% full or at 80% full.
Press the RESET button to silence the alarm. The light will
blink every second.
Memory full is a warning condition. You can continue
monitoring. The caregiver should contact the dealer to
resolve the alarm.
Memory Full
Continuous yellow
light, continuous alarm
SmartMonitor 2 memory is 100% full. Press the RESET button
to silence the alarm.
The alarm will sound only if the dealer programs the
SmartMonitor 2 to do so.
The light will stay on continuously. The caregiver should
contact the dealer to resolve the alarm. (See Transferring the
Monitor Memory in this manual for more information).
41
Responding to Alarms
If this light is
on
Loose Lead
And this condition
exists
Continuous yellow
light and continuous
alarm
It means...
Loose Lead
Continuous yellow
light and no alarm
If you correct the problem, the alarm will stop. However, the
yellow light remains on until you press the RESET button.
Power
Continuous green
light, continuous
alarm, with no other
lights lit.
Check the display for error messages. If no error messages
are displayed, the SmartMonitor 2 was turned off improperly
causing a sibling alarm.
The yellow loose lead light and the alarm may sound
continuously when there is a problem with any of the following:
Lead wires
Electrodes
Electrode belt
Patient cable, or
Connections between the baby’s skin and the electrodes,
the lead wires, the patient cable, and the SmartMonitor 2.
To resolve:
Press and hold the blue RESET button.
Press and release the gray POWER button.
Wait 2 seconds then release the RESET button.
All
All lights are blinking
and the alarm will
come on for 3 seconds
and then off for 1
second.
Check the display for error messages. If there is an error
message, enter it on your log sheet.
Turn the monitor off and then back on. If the monitor functions
normally continue to use the monitor.
42
Reducing False Alarms
Reducing False Alarms
Proper electrode placement will minimize false alarms.
Make sure the electrodes are placed along the mid-line
of the side, two finger widths below or lined up with the
nipples.
If using the black reusable electrodes with the Velcro
belt, ensure the belt is quite snug. Place the electrodes
far enough apart so that when the belt is wrapped
around the baby, the electrode will be located along the
mid-line of the side, two finger widths below or lined up
with the nipples.
The skin should be clean and dry. If the skin is
unusually dry you may add a few drops of moisture
(water) to the baby’s skin prior to electrode belt
placement.
When using the black reusable electrodes ensure that
the electrode surface is clean.
The optional green (RL) electrode and lead wire may
help reduce EMI interference. Place the green
electrode along the outside of baby’s upper thigh.
Baby’s
right side
Baby’s
left side
The white lead wire
location is illustrated with a
white electrode.
Refer to the Synergy-E Manual for more information on how to check signal quality using
a modem or using a direct-connect cable.
43
Reducing False Alarms
44
Monitoring the Baby
Monitoring the Baby
Turning the SmartMonitor 2 on
You have properly set up the SmartMonitor 2, understand how the monitor functions and how to respond
to alarms, you are now ready to begin monitoring the baby’s breathing and heart activity according to the
schedule prescribed by the physician.
Push the POWER button. The SmartMonitor 2 performs a system check. The lights on the front of the
SmartMonitor 2 and the alarm come on briefly. Within 10 seconds, the green respiration, and heart lights
begin to blink. If the lights do not blink, check that you have attached the electrode belt properly to the
baby and that lead wires are pushed in, and that cables are connected.
Once the baby is properly connected to the SmartMonitor 2 and the power is on:
The green (battery) charger light is on.
The green power light is on.
The green respiration light and the green heart light are blinking.
All other lights should be off.
If the lights do not blink, refer to the steps found in the Setting Up the SmartMonitor 2 section in
this manual and be sure you have followed all instructions.
Turning the Monitor off - Sibling Alarm
The SmartMonitor 2 has a built-in safety feature called a sibling alarm. If the monitor is not turned off in a
specific sequence, the green power light will remain on and the alarm will sound continuously. This safety
feature makes sure the power is not accidentally turned off. To turn the SmartMonitor 2 off:
Press and hold the blue RESET button.
Press and release the gray POWER button.
Wait 2 seconds, and then release the RESET button.
When the SmartMonitor 2 is turned off without pushing the RESET button first, the green power light will
remain on and the Sibling Alarm will sound. To silence the Sibling Alarm:
Press and hold the blue RESET button.
Press and release the gray POWER button.
Wait 2 seconds, and then release the RESET button.
To resume monitoring, press the gray POWER button.
If there is an internal software error, a special power off procedure is required.
Press and hold the RESET button, while still holding down the RESET button press and hold the
POWER button. Hold both buttons down for 5 seconds.
Release POWER button; continue to hold the RESET button until the monitor turns off.
45
Monitoring the Baby
Monitoring the Baby's Breathing
Respiration Light
The green respiration light will
blink in rhythm with each breath
that the SmartMonitor 2
detects. The light should blink
only once for each breath,
although it may flash more
times when the baby is moving.
Apnea Light
When the SmartMonitor 2 detects a
pause in breathing longer than the
limit set by the physician the
following will occur.
The red apnea light will come on and
the alarm will beep once every
second. When the SmartMonitor 2
detects breathing again, the beeping
alarm stops. The red light will stay on
until you press the RESET button.
Low Breath Rate. You, the health care professional, may have set the SmartMonitor 2 to signal Low
Breath Rate. If so, the following will occur:
Breath rate falls below the setting, but pauses are short and do not cause an apnea alarm. The apnea
light will blink twice each second, and the alarm will beep once each second.
If the SmartMonitor 2 detects a pause in breathing longer than the limit set by the physician, during a Low
Breath Rate alarm, the apnea light will change from flashing to constant.
Contact Respironics immediately if apnea alarms occur while the baby is breathing.
46
Monitoring the Baby
Monitoring the Baby's Heart Activity
Heart Rate Light
The green light marked with a heart
blinks with each heartbeat the
SmartMonitor 2 detects.
High Heart Rate Light
SmartMonitor 2 determines if the
baby’s heart rate is higher than the limit
set by the physician. The monitor will
alert you by the following:
The red light marked high heart
rate will come on and the alarm
beeps twice each second.
The beeping alarm stops when the
condition no longer exists.
The red light stays on until you
press the blue RESET button.
Low Heart Rate Light
When the SmartMonitor 2 determines
that the baby’s heart rate is lower than
the limit set by the physician the
following will happen:
The red light marked low heart
rate will come on.
The alarm beeps once every
second.
The beeping alarm stops when the
condition no longer exists.
The red light stays on until you
press the blue RESET button.
47
Monitoring the Baby
48
Portable Operation of the SmartMonitor 2
Portable Operation of the SmartMonitor 2
The SmartMonitor 2 is designed for portable use. When the power cord is not used, the monitor relies on
a previously charged internal battery for power.
Respironics recommends that the SmartMonitor 2 be used with the power cord/battery charger whenever
possible. However, when the monitor is used without the power cord/battery charger the SmartMonitor 2
is fully functional. All alarms are operational. With a fully charged battery, the monitor will run for 15
hours. The amount of time to completely recharge a fully depleted battery is 6 hours.
Charging the SmartMonitor 2 Battery
As a rule, a fully charged battery can operate for 15 hours. This may vary, however, depending on the
level of use, number of alarms, and other factors. When the low battery light comes on, you should
recharge the battery immediately. A fully drained battery should be recharged for 6 hours. When you
need to recharge the SmartMonitor 2 battery, follow the steps below.
Connect the power cord/battery charger to the back panel of the SmartMonitor 2.
Plug the power cord/battery charger into a power outlet. The green charger light comes on.
If the SmartMonitor 2 is turned on, the yellow low battery light blinks until the minimum
charge level is reached. Then, the yellow light goes off.
Fully drained batteries need about 6 hours to recharge.
Unit should be at room temperature 65°F to 85°F while charging or batteries may not
reach a full charge. Only use Respironics batteries.
The Power Cord Connector must be plugged into the SmartMonitor 2 DC Power
Input as shown in the illustration above. The Power Cord Connector can only be
inserted as shown above.
49
Portable Operation of the SmartMonitor 2
SmartMonitor 2 Battery Pack
Warnings
A warning indicates a potentially harmful situation.
Never change the battery pack while the battery charger is plugged in and/or the SmartMonitor 2 is
being operated.
Do not operate the SmartMonitor 2 with the battery pack removed (and the Battery Charger
connected). There is no power loss alarm feature under these conditions.
Do not disassemble the battery pack or batteries. The batteries contain electrolytes, which can cause
injury to eyes, skin, and clothing.
Do not dispose of the old battery in fire or incinerator. The battery pack contains ingredients that
could be explosive and cause serious personal injury.
Cautions
A caution indicates a condition that may lead to equipment damage, malfunction, or inaccurate operation.
The battery pack has a locking connector. Do not attempt to remove the battery pack without
releasing the latch on the connector. Doing so will damage the battery wires.
Use only Respironics-supplied battery packs. Use of other battery packs could cause malfunction.
50
Portable Operation of the SmartMonitor 2
Battery Installation Instructions
1. Turn the monitors’ power off using the correct Power-off procedure, and unplug the external power
supply from the SmartMonitor 2.
2. Loosen (counter clock-wise) both screws from the battery pack cover and remove the cover. See
figure 1.
3. The battery pack is held in place by Velcro strips. To remove the battery pack, pull firmly upward
when lifting battery pack out. Disconnect the battery pack by pressing the latch on the black
connector, which is located in the upper left corner. Safely dispose of all old battery packs in
accordance with your area’s environmental laws.
4. Insert the connector of the new battery pack into the plug located in the upper left corner. It can only
be inserted one way. See figure 2. Place the battery pack in the battery compartment. Secure the
battery pack in the proper position by aligning the Velcro on the battery pack to the Velcro in the
battery compartment.
5. Close the battery pack cover and fasten with the screws. See figure 1. Connect the external power
supply to the SmartMonitor 2 and insure that it is plugged into a functional AC wall outlet for a
minimum of 6 hours. There is no need to power on the SmartMonitor 2 to charge the battery pack.
The expected battery life is 2 years.
Figure 1
Figure 2
51
Transferring SmartMonitor 2 Information
52
Transferring SmartMonitor 2 Information
Transferring SmartMonitor 2 Information
The SmartMonitor 2 contains a memory system that automatically records information about each
monitoring session. This information can be transferred (or downloaded) to a computer to be reviewed by
the physician. There are several different ways to transfer this information.
Whatever method you use, you must transfer data when you get a memory 100% full condition. And,
you may choose to transfer data at any time or whenever it is considered necessary by the dealer or
physician.
Memory Management in the SmartMonitor 2
When data is successfully transferred to a PCMCIA card or downloaded to Synergy-E, the data appears
to be erased in the SmartMonitor 2. It no longer counts toward the reading of “Percent Memory Full” on
the LCD or in Synergy-E. Because of this memory management system, it is not necessary to erase the
memory after every download. It is recommended that you do erase the memory between each patient
use.
Using the “Clear Memory” function in the System Parameters menus will erase all data regardless of
whether or not it has been downloaded.
Should a data file become corrupted or lost on the PC running Synergy-E, the data may still be recovered
from the monitor. The data can be recovered using Synergy-E until the SmartMonitor 2 has collected
new data and needs the space occupied by the old data.
To recover the old data using a PCMCIA card
Transfer the data to the card using the SmartMonitor 2. Now import the card into Synergy-E. When
prompted with “Only obtain data not previously retrieved?” answer NO to obtain all data. Synergy-E will
then display all the data that was in the SmartMonitor 2.
To recover the old data by downloading using Synergy-E
Clear the Checkbox in the monitor communications screen which reads, “Only retrieve data not previously
downloaded?”. Synergy-E will then display all the data that was in the SmartMonitor 2.
Modem Download
There are 3 ways to download with a modem. The first choice involves the modem automatically calling
the home care dealer. This is called Modem Auto Dial. This doesn’t involve any action on the caregivers’
part. It is important to know that the modem inside the unit may use the phone line. If you are going to
use this feature you should give more specific instructions to the caregiver.
The second choice is called Modem Auto Answer in Communications mode. This option in basically the
same as Modem Auto Dial, the difference is the baby is not being monitored and the device is in
Communications mode when the home care dealer calls.
The third option involves you, the home care dealer, calling to the modem built inside the monitor while
the baby is being monitored. This is called Modem Auto Answer in Monitor mode (baby being monitored).
You must contact the caregiver when it is time to transfer the data through the modem. We will discuss all
three.
53
Transferring SmartMonitor 2 Information
Modem Auto Dial
The SmartMonitor 2 must be connected to AC power during modem download.
To have SmartMonitor 2 call the computer for a download it must be programmed with a Host Phone
Number, which is the phone number to be called for a connection with the computer as well as the date
and time to call. If the phone number field is blank, no attempt to call will be made. These must be set up
in the SmartMonitor 2 before it is placed in the patient home. When the preset time for download
approaches or when the memory full light illuminates, follow these instructions:
If there is an emergency and access to the telephone is required while the modem is in use,
remove phone cord from modem slot and use a working phone.
Plug the telephone wire into the modem connector on the
back of the SmartMonitor 2 (see illustration).
Plug the other end of the phone wire into the wall phone jack.
Refer to the Synergy-E software for instruction on receiving
a call from the SmartMonitor 2.
Modem will continue calling every 30 minutes, for 4 hours
until it connects with the computer. If no connection is made,
the modem will try again the next day at the pre-selected
time. For example, if the modem is programmed to call at
7am but fails to make a connection after 8 attempts it will
stop trying. The next day at 7am it will try again. This will
continue until a connection is made.
Modem Auto Answer in Communications Mode
The SmartMonitor 2 must be connected to AC power during modem download.
1. Connect a phone cord from the wall jack to the modem connector on the back of the SmartMonitor 2.
2. To allow the SmartMonitor 2 to work with the modem, place the monitor in Communications Mode:
Press and release the POWER button to turn the SmartMonitor 2 on.
Press and hold the blue RESET button.
Wait until the monitor alarms.
Release the RESET button. Briefly press and release the RESET button again. The SmartMonitor
2 display will read “Monitor is in Communication Mode”.
The SmartMonitor 2 beeps every 10 seconds whenever it is in the Communications Mode. This is a
reminder that the SmartMonitor 2 is powered on for working with the computer, memory card, or modem,
but not for monitoring the infant.
Do not connect the infant to the SmartMonitor 2 when in the Communications Mode, the apnea
and heart rate alarms are not operational in this mode.
The dealer should now call to retrieve the information. The phone may ring, but do not answer.
The modem answers the call and connects the SmartMonitor 2 to the computer through the
phone line.
4. The amount of time to transfer the information will vary. When the transfer is complete the
54
Transferring SmartMonitor 2 Information
SmartMonitor 2 will beep 5 times. After the transfer, you may disconnect the phone line from the
monitor and the phone will work normally. Turn the monitor off in the normal way.
Press and hold the blue RESET button.
Press and release the gray POWER button.
Wait 2 seconds, and then release the RESET button.
You can now resume monitoring the baby.
Be aware that some features available on your phone may interfere with the download: Call
Waiting, Call Forwarding, and Party Lines all increase the likelihood of problems when
downloading. Call Waiting cannot be disabled when receiving a phone call.
Modem Auto Answer in Monitor Mode
The SmartMonitor 2 must be connected to AC power during modem download.
1. Connect a phone cord from the wall jack to the modem connector on the back of the SmartMonitor 2.
If there is an emergency and access to the telephone is required while the modem is in use,
remove phone cord from modem slot and use a working phone.
2. To allow the SmartMonitor 2 to work with the modem when the monitor is in monitor mode (the baby
is being monitored):
When the Home Care Dealer calls for a download and the phone rings, the caregiver should
press and hold down the blue RESET button.
Hold down the RESET button until the phone stops ringing indicating that the monitor has
answered the call.
3. The dealer will now use the Synergy-E software to transfer the SmartMonitor 2 information.
4. The amount of time to transfer the information will vary. When the transfer is complete the
SmartMonitor 2 will beep 5 times. After the transfer, disconnect the phone line from the monitor and
the phone will work normally.
Be aware that some features available on your phone may interfere with the download: Call
Waiting, Call Forwarding, and Party Lines all increase the likelihood of problems when
downloading. Call Waiting cannot be disabled when receiving a phone call.
55
Transferring SmartMonitor 2 Information
Transferring SmartMonitor 2 Data to a Memory Card
The Memory Card is a credit-card-sized electronic memory transfer device that transfers monitor data.
This is an optional feature of SmartMonitor 2 and may not be installed on every unit.
Memory Card
All data in the memory card at the time of a download will be overwritten. For more information refer
to Setting Alarms and Recording Limits section of this manual
When you are ready to use the Memory Card to
transfer SmartMonitor 2 data, follow the steps below:
1. Make sure the SmartMonitor 2 is off.
2. With the Memory Card facing you slide the card
into the slot provided on the side panel of the
Push button
SmartMonitor 2. The location of the memory card
to remove
logo will be on the bottom edge and facing you.
Memory Card
(See illustration).
3. Press the POWER button ON. After a short
Memory Card
delay, the display will read:
4. INITIALIZING PLEASE WAIT
5. Then,
6. MENU MODE? ENTER PROPER KEY
SEQUENCE
7. Press the keys in the following sequence within
10 seconds:
8. Press the ENTER button.
9. The display will read SMARTMONITOR 2 MENU
SELECTION.
Memory Card
INITIALIZING
PLEASE WAIT
The illustration above is a close up of the LCD
display on the bottom of the SmartMonitor 2.
10. Press the u arrow until you see “Move Data To
Card?
11. Press the ENTER button. The word NO will begin
to blink. To select YES press either arrow
button.
12. Press the ENTER button. The display will now
show Transferring Data… Once the transfer is
complete the display will change to Data
Transferred.
If the card has data on it the following is displayed
after step 11.
The display may show Card Full-Overwrite?
Press the ENTER button. The word NO will begin
to blink. To select YES press either arrow button.
Press the ENTER button. The display will now
show Transferring Data… Once the transfer is
complete the display will change to Data
Transferred.
The memory in the monitor will not be automatically cleared. The recorder data in the SmartMonitor
2 will be “Flagged” as downloaded information and, if it is not cleared before the next download, the
Synergy-E software will exclude those duplicated events. Synergy-E has the ability to retrieve all the data
if desired. Refer to the Synergy-E Manual for more information.
56
Transferring SmartMonitor 2 Information
Transferring SmartMonitor 2 Data Using a Computer
Direct Connection can download the SmartMonitor 2 data to a computer. The Synergy-E software is
required to download the SmartMonitor 2.
The SmartMonitor 2 can be placed in Communication Mode or Monitoring Mode. If Monitoring Mode is
chosen, all alarms and record parameters are functional.
Communications Mode Setup
The download cable must be connected to the SmartMonitor 2 and the computer before turning
the SmartMonitor 2 on.
Connect the download cable to the I/O connections port on the monitor and the COM Port on the
computer.
The monitor can be placed in Communications Mode.
Press and release the POWER button to turn the SmartMontior 2 on.
Press and hold the blue RESET button.
Wait until the monitor alarms constantly.
Release the RESET button. Briefly press and release the RESET button again. The SmartMonitor
2 display will read “Monitor is in Communication Mode”.
The SmartMonitor 2 beeps every 10 seconds when it is in the Communications Mode but is not
electronically connected or linked to anything. This is a reminder that the SmartMonitor 2 is
powered on for working with the computer, memory card, or modem, but not for monitoring the
infant.
Refer to the Synergy-E software for instruction on Direct Connection Downloading of the
SmartMonitor 2.
57
Transferring SmartMonitor 2 Information
58
Caring for the SmartMonitor 2
Caring for the SmartMonitor 2
Use the information in this section to keep the SmartMonitor 2 functioning perfectly.
Use only Respironics accessories with the SmartMonitor 2.
Cleaning Instructions
Turn the monitor OFF, unplug it from the electrical outlet, and disconnect all accessories before you begin
cleaning.
Never immerse the monitor or any of the accessories in water or spray cleaner directly on them. Apply
water or cleaner to a soft cloth and gently wipe the components to clean them.
Monitor, Power
Cord/Battery Charger
and Lead Wires
Use a clean cloth and any of the following:
Unscented dishwashing detergent
3% hydrogen peroxide solution (the kind found in most stores) to
clean the monitor unit.
91% Isopropyl alcohol
10% bleach solution
Germicidal Cloth
Electrodes
Do not attempt to clean the disposable style electrodes.
Clean the carbon electrodes with a mild soap and water. They must be
rinsed well to remove any traces of soap film. Soap film can prevent
heart and breathing signals from being picked up clearly by the monitor.
Insure that the electrodes are completely dry before using.
Soft Carrying Case
Although the care label in the carrying case suggests machine washing
in warm water, the appearance of the carrying case will change
noticeably after washing.
Respironics recommends that you wipe the case with a damp cloth or
sponge using a light detergent, if necessary. Air-dry only.
Insect Infestation Decontamination Procedures
1: Fumigating a Roach/Insect-infested Unit
Place the unit inside a Zip-lock plastic bag, i.e. fruit/vegetable bag or large freezer bag.
Insert a pest strip or Roach Motel inside the bag with the unit.
Seal the bag tightly, and leave it at room temperature or warmer for a minimum of 30 days.
During the incubation period, any insect eggs inside the unit will hatch. Consequently, the offspring will
evacuate the unit and be killed by the chemicals from the pesticide.
After 30 days, remove the unit from the bag. Dispose of the bag, and clean the unit thoroughly as
directed below.
59
Caring for the SmartMonitor 2
2: Cleaning the unit
Warning: Never clean the monitor while the monitor is in use or the battery charger is plugged into an
electrical outlet. Never immerse the unit in water. Do not clean the monitor with rubbing alcohol.
After the above procedures have been completed, remove the battery and open the unit in an
ESD protected (grounded, static free) area. *
Using de-ionized compressed air/gas duster suitable for use on electronics, blow out all of the
remains of any insect contamination.
Close the unit and re-install the screws and battery pack.
Use a clean cloth with an unscented, alcohol-free dishwashing detergent or 3% Hydrogen
Peroxide solution to clean the outside of the monitor.
If necessary, return the unit to Respironics for repair.
•
Units under warranty will not be charged for labor / re-certification, but will be charged for any
damaged or repaired components.
Performing a Functional Self-Test
The SmartMonitor 2 functional self-test checks that all the features of the unit are functioning properly.
You should perform a functional self-test at least once a week or according to the instructions given by
the health care professional. You should also perform the test:
After a lead wire is changed
After the patient cable is changed
To perform the functional self-test, follow the steps listed below.
Insert the patient cable into the socket
located on the front of the monitor.
Connect the lead wires to the patient
cable. Insert the white lead wire into
the opening labeled RA. Insert the
black lead wire into the opening
labeled LA.
!
LA
RL
RA
40
05
Connect the lead wires to the functional self-test socket on the side panel of the SmartMonitor 2.
Insert the white lead wire into the RA opening and then the black lead wire into the LA opening.
Turn on the monitor. You hear a short beep and the lights on the front come on briefly then go off.
After all the alarm lights go out, the green power and charger lights remain on and the green heart
and respiration lights are blinking.
The heart and respiration lights continue to blink for about 30 seconds.
When the green lights stop blinking, the red low heart light will come on within about 7 seconds and
the alarm beeps once every second.
Next, the red apnea light comes on (the amount of time before the red apnea light comes on is
determined by the Apnea Delay parameter selected at the time the monitor was set-up) and the low
60
Caring for the SmartMonitor 2
(heart) light remains on. (There should be no green heart or respiration light flashes during this
time).
Follow the instructions in the Self-Test Troubleshooting section, if necessary.
Remove the lead wires from the functional self-test socket. To remove lead wires, grasp and pull
the strain relief area located near the connecting tip. Do not grasp the wire.
The loose lead light will come on, and the alarm changes from beeping to continuous. This lets you
know the SmartMonitor 2, patient cable, and lead wires are working properly.
Now turn the monitor off.
• Press and hold the blue RESET button.
• Press and release the gray POWER button.
• Wait 2 seconds, and then release the RESET button.
Self-Test Troubleshooting
Follow the instructions given below if any of the conditions described occur. Start the test over once the
problem has been corrected.
Alarm
Condition
Solution
Turn the monitor off using the
correct Power Off procedure
described in the Turning the Monitor
Off – Sibling Alarm section in this
manual.
Make sure the power cord/battery
charger is plugged into a live power
outlet and is properly connected to
the monitor. (See Charging the
Battery for more information).
Allow the battery to charge
approximately 30 minutes. You may
then operate the monitor while it is
plugged in. Allow the battery to
charge for 6 hours before using the
monitor on battery power.
Low Battery
If the low battery light stays on
longer than half a minute, the
batteries are completely
discharged.
Memory Full
The SmartMonitor 2 memory
has violated the Memory Full
parameter.
Press the RESET button to silence the
alarm. The SmartMonitor 2 memory
needs to be transferred Self-Test may
continue.
Loose Lead
Indicates loose or bad
electrodes, lead wires, and
patient cable.
Check all connections and/or replace
lead wires first, then the patient cable if
necessary.
The SmartMonitor 2 lights and alarms should respond as described above. If not, contact
Respironics Service before using the unit to monitor a baby.
Do not use the monitor if the alarm sounds weak or does not activate upon initial power-on.
61
Caring for the SmartMonitor 2
62
Troubleshooting
Troubleshooting
Whenever a technical problem occurs that the caregiver cannot handle, he or she should contact the
dealer. The caregiver should not try to fix the SmartMonitor 2. Following are some common
problems.
Problem
Possible Cause
Instructions
Monitor will not
Operate
Monitor disconnected from
power cord/battery charger,
batteries discharged.
No Power at outlet.
Defective power cord/battery
charger.
Internal part failure.
Plug power cord/battery charger
into monitor and outlet.
Internal error condition
detected by SmartMonitor 2.
Reduce likelihood of electrostatic
discharge around SmartMonitor 2.
Contact your dealer.
All lights will flash
together and the alarm
will beep in unison with
the flashing lights.
Pressing RESET will not
silence alarm.
Locate an outlet with power.
Contact Respironics.
Contact Respironics.
If an Error number is displayed on
the LCD (the LCD is located on the
bottom of the monitor), record this
information. Contact your dealer.
If there is an internal software error,
a special power off procedure is
required.
Press and hold the RESET
button, while still holding down
the RESET button press and
hold the POWER button. Hold
both buttons down for 5
seconds
Release POWER button;
continue to hold the RESET
button until the monitor turns
off.
Alarm Sound
Continuous, No Lights
Incorrect Power-Off Sequence.
Press the POWER button and
insure that the power light is
illuminated.
Press and hold the RESET
button. Press and release
POWER. Wait two seconds,
then release the RESET button
63
Troubleshooting
Problem
Possible Cause
Instructions
Alarm Sound
Continuous, No Lights
No power, battery drained.
Internal part failure.
Connect power cord/battery
charger. Use Power-Off to silence
alarm.
Press and hold the blue RESET
button.
Press and release the gray
POWER button. Wait 2
seconds, then release the
RESET button.
Prior to use, allow battery to charge
approximately 30 minutes. You may
then operate the monitor while it is
plugged in. Allow the battery to
charge for 6 hours before using the
monitor on battery power.
Contact Respironics.
Internal part failure.
Contact Respironics.
Low battery
Connections between
electrodes, lead wires, and
patient cable are not properly
made.
Charge battery.
Verify that
(a) baby’s skin underneath
electrodes is clean,
(b) electrodes are clean, and
(c) lead wires are fully inserted into
the electrodes and patient
cable.
Defective lead wires.
Replace lead wires and perform
Functional Self-Test.
Defective patient cable.
Replace patient cable and perform
Functional Self-Test.
Defective electrodes.
Replace electrodes.
Internal part failure.
AC power not connected to
SmartMontior 2.
Contact Respironics.
Plug the SmartMonitor 2 into AC
power before performing a modem
download.
Connect the download cable to the
SmartMonitor 2 and the computer
before turning the SmartMonitor 2
on.
Alarm sounds weak.
Loose lead
Light remains on.
Unable to download via
modem.
Unable to communicate
by direct connect
Download cable was not
connected to the SmartMonitor
2 and the computer prior to
turning on the SmartMonitor 2.
64
Ordering Information
Ordering Information
Part Number
990
990-100
H407
418
424
H425
H580-4000-00
937
4004
H4005
H4006
H4009
H4010
H4011
5000
9510
9515
9520-1
9521-1
9916-12
9916
16510-1
16530-1
1030192
Item
SmartMonitor 2 Remote Alarm
SmartMonitor 2 Remote Alarm Cable, 100 feet
SmartMonitor 2 Soft Carrying Case
SmartMonitor 2 Replacement Battery
SmartMonitor 2 Parents’ Guide
SmartMonitor 2 Professional Manual
SmartMonitor 2 Checkout Procedure
CPR Poster Set
SmartMonitor 2 Memory Card, 10MB
SmartMonitor 2 Patient Cable
SmartMonitor 2 Host Download Cable
SmartMonitor 2 Power Cord/Battery Charger Domestic 120VAC/60HZ
Smart Monitor 2 Auxiliary Interface Box
SmartMonitor 2 Power Cord/Battery Charger International 230VAC/50HZ
SmartMonitor 2 Simulator, ECG/Respiration
Small Disposable Sticky Electrodes, 3 electrodes per set, Pkg., of 5 sets
Large Disposable Sticky Electrodes, 3 electrodes per set, Pkg., of 5 sets
Safety Lead Wires, Pin-to-Socket, 24 in., .080 in. socket
Safety Lead Wires, Pin-to-Socket, 40 in., .080in. Socket 5 pair per package.
Start-up Accessory Kit, 6 pair electrode belts, 6 pair carbon electrodes, and 6 pair
safety pin to socket lead wires
Accessories Starter Kit, 2 electrode belts, 2 pair reusable electrodes, 2 pair of pin to
socket lead wires.
Electrodes, Reusable
Electrode Belt
SmartMonitor 2 PS Homecare Patient Cable, Metal
Visit www.respironics.com for a complete list of products and reorder numbers, or contact Customer
Service at 1-800-345-6443 or 724-387-4000 to obtain a product catalog (#1027825).
65
Ordering Information
66
Glossary
Glossary
Apnea - An absence of breathing (respirations).
Central apnea – No respiratory effort, caused when the brain fails to send the appropriate signals to
the breathing muscles to initiate respirations.
Obstructive apnea – Cessation of airflow into or out of the mouth or nose although efforts to breath
continue. Such obstructions may result from a spasm of the larynx, reflux, or other causes.
Bradycardia – Slowing of the heart rate below the age specified rate for 5 seconds or greater.
Cardiopulmonary Resuscitation (CPR) - A procedure used after cardiac arrest in which cardiac
massage, mouth-to-mouth resuscitation, and drugs are used to restore breathing.
Electrode - A conductor used to establish electrical contact between the monitor and the baby’s skin.
Electro Magnetic Interference (EMI) – Undesirable signals caused by electrical energy. When EMI
occurs at high frequencies, it is also called Radio Frequency Interference (RFI).
Functional Self-Test - A user-performed test to verify the SmartMonitor 2, patient cable, and lead wires
are working properly.
Heart rate – The number of heart beats per minute.
Impedance - The opposition offered by an electrical circuit to the flow of an alternating current, measured
by the ratio of the effective applied voltage to the effective current – This is the method used by
SmartMonitor 2 to detect respiration.
LA Connection - The opening on the patient cable marked LA is the connector for the black lead wire.
Modem - A device that allows the dealer or hospital to work with a monitor through telephone lines.
Oximeter – A photoelectric device that measures the amount of oxygen and other fluids in the blood. An
instrument that measures the oxygen levels in an enclosed controlled space such as an incubator or
bioreactor.
RA Connection - The opening on the patient cable marked RA is the connector for the white lead wire.
Respiration - The act of inhaling and exhaling air.
RL connection - Use of the third (green – RL) electrode and lead wire is normally not required, but may
help reduce excessive false low heart rate alarms.
Strain Relief Area - Located at the connecting tip of the lead wires or cables, this area has added
insulation surrounding the wires to prevent breakage when handled. This area is to be grasped when
removing lead wires.
67
Appendices
68
Appendices
Appendix A
Flow Chart of SmartMonitor 2 Parameters
Menu
Mode
System Setup
Menus
All Menus
Alarm Menus
Recording Menus
System Menus
Patient Name
Record Auxiliary 3
Patient Name
Record Impedance
Patient Name
Patient Name
Patient Name
Patient ID
Record Auxiliary 4
Patient ID
Record Resp Rate
Patient ID
Patient ID
Patient ID
Std. Alarm
Parameters
Ext. Physio Trigger
Std. Alarm
Parameters
Record Heart Rate
Std. Alarm
Parameters
Std. Record
Parameters
Std. System
Parameters
Std. Record
Parameters
Ext Equip Trigger
Std. Record
Parameters
Record ECG
Apnea Alarm
Record Mode
Date
Std. System
Parameters
* Date Format
Std. System
Parameters
Record Auxiliary 1
Low Breath Rate
Alarm
Apnea Record
Limit
Time
Apnea Alarm
Date
Apnea Alarm
Record Auxiliary 2
Bradycardia Alarm
Bradycardia
Record Limit
Rate Display
Low Breath Rate
Alarm
Time
Low Breath Rate
Alarm
Record Auxiliary 3
Bradycardia Alarm
Delay
Pre/Post Time
Computer Phone #
* Heart Rate Method
* Memory Full Alert
Bradycardia Alarm
Record Auxiliary 4
Tachycardia Alarm
Record Impedance
When to Call
Bradycardia Alarm
* Memory Full
Audible
Bradycardia Alarm
Delay
Ext. Physio Trigger
Tachycardia Alarm
Delay
Record Resp Rate
Dial if Memory Full
Bradycardia Alarm
Delay
Rate Display
Tachycardia Alarm
Ext Equip Trigger
Record Heart Rate
Tachycardia Alarm
Computer Phone #
Tachycardia Alarm
Delay
Date
Record ECG
Tachycardia Alarm
Delay
When to Call
Record Mode
Time
Record Auxiliary 1
Record Mode
Dial if Memory Full
Apnea Record
Limit
Rate Display
Record Auxiliary 2
Apnea Record
Limit
Move Data to Card
Bradycardia
Record Limit
Computer Phone #
Record Auxiliary 3
Bradycardia
Record Limit
Memory Status
Pre/Post Time
When to Call
Record Auxiliary 4
Pre/Post Time
Clear Memory
Dial if Memory Full
Ext. Physio Trigger
Record Impedance
* Modem Speed
Dial Monitor
Move Data to Card
Ext Equip Trigger
Record Resp Rate
* Modem Speed
Dial Host
Memory Status
Record Heart Rate
* Software
Revision
Clear Memory
Record ECG
* MMode SW
Revision
Record Auxiliary 1
* BBLK SW
Revision
Record Auxiliary 2
* Serial Number
Move Data to Card
Memory Status
Clear Memory
69
Appendices
70
Specifications
Specifications
Input Signal
Range
Alarms
ECG Sensitivity
10 to 275 BPM, 0.5 mV; 10 to 150 BPM, 0.2 mV
Respiration Sensitivity
4 to 150 BrPM @ 2 Ohms; 8 to 75 BrPM @ 0.5 Ohm; 30 BrPM
@ 0.15 Ohm
Delay settings of 10, 15, 20, 25, 30, 40 seconds
Off, 4,5, 6, 7, 8, 9, 10, 12,14, 16, 18, 20, 25, 30 BrPM
Apnea
Low Breath Rate
Bradycardia
Tachycardia
Loose Connection
Low Battery Warning
Low Battery Shutdown
Full Memory
SmartMonitor 2
Memory System
Capacity
Non-Volatile Memory
Logs
Waveform events*
Signal Channels
Internal
Oximeter
External Input
Event Parameters
Internal
Oximeter
Event Duration
Electrical
Physical
Apnea Record
Bradycardia Record
Safety Standards
Certification
Power Input:
SmartMonitor 2
Power Input Power
Cord/Battery Charger
Batteries
Size
Weight
Shipping Weight
40, 50, 60, 70, 80, 90, 100 BPM. Optional delay of 5 seconds
Off, 90, 100, 110, 130, 150, 170, 190, 200, 210, 220, 230, 240,
250, 270 BPM
Base Impedance exceeds 2000 ± 200 Ohms
Battery voltage low, power cord/battery charger required
promptly
Battery voltage too low to continue with out Power cord/battery
charger
Memory is 50% full or 80% full, repeats when memory is 100%
full
2 MB
1000 Patient event listings, 1000 Equipment event listings
500 HR trend and impedance; or 100 ECG QRS, HR trend, and
impedance; or 21 hours of continuous HR trend and impedance.
* Oximetry or other signals can be recorded with reduced
capacity
QRS, heart rate trend, and impedance
Saturation and pulse, or pulse rate
Airflow, pH, strain gauge, or other low frequency physiological
signals, +/- 1.25 V maximum
Apnea Record, Apnea Alarm, Low Breath Rate, Bradycardia for
Record, Bradycardia Alarm, Tachycardia Alarm
+3.5V to +5.0V during alarm condition
Alarm duration plus current pre- and post-settings totaling 45, 60,
75, 90 seconds
Off or 6 to 40 seconds in two-second intervals
Off or 50 to 100 Beats per Minute in five-BPM intervals
Meets CSA, C22.2 No. 601-1 and UL2601-1 and EN60601-1
CSA/NRTL
10.5 VDC
120 V, 60Hz or 230 V, 50 Hz
Rechargeable NIMH, 18 – 21 hours continuous use; recharge
time, 6 hours @ 77° F; Shelf life, 30 days if fully charged,
expected battery life is 2 years.
HWD: 4’ x 91/4” x 9” (11.2 x 23/5 x 22.9 cm)
2.6 lbs. (1.18 kg)
8.5 lbs. (3.9 Kg)
71
Specifications
72
Index
Index
A
alarm sounds, 39
alarm, testing the, 39
apnea light, 46
C
charging the battery, 49
F
functional self test, 60
troubleshooting, 61
M
Modem (Optional), 18
monitor maintenance, 59
P
patient alarms, 11
S
setting up the SmartMonitor 2, steps, 33
sibling alarm, 45
SmartMonitor 2 contents, 15
SmartMonitor 2 features
back panel, 18
front panel, 16
side panel, 17
top panel, 15
SmartMonitor 2, turning it off, 45
SmartMonitor 2, turning it on, 45
system alarms, 11
system alarms, responding to, 41
T
transferring information, 53
using a memory card, 56
troubleshooting, 63
W
warnings and cautions, 7
73
H577-4000-10
KK 5/3/06
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