SenSmart Model X-100 In-Service Training Guide

Setting High and Low Alarm Limits for rSO2 or SpO2 ... 19 Graph Position ... 19 Review Current Preset ... 20 Presets Menu... 20 Case Menu ... 21 System Menu ... 22 Review System Menus... 24 System Alarm Indicators ...25 High Priority Alarms... 25 Medium Priority Alarms ... 25 Troubleshooting ... 26 System Memory...28 System Data Outputs ...28 Cleaning the System Components ...29 Warranty ...30 How to Get Help - Service and Support ...30 Customer and Technical Service Contact Information ... 30

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

Introduction This In-Service Training material is designed to help you become familiar with the SenSmart Model X-100 Universal Oximetry System components and functions. It is not intended to replace the SenSmart System Operator’s Manual, which includes warnings, cautions, complete functions of all components, and technical information about the SenSmart System. The training is designed to 1) Introduce you to the SenSmart System components and functions, 2) Learn what actions are needed to make the system function properly, and 3) Provide you the opportunity to demonstrate what you have learned. Training format conventions in this document you should be aware of: • SenSmart System features that perform an action, such as the navigation buttons Up/Down, Left/Right and Select, are in bold font. • Menus and options in the display interface that can be selected to configure the SenSmart System are in bold font, such as the Settings, Presets, Case, and System menus, and any option within these menus. • Important notes regarding a specific function are italicized. • Warnings and Cautions for safe operation of the system are in bold font.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

Indications for Use The SenSmart Model X-100 Universal Oximetry System is a modular system and is indicated for use in simultaneously measuring, displaying, monitoring, and recording up to six (6) channels of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate or cerebral or somatic hemoglobin oxygen saturation (rSO2) of blood underneath the sensor. Patient populations include adult, pediatric, infant, and neonate through the use of SenSmart-compatible sensors. The SenSmart System is intended for use in hospitals, long-term care, medical facilities, sleep laboratories, sub-acute environments, and Emergency Medical Services (EMS), including patient transport. The X-100 SenSmart System may be used for spot-checking and continuous Monitoring with patient alarms. The SenSmart pulse oximetry (SpO2) functionality is suitable for use in both motion and non-motion conditions, including patients who are well or poorly perfused. WARNING: This device is intended only as an adjunct device in patient assessment. It should not be used as the sole basis for diagnosis or therapy decisions. It must be used in conjunction with other methods of assessing clinical signs and symptoms.

Theory of Operation What is rSO2 and How is it Measured? •

•

•

rSO2 is a representation of oxygen saturation in tissue. o rSO2 correlates to a jugular bulb saturation measurement. o rSO2 has been validated to agree with an assumed 70:30 mix of venous and arterial blood in the tissue capillary bed. To measure rSO2, the SenSmart Universal Oximetry System uses 3 or 4 distinct wavelengths of light and 4 light paths to penetrate and determine hemoglobin oxygen saturation of blood in the area under the sensor. Nonin’s patented dual light emitter/dual detector architecture allows the sensor to spatially resolve the differences between shallow tissue artifacts and deeper target tissue.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

What is %SpO2? 





Pulse oximetry provides a noninvasive method that enables rapid measurement of oxygen saturation of hemoglobin in arterial blood. It can rapidly detect oxygen saturation changes thus providing early warning of dangerous hypoxemia. A pulse oximeter shines light composed of two wavelengths-red and infrared-through a part of the body that is relatively translucent and has good arterial pulsed blood flow (e.g., finger, toe, ear lobe). The ratio of red to infrared light received by the detector depends on the percentage of oxygenated versus deoxygenated hemoglobin through which the light passes.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

System Components The SenSmart System is a modular oximetry system comprised of the components, described in Table 1, and uses Nonin-branded SenSmart sensors to measure rSO2 and SpO2.

Figure 1. The SenSmart Model X-100 Universal Oximetry System.

Table 1. SenSmart System components and description. Key A

Component SenSmart X-100M Monitor

B

SenSmart X-100H Hub

C

SenSmart X-100HH Hub Holster (not shown)

D

SenSmart X-100SP-X Oximetry Signal Processors 1 through 6

E

SenSmart X-100EC-1 and X-100EC-2 (extension cable) (not shown)

Description Displays up to six channels of rSO2 and SpO2 data. Each channel is color coded to match a SenSmart Signal Processor The Hub has six ports to provide the connection between the Monitor and up to six Signal Processors. The Hub cable is 4 meters in length. The Hub Holster holds the Hub and can be attached to bed rails and equipment poles.  Each Signal Processor is programmed to be a specific channel on the Monitor (designated by number) and can be connected to any Hub port.  Up to six (6) Signal Processors can be connected to the Hub to provide rSO2 and/or SpO2 values. NOTE: Duplicate Signal Processors (signal processors of the same color) cannot be used simultaneously and will result in a System Error Message to correct the condition.  Cable Clips: Each Signal Processor has 2 pre-attached color-coded clips that match the channel color and are placed at the connector end and in the middle of the cable.  Linen Clip: Each Signal Processor has one Linen Clip included in the component package. Extension Cables are available in 1- or 2-meter lengths and may be used: 1) Between the Hub and a Signal Processor 2) Between the Monitor and a Signal Processor (single channel use only)

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training Key

Component

F

SenSmart Sensors Power supply and cord (not shown) SenSmart Download Software (CD not shown)

Description  Available to measure rSO2 and SpO2.  Sensors are described in more detail in the SenSmart Sensor section on page 7.

Data management software

System Setup This section describes the features of the SenSmart components and how to connect the components to prepare for patient monitoring.

X-100H Hub • •

The Hub and cable connects to the port on the front of the Monitor and provides connections for up to six Signal Processors using the Hub ports. See Figure 2. The Hub ports are protected from environmental contamination with covers that are opened to connect a Signal Processor. If the Hub port is not being used, the cover should remain closed to eliminate the potential for environmental contamination.

Connect/Disconnect the Hub to the Monitor 1. To connect: a. Align the arrow on the Hub cable connector with the small triangle on the Monitor connector port. b. Push the Hub cable connector straight into the port until it clicks and locks into place. 2. To disconnect: a. Grasp the sleeve on the Hub cable connector. b. Retract the sleeve to unlock, and pull the Hub cable connector straight back to detach from the Monitor as shown in Figure 3.

Figure 2. SenSmart Hub with port covers.

Figure 3. Align the arrows and push the Hub cable connector into the Monitor port.

X-100HH Hub Holster The Hub can be placed in the Hub Holster to stabilize the Hub when attaching it to bed linens, bed rail, or a pole by using the clamp on the back of the Hub Holster. 1. To place the Hub in to the Hub Holster a. Align the Hub and hub cable to the Hub Holster as shown in Figure 4A. Push firmly into the Hub Holster. b. Attach to bed linens, bed rail, or a pole using the clip as shown in Figure 4B.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training 2. To remove the Hub from the Hub Holster: a. Pull the clip back on the tip of the Hub Holster and pull the Hub out of the Hub Holster as shown in Figure 4C.

Figure 4A. Inserting the Hub in to the Hub Holster.

Figure 4B. Hub Holster attached to pole.

Figure 4C. Removing the Hub from the Hub Holster.

X-100SP Signal Processors • •

•

Up to six (6) Signal Processors can be used with the System. The Signal Processor has a cable connector on one end to connect to any port on the Hub or directly to the Monitor, and the sensor connection port on the other end with the clear plastic sensor lock to secure the sensor firmly in the Signal Processor. See Figure 5. The measurement from the Signal Processor will display on the Monitor screen in the same color and channel location as shown on the Signal Processor labels. See Table 2. Table 2. SenSmart Signal Processors and channel colors. SenSmart Signal Processor Model X-100SP-1 (Channel 1) X-100SP-2 (Channel 2) X-100SP-3 (Channel 3) X-100SP-4 (Channel 4) X-100SP-5 (Channel 5) X-100SP-6 (Channel 6)

Color Blue Orange White Purple Green

Pink

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Figure 5. Signal Processor showing cable connector and clear sensor lock.

SenSmart™ Model X-100 Universal Oximetry System In-Service Training Connect/Disconnect a Signal Processor A Signal Processor can be connected to any one of the Hub channel ports on the Hub or directly into the connector port (for single channel use). 1. To connect: a. Align the arrow on the Signal Processor cable connector with the arrow on the Hub port or the Monitor connector port. b. Push the Signal Processor cable connector into the Hub port or Monitor connector port until it clicks and locks into the Hub port or Monitor connector port. See Figure 6. 2. To disconnect: a. Grasp the sleeve on the Signal Processor cable connector. b. Retract the sleeve to unlock and pull the Signal Processor connector straight back to detach from the Hub or Monitor as shown in Figure 4C on page 6.

Figure 6. Inserting the Signal Processor into the Hub port.

System Sensors Connect/Disconnect a Sensor to/from the Signal Processor 1. To connect: a. Flip the clear sensor lock on the Signal Processor back to expose the sensor port. b. Align the white arrow on the sensor connector with the white arrow on the Signal Processor sensor port and push until the sensor is firmly in place. A B c. Flip the sensor lock over the sensor Figure 7. A) Inserting a SenSmart sensor into the connector and click in to place. See Figure 7. Signal Processor; B) Sensor locked into place. 2. To disconnect: a. Flip the sensor lock back to disengage the lock from the sensor. Pull the sensor connector to remove the sensor from the Signal Processor.

rSO2 Sensors Nonin offers sensors to facilitate a wide range of regional oxygen saturation patient monitoring. The following information will assist in sensor selection: Table 3. SenSmart rSO2 EQUANOX™ Sensors SenSmart rSO2 EQUANOX Sensor Model 8003CA Classic Plus Adult/Pediatric 8004CA Advance Adult/Pediatric 8004CB Advance Neonatal/Pediatric 8004CB-NA Advance Neonatal/Pediatric (non-adhesive)

Patient Weight Range >40 kg >40 kg <40 kg

Tissue Sites Cerebral and somatic Cerebral and somatic Cerebral and somatic

<40 kg

Cerebral and somatic

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training rSO2 Sensor Application See the Sensor IFU for complete instructions, cautions and warnings. 1. Signal Processor site(s) and cable pathways: a. Select an appropriate site to clip or otherwise stabilize the Signal Processor. The ideal site avoids the patient’s body resting on the Signal Processor or the Signal Processor pulling unnecessarily on the sensor. Ensure the sensor cable and extension cable pathways are clear and unencumbered. WARNING: As with all medical equipment, carefully route patient cables and connections to reduce the possibility of entanglement or strangulation. 2. Cerebral site: a. Select the site(s) on the patient’s forehead lateral of the superior sagittal sinus, superior to the eyebrow and inferior to the hairline (Figure 8).

Figure 8. Proper placement of cerebral sensors on adult and neonate/pediatric patients.

b. The area(s) should be free of hair or surface blemishes such as moles or freckles. c. Avoid placing the sensor(s) over nevi, sinus cavities, hematomas, or arteriovenous malformations. 3. Somatic site(s): a. Select the site(s) that provides optimal access to desired tissue (Figure 9).

Figure 9. Proper placement of somatic sensors on adult and neonate/pediatric patients.

CAUTION: Avoid excessive pressure to the sensor application site(s) as this may cause damage to the skin beneath the sensor. 4. Skin preparation: a. Gently cleanse the patient’s skin with isopropyl alcohol to remove oils, makeup, or soil that might interfere with adhesive or block light. b. Ensure the skin is thoroughly dried. 5. Removal from packaging and pre-check: a. Carefully remove the sensor from the plastic pouch and uncoil the sensor cable. b. Check the sensor for any sign of damage in transport. c. If signs of damage are found, replace the sensor. 6. Sensor placement: a. Remove the protective backing from the sensor pad and gently, but firmly, place the sensor(s) on the desired site(s). 8 of 31

SenSmart™ Model X-100 Universal Oximetry System In-Service Training b. Ensure the sensor surface adheres fully to the skin to prevent light from traveling between emitting or receiving elements or ambient light from entering between the sensor and the skin. CAUTION: An improperly placed sensor may result in inaccurate readings. 7. Sensor connections: a. Flip the clear sensor lock on the Signal Processor back to expose the sensor port. (See Figure 7 on page 7.) b. Align the white arrow on the sensor connector with the white arrow on the Signal Processor sensor port and push until the sensor is firmly in place c. Flip the sensor lock over the sensor connector and click into place. d. rSO2 values and trend lines should begin displaying within seconds. Note: If these measurements are not clearly identified or alarm conditions are generated, consult the Troubleshooting section on page 26. WARNING: Use only Nonin-branded SenSmart Signal Processors, sensors, and accessories. The sensors are manufactured to meet the accuracy specifications for this System. Using other manufacturers’ sensors can result in improper oximeter performance. CAUTION: The sensor is designed for external use only. CAUTION: Do not apply sensor over open wound, incision, compromised skin, or pre-existing skin condition (e.g., eczema or dermatitis). CAUTION: Do not use if patient has pre-existing sensitivity to adhesive tapes or adhesives on electrocardiogram (ECG) pads.

SpO2 Sensors Nonin offers reusable SpO2 sensors for a wide range of patients. The following information will help assist in sensor selection. Table 4. SenSmart SpO2 Soft Sensors SenSmart SpO2 Soft Sensor Size Model 8100SL (Large) Model 8100SM (Medium) Model 8100SS (Small)

Digit Height (thickness)

12.5 – 25.5 mm (0.5 – 1.0 in.) 10 – 19 mm (0.4 – 0.75 in.) 7.5 – 12.5 mm (0.3 – 0.5 in.)

Reusable Pulse Oximetry (SpO2) Sensor Application 1. Use the measurements provided below to determine which sensor should be used. Sensor recommendations are based on digit height (thickness), as indicated in the right column. 2. Attaching the Sensor: a. Insert the selected digit into the sensor as illustrated in Figure 10. The patient’s digit must reach the end of the sensor. b. Direct the cable along the patient’s digit, parallel to the arm or leg. c. Secure the sensor cable with medical tape so the cable does not become caught on nearby equipment. Ensure that the tape securing the cable does not restrict blood flow or pull the sensor out of position. NOTE: Proper sensor placement is critical for good performance. If the sensor is not positioned properly, light may bypass the tissue and result in SpO2 inaccuracies 9 of 31

Figure 10. SpO2 sensor placed on finger or toe.

SenSmart™ Model X-100 Universal Oximetry System In-Service Training 3. Sensor Connections: a. Flip the sensor lock on the Signal Processor back to expose the sensor connector port. b. Insert the sensor connector into the Signal Processor connector port. c. Flip the Signal Processor sensor lock over the sensor connector and click into place. d. SpO2 and HR values should begin displaying within seconds.

X-100EC Extension Cables •

Extension Cables are available in 1 or 2 meter lengths to increase the distance between the Monitor and the sensor. • One Extension Cable may be used: a. Between the Hub and Signal Processor b. Between the Monitor and a Signal Processor (single channel use only) CAUTION: Do not attempt to use an extension cable between the Monitor and the Hub. 1. To connect: a. Align the arrow on the Extension Cable connector with the arrow on the Hub port or the Monitor connector port as shown in Figure 11. b. Push the Extension Cable connector into the Hub port or Monitor connector port until it clicks and locks into place. c. Connect the other end of the Extension Cable into the Signal Processor connector port. 2. To Disconnect: a. Grasp the sleeve on the Extension Cable connector. b. Retract the sleeve to unlock and pull the Extension Cable connector straight back to Figure 11. Insert the Extension Cable detach from the Hub or Monitor. connector into the Monitor or Hub port.

System Power on/off 1. Plug the power supply into the receptacle located on the back bottom of the Monitor, below the indicator light. 2. Connect the power supply to the power cord. 3. Plug the power cord into AC power to operate the Monitor or charge the internal 3-hour battery. 4. Press the On/Standby button on the Monitor.

to power

5. The Monitor will display the opening Figure 12. Opening screen with available Presets list. screen allowing the user to select a Preset (Figure 12). This will be reviewed later in the handbook. 6. Press Menu to set the display to the monitoring screen. 10 of 31

SenSmart™ Model X-100 Universal Oximetry System In-Service Training

Review of the Model X-100 Universal Oximetry System Setup To practice making all the connections to the System, please complete the following tasks in the order they presented. 1. 2. 3. 4. 5. 6. 7. 8.

Connect the Hub to the Monitor. Securely place the Hub in the Hub Holster. Attach the Hub Holster to the pole using the clip on the back of the Hub Holster. Connect three (3) Signal Processors to the Hub. Connect two (2) rSO2 sensors to the Signal Processor and lock into place. Connect one (1) SpO2 sensor to the Signal Processor and lock into place. Power on the Monitor. Observe the channels that are displaying on the Monitor and list them here. a. rSO2: Channel _____ Color ________ b. rSO2: Channel _____ Color ________ c. SpO2: Channel _____ Color ________

Congratulations! You are now ready to learn more about how the System functions and displays the patient data.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

Monitor Features This section describes the physical features of the System Monitor that are used to configure and control system functions to assist in patient monitoring.

C B

A

D

G F

E

Figure 13. The SenSmart System monitor features navigation buttons, display, cable port and speakers.

Table 5. SenSmart Monitor display features. Key

Feature

Description

A

Navigation buttons

Up / Down / Left / Right / Select

B

Graphs

Graphs for each channel with rSO2 trend lines or SpO2 plethysmograms

C

Channel values

rSO2 or SpO2 data for each active channel

D

Function control buttons

Function buttons to control specific system functions

E

Monitor Connector Port

Insert Hub cable connector here to connect to Monitor or a single signal processor or extension cable plus a Signal Processor

F

AC Power Indicator

LED indicates battery charging (orange) or fully charged (green)

G

Speaker

For audible alarms

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

Controls and Navigation Configuring the System is controlled using the Navigation buttons on the left and the Function buttons on the right side of the Monitor.

B C

A

D A E F

Figure 14. The SenSmart System features buttons to navigate all menus and control display functions of the system.

Table 6. SenSmart System controls and navigation buttons. Key

Feature

A

Navigation Buttons Up and Down Left and Right Select

B

Alarm Silence

C

Event Mark

How to Use

1. Up / Down and Left / Right: In menus, used to navigate between items. 2. Up / Down: Change rSO2 trend line timescale. 3. Left / Right: Scroll back/forward in time in the current case. 4. Select (in center of navigation buttons and between Menu and Baseline buttons). a. Select item to edit. b. Save entered or changed values. 1. Press once to silence audible alarms for 2 minutes. 2. Press once to reactivate audible alarms before the 2-minute silence period is over. NOTE: All silenced audible alarms are automatically reactivated when a new physiological alarm goes off. 1. Press once to mark an event with an alpha character (A-Z) in 1) memory, 2) on the trend line, and 3) in real-time serial data. NOTE: If more than 26 events are marked in a single case, the event marks begin again at A. 2. Press and hold for 2 seconds to open the Event Mark table which shows the last 10 event marks with date/time and values for each channel. See Figure 17 on page 16.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training Key

Feature

How to Use

D

Menu

1. Press to open the Settings screen which contains 4 operating menus: a. Settings –Assign sensor site to channel, select sensor type (rSO2 or SpO2), set limits and graphs, and review presets. b. Presets – Save current settings as a new Preset, select a Preset to use, and edit/delete a Preset. c. Case –Review current patient ID, start a new case/enter new patient ID, and edit current patient ID. d. System – Set System settings. 2. Press Menu to navigate to previous menu. 3. Press Menu in any menu/item to cancel the entry without saving and navigate to previous menu.

A

Select

See A for description of the Select button.

E

Baseline

F

On/Standby

1. Press twice to quickly set all baseline(s) to the current rSO2 values. 2. rSO2 Baseline values can be set by the user for each patient to compare subsequent rSO2 changes relative to this Baseline. 1. On – Press once to power on the Monitor. NOTE: Each time the device is turned on, baseline values are cleared, limits are reset to default values, and a new patient case is initiated in data memory. 2. Cancel – When Monitor is on, press once briefly to return the display to the Monitoring screen from menus. 3. Standby (off) – Press and hold for at least 1 second to power down the Monitor. Note: In Standby (off) mode, all device functions are turned off except for: a. The AC power adapter LED is lit whenever the device is plugged in; and, b. Batteries are charging if the device is plugged into AC power outlet.

WARNING: This device turns off after approximately 30 minutes when in low battery condition.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

System Display The system can display up to six (6) channels of patient data in bright, easy to read numbers, trend lines, and plethymograms during operation. This section describes all the information that is provided on the display. Q

N

R

P

C

B

R

D

O

E

M

L J K H

I

Table 7. SenSmart System display information. Feature Key

G Figure 15. The System display featuring 5 channels of patient data.

Description

Information

B

Sensor placement site

C

Channel designation

D

BL (Baseline)

E

AUC (area under the curve)

G

Sensor placement site

(F): SpO2 Channels

H

Channel designation

Battery indicator Date / Time

I J K

Pulse rate Charge status System date/time

Bluetooth®

L

Status of Bluetooth

(A): rSO2 Channels

Indicates user defined sensor placement site set in Settings menu. For active channels 1 – 6 activated when sensor is attached to Signal Processor. rSO2 patient Baseline set by user  Society for Thoracic Surgery (STS) database reporting value automatically calculated as minutes multiplied by the percent below the set lower alarm limit.  See page 16, Figure 16 for example of calculation. Indicates defined sensor placement site set in Settings menu. For active channels 1 – 6 activated when sensor is attached to Signal Processor. Indicates pulse rate in beats per minute. Indicates amount of charge left or fully charged (3 hrs). Set by user in System menu. Set by user in System menu. -Green = connected -White = enabled (On) but not connected

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training Feature

Key

Description

Information

Alarm Silence icon

M

Status of audible alarms

Timescale

N

Timescale of graphs

%rSO2 Axis Scale

O

rSO2 scale

Low Alarm Limit

P

Event Mark

Q

Alpha characters

Scrolling Cursor and Values

R

Cursor (yellow down arrow) and chart of channel values

-Gray = disabled (Off) Alarms can be silenced: -For 2 minutes using Alarm Silence button -Indefinitely by setting Alarm Volume to ‘0’ in System menu  7.5 min, 15 min, 30 min, 1 hr, 2 hr, 12 hr 1 hr, 2 hrs, 4 hrs, 8 hrs, 12 hrs, 24 hrs.  Changed using the Up/Down Navigation buttons. 0 - 100 Threshold value for rSO2 set manually or as a percentage below Baseline.  Indicates events that have been marked in the case.  Set by user pressing the Event Mark button.  Pressing the Event Mark button for 2 seconds will display the Event Mark Table which shows the last 10 event marks, date/time, and values for each active channel. See Figure 17 below.  Cursor (yellow down arrow above the top graph) scrolls the timeline of rSO2 data and displays the value on the chart at time point selected.  Use Left/Right Navigation buttons to activate Cursor and scroll the timeline to display values.  Use Left/Right or Up/Down to display channel values chart.

Figure 16. AUC example: Below the reference line (red line) represents a 25% drop from pre-intervention baseline. A low rSO2 alarm would occur when the rSO2 value reaches the red line, while the AUC (in yellow) is calculated by the depth and length of the rSO2 desaturation event below the red line.

Figure 17. A An Event Mark Table showing three (3) active channels and 3 events marked. B The Event Mark Table displays the last 10 event marks for each channel and the patient data at the time of the Event Mark.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training

System Configuration Screens and Menus The System has four (4) operating menus to configure the system for specific needs. 1. Settings 2. Presets 3. Case 4. System

All menus are accessed via the Menu button buttons on the left side of the Monitor.

and are then navigated using the Navigation

Settings Menu In this menu, the user can review and configure the following settings and alarm limits for each channel (1 – 6) using the Navigation buttons to move through the menus, and the Select button to select fields, make changes, and save changes.

Figure 18. The Settings menu displays current settings options and

Table 8. Settings menu options and available settings. values. Option Description and Available Settings

Sensor Site Sensor Type Baseline (rSO2 only) %rSO2 High %rSO2 Low %SpO2 High %SpO2 Low PR High PR Low Graph Position Current Preset

Select, customize, or clear a Sensor Site name. Select the type of sensor for each channel: rSO2 or SpO2. Set Baseline manually (numerical value). rSO2 Baseline values can be set by the user for each patient to compare subsequent rSO2 changes relative to this Baseline. Set rSO2 high alarm manually (numerical value) or turn Off. Set value as either %rSO2 Low (% below BL) or %rSO2 Low (Absolute). % Baseline can be set to Off or -40% to -5%. Absolute can be set to Off or 15% – 90%. Set value as Off or 80% – 100%. Set value as Off or 50% – 95%. Set value as Off or 75 – 275 BPM. Set value as Off or 30 – 110 BPM. Set location of individual channel trend lines (locations A – F, or Off) or plethysmograms (On or Off). The current Preset name is shown here and the settings are displayed in the menu fields. The user can scroll through all Presets using the Left/Right navigation buttons.

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SenSmart™ Model X-100 Universal Oximetry System In-Service Training Sensor Site  This setting allows the user to select, customize, or clear a Sensor Site name.  Commonly used sensor sites are available in the Category menus to Select (Figure 19) or the user can create a Custom location using the Navigation buttons and the alphanumeric keyboard. Figure 19. Commonly used sensor sites.

To set the sensor site for each channel: 1. Select the Sensor Site field. 2. Select the Category in the next menu, and choose the specific site from the predefined list in the next menu. See Figure 20. 3. Press Select to save your choice and exit to the Settings menu screen. Figure 20. Sensor site menus.

Sensor Type  When creating a Preset, this setting allows the user to select the type of sensor that will be attached to that channel, either rSO2 or SpO2.  This field is automatically defined and disabled (gray) when a compatible sensor is attached to the Signal Processor. Baseline (Manual Setting)  rSO2 Baseline values can be set by the user for each patient to compare subsequent rSO2 changes relative to this Baseline.  Baseline can be set here as a specific value (manually) using the navigation buttons. To manually set/change the Baseline: 1. Select the Baseline field. 2. Press Up/Down to manually set Baseline to the desired value. 3. Press Select to save your setting and exit to the Settings menu screen. CAUTION: Between patients, turn the SenSmart Monitor off (Standby mode) or start a new case (Case Menu). Failure to do so could result in inaccurate baseline values for the new patient. Each time the device is turned ON or a new case is started, the Monitor clears the baseline values, resets the limits to the default values, clears any activating alarms, and begins a new patient record in data memory.

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