Spot Vital Signs Monitor Series 420 Directions for Use Ver D

Table of Contents

About the Operator’s Manual... 1 Product Overview... 1 Symbols and Descriptions... 2 Safety Warnings and Precautions... 3 Consignes de sécurité et précautions... 7 Indications/Contraindications for Use... 11 Special Features... 11 Choice of Measurement Modalities... 11 Non-Invasive Oscillometric Blood Pressure... 11 Operator Friendly Results... 11 AC or Self-Contained Battery Power... 11 Blood Pressure Measurements... 13 Maximum and Minimum Blood Pressure Ranges... 13 Mean Arterial Pressure (MAP)... 13 Temperature Operating Modes... 13 Maximum and Minimum Temperature Ranges... 14 Normal Temperature Mode... 14 Monitor Temperature Mode... 14 SpO2 Operating Mode... 14 Maximum and Minimum SpO2 Ranges... 15 Pulse Rate... 15 Maximum and Minimum Pulse Rate Ranges... 16 Performance Specifications... 16 Patient Population... 16 Cuff Pressure Range... 16 Initial Cuff Inflation... 16 Systolic Determination... 16

Diastolic Determination... 16 Blood Pressure Accuracy... 16 Blood Pressure Determination Time... 16 Pulse Rate Determination (using SpO2 determination)... 16 Pulse Rate Accuracy... 17 Overpressure Cutoff... 17 Temperature Ranges... 17 Oxygen Saturation Range (SpO2%)... 17 SpO2 Accuracy... 17 Battery Charging... 17 Mechanical Specifications... 17 Dimensions... 17 Weight... 17 Mounting... 18 Portability... 18 Electrical Specifications... 18 Power Requirements... 18 Battery... 18 Environmental Specifications... 18 Operating Temperature... 18 Storage Temperature... 18 Transport Temperature... 18 Relative Humidity... 18 Operating Altitude... 18 Agency Approvals... 19 Unpacking Checklist... 21 Controls, Indicators, and Connections... 22 Front Panel Functions... 22 LCD (Liquid Crystal Display)... 23 Top, Side, and Rear Panel Connections... 24 Setup Procedure... 24 Charging the Battery... 24 Blood Pressure Hose and Cuff Connections... 25 Temperature Probe Connection... 25 SpO2 Sensor Connection... 25 AC Power Connection... 25 Charging the Battery... 26 Quick Reference/Error Code Card... 26

Power On/Off and System Check Procedure... 27 Standby Mode... 27 Temperature Measurement Range Indicators... 27 Measuring Blood Pressure... 28 Setting the Default Inflation Pressure Preset Level... 28 Blood Pressure Cuff Selection Criteria... 28 Determining Cuff Size with the Cuff Markings... 29 Positioning the Cuff... 29 Manual Blood Pressure Measurement... 30 Reviewing Information from the Last Cycle... 30 Measuring Temperature... 31 Selecting the Temperature Scale... 31 Selecting Temperature Operation Mode... 31 Taking an Oral Temperature... 32 Taking an Axillary Temperature... 33 Measuring SpO2... 36 Using the Finger Clip Sensor... 37 Other Sensors... 37 Taking an SpO2 Measurement... 37 Mean Arterial Pressure (MAP) Mode... 38 Troubleshooting, Maintenance, and Calibration... 39 Troubleshooting: Error Indications and Interpretation... 39 Troubleshooting: General Guide to Problems and Corrective Actions... 41 Maintenance... 46 Cleaning... 46 Battery Removal and Replacement... 47 Supplies And Accessories... 48 Latex-Free Blood Pressure Accessories and Supplies... 48 Temperature Accessories and Supplies... 49 Nellcor Puritan Bennett™ Pulse Oximetry Accessories and Supplies... 49 Mounting Accessories and Supplies... 49 Miscellaneous Supplies... 50 Warranty and Service... 51 Warranty... 51 Service Policy... 51 Technical Assistance... 51 Welch Allyn Service Centers... 52 Service Manual/Spare Parts... 53 Service Loaners... 53

Appendix A - SpO2 Sensors... 55 Compatibility... 55 Applying the Appropriate Oximeter Sensor... 56

About the Operator’s Manual The Operator’s Manual is designed to help you understand the capabilities and operation of your Welch Allyn Spot Vital Signs. The information in this manual includes all options available with the Spot Vital Signs (e.g., SpO2, temperature, external printer, mobile stand and wall mount). The applicability of some sections of this Operator’s Manual depends on the configuration of your particular unit. This manual is a comprehensive guide to the operation of the Spot Vital Signs. To achieve satisfactory results, you should read this manual thoroughly before attempting to use the device. A Quick Reference card is provided with the device as a convenient reference for experienced operators.

Product Overview The Welch Allyn Spot Vital Signs non-invasively and automatically measures systolic and diastolic pressure, pulse rate, and oxygen saturation (SpO2) for adult and pediatric patients. Further, the Welch Allyn Spot Vital Signs measures temperature invasively in natural body orifices (i.e. mouth and rectum).

THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL PATIENTS. All blood pressure, pulse, temperature and SpO2 values are viewed on a large, easy-to-read display, and can be printed via the IrDA port to an external printer as desired. The rechargeable lead acid battery and variety of mounting accessories make the Welch Allyn Spot Vital Signs convenient for many locations. You may choose any combination of simultaneous measurement modalities. The Welch Allyn Spot Vital Signs can be used in a wide variety of health care settings. This includes hospital departments as well as alternate care settings such as physicians offices, clinics, and long term care facilities. The Welch Allyn Spot Vital Signs is not intended for continuous monitoring of patients, nor for use during the transport of a patient. The Welch Allyn Spot Vital Signs is not intended for use in environments that are not supervised by a health care practitioner.

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Symbols and Descriptions Familiarize all operating personnel with the general safety information in this summary. Operator’s will also find specific warnings and cautions throughout the operator’s manual. Such specific warnings and cautions may not appear here in this summary.

Caution: Consult user's manual for additional information.

Type BF Equipment

Handle with Care

Transport Temperature.

Storage Humidity. Refer to

+ Pb

Internally Powered, Lead Acid Battery. For disposal see page 47.

Class II Equipment

IPXØ

Not protected against the ingress of water.

Mode of Operation: Continuous

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Safety Warnings and Precautions All operating personnel should be familiarized with the general safety information in this summary. Specific warnings and cautions are also found throughout this Operator's Manual. Such specific warnings and cautions may not appear here in this summary.

General Warnings THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO BE USED ON NEONATAL PATIENTS. Welch Allyn defines neonates as children 28 days or less of age if born at term (37 weeks gestation or more); otherwise up to 44 gestational weeks. This definition comes from the AAMI SP10 1992 standard. To ensure pediatric blood pressure accuracy and safety, note that the Welch Allyn Small Adult Cuff (5200-03), the Welch Allyn Small Child One-Piece Cuff (5200-13), or the Welch Allyn Small Child Cuff Disposable One-Piece (5083-93-3) are the SMALLEST CUFFS approved for use with young children and infants. The circumference of the child’s arm must fit within the range markings on the cuff. The Welch Allyn Spot Vital Signs is designed for use by medical clinicians. Although this manual may illustrate medical spot check techniques, only a trained clinician who knows how to take and interpret a patient’s vital signs should use this system. The information in this Operator's Manual is a comprehensive guide to the operation of the Welch Allyn Spot Vital Signs. To achieve satisfactory results, you should read the manual thoroughly before attempting to use the device. The Spot Vital Signs is not intended for continuous monitoring and is therefore not defibrillator proof. Do not leave the device unattended while taking measurements on a patient. To insure patient safety, use only accessories and supplies (i.e., cuffs, hoses, temperature probes, SpO2 sensors, etc.) recommended or supplied by Welch Allyn for the Welch Allyn Spot Vital Signs. See “Supplies And Accessories” on page 48. Do not operate the Welch Allyn Spot Vital Signs in the presence of flammable anesthetics or other explosive atmosphere. An explosion may result. Avoid compression of the pneumatic tubing of the Welch Allyn Spot Vital Signs. Compression of the tubing may cause system errors to occur in the device. Care should be taken to prevent water or other fluid from entering any connectors on the device. Should this occur, the connectors should be dried with warm air. All operating functions should then be checked for proper operation. Any Spot Vital Signs which has been dropped or damaged should be checked by qualified service personnel to insure proper operation prior to use. Every three months, inspect the temperature probe, SpO2 Cord, and accessories for fraying or other damage. Replace as necessary. Spot Vital Signs

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There are no user-serviceable parts inside the device other than battery replacement. Refer to unit to the Authorized Service Center listed on page 52. The Spot Vital Signs should not be used on patients who are linked to heart/lung machines. The Spot Vital Signs does not operate effectively on patients who are experiencing convulsions or tremors. This device complies with current required standards for electromagnetic interference, and should not present problems to other equipment or be affected by other devices. As a precaution, avoid using this device in close proximity to other equipment. This device is not intended for hand-held use during operation. Welch Allyn recommends that the battery is left in the device, regardless if the device is not used for long periods of time since there is no hazard of leaving the battery in the device. Connection of accessories not approved by Welch Allyn with the Spot Vital Signs can affect patient and/or operator safety. Do not autoclave. Welch Allyn is NOT responsible for the integrity of any Wall or IV pole mounting interface. Welch Allyn recommends that the customer contact their Biomedical Engineering department or maintenance service to ensure professional installation, safety, and reliability of any mounting accessory.

Blood Pressure Warnings •

To ensure pediatric blood pressure accuracy and safety, note that the Welch Allyn Small Cuff (5200-03), the Welch Allyn Small Child One-Piece Cuff (5200-13), or the Welch Allyn Small Child Disposable One-Piece (5083-93-3) are the SMALLEST CUFFS approved for use with young children and infants. The circumference of the child’s arm must fit within the range markings on the cuff. • You may experience inaccurate blood pressure measurements if cuffs and/or hoses other than those provided for the Welch Allyn Spot Vital Signs by Welch Allyn are used. • Patients that are experiencing moderate to severe arrhythmias may give inaccurate blood pressure measurements. • When several blood pressure measurements are taken on the same patient, it is recommended that the cuff site and extremity are regularly checked for possible ischemia, purpura, and/or neuropathy.

SpO2 Warnings •

The operation of the SpO2 sensor in MRI environments is specifically not recommended.

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Use only SpO2 sensors and accessories that are compatible with the SpO2 configuration purchased. The Welch Allyn Spot Vital Signs with Nellcor Puritan Bennett™ pulse oximetry option may only be used with Nellcor Puritan Bennett™ brand sensors and accessories. The SpO2 sensor and extension cables are intended for use only for pulse oximetry measurements. Do not attempt to connect these cables to a PC or any similar device.

Temperature Warnings •

Single-use, disposable probe covers, available from Welch Allyn, limit patient crosscontamination. The use of any other probe cover or the failure to use a probe cover may produce temperature errors and is specifically not recommended. • Use only oral probes (blue) for taking oral and axillary temperatures. Only use rectal probes (red) for taking rectal temperatures only. The use of the wrong probe may produce temperature errors. • Do not allow the tip of the temperature probe to come into contact with any heat source (e.g., hands or fingers) prior to taking a temperature measurement. If this occurs, discard the probe cover and start the temperature determination again.

IrDA Communications Port Warnings •

The Welch Allyn Spot Vital Signs contains an infrared communications port for isolated communications with the external printer (see order catalog) or with a PC. The port is located on the side of the device to preclude direct eye contact on a continual basis when viewing the display. As a precaution, do not look directly into the infrared port during operation.

General Cautions •

If the accuracy of any measurement is in question, check the patient's vital sign(s) by an alternate method, then check to make sure the device is functioning properly. • Insure the device is placed on a secure surface or use one of the optional mounting accessories. • Do not place fluids on the device.

Blood Pressure Cautions • •

Extremity and cuff motion should be minimized during blood pressure determinations. If the blood pressure cuff is not at heart level, the difference in reading due to the hydrostatic effect should be noted. The value of 1.80 mmHg must be added to the displayed reading for every inch (2.5 cm) above heart level. The value of 1.80 mmHg must be subtracted from the displayed reading for every inch (2.5 cm) below heart level. • Proper blood pressure cuff size and placement is essential to the accuracy of the blood pressure determination. See “Chart for Determining Cuff Size” on page 29 for cuff sizing information. • When measuring blood pressure on children younger than 3 years of age it is recommended that the Pressure Preset (initial inflation pressure) be set at 160 mmHg or lower.

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SpO2 Cautions •

The pulse oximeter is calibrated to determine the percentage of arterial oxygen saturation of functional hemoglobin. Significant levels of dysfunctional hemoglobin such as carboyhemoglobin or methmoglobin may affect the accuracy of the measurement. Some intravascular dyes, depending on the concentration, may affect the accuracy of the SpO2 measurement. Some sensors may not be appropriate for a particular patient. If at least 10 seconds of perfusion pulses cannot be observed for a given sensor, change sensor location or sensor type for perfusion to resume.

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Temperature Cautions •

Normal mode (10 second) axillary temperatures are FDA approved only for children under the age of four. Normal mode axillary temperatures may not be accurate on older children or adults. THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO BE USED ON NEONATAL PATIENTS.

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Indications/Contraindications for Use The Welch Allyn Spot Vital Signs measures blood pressure, pulse rate, temperature and oxygen saturation (SpO2) of adult and pediatric patients. The device is not designed, sold, nor intended for use except as intended.

THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL PATIENTS. To ensure pediatric blood pressure accuracy and safety, the Welch Allyn small cuff (5200-03), and the small durable cuff (5200-13) are the smallest cuffs approved for use with young children and infants. The circumference of the child’s arm must fit within the range markings on the cuff. The Welch Allyn Spot Vital Signs is not FDA approved to measure the axillary temperature of children 4 years of age or older. The Welch Allyn Spot Vital Signs is not defibrillator proof. The Welch Allyn Spot Vital Signs is not recommended for use on patients who are linked to heart/ lung machines. The Welch Allyn Spot Vital Signs is not recommended to continuously monitor a patient’s vital signs.

Special Features The following special features enhance the use of the Welch Allyn Spot Vital Signs:

Choice of Measurement Modalities The Welch Allyn Spot Vital Signs takes non-invasive blood pressure, temperature, and SpO2 measurements independently or simultaneously.

Non-Invasive Oscillometric Blood Pressure Eliminates the risk associated with invasive monitoring, with no need for microphones or external transducers.

Operator Friendly Results Large, easy-to-read Liquid Crystal Display (LCD).

AC or Self-Contained Battery Power The Welch Allyn Spot Vital Signs can be made available in many convenient locations, for a variety of spot check needs.

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Blood Pressure Measurements A single blood pressure determination is made when the Blood Pressure Start/Stop button is pushed. To cancel a measurement cycle at any time, press the Blood Pressure Start/ Stop button again. This action immediately initiates a rapid cuff deflation. The blood pressure measurement data appears on the display immediately following the measurement, and remains displayed for 2 minutes. After 2 minutes, the display goes blank, and the device goes into standby mode. To recall the most recent blood pressure measurement, press the Print, Mode, Next Patient/Clear or Blood Pressure Start/Stop button.

Maximum and Minimum Blood Pressure Ranges The maximum and minimum blood pressure ranges are as follows: Measurement

Maximum

Minimum

Systolic Pressure

250 mmHg

60 mmHg

Diastolic Pressure

160mmHg

30 mmHg

Mean Arterial Pressure (MAP) The MAP ranges are 40 to 190mmHg, calculated from systolic and diastolic data (not directly measured).

Temperature Operating Modes Thermometry measurements are made with Welch Allyn SureTemp™ technology. Oral and rectal probes utilize single-use disposable probe covers that limit cross-contamination. Oral, axillary or rectal temperatures are taken using Normal or Monitor operating modes. Oral and axillary temperatures are taken using the blue oral probe. Rectal temperatures are taken using the red rectal probe. In Normal mode, the thermometer's microprocessor predicts body temperature in approximately 4 seconds for oral temperatures, 10 seconds for axillary temperatures, and 15 seconds for rectal temperatures. When using Monitor mode, allow the temperature read out to stabilize for 3 minutes for oral and rectal temperatures, and 5 minutes for axillary temperatures. The Monitor mode continues to display an updated temperature as long as the probe remains in place. Settings for Fahrenheit or Celsius scales are available for the temperature readings display.

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Maximum and Minimum Temperature Ranges The maximum and minimum temperature ranges are as follows Measurement Temperature

Maximum 109.4°F 43.0°C

Minimum 86.0°F 30.0°C

Normal Temperature Mode Normal oral mode is the default operating mode for temperature determinations. In Normal mode, the Spot Vital Signs measures temperature at discrete intervals, then calculates the rate of change according to a proven algorithm. This allows the thermometer to predict the end point the thermistor would reach if it were left in the mouth until it reached mouth temperature. This predictive feature allows the thermometer to arrive at an accurate oral temperature reading in approximately 4 seconds. Operator-selectable patient alarm limits are not available in Normal temperature mode. However, temperatures that are outside the operating range of the device are noted on the temperature display (see “Temperature Measurement Range Indicators” on page 27 for further details).

Monitor Temperature Mode Continuous Monitor mode operation is normally used when difficult situations prevent taking accurate temperatures in the Normal mode, or in clinical situations in which the clinician is interested in trending the patient’s temperature (see “Temperature Measurement Range Indicators” on page 27 for further details). Maintain probe contact with the tissue for at least 3 minutes for accurate oral/rectal temperature measurement, and 5 minutes for accurate axillary temperature measurement. Monitor mode temperatures may not match identically to predicted “normal” temperatures because of ambient temperature influence and other factors. The trend in temperature is the important standard when in Monitor mode. Operator-selectable patient alarm limits are not available in Monitor temperature mode. However, temperatures that are outside the operating range of the device are noted on the temperature display (see “Temperature Measurement Range Indicators” on page 27 for further details).

SpO2 Operating Mode The Spot Vital Signs incorporates the Nellcor Puritan Bennett™ pulse oximetry system which determines arterial oxyhemoglobin saturation (SpO2%) by measuring the absorption of red and infrared light passed through the tissues. Changes in absorption caused by pulsation of blood in the vascular bed are used to determine arterial saturation and pulse rate. Oxygen saturation percent is calculated with each pulse detected, so the display is continually updated. The pulse signal bar graph is an indicator of the strength and quality of the detected pulses.

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The Spot Vital Signs determines pulse rate as an adjunct to blood pressure measurement and SpO2 measurement. The pulse rate, in beats per minute, is determined primarily from the SpO2 measurement methodology. In the case where SpO2 is not available, or is disabled, the pulse rate display is driven from data collected as part of the blood pressure measurement method. Removal of the SpO2 sensor from the patient initiates an audible beep, to alert you to the fact that the sensor is no longer attached to the patient. SpO2 is generally measured via pulses detected using a finger sensor, and performs most accurately with the finger clip sensor. All fingers, except the thumb, can use the finger clip sensor. For certain situations, measurement and alternate site measurements for SpO2 can include the earlobe, forehead, and toes. These situations require special sensors (see “Appendix A - SpO2 Sensors” on page 55). The finger clip sensor is recommended for spot checks or short-term evaluation (less than 60 minutes). Patient supervision is required, since the Spot Vital Signs has no alarm capability. Oxygen saturation and pulse rate are displayed on the LCD screen. On each detected pulse, the pulse signal bar graph flashes. The intensity of this signal is a simple visual indicator of waveform signal strength, and can identify possible situations of inadequate pulsatile nature of tissue for an accurate SpO2 reading. The update interval bar of the bar graph should correspond to the patient’s pulse rate. This is an indication of the quality of the SpO2 signal.

Maximum and Minimum SpO2 Ranges The maximum and minimum SpO2 ranges are as follows: Measurement

Maximum

Minimum

SpO2

100%

40%

Pulse Rate The Welch Allyn Spot Vital Signs determines pulse rate as an adjunct to blood pressure measurement and SpO2 measurement. The pulse rate, in beats per minute, is determined primarily from the SpO2 measurement methodology. In the case where SpO2 is not available or is disabled, the pulse rate display is derived by data from the blood pressure measurement method.

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Maximum and Minimum Pulse Rate Ranges The maximum and minimum pulse rate ranges are as follows: Measurement

Maximum

Minimum

Using BP determination

200 bpm

40 bpm

Using SpO2 determination

245 bpm

25 bpm

Performance Specifications Patient Population The Welch Allyn Spot Vital Signs is designed for use with adult and pediatric patients. Welch Allyn defines a pediatric patient as 29 days old or more.

THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATES. Welch Allyn defines neonates as children 28 days or less of age, born at term (37 weeks gestation or more), otherwise up to 44 gestational weeks.

Cuff Pressure Range 0 mmHg - 300mmHg

Initial Cuff Inflation 160 mmHg

Systolic Determination Maximum: Minimum:

250 mmHg 60 mmHg

Diastolic Determination Maximum: Minimum:

160 mmHg 30 mmHg

Blood Pressure Accuracy Blood pressure accuracy meets or exceeds SP10-1992 AAMI standards for non-invasive blood pressure accuracy (AAMI standard: ± 5 mmHg mean error, 8 mmHg standard deviation). Blood pressure accuracy is validated for pressure measurement using the upper arm only.

Blood Pressure Determination Time Typical: Maximum:

20 to 45 seconds 165 seconds

Pulse Rate Determination (using SpO2 determination) Maximum: Minimum: 16

245bpm 25bpm Welch Allyn

Pulse Rate Accuracy SpO2 Module Heart Rate: ±3.0 bpm Blood Pressure Algorithm Heart Rate: ±5.0%

Overpressure Cutoff 315 mmHg ±15 mmHg

Temperature Ranges Measurement Temperature

Maximum 109.4° F 43.0° C

Minimum 86.0° F 30.0° C

Temperature Accuracy Calibration accuracy: + 0.2 F (+ 0.1 C). Temperature Determination Time Oral: 4 seconds typical, 15 seconds maximum Axillary: 10 seconds typical Rectal: 15 seconds typical

Oxygen Saturation Range (SpO2%) 40-100% oxygen saturation

SpO2 Accuracy ±3% in the range of 70-100% oxygen saturation (1 standard deviation) <70% unspecified by the OEM

Battery Charging The battery charges to 90%-100% capacity in 12 hours. Unit operates and charges battery simultaneously when connected to power source.

Mechanical Specifications Dimensions Height: Length: Depth:

9.70 inches (24.64 cm) 5.72 inches (14.53 cm) 4.73 inches (12.01 cm)

Weight Approximately 4.25 pounds (1.91 kg)

Mounting Self-supporting on rubber feet Spot Vital Signs

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Custom Mobile Stand Custom made Wall Mount Custom made IV Pole Mount

Portability May be hand-carried when held by the rear handle.

Electrical Specifications Power Requirements Patient-Rated isolation transformer is connected to AC mains: North American Version:

120VAC, 60 Hz. 0.20A Input Source, 8VDC, 0.75A Output Source

International Version:

230VAC, 50Hz 0.20A Input Source, 8VDC, 0.75A Output Source 240VAC, 50Hz 0.20A Input Source, 8VDC, 0.75A Output Source

Battery Lead acid, with external charger. A fully charged battery supports 150 typical blood pressure determinations taken at 7 minute intervals. The battery is 90-100% charged after 12 hours of charging. The battery automatically charges when the Spot Vital Signs is powered through the AC power transformer. The battery charges faster when the instrument is not in operation.

Environmental Specifications Operating Temperature +10° to +40°C (Thermometer operating temperature 16° to 40° C) +50° to +104°F

Storage Temperature -20° to +50°C -4° to +122°F

Transport Temperature -20° to +49°C -4° to +122°F

Relative Humidity 15 to 90% (non-condensing)

Operating Altitude -170 to +4877 m -557 to +16,000 ft.

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Agency Approvals ICERTIFIED TO: CAN/CSA STD C22.2 NO. 601.1

CONFORMS TO: IEC 60601, UL STD 2601-1

WELCH ALLYN PTY LTD 5/38-46 SOUTH STRE ET RYDALMERE NSW 2116 AUSTRALIA

EMC Framework of Australia

The CE mark on this product indicates that it has been tested to and conforms with the provisions noted within the 93/42/EEC Medical Device Directive. Authorized European Representative Address: European Regulatory Manager Welch Allyn Ltd., Kells Road, Navan, County Meath, Republic of Ireland. Tel.: 353-46-79060 Fax: 353-46-27128

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Unpacking Checklist After you have unpacked the Welch Allyn Spot Vital Signs and applicable accessories, identify each item with the following checklist, and inspect for missing items. Retain the shipping materials in the event of shipping damage or for return, if necessary, to Welch Allyn for repair or warranty service. All Spot Vital Signs include the following components: Spot Vital Signs This device is portable, lightweight and designed to automatically measure and display blood pressure and pulse rate. Options include thermometry, pulse oximetry, and an external printer that communicates via IrDA interface. Operator’s Manual To achieve satisfactory results, you should read this manual thoroughly before attempting to use the Spot Vital Signs. Save this manual for helpful product reference. Quick Reference/Error Code Card The Quick Reference Card provides a quick operation guide and error codes. The card is attached to the device handle or mobile stand. Instrument Warranty Card Fill the warranty card out today and return to the Welch Allyn Service Center. This card validates your warranty. Adult Durable Cuff Assembly Includes one adult and pneumatic tubing with connector. Other size cuff assemblies are available separately. Pressure Hose Includes a latex-free pressure hose with connector. This hose connects a variety of sizes of blood pressure cuffs to the Spot Vital Signs. Power Transformer and Cord Assembly Operates the Spot Vital Signs and charges the internal battery. Certain Spot Vital Signs include the following items, based on the options purchased: Temperature Probe and Covers The device includes one oral temperature probe (blue probe) and one box of 25 single use, disposable probe covers for temperature determinations. Pulse Oximetry (SpO2) Option The finger clip SpO2 sensor and cord are for use with both adult and pediatric patients. Other sensors are available separately (see “Appendix A - SpO2 Sensors” on page 55). Optional External Printer The Spot Vital Signs communicates to the external printer through the infrared port. Roll of Printer Paper One roll is pre-loaded into the printer. Note: Report any signs of shipping damage to the carrier. If an item is missing or damaged, contact the Welch Allyn Service Center near you. Spot Vital Signs

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