M Series Temperature Option Insert Rev B

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Temperature

9650-0220-01 Rev. B

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The issue date or revision level for this operation guide is shown on the front cover.

ZOLL and M Series are trademarks of ZOLL Medical Corporation.

 2002 by ZOLL Medical Corporation. All rights reserved.

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Preface

How Do I Use This Manual?

This manual insert describes the set up and use of the M Series Temperature option. If you already know

how to use the M Series, start by reading the Safety Summary, Indications for Use and Introduction

sections of this insert. Familiarize yourself with all the procedures in this insert before you use the

Temperature option. Consult the Troubleshooting section if the M Series fails to operate as expected.

If you do not know how to use the M Series, see the M Series Operator’s Guide and the relevant inserts.

Thoroughly read the safety considerations and warnings sections in both the M Series Operator’s Guide

and the relevant inserts before operating your M Series product.

Place this insert in the three-ring binder along with the M Series Operator’s Guide and all other option

inserts.

Safety Summar y

The following is a short summary of warnings, cautions and other safety information related to the

Temperature option. Additional warnings and cautions are in the text of this insert. Read this section

thoroughly before operating the Temperature option.

• Read the M Series Operator’s Guide and this manual insert before use.

• The M Series Temperature option is to be operated by qualified personnel only.

• Consult a physician for the proper interpretation of temperature measurements.

• Do not use in the presence of oxygen-rich atmospheres, flammable anesthetics or other flammable

agents (such as gasoline). Do not use near the site of a gasoline spill. Explosion may result.

• The use of accessories, transducers and cables other than those specified in this manual, with the

exception of transducers and cables sold by ZOLL as replacement parts for internal components,

may result in increased emissions or decreased immunity of the M Series.

• Route patient cabling carefully to avoid patient entanglement or strangulation.

• Do not touch the bed, patient, or any equipment connected to the patient during defibrillation. A

severe shock to the operator can result.

• Do not allow exposed portions of the patient’s body to come in contact with metal objects, such as

a bed frame during defibrillation. Unwanted electrical pathways can result.

• Avoid electrosurgery burns at monitoring sites by ensuring proper connection of the electrosurgery

return circuit to ground. If improperly connected, some electrosurgery units allow other return

paths to earth ground, even through fully isolated patient circuits in equipment operating from ac

mains. If necessary, operate the monitor on battery power only to prevent a return to earth ground

through the monitor.

• If an alarm occurs while the alarms are suspended, audio alarms do not sound, only visual alarms

display.

• If the accuracy of measurements is suspect, first check the patient's vital signs by alternate means.

Then check the cabling and M Series Temperature option for proper functioning.

• Do not immerse the M Series device, batteries, or cables in water, solvents, or cleaning solutions.

• Do not sterilize equipment except reusable sensors which may be sterilized per the manufacturer’s

instructions.

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Safety Summar y (cont.)

• Connect the ECG-out jack and modem (if available) only to other equipment with galvanically

isolated circuits.

• The cable and temperature probe are defibrillator proof when used as directed with the M Series.

Using the Temperature option introduces no risk for shock due to defibrillation. Using the

Temperature option introduces no risk for burns due to electro-surgery.

• Do not reuse disposable sensors.

• Replace sensors that are worn or damaged.

Indications for Use

The ZOLL M Series Temperature option is indicated for measuring temperature of adult and pediatric

patients using YSI 400 compatible temperature sensors.

Contraindications for Use

The ZOLL M Series Temperature option is not indicated for use on neonatal patients.

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ZOLL M Series Temperature

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Introduction

What Can I Do With the Temperature Option?

Using the Temperature option you can do the following:

• Take two continuous temperature measurements simultaneously.

• Display two temperature values (T1 and T2) and the absolute value of the difference between the

two values ( ∆ T).

• Print all three temperature values and their time of measurement.

• Store temperature measurements in code summary, trend memory, and a PCMCIA memory card.

• Configure alarms to go off when the unit detects temperature values above or below userprogrammable limits.

How Do I Use the Temperature Option?

To take safe and accurate temperature measurements using the M Series Temperature option, you

must do all of the following:

1. Select the proper YSI 400 compatible temperature probe.

2. Connect temperature probe to the patient and the M Series.

3. Configure alarms (if present settings are not appropriate).

4. Read the display.

Each step corresponds to a section in this chapter. Read each section carefully before you use the

M Series Temperature option.

WARNING! Do not use the Temperature option without proper training.

How Does the Temperature Option Work?

The Temperature option consists of the following:

• YSI 400 compatible temperature probe.

• Temperature probe interface cable, if needed for use with disposable temperature probes.

• Data acquisition and signal processing module inside M Series unit.

When measuring temperature with the M Series, the following occurs:

1. Thermistor in temperature probe converts temperature to electrical resistance.

2. M Series unit measures this resistance, converts it into degrees Celsius or Fahrenheit and

continuously displays the temperature values.

3. If two temperature probes are connected, the M Series unit also calculates and displays the

difference between the two measured temperatures ( ∆ T).

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Preparing to Take Measurements

The Temperature option has two temperature channels (T1 and T2). You must select and connect an

appropriate temperature probe for each channel used.

Selecting a Temperature Probe

Use only disposable or reusable YSI 400 compatible temperature probes. See "Ordering Accessories"

on page 8 for a list of ZOLL-approved temperature probes.

CAUTION!

Do not use YSI 700 series temperature probes. Doing so may result in an

inaccurate temperature measurement.

WARNING! The use of accessories, transducers and cables other than those

specified by ZOLL may result in increased emissions or decreased

immunity of the M Series.

Tur ning on the Monitor

To turn on the monitor:

• Turn the selector switch to MONITOR (ON for AED units).

Connecting the Temperature Probe

Using two temperature probes requires a 2-channel Y-adapter. See "Ordering Accessories" on page 8.

To connect the temperature probe:

1. Inspect the temperature probe and cable for wear, breakage or fraying. Replace if necessary.

2. Follow manufacturer’s directions for use and your hospital’s protocols on how to apply the

temperature probe to the patient.

3. If you are using a disposable temperature probe, connect the temperature probe to the

temperature cable.

4. If you are using two temperature probes, connect Y-adapter to temperature connector on the

front panel of the M Series unit (see Figure 1: on page 3).

5. Connect the temperature probe cable(s) to the temperature connector or Y-adapter.

6. Verify that neither the CHECK TEMP PROBE nor the REPLACE TEMP PROBE messages

display.

If desired, repeat steps 1 - 6 to connect a second temperature probe.

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ZOLL M Series Temperature

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Reading the Display

If the temperature probe and cable are properly attached, the temperature values display immediately

(see Fig. 1 and Fig. 2). When reading the temperature values on the display, keep in mind that the

location of the probe on the patient can influence temperature measurements.

The Temperature data display area cycles between Temperature Channel 1 (T1), Temperature Channel

2 (T2), and the difference between the two values ( ∆ T). The data display area contains the following

information:

• Temperature

• Alarm status

• Unit of measurement

NOTE

Depending on the options included in your M Series, your front panel and display may slightly differ from

the illustrations in this insert.

Temperature

Data Display

Area

Temperature

Connector

Figure 1: M Series Front Panel with Temperature Option

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Label

Unit of Measurement

Alarm

Status

Absolute Value

of Difference

between T1

and T2

Temperature Value

Figure 2: Temperature Data Display Area

The M Series default unit of measure is degrees Fahrenheit (°F), but you can configure the M Series to

display degrees Celsius (°C). See the M Series Configuration Guide for instructions on how to

configure alternate units of measure.

Setting Alar ms

Before taking a measurement, check that all the temperature alarm settings are appropriate for the

situation. You can set the alarms for Temperature Channel 1 (T1), Temperature Channel 2 (T2), and ∆ T

separately. See M Series Operator’s Guide for instructions on setting alarms.

The M Series Temperature option includes temperature alarms for the following measurements:

Table 1: Alarm Limit Settings and Defaults

Alarm Limit:

Default Setting:

Range (increments of 0.1):

Temperature (T1

and T2)

High 100° F; 37.8° C

Low 95° F; 35.0° C

High 59.2 to 113.0° F; 15.1 to 45.0° C

Low 59.0 to 112.8° F; 15.0 to 44.9° C

Difference between

T1 and T2 ( ∆ T)

High 5.0° F; 2.8° C

Low 0.0° F; 0.0° C

High 0.2 to 54.0° F; 0.1 to 30.0° C

Low 0.0 to 53.8° F; 0.0 to 29.9° C

When the M Series is turned on, all alarm functions are disabled and the alarm limits are set to their

default values. Any changes to these settings remain in effect until either the settings are changed or 10

seconds after the M Series is turned off.

Setting Alar m Limits

You can change all the alarm limits using the standard M Series procedures. See M Series Operator’s

Guide for instructions on setting alarm limits.

You can set the alarm limits using the Auto function, or you can choose your own limits (see above

table). The Auto function sets the high limit to 0.5° F (0.3° C) above and the low limit to 0.5° F (0.3°

C) below the measured temperature when limits are set.

Enabling, Disabling and Suspending Alar ms

You can enable, disable and suspend all Temperature alarms using the standard M Series procedures.

See M Series Operator’s Guide for instructions on enabling, disabling, and suspending alarms.

Setting alarms for one temperature channel has no affect on the alarms for the other temperature

channel. Enabling, disabling or suspending Temperature alarms does not affect the status of other M

Series alarms.

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Printing Temperature Data

See the M Series Operator’s Guide Recorder Operation section for instructions on how to record data.

If you are currently displaying temperature, press the RECORDER button to print a strip chart that

includes the following values:

• T1

• T2

• ∆T

• Time of measurement.

Maintaining the Temperature Option

See the M Series Service Manual for instructions on maintaining the Temperature option.

Perfor ming the Daily Checkout Procedure

The following is a checkout procedure that should be performed daily to ensure that the Temperature

option is functioning properly. In addition, this daily checkout procedure ensures that medical

personnel maintain familiarity with the proper use of the Temperature option. For more specific

instructions on how to accomplish each step listed below, refer to the related section in this manual.

Use only YSI 400-compatible temperature simulators. See "Ordering Accessories" on page 8 for a list

of ZOLL-approved temperature simulators. Daily checkout for the T2 channel also requires a ZOLL 2channel Y-adapter.

To perform the daily checkout procedure:

1. Connect the temperature simulator cable to the M Series unit and the temperature simulator.

2. Set the simulator to simulate 68° F or 20° C.

3. Verify that the M Series displays 68° F (+/- 0.2° F) or 20° C (+/- 0.2° C).

4. Set the simulator to simulate 104° F or 40° C.

5. Verify that the M Series displays 104° F (+/- 0.2° F) or 40° C (+/- 0.2° C).

Repeat steps 1 - 5 using the other temperature channel.

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Specifications

Table 2: General Specifications

Principle of Operation

Thermistor - YSI 400 compatible only

Table 3: Temperature Measurement Specifications

Temperature Measurement Range

59° to 113° F (15° to 45° C)

Accuracy

+/- 0.09° F (0.05° C) (not including sensor)

Sampling Rate

1 sample/sec (1 Hz)

Resolution

0.1° F (0.06° C)

Table 4: Battery Operating Time Specifications (using ZOLL XL Battery Pack)

For a new, fully charged battery pack at

20°C with IBP, EtCO2, SpO2, NIBP and

Temperature options

60 defibrillator discharges at maximum energy (200J

Biphasic), or 1.75 hours minimum of continuous ECG,

IBP (2 channels), EtCO2, SpO2, and Temperature

monitoring, or 2.00 hours of continuous ECG

monitoring/pacing at 60 mA, 70 beats/min.

Table 5: Environmental Specifications

Operating Temperature

32° to 122° F (0° to 50° C)

Storage and Shipping Temperature

-4° to 140° F (-20° to 60° C)

Electromagnetic Immunity

AAMI DF-2: 1996, EN 61000-4-3: 1996, 15 V/m

Humidity

5 to 95% relative humidity, non-condensing

Operating Pressure

594 to 1060 mBar

Table 6: Alarm Limits Specifications

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Temperature

High 59.2 to 113.0° F

Low 59.0 to 112.8° F

High 15.1 to 45.0° C;

Low 15.0 to 44.9° C

∆Temp (difference in temperature)

High 0.2 to 54.0° F

Low 0.0 to 53.8° F

High 0.1 to 30.0° C;

Low 0.0 to 29.9° C

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Software License

Read this License agreement carefully before operating any of the M Series products.

Software incorporated into the system is protected by copyright laws and international copyright treaties as well as other

intellectual property laws and treaties. This software is licensed, not sold. By taking delivery of and using this system, the

Purchaser signifies agreement to and acceptance of the following terms and conditions:

Grant of License: In consideration of payment of the software license fee which is part of the price paid for this product ZOLL

Medical Corporation grants the Purchaser a non-exclusive license, without right to sublicense, to use the system software in

object-code form only.

Ownership of Software/Firmware: Title to, ownership of and all rights and interests in the system software and all copies thereof

remain at all times vested in the manufacturer, and Licensors to ZOLL Medical Corporation and they do not pass to Purchaser.

Assignment: Purchaser agrees not to assign, sub-license or otherwise transfer or share its rights under the license without the

express written permission of ZOLL Medical Corporation.

Use Restrictions: As the Purchaser, you may physically transfer the products from one location to another provided that the

software/firmware is not copied. You may not disclose, publish, translate, release or distribute copies of the software/firmware

to others. You may not modify, adapt, translate, reverse engineer, decompile, crosscompile, disassemble or create derivative

works based on the software/firmware.

No Implied License

Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts

which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device.

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Ordering Accessories

To order accessories for the M Series Temperature option call ZOLL Customer Service at 1-800-3489011. Customers outside the United States should call the nearest authorized ZOLL Medical

Corporation sales representative. The following tables list optional accessories that can be used with

the M Series Temperature option:

Table 7: ZOLL-Approved Temperature Probes

Item:

ZOLL Part

Number:

Manufacturer Contact

Information:

YSI 401 Reusable Esophageal/Rectal - Adult

8000-0668

YSI 402 Reusable Esophageal/Rectal - Pediatric

8000-0669

YSI 409B Reusable Skin - Adult

8000-0670

Yellow Springs Instruments

2670 Indian Ripple Road

Dayton, OH 45440-3605

(937) 427-1231

YSI 427 Reusable Skin - Pediatric

8000-0671

YSI 4491E Single Use Esophageal/Rectal

8000-0672

YSI 4499E Single Use Skin

8000-0673

Table 8: Interface Cables

Item:

ZOLL Part

Number:

Manufacturer Contact

Information:

YSI 4940 Interface Cable for Single Use probes

8000-0674

Yellow Springs Instruments

2670 Indian Ripple Road

Dayton, OH 45440-3605

(937) 427-1231

2-channel Y-adapter

8000-0675

ZOLL Customer Service

(800) 348-9011

Item:

ZOLL Part

Number:

Manufacturer Contact

Information:

Fogg TP400 Simulator w cable

8000-0676

Fogg System Company, Inc.

15592 East Batavia Drive

Aurora, CO 80011

(303) 344-1883

Table 9: Temperature Simulators

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Troubleshooting

The following table lists the Temperature messages, the problem each message indicates, and the

actions you should take to fix the problem. Read this section carefully before monitoring patients. For

further assistance, call ZOLL Technical Service at 1-800-348-9011. Customers outside the United

States should call the nearest authorized ZOLL Medical Corporation sales representative.

Message/Symptom:

Problem:

User Action:

CHECK

TEMPERATURE

PROBE

The temperature probe

connection is broken or an

open circuit is detected.

Check temperature probe and cabling for

loose connection.

Replace the temperature probe or cabling.

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Index

Numerics

2-channel Y-adapter

approved type 8

ordering 8

when necessary 5

A

Accessories, ordering 8

Accuracy

specification 6

suspect readings v

Adapter

See 2-channel Y-adapter

Alarm

auto setting 4

defaults 4

disabling 4

enabling 4

limits 4

range 4

setting 4

suspended v

suspending 4

Alarm limit

defaults 4

range 4

setting 4

Alarm status, reading on display 4

Anesthetics, use with Temperature option v

Auto alarm setting, description of 4

B

Battery operating time 6

C

Cable

See Interface cable

Cable routing, warning v

Caution

connecting ECG-out jack vi

disposable sensors vi

general v

immersion v

interpretation of readings v

modem connection vi

qualified personnel only v

sterilization v

suspect readings v

suspended alarm v

Channels, temperature 2

CHECK TEMPERATURE PROBE message

significance of 9

Checkout procedure 5

Connecting temperature probe 2

Connector, location of 3

Contraindications vi

D

Daily checkout procedure 5

Default

alarm 4

unit of measurement 4

Defibrillation

defib-proof parts vi

warning v

Delta symbol, description of 3

Display, reading 3

Disposable sensor, caution against reusing

vi

See temperature probe

R

Range specification 6

Recording, temperature data 5

Resolution specification 6

S

Humidity specification 6

Safety information v

Sampling rate specification 6

Sensor, caution against reusing disposables vi

Setting alarm 4

Shipping temperature 6

Software license 7

Specifications 6

Sterilization, caution v

Storage temperature 6

Suspended alarm v

I

T

E

ECG-out jack, connecting caution vi

Electromagnetic immunity 6

Explosion, warning v

F

Features of Temperature option listed 1

H

Immunity, electromagnetic 6

Indications for use vi

Interface cable

approved types 8

connecting 2

ordering 8

Interpretation of readings by physician only

v

L

License, software 7

M

M Series

cleaning caution v

turning on 2

Measurement specifications

See Temperature measurement

Modem, connection caution vi

Monitor, turning on 2

N

Neonatal patients, contraindications vi

O

On, turning on monitor 2

Operating conditions

electromagnetic immunity 6

humidity 6

temperature 6

Ordering accessories 8

P

Pediatric patients, indications vi

Personnel, qualified for operation v

Phone number

customer service 8

technical service 9

Principle of operation 6

Printing

temperature data 5

types of measurements printed 5

Probe

ZOLL M Series Temperature

T1, description of 3

T2, description of 3

Temperature

operating 6

shipping 6

storing 6

Temperature connector, location of 3

Temperature data display area

data included in 3

description of 3

location of 3

Temperature measurement

accuracy 6

principle of operation 6

range 6

resolution 6

sampling rate 6

Temperature option

contraindications vi

factors affecting accuracy 3

features of 1

how it works 1

indications for use vi

overview of use 1

printing 5

recording 5

when temp values display 3

Temperature probe

approved types 8

caution against use of YSI 700 2

connecting 2

ordering 2, 8

selecting proper type 2

using two simultaneously 2

Y-adapter 2

YSI 400 compatible 2

Temperature simulator

approved type 8

ordering 8

Temperature value, reading on display 4

Troubleshooting 9

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U

Unit of measurement, reading on display 4

W

Warning

anesthetics v

cable routing v

defibrillation v

explosion v

general v

oxygen-rich atmosphere v

Water, caution against immersion v

Y

Y-adapter

See 2-channel Y-adapter

Z

ZOLL

customer service phone number 8

technical service phone number 9

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ZOLL M Series Temperature