VitalNet Table of Contents 1.0 INTRODUCTION������������������������������������������������������������������������������������������������������������������������ 1 1.1 SAFETY / WARNINGS / CAUTIONS ������������������������������������������������������������������������������������������� 2 1.2 LABELING������������������������������������������������������������������������������������������������������������������������������㳳 3 2.0 FIRST TIME OPERATION����������������������������������������������������������������������������������������������������������� 4 2.1 CONTROL OVERVIEW��������������������������������������������������������������������������������������������������������������� 4 2.2 MENU ICONS���������������������������������������������������������������������������������������������������������������������������� 4 2.3 VITALNET SETUP�������������������������������������������������������������������������������������������������������������������� 5 2.4 SINGLE BED DISPLAY���������������������������������������������������������������������������������������������������������������� 6 2.4.1 SINGLE FIXED DISPLAY (for applications requiring continuous full-screen monitoring of a single patient)����������������������������������������������������������������������������������������������������������������� 6 2.4.2 SINGLE TEMPORARY DISPLAY�������������������������������������������������������������������������������������� 6 3.0 ALARMS AND MESSAGES�������������������������������������������������������������������������������������������������������� 6 4.0 CONNECTING TO THE NETWORK and SELECTING PATIENTS�������������������������������������������������� 6 5.0 SELECTING A PATIENT/BED������������������������������������������������������������������������������������������������������� 7 5.1 REMOVE PATIENT������������������������������������������������������������������������������������������������������������ 8 5.2 VITALS������������������������������������������������������������������������������������������������������������������������������ 8 5.3 PRINTING�������������������������������������������������������������������������������������������������������������������������� 9 5.4 FULL SCREEN VIEW�������������������������������������������������������������������������������������������������������� 10 6.0 MAINTENANCE����������������������������������������������������������������������������������������������������������������������� 11 7.0 CLEANING INSTRUCTIONS������������������������������������������������������������������������������������������������������ 11 8.0 SUPPORT������������������������������������������������������������������������������������������������������������������������������㳳 11 ADDENDUM SERVICE CONTROLS����������������������������������������������������������������������������������������������� 12 rev-4D w/kb 8/9/2006 1.0 INTRODUCTION The DIGICARE VitalNet VN4840 adds central monitoring and remote display capabilities for hospitals using the GE Unity Network. The VitalNet is ideal for bedside and remote monitoring of up to 16 patients wherever vital signs surveillance is required. Applications include cardiac telemetry, emergency, intermediate care, OR and special procedure units. Essential features include visual and audible alarms, multiple waveforms and fully independent configurability. The VitalNet interfaces directly with Digicare's LifeWindow monitors using UDP/IP Network protocol. Any monitored patient connected to the Unity Network can be accessed and displayed. SYSTEM DIAGRAM Keyboard Control Display Switching HUB LifeWindow® Network ® VitalNet® VN4840 Alarm Device *Printer * Optional printer Printer: Brother model HL5140 or HP model 4000N are compatible printers. Printers must comply with PCL5 or above printer control languages. “Windows only printers” will not work with the VitalNet. page 1.1 SAFETY / WARNINGS / CAUTIONS ANSI/AAMI EC13-1992 Disclosure of Performance Specifications Audible Alarm Disclosure: The AAD100 Alarm Alert Device must be connected to the VN4840 to produce alarm sounds. A local control silences audible alarms from the VitalNe for 3 minutes. The VN4840 audible alarm can be set to: ALL - sound alarms for Crisis, Advisory and Warning type alarms as defined on GE patient monitor CRISIS - sound alarm for Crisis only type alarms as defined on GE patient monitor NONE - no alarm sound from the AAD100 Alarm Alert Device WARNING: The AAD100 Alarm Alert Device should be within the hearing distance of the caregiver. The use of sound output is optional, but recommended as an aid in monitoring. Visual Alarm Disclosure: Vital signs displayed on the VN4840 in alarm flash red. For a vital sign in alarm, not selected for display by the user, the yellow alarm bell symbol flashes on and off. The visual alarm indication remains active as long as the parameter is in alarm. The VN4840 alarms can be set to: ALL - alarming parameters flash for Crisis, Advisory and Warning type alarms as defined on GE patient monitor CRISIS - alarming parameters flash for Crisis only type alarms as defined on GE patient Monitor NONE - no flashing parameters on the display Special Disclosure Requirements for Monitors with Non permanent ECG Waveform Display: The VN4840 displays ECG waveforms on a 25 mm/second timebase. The ECG waveform conforms with the ANSI/AAMI aspect ratio requirement at unity gain (x1 gain). CAUTION: Federal Law restricts this device to sale by or on the order of a physician (or properly licensed practitioner). CAUTION: To maintain acceptable leakage current levels, a UL recognized isolation transformer may be required to be used with CRT monitors, LCD monitors or other accessories. WARNING: Connect the VitalNet to an UPS (Un-interruptible Power Supply) to insure continuous operation. page 1.2 LABELING .%47/2+ 02).4%2 $#6! +%9"/!2$ 6)$%/ * * Digicare Boynton Beach, FL USA ! * * * * CAUTION - Refer to manual before making connections See Section 1.1 SAFETY / WARNINGS / CAUTIONS CE Class IIb per Medical Device Directive. Product conforms with IEC 601-1 Electrical Safety and IEC 601-1-2 Electromagnetic Compatibility standards Indicates “output” Indicates “direct current and polarity” page 2.0 FIRST TIME OPERATION Rear Panel .%47/2+ 02).4%2 $#6! +%9"/!2$ 6)$%/ * * * Digicare Boynton Beach, FL USA * * * 1) Connect video display to J5. 2) Connect the audible alert device to J6 (optional). 3) Connect keyboard to J3. 4) Connect printer to J1 (optional). CE 5) Connect power adapter to J4 and apply power to adapter. 6) Apply power to your video display and confirm that the display appears as shown below. NOTE: LCD panels may not show the format grid until you select the proper LCD resolution from the VitalNet’s SETUP menu. Press Ctrl-Alt-Del to enter VitalNet Setup. Use the arrow keys and the Enter key to select the LCD resolution to match your video display type. 1 5 2 6 3 7 4 8 2.1 CONTROL OVERVIEW The top row of keyboard keys, numbered 1 to 16 are used to directly select bed zone. Arrow keys are used to move within menus and the Enter key makes selections. The Esc key closes menus and saves changes . 2.2 MENU ICONS When a bed is selected and the Enter key is pressed, available icons will be displayed. Printer and Timer icons will not be available if they are turned off in SETUP. The Timer icon is only available when number of beds is set to one. Alarm Silence-On/Off Printer-Start/Stop Timer-Start/Stop Main Menu Exit/Close Icons. Using the arrow keys move to an icon and press Enter to select. Alarm Silence and Timer are toggle controls; pressing the Enter key or hot keys will toggle them on or off. The alarm silence bell displays with an “x” through it when silenced. Pressing the main menu icon will open the main menu for the selected bed location. page 2.3 VITALNET SETUP To enter the SETUP menu, press the Ctrl-Alt-Del keys simultaneously. “Number of beds” is highlighted when the SETUP menu opens. Select the desired number of beds by pressing the Enter key. Press the Esc key to exit. . --- select number of beds --- show patient’s name in display --- enable printer - laser or none --- enable timer (only available in 1 bed mode) --- select waveform speed --- show time and date in display --- set time and date using arrow keys --- change vital sign display colors --- select your display resolution/type * --- select trace width for increased visibility --- See Addendum describing SERVICE controls. --- return to main display * Use the highest resolution supported by your LCD; select type CRT for cathode ray tube displays. Selecting 1280x1024 resolution may produce a blank display on LCD monitors that support only 1024x768. If this occurs, use Ctrl-Alt-Del to open SETUP and select 1024x768 resolution. Your changes will be saved when you exit or press ESC. page 2.4 SINGLE BED DISPLAY 2.4.1 SINGLE FIXED DISPLAY (for applications requiring continuous full-screen monitoring of a single patient) Selecting one bed in SETUP provides a permanent full screen view for one patient. This mode offers these additional controls: Stopwatch Timer, All lead ECG and Invasive pressure baseline mode. Two additional controls are made available in this mode: all lead ECG and common or separate baseline for viewing invasive pressures. 2.4.2 SINGLE TEMPORARY DISPLAY When monitoring multiple beds, pressing Ctrl plus bed number key, will bring all parameters for the selected patient into view. Pressing Esc will return to the display of all beds; see “Full Screen View” above. 3.0 ALARMS AND MESSAGES Caution : Setting alarms to NONE in the SERVICE menu disables audible and visual alarm notification on the display. Alarm setup choices are: ALL - all alarms from the patient monitor produce visual and audible alarms on the VN4840 CRISIS - only crisis alarms from the patient monitor produce visual and audible alarms on the NONE - alarms from the patient monitor produce no visual or audible alarms on the Audible sounds: Crisis alarm sound is 3 short beeps every 1 second. Warning alarm sound is 2 short beeps every 2.7 seconds. Advisory alarm sound is 1 long beep every 4.5 seconds. Audible alarms can be silenced for three minutes by pressing the Silence key (space bar) after selecting the bed in alarm. The bell symbol will have an x through it while silenced. All arrhythmia messages communicated from the patient monitor are displayed. Telemetry transmitters “TX” number is displayed in the lower left corner of each patient area for all telemetry patients. Discharged beds are labeled DISCHARGED until another patient is admitted. 4.0 CONNECTING TO THE NETWORK and SELECTING PATIENTS Connect VitalNet J2 to the GE Unity network. NOTE: Devices on the network must have unique IP addresses. The VitalNet has Auto IP correction to change the VitalNet IP address if a conflict is detected. Contact DIGICARE if you have questions concerning the VitalNet IP address. After connecting the network cable it may take up to 30 seconds before all patients on the network report to the VitalNet. Select patients, using bed zone keys 1 to 16. If a bed zone is empty, the Care Unit menu will open immediately. Use the arrow keys to select the care unit containing the desired patient, or select “View All Patients” to display all patients in alphabetical order. Once the desired patient is found, press the Enter key to start monitoring. page 5.0 SELECTING A PATIENT/BED Use the bed number or arrow keys to select a bed. Bed number keys open the icon menu immediately. When using arrow keys, press Enter to bring up the Icon Menu for the selected bed. Move to the Main Menu icon with the arrow keys and press Enter to open. Main menu opens with Select Patient highlighted. Press Enter key to display list of care units. Select the desired care unit to select patients from, or select View All Patients, to view all patients alphabetically. Viewing All Patients allows selection of all monitored patients alphabetically. Use arrow keys to select a patient or select a care unit to return to the Care Units menu. Selected beds are saved and new patients admitted to the beds in the future will automatically be displayed. You may remove a bed or select another bed at any time. Each bed location can be configured separately for vital signs and optional print on alarm function. page 5.1 REMOVE PATIENT From the Main menu, select “Remove Patient”. Selecting REMOVE PATIENT from the main menu displays the confirmation menu. Select YES to remove patient or NO to not remove patient. 5.2 VITALS From the main menu, select VITALS to open the vitals menu. Select a vital parameter and press Enter key to configure a parameter. The list only shows available patient vital parameters from the network. Change the vital parameters and exit to select another vital. The check mark indicates a parameter is on. Trace displays waveform, Number displays numbers, and scale determines trace size. page 5.3 PRINTING (Requires optional printer) Keyboard shortcut keys (for selected bed): PRINT- prints 16 second strip with one hour trend data TAB- print 8 hour tabular trend vitals data GRAPH- print 8 hour graphical trend vitals data. Use arrow keys or bed number keys to select a bed location and press enter key to display control icons. Select printer icon and press Enter key to print a 16 second strip with one hour trend, for the selected bed. Open the main menu and select “Printing” to configure “Print on Crisis” feature. Select Print on Crisis and press the Enter key to change setting. If checked, the VitalNet will print a 16 second strip with a one hour trend if a crisis alarm occurs for this patient. Note: Printer error messages for out of paper, door open and connection issues are displayed on screen. Printing will resume when the error is corrected. page 5.4 FULL SCREEN VIEW Shortcut keys: Ctrl + F1 through F16 enters full screen view for a selected bed selection. Menu control: Open the main menu, select FULL SCREEN VIEW and press the Enter key. Full screen view offers these additional controls: Stopwatch Timer, All lead ECG, and Invasive pressure baseline mode. Note: Full screen view is a temporary viewing mode. Full screen viewing will automatically return to multiple patient viewing after one minute, or you can manually switch back to multi patient view at any time using the icon control or the Esc key. If a different bed goes into alarm while you are in full screen view, a flashing message is displayed to notify the user that the other bed is in alarm. page 10 6.0 MAINTENANCE The VN4840 requires no calibration or general maintenance of internal circuitry. All external cable connections to the should be checked whenever the unit is moved or its environment is changed. 7.0 CLEANING INSTRUCTIONS Disconnect all cabling and power from the equipment. Using a soft cloth, apply a nonabrasive general purpose cleaner and wipe all outer surfaces. 8.0 SUPPORT Contact DIGICARE INC. for assistance Phone:561-689-0408 Fax: 561-689-0021 Email:technicalsupport@digicarebiomedical.com Web: www.digicarebiomedical.com page 11 ADDENDUM SERVICE CONTROLS DIGICARE Inc. VitalNet Model VN4840 To access the service menu open the SETUP menu by pressing Ctrl+Alt+Del. Go to the SERVICE selection and enter password. Password is the current system date entered using ddmm format. Use arrow keys to enter password Biomed’s or other authorized persons may remove this page from the User Guide to prevent unauthorized access to the service menu. --- set IP address using arrow keys --- automatic IP adjustment when there is a conflict --- select alarm type response, default is ALL (see note *) --- view performance log file --- return to SETUP menu --- installed program list NOTE *: VitalNet alarms can be turned off using this SERVICE menu by choosing Alarm Response “None”. Choosing Alarm Response “Crisis” enables crisis only alarms at the VitalNet. Choosing Alarm Response “All” enables all alarms at the VitalNet. alarm sounds are similar to the GE patient monitor. Crisis is 3 short beeps every 1 second, warning is 2 short beeps every 2.7 seconds and advisory is 1 long beep every 4.5 seconds. Along with the audible alarm the parameter flashes in red and the alarm bell will blink. Audible Alarm Disclosure: The VN4840 audible alarm can be set to: ALL - sound alarms for Crisis, Advisory and Warning type alarms as defined on GE patient monitor CRISIS - sound alarm for Crisis only type alarms as defined on GE patient monitor NONE - no alarm sound from the AAD100 Alarm Alert Device The AAD100 Alarm Alert Device must be connected to the VN4840 to produce alarm sounds. A local silence control silences audible alarms from the VitalNet for 3 minutes. WARNING: The AAD100 Alarm Alert Device should be within the hearing distance of the caregiver. The use of sound output is optional, but recommended as an aid in monitoring. Visual Alarm Disclosure: Vital signs displayed on the VN4840 in alarm flashes red and black (off). For a vital sign in alarm, not selected for display by the user, the yellow alarm bell symbol flashes on and off. The visual alarm indication remains active as long as the parameter is in alarm. The VN4840 alarms can be set to: ALL - alarming parameters flash for Crisis, Advisory and Warning type alarms as defined on GE patient monitor CRISIS - alarming parameters flash for Crisis only type alarms as defined on GE patient Monitor NONE - no flashing parameters on the VN4840 display. page 12