Data Critical AVTS1000 AVTS1000 User Manual Service

Data Critical Corporation AVTS1000 Service

Contents

Exhibit T Service Manual

EXHIBIT T – Service ManualFCC ID#  NMEAVTS1000
 AlarmView™ Service and Installation Manual Page 1DATA CRITICAL CORP.AlarmView™Service and Installation Manual
 AlarmView™ Service and Installation Manual Page 2Precautionary InformationCautionInstructions - For continued safe use of this equipment, it isnecessary that the listed instructions be followed.  However,instructions listed in this manual in no way supersedeestablished medical procedures concerning patient care.Intended Use - The system is intended to monitor variouspatient-monitoring devices for alarm conditions, and responds bytransmitting message data that includes text information from thepatient.Confirmation - When the system sends out a page, there is NOconfirmation back that the intended pager has successfullyreceived the page.Maintenance - Failure on the part of the hospital or institution tomaintain the equipment as outlined in this manual may causepre-mature equipment failure.Installation - The AlarmView System has been installed byqualified technicians.  Modification of this installation may causeundue equipment failure.Electromagnetic Interference - The AlarmView System maycause electromagnetic interference with devices operated inclose proximity to the transmitter (refer to Appendix C).System Components - Do not spill liquids on any of theAlarmView™ System components.
 AlarmView™ Service and Installation Manual Page 3 WarningsPatient Monitoring - The most reliable method of patientmonitoring combines close personal surveillance with correctoperation of monitoring equipment.  Patient alarm conditions andnotifications are primary functions of the patient monitoringsystem.  It is imperative that the caregiver and/or monitoring floortechnicians monitor patient alarm conditions.  The AlarmViewSystem is not intended for use as the primary source for thepatient alarm notification.Accidental Spills - In the event fluids are accidentally spilled inthe equipment, take the equipment out of service and check fordamage.  Check operation after drying 24 hours later.Antenna Placement - The transmitter unit with a transmitterantenna may interfere with computer equipment with electronicswitchboards located close to the antenna.  If the transmitter unitmust be located close to these types of equipment, a remoteantenna should be used.Change of Performance - If the system fails to page usersreliably, contact the hospital staff responsible for electromagneticenvironment and Data Critical Corp. immediately.  (Data CriticalCorp. 24 hour support at 1-877-322-7828)Electrical Shock - To reduce the risk of electrical shock, DONOT remove cover (or back).  Refer servicing to qualifiedpersonnel.Environment - Data Critical Corporation does not assumeresponsibility for damage to the equipment caused by improperlyvented cabinets, improper or faulty power, or insufficient wallstrength to support equipment mounted on such walls.Explosion Hazard - Do not use this equipment in the presenceof flammable anesthetics, skin cleaning agents, anddisinfectants.  Great care must be exercised when the device isused in an oxygen-enriched atmosphere.  The atmosphere isconsidered to be oxygen enriched when the room air containsmore than 25% of oxygen or nitrous oxide. !
 AlarmView™ Service and Installation Manual Page 4Home Use - AlarmView™ System is not intended for home use.Power - Convenience outlets and all others that may be used forthe patient must be on the hospital emergency circuit so thatthey are energized at all times.Site Surveys - Each institution is responsible for surveyingexisting equipment and ensuring no conflict exists whenconsidering the introduction of additional radiating devices.Transmission Bands - Each institution is responsible formaintaining continued surveillance of transmission bands beingused in the facility to prevent co-occupation of bands and cross-band interference.Service and TechnicalSupportDirect all inquires to:Data Critical Corporation19820 North Creek ParkwaySuite 100Bothell, WA 98011For technical advice or information concerning any equipment inyour AlarmView™ System, contact Technical Support.  Call, tollfree at 1-877-DCC-STAT (1-877-322-7828).Copyright © 1998-1999 Data Critical Corp.  All Rights Reserved.
 AlarmView™ Service and Installation Manual Page 5Conventions of this ManualTwo items that may help you as you work through the AlarmViewUser’s Guide are the special notes and cautions that appearthroughout this text.  Individual icons identify these notes andcautions, and they alert you to special information.  The Caution icon alerts you to possible problems thatyou may encounter as you work through theAlarmView™ System programs.  The possibility oflosing data, for example, is information that could bementioned in a caution. NOTE The Note icon alerts you to tips or hints that may makeit easier for you to work within AlarmView Systemprograms.  These might include data entry tips,additional information about a window or field, orrecommended procedures.NOTE: Due to continuing product innovation, specifications inthis manual are subject to change without notice.Trademarks:Nellcor Puritan Bennett™ are registered trademarks of NellcorPuritan Bennett, Inc.Windows™ CE is a registered trademark of MicrosoftCorporation.AlarmView™ System is registered trademark of Data CriticalCorporation.
 AlarmView™ Service and Installation Manual Page 6PurposeThe technical publications staff of Data Critical Corporation.prepared this service manual for the AlarmView system.  Thismanual is geared for qualified service representatives andtechnical personnel involved in maintaining and repairing theAlarmView system.This manual is geared toward trained biomedical engineers.Users are expected to have a strong background in electronics,including a strong background in analog circuitry, digital circuitry,and microprocessor and microcontroller architecture.Safety InformationManufacturer’s ResponsibilityData Critical Corp. is responsible for the effects on safety,reliability, and performance only if:v assembly operations, extensions, readjustments,modifications, or repairs are carried out by personsauthorized by Data Critical Corp.v the electrical installation of the relevant room complies withthe requirements of the appropriate regulations; andv the AlarmView paging system is used in accordance with theinstructions for use.
 AlarmView™ Service and Installation Manual Page 7Service InformationService RequirementsFollow the service requirements listed below.v Refer equipment servicing to Data Critical Corporationauthorized service personnel only.v Any unauthorized attempt to repair equipment underwarranty voids that warranty.v It is the user’s responsibility to report the need for service toData Critical Corporation or to one of their authorizedagents.v Failure on the part of the responsible individual, hospital, orinstitution using this equipment to implement a satisfactorymaintenance schedule may cause undue equipment failureand possible health hazards.v Regular maintenance, irrespective of usage, is essential toensure that the equipment is always functional whenrequired.NoticeCopyright © 1999 Data Critical Corporation.  All RightsReserved.Draft manual version.
 AlarmView™ Service and Installation Manual Page 8IntroductionAlarmView System ProductDescriptionThe AlarmView System is a secondary alarm notification systemthat transmits alarm data from Primary Patient MonitoringEquipment (PME) to pagers that are worn by caregivers.• The AlarmView Pager - The AlarmView Pager is an off theshelf pager that is worn by caregivers responsible forindividual patient care.• The AlarmView Programmer - The AlarmView Programmeris an off the shelf Personal Digital Assistant (PDA) withWindows CE operating system and equipped withAlarmView programming software.  The PDA needs to havean infrared (IR) port to communicate with the transmitter.• The AlarmView Transmitter - The AlarmView Transmitter isconnected to the Patient Monitoring Equipment (PME) (i.e.,Nellcor Puritan Bennett Pulse Oximeter) with an AlarmViewcable that is connected to the PME’s serial port.
 AlarmView™ Service and Installation Manual Page 9AlarmView System Diagram
 AlarmView™ Service and Installation Manual Page 10AlarmView SystemComponentsAlarmView TransmitterThe AlarmView transmitter is a device which interfaces to thePME and relays patient alarm information to clinician-wornreceivers.  The data relayed from the monitoring system includespatient bed number, alarm type, and parameter values (heartrate and SPO2 values).<Insert AlarmView Transmitter Installation Diagram>AlarmView ProgrammerThe AlarmView programmer is a palmtop computer running theWindows CE operating system (PDA).  The PDA comespreloaded with proprietary software used to configure theAlarmView system.<Insert AlarmView PDA Installation Diagram>AlarmView PagerThe AlarmView pager is an off-the-shelf clinician-worn pagerdevice intended for use in a hospital/facility environment.  Thepager is an additional means of annunciating patient alarminformation, such as patient bed number, alarm type, and heartrate and SPO2 data.<Insert AlarmView Pager Installation Diagram>
 AlarmView™ Service and Installation Manual Page 11Monitoring Device TypesThe AlarmView software is currently configured to be compatiblewith the following devices:Nellcor Puritan Bennett Pulse Oximeter N-290Nellcor Puritan Bennett Pulse Oximeter N-295Nellcor Puritan Bennett Pulse Oximeter N-3000Controls, Indicators, andSymbols<   >InstallationUnpacking and InspectionBe sure to carefully unpack all components carefully.  If anyboxes appear damaged in any way, contact the carrier.  Visuallyinspect all components for obvious physical damage.  If there areany cracks, dents, or any indication of mechanical damage,contact Data Critical Corporation before attempting to use any ofthe equipment.
 AlarmView™ Service and Installation Manual Page 12List of ComponentsPlease check that all of the following components are present:AlarmView Transmitter7” AntennaPower Cable for TransmitterBattery for TransmitterAlarmView ProgrammerProgrammer Charging CradleProgrammer BatteriesAlarmView PagerPager BatteriesSerial Cable for Connection from AlarmView Transmitter to PMESetupAttach the antenna to the AlarmView transmitter.Power the AlarmView transmitter.Attach the monitor to the AlarmView transmitter.Be sure the monitor is not running on battery.General WarningsMake sure that the antenna is attached to the transmitter beforeattempting to send any pages.  Failure to do so may causeinternal damage to the transmitter.Be sure that the monitor has power, and is not running onbattery.  A monitor on battery power does not communicate viait’s serial port, and the transmitter will be unable to establishcommunications with the monitor.Connecting AlarmViewThe AlarmView transmitter must be physically connected to thePME via the serial cable in order for communications to exist.Performance VerificationPerformance verification is discussed below in the Quick Startsection.
 AlarmView™ Service and Installation Manual Page 13Range Verification and MeasurementRange verification is discussed in detail in the Quick Startsection below.Basic SetupThe AlarmView system come from the factory with certain presetdefaults.  Some of these values may be modified by the user.Factory Default SettingsAlarmView PagerNotification Mode: AudibleCap Code: 0000009Frequency: 464.500 MHzDisplay: 4 lineAlarmView TransmitterBed Number: NewBedCap Code 0000009Alarm Severity Send All AlarmsReminder Interval 30 secondsReminder Duration ContinuouslySurvey Page Interval 15 secondsSurvey Page Duration 100 pagesPaging Frequency 464.500 MHzPaging Baud Rate 1200 bpsAlarmView ProgrammerAudible Tone On
 AlarmView™ Service and Installation Manual Page 14Adjustable SettingsSome settings can be changed by the user.  All settings that canbe changed in the transmitter are described in detail below in theQuick Start section.  To make changes to the other equipment,see the manufacturer’s documentation.AlarmView PagerNotification Mode: AudibleCap Code: 0000009Frequency: 464.500 MHzDisplay: 4 lineAlarmView TransmitterBed Number: NewBedCap Code 0000009Alarm Severity Send All AlarmsReminder Interval 30 secondsAlarmView ProgrammerAudible Tone OnTroubleshootingError MessagesIf possible, the transmitter will send error messages to pageswhen errors occur.The most likely message will be a low battery message:Low Tx BatteryTx Shut Down
 AlarmView™ Service and Installation Manual Page 15Another possible error message pages would be a loss ofcommunications with the PME:Comm FailRetrying CommsIf, after an hour, communications is not established, a shut downmessage will be sentComm FailTx Shut DownThe AlarmView Programmer will also post error messagesencountered during communications with the transmitter.If, during a communication attempt, the IR port could not beaccessed, the AlarmView Programmer will post the followingmessage in an error dialog box.UNABLE TO ACCESS PORTPROBABLY IN USEIf the IR port could be accessed, but communications could notbe established between the PDA and the transmitter, theAlarmView Programmer will post the following message in anadvisory dialog box.Please by sure the IR portis pointed directly at thetransmitter, at a distanceless than 18in (60cm),and try again.The following status message will also be displayed on the topmiddle of the Programmer screen.Failed To Connect
 AlarmView™ Service and Installation Manual Page 16If no bed number was selected before the “Program” button wastapped, the AlarmView Programmer will post the followingmessage in an advisory dialog box.You must select or get abed number.If no cap code was selected before the “Program” button wastapped, the AlarmView Programmer will post the followingmessage in an advisory dialog box.You must select or get oneor more pagers.If the Programmer could not program the transmitter, theAlarmView Programmer will post the following status messageon the top middle of the Programmer screen.Programming Failed
 AlarmView™ Service and Installation Manual Page 17Suggested Corrective ActionsError Corrective ActionLow Transmitter Battery Plug in the transmitter to wallpower to recharge the battery.Communication Failure Ensure that the transmitter isconnected via the serial cable tothe PME.  Ensure that the PME isplugged in.Unable to access port Reboot the Programmer.IR port not pointed at transmitter/Failed To Connect Point the IR port on theprogrammer at the IR port on thetransmitter at a distance less than18in (60cm).Must select a bed number Select a bed numberMust select a cap code Select a cap codeProgramming Failed Try to program againEMI InterferenceIt is a known fact that electronic devices that emit radiofrequencies may interfere with the operation of other electronicdevices.  This has become a significant concern in the healthcare community because of the proliferation of intentionalelectronic radiators such as cellular phones, paging systems,walkie-talkies, and wireless network LANs.  The critical careareas such as intensive care, operating rooms, and emergencycare are of special concern and incidents have been observedwith apnea monitors, wheel chairs, and ventilators.The FDA and organizations such as AAMI, IEEE, and IEC havestarted to address this complicated issue through their respectiveworking groups.  The ANSI C63.6 working group made up ofindustry and the FDA released a technical information report(TIR).  This TIR provides a means to evaluate critical caremedical devices for electromagnetic interference problems bythe clinical and biomedical staff using an ad hoc test method.
 AlarmView™ Service and Installation Manual Page 18The report provides background information and basic EMIfundamentals.  A possible outline for management of potentialEMI sources and education of the hospital staff is as follows:Encourage biomedical engineers to learn how to assess the EMIenvironment of their hospital and take actions on:• managing (increasing) distance between sources of EMI andsusceptible devices• managing use of frequencies close to AlarmView™ Systemfrequencies• managing (removing) devices that are highly susceptible toEMI• lower power from internal EMI sources under hospital control(paging systems)• labeling devices susceptible to EMI• educating staff (nurses and doctors) to be aware of, and torecognize, potential EMI related problems• conducting technical remedial action to eliminate EMI, suchas shielding• sharing relevant EMI/EMC information with others, especiallyin evaluation of new equipment purchases which may haveemissions• identifying critical areas where life-support devices are in useand restricting the use of personal communicators (cellularphones) in those critical care areasPurchase critical care devices that comply with IEC 601-1-2EMC standards:• the required level of EMI immunity is 3 volts per meter• the interference level that a medical device can radiate(emit) is 0.0014 volts per meter
 AlarmView™ Service and Installation Manual Page 19The AlarmView™ System has a transmit power level of up to 1watt peak at a pre selected RF frequency between 450 MHz to466 MHzProtection Distance EstimatePeak Power  ofTransmitter Immunity of Medical Device1 V/meter 2 V/meter 3 V/meter1 watt x ft x ft x ft1 watt x m x m x mObtaining Technical SupportDirect all inquires to:Data Critical Corporation19820 North Creek ParkwaySuite 100Bothell, WA 98011For technical advice or information concerning any equipment inyour AlarmView™ System, contact Technical Support.  Call, tollfree at 1-877-DCC-STAT (1-877-322-7828).Copyright © 1998-1999 Data Critical Corp.  All Rights Reserved.
 AlarmView™ Service and Installation Manual Page 20MaintenanceServiceThe AlarmView™ Pager<Insert photo and or screen shot here>Changing the batteryThe AlarmView™ Pager requires one AAA alkaline battery.• Use only 1.5 Volt AAA alkaline battery.• Observe proper polarity when installing battery.• Do not dispose of battery in fire.• Do not attempt to recharge alkaline batteries.• Remove battery from pager if the pager will not beused for 2 days or more.To change the battery:With the back of the pager facing you, carefully remove thebattery cover.  Remove the old battery and throw it away.  Put anew battery in the slot  Be sure that the “+” on the batterymatches up with the “+” on the pager.  Put the battery cover backon the pager.  Turn the pager on to make sure the battery works.PowerCertain pagers will chirp or display a message to tell you that thebattery will need to be replaced.ScreenThe pager screen should be protected to keep from beingscratched and broken.  If the screen should become cracked ormoisture appears inside, the pager should be replaced.
 AlarmView™ Service and Installation Manual Page 21Pager Maintenance• Visual InspectionBe sure to inspect the AlarmView™ Pager unit frequently.Check the case for cracks or other damage.• Cleaning ProceduresTo avoid damage to the device surfaces, do not use the followingcleaning agents:organic solvents,acetone solution,alcohol-based cleaning agents,Betadine solution,a wax containing cleaning substance, orabrasive cleaning agents.Recommended cleaning supplies:sodium hypochlorite bleach, (diluted), ormild soap and waterlint-free clothdust remover (compressed air)To clean the exterior:Dampen a lint-free cloth with one of the recommended cleaningsolutions.  Wring excess moisture from the cloth.  Wipe thedevice exterior.  Dry the surfaces with a lint free cloth.  Clean thedisplay screen with lens tissue.Do not drip any liquid into open vents, plugs, orconnectors.  Cleaning agents must be diluted beforeuse.The pager’s display screen is more sensitive to rough handling,scratches and breakage than the other outside surfaces of thedevice.  Be careful, especially when cleaning the screen surfaceand replacing the battery.
 AlarmView™ Service and Installation Manual Page 22The AlarmView™ Programmer<Insert photo and or screen shot here>Changing the batteryThe AlarmView™ Programmer requires two AAA alkalinebattery, and one CR2016 battery.• Observe proper polarity when installing battery.• Do not dispose of battery in fire.• Do not attempt to recharge alkaline batteries.• Remove battery from PDA if the PDA will not beused for 2 days or more.To change the battery:With the back of the PDA facing you, carefully remove thebattery cover.  Remove the old batteries and throw them away.Put new batteries in the slot.  Be sure that the “+” on the batterymatches up with the “+” on the PDA.  Put the battery cover backon the PDA.  Turn the PDA on to make sure the battery works.PowerThere will be a dialog box notification to tell you that the batterywill need to be replaced.ScreenThe pager screen should be protected to keep from beingscratched and broken.  If the screen should become cracked ormoisture appears inside, the PDA should be replaced.
 AlarmView™ Service and Installation Manual Page 23PDA Maintenance• Visual InspectionBe sure to inspect the AlarmView™ PDA unit frequently.Check the case for cracks or other damage.• Cleaning ProceduresTo avoid damage to the device surfaces, do not use the followingcleaning agents:organic solvents,acetone solution,alcohol-based cleaning agents,Betadine solution,a wax containing cleaning substance, orabrasive cleaning agents.To clean the exterior:Dampen a lint-free cloth with one of the recommended cleaningsolutions.  Wring excess moisture from the cloth.  Wipe thedevice exterior.  Dry the surfaces with a lint free cloth.  Clean thedisplay screen with lens tissue.Do not drip any liquid into open vents, plugs, orconnectors.  Cleaning agents must be diluted beforeuse.The PDA’s display screen is more sensitive to rough handling,scratches and breakage than the other outside surfaces of thedevice.  Be careful, especially when cleaning the screen surfaceand replacing the batteries.
 AlarmView™ Service and Installation Manual Page 24OverviewAlarmView Transmitterv The transmitter operates at one of several frequencies.The frequency of the transmitter must match the frequency of thepagers installed on the system.  The transmitter has a range ofapproximately 300 feet.  This range is site-specific andinfluenced by factors such as antenna placement and buildingconstruction.AlarmView PagerThe AlarmView pagers are small, battery-operated pagers thatcan be worn on a belt.
 AlarmView™ Service and Installation Manual Page 25Installing the EquipmentPre-Installation RequirementsPower RequirementsOne properly grounded duplex wall receptacle should beprovided for each system.  Additional receptacles may berequired to accommodate peripheral equipment connected to thesystem.  The wall receptacle must be installed in an approvedjunction box. Use only 3-prong, polarized, medical-grade wallreceptacles to accept the 3-prong, polarized, medical-grade plugon the computer equipment.!WarningsThe AlarmView transmitter and all peripheral equipmentmust be adequately grounded, or a shock hazard may exist.Observe the following grounding recommendations:v All wall receptacles and all exposed metal parts (beds,radiators, water pipes, etc.) in any patient area should beelectrically connected together by sharing a commongrounding point.  This common ground point should beconnected to the nearest equipotential ground through abonded grounding system, or with a 10 AWG strandedcopper grounding cable.v The equipotential ground point should be as close to earthground potential as possible.  If a bonded grounding systemis not available, the ground pin of each wall receptacle mustbe individually connected to a central grounding point.  Donot jumper from ground pin to ground pin of the receptacles.
 AlarmView™ Service and Installation Manual Page 26v The grounding system must not carry current, such asgrounded neutral, since the current flow produces potentialdifferences along the ground path.  These potentialdifferences are a shock hazard source for equipment usersand patients.v Do not use conduit as a ground conductor.  Plastic (PVC)piping or fittings used in the conduit runs can break theelectrical connection to ground, resulting in potential shockhazards.v The electrical grounding system should be connected on anearth ground.  If this is not possible, then a good groundreference such as a metal water pipe or an electrically-conductive building component should be used.  It is moreimportant that all grounded objects in the patient area are atthe same ground potential, rather than at earth groundpotential.Equipment InstallationInstallation of the AlarmView system consists of the followingsteps.!WarningsSHOCK HAZARD – A shock hazard may exist if externaldevices are connected other than as described in thismanual, or as directed by the manufacturer.CautionsExternal equipment must be connected to the system onlyby qualified biomedical engineering personnel.  Onlyexternal devices specifically designed to be connected tothe AlarmView system, approved by Data Critical for usewith the AlarmView system, should be connected, asspecified in this manual or as otherwise specified by themanufacturer.  All external cabling used with theAlarmView system must be routed so as not to interferewith access or operation of the system.  All cabling must beinstalled to protect against accidental disconnection of thecables.
 AlarmView™ Service and Installation Manual Page 27v Power for all peripheral equipment is installed, tested, andready for use.  This includes testing for proper grounding ofthe power source.v All equipment, including all peripheral devices, must beunpacked and ready for installation.  All required cablesmust be identified and prepared for installation.v Install the transmitter at the desired location.v Connect the transmitter to the power source.v Connect the antenna to the transmitter.Do not turn on the unit orattempt to transmit patient dataunless the antennas areattached; if you do not attachthe antenna, you may damagethe radio module.
 AlarmView™ Service and Installation Manual Page 28AlarmView Quick StartConfiguring the SystemThe PDA is used to change or view the current setup (i.e. thebed number and the pager cap codes) of the transmitter.  Toprogram the transmitter, the transmitter must be trying toestablish communications with the patient monitoring equipment(the LED is ORANGE), or have established communications withthe patient monitoring equipment (the LED is GREEN).
 AlarmView™ Service and Installation Manual Page 29The Editor ProgramTurn the PDA “ON”.  The first screen of the PDA will appear andwill resemble the screen below.Select the Windows Start menu button.From the Windows Start menu, select the “AV System Manager”program.
 AlarmView™ Service and Installation Manual Page 30The AlarmView System Manager main screen will appear asshown below.
 AlarmView™ Service and Installation Manual Page 31Tap the About button for information about the System Managersoftware.Tap the OK Button to return from this dialog box.
 AlarmView™ Service and Installation Manual Page 32Now tap the Editor Button on the Main Screen.  The followingwarning will appear.Pressing the “No Button” will return the user to the AlarmViewSystem Manager main screen.  Pressing the “Yes Button” willlaunch the “AlarmView Editor” program.  This is the programused to setup which bed number and cap codes are present inthe system.  It can be reconfigured when pagers are sent back tothe factory, or new pagers are obtained.
 AlarmView™ Service and Installation Manual Page 33To configure the bed numbers available in the system, tap theBed Numbers 1 - 24 tab or the Bed Numbers 24 – 48 tab.  Thefirst tab lists the first 24 bed numbers available to the system.The second tab lists the last 24 bed numbers available to thesystem.  It is not necessary to fill in all 48 slots.Below is the Bed Numbers 1 – 24 screen.
 AlarmView™ Service and Installation Manual Page 34Below is the Bed Numbers 24 – 48 screen.  Note that the “active”tab is displayed in all caps.
 AlarmView™ Service and Installation Manual Page 35Bed Numbers can be added and deleted from this list.  Click on abed number to edit.  Using the stylus, tap the backspace key onthe keyboard to delete the bed number to be edited (or highlightthe entire bed number as shown below), and using the numbersand letters on the key board, type in the new bed number.  Tapthe “Save” button on completion, or the “Exit” button to exit theEditor Program.
 AlarmView™ Service and Installation Manual Page 36If the keyboard is not visible, tap the keyboard icon to display thekeyboard.  If an additional bed number is desired, a bed numbercan be added to any blank space on page one or two of the bednumber listing.  Simply tap the cursor in the blank space andbegin typing the new bed number.To edit the pager numbers, tap the “Pagers” tab on the upperright of the screen.  The “AlarmView Editor” Screen Pagers pagewill appear.
 AlarmView™ Service and Installation Manual Page 37Pager Cap Codes can be added and deleted from this list.  Clickon a cap code number to edit.  Using the stylus, tap thebackspace key on the keyboard to delete the cap code numberto be edited (or highlight the entire cap code number), and usingthe numbers and letters on the key board, type in the new capcode number.  Tap the “Save” button on completion, or the “Exit”button to exit the Editor Program.If the keyboard is not visible, tap the keyboard icon to display thekeyboard.  If an additional bed number is desired, a bed numbercan be added to any blank space on page one or two of the bednumber listing.  Simply tap the cursor in the blank space andbegin typing the new bed number.Note that the global cap code value can not be changed by theuser.To restore values to the state they were in before editing began,tap the Restore Button on any of the pages before pressing theSave Button.  Once the Save Button has been pressed,however, the original values are not restored.
 AlarmView™ Service and Installation Manual Page 38When the “Editor Program” is exited, the Main Screen is againdisplayed.
 AlarmView™ Service and Installation Manual Page 39The Configuration ProgramIf the main PDA screen is displayed, tap Windows Start menubutton.From the Windows Start menu, select the “AV System Managerprogram.
 AlarmView™ Service and Installation Manual Page 40The AlarmView System Manager main screen will appear asshown below.
 AlarmView™ Service and Installation Manual Page 41To launch the Configuration Program, tap the Programmingbutton.  The “Configuration Program” Main Screen will appear.This program is used to change the transmitter’s setup of bednumbers, cap codes, alarm severity, and reminder page interval.It also displays information that can not be modified by the user.This information includes: monitor identifier (N3000, N295,N290), transmitter number, hardware version, software version,protocol version, authorize identification, paging frequency, andpaging baud rate.  This program can be used at shift change, orwhenever there is a need to change/view the current transmitterconfiguration.
 AlarmView™ Service and Installation Manual Page 42To obtain the current configuration programmed into thetransmitter, tap the “Download Configuration Button”.  When thisbutton is tapped, the PDA attempts to establish communicationswith the transmitter.  If the IR port could not be accessed, thefollowing dialog box will be displayed.Tap the OK button to close this dialog box and return to theConfiguration Program main screen.If the IR port could be accessed, but communications could notbe established between the PDA and the transmitter, thefollowing error dialog box will be displayed:
 AlarmView™ Service and Installation Manual Page 43When “OK” is tapped on this dialog box, the ConfigurationProgram main screen will be displayed with a status messageinforming the user of a “Failed to Connect” status.
 AlarmView™ Service and Installation Manual Page 44At this point, simply point the PDA at the transmitter, and tap the“Download Configuration Button” again.  While the transmitter isbeing queried, the Configuration Program main screen will bedisplayed with a status message informing the user of a “LoadingData” status.  The PDA will be in this state for less than 2seconds.
 AlarmView™ Service and Installation Manual Page 45When the transmitter has been successfully queried, theConfiguration program main screen will be displayed with astatus message informing the user of a “Transmitter DataLoaded” status.
 AlarmView™ Service and Installation Manual Page 46At this point, if the displayed data is correct, no changes need bemade, and the user is done.  Exit the Configuration Program bytapping the “X” in the upper right corner of the screen.If the data needs to be changed, the Patient Bed Number can beselected by tapping on the bed number drop down list, andhighlighting the desired bed number.A maximum of two pagers can be selected by clicking the radiobutton next to the desired pager number.To change/view alarm severity selection or reminder pageintervals, tap the Advanced Setup Button on the upper left of thescreen.  If no data has been previously downloaded, the PDA willattempt to establish communications with the transmitter.  Whenthe data is downloaded, the following screen will appear.
 AlarmView™ Service and Installation Manual Page 47Alarm Severity selections:Send All Alarms indicates that all alarms will be sent to thepagers regardless of the severity of the alarms.Only Critical Alarms indicates that only critical (high priority andmedium priority) alarms will be sent to the pagers.Reminder interval indicates the time interval at which reminderswill be sent after the original alarm has not been silenced.Tap the OK button when all changes have been made.To view transmitter data that can not be modified by the user, tapthe Current Configuration Button on the upper left of the screen.If no data has been previously downloaded, the PDA will attemptto establish communications with the transmitter.  When the datais downloaded, the following screen will appear.Tap the “Program Transmitter” button to program the transmitterwith the newly selected values.
 AlarmView™ Service and Installation Manual Page 48If no bed number was selected before the “Program” button wastapped, the following error dialog box will appear.If no cap code was selected before the “Program” button wastapped, the following error dialog box will appear.Exit both of the above dialog boxes by tapping the OK Button.After the above error conditions are rectified, tap the “ProgramTransmitter” button again.  When this button is tapped, the PDAattempts to establish communications with the transmitter.
 AlarmView™ Service and Installation Manual Page 49If the IR port could not be accessed, the following dialog box willbe displayed.Tap the OK button to close this dialog box and return to theConfiguration Program main screen.If the IR port could be accessed, but communications could notbe established between the PDA and the transmitter, thefollowing error dialog box will be displayed:
 AlarmView™ Service and Installation Manual Page 50When “OK” is tapped on this dialog box, the ConfigurationProgram main screen will be displayed with a status messageinforming the user of a “Failed to Connect” status.
 AlarmView™ Service and Installation Manual Page 51At this point, simply point the PDA at the transmitter, and tap the“Program Transmitter Button” again.  While the transmitter isbeing queried, the Configuration Program main screen will bedisplayed with a status message informing the user of a“Programming” status.  The PDA will be in this state for less than2 seconds.
 AlarmView™ Service and Installation Manual Page 52When the transmitter is successfully programmed, theConfiguration Program main screen will be displayed with astatus message informing the user of a “ProgrammingSuccessful” status.
 AlarmView™ Service and Installation Manual Page 53A “Programming Successful” page will also be sent to the newlyselected pagers, displaying the newly selected bed number.<Insert photo and or screen shot here>Exit the “Configuration” program by tapping the “X” in the upperright corner of the screen.When the Configuration Program has been exited, the SystemManager Program main screen will be displayed as shown:Exit this program by tapping the Exit Button in the upper left ofthe screen.
 AlarmView™ Service and Installation Manual Page 54Survey PagesThe Survey Mode is a mode in which frequent periodic pagesare sent from the transmitter to the assigned pager(s).  Thismode can be used to determine areas of coverage for thesystem.  To begin the Survey Mode, turn on the transmitter, asdescribed above.  The transmitter should not be attached to anypatient monitoring equipment as this point.  The LED on the frontof the transmitter will be ORANGE to indicate that the transmitteris attempting to establish communications with the patientmonitoring equipment.  Press the button on the top of thetransmitter, and hold the button down for approximately 5seconds.  A numbered “Survey Page” will be sent.  Every 15seconds, another “Survey Page” will be sent.  This will continueuntil one hundred pages have been sent.  To stop the surveymode before one hundred pages have been sent, press thebutton on the top of the transmitter, and hold the button down forapproximately 5 seconds.Pages sent during the Survey Mode will have a line of data,which will indicate that the Survey Mode is in process.Pages sent during the Survey Mode will contain the followingdata:Bed NumberTransmission Number (in sequence)<Insert photo>
 AlarmView™ Service and Installation Manual Page 55Communicating WithPatient MonitoringEquipmentTurn on the transmitter, as described above.  Attach the serialcable to the RJ-45 port.  Attach the other end of the cable to thepatient monitoring equipment.  The transmitter will automaticallydetect the monitor (assuming it is an N-3000, N-295, or N-290).Once communications have been established with the patientmonitoring equipment, a page will be sent to the pager indicatingthis, and the LED will turn GREEN.The communications established page will have the followingdata:Bed: xxxxxComms OK<Insert photo and or screen shot here>From that point, all alarms at the patient monitoring equipmentwill be sent to the pager(s), as assigned by the PDA (asdescribed above).
 AlarmView™ Service and Installation Manual Page 56Test PagesTest pages can be used to verify proper communications withthe patient monitor.  Turn on the transmitter, as described above,and establish communications with the patient monitoringequipment (the LED will be GREEN).  Once communications isestablished, press the button on the transmitter (but, do not holdit down).  A “Test Page” will be sent indicating the current patientdata (SPO2, and Pulse Rate).  Note that alarms take precedenceover Test Pages, and will be sent first.Test PageBed: xxxxxPR: xxxSPO2: xxx<Insert photo and or screen shot here>POSTTBD
 AlarmView™ Service and Installation Manual Page 57GlossaryBNC Connector: A type of connector used with coaxialcables. The basic BNC connector is a maletype mounted at each end of a cable. Thisconnector has a center pin connected to thecenter cable conductor and a metal tubeconnected to the outer cable shield. Arotating ring outside the tube locks the cableto any female connector. This is the type ofconnector that the antenna uses to connectto the transmitter.IR Port: Infrared port.  An IR Port is used by thePDA to “talk” to the transmitter.PDA: Personal Digital Assistant (Palm Pilot,Cassiopeia, etc.)POCSAG: Post Office Code Standardization AdvisoryGroupRFTransmissions: Radio Frequency transmissionsRJ-45 Connector: Short for Registered Jack-45, an eight-wireconnector commonly used to connectcomputers. Looks similar to the connectorsused for connecting telephone equipment,but they are somewhat wider.UHF Band: Ultra High Frequency BandwidthWindows CE: The operating system of the PDA

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