Data Critical AVTS1030 Model AVTS1030, Rule Part 90.203(j)(7) User Manual AV AdminManual 10 27 2000
Data Critical Corporation Model AVTS1030, Rule Part 90.203(j)(7) AV AdminManual 10 27 2000
Contents
- 1. User Guide
- 2. Admin Manual
Admin Manual
EXHIBIT EE – Admin Manual FCC ID# NMEAVTS1030 Wireless Data Network System Administrator’s Manual The AlarmView™ System is intended for use with Nellcor™ NPB-290, NPB-295, N-395, and N-3000 Pulse Oximeters AlarmView™ is a trademark of Data Critical Corporation. Nellcor Puritan Bennett Inc. is a wholly owned subsidiary of Mallinckrodt Inc. Nellcor™ is a trademark of Mallinckrodt Inc. Microsoft® and Windows® CE are registered trademarks of Microsoft Corporation. Compaq® and Aero® are registered trademarks of Compaq Computer Corporation. All other trademarks and registered trademarks are the property of their respective owners. © 2000 Data Critical Corporation. All rights reserved. AlarmView™ Wireless Data Network System Administrator’s Manual Table of Contents USING THIS M ANUAL ................................................................................... 1 Procedures ............................................................................................ 1 Warnings ............................................................................................... 1 Cautions ................................................................................................ 1 Notes ..................................................................................................... 1 For Basic Operations ............................................................................ 2 SAFETY INFORMATION ................................................................................. 3 System Warnings .................................................................................. 3 SECTION 1: ALARMVIEW™ SYSTEM OVERVIEW ........................................... 6 Introduction............................................................................................ 7 List of Components ............................................................................. 10 System Features ................................................................................. 11 Transmitter ...................................................................................... 11 Programmer..................................................................................... 14 Pager ............................................................................................... 15 SECTION 2: SYSTEM SPECIFICATIONS ........................................................ 18 AlarmView System .............................................................................. 18 Programmer ........................................................................................ 18 Transmitter .......................................................................................... 19 Pager (Percomm)................................................................................ 20 Electromagnetic Interference (EMI) .................................................... 67 SECTION 3: INSTALLATION ........................................................................ 21 Setting Up Transmitter ........................................................................ 21 Connect Antenna............................................................................. 21 Connect to AC Power ...................................................................... 22 Connect to Monitor .......................................................................... 23 Transmitter Placement .................................................................... 25 Turning Transmitter On ................................................................... 26 Turning Transmitter Off ................................................................... 28 Operating Transmitter On Battery Power............................................ 28 SECTION 4: INSTALL PROGRAM ................................................................. 29 Using The Install Program .................................................................. 29 Changing System Parameters ............................................................ 30 Changing System Password ........................................................... 31 Changing Individual Transmitter Assignments ................................ 33 Changing Survey Page Configuration ............................................. 40 Changing Global System Parameters ............................................. 41 SECTION 5: TESTING AND PERIODIC MAINTENANCE ................................... 45 Testing System Safety ........................................................................ 45 Earth Leakage Current .................................................................... 45 Testing System Performance.............................................................. 46 Communications Page .................................................................... 46 Test Page ........................................................................................ 47 Transmitter Range Test (Survey Paging) ........................................... 48 Periodic Maintenance.......................................................................... 51 Batteries .......................................................................................... 51 Cleaning Procedures ....................................................................... 52 Inspection and Testing .................................................................... 52 Service............................................................................................. 53 SECTION 6: TROUBLESHOOTING ................................................................ 54 Error Messages................................................................................... 54 Getting System Information................................................................. 64 Determining Programmer Software Version ....................................... 65 Repairing and Replacing Parts ........................................................... 66 Technical Support ............................................................................... 69 APPENDIX A: DEFAULT SETTINGS ........................................................... A-1 Transmitter .........................................................................................A-1 Pager..................................................................................................A-1 APPENDIX B: INITIAL INSTALLATION PROCEDURE ..................................... B-1 INITIAL INSTALLATION PROCEDURE ............................................B-1 APPENDIX C: RESTORING THE PROGRAMMER’S SOFTWARE ..................... C-1 RESTORING ALARMVIEW PROGRAMMER SOFTWARE............. C-1 AlarmView™ System Administrator’s Manual Using this Manual Procedures As you work through this guide, steps to perform are numbered in sequence. For example: 1. Turn monitor off or disconnect cable from transmitter. 2. Press On/Off button on transmitter. Warnings Warnings alert you to potential serious outcomes (including death, injury, or adverse events) to the patient or user. Warnings are identified by this symbol. Cautions Cautions alert you to actions or conditions necessary for the safe use of the equipment to prevent damage or malfunction. Cautions are identified by this symbol. Notes Notes provide additional tips or hints to make it easier for you to work with the AlarmView System. Notes are identified by this symbol. 880-0326-01 REV. A Page 1 AlarmView™ System Administrator’s Manual For Basic Operations This manual contains information on AlarmView system specifications, system configuration, programming, testing, maintenance, and troubleshooting. Only qualified personnel should service the AlarmView System. You should also review the AlarmView™ Wireless Data Networking System User’s Guide carefully to gain a complete understanding of AlarmView System daily operations not covered in this manual. 880-0326-01 REV. A Page 2 AlarmView™ System Administrator’s Manual Safety Information System Warnings Prescription - Federal (USA) law restricts this device to sale by or on the order of a physician. Patient Monitoring – The most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment. Secondary Patient Monitoring System – The bedside monitor and designated station make up the patient monitoring system. Patient alarm conditions and notifications are primary functions of the patient monitoring system. It is imperative that patient alarm conditions be monitored at the primary monitor or designated station. The AlarmView System is not intended for use as the primary source for patient alarm notification. Explosion Hazard – Do not use the AlarmView System in the presence of flammable anesthetics, skin cleaning agents, disinfectants or gases. Care must be taken when the device is used in oxygen-enriched environments (where room air contains 25% or more oxygen or nitrous oxide). Electrical Shock – To reduce the risk of electrical shock, do not remove the cover of the AlarmView transmitter. Refer servicing to qualified personnel. Do not spray or spill any liquid on the AlarmView transmitter, power supply, pager, programmer, or any accessories, connectors, switches or openings in the equipment. Pacemaker Interference – The programmer’s speaker may cause interference with some pacemakers when used in close proximity. For patients with pacemakers, do not use the AlarmView programmer near a patient’s chest area or place the programmer on a patient’s chest. 880-0326-01 REV. A Page 3 AlarmView™ System Administrator’s Manual Radio Frequency (RF) Radiation Safety – The AlarmView transmitter is designed for use as a mobile device as defined by the Federal Communications Commission (FCC). Do not place the transmitter on a patient’s or user’s body. Ensure that the transmitter is located at least 20 cm (8 inches) from a patient or user’s body. Location of the transmitter closer than 20 cm (8 inches) to a person’s body will void the user’s FCC authority to operate the equipment. Transmitter Placement – Do not place the AlarmView transmitter in any position where it might fall on and potentially harm a patient. Do not lift the transmitter or connected monitor by the interface cable or power cord, as they may become disconnected and cause the transmitter and/or monitor to fall on and potentially harm a patient. Use During Defibrillation – The AlarmView transmitter is not electrical shock-proof. When attached to a monitor that is attached to a patient during defibrillation or while an electrosurgical unit is in use, the transmitter may temporarily lose communication with the monitor and/or pages may be delayed. Transmitter Range – Users are not notified when the AlarmView pagers are out of range of the AlarmView transmitter. A range test must be performed (as indicated in the Administrator’s Manual) to determine system boundaries. System Redundancy – To provide redundancy, the AlarmView System should consist of at least two pagers. If one pager is not receiving pages for any reason and the alarm is not silenced at the monitor, the second pager will be notified by a reminder page. If redundancy is not possible, caregivers should use extra vigilance in monitoring the patient and use the primary monitoring alarm. Site Surveys – Each institution is responsible for surveying existing equipment and ensuring no interference risk exists when introducing additional devices. 880-0326-01 REV. A Page 4 AlarmView™ System Administrator’s Manual Transmission Bands – Each institution is responsible for continued surveillance of transmission bands in the facility to prevent cooccupation of bands and cross-band interference. Environment – Data Critical does not assume responsibility for damage caused to the equipment by improper use or installation. Home Use – The AlarmView System is not intended for home use. IEC Standards – When connecting the AlarmView transmitter to any monitor, verify proper operation before clinical use. Both the transmitter and the monitor connected to it must be connected to a grounded outlet. Accessory equipment connected to the monitor’s data interface must be certified according to IEC Standard 950 for data-processing equipment or IEC Standard 60601-1 for electromedical equipment. All combinations of equipment must be in compliance with IEC Standard 60601-1-1 systems requirements. Anyone who connects additional equipment to the signal input port configures a medical system and is therefore responsible for ensuring that the system complies with the requirements of system standard IEC Standard 60601-1-1 and the electromagnetic compatibility system standard IEC Standard 60601-1-2. 880-0326-01 REV. A Page 5 AlarmView™ System Administrator’s Manual Section 1: AlarmView™ System Overview WARNING: As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. WARNING: Do not use an AlarmView transmitter, pager, or programmer that appears to be damaged. WARNING: The AlarmView wireless data network system is a secondary alarm notification system. The AlarmView System is intended to supplement and not to replace any part of the hospital’s device monitoring procedures (including procedures regarding bedside pulse oximeters and responding to bedside oximeter alarms). The delivery of pages cannot be guaranteed or verified. Do not rely on the AlarmView System as the sole source of oximetry alarms. WARNING: An AlarmView System must always consist of at least two pagers, so that if one pager is temporarily not receiving pages (for example, because the batteries are exhausted or the user is out of range) and no one silences the alarm at the monitor, the second pager will be notified via a reminder page. WARNING: To ensure accurate performance and prevent device failure, do not subject the AlarmView System to extreme moisture, such as direct exposure to rain. Such exposure may cause inaccurate performance or device failure. The transmitter, transmitter power supply, programmer and/or pager must be removed from service and returned to Data Critical if they ever become submerged in liquid. 880-0326-01 REV. A Page 6 AlarmView™ System Administrator’s Manual Introduction The AlarmView System is a complete, secondary patient monitoring system. AlarmView notifies caregivers of patient events using a wireless network that supplements the primary notification system. AlarmView is intended for use in hospitals and hospital-type facilities, such as surgical centers, subacute centers, special nursing facilities and sleep labs. Hospital use typically includes areas for general care, special procedure, intensive and critical care, and operating rooms. Intended patient population consists of all patients for whose physicians have ordered pulse oximetry monitoring. AlarmView consists of the following three basic components: • • • Transmitter Pager Programmer At each bedside, a transmitter connects to the data port on the patient monitor. The transmitter detects alarms identified by the monitor, and sends the information to one or more text pagers worn by caregivers within 10 seconds for single alarms. Multiple alarms are sent within approximately 60 seconds. The pager is worn by the caregiver responsible for the patient. It receives Alarm Pages in the form of text messages from the transmitter and displays immediate information about the patient and type of alarm. If an alarm condition continues or is not silenced at the monitor, a Reminder Page is sent once to all pagers in the care unit. The programmer is a handheld computing device running the Microsoft® Windows® CE Operating System. Proprietary AlarmView software used to configure the AlarmView System is pre-installed in the programmer. 880-0326-01 REV. A Page 7 AlarmView™ System Administrator’s Manual The AlarmView pager coverage is limited and designed to cover a care unit. Operating range from the AlarmView transmitter to pager is approximately 150 feet with no intervening structures (walls, columns, doors, floors, etc.). Coverage is not long range. Exact coverage area will be determined during initial installation, and you can re-examine the coverage area at any time by performing a Transmitter Range Test (as indicated in Section 5: Testing and Periodic Maintenance). 880-0326-01 REV. A Page 8 AlarmView™ System Administrator’s Manual AlarmView™ Wireless Data Network Components 880-0326-01 REV. A Page 9 AlarmView™ System Administrator’s Manual An AlarmView System includes up to 24 transmitters (one for each bedside oximetry monitor), up to 12 pagers, and one programmer. All transmitters and pagers within one system operate on the same radio frequency and baud rate. Pages will not be received if the pager is out of range. The system communicates as indicated in the functional diagram below: AlarmView™ System Functional Diagram List of Components An AlarmView System consists of the following components: • • • • • • • • • • • Transmitter (up to 24) Antenna (1 per transmitter, to 24) Interface Cable (1 per transmitter, to 24) Transmitter Power Supply (1 per transmitter, to 24) Hospital-grade AC Power Cord (1 per transmitter, to 24) Programmer (1) Rechargeable Battery Pack for Programmer (1) (pre-installed) AC Adapter Cord (1) Pager with Holster (up to 12) AlarmView System User’s Guide AlarmView System Administrator’s Manual (this manual) 880-0326-01 REV. A Page 10 AlarmView™ System Administrator’s Manual System Features Transmitter The AlarmView transmitter interfaces with stand-alone patient monitors. Alarm settings and parameters are entered in the monitor – the transmitter itself does not screen or select alarms. When the monitor goes into alarm, the transmitter detects the alarm from the monitor, then transmits that alarm to an assigned pager or pagers. The alarm is transmitted as a text message to the pager(s). Data relayed includes patient bed number, alarm type, and parameter values. All transmitters and pagers in an AlarmView System operate on the same defined frequency and baud rate. The antenna must be connected to the transmitter before the transmitter is turned on. Turning the transmitter on without the antenna connected may damage the transmitter. Do not disconnect the antenna while the transmitter is turned on. The AlarmView transmitter is designed for use as a mobile device as defined by the Federal Communications Commission (FCC). Do not place the transmitter on a patient’s or user’s body. Ensure that the transmitter is located at least 20 cm (8 inches) from a patient or user’s body. Location of the transmitter closer than 20 cm (8 inches) to a person’s body will void the user’s FCC authority to operate the equipment. 880-0326-01 REV. A Page 11 AlarmView™ System Administrator’s Manual Top Panel Transmitter Top View On/Off button turns the transmitter on and off. It is also used to initiate Test Pages, and to select All Pagers from the transmitter (refer to Section 5: Testing and Periodic Maintenance for an explanation of Test Pages and Section 4: Install Program for an explanation of selecting All Pagers). Front Panel Transmitter Front View 880-0326-01 REV. A Page 12 AlarmView™ System Administrator’s Manual AC Indicator Off Transmitter is not connected to AC power. Green Transmitter is connected to AC power and the battery is charging. Transmitting Indicator Off Transmitter is not attempting to transmit. Amber Transmitter is attempting to transmit, but cannot due to interference (for example another transmitter is transmitting at the same frequency and in the same vicinity). Green Transmitter is transmitting a page. If the Transmitting Indicator remains green for more than two (2) seconds, the transmitter is malfunctioning and should be taken out of service. Contact Data Critical for repair or replacement. If the Transmitting Indicator remains amber for more than ten (10) seconds, it may be an indication of interfering transmissions in the vicinity. Contact the appropriate personnel at your facility for an assessment. Communications Indicator Off Transmitter is turned off. Amber Transmitter is turned on, but is either not connected to monitor, or is unable to communicate with monitor. Green Transmitter is turned on and is communicating with the monitor. 880-0326-01 REV. A Page 13 AlarmView™ System Administrator’s Manual Rear Panel Transmitter Rear View Monitor Input and Power Input ports. WARNING: In the USA, do not connect the AlarmView transmitter to an electrical outlet controlled by a wall switch, because AC power may accidentally turned off. WARNING: To ensure patient safety, do not place the AlarmView transmitter in any position that might cause it to fall on the patient. WARNING: Do not lift the monitor by the sensor cable or power cord, because the cable or cord could disconnect from the monitor, causing the monitor to drop on the patient. Programmer The AlarmView Programmer is a handheld computing device, or personal digital assistant (PDA), that is used to setup and change the configuration of the AlarmView transmitter. Data is exchanged between the transmitter and the programmer via Infrared (IrDA) ports on both the programmer and transmitter. The programmer is to be used for the AlarmView System only. Programming that is not used for the AlarmView System has been disabled. Do not attempt to load, enable, or use other software with the programmer, as it may corrupt or damage system software. 880-0326-01 REV. A Page 14 AlarmView™ System Administrator’s Manual Below is a picture of a typical programmer. Your programmer may differ slightly from the one shown here. Programmer Front & Side Views Pager The AlarmView pager is worn by caregivers assigned to monitor patients. It is intended as an additional means of receiving patient alarm information. Within seconds of detecting an alarm identified by the oximetry monitor, the transmitter sends an Initial Alarm Page to its assigned pager(s) only. Each transmitter can be programmed to send the Initial Alarm Page to one pager, two pagers, or all pagers. Information communicated includes bed number, alarm type, and parameter values, such as blood oxygenation (SPO2), pulse rate, or heart rate that is outside alarm limits. 880-0326-01 REV. A Page 15 AlarmView™ System Administrator’s Manual If the alarm condition continues or has not been silenced at the monitor, the transmitter will follow up with a Reminder Page sent once to all pagers in the system. Pagers are identified in the system using a Cap Code. Cap codes are 7-digit numbers unique to each pager. The seven (7) digits correspond to the last seven digits of the pager’s serial number (located on the back of the pager). If the serial number is less than seven digits, then add zeros in front. For example, if a pager’s serial number is 45678, its cap code is 0045678. Because basic pager operations vary in different models, functions such as turning pager on/off, setting tone or vibrate, contrast, backlight, and replacing batteries are not covered here. Refer to Appendix A: Basic Pager Functions in the AlarmView System User’s Guide. Replace pager batteries weekly. If pager batteries are low or depleted, the pager’s range may be reduced or the pager may not correctly receive pages. Alarm Pages The pager must be turned on to receive pages. Do not turn the pager off at any time when being used for alarm notification. Doing so may result in failure to receive notice of a patient alarm. Alarm pages are prioritized for four (4) event levels (4=immediate, 3=high, 2=medium, 1=low). 880-0326-01 REV. A Page 16 AlarmView™ System Administrator’s Manual The transmitter will send alarm pages to the pager in a format similar to the following example. Bed: 1234 Low Sat SPO2: 83% PR: 70 bpm The first line displays the bed number of the patient being monitored. The second line of the message will display the type of alarm. The third and fourth lines display the SpO2 percentage and pulse rate readings at the time of the alarm. If the page is sent from a transmitter attached to a Nellcor N3000 monitor with ECG and/or respiration capabilities, the last line of the message will display the pulse rate, heart rate, if available, or respiration parameter that is outside alarm limits. The following is a picture of a typical pager. Pager may differ slightly from the one shown here. AlarmView™ Pager 880-0326-01 REV. A Page 17 AlarmView™ System Administrator’s Manual Section 2: System Specifications Each hospital or healthcare facility can use up to six (6) sets of AlarmView Systems, with 24 transmitters each, each set operating on its own channel. AlarmView System Parameter Setting Single Alarm Response Time Up to 10 seconds Multiple Alarm Response Time Up to 60 seconds* *Only valid for five (5) simultaneous alarms. Programmer Parameter Operating System Batteries (main) Rechargeable Battery Life Batteries (backup) Battery Operation Number of Beds Number of Transmitters Number of Pagers FCC Compliant 880-0326-01 REV. A Setting Microsoft® Windows® CE 1 rechargeable battery pack 300 to 500 charge/discharge cycles 1 3V coin battery included (CR2032) Program up to 24 transmitters, 3 times a day for 1 week Maximum 48 Maximum 24 Maximum 12 FCC Part 15 Page 18 AlarmView™ System Administrator’s Manual Transmitter Parameter Physical Dimensions Battery Life Battery Operation Output Power Frequency Range Typical Range (no intervening structures) Input Voltage Antenna Terminal Designed Impedance Temperature Range (normal operation) Temperature Range (storage) Altitude (normal operation) Mechanical Shock Water Resistance (transmitter, not power supply) Radiated Immunity (radio-frequency electromagnetic fields) Conducted Immunity (conducted-frequency electromagnetic energy) FCC Compliant 880-0326-01 REV. A Setting 5.25” x 1.5” x 3” (13.3 x 3.8 x 7.6 cm) 2 years of normal operation Approximately 45 minutes 250 mW nominal 400 mW maximum 450 MHz to 466 MHz Approx. 150 ft (46 m) +15V DC, 1.5 amps 50 ohms 32ºF to 113ºF (0ºC to 45ºC) at 5% to 95% RH, non-condensing -4ºF to 140ºF (-20ºC to 60ºC) at 5% to 95% RH, non-condensing 0 ft to 10,000 ft (0 m to 3,048 m) IEC 68-2-27 IEC 529 Class IPXI Up to 3V/meter from 80 MHz to 1 GHz MIL-STD-461D CSI14 Level 3 FCC Part 90 Page 19 AlarmView™ System Administrator’s Manual Pager (Percomm) Parameter Notification Tone Received Data Battery Battery Operation Frequency Range Temperature Range (normal operation) Temperature Range (storage) Altitude (normal operation) Water Resistance FCC Compliant 880-0326-01 REV. A Setting Audible Tone (8 sec) or Vibration (6 sec) POCSAG encoded 1 AAA standard alkaline 2 weeks normal operation 450 MHz to 466 MHz 32ºF to 113ºF (0ºC to 45ºC) at 5% RH to 95% RH, non-condensing -4ºF to 140ºF (-20ºC to 60ºC) at 5% RH to 95% RH, non-condensing 0 ft to 10,000 ft (0 m to 3,048 m) IEC 529 Class IPXI FCC Part 15 Page 20 AlarmView™ System Administrator’s Manual Section 3: Installation Setting Up Transmitter Before first use of a transmitter or transmitters in a care unit, perform a Transmitter Range Test (Per Section 5: Testing & Periodic Maintenance, “Transmitter Range Test: Survey Paging”). This will establish the limits of unit coverage. Connect Antenna 1. Connect antenna to the top of the transmitter. For best transmission, antenna must be pointing up. Range will be limited if antenna is not vertical. The transmitter is designed for use as a mobile device as defined by the Federal Communications Commission (FCC). Do not place the transmitter on a patient’s or user’s body. Ensure that the transmitter is located at least 20 cm (8 inches) from a patient or user’s body. Location of the transmitter closer than 20 cm (8 inches) to a person’s body will void the user’s FCC authority to operate the equipment. 880-0326-01 REV. A Page 21 AlarmView™ System Administrator’s Manual Connect to AC Power 1. Connect the power supply cord to the power input port on the rear panel of the transmitter. 2. Plug the AC power cord into the other end of the power supply. Only use the hospital-grade power cord provided by Data Critical. 3. Plug the AC power cord into a properly grounded AC outlet. Power Supply with Hospital-grade AC Power Cord 880-0326-01 REV. A Page 22 AlarmView™ System Administrator’s Manual Although the transmitter can operate on its internal backup battery for a short period of time (up to 45 minutes under normal operation), always use AC power when possible. Connect to Monitor 1. Connect the modular RJ-45 plug end of the interface cable to the input port on rear panel of transmitter. Monitor Input Port 2. Connect the other end of the Data Critical interface cable to the data port on the rear of monitor. A Data Critical serial cable with a 15-pin (Male DB15) connector is required to connect to NPB-290, NPB-295, and N-395 monitors. A Data Critical serial cable with a 7-pin (male 7 pin DIN) connector is required to connect to N-3000 monitor. 880-0326-01 REV. A Page 23 AlarmView™ System Administrator’s Manual NPB-290, NPB-295, and N-395 Monitor Data Port N-3000 Monitor Data Port 880-0326-01 REV. A Page 24 AlarmView™ System Administrator’s Manual A monitor that is not connected to AC power or operating on battery will not communicate with the AlarmView transmitter. The monitor’s data port is disabled when not connected to AC power. AlarmView System will transmit “Comm Fail” in this case. The only exception is the Nellcor N-395 monitor which continues to communicate with the transmitter while operating on battery power. Outlets used for the system should be on the hospital emergency circuit so that they are energized at all times. Transmitter Placement 1. Place transmitter on top of or beside the pulse oximeter it is being used with. To minimize the possibility of the transmitter creating interference with the monitor, place the transmitter at the rear of the monitor. For best results with N-395 monitors, place the transmitter to the right-rear of the monitor. Preferred N-395 Transmitter Placement 880-0326-01 REV. A Page 25 AlarmView™ System Administrator’s Manual Turning Transmitter On The antenna must be connected to the transmitter before the transmitter is turned on. Turning the transmitter on without the antenna connected may damage the transmitter. Do not disconnect the antenna while the transmitter is turned on. 1. Check oximetry monitor to ensure it is plugged in (not operating on battery), functioning properly, and that alarm settings are appropriate. 2. Press On/Off button on top of transmitter. Indicators will flash on and off while transmitter performs a Power-On Self Test (POST) to check its function. Transmitter LED Indicators POST Light Sequence Stage Stage Indication Green Transmitting LED Green Communications LED Amber 880-0326-01 REV. A Test Transmitter program flash memory check External SRAM Operation of Failure Indication Simultaneous flashing of Tx and Mode LEDs Simultaneous flashing of Tx and Mode LEDs Simultaneous flashing Page 26 AlarmView™ System Administrator’s Manual Transmitting LED Amber Communications LED Amber Communications LED Amber Communications LED IrDA UART RF board synch lock Tx ID flash read Setup flash read of Tx and Mode LEDs Alternate flashing of 1 Tx and 1 Mode LED Alternate flashing of 2 Tx and 2 Mode LEDs Alternate flashing of 3 Tx and 3 Mode LEDs Stage 6 Failure is an indication of hardware failure, even if transmitter seems to recover (only exception is when installer has programmed new software into transmitter). In case of a Stage 6 failure, all programming will be lost, and data will need to be reprogrammed into transmitter. 3. The Communications LED is solid green when transmitter has established communication with monitor. The Transmitting LED will flash green, and transmitter will send a Comm OK Page to the assigned pager(s) to confirm communication between the transmitter and monitor. The message will display: Bed: 1234 Comm OK All Pagers* *Last line All Pagers will be replaced with “Pager 1234” if one pager is assigned to transmitter, and “Pager 1234 5678” if two pagers are assigned. The 4 digits correspond to the last 4 digits of the assigned pager(s) cap code. 4. Verify that a page is sent to the assigned pager(s) and that the bed number is correct. The transmitter will now send pages to the assigned pager(s) whenever it detects alarms identified by the monitor. 880-0326-01 REV. A Page 27 AlarmView™ System Administrator’s Manual Turning Transmitter Off The transmitter can be turned off only when it is not communicating with the monitor. To turn the transmitter off: 1. Turn monitor off or disconnect interface cable from transmitter or monitor. Mode LED will be amber. 2. Press On/Off button. Mode LED will be Off. If you disable communications between the transmitter and the monitor and do not turn off the transmitter, the transmitter will send Communication Failure pages to the assigned pagers at periodic intervals for up to one hour. Operating Transmitter On Battery Power The transmitter has an internal, rechargeable backup battery. It can operate on battery power for approximately 45 minutes (under normal operation) if it becomes disconnected from AC power. The battery will automatically recharge when connected to AC power. Solid green AC LED indicates that the transmitter is connected to power, and that the internal battery is recharging. A fully discharged battery takes approximately 17 hours to return to full charge. The transmitter can be used while it is recharging. 880-0326-01 REV. A Page 28 AlarmView™ System Administrator’s Manual Section 4: Install Program Using The Install Program For basic operations of the AlarmView programmer – including On/Off, adjusting contrast, backlight, setting date/time, and recharging or replacing main and backup batteries – refer to Appendix B: Basic Programmer Functions in the AlarmView System User’s Guide. Recharge the main battery pack often. Ensure that the programmer has at least charged main batteries or a charged backup battery installed at all times, or programming and data in the programmer will be lost. Proprietary AlarmView System Manager (SysMgr) software will be installed and running when you receive the programmer. This section explains how to operate the AlarmView Install Program. For all programming functions, use the stylus to tap the appropriate spot on the screen to perform the desired action. Use the stylus that came with the programmer or other stylus designed specifically for use with a handheld computer. Use of other pointed items such as pens and pencils may damage the programmer screen. Tap the Start button (lower left corner of screen) to access the AlarmView Install Program to view and change system configuration and parameters. Tap the Keyboard button (lower middle of screen) to open and close the keyboard on your screen. The keyboard will usually appear automatically when it is needed for programming. 880-0326-01 REV. A Page 29 AlarmView™ System Administrator’s Manual Tap the Exit button (in upper left corner of screen) to return to SysMgr Main Screen from submenus. Tap the Scroll buttons in submenus. to move left and right to make tabs visible Tap Down Arrow to reveal pull-down menu choices. Changing System Parameters AlarmView System parameters are set and transmitters are configured to your specific site during initial system installation. Only qualified personnel should use the AlarmView Install Program software to view and change system configuration and parameters that cannot be changed with the SysMgr program. The Install Program has five main screens: Password, Alarms, Pagers, Monitors, and Sys Inf (system information), which are used to change the following parameters. • • • • • • • • • Default program password (DCC) Bed Numbers (up to 48) Pager Cap Codes (up to 12) Alarm Pager Destinations (1, 2, or all pagers) Bed Number and Pager Assignments Transmission Frequency (MHz) and Baud Rate (bps) Global Pager Cap Code Reminder Page Delay Interval Survey Page Interval and Duration Some of the above can also be accessed and changed through the SysMgr main program. 880-0326-01 REV. A Page 30 AlarmView™ System Administrator’s Manual Changing System Password 1. Turn on programmer. Programmer will display SysMgr software main screen. Start Button 2. Tap the Start button and tap AlarmView Install Program to select. Password screen with be displayed. Password Screen 880-0326-01 REV. A Page 31 AlarmView™ System Administrator’s Manual 3. Tap the Keyboard button to reveal the Change Password button. Change Password Screen 4. Tap the Change Password button. The Enter Current Password screen will be displayed. Enter Current Password Screen 880-0326-01 REV. A Page 32 AlarmView™ System Administrator’s Manual 5. Enter your current password using the keyboard and tap OK. The factory default password is “DCC” (not case sensitive). The Enter New Password screen will be displayed. Enter New Password Screen 6. Enter your new password using keyboard and tap OK. The programmer is ready to respond to the new password. Changing Individual Transmitter Assignments Transmitter assignments will change as transmitters and monitors are moved to different beds, as transmitters are moved to different monitors in the care unit, as pagers are changed, and as caregivers are assigned to different patients. To view and change configuration of a transmitter, first retrieve the current parameters from the transmitter. 880-0326-01 REV. A Page 33 AlarmView™ System Administrator’s Manual Retrieving Transmitter Data To check current transmitter values: 1. Tap the Start Button and tap AlarmView Install Program. The Install program password screen will be displayed. Password Screen 2. Enter your password and tap OK. The Alarms screen is displayed. Install Program Alarms Screen 880-0326-01 REV. A Page 34 AlarmView™ System Administrator’s Manual If you tap cancel, or tap OK without entering the correct password, the programmer returns to SysMgr. 3. Turn transmitter on. 4. Aim the infrared port on programmer directly at the infrared port on the front of the transmitter and tap the CHECK button. Aligning Infrared Ports The programmer must be within four (4) feet (1.2 meters) of the transmitter and the infrared ports must be aimed directly at each other. 880-0326-01 REV. A Page 35 AlarmView™ System Administrator’s Manual 5. When retrieval of transmitter data is successful, the programmer will display “Transmitter Data Loaded” status message and values will be displayed in data fields. Transmitter Data Loaded Status Message Changing Bed Number Assignment After successfully retrieving transmitter data, current values will appear in appropriate fields. One bed number is assigned to each transmitter. To change the bed number assigned to a transmitter: 1. From Alarms screen, double-tap current bed number in bed number field. 2. Tap the Keyboard button and enter new bed number using keyboard characters. OR 3. Tap the Down Arrow in bed number field to show a pulldown menu listing current bed numbers. Continue to tap the Down Arrow to scroll through the list. 4. Tap to select desired bed number from pull-down menu. 880-0326-01 REV. A Page 36 AlarmView™ System Administrator’s Manual Changing Pager Assignments One, two, or All Pagers can be assigned to each transmitter. All Pagers will enable the transmitter to transmit to all of the pagers in the AlarmView system. To change alarm destination and pagers assigned to a transmitter: 1. From Alarms screen, tap button for Assigned Pager or All Pagers. 2. Tap the Pagers tab to move to pager selection screen. Pager Selection Screen 3. Tap the Down Arrow in the First Pager field and tap to select the cap code for the desired pager. Only the last four (4) digits of the pager number will be displayed. 4. If another pager is desired, tap the Down Arrow in the Second pager field and select the cap code for the desired pager. 5. If all pagers is warranted, tap the button for All Pagers. 880-0326-01 REV. A Page 37 AlarmView™ System Administrator’s Manual You can choose the All Pagers option from the Alarm screen or the Pagers screen. Assigning All Pagers from Transmitter The All Pagers option can also be selected from the transmitter without using the programmer. The transmitter should be on, but not communicating with a monitor. 1. Turn transmitter on, but turn monitor off or disconnect interface cable. Mode LED should be amber. 2. Turn on at least two pagers in system. 3. Press and hold transmitter On/Off button until an All Pagers confirmation message is received at pagers (approximately 5 seconds). Bed: 1234 Programming OK All Pagers Programming New Data into Transmitter Bed number and pager assignment changes made in the previous steps should now be programmed into the transmitter. Once data has been retrieved for a transmitter, it is easiest to change all values for that transmitter before sending changes back to transmitter. 880-0326-01 REV. A Page 38 AlarmView™ System Administrator’s Manual 1. Aim the infrared port on the programmer directly at the infrared port on the front of the transmitter and tap the SEND button. Programmer will display “Sending Program Data” status message. Sending Program Data Status Message 2. When the transmitter has been successfully programmed, the programmer will display a “Programming Successful” status message. Programming Successful Status Message 880-0326-01 REV. A Page 39 AlarmView™ System Administrator’s Manual 3. Tap Exit button (< in upper right corner) to return to SysMgr. Changing Survey Page Configuration Prior to its first use in a care unit, the effective range and coverage area of each transmitter should be tested by conducting a paging survey to ensure that the transmitter and pagers are performing as needed. The programmer can be used to set the time between pages and the total number of pages to be sent for performing survey paging (the default in 100 pages, sent every 15 seconds). To set interval between pages and total number of pages: 1. Tap the Start button and tap the AlarmView Install Program. 2. Enter your password. The Alarms screen will be displayed. 3. Tap the Monitor tab to display the Monitor Configuration screen. Monitor Configuration Screen 880-0326-01 REV. A Page 40 AlarmView™ System Administrator’s Manual Monitor Type and Authorization fields are read-only values set at initial installation. You will not need to edit these values. 4. To change survey page time intervals, tap the Down Arrow in the sec (seconds) field. Tap to select desired time interval from the pull-down menu. 5. To change the total number of survey pages, tap the Down Arrow in the times field. Tap to select the desired number of pages from the pull-down menu. 6. Program survey page configuration into the transmitter. Turn the transmitter on and aim the infrared port on the programmer directly at the infrared port on the front of the transmitter and tap the SEND button. The programmer will display a “Sending Program Data” status message. 7. Wait for receipt of a “Programming OK” status message, then tap Exit button to return to SysMgr. The complete Survey Paging procedure is detailed in Section 5: Testing and Periodic Maintenance, “Transmitter Range Test,” in this manual. Changing Global System Parameters An AlarmView System is defined by a common frequency, baud rate, and a global cap code. All transmitters and pagers within an AlarmView System must have the same frequency (MHz), baud rate (bps), and global cap code. Each pager has two addresses: the unique cap code and the global cap code. The global cap code is common to all pagers within the AlarmView System. The Reminder Page Delay Interval is intended to be set to the same value for all transmitters in the system. 880-0326-01 REV. A Page 41 AlarmView™ System Administrator’s Manual Changing Frequency, Baud Rate, and Global Cap Code 1. Tap the Start button and tap the AlarmView Install Program. 2. Enter your password. The Alarms screen will be displayed. 3. Tap the Pagers tab to enter the Pager configuration screen. Pager Configuration Screen 4. Turn on any transmitter in the system, and aim the programmer’s infrared port directly at the infrared port on the front of the transmitter. 5. Tap CHECK to retrieve the current system configuration parameters. 6. a. To change the sending frequency, tap the Down Arrow in the MHz field. The Sending frequency is the frequency transmitted from the transmitter to the pager. b. To change the baud rate, tap the Down Arrow in the bps field. This programs the transmitter’s baud rate to match the pager’s receiving baud rate. 880-0326-01 REV. A Page 42 AlarmView™ System Administrator’s Manual c. To change the Global Cap Code, tap the All Pagers label, then OK, and use the keyboard to type in a new Global Cap Code. 7. Aim the programmer’s infrared port directly at the infrared port on the front of the transmitter and tap SEND to program the configuration changes into the transmitter. 8. Repeat programming for every transmitter in the system. 9. Tap Exit to return to SysMgr. Changing Reminder Page Interval If the alarm condition continues or is not silenced at the monitor, a Reminder Page is sent to all pagers in the system. To change the delay interval for the reminder page: 1. From SysMgr, tap the Start button and tap Install Program. 2. Enter your password. The Alarms screen will be displayed. Alarms Screen Reminder Page Interval 3. To send a reminder page after a certain interval, tap the Down Arrow in the Sec. field. 880-0326-01 REV. A Page 43 AlarmView™ System Administrator’s Manual 4. Tap to select the desired time interval from the pull-down menu. 5. Aim the programmer’s infrared port directly at the infrared port on the front of the transmitter and tap SEND to program configuration changes into the transmitter. A “Programming OK” message will be sent to the pager(s) assigned to the transmitter. 6. Repeat programming for every transmitter in system. 7. Tap the Exit button to return to SysMgr. 880-0326-01 REV. A Page 44 AlarmView™ System Administrator’s Manual Section 5: Testing and Periodic Maintenance All tests described in this section can be performed without disassembling the units in the AlarmView System. Tests should be conducted prior to initial installation, when adding a new unit to the system, and before returning equipment to service after repairs or routine maintenance. If any component of the system fails to perform as specified, do not return it to use. Contact Data Critical Corporation regarding repair or replacement of the equipment. Testing System Safety AlarmView safety tests meet the standards of, and are to be performed in accordance with, CAN/CSA-C22.2 No. 601.1 and UL 2601-1, Medical Electrical Equipment – Part 1: General Requirements for Safety, for instruments classified as Class 1 and Type B. Equipment Needed is a Safety Analyzer that must meet , CAN/CSA-C22.2 No. 601.1 and UL 2601-1 specifications. Earth Leakage Current This test is in compliance with UL 2601-1 (earth leakage current). The applied voltage is 120 volts, 60 Hz for UL 2601-1 and CSA 601.1. Make all measurements with power switch in both the On and Off positions. 1. Connect the AlarmView transmitter power supply AC plug to the electrical analyzer as recommended by the analyzer operating instructions. 2. Connect the AlarmView transmitter power supply DC plug to the transmitter DC input connector. 880-0326-01 REV. A Page 45 AlarmView™ System Administrator’s Manual 3. Do not connect the equipotential terminal on the analyzer to any metal on the transmitter. 4. Connect the analyzer to accessible bare metal on the transmitter (e.g. the antenna connector). 5. Analyzer leakage indication must not exceed the values listed below. Earth Leakage Current Limits AC Polarity Normal Reversed Reversed* Normal Neutral Wire (L2) Closed Closed Open Open Leakage Current 300 µA 300 µA 1000 µA 1000 µA * With AC polarity reversed and neutral wire (L2) open, the line wire (L1) is actually open. Testing System Performance Communications Page Each time a transmitter is turned on, or re-establishes communication with a monitor after having lost communication, the transmitter will automatically send a communications page (Comm OK Page) to all pager(s) assigned to the transmitter. After setting up transmitter (connecting it to power and to a monitor), to send a Comm OK Page test: 1. Check monitor to ensure it is on and functioning properly. 2. Press On/Off button on top of transmitter. 880-0326-01 REV. A Page 46 AlarmView™ System Administrator’s Manual Indicators will flash on and off while transmitter performs a Power-On Self Test (POST) to check its function. Mode LED is solid green when transmitter has established communication with the monitor. Tx LED will flash green, and the transmitter will send a Comm OK Page to assigned pager(s) to confirm communication between transmitter and monitor. The message will display: Bed: 1234 Comm OK All Pagers* *Last line All Pagers with be replaced with “Pager 1234” if one pager is assigned to transmitter, and “Pager 1234 5678.” The 4 digits correspond to the last 4 digits of the assigned pager(s) cap code. 3. Verify that the page is sent to the assigned pager(s) and that the bed number is correct. The transmitter will now send pages to the assigned pager(s) whenever it detects alarms identified by the monitor. Test Page You should test the AlarmView System setup by conducting a Test Page when any changes affecting the system have occurred. To perform a Test Page, the transmitter must be on and communicating with the monitor. 880-0326-01 REV. A Page 47 AlarmView™ System Administrator’s Manual To send a Test Page: 1. Press the On/Off button to turn the transmitter on. Check to ensure that the transmitter is communicating with the monitor (both AC Indicator and Communications Indicator on transmitter are green). 2. Turn on the pager(s) assigned to the transmitter. 3. To send a Test Page, press and release the On/Off button again. All pagers assigned to the transmitter will display the following page (if a patient is not connected to the sensor, dashes will be displayed for SpO2 and pulse rate): Bed: 1234 Test Page SPO2: 83% PR: 70 bpm* * For the Nellcor N-3000 monitor, the last line of the test page will display heart rate (HR). Transmitter Range Test (Survey Paging) Survey Paging is used to determine the area of coverage of your system. A Range Test (Survey Paging) will be performed at the time of initial system installation. Survey Paging should be conducted prior to the first use of a transmitter added to a system, or when a transmitter has been moved to a new care unit. When the transmitter is placed in Test Range mode, it will send frequent pages from the transmitter to the assigned pager(s). Frequency of sent pages and the total number of Survey Pages can be set according to the 880-0326-01 REV. A Page 48 AlarmView™ System Administrator’s Manual procedure in Section 4: Programming, “Changing Survey Page Configuration” of this manual. As Survey Pages are sent, personnel with assigned pager(s) will walk around the coverage area of the care unit to ensure that all pages are received. Because transmitters and pagers in one system operate on a single, defined frequency, you should NOT exchange pagers or transmitters from different systems. To perform Survey Paging for a transmitter, transmitters should be turned on, but not communicating with monitors. You will need at least one transmitter and one pager. To conduct a transmitter Range Test (Survey Paging): 1. Ensure that transmitter is connected to power and turned on, but not communicating with a monitor. 2. On the programmer, from the SysMgr main screen, tap Service to enter service program. The Controls tab will be displayed. 3. To start Survey Paging, aim programmer’s infrared port directly at the port on the front of transmitter and tap the Test Range button . The programmer will display a “Survey Command Sent” status message and Survey Paging will begin. 4. Turn on the pager(s) assigned to transmitter. Qualified personnel should be ready to walk the dimensions of the care unit. If you use more than one pager, keep them at least 12” apart to avoid interference. 880-0326-01 REV. A Page 49 AlarmView™ System Administrator’s Manual 5. The transmitter will transmit a series of consecutively numbered pages (1, 2, 3, 4, etc.). Assigned pagers will receive the following message for each numbered page: Bed: 1234 Survey Page #xxx* * XXX is the number of the Survey Page in the sequence. 6. Walk slowly around the unit, observing the sequentially numbered pages. Pay special attention to elevator banks, columns, metal doors, double doors, and areas with plaster construction. Areas of no coverage or out of range conditions will be identified by missing Survey Page numbers in the sequence. A corrupt, partial or incomplete page is the same as a missing page. 7. To stop the transmitter before all Survey Pages are sent, press and release the On/Off button on the transmitter once. If any areas of no coverage are defined, communicate their location to clinical staff. AlarmView is intended to cover most care units, not entire floors or entire facilities. Typical range for the AlarmView System with no intervening structures is 150 feet. Contact Data Critical Corporation if areas of no coverage present a problem in functioning of care unit. 880-0326-01 REV. A Page 50 AlarmView™ System Administrator’s Manual Periodic Maintenance Batteries Transmitter At least every two (2) years, the transmitter’s internal battery should be tested. To check transmitter battery performance: 1. Turn on the transmitter. 2. Make sure the transmitter’s external power supply is disconnected. 3. Program the transmitter to send to one pagers. 4. From the SysMgr / Service, start the Range Test (Survey Paging). 5. Wait until a TX Battery Low / Shutting Down page is received. 6. If more than 50 Range Test (Survey Paging) pages are received without the transmitter shutting down, the battery is OK. 7. If the transmitter has shut down before 50 Range Test (Survey Paging) pages are received, recharge the transmitter for 17 hours and repeat #1-#5 above. If the transmitter then shuts down before 20 pages are received, the battery needs to be replaced. Return the transmitter to Data Critical. Programmer To recharge programmer main battery pack and replace programmer backup battery, refer to Appendix B: Basic Programmer Functions in AlarmView System User’s Guide. If the main battery warning message is displayed, recharge the main battery as soon as possible. If both the backup battery and main batteries are depleted programmer software and data will be lost. 880-0326-01 REV. A Page 51 AlarmView™ System Administrator’s Manual Pager To replace pager batteries, refer to Appendix A: Basic Pager Functions in AlarmView System User’s Guide. Cleaning Procedures When necessary, clean only the outer casing of the transmitter with a soft cloth, damp with a non-abrasive, commercial cleaner or 70% alcohol solution in water. Lightly wipe surfaces of transmitter. Use a clean cloth designed for lenses to clean the pager and programmer screens. Use a damp cloth to dust their casings, and wipe dry immediately. Do not spray, pour, or spill liquids on any part of the AlarmView System components. Do not submerge any of the components in liquids. If fluids are spilled in the equipment, take the equipment out of service for at least 24 hours. Check operation of equipment before returning to service. Inspection and Testing At least every two (2) years, inspect the transmitter, pagers, cables, and programmer for mechanical and functional damage. Inspect safety labels to ensure they are legible. If any system components appear to be damaged, or subjected to potential damage (such as being dropped or exposed to liquids), qualified personnel should test the system using the procedures in this manual. 880-0326-01 REV. A Page 52 AlarmView™ System Administrator’s Manual Service Do not remove the transmitter cover – there are no serviceable items inside. If any item or component of the AlarmView System requires repair or service, contact Data Critical. 880-0326-01 REV. A Page 53 AlarmView™ System Administrator’s Manual Section 6: Troubleshooting Error Messages For common system problems, an AlarmView transmitter may send error messages to the pager(s) assigned to it. Below is a table of the System Error Pages, along with probable causes, and recommended corrective actions. System Error Pages Message Low Tx Battery/Connect AC Power to Transmitter Transmitter’s battery is running low (connect transmitter to AC power as soon as possible). Tx Battery Low/Shutting Down Possible Cause Transmitter is not connected to AC power. Corrective Action Connect transmitter to power. Transmitter is not connected to AC power. Connect transmitter to power. Transmitter operating on battery power has depleted battery charge and will shut down immediately. 880-0326-01 REV. A Page 54 AlarmView™ System Administrator’s Manual Comm Failure Retrying Communication has been lost between transmitter and monitor, the transmitter is attempting to reestablish communication. Comm Failure/Shutting Down Transmitter has not been able to communicate with the monitor for about an hour and is shutting down. Communications between transmitter and monitor have failed. Check serial cable and cable connections between transmitter and monitor. Monitor is turned off or operating on battery power and transmitter is still on. Reconnect or replace cable as required. Communications between transmitter and monitor have failed. Monitor is turned off or operating on battery power and transmitter is still on. Connect monitor to AC power. Check monitor performance. Check serial cable and cable connections between transmitter and monitor. Reconnect or replace cable as required. Connect monitor to AC power. Check monitor performance. 880-0326-01 REV. A Page 55 AlarmView™ System Administrator’s Manual The programmer may also display error messages related to its function. Below is a table of Programmer Error Messages, along with probable causes, and recommended corrective actions. Programmer Error Messages Message Failed to Connect Programmer was unable to retrieve or send information to/from transmitter. Possible Cause Programmer infrared port not aligned with transmitter infrared port. Corrective Action Re-align ports and try again. Transmitter turned off. Recharge programmer batteries. Programmer batteries are low. Transmitter defective. Please be sure the transmitter is turned on, the IR port is pointed directly at the transmitter, at a distance less than 4 ft. (1.2 m) and try again. Programmer defective. Programmer infrared port not aligned with transmitter infrared port. Transmitter turned off. Programmer batteries are low. Transmitter defective. Programmer defective. 880-0326-01 REV. A Turn on transmitter. Contact Data Critical regarding repair and/or replacement of transmitter or programmer. Re-align ports and try again. Turn on transmitter. Recharge programmer batteries. Contact Data Critical regarding repair and/or replacement of transmitter or programmer. Page 56 AlarmView™ System Administrator’s Manual Programming Failed Programmer was unable to send programming changes to transmitter. Interference or ambient light noise. Re-align ports and try again. Programmer batteries are low. Recharge programmer batteries. Transmitter defective. Contact Data Critical regarding repair and/or replacement of transmitter or programmer. Reboot programmer by inserting stylus in the reset button located on the back on the programmer. Programmer defective. Unable to Access Port Probably in Use You must select or get a bed number and one or more pagers 880-0326-01 REV. A Programmer error. Programmer SEND button was pressed before selecting a bed number or pager numbers. Contact Data Critical regarding repair and/or replacement of programmer. Follow procedure to select bed and/or pager numbers and tap SEND again. Page 57 AlarmView™ System Administrator’s Manual Battery and Power Troubleshooting Message Low Tx Battery/Connect AC Power to Transmitter Meaning: Transmitter’s battery is running low (connect transmitter to AC power as soon as possible) Tx Battery Low/Shutting Down Meaning: Transmitter operating on battery power has depleted battery charge and will shut down immediately. Comm Failure/Retrying Meaning: Communication has been lost between transmitter and monitor, the transmitter is attempting to reestablish communication. 880-0326-01 REV. A Possible Cause Transmitter is not connected to AC power. Corrective Action Connect transmitter to power. Transmitter is not connected to AC power. Connect transmitter to power. Communications between transmitter and monitor have failed. Check serial cable and cable connections between transmitter and monitor. Monitor is turned off or operating on battery power and transmitter is still on. Reconnect or replace cable as required. Connect monitor to AC power. Check monitor performance. Page 58 AlarmView™ System Administrator’s Manual Comm Failure/Shutting Down Meaning: Transmitter has not been able to communicate with the monitor for about an hour and is shutting down. Communications between transmitter and monitor have failed. Check serial cable and cable connections between transmitter and monitor. Monitor is turned off or operating on battery power and transmitter is still on. Reconnect or replace cable as required. Connect monitor to AC power. Check monitor performance. General Troubleshooting Message Failed to Connect Meaning: Programmer was unable to retrieve or send information to/from transmitter. Possible Cause Programmer infrared port not aligned with transmitter infrared port or too far away from transmitter. Transmitter turned off. Turn on transmitter. Programmer batteries are low. Recharge programmer batteries. Transmitter defective. Contact Data Critical regarding repair and/or replacement of transmitter or programmer. Programmer defective. 880-0326-01 REV. A Corrective Action Re-align ports, ensure the distance between the transmitter and the programmer is less than 4' (1.2 m) and try again. Page 59 AlarmView™ System Administrator’s Manual Please be sure the transmitter is turned on, the IR port is pointed directly at the transmitter, at a distance less than 4 ft. (1.2 m) and try again. Programmer infrared port not aligned with transmitter infrared port or too far away from transmitter. Transmitter turned off. Turn on transmitter. Programmer batteries are low. Recharge programmer batteries. Transmitter defective. Contact Data Critical regarding repair and/or replacement of transmitter or programmer. Re-align ports, ensure the distance between the transmitter and the programmer is less than 4' (1.2 m) and try again. Programmer defective. Programming Failed Meaning: Programmer was unable to send programming changes to transmitter. Programmer infrared port not aligned with transmitter infrared port or too far away from transmitter. Interference or ambient light noise. Programmer batteries are low. Transmitter defective. Programmer defective. 880-0326-01 REV. A Re-align ports, ensure the distance between the transmitter and the programmer is less than 4' (1.2 m) and try again. Recharge programmer batteries. Contact Data Critical regarding repair and/or replacement of transmitter or programmer. Page 60 AlarmView™ System Administrator’s Manual Unable to Access Port Probably in Use You must select or get a bed number and one or more pagers Programmer error. Programmer SEND button was pressed before selecting a bed number or pager numbers. Reboot programmer by inserting stylus in the reset button located on the back on the programmer (see appendix X). Contact Data Critical regarding repair and/or replacement of programmer. Follow procedure to select bed and/or pager numbers and tap SEND again. Missing pages Indication "Programming OK" page was not received at the assigned pager(s) after programming the transmitter. Possible Cause The pager is incorrectly assigned to the transmitter. The pager's battery is too low or depleted. The pager is not turned on. Corrective Action Follow procedure to select bed and/or pager numbers, ensure that the correct pager is selected. Replace pager's battery. Turn on pager. Pager defective. Transmitter Defective. 880-0326-01 REV. A Contact Data Critical Corp. regarding repair and/or replacement of transmitter or pager. Page 61 AlarmView™ System Administrator’s Manual "Comm OK" page was not received at the assigned pager(s) after communication has been established between transmitter and monitor. The pager is incorrectly assigned to the transmitter. The pager's battery is too low or depleted. The pager is not turned on. Follow procedure to select bed and/or pager numbers, ensure that the correct pager is selected. Replace pager's battery. Turn on pager. Pager defective. Transmitter Defective. Pages are occasionally not received at the pager or the received pages are "garbled". The pager's battery is too low or depleted. The pager is not turned on. The pager is out of the tramsmitter's range, i.e. outside the system boundaries. Pager defective. Contact Data Critical Corp. regarding repair and/or replacement of transmitter or pager. Replace pager's battery. Turn on pager. Ensure that all user's are aware of the boundaries of the system. Perform a range test to define the boundaries of the system. Contact Data Critical Corp. regarding repair and/or replacement of pager. 880-0326-01 REV. A Page 62 AlarmView™ System Administrator’s Manual Transmitter or system failure Indication The transmitter's transmission and communication LED's are flashing amber. The transmitter's transmission LED is amber for long periods of time. Possible Cause Transmitter failure. (Please refer to section POST for detailed failure description.) RF interference. Corrective Action Contact Data Critical Corp. regarding repair and/or replacement of transmitter. Perform a site survey as described in "Initial Installation". Increase distance between transmitter and possibly interfering equipment. The transmitter's transmission LED is green for more than 2 seconds. Transmitter failure. The transmitter can't be turned off. If the transmitter is communicating with a monitoring device, and the the communications LED is green, then the transmitter is functioning properly. If the communications LED is amber, then the transmitter is malfunctioning. 880-0326-01 REV. A Contact Data Critical Corp tech support. Turn off transmitter and Contact Data Critical Corp. regarding repair and/or replacement of transmitter. Disconnect the transmitter from the monitoring device, or turn off the monitoring device. When the communications LED turns amber, turn off the transmitter. Unplug the transmitter's power supply. Contact Data Critical Corp. regarding repair and/or replacement of transmitter. Page 63 AlarmView™ System Administrator’s Manual If you are unable to resolve system problems using the previous guides, contact Data Critical Corp. Technical Support for assistance. Getting System Information When speaking to a Data Critical representative, it may be necessary to access transmitter system information to troubleshoot problems. To obtain this information: 1. Turn on the Programmer. 2. From SysMgr tap the Start Button and tap Install Program. The Install Program password screen will be displayed. 3. Enter your password and tap OK. The Alarms screen is displayed. 4. Tap the right scroll button to make the SYS INF tab visible. 5. Tap the SYS INF tab. 6. Turn the transmitter on. 7. Aim the infrared port on the programmer directly at the infrared port on the front of the transmitter and tap the CHECK button. When retrieval of transmitter data is successful, the programmer will display “Transmitter Data Loaded” status message. System Information Screen 880-0326-01 REV. A Page 64 AlarmView™ System Administrator’s Manual Determining Programmer Software Version When speaking to a Data Critical representative, it may be necessary to refer to your programmer software version to troubleshoot problems. To obtain this information: 1. Turn on the programmer. 2. Tap the About button (About screen reads AlarmView Wireless Data Notification System at the top of screen). The About screen will display: About Button 880-0326-01 REV. A Page 65 AlarmView™ System Administrator’s Manual a. The programmer software version number is on the bottom line of the screen. About Screen 3. Click OK to exit and return to SysMgr. Repairing and Replacing Parts If it is necessary to return an AlarmView System component to Data Critical for repair, contact Technical Services for shipping instructions. Replacement parts are shown in the following table: Replacement Parts Item No. 3a 3b Description AlarmView Transmitter 7” Transmitter Antenna Transmitter serial cable, with 15-pin adapter for Nellcor NPB-290, NPB-295, and N-395 Transmitter serial Cable, with 7-pin adapter for Nellcor N-3000 AlarmView Pager 880-0326-01 REV. A Page 66 AlarmView™ System Administrator’s Manual AlarmView Programmer Transmitter Power Supply and Hospital-grade AC power cord AlarmView System User’s Guide AlarmView Administrator’s Manual (this manual) AlarmView System Replacement Parts Electromagnetic Interference (EMI) The AlarmView transmitter has been tested and found to comply with the limits for medical devices to the FDA guidance for electromagnetic compatibility (EMC). These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. It is possible that high levels of radio frequency or conducted frequency electromagnetic interference due to close proximity or strength of source may result in performance disruption of transmitter. The transmitter is designed for use as a mobile device as defined by the Federal Communications Commission (FCC). Do not place the transmitter on a patient’s or user’s body. Ensure that the transmitter is located at least 20 cm (8 inches) from a patient or user’s body. Location of the transmitter closer than 20 cm (8 inches) to a person’s body will void the user’s FCC authority to operate the equipment. The Nellcor NPB-290, NPB-295, N-395, and N-3000 pulse oximetry monitors are not designed for use in environments in which the pulse can be obscured by EMI. Interference may cause measurements that seem inappropriate or monitor may not seem to operate correctly. The AlarmView System may generate alarms or error messages during these conditions. The AlarmView System generates, uses, and can radiate radiofrequency energy and – if not installed and operated according to these instructions – may cause interference with other devices in vicinity. 880-0326-01 REV. A Page 67 AlarmView™ System Administrator’s Manual Evidence of disruption may include erratic readings, amber Tx LED, equipment ceasing to operate, or other incorrect functioning. If this occurs, survey the site to determine the source of disruption, and take the following actions to eliminate the source(s): 1. Turn equipment in vicinity off and on to isolate disruptive equipment. 2. Relocate or re-orient interfering equipment. 3. Increase distance between interfering equipment and this equipment. 4. Manage use of frequencies close to AlarmView System frequencies. 5. Remove devices that are highly susceptible to EMI. 6. Lower power from internal sources within facility control (such as paging systems). 7. Labeling will not eliminate interference with devices susceptible to EMI. 8. Educate clinical staff to recognize potential EMI-related problems. 9. Eliminate or reduce EMI with technical solutions (such as shielding). 10. Restrict use of personal communicators (cell phones, computers) in areas with devices susceptible to EMI. 11. Share relevant EMI information with others, particularly when evaluating new equipment purchases which may generate EMI. 12. Purchase critical care equipment that complies with IEC 601-1-2 EMC Standards (3V/meter EMI immunity, limit interference level to 0.0014 V/meter). 880-0326-01 REV. A Page 68 AlarmView™ System Administrator’s Manual Use the following chart to estimate protective distance: Peak Power of Transmitter: .400 W .400 W 1 V/m 2 V/m 3 V/m 12.1 ft 3.7 m 5.9 ft 1.8 m 3.9 ft 1.2 m The chart above reflects an estimated protective distance for those devices that are not listed on Data Critical’s compatibility list. Contact Data Critical Corporation if additional assistance is needed to identify or resolve EMI conflicts. Technical Support For technical advice, service, or information concerning any equipment in your AlarmView™ System, call Data Critical Technical Support toll free at 1-877-DCC-STAT (1-877-322-7828). 880-0326-01 REV. A Page 69 AlarmView™ System Administrator’s Manual Appendix A: Default Settings AlarmView™ System Administrator’s Manual Transmitter Parameter Global Cap Code Reminder Interval Survey Page Interval Survey Page Duration Paging Baud Rate Bed Number Setting 0000031 60 seconds 15 seconds 100 pages 512 bps ---- Parameter Display Notification Mode Frequency Setting 4 Lines Audible On Back Label of Pager Pager Part #880-0326-01 REV. 10/4/2000 Appendix A-1 AlarmView™ System Administrator’s Manual Appendix B: Initial Installation Procedure AlarmView™ System Administrator’s Manual INITIAL INSTALLATION PROCEDURE This procedure should be performed upon initial installation of an AlarmView System into a care unit. Setup 1. Unpack the equipment to be installed in the care unit. 2. Determine the furthest limits of the care unit based on physical distances. Frequency Verification The object of this activity is to use the transmitter’s carrier detect ability to determine if other sources of potential RF noise exist on the selected frequency. 1. Program the AlarmView transmitters to the desired frequency assigned to the care unit. (See Section 4: Programming.) 2. Program the appropriate pager baud rate into the AlarmView transmitters. (See Section 4: Programming.) 3. Program the All Pagers cap code into the AlarmView transmitter if different than 0000031. (See Section 4: Programming.) 4. Program Survey Page mode for 150 pages at an interval of 120 seconds. (See Section 5: Testing and Periodic Maintenance.) 5. Place several AlarmView transmitters throughout the care unit. 6. One by one, perform steps #7 and #8. 7. Turn on a transmitter and activate Survey Paging. (See Section 5: Testing and Periodic Maintenance.) 8. Observe the Transmitting Indicator LED. Part #880-0326-01 REV. 10/4/2000 Appendix B-1 AlarmView™ System Administrator’s Manual a. This LED will be green when transmitting a survey page (approximately every 120 seconds) and will remain lit for approximately 2 seconds. b. This LED will go amber when the transmitter detects another signal on this selected frequency. c. Be sure to account for any other AlarmView transmitters that may be sending pages. 9. Turn off the transmitter. 10. The Transmitting Indicator LED should remain dark and not detect significant RF interference. 11. Proceed to the Range Test using the selected frequency. Range Test The purpose of this activity is to determine any areas of no coverage and ensure that AlarmView transmitters can detect each other. 1. Place an AlarmView transmitter at the furthest extent of one end of the care unit. 2. Program the transmitter to transmit 150 survey pages every 10 seconds. (See Section 5: Testing and Periodic Maintenance.) 3. Walk slowly around the care unit with an assigned pager to determine any areas of no reception. Multiple pagers must be separated from each other by 12 inches to eliminate interference between pagers. a. During the walk, observe the sequentially numbered survey pages from #1 up to #150(or until the care unit has been sufficiently covered). Part #880-0326-01 REV. 10/4/2000 Appendix B-2 AlarmView™ System Administrator’s Manual b. Locate any areas where one of the numbered pages is not received on the pager. That is an indication of an area of no reception. c. If any suspected areas of no reception are found, walk slowly until the exact extents of the areas of no reception are discovered. d. Walk into all rooms of the care unit. e. Pay attention to: • Elevator banks • Columns • Double doors • Metal doors • Plaster construction 4. A corrupt page, partial page, or incomplete page is the same as a missing page. 5. Repeat steps #1 and #4 with another transmitter at another furthest extent of the care unit. 6. Make sure both transmitters are sending survey pages at 20second intervals for 150 pages. Initiate survey page mode for both transmitters at the same time. 7. Verify that each transmitter can detect the transmission from the other transmitter. This is determined when the first transmitter sends a Survey Page and the second transmitter’s Transmitting Indicator LED turns amber, indicating that it can detect the first transmitter. This should be seen at the same interval as programmed into the transmitter in the previous step. An easy way to verify that the amber LED is from a valid transmitter is to use a pager. Compare the receipt of a page from the first transmitter with the amber LED on the second transmitter. These Part #880-0326-01 REV. 10/4/2000 Appendix B-3 AlarmView™ System Administrator’s Manual should correspond in time although they may not be exactly simultaneous.) An amber LED that does not correspond to a survey page from the first transmitter may indicate interference. If the second transmitter does not detect the first transmitter’s pages, the test fails. It is possible for the pager to receive the page but the second transmitter does not detect the page from the first transmitter. This is still a failure. 8. If areas of no reception are not discovered and the transmitters can detect each other’s transmissions, the range test is complete. 9. If the extents of the coverage exceed the care unit, only the care unit’s physical limits will be supported by Data Critical. 10. Communicate the extents of tested coverage and any detected areas of no reception to the clinical staff both verbally and in written form. Programmer Set Up The purpose of this activity is to set up the programmer with the specific room numbers in the care unit and add the pagers that will be used. 1. Make a list of all patient beds in the care unit. 2. Verify with the charge nurse that the list is representative of how the clinical staff reference the bed numbers. (For example, in a semi private room, do they reference the beds as Room 501 A and 501 B, or Room 501-1 and 501-2?) 3. Enter the entire list of beds, up to 48 beds, in the AlarmView programmer. (See Section 4: Programming.) Part #880-0326-01 REV. 10/4/2000 Appendix B-4 AlarmView™ System Administrator’s Manual 4. Enter the cap codes of all the pagers to be installed in the care unit, up to 12 pagers, into the AlarmView programmer. (See Section 4: Programming.) Transmitter Setup The purpose of this activity is to set up each transmitter in the system. For each transmitter in the system, perform the following steps: 1. Turn on the transmitter. 2. With the programmer, use the AlarmView Install program. Begin by pressing CHECK. 3. Program the appropriate frequency, baud rate, and common cap code into the transmitter. Press the SEND button. 4. Set the Reminder Time Interval according to the care unit’s policy. If no policy is established, suggest to the nurse manager that it be set to 2 minutes. Press the SEND button. 5. Set the Range Test (Survey Page) to transmit at 15-seconds intervals for 100 pages. Press the SEND button. 6. Use the CHECK button to verify that all the above values were properly received by the transmitter. Setup Verification The purpose of this activity is to ensure that all transmitters are correctly transmitting to all the pagers and the programmer is properly setup. The following steps verify that the Programmer and Pagers have the correct Common Cap Code. 1. Turn on one transmitter and all the pagers. Part #880-0326-01 REV. 10/4/2000 Appendix B-5 AlarmView™ System Administrator’s Manual 2. With the programmer, use the AlarmView SysMgr program and go to the ASSIGNMENTS screen. 3. Select any BED NUMBER and select ALL PAGERS. Press the SEND button to program the transmitter. 4. Verify that all the pagers received a "Programming OK / All Pagers" message. If one of the pagers does not receive a page, that pager’s common cap code may be incorrect. If none of the pagers receive the page, either the programmer or the pagers may have an incorrect common cap code. The following steps verify that the Programmer and the Pagers have the correct individual cap code. 5. With the programmer, select any BED NUMBER and select an individual pager. Press the SEND button to program the transmitter. 6. Verify that the selected pager received a "Programming OK / xxxx" message where ‘xxxx’ corresponds to the last 4 digits of the pager’s serial number. 7. Repeat steps #5 and #6 for each pager in the care unit. If one of the pagers does not receive a page, either the programmer has the wrong cap code entered or that pager’s individual cap code may be incorrect. The following steps verify that each Transmitter is working properly. 8. For each transmitter in the system, program it to any of the pagers and bed numbers. 9. Verify that the selected pager received a "Programming OK / xxxx" message where ‘xxxx’ corresponds to the last 4 digits of the pager’s serial number. Part #880-0326-01 REV. 10/4/2000 Appendix B-6 AlarmView™ System Administrator’s Manual 10. Repeat steps #8 and #9 for each transmitter in the care unit. If one of the pagers does not receive the page, the transmitter may not be working or may be incorrectly programmed. 11. Turn off all transmitter, pagers, and the programmer. Final Steps The purpose of this activity is to ensure that all transmitters are correctly transmitting to all the pagers. 1. Plug in each AlarmView transmitter to AC power for 17 hours to ensure the batteries are fully charged before placing the AlarmView transmitters into service. Select the location the clinical staff will store the AlarmView programmer when not in use. Plug in the AC power cable at that location and instruct the clinical staff to plug in the programmer when it is not in use. Part #880-0326-01 REV. 10/4/2000 Appendix B-7 AlarmView™ System Administrator’s Manual Appendix C: Restoring the Programmer’s Software AlarmView™ System Administrator’s Manual RESTORING ALARMVIEW PROGRAMMER SOFTWARE The AlarmView programmer ships from the factory with a memory card installed that has a backup of the AlarmView software. The following procedure will restore the software to the factory default state: If both the main and the backup batteries of the Compaq programmer have become depleted or have been removed simultaneously, the Intouch software may not appear when both batteries are reinstalled. Use the following procedure to restore the Intouch program: 1. If the programmer is not already on, press the Power button to turn it on. 2. Press the Q button on the side of the programmer. 3. Select “QUtilities.” (Your menu may look somewhat different than the one illustrated below.) 4. Click on the CF Backup tab. 5. Click on the Restore button to access the restore program. 6. Click on the Start button to initiate the restore process. 7. A message asks you if you are sure you want to continue. Click Yes. 8. A warning box appears, reminding you not to try to use the device or remove the flash card while the programmer is being restored. Click on “OK.” 9. A status bar reporting the activity until the function is complete (the status bar may stay on 99% for several minutes). When the process is complete, a message appears telling you to press the Reset button to resume operation. Click on “OK.” 10. Press the Left-most application button to display the Intouch 3-button screen. Part #880-0326-01 REV. 10/4/2000 Appendix C-1 Data Critical Corporation 19820 North Creek Parkway, Suite 100 Bothell, WA 98011 www.datacritical.com
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