Arcos Burn Navigator Active User manual

February 2021 Burn Navigator Active Manual-1153
Version 6.4.2 Revision A
Burn Navigator® Active
User’s Manual

Burn Navigator® User’s Manual Page 2
Contents
Description............................................................................................................................3
Intended Use .........................................................................................................................3
Safety Information.................................................................................................................3
Use Warnings....................................................................................................................3
Incoming Device Setup, Cleaning & Maintenance, Handling.................................................5
Tablet Description .................................................................................................................7
First-time Operation ..............................................................................................................8
Using the Burn Navigator App ............................................................................................10
Splash screen ..................................................................................................................10
Main Menu .....................................................................................................................10
Training Mode ................................................................................................................10
New Patient Setup...........................................................................................................11
Checklist .........................................................................................................................15
Training Mode ................................................................................................................15
Hourly Fluid Updates......................................................................................................16
Patient Resuscitation Screens ..........................................................................................19
Top Bar ......................................................................................................................19
Screen Tabs ................................................................................................................19
Functional Buttons......................................................................................................20
Hourly Update ............................................................................................................20
Stop Burn Navigator...................................................................................................20
Enter Notes.................................................................................................................21
Enter Checklist ...........................................................................................................21
Next Update................................................................................................................21
Home..........................................................................................................................22
Updating Pump Rate...................................................................................................22
Notes ..........................................................................................................................24
I/O Table ....................................................................................................................25
Volume.......................................................................................................................27
24 hour fluid projection ..............................................................................................27
I/O Graph ...................................................................................................................28
Safety Features....................................................................................................................29
Settings ...............................................................................................................................31
Burn Nav Web integration...................................................................................................32
Handoff...............................................................................................................................33
Bluetooth Handoff...........................................................................................................33
Manual Handoff..............................................................................................................33
Web Handoff ..................................................................................................................34
Software Updates ................................................................................................................34
Security and Privacy Safeguards & Best Practices ...............................................................35
FAQ – Frequently Asked Questions ....................................................................................36
Troubleshooting ..................................................................................................................38
Software Warnings, Alerts, and Messages ...........................................................................39
Hardware Information .........................................................................................................44
Service & Technical Support ...............................................................................................50
Copyright ............................................................................................................................50
Trademarks .........................................................................................................................50
Index ...................................................................................................................................51

Burn Navigator® User’s Manual Page 3
Description
Burn Navigator® is a Clinical Decision Support tool to help health care providers manage IV
fluid therapy for adult and pediatric severe burn patients. Each Burn Navigator device allows
resuscitation of only one patient at a time.
Intended Use
The Burn Navigator is indicated for use in the care of adult patients with 20% or more Total
Body Surface Area (TBSA) burned, or pediatric patients, 24 months old or older, weighing at
least 10 kg with 15% or more TBSA burned, as a fluid resuscitation monitor and calculator
for hourly fluid recommendations.
The Burn Navigator is intended to be used for burn patients of all ages, co-morbidities and
weights from 1 to 400 kg as a fluid resuscitation monitor.
The Burn Navigator is intended to be initiated within 24 hours of the burn incident and to be
used no longer than 72 hours post burn. The Burn Navigator is not intended for use in the
care of patients weighing over 400kg.
Users are expected to have clinical training in emergency or critical care at a physician or
nurse level.
The Burn Navigator can be used after Foley catheter insertion until the fluid resuscitation
phase is complete.
The Burn Navigator is intended to be used in Burn Intensive Care Units, during patient
transport and in other critical care environments where fluid resuscitation is performed.
Safety Information
Use Warnings
The Burn Navigator® provides fluid recommendations for critically burned
patients. Users should always rely on their clinical judgment when making decision
regarding patient care. The Burn Navigator recommendations are not a substitute
for clinical judgment.
WARNING! Gross myoglobinuria may require a high target urine output range.
Consult attending physician regarding appropriate UO range.
WARNING! The Burn Navigator uses Urine Output as a surrogate for general organ
perfusion. If Urine Output is not or no longer a good surrogate for organ perfusion

Burn Navigator® User’s Manual Page 4
in a particular patient, such as can happen with acute renal failure or use of
diuretics, consult with attending physician for appropriate fluid therapy.
WARNING! The Weight-based protocol is not intended for patients weighing less
than 10 kg, because immature kidneys may not regulate output during
hypovolemia.
WARNING! Patients with inhalation injuries may need a higher rate of fluid
resuscitation than the Burn Navigator algorithm recommends. Consult physician
regarding appropriate fluid rates for a patient with an inhalation injury.
WARNING! Giving fluids in addition to the primary resuscitation fluid may require
an adjustment to the fluid infusion rate by the user, different from the rate
recommended by Burn Navigator.The attending physician should be contacted to
determine the appropriate fluid infusion rate.
MR Unsafe. The Burn Navigator should not be used during a magnetic resonance
imaging (MRI) procedure. Do not use the Burn Navigator in the same room or an
adjacent room to the room where an MRI procedure is being performed. Consult
the MRI device manual to determine the appropriate safe distance of use.
Essential Performance:The Burn Navigator provides fluid therapy
recommendations for serious burn patients. If the Burn Navigator fails to
generate a recommendation, clinicians will use an alternative guide to fluid
resuscitation (e.g. Parkland or Modified Brooke formulas). The generation of a
recommendation is not considered essential performance for patient safety. The
other Burn Navigator features provide additional views to aid clinical judgment
and also are not considered essential performance for patient safety.
The Burn Navigator needs special precautions regarding electromagnetic
compatibility (EMC) and needs to be installed and put into service according to
the EMC information provided in this manual.
The Burn Navigator should not be used adjacent to or stacked with other
equipment. If adjacent or stacked use is necessary, observe the device to verify
normal operation in the configuration in which it will be used.
Portable and mobile radio-frequency (RF) communications equipment can affect
medical electrical equipment.

Burn Navigator® User’s Manual Page 5
Incoming Device Setup, Cleaning & Maintenance, Handling
Incoming device setup
•Connect to the internet via Wi-Fi to check for updates and ensure you have the latest
software version. The product will also automatically synchronize its clock when
connected to the internet.
•Enable Bluetooth and location if desired. Bluetooth must be enabled in order to send
patient files to other devices. To receive patients, location must also be enabled. The Burn
Navigator software does not use, save, or transmit location data.
•Check battery status and recharge the battery if needed.The battery level will be shown
when the device is powered off or on standby while connected to the charger. To check the
battery level during use, press the Menu key and note the battery icon at the top right of the
screen.
•Go to Settings > Admin Settings within the app, and select the patient identifier field label.
Cleaning & Maintenance
Cleaning and maintenance items are categorized by frequency.
During patient care:
•Disinfect the device and screen with a disinfectant wipe, such as an alcohol swab,
CaviCide® wipe, Clorox Bleach® wipe or other germicidal wipe as needed.
After each patient:
•Disinfect the device and screen with a disinfectant wipe, such as an alcohol swab or
CaviCide® wipe.
•If the tablet has crossed time zones during patient care, connect to the internet via Wi-Fi to
synchronize the date, time and time zone. No patient data is transmitted by this process.
•Properly shut down the device.
•Recharge the Burn Navigator batteries.
•Before putting the device away, be sure to wipe off any moisture.
Quarterly:
•Connect the device to the internet to synchronize the clock and check for software updates.
•Delete unneeded patient files.
Twice a Year:
•Adjust the time based on any daylight savings time changes.
CAUTION
•Do not use ester contained agent, strong alkaline agent, benzene or thinner since it may
adversely affect the surface causing discoloration, etc. Do not use commercially-available
household cleaners and cosmetics, as they may contain components harmful to the surface.
•Do not apply water or detergent directly to the computer since liquid may enter inside of the
computer and cause malfunction or damage.

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Operational environment
Place the computer on a flat stable surface. Do not place the computer upright or turn it over. If the
computer is exposed to an extremely strong impact, it may become damaged.
Do not expose the skin to this product when using the product in a hot or cold environment. If the computer
is wet in temperatures of 0 °C {32 °F} or below, freeze damage may occur. Make sure to dry off the computer
in such temperatures.
•Do not place the computer in the following areas, otherwise the computer may be damaged.
oNear electronic equipment. Image distortion or noise may occur.
oIn extremely high or low temperature.
•As the computer can become hot during operation, keep it away from items that are sensitive to heat.
Handling cautions
This tablet is designed to minimize shock to parts such as the LCD, but no warranty is provided against any
trouble caused by shock. Be extremely careful when handling the tablet .
•When carrying the tablet:
oTurn off the display.
oRemove all connected peripheral devices and cables.
oDo not drop or hit the tablet against solid objects.
•When traveling by aircraft, take the tablet in your carry-on bag rather than checked luggage. When using
the device aboard an airplane, follow all airline policies and instructions from crew.
•When in a moving vehicle, keep the tablet inside a protective bag or case while not in use. When the
tablet is in use, ensure it is sufficiently secured to prevent sliding and/or dropping.
•Do not attempt to operate the tablet while driving.
•When carrying a spare battery, put it in a plastic bag to protect its terminals.
•Be careful not to get injured by dropping or getting hit when carrying the tablet.
•Use only your finger, gloves, or the included stylus to operate the touchscreen. Do not place any object
on its surface and do not press down strongly with sharp-pointed or hard objects that may leave marks
(e.g., nails, pencils and ball point pens).
•Do not use the touchscreen when dust or dirt (e.g., oil) is on the screen. Otherwise foreign particles can
scratch the screen surface or obstruct the stylus pen operation.
•Use the stylus pen only for touching the screen. Using it for any other purpose may damage the stylus
and result in scratches on the screen.

Burn Navigator® User’s Manual Page 7
Tablet Description
The Burn Navigator Active device uses a Samsung Galaxy Tab Active Pro tablet.
Front
1. Display
2. Back key
3. Home key
4. Menu key
Back
5. Camera
6. Stylus receptacle
Top
7. Power key
8. Volume Up/Down keys
9. Active key
10. Microphone
Bottom
11. Docking connector
Right
12. 3.5mm audio jack
13. USB 3.1 Type-C port
14. Microphone
15. Speaker
1
4 3 2
5
6
10 9 8 7
11
12 13 14 15

Burn Navigator® User’s Manual Page 8
First-time Operation
AC-USB 3.1 Adapter (1)
& USB A-to-C 3.5’ Cable (1)
CMP-1805
Protective Cover (1)
CMP-1803
Battery Pack (1)
CMP-1806
Stylus (1)
CMP-1804
Installing or Replacing the Battery
The tablet ships with a battery pre-installed. To replace the battery, do the following:
1. Power off the tablet.
2. Remove the protective cover from the tablet.
3. Remove the battery compartment cover.
4. Remove the old battery if present.
5. Insert the new battery with the label facing up and the battery terminals aligned with the contact pins on
the device.
6. Replace the battery compartment cover and protective cover.
CAUTION
•Make sure the battery compartment cover is securely snapped in place when carrying the device.
•Do not expose the battery to water or any other liquid.
•Do not attempt to charge the battery using methods other than specified. Do not short the battery
terminals. Do not attempt to overcharge the battery.
•Do not touch the terminals on the battery pack or the tablet. Doing so can make the terminals dirty or
damaged and may cause malfunction of the battery pack and/or the tablet.
•Monitor the device for signs of battery failure, such as frequent overheating, or swelling of the battery
pack. Continued use of a failing battery may cause permanent damage to the tablet, and creates risk of
fire. Stop use of the tablet immediately and replace the battery if failure is suspected.

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About the battery for this tablet
•Check the battery level regularly. Charge the battery as needed or when the battery level drops below 20
percent. To extend the lifetime of the battery, disconnect the charger once the battery level is above 80
percent.
•Time to full charge: Approximately 3 hours
•Rechargeable batteries will degrade and lose capacity over time. This battery is designed to withstand
about 300 to 500 full charge cycles before capacity loss becomes significant. We recommend replacing
the battery every 2 to 5 years depending on frequency of use.
WARNING!
The use of accessories other than those specified above may result in increased electromagnetic emissions
or decreased electromagnetic immunity of the Burn Navigator.
Handling the AC adapter
•Problems such as sudden voltage drops may arise during periods of thunder and lightning. Since this
could adversely affect the device, an uninterruptible power source (UPS) is highly recommended unless
running from the battery pack alone.
Turn on the tablet
Press and hold the Power button (item 6 on page 7 of this manual) until the boot screen is displayed and
wait for the device to boot. The Burn Navigator software will launch automatically.
Powering off the tablet
Press and hold the Power button for 1 second to display the shut down menu.
Accessing device settings
Press and hold the Active button for 1 second to open the Android™ settings screen. Note that for security
reasons, some settings will be locked.
Press the Back or Home key, or press the Power key twice quickly, to return to the Burn Navigator app.
NOTE: This covers Android system settings. For Burn Navigator app settings, see page 31.
Task list
Press the Menu key to display the task list. You can close apps by swiping them up and off the screen.
NOTE: The Burn Nav app will always be present. Closing it will cause the app to restart. Restarting the app
this way will lose all data in entry screens, forms, or wizards not yet completed; however, data already
entered (e.g. fluid updates previously completed) will not be lost.

Burn Navigator® User’s Manual Page 10
Using the Burn Navigator App
CAUTION
Before using the Burn Navigator, assess the patient and perform any lifesaving
interventions needed. The Burn Navigator is a fluid calculator and does not provide
direct therapy to the patient.
Splash screen
When the app starts, you will see the splash screen. Press “OK” to close the splash screen and
go to the main menu.
Main Menu
The main menu shows a list of patient records stored
on the device. Active patients (blue) are those
currently being resuscitated; inactive patients
(orange) are those whose resuscitation has ended.
Burn Navigator supports up to 6 active patients at
one time. There is no maximum number of inactive
patient records.
To switch between the lists of active and inactive
patients, press the “Review Records” / “Active Patients” button.
Select a patient record in the list to view it. If an active patient has a pending alert, an alert
icon will be displayed next to it.
To delete an inactive patient record, press the delete icon (⊗) next to it. You will be asked to
confirm. If you are sure you want to delete the record, select “Yes”. Deleted records are
gone forever and cannot be recovered.
Training Mode
If you haven’t used the Burn Navigator before, you can use the Training Mode to familiarize
yourself with the software and features.
To enter Training Mode, press the “Training Mode” button on the main menu.
You can use all the features of Burn Navigator while in Training Mode. You will also be able
to advance time to go through several hourly fluid updates in minutes.