Arcos Burn Navigator RX User manual

June 2019 For Burn Navigator RX Manual-1143
Version V.6.1h Revision G
Burn Navigator® RX
User’s Manual

Burn Navigator® User’s Manual Page 2
Contents
Description............................................................................................... 4
Intended Use ........................................................................................... 4
Safety Information................................................................................... 4
Use Warnings ....................................................................................... 4
Incoming Device Setup, Cleaning & Maintenance, Handling ................. 6
Tablet Description.................................................................................... 8
First-time Operation ................................................................................ 9
Using the Burn Navigator ........................................................................11
Main Menu ...........................................................................................11
Training Mode ......................................................................................11
New Patient Setup .............................................................................. 12
Checklist .............................................................................................. 16
Hourly Fluid Updates........................................................................... 17
Patient Resuscitation Screens ............................................................ 21
Top Bar & Battery Indicator............................................................. 21
Screen Tabs...................................................................................... 21
Functional Buttons .......................................................................... 21
Hourly Update..................................................................................22
End Decision Support ......................................................................22
Enter Notes......................................................................................23
Enter Checklist .................................................................................23
System Menu ...................................................................................23
Next Update ....................................................................................24
Home................................................................................................24
Updating Pump Rate .......................................................................24
Notes................................................................................................26
I/O Table...........................................................................................27
Volume .............................................................................................28
24 hour fluid projection ...................................................................29
I/O Graph..........................................................................................30
Urimeter Connectivity......................................................................... 31
Continuous UO Graph......................................................................32
Safety Features.......................................................................................32
System Functions....................................................................................34
Transfer Active Patient ...........................................................................36
FAQ –Frequently Asked Questions........................................................37
Troubleshooting .....................................................................................39
Software Warnings, Alerts, and Messages ........................................... 40
Service & Technical Support...................................................................57

Burn Navigator® User’s Manual Page 3
Trademarks .............................................................................................57
Index .......................................................................................................58
Notes.......................................................................................................59

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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.
Caution: Federal (U.S.) law restricts this device to sale by or on the order of a physician.
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.

Burn Navigator® User’s Manual Page 5
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
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 6
Incoming Device Setup, Cleaning & Maintenance, Handling
Incoming device setup
•Make sure the system date, time and time zone are correct. Turn on Burn Navigator,
press the System button, then press the Change Date/Time button.
•Check battery status and recharge the batteries if they are not full. The
battery indicator in the top right of the screen shows four bars when full.
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, make sure the system date and time
and the time zone are correct.
•Properly shut down the device.
•Recharge the Burn Navigator batteries.
•Before putting the device away, be sure to wipe off any moisture.
•Store between -10 and 50 degrees Celsius.
Quarterly:
•Make sure the system date and time and time zone are correct.
•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.

Burn Navigator® User’s Manual Page 7
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.
Temperature: Operation: –10 °C to 50 °C {14 °F to 122 °F} (IEC60068-2-1, 2) *1
Storage: –20 °C to 60 °C {–4 °F to 140 °F}
Humidity: Operation: 30% to 80% RH (No condensation)
Storage: 30% to 90% RH (No condensation)
Even within the above temperature/humidity ranges, using for a long time in an extreme environment will
result in the product deterioration and will shorten the product life.
*1 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 computer is designed to minimize shock to parts such as the LCD and the hard disk drive and equipped
with a drip-proof keyboard, but no warranty is provided against any trouble caused by shock. Be extremely
careful when handling the computer.
•When carrying the computer:
oTurn off the computer.
oRemove all external devices, cables, and other protruding objects.
oDo not drop or hit the computer against solid objects.
oDo not grip the display part.
•When you board an airplane, take the computer with you and never put it in your checked luggage.
When using the device on airplane, follow the airline’s instructions.
•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 computer.
•Be careful of computer drop resulting from the hand strap damage.
•Use only the included stylus/digitizer pen to touch 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 on
the screen/stylus/digitizer pen can scratch the screen surface or obstruct the stylus/digitizer pen
operation.
•Use the stylus/digitizer pen only for touching the screen. Using it for any other purpose may damage the
stylus/digitizer pen and result in scratches on the screen.
•The cursor cannot follow the digitizer pen movement if you move the digitizer pen too quickly.

Burn Navigator® User’s Manual Page 8
Tablet Description
The Burn Navigator RX device uses a Getac RX10h tablet computer.
Getac RX Model
Front Components
1 : Front Camera
2 : Fingerprint Scanner
3 : Microphone
4 : Light Sensor
5 : Power Status LED
•Off: Power off/Hibernation
•Blue: Power on
•Blinking Blue: Sleep mode
•Amber: Charging
•Green: Fully charged
•Slow Red blink: battery low
•Fast Red blink: Thermal protection
problem
6: Programmable button one
7 : Programmable button two (disabled)
8 : Windows button (disabled)
9 : Volume up button (disabled)
10 : Volume down button (disabled)
11 : Power button
12 : LCD
Rear Components
1 : Tether hole
2 : Digitizer Pen
3 : Bridge Battery Indicator
4 : Battery Pack
5 : Expansion Connector
6 : Speaker
7 : Back Camera
8 : Camera Flash
Left Components
1 : USB 3.0 port
2 : USB 2.0 port
3 : AC input port

Burn Navigator® User’s Manual Page 9
First-time Operation
AC Adapter (1)
CMP-1621
AC Power Cord (1)
CMP-1622
Battery Pack (2)
CMP-1623
Digitizer Pen and Tether (1)
CMP-1632
USB Data Drive (1)
CMP-1640
Inserting the Battery Pack
1 Hold the battery pack with the Getac serial number label facing the device.
2 Ensure that the keyed black connector is facing to the right (east).
3 Slide the battery pack into the back of the device at an angle so that the keyed black connector makes
contact first.
4 Once the battery pack is in place, press on the left (west) side of the battery until it clicks into place
CAUTION
•Make sure the battery pack is securely locked in place. Otherwise the battery pack may fall when you
carry the computer.
•Do not touch the terminals of the battery pack and the computer. Doing so can make the terminals dirty
or damaged and may cause malfunction of the battery pack and the computer.
About the battery for this computer
The battery pack can be swapped without shutting down the device
•When the battery pack is removed, the device will remain powered on for a short amount of time.
•Ensure that the charged spare battery is nearby so that the battery can be swapped before the device
shuts down
•Charge or swap the battery once the battery indicator begins to blink red.
•Full charge: Approximately 6.5 hours with 1 battery or 12 hours with 2 batteries
WARNING!
The use of accessories other than those specified above may result in increased electromagnetic emissions
or decreased electromagnetic immunity of the Burn Navigator.

Burn Navigator® User’s Manual Page 10
Using the digitizer pen
You can use Burn Navigator RX by touching screen in the same way as the mouse. Touch the screen surface
with the digitizer pen (included).
Attaching the digitizer pen to the computer
•Pass one end of the tether (loop 1in
diagram) through the top of the
stylus
•Pass loop 2through loop 1and pull
it tight
•Pass loop 2through the tether hole
on the device
•Pass the pen through loop 2and pull it tight
CAUTION
•Do not pull the tether with excessive force. The digitizer pen may hit the computer, person’s body or
other objects when released.
Handling the AC adaptor
•Problems such as sudden voltage drops may arise during periods of thunder and lightning. Since this
could adversely affect your computer, an uninterruptible power source (UPS) is highly recommended
unless running from the battery pack alone.
Turn on the computer
Press the power switch (component 11 as seen on page 8 of this manual).
The power indicator will turn on.
CAUTION
•Do not press the power switch repeatedly.
•The computer will forcibly be turned off if you press and hold the power switch for 4 seconds or longer.
•Once you turn off the computer, wait for 10 seconds or more before you turn on the computer again.
•Do not perform the following operation until the hard disk drive indicator turns off.
•Connecting or disconnecting the AC adaptor
•Pressing the power switch
•Touching the screen, external keyboard or external mouse
•When the CPU temperature is high, the computer may not start up to prevent overheating of the CPU.
Wait until the computer cools down, and then turn the power on again. If the computer does not power
on even after cooling down, contact Technical Support.
Precaution when Starting Up/Shutting Down
Do not do the following:
•Connecting or disconnecting the AC adaptor
•Pressing the power switch
•Touching the screen or external mouse