Dräger Globe-Trotter GT5400 User manual

Operator’s Manual
Portable Bedside Capnograph
PN: 010678-A

Notice: Purchase of this instrument confers no express or implied
license under any Oridion Medical patent to use the instrument with
any accessory that is not manufactured or licensed by Oridion Medical
1987 Ltd.
Capnography is covered by one or more of the following United
States patents: 6,437,316; 5,300,859; 6,428,483; 6,997,880 and their
foreign equivalents. Additional patent applications pending.
Oridion®, Microstream®, FilterLine®, Smart CapnoLine®,
CapnoLine®, Smart BiteBloc™, NIV Line™, Capnostream™,
Microcap®, Microcap®Plus, and VitalCap®are trademarks or
registered trademarks of Oridion Medical 1987 Ltd.
Exemptions
Oridion's liability under this warranty does not include any
transportation damage or other charges or liability for direct, indirect
or consequential damages or delay resulting from improper use or
application of the product or the substitution upon it of parts or
accessories not approved by Oridion.
All information in this manual is believed to be correct. Oridion shall
not be liable for errors contained herein with the performance or use
of this manual.
Copyright © 2006 Oridion Medical 1987 Ltd., All rights reserved.

Portable Bedside Capnograph 3
Table of Contents
CHAPTER 1 SAFETY INFORMATION....................... 7
Warnings ............................................................ 7
Symbols ........................................................... 10
CHAPTER 2 INTRODUCTION.................................. 11
Monitor Features .............................................. 11
CHAPTER 3 OVERVIEW .......................................... 13
Principles of Operation..................................... 13
CHAPTER 4 INITIAL SETUP.................................... 19
Power Requirements ....................................... 19
Unpacking and Inspection................................ 22
Start-up and Self test....................................... 23
Measuring Mode .............................................. 25
Quick Guide ..................................................... 26
CHAPTER 5 CONSUMABLES ................................. 27
MICROSTREAM EtCO2 Consumables ........... 27
CHAPTER 6 BASIC OPERATION............................ 29
Data Display Screens ...................................... 29
Displayed Data Options ................................... 32
Alarm Functions ............................................... 33
Alarm Limits Menu ........................................... 35
Alarm Silence/Standby Menu........................... 37
Instrument Settings Menus .............................. 38
CHAPTER 7 COMMUNICATION INTERFACE ........ 47
Communication Interface ................................. 47
CHAPTER 8 TROUBLESHOOTING......................... 49
Alarms and Messages ..................................... 49
Troubleshooting Guide..................................... 54
CHAPTER 9 MAINTENANCE................................... 57
Periodic Maintenance ...................................... 57
Service ............................................................. 58

4 Portable Bedside Capnograph
Cleaning ........................................................... 58
Calibration ........................................................ 59
CO2 Calibration Check..................................... 59
Returning the Monitor....................................... 61
Technical assistance ........................................ 62
CHAPTER 10 SPECIFICATIONS..............................63
Physical ............................................................ 63
Environmental .................................................. 63
Safety Standards.............................................. 64
Compliance ...................................................... 64
Manufacturer’s Declaration .............................. 67
Performance..................................................... 67
Power Specifications ........................................ 68
Electrical........................................................... 69
Components and User Interface ...................... 75

Portable Bedside Capnograph 5
List of Figures
Figure 1: Monitor Front and Side View............................. 17
Figure 2: Monitor Rear View ............................................18
Figure 3: Initialization Screen...........................................24
Figure 4: Quick Guide ...................................................... 26
Figure 5: Monitor Display Screen and LEDs .................... 30
Figure 6: Pump Off...........................................................45
Figure 7: Pump Off Additional Time .................................46
Figure 8: Pump Off/On Label ...........................................46

6 Portable Bedside Capnograph
List of Tables
Table 1: Symbols on the Device ...................................... 10
Table 2: Display Screens................................................. 32
Table 3: Factory Default Alarm Range Values................. 35
Table 4: Alarm Limits....................................................... 35
Table 5: Alarm Silence/Standby ...................................... 37
Table 6: Instrument Settings Parameters (Menu 1) ......... 38
Table 7: Instrument Settings Parameters (Menu 2) ......... 40
Table 8: Changing Instrument Settings (Menu 1) ............ 41
Table 9: Changing Instrument Settings (Menu 2) ............ 42
Table 10: Institutional Settings......................................... 43
Table 11: Warning Messages .......................................... 50
Table 12: Caution Messages ........................................... 51
Table 13: Advisory Messages.......................................... 52
Table 14: Silent Advisory Messages................................ 53
Table 15: Troubleshooting Guide .................................... 55
Table 16: Accessing the Service Mode............................ 58
Table 17: CO2 Calibration Check .................................... 60

Portable Bedside Capnograph 7
Do not touch this field - it is
invisible and does not appear in the
final document
Chapter 1
Safety Information
Warnings
Symbols
To use the portable capnograph correctly and safely, carefully read
this operator’s manual and the Directions for Use for the Microstream
EtCO2consumables. Use of the monitor requires full understanding
and strict observance of these instructions, the precautionary
information in boldface type, and the specifications.
Warnings
General
WARNING: If uncertain about the accuracy of any measurement,
check the patient’s vital signs by alternate means, and
then make sure the monitor is functioning correctly.
WARNING: To ensure patient safety, do not place the monitor in any
position that might cause it to fall on the patient.
WARNING: Carefully route patient cabling (FilterLine) to reduce the
possibility of patient entanglement or strangulation.
WARNING: Do not lift the monitor by the FilterLine, as it could
disconnect from the monitor, causing the monitor to fall
on the patient.
WARNING: To ensure accurate performance and prevent device
failure, do not expose the monitor to extreme moisture,
such as rain.
WARNING: CO2readings and respiratory rate readings can be
affected by certain ambient environmental conditions
and certain patient conditions.

Safety Information
8 Portable Bedside Capnograph
WARNING: The monitor is a prescription device and is to be
operated by qualified healthcare personnel only.
MRI Scanning
WARNING: During MRI scanning, the monitor must be placed
outside the MRI suite. When the monitor is used outside
the MRI suite, EtCO2monitoring can be implemented
using the FilterLine XL. (Refer to MRI Scanning on
page 44.)
Alarms
WARNING: Do not silence the audible alarm if patient safety may be
compromised.
WARNING: Always respond immediately to a system alarm since the
patient may not be monitored during certain alarm
conditions.
WARNING: Before each use, verify that the alarm limits are
appropriate for the patient being monitored.
WARNING: Check the audible alarm silence duration before
temporarily silencing the audible alarms.
Fire Hazard
WARNING: When using the monitor with anesthetics, nitrous oxide,
or high concentrations of oxygen, connect the gas outlets
to a scavenger system.
WARNING: The monitor is not suitable for use in the presence of
flammable anesthetic mixture with air, oxygen, or
nitrous oxide.
WARNING: The FilterLine may ignite in the presence of O2when
directly exposed to laser, ESU devices, or high heat.
When performing head and neck procedures involving
laser, electrosurgical devices, or high heat, use with
caution to prevent flammability of the FilterLine or
surrounding surgical drapes.

Warnings
Portable Bedside Capnograph 9
Electrical
WARNING: To protect against electric shock hazard, the monitor’s
cover is to be removed only by qualified service
personnel. There are no user-serviceable parts inside.
WARNING: To ensure patient electrical isolation, connect only to
other equipment with circuits that are electrically
isolated.
WARNING: Use only the medical grade AC adapter provided by the
manufacturer. If in doubt about the integrity of the mains
supply connection, operate the monitor from its internal
battery pack.
WARNING: Do not connect to a printer or to a PC unless using the
Communication Adapter provided by the manufacturer
as an optional accessory. The printer and PC (when
connected to the patient through the Communication
Adapter) must be distanced from the patient
environment by at least 1.5 m.
Electro-magnetic Interference
This device has been tested and found to comply with the
requirements for medical devices according to the standard EN60601-
1-2/2001. These standards are designed to provide reasonable
protection against harmful interference in a typical medical
installation.
However, because of the proliferation of radio-frequency transmitting
equipment and other sources of electrical noise in the healthcare
environments (for example, cellular phones, mobile two-way radios,
or electrical appliances), it is possible that high levels of such
interference, due to close proximity or strength of a source, may result
in disruption of performance of this device.
WARNING: Operating high frequency electrosurgical equipment in
the vicinity of the monitor can produce interference in
the monitor and give incorrect measurements.
WARNING: Do not use the monitor with nuclear spin tomography
(MRT, NMR, NMT) as the function of the machine may
be disturbed.

Safety Information
10 Portable Bedside Capnograph
Symbols
The following symbols appear on the monitor and monitor LCD
(liquid crystal display):
Table 1: Symbols on the Device
Symbol Description
See Directions for Use
Gas Outlet
Defibrillator-proof Type BF
equipment
(patient electrically isolated)
Audio Alarms Off
Plug Icon
Battery Icon
Respiratory Rate (breaths per
minute)
EtCO2End tidal carbon dioxide value
DC Input
Refer to manual for connector
interface and other information
Pump Off/On Pump Off