GlideScope Ranger User manual

Ranger and Ranger Single Use
User’s Manual and Quick Reference Guide
0900-1307-05-20

Ranger and Ranger Single Use
Quick Reference Guide

Corporate Headquarters:
Verathon Inc.
20001 North Creek Parkway,
Bothell, WA 98011 USA
800.331.2313 (Canada and US)
425.867.1348
Fax: [phone]
verathon.com
Verathon Medical (Europe) B.V.
Linnaeusweg 11
3401 MS, IJsselstein
The Netherlands
+31.30.68.70.570
Fax: [phone]
verathon.eu
Verathon Medical (Canada) ULC
4224 Manor Street
Burnaby, BC V5G 1B2
Canada
604.439.3009
Fax: [phone]
For additional contact information please visit our corporate website:
verathon.com.
GlideScope, GVL, GlideRite, and Verathon are trademarks of Verathon
Inc. All other brand and product names are trademarks of their
respective owners.
The GlideScope®technology is covered under US Patents (6,655,377)
(6,543,447) as well as European Patent 1307131. Additional patents
pending.
Information in this User’s Manual and Quick Reference Guide may
change at any time without notice. For the most up-to-date information,
see the online manuals on verathon.com.
GlideScope® Video Laryngoscope systems are CE marked in
accordance with the Medical Device Directive, and the Verathon Inc.
quality is Quality System Certified to ISO 13485:2003 standards.
© 2009, 2010 Verathon Inc. No part of this manual may be copied or
transmitted by any method without the express written consent of
Verathon Inc.
0900-2111-02-20111-01-20 Phillips, Oct2008, www.allterrainwriter.com

GlideScope® Ranger System Quick Start
The battery must be fully charged before rst use. The unit will not operate
while charging. If it is switched on during charging, the charging light will
ash alternately green and orange.
To ensure proper charging, follow these steps
in order:
• Make sure the power switch is in the OFF
position.
• Unscrew the DC socket protective cap
on the front of the monitor (a screwdriver
or a small coin may be used).
• Plug the power supply barrel connector
into the DC socket. Plug the AC cord
into the power supply and then into the wall.
• The charge status LED will turn orange,
indicating that the recharging cycle has begun.
• When charging is complete, the status LED will turn green.
Connect the Video Laryngoscope to the monitor.
• If using the Ranger GVL®:
Insert the Ranger GVL® cable connector
into the port located on the face of
the monitor so that the arrows on the
cable and the monitor line up.
• If using the Ranger Single Use system:
Connect the video baton cable con-
nector to the monitor as shown for the Ranger GVL® above. Then
slide a single-use GVL® Stat over the video baton.
OFF
Position

Corporate Headquarters:
Verathon Inc.
20001 North Creek Parkway
Bothell, WA 98011, USA
Tel: [phone] (US and Canada only)
Tel: [phone] Fax: [phone]
Manufacturer:
Verathon Medical (Canada) ULC
4224 Manor Street
Burnaby, British Columbia
Canada, V5G 1B2
EC Representative:
Verathon Medical (Europe) B.V.
Linnaeusweg 11
3401 MS IJsselstein Netherlands
Tel: [phone]
Fax: [phone]t
GlideScope® Ranger System Quick Start
To detach a GVL® Stat from a Ranger Video
Baton, grasp the base of the video baton
handle and pull rmly.
LED State Meaning
Steady green
CHARGE
STATUS
The battery is fully charged.
Flashing green Battery power is low. LED ashes for approximately
5 minutes before shutting off.
No LED The battery is completely depleted and needs to
be recharged.
Flashing orange A ashing orange light indicates a battery problem.
When this happens:
• Disconnect the DC connector.
• Make sure the switch is in the CHARGE
(or OFF) position.
• Reconnect the DC connector.
• If the orange LED is still ashing, the battery
has failed.
• Return the unit for repair.
www.verathon.com
0900-2116-01-60
IMPORTANT! A used GVL® Stat is a biohazard and
should be disposed of in compliance with local
protocols.
GlideScope®, GVL®, Verathon® and Verathon Medical® are registered trademarks of Verathon Inc. in the United States and/or other countries.
© 2008 Verathon Inc. GlideScope® video laryngoscope systems are CE marked in accordance with the Medical Device Directive, and the
Verathon Inc. quality system is Quality System Certied to ISO 13485:2003 standards.
CHARGE
STATUS
CHARGE
STATUS
CHARGE
STATUS
Stat
Video Baton

• DONOT exposetotemperaturesabove60°C(140°F).
DO NOT disinfect using devices such as autoclaves, ultrasonic cleaners or pasteurizers.
• The GlideScope® Ranger GVL® is a non sterile, reusable device. It is recommended that
the Ranger GVL® is cleaned and disinfected after every patient use using a High Level
Disinfectant method. High Level Disinfection is required for the Ranger GVL® when it is
visibly soiled.
• The GlideScope® Ranger Video Baton is a non sterile, reusable device. When used as
intended, it is protected from direct contact with the patient by the sterile, single-use
GVL® Stat. Low Level Disinfection is recommended for the Ranger Video Baton after every
patient use. High Level Disinfection is required for the video baton when it is visibly soiled.
Disconnect the Ranger GVL® or Video Baton from the monitor.
Place the cleaning cap over the connector as shown. Turn counter-clockwise to
lock in place.
• During cleaning, the protective cap must be inserted as shown to protect
the cable connector.
Wash the Ranger GVL® or Video Baton manually to remove all foreign material from
the surface of the device.
• Chemical compatibility and disinfection methods are detailed in the user’s
manual.
• To clean the exterior of the monitor, wipe with IPA (70% isopropyl alcohol) bleach
(100ppm) or a mild detergent and water.
FormoredetailedcleaninginstructionsseetheGlideScope®RangerUser’sManual.
Cleaning and Disinfecting the GlideScope®
Ranger GVL and Ranger Single Use Video Baton
Video Baton
Cleaning Cap
Ranger Single Use Video BatonRanger GVL®

Attaching/Detaching the GlideScope® Ranger
GVL or Ranger Single Use Video Baton
Attaching/Detaching the
GlideScope® Ranger Video Baton and Stat
To ensure proper insertion, match the
GlideScope® logo on the side of the video
baton and the GVL® Stat. Insert the Ranger
Video Baton into the sterile, single-use GVL®
Stat until it clicks into place.
Detach the video baton from the GVL® Stat
by grasping the base of the video baton and
pulling rmly.
Insert the Ranger GVL® or Video Baton
cable into the port located on the face of
the monitor so that the arrows on the cable
and the monitor line up.
IMPORTANT!A used GVL® Stat is a biohazard and should be disposed
of in a manner consistent with local directives in the user’s jurisdiction.
CorporateHeadquarters:
VerathonInc.
20001 North Creek Parkway
Bothell, WA 98011, USA
Tel: [phone] (US and Canada only)
Tel: [phone] Fax: [phone]
Manufacturer:
VerathonMedical(Canada)ULC
4224 Manor Street
Burnaby, British Columbia
Canada, V5G 1B2
ECRepresentative:
VerathonMedical(Europe)B.V.
Linnaeusweg 11
3401 MS IJsselstein Netherlands
Tel: [phone]
Fax: [phone]t
GlideScope, GVL, and Verathon are trademarks of Verathon Inc. © 2008, 2009 Verathon Inc. GlideScope® video laryngoscope systems are CE marked in
accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certied to ISO 13485:2003 standards.
verathon.com
0900-1326-09-60
Detach the cable by turning the connector
and gently pulling away from the monitor
port.
STAT Video
Baton

The GlideScope®
4-Step Technique
Looking directly into the patient’s mouth
and with the GlideScope® in the left hand,
introduce the video laryngoscope into the
midline of the oral pharynx.
With the laryngoscope inserted, look to
the monitor to identify the epiglottis, then
manipulate the scope to obtain the best
glottic view.
Looking directly into the patient’s mouth,
not at the screen, carefully guide the
distal tip of the tube into position near the
tip of the laryngoscope.
It is important to look into the mouth at this step to
avoid injuring the tonsils or soft palate.
Look to the monitor to complete the
intubation; gently rotate or angle the tube
to redirect as needed.
GlideScope® video laryngoscope systems are CE marked in accordance with the Medical Device Directive, and the Verathon Inc. quality system
is Quality System Certied to ISO 13485:2003 standards. © 2009 Verathon Inc.

• Verathon® recommends inserting the GlideScope® Video
Laryngoscope down the midline of the tongue to the epiglottis.
• The GlideScope® video laryngoscope may be used to produce a
MacIntosh indirect lift of the epiglottis or a Miller lift.
• Intubations using GlideScope® Video Laryngoscopes require
approximately 0.5kg-1.5kg of lifting force.
• Use of an endotracheal tube stylet
is recommended. The GlideRite®
Rigid Stylet has been designed to
complement the angle of the
GlideScope® video laryngoscope to
facilitate intubation. A malleable
stylet may be used with a 60°- 90°
angle.
• To aid the passage of the endotracheal
tube, withdraw the stylet (approx. 5 cm)
while gently advancing the ETT. A 1 cm
adjustment (withdrawal) of the laryngoscope
also may be benecial to reduce the viewing
angle and allow the glottis to drop.
verathon.com
0900-1436-06-60
GlideScope, GVL, GlideRite, and Verathon are trademarks of Verathon Inc. © 2009 Verathon Inc. All rights reserved.
Corporate Headquarters:
Verathon Inc.
20001 North Creek Parkway
Bothell, WA 98011, USA
Tel: [phone] (US and Canada only)
Tel: [phone] Fax: [phone]
Verathon Medical
(Canada) ULC
4224 Manor Street
Burnaby, British Columbia
Canada, V5G 1B2
Verathon Medical (Europe) B.V.
Linnaeusweg 11
3401 MS IJsselstein Netherlands
Tel: [phone]
Fax: [phone]
Tips for GlideScope®
Video Laryngoscope Insertion

GVL® System (reusable)
Cobalt AVL System (single use) Ranger System (reusable) Ranger Single Use System
FPO FPO FPO
Note: System congurations vary. The Cobalt AVL and Ranger Single Use Video Batons are reusable.
*For use with endotracheal tubes 6.0 mm and larger.
REUSABLE SINGLE USE STATS
GVL® Size GVL® 2 GVL® 3 GVL® 4 GVL® 5 GVL® 1 GVL® 2 GVL® 3 GVL® 4
Patient Weight 1.8 - 10 kg 10 kg -
Adult
40 kg -
Morbidly Obese
40 kg -
Morbidly Obese < 3.6 kg 1.8 - 10 kg 10 kg - Adult 40 kg - Morbidly Obese
Cobalt
AVL
Video Baton 1-2
Video Baton 3-4
GlideScope® GVL
Ranger
Ranger
Single
Use
Video Baton 1-2
Video Baton 3-4
GlideRite® Rigid Stylet
*
GlideScope® Products and Systems

GlideScope® Product Specications
20001 North Creek Parkway, Bothell, WA 98011 www.verathon.com 1.800.331.2313 (U.S. & Canada Only) 425.867.1348
SINGLE USE SYSTEM COMPONENTS
Cobalt AVL Video Baton 1-2
Length: Camera tip to SS ring to handle: 66mm
Height of camera: 6 mm
Width of camera: 7 mm
Cable length: 194.5 cm
Weight: 170 g
GVL® 1 and 2
STAT length (tip to handle): 38 mm/51 mm
Thickness (height) at camera: 8.7 mm/8.7 mm
Width at camera: 9.9 mm/10.9 mm
GVL® 3 and 4
STAT length (tip to handle): 80 mm/95 mm
Thickness (height) at camera: 16 mm/16 mm
Width at camera: 16 mm/20 mm
Cobalt AVL Video Baton 3-4
Length: Camera tip to SS ring: 100 mm
Height of camera: 11 mm
Width of camera: 11 mm
Cable length: 193 cm
Weight: 230 g
Ranger Video Baton 1-2
Length: Camera tip to handle: 40 mm
Height of camera: 6 mm
Width of camera: 7 mm
Cable length: 86.4 cm
Weight: 95 g
Ranger Video Baton 3-4
Length: Camera tip to SS ring: 104.1 mm
Height of camera: 10.7 mm
Width of camera: 10.9 mm
Cable length: 86.4 cm
Weight: 141 g
Note: The Cobalt AVL and Ranger Single Use Video Batons are reusable.
0900-2067-03-86
GVL® 2
Blade length (tip to handle): 47 mm
Thickness (height) at camera: 14.5 mm
Width at camera: 18 mm
REUSABLE SYSTEM COMPONENTS
GVL® 5*
Blade length (tip to handle): 102 mm
Thickness (height) at camera: 14 mm
Width at camera: 27 mm
GVL® 4
Blade length (tip to handle): 102 mm
Thickness (height) at camera: 14 mm
Width at camera: 27 mm
GVL® 3
Blade length (tip to handle): 82 mm
Thickness (height) at camera: 14.5 mm
Width at camera: 20mm
Blade length (tip to handle): 89 mm
Thickness (height) at camera: 14.5 mm
Width at camera: 19 mm
Ranger GVL® 3
Blade length (tip to handle): 78mm
Thickness (height) at camera: 14.5 mm
Width at camera: 14 mm
*The GVL® 5 is designed to accommodate anatomical anomalies sometimes associated with bariatric patients.
The GlideScope video laryngoscopy systems are CE marked in accordance with the Medical Device Directive, and the Verathon Inc. quality system is Quality System Certied to ISO 13485:2003 standards. US Patent No. 6,655,377; 6,543,447; Other patents pending.
GlideScope, GVL and Verathon are trademarks of Verathon Inc. © 2009 Verathon Inc.
Cobalt AVL Monitor
Color, 6.4in (diagonal), VGA 640 x 480
Height: 190 mm
Width: 225 mm
Depth: 80 mm
Weight: 1.0 kg
Ranger Monitor
Color, 6.4in (diagonal), 440 x 234
Height: 167 mm
Width: 207 mm
Depth: 83 mm
Weight: 1.4 kg
GVL® Monitor
Color, 3.4in (diagonal), 480 x 234
Height: 168 mm
Width: 173 mm
Depth: 49 mm
Weight: 0.56 kg
SYSTEM MONITORS
Ranger GVL® 4

GlideScope®Ranger System
Important Information
Statement of Prescription
Federal (USA) law restricts this device for sale by or on the order
of a physician.
The Ranger System should be used only by individuals who
have been trained and authorized by a physician, or by health
care providers who have been trained and authorized by the
institution providing patient care.
Intended Use
The Ranger System is intended for use by qualified medical
professionals to obtain a clear, unobstructed view of the vocal
cords for medical procedures. The Ranger System is designed
for field (military and pre-hospital) use.
Warnings and Cautions
CAUTION. Risk of permanent equipment damage.
Do not expose the Ranger GVL®or Ranger Video Baton to
temperatures above 140° F (60° C). Do not disinfect the Ranger
GVL®or Ranger Video Baton using devices such as autoclaves,
ultrasonic cleaners, or pasteurizers. Use of such methods will
cause permanent device damage and void the warranty. Refer to
the User’s Manual for a list of approved cleaning procedures and
products.
CAUTION: Risk of equipment damage.
Failure to cover the cable connector port with the protective cap
prior to cleaning may result in water ingress and potential device
failure.
CAUTION: Risk of equipment damage.
Bleach can be used on the baton but with special attention to the
connector. Bleach may corrode the stainless steel inserts and
damage the connector pins.
CAUTION: Potential interference with other devices.
The Ranger GVL®or Ranger Video Baton must be used with the
supplied cables to maintain electromagnetic interference (EMI)
within certified limits.
Quick Reference Guide page 1

GlideScope®Ranger System
Components and Features
Battery charge
status LED
Power ON/OFF
Monitor
LCD
display
DC power socket
CMOS video camera
Protective cap
Monitor connecto
r
(inside cradle)
Temperature
gauge
Range
r
V
ideo
Laryngoscope (GVL®)
with integrated cable
(reusable blade shown)
Reusable Ranger
Video Baton
inside a sterile,
single-use
Ranger GVL® Stat
page 2 Quick Reference Guide

GlideScope®Ranger System
Quick Reference Guide page 3
Preparing for First Use
Prior to using the Ranger System for the first time:
1. Charge the monitor battery.
2. Perform a functional check:
Connect a Ranger GVL®or Ranger Video Baton to
the monitor
Turn the system on by pressing the on/off switch
Observe the monitor screen to verify that an image
is being received from the Ranger GVL®or Ranger
Video Baton
If the GVL®, Video Baton or Stat are stored in cold conditions,
additional warming time may be required for optimal
performance of the anti-fog feature.
Cleaning, Disinfecting, and Maintenance
To ensure patient safety, users should perform a routine
inspection of the Ranger GVL®, Ranger Video Baton, or GVL®
Stat before every use to ensure that all endoscopic components
are free of unintended rough surfaces, sharp edges, protrusions
or cracks.
If inspection reveals any faults in the components, contact
Verathon Medical Customer Care or your local GlideScope®
representative. All repairs must be performed by an authorized
Verathon Medical Service Center.
Caution: Risk of permanent device damage!
Do not expose the Ranger GVL®or Ranger Video Baton to
temperatures above 140° F (60°C).
The temperature
indicator turns black
when the GVL®or
video baton is
exposed to
temperatures above
140° F (60° C)

GlideScope®Ranger System
page 4 Quick Reference Guide
General Cleaning and Disinfection
Information
Table 1: Risk Assessment
Device Sterile Use Spaulding’s
CDC
Classification
Di Sterilizationsinfection
Low
Level Int. Level High Level
Ranger
GV
Non- Reusable Semicritical X
L® sterile
Ranger
GVL®
Stat
Sterile Single
use
Semicritical
Ranger
Video
Baton*
Non-
sterile
Reusable Noncritical X
Stylet Non-
sterile
Reusable Semicritical X
Ranger
Video
Monitor#
Non-
sterile
Reusable Noncritical X
DVR for
Ranger#
Non-
sterile
Reusable Noncritical X
Cradle#Non-
sterile
Reusable Noncritical X
Clam
Shell
Storage
Case
Non-
sterile
Reusable Noncritical X
It is understood that all items in this chart will be used as intended.

GlideScope®Ranger System
Quick Reference Guide page 5
Key:
* The Ranger Vide
protected from conta
o Baton is a nonsterile, reusable device which
ct with mucous membranes and non-
e-use) when used as
recommended for the Ranger
o aft ery High ction
required for the Video Bato n it is visibly soiled.
# Disinfect monitor, DVR and cradle w v soiled
and on a regular basis as per a schedule established by the
ic re p
reas - not required/not compatible with device
e
hecked boxes (x) show minimum requirement.
– Unshaded areas show permissible levels of disinfection based
om il vi ls.
rning:
inf ts in liste are r omm ded by
Verat sed on compatibility with device materials. Refer to
struction si
ro c s.
tion: Meticulous cleaning must precede any disinfection
cess, to en removed from the surface
e e. ws ing ients of the chosen
cess to reach all the surfaces of the device.
ila of pr ies b
unabl st products in every market. Please use the list of
om de als nual com re with
du a lly
is
intact skin by the Stat (sterile, singl
intended. Low Level Disinfection is
Vide Baton er ev patient use.
n whe
Level Disinfe is
hen they are isibly
med
– Shaded a
al ca facility or rovider.
mat
– C
rials.
on c
Wa
patib ity with de ce materia
Dis ectan
hon ba
and clean g methods d ec en
the label in
app
Cau
s for gu
linical use
idance on di nfection efficacy and
priate
pro
of th
pro
sure all forei
This allo
gn matter is
the activedevic red
Ava bility
e to te
cleaning oducts var y country, and we are
rec
pro
men
cts av
d chemic
ilable loca
in this ma
.
to pa

GlideScope®Ranger System
page 6 Quick Reference Guide
Note: When using any of the chemicals listed below, read and
n
In tion Caution/ ents
comply with product use instructions in all applications.
Table 2: Chemical Compatibility and Disinfectio
Methods for Ranger GVL®and Ranger Video
Batons
Active Disinfec
gredient Compatibility Conditions Level Comm
E
de
d
N/A
Surface
cleaning only
in preparation
for
disinfectant
nzymatic
bridement General As per instructions
agent/
etergent
hospital grade
I
Alcohol Solution ow
sopropyl 70%
70% used to wipe
down with minimum 1 L
minute exposure
Glut Up to 3.4%
e for
minimum 20 minutes
at 20°C or as per
manufacturer’s
Higharaldehyde
2.0% – exposur
instructions
Ortho-
alaldehyde 0.55%
0.55% – exposure for
12 minutes at 20°C or High
Phth as per manufacturer’s
instructions
Per
on right
d as
hemical
sterilant
acetic Acid 0.2%
0.2% - exposure for
minimum 12 minutes
at 50 to 56°C or as
per manufacturer’s
See
comments
Classifie
a c
instructions
Blea
Hy
rosive for
nnector
pins and SS
ring
ch (Sodium Up to
5000ppm – exposure
for 10 minutes at
20°C
High
Cor
co
pochlorite) 8000ppm 500ppm – used to
wipe down with Low Noncorr
minimum 1 minute
exposure
osive
at ≤500ppm

GlideScope®Ranger System
Quick Reference Guide page 7
Table 3: Chemical Compatibility and Disinfection
Methods for GlideRite®Rigid Stylet
Active
gredient Compatibility Conditions Disinfecti on Level Cau In tion/ Comments
Gluta Up to 3.4% 2.0% – exposure for
minimum 20 minutes
at r
m
instructions
Highraldehyde
20°C or as pe
anufacturer’s
Ortho-
thalaldehydPh e
0
12 minutes at 20°C or
as per manufacturer’s
High0.55% .55% – exposure for
instructions
Peracetic Acid 0.2% 0.2% - exposure for
minimum 12 minutes
S
comments
on right
Classified as a
chemical
sterilantat 50 to 56°C or as
per manufacturer’s
instructions
ee
Isopropyl Alcohol
Solution
70% 70% 10
minutes at 20°C
Intermedia
te
- exposure for
70% used to wipe
down with minimum 1
minute exposure
Low
Bleach (Sodium ≤500ppm LNoncorrosive at
Hypochlorite)
500ppm – used to
wipe down with
minimum 1 minute
exposure
ow ≤500ppm
Enzymatic
debridement
agent/ detergent
General
hospital grade
As per instructions N/A Surface
cleaning only
p
d
in
reparation for
isinfectant
N/A Tested in
(s )
Minimum 4 minute See
comments
on right
Based on
requests from
a
established for
the Stylet for
autoclave
team cycle
132°C pre-vacuum
steam sterilization
cycle
users, an
utoclave cycle
has been
ease of use