GlideScope Ranger User manual

Ranger and Ranger Single Use
User’s Manual

Ranger and Ranger Single Use
User’s Manual

Corporate Headquarters:
Verathon Inc.
20001 North Creek Parkway,
Bothell, WA 98011 USA
800.331.2313 (Canada and US)
425.867.1348
Fax: [phone]
http://www.verathon.com
Verathon Medical (Europe) B.V.
Boerhaaveweg 1
3401 MN IJsselstein
The Netherlands
+31.30.68.70.570
Fax: [phone]
http://www.verathon.eu
Verathon Medical (Canada) ULC
4224 Manor Street
Burnaby, BC V5G 1B2
Canada
604.439.3009
Fax: [phone]
For additional contact information please refer to page 38 or visit our
corporate website: http://www.verathon.com.
GlideScope®, GVL®, GlideRite®, and Verathon®are either trademarks or
registered trademarks of VerathonInc. in the US and/or other countries.
Other product names are the trademarks of their respective companies.
Cidex®is a registered trademark of Advanced Sterilization Products, a
Johnson & Johnson Company.
Manu-Klenz®is a registered trademark of Steris Corporation.
MetriCide®is a registered trademark of Suborn Dental Specialties, Inc.
Sterrad®is a registered trademark of Johnson & Johnson Gateway, LLC.
The GlideScope®technology is covered under US Patents (6,655,377)
(6,543,447) (6,142,144) as well as European Patent 1307131. Additional
patents pending.
Information in this User’s Manual may change at any time without notice.
For the latest version of this manual, refer to www.verathon.com.
© 2008 Verathon Inc. No part of this manual may be copied or transmitted
by any method without the express written consent of Verathon Inc.
PN: 0900-2112-00-60
Written by Barbara Jean Phillips, www.allterrainwriter.com, Oct 2008

GlideScope®Ranger System Contents
User’s Manual page 3
Contents
Important Information ............................................................... 5
Product Description.................................................................. 5
Intended Use............................................................................ 5
Statement of Prescription...................................................... 5
Intended Use......................................................................... 5
Notice to All Operators............................................................. 6
Cautions................................................................................... 6
Introducing the Ranger System ............................................... 8
Ranger System Components................................................... 9
Reusable Ranger System..................................................... 9
Ranger Single Use System................................................. 10
Displays, Controls, and Indicators ........................................ 12
Getting Started......................................................................... 13
Initial Inspection ..................................................................... 13
Preparing for First Use........................................................... 13
Powering the Ranger System............................................16
Inserting the Ranger Video Baton into the GVL®Stat.......18
Detaching the GVL®Stat from the Ranger Video Baton...20
Clinical Application Tips......................................................... 23
The Ron Walls Technique................................................... 23
Tips for Ranger Video Laryngoscope Insertion................... 23
Tips on Advancing the Endotracheal Tube......................... 24
Additional Tips...................................................................26
Cleaning and Maintenance ..................................................... 27
General Maintenance Information.......................................... 27
Cleaning the Ranger GVL®.................................................... 28
Cleaning the Ranger Video Baton ......................................... 30

Contents GlideScope®Ranger System
page 4 User’s Manual
Cleaning the Monitor.............................................................. 31
Cleaning the GlideRite®Rigid Stylet...................................... 31
Approved Disinfection Methods............................................. 32
Steris®System 1 ................................................................. 32
Sterrad®............................................................................... 32
MetriCide®........................................................................... 32
Cidex®or Cidex®OPA......................................................... 33
Weekly Inspections................................................................ 33
Replacing the Monitor Battery................................................ 33
Storing the Ranger................................................................. 34
Storing the Reusable GVL®................................................. 34
Storing the Ranger Video Baton......................................... 34
Device Disposal ..................................................................... 35
GlideScope®Warranty Offerings ........................................... 36
Original First Year Total Customer CareSM Warranty............ 36
What is Covered.................................................................. 37
Premium Customer CareSM Warranty................................. 37
Disclaimer of Additional Warranties.................................... 37
Contact Information................................................................ 38
Parts and Accessories............................................................ 39
Specifications .......................................................................... 41
General Specifications........................................................... 41
Operating and Storage Conditions: ....................................... 41
Ranger System Components................................................. 41
Power Supply Specifications............................................... 43
Standards and Approvals....................................................... 43
Contact Information............................................................. 44
Symbol Directory..................................................................... 45

GlideScope®Ranger System Important Information
User’s Manual page 5
Important Information
Product Description
GlideScope®Ranger is a portable, compact video laryngoscope
that provides a clear, real-time view of a patient's airway for
quick intubation.
Designed for “1st Pass Success” in military and emergency
settings, the Ranger System features rugged, high-impact
construction, patented blade angulation, a patented anti-fogging
mechanism, and a non-glare monitor that is easily visible in
bright light. The device is dependable in an array of field
conditions, making it ideal for pre-hospital and critical care
situations.
The Ranger is operational in seconds. It is compact for easy
carrying and storage. The integrated, rechargeable lithium
battery provides a minimum 90-minute continuous-use autonomy
and allows for approximately 20 intubations per battery cycle
(depending on usage).
Intended Use
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 the
institution providing patient care.
Intended Use
Ranger video laryngoscopes are 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.
Important Information

Important Information GlideScope®Ranger System
page 6 User’s Manual
Notice to All Operators
All operators should read this entire User’s Manual prior to using
the Ranger System. Failure to follow these instructions may
result in patient injury, compromise the performance of the
system, and may void the system warranty.
Verathon®recommends that new Ranger users:
Practice using the Ranger on a mannequin before
clinical use
Acquire clinical experience on patients without airway
abnormalities
Cautions
Caution. Risk of permanent equipment damage.
Do not expose Ranger GVL®blades or Ranger
Video Batons to temperatures above 140° F
(60°C). Do not disinfect or sterilize Ranger GVL®
blades or Ranger Video Batons using devices
such as autoclaves, ultrasonic cleaners, or
pasteurizers. Use of such methods will cause
permanent device damage and void the warranty.
Refer to page 32 for a list of approved cleaning
procedures and products.
MDD Class 1 Equipment Caution: Electrical shock hazard.
Refer servicing to qualified personnel.
This equipment has been tested and found to comply with the
standards listed in the Approvals section of this manual. These
limits are designed to provide reasonable protection against
harmful interference in typical medical installations.
This equipment generates, uses, and can radiate radio frequency
energy and if used properly is very unlikely to cause harmful
interference to any other device(s) in the vicinity.
However, there is no guarantee that interference will not occur in
a particular installation. Interference can be determined by
turning the equipment on and off. If this equipment does cause
interference with other devices, try to correct the interference by
one or more of the following measures:

GlideScope®Ranger System Important Information
User’s Manual page 7
Re-orient or relocate the receiving device
Increase the separation between equipment
Connect the equipment to an outlet on a circuit different from
that to which the other device(s) is (are) connected
Consult your Verathon Medical Customer Care
representative
NOTE: The Ranger System must be used with the supplied
cables to maintain electromagnetic interference (EMI) within
certified limits.
Users should be aware that portable and mobile equipment
(cellular phones, etc.) can affect medical electrical equipment
and take appropriate precautions during operation.

Introduction GlideScope®Ranger System
page 8 User’s Manual
Introducing the Ranger System
The Ranger System is designed to provide an unobstructed view
of the vocal cords through the use of advanced video
technology. Use of the Ranger System has been found to help
eliminate uncertainty during endotracheal intubation by providing
a reliable view of the airway 99% of the time.1
The Ranger System, based on GlideScope®GVL®technology, is
an ideal tool for physicians and other healthcare providers who
need to effectively manage standard to difficult airways in remote
locations, pre-hospital, and other mobile, emergency situations.
The GlideScope®Ranger is available in both reusable and single
use models
Built to meet U.S. military specifications, the GlideScope®
Ranger is operational in seconds, provides a clear view of the
airway on a non-glare, color monitor, offers an innovative anti-
fogging mechanism, is compact, portable, and rugged.
Ranger video laryngoscopes may be useful for the following
procedures:
First use intubations, replacing Direct Laryngoscopy (DL)
Normal or restricted oropharyngeal views and
assessment of the oropharynx
Cormack-Lehane grades I - IV laryngeal views
Trauma airways - excellent when dealing with blood and
secretions in the airway
Airway management in morbidly obese patients
Cervical spine immobilization
Preterm and neonatal intubations
Reintubation in Intensive Care Unit (ICU) settings
1Cooper RM. Cardiothoracic Anesthesia, Respiration and Airway; Early clinical
experience with a new video laryngoscope (GlideScope®) in 728 patients.
Canadian Journal of Anesthesia. 2005; 52: 2: 191–198.
Introducing the Ranger System