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

GlideScope®Ranger System Introduction
User’s Manual page 9
Teaching the anatomy of the airway
Supervision and documentation of the laryngoscopy
Nasal tracheal intubations
Insertion of transesophageal echocardiac probes
Laryngoscopic foreign body removal
Awake intubation for difficult airway management
Insertion of double lumen tubes
Ranger System Components
Two interchangeable video laryngoscope systems are available
for use with the Ranger Monitor:
The reusable Ranger
Ranger Single Use
Please refer to page 39 for a listing of Ranger System
components and part numbers.
Reusable Ranger System
The Ranger System includes:
The Ranger Video Monitor
One reusable GVL®with an integrated video cable. The
GVL®is comprised of a reusable, medical-grade plastic
shell that houses a high resolution, autofocusing, CMOS
camera, LED light source, an innovative anti-fogging
mechanism. The GVL®device is available in two sizes.
Additional units may be purchased separately.
GlideRite®Rigid Stylet

Introduction GlideScope®Ranger System
page 10 User’s Manual
Figure 1. Ranger GVL®System.
Ranger Single Use System
The Ranger Single Use System includes:
The Ranger Video Monitor
Reusable Ranger Video Baton with integrated video
cable. The Ranger Video Baton is comprised of a
reusable, high resolution, autofocusing, CMOS camera,
LED light source, and an innovative anti-fogging
mechanism. The Ranger Video Baton is available in two
sizes and each baton supports two sizes of GVL®Stats.
Ranger Video
Monitor
Ranger GVL
®
3
and GVL®4
(Reusable)
GlideRite
®
Rigid Stylet

GlideScope®Ranger System Introduction
User’s Manual page 11
Single use GVL®Stats (four sizes available). The GVL®
Stat is a disposable, medical-grade plastic shell that
provides mechanical support and protection for the
Ranger Video Baton during intubations.
GlideRite®Rigid Stylet
Figure 2. Ranger Single Use System.
Ranger Video
Monitor
Reusable
Ranger Video
Baton
(2 sizes)
GlideRite
®
Rigid Stylet
Single use
GVL®Stats
(4 sizes)

Displays, Controls, and Indicators GlideScope®Ranger System
page 12 User’s Manual
Displays, Controls, and Indicators
Ranger System components and features are illustrated in
Figure 3.
Figure 3. Ranger components.
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
Ranger Video
Laryngoscope (GVL®)
with integrated cable
(reusable blade shown) Reusable
Ranger Video
Baton inside
a sterile,
single use
GVL®Stat
Displays, Controls, and Indicators

GlideScope®Ranger System Getting Started
User’s Manual page 13
Getting Started
Initial Inspection
Upon receipt, inspect the components of the Ranger System for
any obvious physical damage that may have occurred during
shipment. Verathon®recommends that the inspection be
performed by a biomedical engineer or other qualified
professional who is familiar with electronic medical devices.
If any of the components are missing or damaged, notify the
carrier and Verathon Medical Customer Care immediately at:
800.331.2313 (Canada and US)
425.867.1348 (International)
+31.30.68.70.570 (Europe)
For additional contact information, please see page 38.
Preparing for First Use
Prior to using the Ranger System for the first time, perform the
following steps:
1. Charge the Battery (page 14).
2. Connect the Ranger GVL®to the monitor (page 18).
3. Perform a functional check (page 21).
Getting Started

Getting Started GlideScope®Ranger System
page 14 User’s Manual
1. Charge the Battery
Important:
The battery must be fully charged before first use
The unit will not operate while charging. If it is
switched on during charging, the charging light will
flash alternatively green and red-orange.
WARNING! The battery will not charge if the ambient
temperature is above 104° F (40° C).
To charge the battery:
1. Ensure that the power switch is in the OFF position.
2. Unscrew the DC socket protective cap (Figure 4) on the
front of the monitor (a screwdriver or small coin may be
used).
3. Connect the monitor to an AC power source (wall outlet)
using the provided DC power supply and AC power cord
as shown in Figure 4.
The charge status LED will turn orange, indicating that
the charging cycle has begun.
When the charge status LED turns green, the charging
cycle is complete (Figure 5).

GlideScope®Ranger System Getting Started
User’s Manual page 15
Figure 4. Connect the Ranger Monitor to AC power to charge
the battery.
Figure 5. The charge status LED will turn green when the
battery is fully charged.
Charge status LED
Orange: The
monitor is charging
Green: The monitor
is fully charged

Getting Started GlideScope®Ranger System
page 16 User’s Manual
Table 1. Charge status LED indicators.
Indicator Meaning
Steady green
Battery is fully charged.
Flashing green
Battery power is low. LED flashes for
approximately 5 minutes before shutting
off.
No LED
The battery is completely depleted and
needs to be recharged.
Steady orange
The monitor is connected to an AC power
source and the battery is charging.
Flashing
orange
A flashing orange charging light indicates a
battery problem. When this happens:
Disconnect the DC plug
Make sure the switch is on
CHARGE (or OFF position)
Reconnect the DC plug
If the orange LED is still flashing,
the battery has failed. Return the
unit for repair
Powering the Ranger System
The monitor contains a lithium battery that provides power to the
Ranger System. The system must be operated exclusively on
battery power, without a connection to an AC power source.
Under normal conditions, a fully charged battery will last
approximately 90 minutes.

GlideScope®Ranger System Getting Started
User’s Manual page 17
IMPORTANT! The battery needs to be fully charged on first
receipt. For instructions on charging the battery, see
“Charge the Battery” on page 14.
To supply power to the monitor:
1. Flip the power switch located on the front of the monitor
to the ON position.
NOTE: The system will not work when it is connected to
an AC power source.
2. Observe the monitor screen to verify that an image is
being displayed.
3. Remove the GVL®or video baton from its cradle. The
unit is now ready for use.
Figure 6. Power switch in ON position.

Getting Started GlideScope®Ranger System
page 18 User’s Manual
2. Attaching the Ranger GVL®or Ranger Video
Baton to the Monitor
1. Ensure that the power switch is in the OFF position.
2. Insert the Ranger GVL®or Ranger 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
(Figure 7).
Figure 7. Connecting the Ranger Video Cable to the monitor.
Inserting the Ranger Video Baton into the GVL®Stat
GlideScope®GVL®Stats are disposable, single-use, sterile
plastic shells which provide mechanical support and protection
from contamination for the reusable Ranger Video Baton during
intubation.
To insert the Ranger Video Baton into the GVL®Stat:
1. Insert the Ranger Video Baton into the sterile, single use
GVL®Stat until it clicks into place (Figure 8).
Ensure proper insertion by matching the logos on the
side of the video baton and the GVL®Stat.