Huntleigh Smartsigns Compact SC1000 User manual

SC1000
Smartsigns®
Compact

2
Table of Contents
1. Quality Reliability and Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
2. Preliminary Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
3. Recommended Clinical Applications . . . . . . . . . . . . . . . . . . . . . . . .6
4. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
5. Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
6. Front Panel Controls and System Displays . . . . . . . . . . . . . . . . . .14
7. Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
7.1 Removing the application modules . . . . . . . . . . . . . . . .15
8. Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
9. Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
9.1 Operating from internal batteries . . . . . . . . . . . . . . . . . .17
9.2 Switching the unit ON . . . . . . . . . . . . . . . . . . . . . . . . . .17
9.2.1 Setting the unit to Standby . . . . . . . . . . . . . . . .19
9.2.2 Switching the unit OFF . . . . . . . . . . . . . . . . . . .19
9.3 Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
9.4 System controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
9.4.1 Setting the language . . . . . . . . . . . . . . . . . . . . .21
9.4.2 Setting the time and date . . . . . . . . . . . . . . . . .21
9.4.3 Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
9.4.4 Brilliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.5 Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.6 Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.4.7 Demo Mode . . . . . . . . . . . . . . . . . . . . . . . . . . .22
9.5 Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
9.6 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
9.7 Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
10. Trace Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
11. Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
11.1 Graphical or tabular display of trends . . . . . . . . . . . . . .25
11.2 Clearing Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
11.3 Closing the trends screen . . . . . . . . . . . . . . . . . . . . . . .25
12. ECG Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
12.1 Electrode site preparation . . . . . . . . . . . . . . . . . . . . . . .26
12.2 Adult ECG Electrode placement . . . . . . . . . . . . . . . . . .27
12.3 Neonatal ECG Electrode placement . . . . . . . . . . . . . . .27
12.4 Setting up the ECG waveform . . . . . . . . . . . . . . . . . . . .28
12.5 The ECG waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
12.6 ECG Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . .30
13. Respiration Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
13.1 Respiration electrode placement . . . . . . . . . . . . . . . . . .32
13.2 Respiration set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
13.3 The Respiration waveform . . . . . . . . . . . . . . . . . . . . . . .34
13.4 Respiration Error Messages . . . . . . . . . . . . . . . . . . . . .34
14. SpO2Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
14.1 Patient preparation / connection . . . . . . . . . . . . . . . . . .36
14.2 SpO2set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
14.3 The SpO2waveform . . . . . . . . . . . . . . . . . . . . . . . . . . .39
14.4 SpO2Error Messages . . . . . . . . . . . . . . . . . . . . . . . . .40
15. Temperature Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
15.1 Temperature set up . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

3
Table of Contents
16. Non-Invasive Blood Pressure (NIBP) Monitoring . . . . . . . . . . . . .42
16.1 Connecting the cuff to the SC1000 . . . . . . . . . . . . . . . .42
16.2 NIBP set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
16.3 Making a BP measurement . . . . . . . . . . . . . . . . . . . . .46
16.4 NIBP error messages . . . . . . . . . . . . . . . . . . . . . . . . . .47
17. Invasive Blood Pressure Monitoring . . . . . . . . . . . . . . . . . . . . . . .48
17.1 Transducer set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
17.2 Priming the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
17.3 Zeroing the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
17.4 Calibrating the System . . . . . . . . . . . . . . . . . . . . . . . . .50
17.5 IBP set up options . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
17.6 The invasive pressure waveform . . . . . . . . . . . . . . . . . .52
17.7 IBP error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
18. CO2Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
18.1 Connecting the sampling line . . . . . . . . . . . . . . . . . . . .55
18.2 Ambient Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
18.3 Zeroing the system . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
18.4 Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
18.5 Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
18.6 Nasal sampling line - Directions for use . . . . . . . . . . . .56
18.7 Airway adaptor kit - Directions for use . . . . . . . . . . . . .57
18.8 CO2Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
18.9 CO2Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . .58
19. Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
19.1 Paper Loading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
19.2 Setting up the Recorder . . . . . . . . . . . . . . . . . . . . . . . .60
19.2.1 Wave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
19.2.2 Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
20. Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
20.1 Altering and Viewing Alarms . . . . . . . . . . . . . . . . . . . . .61
20.2 Alarm Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
20.3 Alarm Activation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
20.4 Alarm Ranges and default settings . . . . . . . . . . . . . . . .63
21. Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
21.1 Equipment classification . . . . . . . . . . . . . . . . . . . . . . . .66
21.2 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
21.3 Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
21.4 ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
21.5 Non-invasive Blood Pressure . . . . . . . . . . . . . . . . . . . .69
21.6 Invasive Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . .69
21.7 SpO2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
21.8 Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
21.9 Temperature (Dual Channel) . . . . . . . . . . . . . . . . . . . . .71
21.10 CO2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
21.11 Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
22. Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
23. Care of your Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76
24. Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77
25. Fault Finding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
27. Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
26 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81

4
Quality Reliability and Safety
This equipment has been manufactured using quality components
and designed to operate safely and reliably.
If the integrity of the protective earth conductor is in doubt, the
equipment should be operated from its internal electrical power
source.
All modifications and repairs to the equipment must carried out by
qualified service engineers, agents or hospital technicians
authorised by Huntleigh Healthcare.
Before using this equipment, please study this manual
carefully and familiarise yourself with the controls, display
features and operating techniques. Ensure each user fully
understands the safety and operation of the unit, as mis-
use may cause damage to the unit or injury to the user or the
patient.
Cautions
1. Quality Reliability and Safety
Note The following are descriptions of general hazards and
unsafe practices that could result in death,severe
injury or product damage. Specific warnings and
cautions not appearing in this section are found
throughout the manual.
Possible Fire
or Explosion
A possible explosion hazard exists if used in the
presence of flammable anaesthetics. Explosion or fire
can result.
Possible
Safety
Hazard
Do not mount the equipment directly above the
patient. Place the equipment in a location where it
cannot harm the patient should it fall from its shelf or
other mount.
Possible
Electrical
Hazard
Do not operate the equipment using damaged cables
and wires, or loose snap fittings, which may cause
interference or loss of signal.
Do perform frequent electrical and visual inspections
on cables and wires
Caution Electromagnetic Compatibility (EMC). This product
complies with the requirements of applicable EMC
Standards. The use of accessories not specified by
the manufacturer may result in increased emmisions
by, or decreased immunity of, the equipment,
affecting its performance.

5
Quality Reliability and Safety
Do not use this equipment in the presence of flammable gases.
Do not immerse any part of the equipment in any liquids.
Do not use solvent cleaner on any part of the system.
Do not use high temperature sterilising or E-beam / gamma
sterilisation processes.
This product contains sensitive electronics; strong radio
frequency fields could interfere with the operation of the
system. In the event where this occurs, we suggest that the
source of interference is identified and the equipment is
used 'out of range'.
Do not destroy packing, either retain for future use or return to
supplier.
If any doubt exists concerning the use of this equipment, an
alternative method should be used.
Possible
Equipment
Damage
Do not immerse any portion of the instrument in water.
Fluid spills may damage the instruments electrical
components.
Do not sterilise this product. Sterilisation environments
can cause severe damage.
Do not autoclave or gas sterilise accessories unless
manufacturer instructions clearly approve it.
Possible
Safety Risk
Do not substitute accessories. Use only
recommended accessories listed in this manual.
Substitution may cause the instrument to work
improperly. The correct accessories are shielded to
prevent conductive parts of the electrodes contacting
other conductive parts or earth.
Warning When several pieces of equipment of various origins
are interconnected, they should comply with
EN60601-1-1. Any equipment connected should
comply with EN60601-1, EN60950, EN60065,
EN60335 or EN61010.
Warning The accuracy of the readings obtained from this
equipment may be affected by the presence of a
pacemaker or cardiac arrhythmia.

6
Preliminary checks / Recommended clinical applications
Huntleigh Healthcare takes every precaution to ensure that their
goods reach you in perfect condition. We recommend that a
thorough visual inspection is made prior to installation. Should any
damage be evident or any parts missing, ensure that Huntleigh
Healthcare, Diagnostic Products Division are informed at once.
Should the unit not be required for immediate use, it should be
stored in its original packing, after carrying out the initial delivery
inspection, and stored under covered conditions at a temperature
between -10 and 50° C, and relative humidity of 0 -99% (non-
condensing).
The Smartsigns® Compact series is intended for monitoring of
blood pressure, pulse rate, temperature, respiration rates, oxygen
saturation (SpO2) and capnography of adult, paediatric and
neonatal patient groups.
2. Preliminary Checks
3. Recommended Clinical
Applications

7
Introduction
The Smartsigns® Compact series is a portable multi-parameter
Vital Signs monitor capable of displaying the patient's vital signs on
a 10.4" colour TFT screen.
Interchangeable application modules can be fitted to the unit to suit
the demands of the different clinical setting.
The SC1000 provides the following monitoring capability: -
•Module 1 ECG 3 (Lead I, II, or III)
ECG 5 (Lead I, II, III, AVR, AVL, AVF OR V)
Pulse Oximetry
Dual Temperature
Respiration
•Module 2 NiBP
•Module 3 Dual Channel Invasive Blood Pressure
•Module 4 CO2Sidestream method
smartsigns Compact1000
Model SC1000
4. Introduction

8
Introduction
A 50 mm wide high-speed thermal printer is available as a factory
fit option.
ECG and respiration are obtained via conventional electrode
placement via a standard ECG patient cable.
Temperature readings are obtained via a range of YSI 400
compatible temperature sensors.
Non-invasive Blood Pressure measurements are made using the
Oscillometric technique.
SpO2measurements are obtained from a series of oximetry
sensors.
Invasive blood pressure measurements are made using standard
catheterisation techniques.
Respiration rates are derived from the end tidal CO2waveform.
All controls, with the exception of the front panel ON/OFF switch, are
via the 'on screen' touch panel.
The SC1000 weighs 3.7 kg (inc battery), and may be operated via
any of the following methods: -
• Direct from the local AC mains supply
• Via the integral rechargeable battery pack
The system can be mounted onto a mobile cart, operated as a
tabletop unit, wall mounted, or carried using the integral carry
handle.

9
Accessories
5. Accessories
1 x Instructions For Use
1 x Power Cord
The system is supplied with the following standard accessories: -
smartsigns Compact1000
1 x SC1000

10
Accessories
Temperature Probes (optional)
Module 1- ECG, SpO2, TEMP (2), RESP
1 x Surface
1 x Rectal
1 x Central
SpO
2
SpO
2
T1
T1
T2
T2
ECG
ECG
1 x Adult Finger Sensor
1 x ECG / RESP Patient Cable
1 x SpO2Interface Cable
5 Lead Cable
3 Lead Cable

11
Accessories
Module 2 - NIBP
1 x NIBP Hose
NIBP
NIBP
3 x NIBP Cuffs

12
Accessories
2 x Pressure
Transducers
Module 3 - IBP
1 x Dual IBP
Cable
1 x Stand Clamp
1 x Mounting Bracket (dual)
1 x Monitoring Set

13
Accessories
1 x Samplng line for NON
Intubated patients (Adult,
Paediatric or Infant / Neonate)
CO2
CO2
Module 4 - Capnography
1 x Chart Paper
Recorder
Factory Fit Option
A wide range of accessories is available for the Smartsigns® range
and can be ordered from your supplier or by contacting Huntleigh
Healthcare Diagnostic Products Division directly.
1 x Sampling line for
Intubated patients
(Adult, Paediatric or
Infant / Neonate)

smartsigns Compact1000
14
Front Panel Controls and System Displays
6. Front Panel Controls and
System Displays
ON/OFF/STANDBY
The system ON/OFF button is located on the right hand side of the
unit. Pressing the button once switches the system ON.
Interchangeable
Application
Modules
NOTE
The colour coded waveforms are determined by the options fitted to
the system.
The ECG waveforms are colour coded green and are always
displayed at the top of the screen (position 1 & 2).
3 Lead display
If the 3 lead option is fitted, the user can select lead I, II or III to be
displayed in waveform position 1. The same
cascaded waveform
can be displayed in position number 2.
5 Lead display
If the 5 lead option is fitted, the user can select lead I, II, III, AVR,
AVL, AVF and V.
If the system is fitted with the impedance respiration option, the
RESP waveform is displayed below the
ECG waveform and colour
coded yellow . The RR and alarm settings are displayed along side
the RESP waveform.
The Pleth waveform is colour coded
cyan and displayed in position
number 3. The PLETH bar, saturation level (%) and alarm status is
displayed along side the waveform.

15
Rear Panel
The following components are located on the rear / side of the unit :-
7. Rear Panel
1
2
3
4
5
Description
50mm High speed thermal printer (factory fit option)
Key
1
2Mains input socket
3I/O sockets: -
• Ethernet socket
• Serial Port
• Keyboard
• External monitor
• Equipotential
earth point
4Integral carry handle
5Module release
mechanism
7.1 Removing the application modules
Ensure the unit is switched OFF and power is removed from the
system before removing / adding or replacing any of the modules.
Press the module release mechanism (5) located on the rear of the
unit, hold the module by it's TAB and carefully withdraw it from the
system.
Refitting is the reversal of the above.
DO NOT use the system if any of the modules are missing.

16
Symbols
The following symbols are used on the SC1000, their definitions are
described below: -
8. Symbols
Symbol Description
Green LED indicating that mains power is connected.
CHG Yellow LED indicating that the internal battery is charging.
Type CF with defibrillator protection
On/Off/Standby
Protective earth (ground)
Equipotentiality
Alternating Current
Attention - consult accompanying documents
Connection point for SmartSigns® Central View monitoring
system
Serial port
Keyboard
External monitor
Battery

17
Operation
Connect the monitor to the local mains supply.
The green AC power LED on the front panel will
illuminate.
Note: To isolate the SC1000 from the mains or line
supply, disconnect the power cable from the mains inlet
at the rear of the unit.
9.1 Operating from internal batteries
The battery, when fully charged will provide approximately 3 hours
continuous use. An on screen battery indicator provides a
continuous indication of battery status. When the battery capacity
drops below 15%, the system will sound an audible tone and the
battery status graphic will flash red.
Battery charging takes place whenever the SC1000 is connected to
the mains supply.
9.2 Switching the unit ON
Press the button on the front panel to switch the unit on;
the amber LED will illuminate.
The application screen will be displayed and be configured
according to the options / modules fitted to the unit.
The unit will display the Patient
Group screen.
Select the required patient
group.
9. Operation
Use only 250V fuses
Use only 250V fuses
FUSE TYPE IEC 127
2AH250V
SC1000
NEONATAL
PAEDIATRIC
ADULT

18
Operation
Application screen
5.2
15
%
RR
C
O
2
The screen is arranged into a series of waveforms and numerical
indicators.
Position 1
Parameter Identification
Position 2
Position 3
Position 4
Position 5
Position 6
Command Bar
SET-UP
25mm/sec
(Trace Speed)
TRENDS
NiBP GO /
STOP
RECORDER
GO / STOP
FREEZE
SUSPEND
At the bottom of the display area is a command bar, which provides
the following facilities: -
Date, time and battery status are displayed
along side the command bar.
Command Bar

19
Operation
Press the ON/OFF button on the front panel once to set the
unit into Standby Mode.
The Amber LED will flash whilst the unit is in Standby Mode.
Press the ON/OFF button once again to exit Standby Mode
and switch the unit ON.
9.2.1 Setting the unit to Standby
Press and hold the front panel ON/OFF button for 4 seconds
- the unit will switch off.
9.2.2 Switching the unit OFF
Enabling / Disabling the Touch Screen
Above the command bar is an area
reserved for the patient's name,
identification number and system
messages.
JONES
123456-A
The touch screen may be locked / un-locked by pressing
the padlock icon in the bottom right hand corner of the
screen.
Patient information and system settings are saved in
the systems memory when the unit is switched OFF.

20
Operation
9.3 Set-up
5.2
15
%
RR
C
O
2
Press the 'Set-up' TAB to display the Set-up screen.
Set-up
screen.
SETUP
SYSTEM
PATIENT
ECG
RECORDER
RESP
SPO 2
TEMP
IBP1 IBP2
NIBP CO 2
DEFAULTS
ALARM SETUP
From this screen the operator can adjust the following parameters:-
• System
• Patient
• Recorder (if fitted)
• Parameter set-up (ECG, RESP, SpO2, TEMP, IBP1, IBP2, NiBP,
CO2)
• Default settings (Alarms)
• Alarm set-up
If the set-up screen is not accessed for more than 20 seconds, the
display will switch back to the main application screen.