NURSE ROSIE Rosebud VC User manual

USER MANUAL
Vital Signs Monitor

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WARNING
Only skilled/trained clinical professionals should operate this equipment.
It is important for the hospital, skilled nursing facility or organization that uses
this equipment to perform a reasonable service/maintenance plan. Neglecting
this may result in machine breakdown or personal injury.
Company Contact
Address 7320 Central Ave., Savannah, GA 31406
Website
nurserosie.com
E-mail [e-mail]
Phone [phone]
Fax [phone]

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Preface
ManualPurpose
This manual contains the instructions necessary to operate the product safely
and in accordance with its function and intended use. Observance of this
manual is a prerequisite for proper product performance and correct
operation and ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some
contents may not apply to your product. If you have any questions, please
contact Nurse Rosie Products.
This manual is an integral part of the product. It should always be kept close
to the equipment so that it can be conveniently obtained when needed.
Intended Audience
This manual is intended for clinical professionals who are expected to have a
corresponding working knowledge of medical procedures, practices and
terminology as required for the monitoring of patients.
Illustrations
All illustrations in this manual serve as examples only. They may not
necessarily reflect the setup or data displayed on your equipment.
Manual Conventions
• Italictext is usedto quote the referenced chapters orsections.
• []is usedtoenclosescreentext.
• →is used to indicate operational procedures.

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Contents
Contents
Company Contact ............................................................................................................. 2
Preface ................................................................................................................................ 3
ManualPurpose ....................................................................................................................3
Intended Audience........................................................................................................... 3
Illustrations....................................................................................................................... 3
Manual Conventions........................................................................................................ 3
1 Safety ............................................................................................................................... 9
1.1 Safety Information .................................................................................................... 9
1.1.1 Warnings ...............................................................................................................10
1.1.2 Cautions ................................................................................................................11
1.1.3 Notes .................................................................................................................... 11
1.2EquipmentSymbols .......................................................................................................13
2 The Basics ....................................................................................................................... 15
2.1 IntendedUse .......................................................................................................... 15
2.2 AppliedParts ..........................................................................................................15
2.3 Mainunit................................................................................................................ 16
2.3.1 FrontView ............................................................................................................. 16
2.3.2 SideView ............................................................................................................... 17
2.3.3 RearView ..............................................................................................................18
2.3.4 BottomView .......................................................................................................... 19
2.4 DisplayScreen ........................................................................................................ 20
3 Basic Operation .............................................................................................................. 22
3.1 Installation ............................................................................................................. 22

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3.1.1 UnpackingandChecking ......................................................................................... 22
3.1.2 EnvironmentalRequirements ................................................................................... 23
3.2 GeneralOperation .................................................................................................. 23
3.2.1 ConnectiontoACPower ........................................................................................... 23
3.2.2 UsingaBattery .......................................................................................................24
3.2.3 Connecting Accessories ........................................................................................... 24
3.3 TurningOn/Off Power .............................................................................................. 25
3.3.1 TurningPowerOn ...................................................................................................25
3.3.2 Turning off the Monitor ........................................................................................... 26
3.4 Standby .................................................................................................................26
3.4.1 EnteringStandbyMode ........................................................................................... 26
3.4.2 ExitingStandbyMode ............................................................................................. 27
3.5 UsingKeys .............................................................................................................. 27
3.6 ParameterSetupMode ........................................................................................... 30
3.7 Maintenance Mode ................................................................................................. 30
3.7.1 SelectingNIBPUnitofMeasure ................................................................... 30
3.7.2 SelectingTempUnitofMeasure .................................................................. 31
3.7.3 SettingSystemTime ................................................................................................31
3.7.4 ViewingSoftwareVersion ........................................................................................ 32
3.7.5 LoadingFactoryDefaultConfiguration ...................................................................... 32
3.7.6 Viewing OperatedTime .......................................................................................... 33
3.7.7 AdjustingtheScreenBrightness ................................................................................ 34
3.7.8 DIAPCommunicationSetup ..................................................................................... 35
4.1 Overview ......................................................................................................................37
4.2 Safety ......................................................................................................................... 38

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4.3 ApplyingtheSensor ................................................................................................. 39
4.4 SwitchingPulseToneOn/Off ..................................................................................... 39
4.5 MeasurementLimitations ........................................................................................ 41
5 MonitoringNIBP ............................................................................................................. 42
5.1 Overview ................................................................................................................42
5.2 Safety .................................................................................................................... 42
5.3 MeasurementLimitations ........................................................................................ 43
5.4 Measuring NIBP ......................................................................................................43
5.4.1 Preparing the Patient .............................................................................................. 43
5.4.2 PreparingtoMeasureNIBP ..................................................................................... 44
5.4.3 StartingandStoppingMeasurements ....................................................................... 45
5.4.4 Correcting theMeasurementwhenCuffisnotatHeart Level ...................................... 45
5.5 UnderstandingtheNIBPNumerics ............................................................................ 45
5.6 CareandCleaningofReusableCuffs .......................................................................... 46
5.6.1 Reusable Cuffs with Bladders ...................................................................... 46
5.6.2 Reusable Bladderless Cuffs ...................................................................................... 47
6 Monitoring Temp ............................................................................................................ 48
6.1 Overview ................................................................................................................48
6.2 SelectingMeasurementSite ..................................................................................... 49
6.3 Taking aTemperature .............................................................................................. 50
6.3.1 Entering Predictive Mode and Monitor Mode ............................................................. 50
6.3.2 Taking aTemperatureinthe Predictive Mode ............................................................ 50
6.3.3 Taking aTemperature in Monitor Mode .................................................................... 51
6.4 DisinfectingTemperatureProbe ................................................................................ 51
7 Battery ........................................................................................................................... 53
7.1 Overview ................................................................................................................53

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7.2 ChargingaBattery .................................................................................................. 53
7.3 ReplacingaBattery ................................................................................................. 54
7.4 BatteryGuidelines ................................................................................................... 54
7.5 Battery Maintenance ...............................................................................................55
7.5.1 ConditioningaBattery ............................................................................................ 55
7.5.2 CheckingaBattery .................................................................................................. 55
7.6 RecyclingaBattery .................................................................................................. 56
8 CareandMaintenance .................................................................................................... 57
8.1 CleaningandDisinfection ......................................................................................... 57
8.1.1 Cleaning ............................................................................................................... 58
8.1.2 Disinfecting ........................................................................................................... 58
8.2 General Inspection .................................................................................................. 59
8.3 MaintenanceandTestingSchedule ............................................................................ 59
8.4 Checking Monitor Information .................................................................................. 60
8.5 Visual Inspection ..................................................................................................... 60
8.6 Power-onTest .........................................................................................................60
8.7 BatteryCheck ......................................................................................................... 60
9Accessories ..................................................................................................................... 61
9.1 SpO2Accessories .................................................................................................... 62
9.2 NIBP Accessories .....................................................................................................63
9.3 TempAccessories ..................................................................................................... 64
9.4 Others ................................................................................................................... 64
A Product Specifications ................................................................................................... 65
A.1 Classifications ......................................................................................................... 65
A.2 Environmental Specifications ..................................................................................... 65

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A.3 Power Supply Specifications ..................................................................................... 66
A.5.4 MonitorInterfaceSpecifications ................................................................. 67
A.6.3 NIBP ........................................................................................................... 69
A.6.4 Temp .......................................................................................................... 70
C ErrorCodes ..................................................................................................................... 75
DSymbolsandAbbreviations ............................................................................................ 78
D.1 Symbols .................................................................................................................78
D.2 Abbreviations ......................................................................................................... 79
A Product Specifications ....................................................................................................A-1
A.1 Classifications
......................................................................................................................................A-1
A.2 Environmental
Specifications........................................................................................................A-1
A.3 Power Supply
Specifications..........................................................................................................A-2
A.4 Physical Specifications
.....................................................................................................................A-2
A.5 Hardware Specifications
..................................................................................................................A-2
A.6 Measurement
Specifications..........................................................................................................A-3
B EMC................................................................................................................................... B-1
C Error Codes....................................................................................................................... C-1
D Symbols and Abbreviations ...........................................................................................D-1
D.1 Symbols
................................................................................................................................................ D-1
D.2 Abbreviations
..................................................................................................................................... D-2

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1 Safety
1.1 Safety Information
WARNING
• Indicates a potential hazard situation or unsafe practice that, if not avoided,
could resultindeathorseriousinjury.
CAUTION
• Indicates a potential hazard or unsafe practice that, if not avoided, could
result in minor personal injury or product/property damage.
NOTE
• Provides application tips or other useful information to ensure that you get
the mostfrom your product.

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1.1.1 Warnings
WARNING
• The monitor does not provide any alarms. It only provides error codes and
is not intended for continuous monitoring. Keep the patient under close
surveillance when using this monitor.
• This equipment is restricted to one patient at a time.
• Before putting the system into operation, the operator must verify that the
equipment, connecting cables and accessories are in working order and
operating condition.
• To avoid risk of electric shock, this equipment must only be connected to
a properly grounded power outlet. If a properly grounded power outlet is
not available, operate the monitor on battery power.
• To avoid an explosion hazard, do not use the equipment in the presence
of oxygen–rich atmospheres, flammable anesthetics, or other flammable
agents (such as gasoline).
• Do not open the equipment housings. All servicing or upgrades must be
carried out by Nurse Rosie Products trained and authorized personnel.
• Do not come into contact with patients during defibrillation. Otherwise
serious injury or death could result.
• Do not touch the equipment’s metal parts or connectors when in contact
with the patient; otherwise patient injury may result.
• The physiological data and prompt information displayed on the
equipment is not intended to be directly used for diagnostic interpretation
and replace the competent judgment of a clinician.
• To avoid inadvertent disconnection, route all cables to prevent a stumbling
hazard. Wrap and secure excess cabling to reduce risk of entanglement
by patients or personnel.
• When disposing of the packaging material, be sure to observe the
applicable waste control regulations and keep it out of children’s reach.
• When no battery is installed, make sure that the power supply is
continuous. A power interruption will result in data loss.
• Put the equipment in a location where you can easily see the screen,
access the operating controls, and disconnect the equipment from AC
power.
• The equipment uses a mains plug as isolation means to the mains power
supply.
• Please do not position the equipment in a place difficult to access the
mains plug.
• The equipment is not intended to be used within the magnetic resonance
(MR) environment.