Ramsey Medical petMAP+ II User manual

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NowyourpetMAP+II
canmeasureETCO2

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ThismanualappliestotheoperationoftheCO2Module(REF#9027),
availableasanoptionwiththepetMAP+II multi‐parametermonitor.The
CO2ModulerequiresapetMAP+IItobeuseful.Readthismanualandthe
petMAP+IImanualcompletelybeforeusingtheequipment.
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petMAP+IIistobeoperatedbyqualifiedpersonnelonly.Beforeuse,
familiarizeyourselfwiththedeviceandreadthemanuals,includingall
warningsandcautions.TheusershouldcheckthatthepetMAP+II,along
withitsaccessories,isfunctioningbothsafelyandeffectivelypriortouse.
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COPYRIGHT©2012‐2018RamseyMedical,Inc.
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Allrightsreserved.Noportionofthismanualmaybereproducedwithout
thewrittenpermissionofRamseyMedical,Inc.

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CO2ModuleOPERATOR’SMANUAL
TABLEOFCONTENTS
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Introduction
DeviceDescription  5
IntendedUses5
Configurations&Accessories 6
Symbols,Warnings&Cautions  7
EMCDeclaration10
DeviceOverviewandOperatingInstructions
Controls&Connections  11
OperatingInstructions/
UserSelections12
Alarms16
Maintenance18
Troubleshooting19
Warranty/Service20
Specifications21
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INTRODUCTION
DeviceDescription
petMAP+IIisasmall,lightweightandportablebatteryoperated
monitoringdevicedesignedforveterinaryuse.Initsvariousbaseunit
configurations,itiscapableofmeasuringbloodpressure(systolic,diastolic
andmeanarterialpressures),heartrate,temperatureandoxygen
saturation(SpO2).Themeasuredvaluesaredisplayedandtrendedonthe
devicecontinuously.DatatrendedonthepetMAP+II canoptionallybe
savedonaSDmemorycardviathepetMAP+II’sintegratedSDmemory
cardslot.
ModulesforECGandCO2canalsobepurchasedandaddedtothebase
unit.
TheCO2ModuleincorporatesamainstreamtypeofCO2sensorforuseon
intubatedpatientsandallowsthepetMAP+IItodisplaythecapnographas
wellastheCO2values:ETCO2(EndTidalCO2),InspCO2(InspiredCO2),
RtCO2(RealtimeCO2)andRRCO2(RespirationRatefromtheCO2
waveform).TheCO2sensorresidesontheairwayandhasanine‐foot
cablethatplugsintotheconnectorlabeled“CO2”onthesideofthe
petMAP+II.TheModuleincludestwoairwayadapters,oneforlarger
endotracheal(ET)tubesandoneforsmallerETtubes.
IntendedUses
petMAP+IIisintendedforuseonveterinarypatientswhenmeasuringor
monitoringofbloodpressure,heartrate,temperatureand/orSpO2is
desired.WhenconfiguredwithamainstreamCO2Module,thepetMAP+II
willalsodisplaytheCO2waveform,CO2valuesandRRCO2.Itcanbeused
onawidevarietyofveterinarypatients,butisprimarilydesignedfor
companionanimals.WhenequippedwiththeCO2module,petMAP+IIcan
beusedonanesthetizedpatientswithETtubes.Applicationsincludeuse
forsurgical,ICUandtraumamonitoringaswellasuseduringprocedures
(imaging,dentals,etc.)inwhichanETtubeisused.

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Configurations&Accessories
Thefollowingtablesummarizesthestandardaccessoriesandoptional
accessoriesavailableforthepetMAP+IICO2Module:
ProductCodeDescription
Standard
Accessories
(included
withthe
Module)
9027
CO2Module
CO2mainstreamsensor with
ConnectorCable(≈9’)
2airwayadapters(large&small)
Operator’sManual
9034 LargeAirwayAdapter
9035 SmallAirwayAdapter
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SYMBOLS
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CautionSymbol ConsultManualSymbol
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WARNINGS&CAUTIONS
(Pleasereadandunderstand) 
ThepetMAP+IIanditsCO2ModuleareintendedforVETERINARY
USEONLY.Donotuseonahumanpatient.
 TheusershouldbeawarethaterroneousmeasurementofETCO2
duetoanycause(eg.,improperlyplacedorsecuredETtube,airway
disconnect,equipmentorsensordamage,excesshumidityinthe
ventilationcircuit,electronicfailure,etc.)couldleadtopotentiallylessthan
effectiveorinappropriateventilatoradjustmentsorotherinappropriate
changesorinterventions.AlwaysconfirmthattheCO2monitoringsystem
issetupandconnectedproperlyandcorrelateunexpectedorunexplained
changesinCO2/capnographreadingswiththeclinicalcircumstancesand
environmentandanarterialbloodgasmeasurementcomparison.
 UseofanElectrosurgicalUnit(ESU)canpotentiallyresultin
interferenceontheCO2traceandtheCO2numericvalues.IfESU
interferenceadverselyimpactstheCO2waveform,donotusetheCO2
datauntiltheCO2waveformhasbeenstablefor10secondsormoreafter
ESUuse.TheBPandSpO2aretypicallynotadverselyaffectedbyESU
usage,butundercertaincircumstancestheESUcouldadverselyaffect
them.AlwaysassurethattheESUgroundplateiswellplacedonthe
patientandplaceddistantfromtheECGelectrodes.
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 ThefollowingfactorscaninfluencetheETCO2measurement:
nitrousoxide,elevatedoxygenlevels,barometricpressure,vaporor
patientsecretions,halogenatedagents,aerosolizedpharmaceuticalsor
nitricoxide.
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Donotusethemoduleifitdoesnotrespondasitisintendedand
expectedtoperform,ifitiswetordamp,orifthemoduleorthecableor
theconnectorappearstohavebeendroppedordamagedinanyway.
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AlossoftheETCO2reading,anacutechangeintheCO2readingor
waveformoradiminishedreadingorwaveformmaybetheresultof
excessivemoistureorsecretionsonthetwoairwayadapter“windows”
thataretheinfraredlightpaththatisusedtomeasuretheCO2level.
Removetheairwayadapterfromthemonitoringcircuitandobserveif
thereismoistureonthe“windows”.Ifso,cleananddryexcessmoisture
andsecretionsfromtheinsideoftheairwayadapter,takingcarenotto
damagetheclear“windows”oftheadapter.Alwayskeeptheinfrared
"windows"inverticalpositionandlevelwithorabovethepatientsothat
secretionsdonotdrainintothesensor.
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 DonotstoretheCO2Moduleattemperatureslessthan14degrees
Forgreaterthan131degreesF.Donotoperatethesensorat
temperatureslessthan50degreesForgreaterthan104degreesF.
 DonotimmersetheCO2sensorinwateroranyliquid.IftheCO2
sensorisaccidentallywetted,itshouldbethoroughlydriedbeforeuse.If
theCO2Modulehasbeendroppedintowaterorotherfluid,itshouldnot
beusedandshouldbereturnedtothemanufacturerforservice.Never
sterilizeorimmersethesensorinliquids.
 IftheCO2Sensorhasbeendroppedordamagedinanyway,it
shouldbecheckedbyqualifiedservicepersonneltoensureproper
operationpriortouse.
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 UseofaccessoriesotherthanthosespecifiedbyRamseyMedical
mayresultindangertothepatient,malfunctionofthemonitoringunit,
andadditionalincreasedelectro‐magnetic(EM)emissionsordecreasedEM
immunityofthedevice.
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 Followlocalgoverningordinancesandrecyclinginstructions
regardingdisposalandrecyclingofdevicecomponentsandpackaging

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ThepetMAP+IIisnotintendedforuseonpatientsbeingimaged
withanMRIdevicesincethepetMAPdevicecontainsmagneticallyactive
materialsandcouldresultininjuryifusedorplacedtooclosetoanMRI
device,eveniftheMRIisnotoperating,sincetheMRImagnetisstillactive
evenifnotinuse.
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Donotgassterilizeorautoclavethedevice.
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EMCDECLARATION
TheCO2Module(REF#9027)hasbeentestedtogetherwiththepetMAP+II
asasystem.PleaserefertothepetMAP+IIManual(R400257)fordetailed
EMCcomplianceinformation.