Spacelabs Healthcare elance 5 User manual

Vital Signs Monitor
93300
Operations Manual
070-1963-00 Rev. M

Page ii élance Vital Signs Monitor Operations Manual
©2011 Spacelabs Healthcare, Ltd
All rights reserved. Contents of this publication may not be reproduced in any form without the
written permission of Spacelabs Healthcare. Products of Spacelabs Healthcare are covered by
U.S. and foreign patents and/or pending patents. Printed in U.S.A. Specifications and price
change privileges are reserved.
Spacelabs Healthcare considers itself responsible for the effects on safety, reliability and
performance of the equipment only if :
assembly operations, re-adjustments, modifications or repairs are carried out by
persons authorized by Spacelabs Healthcare, and
the electrical installation of the relevant room complies with the requirements of the
standard in force, and
the equipment is used in accordance with the operations manual.
Spacelabs Healthcare will make available, on request, such circuit diagrams, or component part
lists, descriptions, calibrating instructions or other information which will assist appropriately
qualified technical personnel to repair those parts of the equipment which are classified by
Spacelabs Healthcare as field repairable.
Spacelabs Healthcare is committed to providing comprehensive customer support beginning
with your initial inquiry through purchase, training, and service for the life of your Spacelabs
Healthcare equipment.
CORPORATE OFFICES
U.S.A
Spacelabs Healthcare, Inc.
5150 220th Ave SE
Issaquah, WA 98029
Telephone : [phone]
Fax : [phone]
Authorized EC Representative UNITED KINGDOM
Spacelabs Healthcare, Ltd.
1 Harforde Court
John Tate Road
Hertford, SG13 7NW
Hertfordshire, UK
Tel: + 44 (0) 1992 507709
Fax: + 44 (0) 1992 501213
élance is a trademark of Spacelabs Healthcare, Inc.
Other brands and product names are trademarks of their respective owners.
Caution:
Rx only US Federal law restricts the devices documented herein to sale by, or
on the order of, a physician.
Before use, carefully read the instructions, including all warnings and
cautions.

Table of Contents
élance Vital Signs Monitor Operations Manual Page iii
Contents Page
1élance Vital Signs Monitor.............................................................................................1-1
1.1 Intended Use .......................................................................................................................... 1-1
1.2 Indications for Use.................................................................................................................. 1-2
1.3 Equipment Classification ........................................................................................................1-2
1.4 Product Configurations........................................................................................................... 1-3
1.5 Features ................................................................................................................................. 1-4
1.5.1 Physical and Mechanical ............................................................................................ 1-4
1.5.2 Electrical......................................................................................................................1-4
1.5.3 Display ........................................................................................................................ 1-4
1.5.4 Touchscreen Keys ...................................................................................................... 1-5
1.5.5 Auxiliary Outputs......................................................................................................... 1-5
1.6 Safety Precautions ................................................................................................................. 1-5
1.6.1 Warnings ..................................................................................................................... 1-5
1.6.2 Cautions ...................................................................................................................... 1-7
2Introduction to the Monitor............................................................................................2-1
2.1 Physical Monitor Description .................................................................................................. 2-1
Side Views.............................................................................................................................. 2-2
2.1.1 External Connector Symbols ...................................................................................... 2-3
2.2 Software Interface .................................................................................................................. 2-4
2.2.1 The Waveform Area.................................................................................................... 2-4
2.2.2 The Numerical Area .................................................................................................... 2-5
2.2.3 The Patient Information Area ...................................................................................... 2-5
2.2.4 The Main Menu Area .................................................................................................. 2-6
2.2.5 Monitor Display Symbols ............................................................................................ 2-7
2.2.6 Colors..........................................................................................................................2-8
2.3 Monitor Controls ..................................................................................................................... 2-9
2.3.1 Setup Menu............................................................................................................... 2-10
2.3.2 Main Menu Control Windows .................................................................................... 2-11
2.3.3 Numerical Area Control Windows............................................................................. 2-11
2.3.4 Standby Mode........................................................................................................... 2-12
2.4 External Interface ................................................................................................................. 2-13
2.4.1 Alarm Relay Connection ........................................................................................... 2-13
3Using the Monitor ...........................................................................................................3-1
3.1 Powering on the Monitor ........................................................................................................ 3-1
3.2 General Monitor Settings........................................................................................................3-2
3.2.1 Set Date and Time ...................................................................................................... 3-2
3.2.2 Set Date and Time Format.......................................................................................... 3-4
3.2.3 Save User Defaults ..................................................................................................... 3-5
3.2.4 Restore User Defaults................................................................................................. 3-7
3.3 Waveform Settings ................................................................................................................. 3-8
3.3.1 Set Waveform Source................................................................................................. 3-9
3.3.2 Set Waveform Size ................................................................................................... 3-10
3.3.3 Set Sweep Speed ..................................................................................................... 3-10
3.3.4 Set Waveform Numbers............................................................................................ 3-11
3.3.5 Set ECG Cables Number.......................................................................................... 3-11
3.3.6 Set Waveform and Parameter Color......................................................................... 3-12
3.4 Display on Large Numeric Screen........................................................................................ 3-13
4Patient Management.......................................................................................................4-1
4.1 Admit/Edit Patient Information................................................................................................ 4-1
4.2 Discharge the Patient ............................................................................................................. 4-5

Table of Contents
élance Vital Signs Monitor Operations Manual Page iv
5Trends Management.......................................................................................................5-1
5.1 View and Print Tabular Trends............................................................................................... 5-1
5.1.1 View Tabular Trends at user-selectable period. ......................................................... 5-3
5.2 View and Print Graphical Trends............................................................................................ 5-4
6Managing Alarms............................................................................................................6-1
6.1 Alarm Limits............................................................................................................................ 6-2
6.1.1 Default Alarm Activation and Limits Setting................................................................ 6-2
6.1.2 Numerical Area Alarm Activation and Limits Setting .................................................. 6-3
6.2 Silence Alarm Mode ............................................................................................................... 6-5
6.2.1 Activate the Silence Alarm Mode................................................................................ 6-5
6.2.2 Set Silence Alarm Time .............................................................................................. 6-6
6.3 Alarm Suspend Mode............................................................................................................. 6-7
6.3.1 Activate/Deactivate the Suspend Mode...................................................................... 6-7
6.3.2 Set Alarm Suspend Time ............................................................................................ 6-8
6.4 Set Speaker Alarm Volume .................................................................................................... 6-9
6.5 Set Pulse Tone Volume........................................................................................................ 6-10
6.6 Activate/Deactivate SpO2Alarms Off Message ................................................................... 6-11
6.7 Alarm Validation ................................................................................................................... 6-12
6.8 Set Additional Alarm Time.................................................................................................... 6-13
6.9 Alarm Conditions .................................................................................................................. 6-14
6.10 Factory Default Parameter Ranges and Settings................................................................. 6-20
6.11 Alarm System Verification .................................................................................................... 6-23
7ECG and Heart Rate Monitoring....................................................................................7-1
7.1 Physical Setup Connections................................................................................................... 7-2
7.2 ECG Zone............................................................................................................................... 7-4
7.3 Getting into the ECG Setup.................................................................................................... 7-4
7.4 Set ECG Lead ........................................................................................................................ 7-5
7.5 Set Waveform Size................................................................................................................. 7-6
7.6 Set HR Source........................................................................................................................ 7-7
7.7 Set Pulse Tone Source .......................................................................................................... 7-8
7.8 Set ECG Filter ........................................................................................................................ 7-8
7.9 Set HR Alarm.......................................................................................................................... 7-9
7.10 Time to ECG Alarm ................................................................................................................ 7-9
7.11 Relearn ................................................................................................................................. 7-10
8ST Monitoring..................................................................................................................8-1
8.1 ST Alarm Settings .................................................................................................................. 8-2
8.2 ST Trends............................................................................................................................... 8-4
8.2.1 View and Print Tabular ST Trends.............................................................................. 8-4
8.2.2 View and Print Graphical ST Trends .......................................................................... 8-5
9Arrhythmia Analysis.......................................................................................................9-1
9.1 Arrhythmia Alarm.................................................................................................................... 9-1
9.2 Arrhythmia Review ................................................................................................................. 9-2
10 Respiration Monitoring ................................................................................................10-1
10.1 Physical Setup Connections................................................................................................. 10-1
10.2 RR Zone ............................................................................................................................... 10-2
10.3 Set RR Alarm........................................................................................................................ 10-2
10.4 Time to Respiration Alarm.................................................................................................... 10-3
11 EtCO2Monitoring..........................................................................................................11-1

Table of Contents
élance Vital Signs Monitor Operations Manual Page v
11.1 Activating/Deactivating EtCO2Waveform ............................................................................ 11-1
11.2 EtCO2 Zone.......................................................................................................................... 11-3
11.3 Getting into the EtCO2 Setup............................................................................................... 11-4
11.4 Set Waveform Size............................................................................................................... 11-4
11.5 Set EtCO2 Units ................................................................................................................... 11-5
11.6 Set EtCO2 Alarm.................................................................................................................. 11-5
11.7 Time to EtCO2 Alarm ........................................................................................................... 11-6
12 SpO2Monitoring............................................................................................................12-1
12.1 Physical Setup Connections................................................................................................. 12-3
12.2 Ensuring Accurate SpO2Monitoring..................................................................................... 12-3
12.3 SpO2Zone............................................................................................................................ 12-5
12.4 Getting into the SpO2Setup ................................................................................................. 12-6
12.5 Set HR Source...................................................................................................................... 12-7
12.6 Set Pulse Tone Source ........................................................................................................ 12-7
12.7 Set SpO2Alarm .................................................................................................................... 12-8
12.8 Advanced SpO2Features..................................................................................................... 12-8
12.8.1 Spacelabs Advanced SpO2....................................................................................... 12-8
12.8.2 Masimo SET (Signal Extraction Technology).......................................................... 12-10
12.8.2.1 Sensitivity Modes Setting....................................................................... 12-10
12.8.2.2 FastSat Settings and Data Averaging Settings...................................... 12-11
12.8.2.3 Signal IQ(SIQ)........................................................................................ 12-12
12.8.2.4 Perfusion Index (PI) ............................................................................... 12-12
12.8.3 Nellcor OxiMax........................................................................................................ 12-14
12.8.3.1 SatSeconds Indicator and numeric settings .......................................... 12-14
12.8.3.2 Response Mode Setting......................................................................... 12-16
12.8.3.3 No Pulse Alarm Setting .......................................................................... 12-17
12.8.3.4 Perfusion Index(PI) ................................................................................ 12-17
12.9 Time to SpO2Alarm............................................................................................................ 12-19
13 Invasive Blood Pressure (IBP) Monitoring.................................................................13-1
13.1 Physical Setup Connections................................................................................................. 13-1
13.2 IBP Zone............................................................................................................................... 13-2
13.3 Getting into the IBP Setup.................................................................................................... 13-2
13.4 Zero Set................................................................................................................................ 13-3
13.5 Set IBP Label........................................................................................................................ 13-4
13.6 Set IBP Format..................................................................................................................... 13-5
13.7 Set Waveform Size............................................................................................................... 13-6
13.8 Set Systolic Alarm ................................................................................................................ 13-6
13.9 Set Diastolic Alarm ............................................................................................................... 13-7
13.10 Set Mean Alarm.................................................................................................................... 13-7
13.11 Time to IBP Alarm ................................................................................................................ 13-8
14 Noninvasive Blood Pressure (NIBP) Monitoring........................................................14-1
14.1 Physical Setup Connections................................................................................................. 14-2
14.2 NIBP Zone ............................................................................................................................ 14-3
14.3 Getting into the NIBP Setup ................................................................................................. 14-4
14.4 Set NIBP Interval.................................................................................................................. 14-4
14.5 Set NIBP Format .................................................................................................................. 14-5
14.6 Set Initial Inflation Pressure.................................................................................................. 14-6
14.7 Set Systolic Alarm ................................................................................................................ 14-6
14.8 Set Diastolic Alarm ............................................................................................................... 14-7
14.9 Set Mean Alarm.................................................................................................................... 14-7
14.10 Time to NIBP Alarm.............................................................................................................. 14-8
14.11 NIBP Measurement Mode .................................................................................................... 14-8
14.11.1 NIBP Manual Mode .............................................................................................. 14-8
14.11.2 NIBP Automatic Mode .......................................................................................... 14-9

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élance Vital Signs Monitor Operations Manual Page vi
15 Temperature Monitoring ..............................................................................................15-1
15.1 Physical Setup Connections................................................................................................. 15-1
15.2 Temperature Zone................................................................................................................ 15-1
15.3 Getting into the Temperature Setup..................................................................................... 15-2
15.4 Set Units ............................................................................................................................... 15-2
15.5 Set Alarm and Limits ............................................................................................................ 15-3
15.6 Time to Temperature Alarm ................................................................................................. 15-3
16 Printing ..........................................................................................................................16-1
16.1 Loading Printer Paper .......................................................................................................... 16-1
16.2 Recorder Settings................................................................................................................. 16-2
16.3 Strip Chart Recordings ......................................................................................................... 16-3
16.4 Trend Recordings................................................................................................................. 16-4
16.5 Recorder Messages ............................................................................................................. 16-4
17 Battery Operation .........................................................................................................17-1
17.1 Operating On Battery Power ................................................................................................ 17-2
17.2 Battery Status ....................................................................................................................... 17-2
17.3 Charging the Battery ............................................................................................................ 17-3
17.4 Battery Replacement............................................................................................................ 17-3
18 Cleaning.........................................................................................................................18-1
18.1 Monitor, Cables, and Printers............................................................................................... 18-1
18.1.1 Cleaning/Disinfecting ................................................................................................ 18-2
18.1.2 Touchscreen Cleaning .............................................................................................. 18-2
18.2 Accessories .......................................................................................................................... 18-3
18.3 Noninvasive Blood Pressure Cuffs....................................................................................... 18-3
18.3.1 Cuff Cleaning and Disinfection.................................................................................. 18-3
19 Troubleshooting ...........................................................................................................19-1
19.1 Electromagnetic Interference (EMI): .................................................................................... 19-2
19.2 Obtaining Technical Assistance ........................................................................................... 19-3

1 élance Vital Signs Monitor
This manual describes the most common features and functions of the élance Vital
Signs Monitor.
Note:
Before use, carefully read this manual, directions for all accessories, all precautionary
information and specifications.
1.1 Intended Use
The Spacelabs élance Vital Signs Monitor is used to monitor the following parameters
for adult and pediatric patients. The monitor also supports printing as well as audible
and visual alarms for the parameters listed.
Electrocardiograph (ECG)
Heart rate/pulse rate (HR/PR)
Noninvasive blood pressure (NIBP, systolic, diastolic, and mean arterial
pressures)
Functional arterial oxygen saturation (SpO2)
Respiration rate (RR)
Dual temperature
Invasive blood pressure (IBP)
Capnography (EtCO2)
Caution:
US Federal law restricts the sale of this device to, or on the order of, a licensed
medical practitioner.
élance Vital Signs Monitor Operations Manual Page 1-1

élance Vital Signs Monitor
élance Vital Signs Monitor Operations Manual Page 1-2
1.2 Indications for Use
The élance Vital Signs Monitor is indicated for use in patient populations for:
Adult
Pediatric
The élance Vital Signs Monitor facilitates the monitoring of:
ECG
Respiration
Non-invasive blood pressures
Invasive blood pressures
Body temperature
Functional arterial oxygen saturation
Expired and/or inspired CO2.
The élance Vital Signs Monitor is a prescription device intended to be used by
healthcare professionals in all areas of a healthcare facility.
1.3 Equipment Classification
The élance Vital Signs Monitor with patient-applied parts is per EN 60601-1 – Class 1,
grounded, internally powered, Type CF defibrillator-proof.

élance Vital Signs Monitor
élance Vital Signs Monitor Operations Manual Page 1-3
1.4 Product Configurations
The élance Vital Signs Monitor 93300 may be configured with the following options:
Configuration Model Options Description
élance 5
5
93300 -05 10.2” display with Basic configuration, 4
waveforms
ECG, SpO2, NIBP, respiration, dual
temperature
élance 5
5i i
93300 -05I 10.2” display with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP, 5
waveforms
élance 5
5c c
93300 -05IC 10.2” display with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP,
EtCO2, 5 waveforms
élance 5
5 elite 93300 -05E 10.2” display, Black, with ECG, SpO2, NIBP,
respiration, dual temperature, 4 waveforms
élance
5 5i i elite
93300 -05IE 10.2” display, Black, with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP, 5
waveforms
élance
5 5c c elite
93300 -05ICE 10.2” display, Black, with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP,
EtCO2, 5 waveforms
élance 7
7
93300 -07
12.1” display with Basic configuration, 6
waveforms ECG, SpO2, NIBP, respiration,
dual temperature
élance 7
7i i
93300 -07I 12.1” display with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP, 6
waveforms
élance 7
7c c
93300 -07IC 12.1” display with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP,
EtCO2, 6 waveforms
élance 7
7 elite
93300 -07E 12.1” display, Black, with ECG, SpO2, NIBP,
respiration, dual temperature, 6 waveforms
élance
7 7i i elite
93300 -07IE 12.1” display, Black, with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP, 6
waveforms
élance
7 7c c elite
93300 -07ICE 12.1” display, Black, with ECG, SpO2, NIBP,
respiration, dual temperature, dual IBP,
EtCO2, 6 waveforms

élance Vital Signs Monitor
élance Vital Signs Monitor Operations Manual Page 1-4
1.5 Features
1.5.1 Physical and Mechanical
The élance Vital Signs Monitor is a lightweight, integrated vital signs monitor with a
10.2-inch or 12.1-inch wide-screen color thin-film-transistor (TFT) liquid crystal display
(LCD) using a resistive touchscreen. Different parameter configurations provide vital
signs monitoring for a large range of acuity. Configurable default settings provide
customized care for adult and pediatric patients.
Note: The élance Vital Signs Monitor must be installed on a desktop or wall mount.
Spacelabs provides a variety of mounting solutions for different applications. Refer to
Service Manual (P/N 070-1949-00) and datasheets for more information.
1.5.2 Electrical
The élance Vital Signs monitor is powered by either of the following options:
Alternating current (AC) power.
AC Input Voltage Range 100 – 240 V
AC Input Current 2-1 A
AC Input Frequency Range 50/60 Hz
Internal lithium ion (Li-Ion) battery.
Fully Charged Operation
1 Battery Up to 5 hours
The battery is continuously recharged when the élance Vital Signs Monitor is
connected to a power source.
The monitor is delivered with one Li-Ion battery. Refer to chapter on Battery
Operation for more information.
1.5.3 Display
The display is a widescreen color touchscreen LCD that shows:
Graphic and numeric patient information.
Status conditions
Warning messages.
The élance Vital Signs Monitor supports an easy one-touch display of patient vital
signs.