Thornhill Medical MOVES SLC User manual

Part Number: 124826 Rev. J 20 April 2020
Caution: Federal law restricts this device to sale by or on the order of a physician.
© 2016 Thornhill Research Inc. All Rights Reserved
Operator’s Manual

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Table of Contents
1.0 Notices......................................................................................................................................................................1
1.1 Contact Information.......................................................................................................................................1
1.1.1 Manufacturer .......................................................................................................................................1
1.1.2 Notified Body.......................................................................................................................................1
1.1.3 Authorized Representatives................................................................................................................1
1.2 Patent Notice.................................................................................................................................................1
1.3 Copyright Notice............................................................................................................................................1
1.4 Trademark Notices........................................................................................................................................2
1.5 EMC (Electromagnetic Compatibility) Notice................................................................................................2
1.6 MRI (Magnetic Resonance Imaging) Notice.................................................................................................2
1.7 Phthalates Notice..........................................................................................................................................2
1.8 Regulatory Notice..........................................................................................................................................2
1.9 Classification.................................................................................................................................................2
1.10 Declaration of Conformity Notice ..................................................................................................................3
1.10.1 Trade Name ....................................................................................................................................3
2.0 MOVES®SLC™ Quick Start Guide for Ventilated Patients......................................................................................5
2.1 System Test Instructions.............................................................................................................................10
2.2 Further Information on Procedures.............................................................................................................17
3.0 Introduction.............................................................................................................................................................21
3.1 General Information ....................................................................................................................................21
3.1.1 Manufacturer’s Information................................................................................................................21
3.1.2 Glossary of Terms and Abbreviations...............................................................................................21
3.2 MOVES®SLC™ Intended Use ...................................................................................................................23
3.2.1 Operating Environment .....................................................................................................................24
3.2.2 Target Population..............................................................................................................................24
3.3 Intended Operator.......................................................................................................................................24
4.0 Regulatory Compliance ..........................................................................................................................................25
4.1 Regulatory Symbols....................................................................................................................................25
4.2 Regulatory Standards Compliance .............................................................................................................25
5.0 MOVES®SLC™ System Overview ........................................................................................................................27
5.1General Overview .......................................................................................................................................27
5.2 System Orientation and External Components...........................................................................................27
5.3 Theory of Operation....................................................................................................................................28
5.3.1 Breathing Circuit and Oxygen Supplement.......................................................................................28
5.3.2 Oxygen Concentrator ........................................................................................................................29
5.3.3 Ventilator ...........................................................................................................................................29
5.3.4 Respiratory Gas Monitoring...............................................................................................................29
5.3.5 Suction...............................................................................................................................................31
5.3.6 Patient Monitoring .............................................................................................................................31
5.3.7 Power System ...................................................................................................................................32
5.3.8 System Auto Resume on Power Loss...............................................................................................33
6.0 Safety Information...................................................................................................................................................35
6.1 Manual Symbols and Messages.................................................................................................................35

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6.1.1 Notes, Cautions and Warnings......................................................................................................... 35
6.1.2 Operational Symbols ........................................................................................................................ 36
6.1.3 Label Warning Symbols.................................................................................................................... 36
6.1.4 Product Labels Symbols................................................................................................................... 36
6.2 General Warnings....................................................................................................................................... 39
6.3 Electrical Warnings..................................................................................................................................... 41
6.4 Patient-Specific Warnings .......................................................................................................................... 43
6.5 Masimo Rainbow SET®Pulse CO-Oximeter Warnings.............................................................................. 45
6.6 General Cautions........................................................................................................................................ 49
6.7 Electrical Cautions...................................................................................................................................... 52
6.8 Patient-Specific Cautions ........................................................................................................................... 52
6.9 General Safety............................................................................................................................................ 52
6.10 Electrical Safety.......................................................................................................................................... 54
6.11 Preparing for Emergency Operation........................................................................................................... 54
6.12 Radio Interference...................................................................................................................................... 55
6.13 Battery Handling......................................................................................................................................... 55
6.14 Battery Disposal.......................................................................................................................................... 55
6.15 Essential Performance ............................................................................................................................... 55
6.15.1 Oxygen Concentrator ................................................................................................................... 55
6.15.2 Suction.......................................................................................................................................... 56
6.15.3 80601-2-12 (General Ventilation)................................................................................................. 56
6.15.4 80601-2-13 (Anesthetic Ventilation)............................................................................................. 56
6.15.5 60601-2-27 ................................................................................................................................... 56
6.15.6 60601-2-30 ................................................................................................................................... 56
6.15.7 60601-2-34 ................................................................................................................................... 56
6.15.8 60601-2-49 ................................................................................................................................... 56
6.15.9 80601-2-55 ................................................................................................................................... 57
6.15.10 80601-2-61 ................................................................................................................................... 57
7.0 The Masimo Rainbow SET®Pulse CO-Oximeter .................................................................................................. 59
7.1 No Implied License..................................................................................................................................... 59
7.2 Overview..................................................................................................................................................... 59
7.3 Key Features .............................................................................................................................................. 59
7.4 Indications for Use...................................................................................................................................... 59
7.5 Pulse Oximeter Technology Overview ....................................................................................................... 60
7.5.1 Signal Extraction Technology (SET®)............................................................................................... 60
7.5.2 General Description for Oxygen Saturation (SpO2).......................................................................... 60
7.5.3 Successful Monitoring for SpO2, PR, and PI .................................................................................... 60
7.5.4 Functional Oxygen Saturation .......................................................................................................... 60
7.5.5 General Description for Pulse Rate (PR).......................................................................................... 60
7.5.6 General Description for Perfusion Index (PI).................................................................................... 60
7.5.7 General Description for Pleth Variability Index (PVI)........................................................................ 61
7.5.8 Rainbow Pulse CO-Oximetry Technology........................................................................................ 61
7.5.9 Pulse CO-Oximetry vs. Drawn Whole Blood Measurements ........................................................... 62
7.5.10 General Description for Total Hemoglobin (SpHb)....................................................................... 62
7.5.11 Successful Monitoring for SpHb................................................................................................... 63
7.5.12 General Description for SpOC...................................................................................................... 63

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7.5.13 General Description for Carboxyhemoglobin (SpCO)...................................................................63
7.5.14 Successful Monitoring for SpCO...................................................................................................63
7.5.15 General Description for Methemoglobin (SpMet) .........................................................................63
7.5.16 Successful Monitoring for SpMet ..................................................................................................63
7.5.17 SpCO, SpMet, and SpHb Measurements During Patient Motion.................................................64
8.0 Troubleshooting the Masimo Pulse Oximeter.........................................................................................................65
8.1 Troubleshooting Measurements .................................................................................................................65
8.2 Low Measurement Confidence ...................................................................................................................65
8.3 Low Perfusion .............................................................................................................................................65
8.4 Low Signal Quality ......................................................................................................................................65
8.5 SpO2 Values Do Not Correlate with Clinical Assessment or Arterial Blood Gas Measurements ..............66
8.6 Unexpected SpO2, SpCO, SpMet, or SpHb Reading.................................................................................66
8.7 Unexpectedly High SpCO Reading.............................................................................................................66
8.8 Difficulty Obtaining a Reading.....................................................................................................................66
8.9 SpCO Reading Displays as Dashes ...........................................................................................................66
9.0 Getting Started........................................................................................................................................................67
9.1 MOVES®SLC™ Accessories & Remote Screen Warnings and Cautions .................................................67
9.2 MOVES® SLC™ System Contents..............................................................................................................68
9.2.1 MOVES® SLC™ System Components..............................................................................................68
9.2.2 MOVES®SLC™ Re-usable Consumables .......................................................................................81
9.2.3 MOVES®SLC™ Single patient use consumables ............................................................................84
9.2.4 MOVES®SLC™ Standard System Contents....................................................................................87
9.3 Lifting the MOVES®SLC™ .........................................................................................................................88
9.4 Attaching the Shoulder Strap to MOVES®SLC™.......................................................................................91
9.5 Attaching Clamps to the MOVES®SLC™ ..................................................................................................94
9.5.1 Attaching Clamps to Top Mount MOVES®SLC™ ............................................................................95
9.5.2 Attaching Clamps to Side Mount MOVES®SLC™ ...........................................................................98
9.5.3 Using the MOVES®SLC™ Stretcher Adapter Bar..........................................................................104
9.6 Patient Monitoring Accessories.................................................................................................................107
9.7 Installing the Ventilator Cartridge and Breathing Circuit...........................................................................108
9.7.1 About the Ventilator Cartridge.........................................................................................................108
9.7.2 Installing the Ventilator Cartridge....................................................................................................110
9.7.3 Installing the Hydrocarbon Filter .....................................................................................................113
9.7.4 Installing the Ventilator Breathing Circuit ........................................................................................114
9.8 Delivering Supplementary Oxygen (O2) ...................................................................................................118
9.9 Using an External Gas Supply..................................................................................................................123
9.10 Installing Suction Accessories ..................................................................................................................125
9.11 INSTALLING AN IV POLE........................................................................................................................129
9.12 Using an Optional Humidifier ....................................................................................................................130
9.13 Preparing MOVES®SLC™ for use ...........................................................................................................131
9.13.1 Checking the Charge ..................................................................................................................131
9.13.2 Inspecting the Batteries ..............................................................................................................132
9.13.3 Checking for Battery Installation .................................................................................................133
9.13.4 Installing the Batteries.................................................................................................................134
9.13.5 Preparing the Power Supply / Battery Charger...........................................................................137

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9.13.6 Connecting MOVES®SLC™ to the Power Supply / Battery Charger ........................................ 138
9.13.7 Connecting AC Power ................................................................................................................ 139
9.13.8 Battery Storage........................................................................................................................... 139
10.0 Startup.................................................................................................................................................................. 141
10.1 Adjusting the Screen Display Orientation................................................................................................. 141
10.2 User Interface (UI) Controls and Functions.............................................................................................. 143
10.3 System Visual Indicators (Alarms / System Status)................................................................................. 146
10.4 Changing Settings and Data Views.......................................................................................................... 147
10.4.1 Display of Settings and Views.................................................................................................... 148
10.4.2 Modifying a Setting..................................................................................................................... 148
10.5 Confirming Display Validity....................................................................................................................... 148
10.6 Startup Sequence..................................................................................................................................... 149
11.0 MOVES®SLCTM User Screens ............................................................................................................................ 155
11.1 Status Bar................................................................................................................................................. 155
11.1.1 Battery Status Icon ..................................................................................................................... 157
11.2 System Test Screen ................................................................................................................................. 159
11.3 Setup Screen............................................................................................................................................ 160
11.3.1 Overview..................................................................................................................................... 160
11.3.2 Changing Settings ...................................................................................................................... 161
11.3.3 Setup Screen –Ventilate Mode.................................................................................................. 161
11.3.4 Setup Screen –O2 Supplement................................................................................................. 161
11.3.5 Setup Screen –Monitor Only ..................................................................................................... 163
11.3.6 Setup Screen Options ................................................................................................................ 163
11.4 Advanced Screen ..................................................................................................................................... 166
11.4.1 Accessing the Advanced Screen................................................................................................ 166
11.4.2 The Advanced Screen................................................................................................................ 168
11.4.3 SpO2 Average Time................................................................................................................... 169
11.4.4 SpO2 Sensitivity Modes ............................................................................................................. 169
11.4.5 SpO2 Alarm Delay...................................................................................................................... 169
11.4.6 SpO2 Alarm Rapid Desat........................................................................................................... 169
11.4.7 PVI Display................................................................................................................................. 170
11.4.8 PVI Average Mode ..................................................................................................................... 170
11.4.9 SpHb Arterial/Venous Mode....................................................................................................... 170
11.4.10 SpHb Average Mode .................................................................................................................. 170
11.4.11 ECG EMG Filter.......................................................................................................................... 170
11.4.12 Line Filter.................................................................................................................................... 170
11.4.13 Masimo Supported Parameters.................................................................................................. 170
11.5 Info Screen ............................................................................................................................................... 170
11.5.1 Accessing the Info Screen.......................................................................................................... 170
11.5.2 The Info Screen.......................................................................................................................... 172
11.5.3 Information Located on the Info Screen ..................................................................................... 172
11.6 Main Screen.............................................................................................................................................. 173
11.6.1 Selection Order for Options........................................................................................................ 175
11.6.2 Main Screen Items...................................................................................................................... 176
11.6.3 Additional Items Displayed with Masimo Sensors...................................................................... 182
11.6.4 Control Pressure, PEEP and PIP............................................................................................... 183

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11.6.5 Actual PEEP Higher than Set PEEP...........................................................................................184
11.6.6 Inverted Display of Patient Monitoring Values............................................................................184
11.6.7 Invasive Pressure (IP) Source Buttons.......................................................................................185
11.6.8 Zeroing a Channel.......................................................................................................................185
11.7 ECG Screen..............................................................................................................................................185
11.7.1 Overview .....................................................................................................................................185
11.8 Alarm Limits Screen..................................................................................................................................187
11.8.1 Overview .....................................................................................................................................187
11.8.2 Limit List Active ...........................................................................................................................187
11.9 Alarm On / Off Screen...............................................................................................................................190
11.9.1 Overview .....................................................................................................................................190
11.9.2 Alarm On/Off List Active..............................................................................................................191
12.0 Using the Remote Screen.....................................................................................................................................193
12.1 Overview ...................................................................................................................................................193
12.2 Replacing / Installing the Remote Screen Battery ....................................................................................194
12.3 Connecting the Remote Screen to Wall Power ........................................................................................199
12.4 Remote Screen Indicators.........................................................................................................................201
12.5 Remote Screen Battery Status .................................................................................................................202
12.6 Wired Connection of the Remote Screen to MOVES®SLC™..................................................................203
12.6.1 Activating the Wired Connection.................................................................................................207
12.7 The Remote Screen User Interface (UI) ...................................................................................................208
12.7.1 First Connecting..........................................................................................................................208
12.7.2 The Dashboard ...........................................................................................................................209
12.7.3 No System Test Screen..............................................................................................................211
12.7.4 Remote Screen Panel Buttons....................................................................................................214
12.7.5 Graphs Independently Configurable ...........................................................................................215
12.7.6 Alarm Indicators ..........................................................................................................................215
12.7.7 Remote Screen Software Version...............................................................................................218
13.0 Connecting the Patient .........................................................................................................................................219
13.1 Connection Overview................................................................................................................................219
13.2 Connecting an Intubated Patient...............................................................................................................219
13.3 Connecting a Spontaneously Breathing Patient .......................................................................................219
13.4 Attaching the Ear or Finger Clip Pulse CO-Oximeter Sensor...................................................................220
13.5 Placement of the Heart Rate Electrodes...................................................................................................223
13.5.1 ECG Cable Color Coding and Naming Conventions ..................................................................223
13.5.2 Correct Electrode Placement......................................................................................................224
13.5.3 Reducing Artifacts.......................................................................................................................225
13.5.4 Expiry Date of ECG Electrodes...................................................................................................225
13.6 Zeroing the Pressure in the IP Transducer...............................................................................................226
13.6.1 Zeroing the Transducer Channel ................................................................................................226
13.6.2 Transducer Warnings..................................................................................................................227
13.7 Using the Suction Feature ........................................................................................................................227
13.8 Shutdown Procedures...............................................................................................................................228
14.0 Using System Graphs / Trends.............................................................................................................................231
14.1 Overview ...................................................................................................................................................231

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14.2 Available System Graphs / Trends........................................................................................................... 232
14.2.1 System Graphs........................................................................................................................... 232
14.2.2 System Trends............................................................................................................................ 234
15.0 Alarms .................................................................................................................................................................. 237
15.1 About Status LEDs ................................................................................................................................... 237
15.2 Alarm Priorities and Characteristics ......................................................................................................... 237
15.2.1 Standard Alarms......................................................................................................................... 237
15.2.2 High Priority Communication Failure Alarm ............................................................................... 238
15.3 Alarm Queue............................................................................................................................................. 238
15.4 Locked Alarms and Messages ................................................................................................................. 239
15.5 Inhibitable and Latching Alarms ............................................................................................................... 239
15.5.1 Inhibitable Alarms....................................................................................................................... 239
15.5.2 Latching Alarms.......................................................................................................................... 240
15.5.3 Alarms That Have Been Turned Off........................................................................................... 240
15.5.4 Auto Restoration of Alarm Settings Upon Power Loss............................................................... 241
15.6 Testing Alarms.......................................................................................................................................... 241
15.6.1 Testing Adjustable Alarms.......................................................................................................... 241
15.6.2 Testing Non-Adjustable Alarms.................................................................................................. 244
15.7 Alarm Conditions and Causes.................................................................................................................. 246
15.8 System Test Failure Messages and Causes............................................................................................ 289
15.9 Safe Gas Mode......................................................................................................................................... 292
16.0 Appendix A........................................................................................................................................................... 295
16.1 System Default Settings ........................................................................................................................... 295
16.2 System Cleaning ...................................................................................................................................... 297
16.3 System Maintenance................................................................................................................................ 298
16.3.1 User Serviceable Components .................................................................................................. 299
16.3.2 Replacing the Ventilator Filter .................................................................................................... 299
16.3.3 Replacing the Hydrocarbon Filter............................................................................................... 301
16.3.4 Replacing the Ventilator Liner .................................................................................................... 303
16.3.5 Exercising the Oxygen Concentrator.......................................................................................... 306
16.3.6 Battery Charging......................................................................................................................... 306
16.3.7 Other Maintenance / Repair Items ............................................................................................. 306
16.3.8 End of Life................................................................................................................................... 306
16.4 Accessories Maintenance......................................................................................................................... 307
16.5 Checking the Accuracy of the Temperature Probe .................................................................................. 307
16.6 MOVES®SLC™ Specifications ................................................................................................................ 307
16.6.1 Model Number............................................................................................................................ 307
16.6.2 Physical Properties..................................................................................................................... 307
16.6.3 Oxygen Concentrator Specifications.......................................................................................... 309
16.6.4 Ventilator Specifications and Vent Mode Definitions.................................................................. 310
16.6.5 Suction Specifications ................................................................................................................ 314
16.6.6 Electrical Characteristics ............................................................................................................ 314
16.6.7 Environmental Specifications ..................................................................................................... 315
16.7 Patient Monitoring Specifications ............................................................................................................. 317
16.7.1 Heart Rate Monitoring Specifications......................................................................................... 317
16.7.2 Temperature Monitoring Specifications...................................................................................... 318

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16.7.3 Airflow Monitoring Specifications ................................................................................................318
16.7.4 CO2Monitoring Specifications ....................................................................................................319
16.7.5 Respiratory Rate Monitoring Specifications................................................................................319
16.7.6 O2Monitoring Specifications.......................................................................................................320
16.7.7 ECG Specifications.....................................................................................................................320
16.7.8 NIBP Specifications.....................................................................................................................323
16.7.9 Invasive Pressure Specifications ................................................................................................323
16.7.10 Pulse Oximetry Specifications ....................................................................................................324
16.7.11 Equipment Response Time.........................................................................................................325
16.7.12 Drift in Sensing Accuracy............................................................................................................325
16.7.13 Specifications of Masimo Rainbow SET®Pulse CO-Oximeter...................................................325
16.8 General Accessories Specifications..........................................................................................................328
16.8.1 Approved Masimo Pulse Oximeter Accessories.........................................................................328
16.8.2 MasimoPulse Oximeter Accessories Specifications ..................................................................330
16.9 Electromagnetic Conformity Information...................................................................................................333
16.9.1 IEC 60601-1-2:2014 (Ed 4.0) Table 1 Requirements.................................................................333
16.9.2 IEC 60601-1-2:2014 (Ed 4.0) Table 2 Requirements .................................................................334
16.9.3 IEC 60601-1-2:2014 (Ed 4.0) Table 3 Requirements .................................................................335
16.9.4 IEC 60601-1-2:2014 (Ed 4.0) Table 5 Requirements .................................................................337
17.0 Appendix B –Pneumatic Diagram........................................................................................................................339
17.1 MOVES®SLC™ Pneumatic Diagram .......................................................................................................339
18.0 Appendix C –End-User License Agreement........................................................................................................341
19.0 Index .....................................................................................................................................................................343

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List of Tables
Table 1: Quick Reference to Information on Procedures................................................................................................17
Table 2: Glossary of Terms and Abbreviations...............................................................................................................21
Table 3: Regulatory Symbols Used and Description ......................................................................................................25
Table 4: Regulatory Standards Compliance ...................................................................................................................25
Table 5: Symbols and Messages Used in Manual..........................................................................................................35
Table 6: Operational Symbols and Descriptions.............................................................................................................36
Table 7: Label Warning Symbols and Descriptions........................................................................................................36
Table 8: Product Label Symbols and Descriptions.........................................................................................................36
Table 9: General Warnings .............................................................................................................................................39
Table 10: Electrical Warnings .........................................................................................................................................41
Table 11: Patient-Specific Warnings...............................................................................................................................43
Table 12: Masimo Rainbow SET®Pulse CO-Oximeter Warnings..................................................................................45
Table 13: General Cautions ............................................................................................................................................49
Table 14: Electrical Cautions ..........................................................................................................................................52
Table 15: Patient-Specific Cautions................................................................................................................................52
Table 16: MOVES®SLC™ Accessories Warnings and Cautions...................................................................................67
Table 17: MOVES®SLC™ System Components ...........................................................................................................68
Table 18: MOVES® SLC™ Re-usable Consumables......................................................................................................81
Table 19: MOVES® SLC™ Single Use Consumables.....................................................................................................84
Table 20: Patient Connector Labels and Accessories..................................................................................................107
Table 21: User Interface Controls and Functions .........................................................................................................143
Table 22: System Visual Indicator States and Explanations ........................................................................................146
Table 23: Screen Buttons and Descriptions..................................................................................................................148
Table 24: MOVES® SLCTM Status Bar Items and Descriptions.....................................................................................155
Table 25: Battery Status Icon Table..............................................................................................................................158
Table 26: Setup Screen Options and Descriptions.......................................................................................................163
Table 27: Advanced Screen Options ............................................................................................................................168
Table 28: Info Screen Items..........................................................................................................................................172
Table 29: Main Screen Items and Descriptions ............................................................................................................176
Table 30: Alarm Limits and Defaults.............................................................................................................................188
Table 31: Remote Screen Indicators ............................................................................................................................202
Table 32: Buttons on the Remote Screen.....................................................................................................................215
Table 33: Alarm Side Bar States and Explanations......................................................................................................216
Table 34: CO-Oximeter Sensors...................................................................................................................................220
Table 35: ECG Cable Color Coding and Naming .........................................................................................................224
Table 36: Proper Placement of Precordial Leads.........................................................................................................225
Table 37: System Graphs and Parameters...................................................................................................................232
Table 38: System Trends and Parameters ...................................................................................................................235
Table 39: Alarm Types and Descriptions......................................................................................................................237
Table 40: Adjustable Alarms, Test Procedures and Results ........................................................................................241
Table 41: Non-Adjustable Alarms, Test Procedures and Results.................................................................................244
Table 42: Alarm Conditions and Causes ......................................................................................................................246
Table 43: System Test Failure Messages and Causes ................................................................................................289
Table 44: System Default Settings................................................................................................................................295

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Table 45: Physical Properties of MOVES®SLC™ .......................................................................................................307
Table 46: Oxygen Concentrator Specifications of MOVES®SLC™ in a Circle Circuit ................................................309
Table 47: Oxygen Concentrator Specifications of MOVES®SLC™ in O2 Supplement Mode ....................................309
Table 48: Ventilator Specifications of MOVES®SLC™................................................................................................312
Table 49: Suction Specifications of MOVES®SLC™...................................................................................................314
Table 50: Electrical Specifications of MOVES®SLC™ ................................................................................................314
Table 51: Environmental Specifications of MOVES®SLC™........................................................................................315
Table 52: Environmental Specifications of the Remote Screen...................................................................................317
Table 53: Heart Rate Monitoring Specifications of MOVES®SLC™ ...........................................................................317
Table 54: Temperature Monitoring Specifications of MOVES®SLC™ ........................................................................318
Table 55: Airflow Monitoring Specifications of MOVES®SLC™ ..................................................................................318
Table 56: CO2Monitoring Specifications of MOVES®SLC™ ......................................................................................319
Table 57: Respiratory Rate Specifications of MOVES®SLC™....................................................................................319
Table 58: O2Monitoring Specifications of MOVES®SLC™.........................................................................................320
Table 59: 12-Lead ECG Specifications of MOVES®SLC™.........................................................................................320
Table 60: 3-Lead ECG Specifications of MOVES®SLC™...........................................................................................321
Table 61: NIBP Specifications of MOVES®SLC™.......................................................................................................323
Table 62: Invasive Pressure Specifications of MOVES®SLC™ ..................................................................................323
Table 63: Pulse Oximetry Specifications of MOVES®SLC™ ......................................................................................324
Table 64: Pulse Oximetry Equipment Response Time.................................................................................................325
Table 65: General Accessories Specifications of MOVES®SLC™..............................................................................328
Table 66: Approved Masimo Pulse Oximeter Accessories ..........................................................................................328
Table 67: Masimo Pulse Oximeter Accessories Specifications ...................................................................................330
Table 68: 5.2.2.1c IEC 60601-1-2:2014 (Ed 4.0) Table 1 Requirements.....................................................................333
Table 69: 5.2.2.1f IEC 60601-1-2:2014 (Ed 4.0) Table 2 Requirements......................................................................334
Table 70: 5.2.2.2 IEC 60601-1-2:2014 (Ed 4.0) Table 3 Requirements....................................................................335
Table 71: 5.2.2.2 IEC 60601-1-2:2014 (Ed 4.0) Table 5 Requirements....................................................................337

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Table of Figures
Figure 2-1: Battery Verify Test Screen............................................................................................................................16
Figure 5-1: MOVES®SLC™ Upright System Orientation and Components ..................................................................28
Figure 7-1: Absorption Spectra of Blood Components ...................................................................................................61
Figure 7-2: LEDs and Detector .......................................................................................................................................62
Figure 9-1: Lifting Points on MOVES®SLC™.................................................................................................................89
Figure 9-2: Lifting Slot.....................................................................................................................................................90
Figure 9-3: Lifting Arch....................................................................................................................................................90
Figure 9-4: MOVES®SLC™ Stretcher Adapter Bar Installed on a Stretcher ...............................................................104
Figure 9-5 : Patient Connection Panel..........................................................................................................................107
Figure 9-6: Ventilator Cartridge.....................................................................................................................................109
Figure 9-7: Ventilator Breathing Circuit.........................................................................................................................114
Figure 9-8: Battery with Condition Indicator Shown......................................................................................................131
Figure 9-9: Condition Indicator Showing High Level Charge........................................................................................132
Figure 9-10: Visible Yellow Handle Indicates Battery Present......................................................................................133
Figure 9-11: Battery Disconnected (compartment open)..............................................................................................140
Figure 9-12: Battery Removed......................................................................................................................................140
Figure 10-1: Flip Button.................................................................................................................................................143
Figure 10-2: MOVES®SLC™ UI (User Interface).........................................................................................................143
Figure 10-3: Power Control Button ...............................................................................................................................149
Figure 10-4: New Patient Screen..................................................................................................................................149
Figure 10-5: New Patient Screen –Restore Settings Unavailable...............................................................................150
Figure 10-6: System Test Screen .................................................................................................................................151
Figure 10-7: Setup Screen............................................................................................................................................152
Figure 11-1: Status Bar.................................................................................................................................................155
Figure 11-2: System Test Screen .................................................................................................................................159
Figure 11-3: Configure for a New Patient Screen.........................................................................................................160
Figure 11-4: Setup Screen –Ventilate Mode................................................................................................................161
Figure 11-5: Setup Screen –No Capnography Warning..............................................................................................162
Figure 11-6: Setup Screen –O2 Supplement...............................................................................................................162
Figure 11-7: Setup Screen –Monitor Only ...................................................................................................................163
Figure 11-8: Accessing the Advanced Screen..............................................................................................................167
Figure 11-9: The Advanced Screen..............................................................................................................................168
Figure 11-10: Accessing the Info Screen......................................................................................................................171
Figure 11-11: The Info Screen......................................................................................................................................172
Figure 11-12: Screen Items Drawn in Reverse.............................................................................................................174
Figure 11-13: Screen Items Displaying Dashes............................................................................................................174
Figure 11-14: Screen Items Displaying the Fault Icon..................................................................................................174
Figure 11-15: Main Screen with Dashes & Alarms.......................................................................................................175
Figure 11-16: ECG & IP Graph Options & Sub-Options...............................................................................................176
Figure 11-17: Values Obtained Via Masimo DC-3 Sensor...........................................................................................182
Figure 11-18: Values Obtained Via Masimo DCI-dc3 Sensor ......................................................................................183
Figure 11-19: Control Pressure & PEEP on Setup Screen...........................................................................................183
Figure 11-20: PIP & PEEP on Main Screen..................................................................................................................183
Figure 11-21: Relations of PEEP to PIP to Control Pressure.......................................................................................184

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Figure 11-22: Regular Temperature Display................................................................................................................185
Figure 11-23: Inverted Display of Temperature (Alarm Condition) ..............................................................................185
Figure 11-24: ECG Screen –Normal Mode .................................................................................................................186
Figure 11-25: ECG Screen –Graphs Paused..............................................................................................................186
Figure 11-26: Alarm Limits Screen –All at Default ......................................................................................................187
Figure 11-27: Alarm Limits Screen Active....................................................................................................................188
Figure 11-28: Alarm On / Off Screen............................................................................................................................190
Figure 11-29: Alarm On / Off Screen Active.................................................................................................................191
Figure 12-1: MOVES® SLC™ Remote Screen .............................................................................................................193
Figure 12-2: Remote Screen Indicators........................................................................................................................201
Figure 12-3: Initial Screen –Resources Loading .........................................................................................................208
Figure 12-4: Main Remote Screen –Connecting and Resources Loaded...................................................................209
Figure 12-5: The Status Bar .........................................................................................................................................210
Figure 12-6: Remote Screen Alarm Audio Options......................................................................................................211
Figure 12-7: Alarm Volume Locked at Maximum .........................................................................................................211
Figure 12-8: Setup Screen –Initializing........................................................................................................................212
Figure 12-9: Setup Screen –Monitor Only Mode.........................................................................................................213
Figure 12-10: Main Screen –On Remote Screen........................................................................................................214
Figure 12-11: Remote Screen –Panel Buttons at Bottom...........................................................................................214
Figure 12-12: Green Bars Indicating No Alarms Active................................................................................................216
Figure 12-13: Red Bars Indicating High-Priority Alarm Active......................................................................................217
Figure 12-14: Yellow Bars Indicating Low or Medium Priority Alarm Active ................................................................217
Figure 12-15: Info Screen Showing Remote Screen Version ......................................................................................218
Figure 13-1: 1 of 5 Possible Sensor Finger Placements..............................................................................................222
Figure 13-2: Correct Ear Lobe Sensor Placement .......................................................................................................222
Figure 13-3: Color-Coded 12-Lead ECG Cable ...........................................................................................................223
Figure 13-4: Proper Limb Lead Electrode Placement ..................................................................................................225
Figure 13-5: Precordial Leads: V1–V6 .........................................................................................................................225
Figure 13-6: Electrode Package...................................................................................................................................226
Figure 13-7: Electrode Use By Date.............................................................................................................................226
Figure 13-8: Transducer Stopcock in Running Position (Horizontal) ...........................................................................226
Figure 13-9: Transducer Stopcock in Open-to-Ambient-Air Position (Vertical) Zero Transducer................................226
Figure 13-10: Suction Wand Showing Control Vent.....................................................................................................227
Figure 14-1: Plotting Graphs on Main Screen..............................................................................................................231
Figure 15-1: No Alarms Message in Alarm Queue.......................................................................................................238
Figure 15-2: Two Locked Alarms..................................................................................................................................239
Figure 15-3: Inhibitable Alarm Able To Be Dismissed..................................................................................................239
Figure 15-4: Inhibitable Alarm Cleared.........................................................................................................................239
Figure 15-5: Latched Alarm Able To Be Dismissed .....................................................................................................240
Figure 15-6: Latched Alarm Cleared ............................................................................................................................240
Figure 15-7: Latched Alarm Able To Be Dismissed .....................................................................................................240
Figure 15-8: Status Bar Showing System in Safe Gas Mode ......................................................................................293

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1.0 Notices
1.1 CONTACT INFORMATION
1.1.1 Manufacturer
Address: Thornhill Research Inc.
60 Wingold Ave
Toronto, Ontario
Canada M6B 1P5
Phone: [phone]
Website: http://www.thornhillmedical.com
1.1.2 Notified Body
British Standards Institute
Netherlands
Number 2797
BSI Group The Netherlands B.V.
Say Building
John M. Keynesplein 9
1066 EP Amsterdam
1.1.3 Authorized Representatives
EMERGO EUROPE
Prinsessegracht 20
2514 AP The Hague
The Netherlands
Phone: [phone]
Fax: [phone]
EMERGO AUSTRALIA
Level 20 Tower II
Darling Park
201 Sussex Street
Sydney, NSW 2000
Australia
Phone: [phone]
1.2 PATENT NOTICE
MOVES®SLC™ is covered by one or more US and international patents and patents pending.
1.3 COPYRIGHT NOTICE
Copyright © 2016 Thornhill Research Inc.
No part of this publication may be reproduced, translated into another language, stored in a retrieval system or
transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without the
prior written consent of Thornhill Research Inc. The information contained herein is subject to change without notice.

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1.4 TRADEMARK NOTICES
MOVES®is a registered trademark of Thornhill Research Inc.
SLC™ is a trademark of Thornhill Research Inc.
All brand and product names mentioned herein are used for identification purposes only and are trademarks or
registered trademarks of their respective holders.
1.5 EMC (ELECTROMAGNETIC COMPATIBILITY) NOTICE
MOVES®SLC™ generates, uses, and can radiate RF (radio frequency) energy. If it is not installed and used in
accordance with the instructions in this manual, electromagnetic interference may result. MOVES®SLC™ has been
tested and found to comply with the limits set forth in IEC 60601-1-2 (identical to EN 60601-1-2) for medical products.
These limits provide reasonable protection against electromagnetic interference in the intended use environments
described in this manual.
NOTE The EMISSIONS characteristics of this equipment make it suitable for use in industrial areas and hospitals
(CISPR 11 class A). If it is used in a residential environment (for which CISPR 11 class B is normally required) this
equipment might not offer adequate protection to radio-frequency communication services. The user might need to
take mitigation measures, such as relocating or re-orienting the equipment.
1.6 MRI (MAGNETIC RESONANCE IMAGING) NOTICE
MOVES®SLC™ contains electromagnetic components whose operation can be affected by intense electromagnetic
fields. Do not operate MOVES®SLC™ in an MRI environment or in the vicinity of high-frequency surgical diathermy
equipment. Electromagnetic interference could disrupt the operation of the ventilator.
1.7 PHTHALATES NOTICE
MOVES®SLC™ and its accessories may contain phthalates. Phthalates are classified as carcinogenic, mutagenic or
toxic to reproduction.
WARNING! IN ORDER TO REDUCE THE POTENTIAL RISK FROM PHTHALATES, LONG TERM
EXPOSURE SHOULD BE AVOIDED IN THE TREATMENT OF CHILDREN AND PREGNANT OR
NURSING WOMEN.
1.8 REGULATORY NOTICE
Caution: Federal law restricts this device to sale by or on the order of a physician.
1.9 CLASSIFICATION
Type of Equipment: Medical Equipment
Electrical Classification: Class I, Type BF (unit)
Registration Classification: Class IIb
Type CF Defibrillation Proof (applied parts)
Pediatric and Adult Lung Ventilator

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1.10 DECLARATION OF CONFORMITY NOTICE
MOVES®SLC™ is declared to conform to the Medical Device Directive of the European community (re: Medical
Device Directive 93/42/EEC). This is indicated by the CE Mark shown below.
MOVES®SLC™ also conforms to the following Technical Standards:
IEC/EN 60601-1
IEC 60601-1-2
IEC 60601-1-8
ISO 80601-2-12
IEC 60601-2-27
IEC 80601-2-30
IEC 60601-2-34
IEC 60601-2-49
ISO 80601-2-55
ISO 80601-2-61
ISO 8359
ASTM E1112-00
BS EN 794-3 (2009)
MIL-STD-810G
JECETS
For more information on these standards, see Regulatory Standards Compliance on page 25.
1.10.1 Trade Name
MOVES®SLC™ portable life support system

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2.0 MOVES® SLC™ Quick Start Guide for Ventilated
Patients
Equipment Setup Procedures
1. Lift the release/lock latch for the ventilator cartridge door at the top front of the MOVES®SLC™. Insert the
ventilator cartridge, close the door and lock it by depressing the latch.
NOTE: Do not remove the clear plastic binding around the ventilator cartridge.
2. Confirm the installation of the hydrocarbon filter in the REAR panel of the MOVES®SLC™.

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3. Attach the water trap to the “from patient” port on the ventilator cartridge door. Attach the ventilator breathing
circuit patient hoses to the water trap and “to patient” port on the ventilator cartridge door.. Connect the Nafion
tubing to the sampling line.
4. If ventilating patients under 30 kg or using tidal volumes under 150 mL, replace the breathing filter with the
pediatric breathing system filter.
5. Attach the suction canister and tubing to MOVES®SLC™.
6. Connect any required patient monitoring accessories to MOVES®SLC™. DO NOT CONNECT TO THE
PATIENT AT THIS TIME.
7. Verify MOVES®SLC™ battery charge levels and install batteries.