Verathon GlideScope GVL User manual

GlideScope®GVL®and Cobalt
User’s Manual

GlideScope®GVL®and Cobalt
User’s Manual

Corporate Headquarters:
Verathon Inc.
20001 North Creek Parkway,
Bothell, WA 98011 USA
800.331.2313 (Canada and US)
425.867.1348
Fax: [phone]
http://www.verathon.com
Verathon Medical (Europe) B.V.
Boerhaaveweg 1
3401 MN IJsselstein
The Netherlands
+31.30.68.70.570
Fax: [phone]
http://www.verathon.eu
Verathon Medical (Canada) ULC
4224 Manor Street
Burnaby, BC V5G 1B2
Canada
604.439.3009
Fax: [phone]
For additional contact information please refer to page 54 or visit our
corporate website: http://www.verathon.com.
GlideScope®, GVL®, GlideRite®, Verathon®and Verathon Medical®are
either trademarks or registered trademarks of Verathon®Inc. in the US
and/or other countries.
Cidex®is a registered trademark of Advanced Sterilization Products,
a Johnson & Johnson Company.
Manu-Klenz®is a registered trademark of Steris Corporation.
MetriCide®is a registered trademark of Suborn Dental Specialties,
Inc.
Sterrad®is a registered trademark of Johnson & Johnson Gateway,
LLC.
The GlideScope®technology is covered under US Patents (6,655,377)
(6,543,447) (6,142,144) as well as European Patent 1307131.
Additional patents pending.
Information in this User’s Manual may change at any time without
notice. For the latest version of this manual, refer to www.verathon.com.
Copyright © 2008 by Verathon Inc. All rights reserved. No part of this
manual may be copied or transmitted by any method without the
express written consent of Verathon Inc.
PN: 0900-2101-00-60

GlideScope®System Contents
User’s Manual page 3
Contents
Important Information ............................................................... 6
Product Description............................................................... 6
Intended Use......................................................................... 6
Notice to All Operators.......................................................... 7
Cautions................................................................................ 7
Introducing the GlideScope®System...................................... 9
GlideScope®System Components ..................................... 10
GlideScope®GVL®System .......................................... 10
Cobalt Single-Use System............................................ 11
GlideScope®System Setup Options................................... 12
Displays, Controls, and Indicators ........................................ 15
Monitor Back Panel............................................................. 15
Monitor Front Panel............................................................. 16
Monitor Front Panel LEDs............................................ 18
Getting Started......................................................................... 20
Initial Inspection .................................................................. 20
Preparing for First Use........................................................ 21
1. Charge the Monitor Battery ...................................... 21
2. Set Up the GlideScope®System.............................. 24
Setting up the GlideScope®System on
the Mobile Stand......................................................24
Setting up the GlideScope®System in
the Hard Shell Case.................................................29
Setting up the GlideScope®System
on an IV Pole........................................................... 31
3. Attaching and Detaching the GlideScope®GVL®
or Cobalt Video Baton and GVL®Stat...................... 32

Contents GlideScope®System
page 4 User’s Manual
Attaching the GlideScope®GVL®to the Monitor..... 32
Attaching the Cobalt Video Baton to the Monitor .... 33
Inserting the Cobalt Video Baton into the
GVL®Stat.................................................................33
4. Connect the Monitor to an External Video
Device (Optional)...................................................... 36
5. Perform a Functional Check..................................... 37
Clinical Application Tips...................................................... 39
The Ron Walls Technique............................................ 39
Tips for GlideScope®Video Laryngoscope Insertion ... 39
Tips on Advancing the Endotracheal Tube .................. 40
Additional Tips......................................................... 42
Cleaning and Maintenance ..................................................... 43
General Maintenance Information....................................... 43
Cleaning the GlideScope®GVL®......................................... 44
Cleaning the Cobalt Video Baton........................................ 46
Cleaning the Monitor and Cradle ........................................ 48
Cleaning the GVL®and Cobalt Video Baton Cradle........... 48
Cleaning the GlideRite®Rigid Stylet................................... 48
Approved Disinfection Methods .......................................... 49
Steris®System 1........................................................... 49
Sterrad®........................................................................ 49
MetriCide®..................................................................... 49
Cidex®or Cidex®OPA.................................................. 49
Replacing the Monitor Battery............................................. 50
O-Ring Replacement........................................................... 50
Transportation and Storage ................................................ 51
Device Disposal .................................................................. 51

GlideScope®System Contents
User’s Manual page 5
GlideScope®Warranty Offerings ........................................... 52
Original First Year Total Customer CareSM Warranty ......... 52
What is Covered........................................................... 53
Premium Customer CareSM Warranty........................... 53
Disclaimer of Additional Warranties.............................. 53
Contact Information............................................................. 54
Parts and Accessories............................................................ 55
Specifications .......................................................................... 57
General Specifications........................................................ 57
Operating and Storage Conditions...................................... 57
GlideScope®System Components ..................................... 57
Standards and Approvals.................................................... 60
Contact Information ...................................................... 61
Symbol Directory..................................................................... 62

Important Information GlideScope®System
page 6 User’s Manual
Important Information
Product Description
The GlideScope®Video Laryngoscope (GVL®) System
incorporates a miniature, autofocusing, high-resolution color
camera, an LED light source, a rechargeable lithium battery, and
NTSC video output for remote display or video recording.
The GlideScope®Video Laryngoscope System is useful for
anterior airways, neonatal intubations, obese patients, and
patients with limited neck extension. Additionally, it is useful for
teaching purposes, verification of endotracheal (ET) position,
nasal intubation, and ET exchange.
The GVL®System is recommended for use with an endotracheal
tube stylet, particularly the GlideRite®Rigid Stylet.
Intended Use
Statement of Prescription
Federal (USA) law restricts this device for sale by or on the order
of a physician.
The GlideScope®Video Laryngoscope System should be used
only by individuals who have been trained and authorized by a
physician or the institution providing patient care.
Intended Use
GlideScope®Video Laryngoscopes are intended for use by
qualified medical professionals to obtain a clear, unobstructed
view of the vocal cords for medical procedures
Important Information

GlideScope®System Important Information
User’s Manual page 7
Notice to All Operators
All operators should read this entire User’s Manual prior to using
the GlideScope®System. Failure to follow these instructions may
result in patient injury, comprise the performance of the system,
and may void the system warranty.
Verathon®recommends that new GlideScope®users:
Practice using the GVL®or Cobalt on a mannequin
before clinical use
Acquire clinical experience on patients without airway
abnormalities
Refer to page 39 for recommended techniques.
Cautions
Caution. Risk of permanent equipment damage.
Do not expose GlideScope®Video Laryngoscopes or
Cobalt Video Batons to temperatures above 140° F
(60° C). Do not disinfect or sterilize GlideScope®
Video Laryngoscopes or Cobalt Video Batons using
devices such as autoclaves, ultrasonic cleaners, or
pasteurizers. Use of such methods to
disinfect/sterilize GlideScope®Video Laryngoscopes
or Cobalt Video Batons will cause permanent device
damage and void the warranty. Refer to page 49 for a
list of approved cleaning procedures and products.
MDD Class 1 Equipment Caution: Electrical shock
hazard. Refer servicing to qualified personnel.
This equipment has been tested and found to comply
with the standards listed in the Approvals section of this
manual (page 60). These limits are designed to provide
reasonable protection against harmful interference in
typical medical installations.
This equipment generates, uses, and can radiate radio
frequency energy and if used properly is very unlikely to
cause harmful interference to any other device(s) in the
vicinity.

Important Information GlideScope®System
page 8 User’s Manual
However, there is no guarantee that interference will not
occur in a particular installation. Interference can be
determined by turning the equipment on and off. If this
equipment does cause interference with other devices,
try to correct the interference by one or more of the
following measures:
Re-orient or relocate the receiving device
Increase the separation between equipment
Connect the equipment to an outlet on a circuit
different from that to which the other device(s) is
(are) connected
Consult your Verathon Medical®Customer Care
representative
NOTE: GlideScope®Video Laryngoscopes must be used with the
supplied cables to maintain electromagnetic interference (EMI)
within certified limits.
Users should be aware that portable and mobile equipment
(cellular phones, etc.) can affect medical electrical equipment
and take appropriate precautions during operation.

GlideScope®System Introduction
User’s Manual page 9
Introducing the GlideScope®System
GlideScope®Video Laryngoscopes (GVL®) are designed for “1st
pass success.” They provide a consistently clear view of a
patient’s airway, enabling quick intubation. GlideScope®Video
Laryngoscopes are clinically proven to achieve a Cormack-
Lehane Grade I or II view 99% of the time.1
All GVL®models include an integrated, high-resolution, CMOS
camera, LED light source, and a patented anti-fog mechanism.
They connect directly to a color video monitor for real time
viewing, video output, and recording. The GlideScope®System
is available in both, reusable GVL®and single-use Cobalt
versions, in a comprehensive range of versions and range of
sizes, allowing clinicians to meet the particular requirements of
patients ranging in size from neonatal infants to morbidly obese
adults.
The GlideScope®Video Laryngoscope is an ideal tool for
physicians and other healthcare professionals who need to
effectively manage standard to difficult airways. The
GlideScope®System is easy to learn, use, and teach. It is ideal
for acute care settings and emergency environments. It also
integrates easily into standard ED, OR, ICU, and NICU
applications.
GlideScope®Video Laryngoscopes may be useful for the
following procedures:
First use intubations, replacing Direct Laryngoscopy (DL)
Normal or restricted oropharyngeal views/visualization
and assessment of the oropharynx
Cormack-Lehane grades I - IV laryngeal views
1 Cooper RM. Cardiothoracic Anesthesia, Respiration and
Airway; Early clinical experience with a new video laryngoscope
(GlideScope®) in 728 patients. Canadian Journal of Anesthesia.
2005; 52: 2: 191–198.
Introducing the GlideScope®System

Introduction GlideScope®System
page 10 User’s Manual
Trauma airways - excellent when dealing with blood and
secretions in the airway
Airway management in morbidly obese patients
Preterm and neonatal intubations
Cervical spine immobilization
Reintubation in Intensive Care Unit (ICU) settings
Supervision and documentation of the laryngoscopy
Nasal tracheal intubation
Insertion of transesophageal echocardiac probes
Laryngoscopic foreign body removal
Awake intubation for difficult airway management
Insertion of double lumen tubes
Teaching the anatomy of the airway
GlideScope®System Components
Two interchangeable video laryngoscope systems are available:
the reusable GVL®and Cobalt Single-Use System.
Please refer to page 55 for a complete listing of GlideScope®
System components and part numbers.
GlideScope®GVL®System
The GlideScope®GVL®System includes:
The GlideScope®Video Monitor
One reusable GVL®. The GVL®is comprised of a
medical-grade plastic shell that houses a high-resolution
CMOS camera, LED light source, and patented anti-
fogging mechanism. The GVL®device is available in four
sizes. Additional units may be purchased separately.
Video cable (connects the GVL®to the monitor)
GlideRite®Rigid Stylet

GlideScope®System Introduction
User’s Manual page 11
Figure 1. GVL®System components.
Cobalt Single-Use System
The Cobalt Single-Use System includes:
The GlideScope®Video Monitor
Reusable video baton with integrated video cable. The
Cobalt Video Baton includes a high-resolution CMOS
camera, LED light source, and a patented anti-fogging
mechanism. The Cobalt Video Baton is available in two
sizes and each baton supports two sizes of GVL® Stats.
GVL®Stats (sterile, single-use blades based on the
current GlideScope®GVL®design) - four sizes are
available
One GlideRite®Rigid Stylet
GlideScope
®
non-glare color
Video Monitor
Reusable
GVL®(4 sizes)
Video cable
GlideRite
®
Rigid Stylet

Introduction GlideScope®System
page 12 User’s Manual
Figure 2. Cobalt Single-Use System.
GlideScope®System Setup Options
The GlideScope®Video Monitor, Video Laryngoscopes, and
related accessories may be set up in various configurations in
order to best meet the needs of your facility. The GlideScope®
System may be:
Mounted on a mobile stand (Figure 3)
Secured in a hard shell case for remote or emergency
applications (Figure 4)
Mounted on an IV pole (user-supplied) for use in clinics
and hospitals (Figure 5)
Single-Use
GVL®Stats
(4 sizes)
GlideRite
®
Rigid Stylet
GlideScope
®
non-glare color
Video Monitor
Reusable
Cobalt Video
Batons
(2 sizes)

GlideScope®System Introduction
User’s Manual page 13
Figure 3. GlideScope®System - on mobile stand.
GlideScope
®
Monitor
PN: 0231-0003
G
V
L
®
Cradle
PN: 0810-0126
Cobalt Cradle 3-4
PN: 0810-0134
Cobalt Cradle 1-2
PN: 0810-0151
Mobile Stand
PN: 0800-0299
G
V
L
®
V
ideo Cable
PN: 0600-0237

Introduction GlideScope®System
page 14 User’s Manual
Figure 4. GlideScope®System - in hard shell case.
Figure 5. GlideScope®System - on IV pole (user-supplied).
GlideScope
®
Video Monitor
PN: 0231-0003
IV pole
(user provided)
IV pole mount
PN: 0810-0125
GVL
®
Cradle
PN: 0810-0126
Hard shell case
PN: 0800-0300
GlideScope
®
Video Monitor
PN: 0231-0003

GlideScope®System Displays, Controls, and Indicators
User’s Manual page 15
Displays, Controls, and Indicators
Monitor Back Panel
The GlideScope®Video Monitor back panel (Figure 6) contains
the power cord connector, accessory video output connector,
battery ON/OFF slider switch, and a mounting point for the
optional mobile stand, IV pole, or hard shell case.
Figure 6. GlideScope®Video Monitor back panel.
Displays, Controls, and Indicators
Power cord
connecto
r
Battery
switch
ON/OFF
NTSC video output
connector (for
external monitor)
Mounting
point for
mobile
stand, IV
pole, or hard
shell case

Displays, Controls, and Indicators GlideScope®System
page 16 User’s Manual
Monitor Front Panel
The GlideScope®Video Monitor front panel (Figure 7) contains
the video cable connector, two battery status LEDs, and four
buttons: MENU, UP, DOWN, and ON/OFF. Button functions are
described in Table 1 on the next page.
Figure 7. GlideScope®Video Monitor front panel.
Table 1. Monitor front panel buttons.
Button Function
ON/OFF
Press to turn the GlideScope®System
ON/OFF.
UP DOWN
Press to increase/decrease monitor setting
values.
MENU
Press the MENU button repeatedly, to make
selections from the displayed list of options. A
menu item is selected (active) when
highlighted in yellow. Display settings include:
V
ideo cable
connecto
r
Charge
status LED
Battery
status LED

GlideScope®System Displays, Controls, and Indicators
User’s Manual page 17
Brightness: When BRIGHTNESS is
highlighted, press UP/DOWN to
increase/decrease luminosity. A brightness
setting of 18 - 20 units is recommended.
Contrast: When CONTRAST is highlighted,
press UP/DOWN to increase/decrease image
contrast. A contrast setting of 16 - 20 units is
recommended.
Color: When COLOR is highlighted, press
UP/DOWN to increase/decrease displayed
color saturation. The default setting of 50
units (on a scale of 0 - 100 units) is
recommended.
Mirror: Press UP to display a mirror image of
the displayed image. Press DOWN to return to
the original view.
Reset: Pressing either UP or DOWN will
return all monitor settings to the factory
defaults.
Exit: When EXIT is highlighted, press either
UP or DOWN to save all settings and return to
the viewing screen.
Normal, NTSC, AV1: These three items
display the format and channel of the signal
that is being received from the GlideScope®.
Since all GlideScope®cameras use the NTSC
format, these settings will not change.
NOTE: VOLUME and MUTE may appear on
some monitor screens. These features are
currently inactive.

Displays, Controls, and Indicators GlideScope®System
page 18 User’s Manual
Monitor Front Panel LEDs
The monitor front panel has two status LEDs that indicate battery
usage and charge states (Figure 8).
The battery indicator LED illuminates when the monitor
is operating on battery power
The charge status LED indicates the battery charge level
as explained in Table 2, on the next page
Figure 8. Front panel LEDs indicate battery usage and charge
status.