Verathon GlideScope Ranger Manual

GLIDESCOPE SYSTEM
RANGER SINGLEUSE
Operations & Maintenance Manual

0900‑1307‑19‑60

GLIDESCOPE SYSTEM
RANGER SINGLEUSE
Operations & Maintenance Manual
Effective: December 7, 2018
Caution: Federal (United States) law restricts this
device to sale by or on the order of a physician.

CONTACT INFORMATION
To obtain additional information regarding your GlideScope system,
please contact Verathon®Customer Careor visit verathon.com/support.
Verathon Inc.
20001 North Creek Parkway
Bothell, WA 98011 U.S.A.
800.331.2313 (US and Canada only)
Tel: [phone]
Fax: [phone]
verathon.com
Verathon Medical (Canada) ULC
2227 Douglas Road
Burnaby, BC V5C 5A9
Canada
Tel: [phone]
Fax: [phone]
Copyright © 2018 by Verathon Inc. All rights reserved.
GlideScope, the GlideScope symbol, GlideRite, GVL, Verathon, and the Verathon Torch symbol are trademarks of Verathon Inc. All
other brand and product names are trademarks or registered trademarks of their respective owners.
Information in this manual may change at any time without notice. For the most up‑to‑date information, see the documentation
available at verathon.com/product‑documentation.

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Operations & Maintenance Manual: Table of Contents
TABLE OF CONTENTS
IMPORTANT INFORMATION.................................................................................................................................1
Product Description ............................................................................................................................................1
Statement of Intended Use..................................................................................................................................1
Essential Performance .........................................................................................................................................1
Statement of Prescription ....................................................................................................................................1
Notice to All Users ..............................................................................................................................................1
Precautions & Warnings ......................................................................................................................................2
INTRODUCTION ....................................................................................................................................................7
Single‑Use System...............................................................................................................................................7
System Parts & Accessories .................................................................................................................................8
Monitor Controls & Connections ........................................................................................................................9
Video Laryngoscope Components.......................................................................................................................9
SETTING UP .........................................................................................................................................................10
Procedure 1. Perform Initial Inspection ..................................................................................................... 10
Procedure 2. Charge the Monitor ............................................................................................................. 11
Procedure 3. Connect a Video Baton........................................................................................................ 13
Procedure 4. Perform a Functional Check ................................................................................................. 14
USING THE DEVICE .............................................................................................................................................15
Procedure 1. Connect a Video Baton........................................................................................................ 16
Procedure 2. Insert the Video Baton into the Stat...................................................................................... 17
Procedure 3. Prepare the System.............................................................................................................. 18
Procedure 4. Intubate Using a Video Baton and Stat ................................................................................. 19

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CLEANING & DISINFECTING ...............................................................................................................................20
General Information..........................................................................................................................................20
Procedure 1. Clean the Video Monitor......................................................................................................22
Procedure 2. Clean the Video Baton Cradle ..............................................................................................22
Procedure 3. Clean the Storage Case........................................................................................................22
Video Baton......................................................................................................................................................22
Procedure 1. Remove the Stat ..................................................................................................................22
Procedure 2. Clean & Disinfect the Video Baton .......................................................................................23
Procedure 3. Inspect the Video Baton.......................................................................................................25
MAINTENANCE & SAFETY..................................................................................................................................26
Periodic Inspections ..........................................................................................................................................26
System Software...............................................................................................................................................26
GlideScope Ranger Battery................................................................................................................................26
Device Repair....................................................................................................................................................27
Device Disposal.................................................................................................................................................27
WARRANTY.........................................................................................................................................................28
PRODUCT SPECIFICATIONS.................................................................................................................................30
System Specifications........................................................................................................................................30
Component Specifications ................................................................................................................................31
Electromagnetic Compatibility...........................................................................................................................36
GLOSSARY ...........................................................................................................................................................40

1
Operations & Maintenance Manual: Important Information
IMPORTANT INFORMATION
PRODUCT DESCRIPTION
GlideScope Ranger is a portable, compact video laryngoscope that provides a clear, real‑time view
of a patient’s airway, enabling quick intubation. The Ranger system is designed for field (military and
pre‑hospital)use.
Designed for “1st Pass Success” in military and emergency settings, the Ranger system features rugged,
high‑impact construction, patented blade angulation, a patented anti‑fogging mechanism, and a non‑glare
monitor that is easily visible in bright light. The device is dependable in an array of field conditions, making
it ideal for pre‑hospital and critical care situations. The GlideScope Ranger video laryngoscope has been
granted Airworthiness Certification from the United States Army.
The Ranger is operational in seconds. It is compact for easy carrying and storage. The integrated,
rechargeable lithium battery provides a minimum 90‑minute continuous‑use autonomy and allows for
approximately 20 intubations per battery cycle (depending on usage).
STATEMENT OF INTENDED USE
GlideScope Ranger video laryngoscopes are intended for use by qualified medical professionals to obtain a
clear, unobstructed view of the vocal cords for medical procedures.
ESSENTIAL PERFORMANCE
Essential performance is the system performance necessary to achieve freedom from unacceptable risk. The
essential performance of the GlideScope Ranger system is to provide a clear view of the vocal cords.
STATEMENT OF PRESCRIPTION
Caution: Federal (United States) law restricts this device to sale by or on the order of a physician.
This system should be used only by individuals who have been trained and authorized by a physician or used
by healthcare providers who have been trained and authorized by the institution providing patientcare.
NOTICE TO ALL USERS
Verathon®recommends that all users read this manual before using the system. Failure to do so may result
in injury to the patient, may compromise the performance of the system, and may void the system warranty.
Verathon recommends that new GlideScope users:
• Obtain instruction from a qualified individual
• Practice using the system on a mannequin before clinical use
• Acquire clinical experience on patients without airway abnormalities

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PRECAUTIONS & WARNINGS
Warnings indicate that injury, death, or other serious adverse reactions may result from use or misuse of
the device. Cautions indicate that use or misuse of the device may cause a problem, such as a malfunction,
failure, or damage to the product. Throughout the manual, pay attention to sections labeled Important, as
these contain reminders or summaries of the following cautions as they apply to a specific component or
usesituation. Please heed the following warnings and cautions.
PRECAUTIONS
Medical electrical equipment requires special precautions regarding electromagnetic
compatibility (EMC) and must be installed and operated according to the instructions in this
manual. For more information, see the Electromagnetic Compatibility section on page36.
To maintain electromagnetic interference (EMI) within certified limits, the system must be used
with the cables, components, and accessories specified or supplied by Verathon®. For additional
information, see the System Parts & Accessories and Component Specifications sections. The use
of accessories or cables other than those specified or supplied may result in increased emissions
or decreased immunity of the system.
The GlideScope system should not be used adjacent to or stacked with other equipment. If
adjacent or stacked use is necessary, the system should be observed to verify normal operation
in the configuration in which it will be used.
This device can radiate radio frequency energy and is very unlikely to cause harmful interference
with other devices in the vicinity. There is no guarantee that interference will not occur in a
particular installation. Evidence of interference may include degradation of performance in
this device or other devices when operated simultaneously. If this occurs, try to correct the
interference by using the following measures:
• Turn devices on and off in the vicinity to determine the source of interference
• Reorient or relocate this device or other devices
• Increase the separation between devices
• Connect the device to an outlet on a circuit different than the other device(s)
• Eliminate or reduce EMI with technical solutions (such as shielding)
• Purchase medical devices that comply with IEC60601‑1‑2 EMC standards
Be aware that portable and mobile radio frequency communications equipment (cellular phones,
etc.) may affect medical electrical equipment; take appropriate precautions during operation.
CAUTION

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Operations & Maintenance Manual: Important Information
Bleach may be used on the video batons, but pay special attention to stainless steel
components, as bleach can corrode stainless steel.
CAUTION
Ensure that you do not use any abrasive substances, brushes, pads, or tools when cleaning the
video monitor screen. The screen can be scratched, permanently damaging the device.
CAUTION
Risk of permanent equipment damage. This product is sensitive to heat, which will cause
damage to the electronics. Do not expose the system to temperatures above 60°C (140°F), and
do not use autoclaves or pasteurizers. Use of such methods to clean, disinfect, or sterilize the
components will cause permanent device damage and void the warranty. For a list of approved
cleaning procedures and products, refer to the Cleaning & Disinfecting chapter.
CAUTION
The system contains electronics that could be damaged by ultrasonic and automated washing
equipment. Do not use an ultrasonic device or automated washing equipment to clean this
product.
CAUTION
The GlideScope Ranger video monitor is manufactured to be IP68 compliant. If the monitor
is disassembled during a service procedure, after reassembly, the monitor will not be IP68
compliant.
CAUTION

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WARNINGS
Before every use, ensure the instrument is operating correctly and has no sign of damage. Do
not use this product if the device appears damaged. Always ensure that alternative airway
management methods and equipment are readily available.
Report any suspected defects to Verathon®Customer Care. For contact information, visit
verathon.com/support.
WARNING
GlideScope systems are delivered nonsterile and require cleaning or disinfection prior to
initialuse.
WARNING
Because the product may be contaminated with human blood or body fluids capable of
transmitting pathogens, all cleaning facilities must be in compliance with (U.S.) OSHA Standard
29CFR1910.1030 “Bloodborne Pathogens” or an equivalent standard. For more information,
visit www.osha.gov.
WARNING
Cleaning is critical to ensuring a component is ready for disinfection or sterilization. Failure
to properly clean the device could result in a contaminated instrument after completing the
disinfection or sterilization procedure.
When cleaning, ensure all foreign matter is removed from the surface of the device. This allows
the active ingredients of the chosen disinfection method to reach all the surfaces.
WARNING
This product may only be cleaned, disinfected, or sterilized by using the approved
low‑temperature processes provided in this manual. Cleaning, disinfection, and sterilization
methods listed are recommended by Verathon based on efficacy or compatibility with
component materials.
WARNING
Do not place the video baton in the cradle if any of the components are contaminated.
WARNING

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Operations & Maintenance Manual: Important Information
Availability of cleaning, disinfection, and sterlilization products varies by country, and Verathon®
is unable to test products in every market. For more information, please contact Verathon
Customer Care. For contact information, visit verathon.com/support.
WARNING
Ensure that you follow the manufacturer’s instructions for handling or disposing of the cleaning,
disinfection, or sterilization solutions provided in this manual.
WARNING
Do not reuse, reprocess, or resterilize single‑use components. Reuse, reprocessing, or resterilization
may create a risk of contamination of the device.
WARNING
This instrument and related devices may contain batteries and other environmentally hazardous
materials. When the instrument or accessories have reached the end of their useful service life,
see the section Device Disposal on page27. Dispose of used, single‑use components as
infectiouswaste.
WARNING
Several areas of the video laryngoscope that contact the patient can exceed 41°C (106°F) as part
of normal operation:
• The first area is the light‑emitting area surrounding the camera. When used as indicated,
continuous contact with this area is unlikely because, if tissue were to contact this area, the
view would be lost and devices would need to be adjusted to regain the airway view.
• The second area is the area surrounding the camera, out of view of the camera. Continuous
contact with this area is unlikely because the product is typically not held stationary for an
extended period of time exceeding 1minute.
If continuous contact is maintained for longer than 1minute, it is possible to cause thermal
damage such as a burn to the mucosal tissue.
WARNING
When you are guiding the endotracheal tube to the distal tip of the video laryngoscope, ensure
that you are looking in the patient’s mouth, not at the video monitor screen. Failure to do so
may result in injury, such as to the tonsils or soft palate.
WARNING

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In order to maintain electrical safety, use only the provided, medical‑approved power supply.
WARNING
To reduce the risk of electrical shock, use only the accessories and peripherals recommended by
Verathon®.
WARNING
No modification of this equipment is allowed.
WARNING
Electric shock hazard. Do not attempt to open the system components. This may cause
serious injury to the operator or damage to the instrument and will void the warranty. Contact
Verathon Customer Care for all servicing needs.
WARNING
When cleaning the power adapter, use a cloth dampened with isopropyl alcohol on the outside
of the enclosure. Do not immerse the power adapter in water.
WARNING
Do not use the power adapter in the presence of flammable anesthetics.
WARNING

7
Operations & Maintenance Manual: Introduction
INTRODUCTION
SINGLE‑USE SYSTEM
The GlideScope Ranger system is available in a single‑use configuration. It features a video monitor, a
reusable video baton, the cables and adapters to power the device, and any optional system components
that may facilitate intubations or provide convenience.
The laryngoscope is a reusable video baton that is inserted into a single‑use, disposable Stat. The video baton
connects to the video monitor and contains the camera and electronics that process the video data captured
by the baton. Stats are available in a wide range of sizes, and each size corresponds to one of two video
baton sizes.
Figure 1. Ranger Single‑Use System

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SYSTEM PARTS & ACCESSORIES
Table 1. Required System Components
REQUIRED PARTS & ACCESSORIES
Video monitor Power supply Power cable
Video baton 1‑2 Video baton 3‑4
GVL Stat 0 GVL Stat 1 GVL Stat 2 GVL Stat 2.5 GVL Stat 3 GVL Stat 4
Table 2. Optional System Components
OPTIONAL PARTS & ACCESSORIES
GlideRite®Rigid Stylet Ranger Transport Bag Video Baton Cradle & Case

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Operations & Maintenance Manual: Introduction
MONITOR CONTROLS & CONNECTIONS
The digital, full‑color video monitor displays the images transmitted from the camera in the video baton.
The monitor includes the screen and controls you use to operate the system. It contains a lithium battery
that provides power to the system. The system must be operated exclusively on battery power, without a
connection to an AC power source.
Figure 2. Ranger Video Monitor
DC power socket
Video cable connector
(inside cradle)
Battery charge status LED
Power switch
VIDEO LARYNGOSCOPE COMPONENTS
Figure 3. Single‑Use Video Laryngoscope Components
Camera and light
Single‑use Stat Video baton Video cable

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SETTING UP
Before you can use the system for the first time, you must inspect the components, set up the system, and
perform a functional test as recommended by Verathon®. Complete the following procedures:
• Procedure 1: Perform Initial Inspection
• Procedure 2: Charge the Monitor
• Procedure 3: Connect a Video Baton
• Procedure 4: Perform a Functional Check
PROCEdURE 1. PERFORM INITIAL INSPECTION
When you receive the system, Verathon recommends that an operator familiar with the instrument perform a
full visual inspection of the system for any obvious physical damage that may have occurred during shipment.
1. Verify that you have received the appropriate components for your system by referring to the packing list
included with the system.
2. Inspect the components for damage.
3. If any of the components are missing or damaged, notify the carrier and Verathon Customer Care or your
local representative. For contact information, visit verathon.com/support.

11
Operations & Maintenance Manual: Setting Up
PROCEdURE 2. CHARGE THE MONITOR
In order to maintain electrical safety, use only the provided, medical‑approved power supply.
WARNING
The video monitor includes an internal lithium battery. You must charge the battery fully prior to first use.
The system must be operated exclusively on battery power, without a connection to an AC power source.
Under normal operating conditions, a fully charged battery lasts approximately 90 minutes. For optimal
battery life, ensure that the battery is fully charged before you use the monitor.
Note: The system will not operate while charging. If you switch the instrument on during charging, the
charging light flashes.
Figure 4. Battery Charge Level Icons
Steady green—The battery is fully charged.
Flashing green—Battery power is low. The LED flashes for approximately 5minutes before the
system turns off.
No LED—The battery is completely depleted and needs to be recharged.
Steady orange—The monitor is connected to an AC power source and the battery is charging.
Flashing orange—There is an issue with the battery.
If you observe the flashing orange light, ensure the monitor power switch is in the off position,
check the cable connections, and then disconnect and reconnect the charging cable to the monitor.
If this does not resolve the issue, contact Verathon®Customer Care.
1. Ensure that the power switch is in the OFF position.
2. Connect the video monitor 12V DC power supply to the power cord.

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3. On the front of the monitor, unscrew the power socket cap, and then connect the charging cable to the
power socket.
4. Plug the power cord into an AC power outlet.
Note: Plug varies by region.
5. Allow the battery to charge. Fully charging the battery may take up to 5 hours.
• While the battery is charging, the LED is orange.
• When the battery has completed charging, the LED turns green.

13
Operations & Maintenance Manual: Setting Up
PROCEdURE 3. CONNECT A VIdEO BATON
The video baton attaches directly to the video monitor, supplying power to the video baton and transmitting
video data from the camera to the monitor.
When you are ready to intubate the patient, ensure that you also complete the procedure Insert the Video
Baton into the Stat on page17. It is recommended that you leave the single‑use Stat in the packaging
while inserting the video baton and that you do not remove the Stat from the packaging until you are ready
to perform an intubation procedure. This helps ensure that the equipment remains as clean as possible.
1. Ensure that the power switch is in the OFF position.
2. Align the dot on the video cable connector and the arrow on the video cable port.
3. Insert the video cable connector into the port. You will hear a click when the cable is
successfullyconnected.
4. To disconnect the video cable from the monitor, rotate the connector ring in the direction of the release
arrow, and then remove the connector from the port.
5. Continue to the procedure Perform a Functional Check on page14.

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PROCEdURE 4. PERFORM A FUNCTIONAL CHECK
Before you use the device for the first time, perform the following functional check to ensure that the system
is working properly. Please contact Customer Care if your system does not function as described below.
1. Ensure that you have fully charged the battery according to the instructions in Charge the Monitor on
page11.
2. Ensure that you have attached the video baton to the monitor, according to the instructions in Connect a
Video Baton on page13.
3. On the video monitor, turn the power switch to the ON position.
4. Look at the monitor screen, and verify that the image displayed is being received from the videobaton.