Verathon GlideScope System AVL Single-Use Manual

GLIDESCOPE SYSTEM
AVL SINGLE‑USE
Operations & Maintenance Manual

0900‑4200 REV‑10

GLIDESCOPE SYSTEM
AVL SINGLE‑USE
Operations & Maintenance Manual
Effective: June 2, 2020
Caution: Federal (United States) law restricts this
device to sale by or on the order of a physician.
For customers with GlideScope systems using the GlideScope Video Monitor (version 0570‑0338).

CONTACT INFORMATION
To obtain additional information regarding your GlideScope system,
please contact Verathon Customer Careor visit verathon.com/global‑support.
Verathon Inc.
20001 North Creek Parkway
Bothell, WA 98011 U.S.A.
Tel: [phone] (US and Canada only)
Tel: [phone]
Fax: [phone]
verathon.com
Verathon Medical (Europe) B.V.
Willem Fenengastraat 13
1096 BL Amsterdam
The Netherlands
Tel: [phone]
Fax: [phone]
Verathon Medical (Canada) ULC
2227 Douglas Road
Burnaby, BC V5C 5A9
Canada
Tel: [phone]
Fax: [phone]
Verathon Medical (Australia) Pty Limited
Unit 9, 39 Herbert Street
St Leonards NSW 2065
Australia
Within Australia: 1800 613 603 Tel / 1800 657 970 Fax
International: [phone] Tel / [phone] Fax
0413
Copyright © 2020 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.
GlideRite, GlideScope, the GlideScope symbol, GVL, Reveal, 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.
Not all Verathon Inc. products shown or described in this manual are available for commercial sale in all countries.
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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TABLE OF CONTENTS
IMPORTANT INFORMATION.................................................................................................................................1
Product Information............................................................................................................................................1
Statement of Intended Use..................................................................................................................................1
Essential Performance .........................................................................................................................................1
Environments of Intended Use.............................................................................................................................1
Statement of Prescription ....................................................................................................................................1
Notice to All Users ..............................................................................................................................................1
Warnings & Cautions ..........................................................................................................................................2
Product Description ............................................................................................................................................6
INTRODUCTION ....................................................................................................................................................8
System Parts & Accessories .................................................................................................................................8
Language Settings ............................................................................................................................................ 11
Video Laryngoscope Components..................................................................................................................... 12
Buttons, Icons, & Connections ......................................................................................................................... 13
SETTING UP .........................................................................................................................................................16
Procedure 1. Perform Initial Inspection ..................................................................................................... 16
Procedure 2. Mount the GlideScope Video Monitor (Optional).................................................................. 17
Procedure 3. Attach the Video Baton Cradle (Optional).............................................................................20
Procedure 4. Charge the Monitor Battery ................................................................................................. 21
Procedure 5. Connect the Video Cable or Smart Cable to the Monitor......................................................22
Procedure 6. Connect the Smart Cable to the Video Baton (VideoBaton2.0Only)....................................23
Procedure 7. Connect to an External Monitor (Optional) ...........................................................................24
Procedure 8. Configure User Settings .......................................................................................................25
Procedure 9. Perform a Functional Check .................................................................................................26

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USING THE DEVICE .............................................................................................................................................28
Procedure 1. Connect the Video Cable to the Monitor..............................................................................29
Procedure 2. Insert the Video Baton into the Stat......................................................................................30
Procedure 3. Prepare the GlideScope System............................................................................................30
Procedure 4. Intubate Using a Video Baton and Stat ................................................................................. 31
Procedure 5. Use the Record & Snapshot Features (Optional) ....................................................................32
Procedure 6. Use the Playback Feature (Optional) .....................................................................................34
Tips for Using the GlideScope AVL System.........................................................................................................35
Tips for Working with Endotracheal Tubes.........................................................................................................35
REPROCESSING....................................................................................................................................................36
MAINTENANCE & SAFETY..................................................................................................................................37
Periodic Inspections ..........................................................................................................................................37
GlideScope Video Monitor Battery ....................................................................................................................37
System Software...............................................................................................................................................37
Device Repair....................................................................................................................................................38
Device Disposal.................................................................................................................................................38
WARRANTY.........................................................................................................................................................39
PRODUCT SPECIFICATIONS.................................................................................................................................41
Component Specifications ................................................................................................................................ 41
Battery Specifications........................................................................................................................................49
Electromagnetic Compatibility...........................................................................................................................50
Accessory Conformance to Standards................................................................................................................52
GLOSSARY ...........................................................................................................................................................53

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Operations & Maintenance Manual: Important Information
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IMPORTANT INFORMATION
PRODUCT INFORMATION
The GlideScope AVL Single‑Use video laryngoscope system is designed for “1st Pass Success.” It provides
a consistently clear view of a patient’s airway, enabling quick intubations. The AVL design is based on the
GlideScope GVL, which is clinically proven to achieve a Cormack‑Lehane Grade I or II view 99 percent of the
time.
STATEMENT OF INTENDED USE
The GlideScope AVL system is intended for use by qualified professionals to obtain a clear, unobstructed view
of the airway and 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 AVL system is to provide a clear view of the vocal cords.
ENVIRONMENTS OF INTENDED USE
The GlideScope AVL system is intended to be used in professional healthcare environments such as hospitals.
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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WARNINGS & CAUTIONS
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.
WARNINGS
Several areas of the Stat 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 screen. Failure to do so may result in
injury, such as to the tonsils or soft palate.
WARNING
Before every use, ensure that the instrument is operating correctly and has no sign of damage.
Do not use this product if the device appears damaged. Refer servicing to qualified personnel.
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/global‑support.
WARNING

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Operations & Maintenance Manual: Important Information
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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.
WARNING
This product may only be cleaned, disinfected, or sterilized by using the approved processes
provided in the GlideScope and GlideRite Products Reprocessing Manual (part number 0900‑
5032). Cleaning, disinfection, and sterilization methods listed are recommended by Verathon
based on efficacy or compatibility with component materials.
WARNING
To maintain electrical safety, use only the provided power supply. Connect the power cord and
power adapter to a properly grounded plug, and ensure that the disconnect is easily accessible.
Use only the accessories and peripherals recommended by Verathon.
WARNING
To reduce the risk of electrical shock, use only the accessories and peripherals recommended by
Verathon.
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 voids the warranty. Contact Verathon
Customer Care for all servicing needs.
WARNING
No modification of this equipment is allowed.
WARNING
The external monitor must be safety‑approved medical equipment.
WARNING

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Use only a passive‑type USB flash drive. Do not use USB drives powered by another
externalsource.
WARNING
Electric shock hazard. Do not immerse the power adapter in water. When cleaning the power
adapter, use a cloth dampened with isopropyl alcohol on the outside of the enclosure.
WARNING
Verathon has conducted no analysis to establish the compatibility of the system with
environments where magnetic resonance imaging (MRI) equipment is installed. Because of this,
the owner of the system must exclude it from any magnetic resonance (MR) environment.
WARNING
Do not use the power adapter in the presence of flammable anesthetics.
WARNING
Do not reuse, reprocess, or resterilize single‑use components. Reuse, reprocessing, or
resterilization may create a risk of contamination of thedevice.
WARNING
Use of accessories and cables other than those specified or provided by Verathon may cause this
system to experience electromagnetic malfunctions, including increased emissions or decreased
immunity. This may cause improper operation, procedure delays, or both.
WARNING
Use of accessories and cables other than those specified or provided by Verathon may cause this
system to experience electromagnetic malfunctions, including increased emissions or decreased
immunity. This may cause improper operation, procedure delays, or both.
WARNING
Portable radio frequency communications equipment (including peripherals such as antenna
cables and external antennas) may not be used within 30 cm (12 inches) of any part of the
GlideScope system, including cables that Verathon specifies or provides for use with the system.
If this distance is not maintained, performance of the system may be degraded and image
display may be compromised.
WARNING

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CAUTIONS
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.
Avoid using the GlideScope system adjacent to or stacked with other equipment. If adjacent or
stacked use is necessary, observe the system to verify normal operation in the configuration in
which it will be used.
This device can radiate radio frequency energy and is highly 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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PRODUCT DESCRIPTION
The GlideScope AVL system is an ideal tool for physicians and other healthcare professionals who need to
effectively manage routine to difficult airways. It is useful for the intubation of normal airways, anterior
airways, neonatal patients, obese patients, and patients with limited neck extension. Additionally, it is
useful for teaching purposes, verification of endotracheal tube (ETT) placement, nasal intubation, and
ETT exchange. The AVL is easy to learn, use, and teach. It is ideal for acute care settings and emergency
environments. It also integrates into standard ED, OR, ICU, and NICU applications.
The system combines a high‑resolution, full‑color digital camera with an integrated LED light source and
Reveal anti‑fog feature. The video batons connect directly to a full‑color, digital video monitor for real‑time
viewing.
The system is recommended for use with an endotracheal tube stylet such as the GlideRite Rigid Stylet or the
GlideRite Single‑Use Stylet, which complements the blade angle.
GLIDESCOPE VIDEO MONITOR
The monitor can record video and photos directly to a USB flash drive for archiving and further review.
The monitor has a DVI video output through an HDMI connector. It is recommended that you use the
HDMI‑to‑DVI cable provided by Verathon to connect to an external monitor that is approved for medical use.
You can operate the monitor by connecting it to the medical‑grade power supply provided by Verathon or by
using the internal, rechargeable lithium‑ion battery.
Verathon occasionally makes software updates available for the GlideScope video monitor. This manual
documents the most current version of the GlideScope Video Monitor software. If your monitor does not
function as described in this manual, or to determine if your software should be updated, contact Verathon
Customer Care.
Figure 1. GlideScope Video Monitor

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Operations & Maintenance Manual: Important Information
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SINGLE‑USE SYSTEM
The AVL single‑use system can be used with a choice of three video batons and multiple GVL Stats.
Single‑use GVL Stats are offered in a comprehensive range of sizes, allowing clinicians to meet the particular
requirements of patients of various sizes.
The system may include the following components:
• GlideScope Video Monitor
• AVL Video Baton 1–2
○GVL 0 Stat
○GVL 1 Stat
○GVL 2 Stat
○GVL 2.5 Stat
• Video Baton 2.0 Large (3–4) or AVL Video Baton 3–4
○GVL 3 Stat
○GVL 4 Stat
• GlideRite Single‑Use Stylet (Small; recommended for use with the AVL Video Baton 1–2)
• GlideRite Single‑Use Stylet (Large) or GlideRite Rigid Stylet (recommended for use with the Video
Baton 2.0 Large (3–4) or AVL Video Baton 3–4)
Note: Video Batons 2.0 require GlideScope Video Monitor software version 3.9 or later. For more
information, refer to System Software on page37.
Figure 2. GlideScope AVL Single‑Use System

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INTRODUCTION
SYSTEM PARTS & ACCESSORIES
The system consists of the following components.
Table 1. System Components
PARTS & ACCESSORIES
Required Components
GlideScope Video Monitor Video batons
GVL Stat sizes 0, 1, 2, 2.5, 3, and 4 (single‑use)

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Operations & Maintenance Manual: Introduction
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PARTS & ACCESSORIES
Smart Cable
(for Video Baton 2.0)
Note: Cable shortened for
illustrationpurposes.
Video monitor 12V DC
poweradapter
Power cable In‑service USB flash drive
Note: Contains instructions for use.

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PARTS & ACCESSORIES
Optional Components
Premium cart Mobile stand Universal accessory basket
Note: For use with AVL portablestand
Media storage USB flash drive
Cradle for video baton IV pole mounting kit HDMI‑to‑DVI cable

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Operations & Maintenance Manual: Introduction
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PARTS & ACCESSORIES
GlideRite DLT Stylet
Note: For ET tubes 6.0mm orlarger
GlideRite Rigid Stylet
Note: For ET tubes 6.0mm orlarger
GlideRite Single‑Use Stylet (Small)
Note: For ET tubes 3.0–4.0mm
GlideRite Single‑Use Stylet (Large)
Note: For ET tubes 6.0mm orlarger
LANGUAGE SETTINGS
The GlideScope Video Monitor software is available in a variety of languages. To change the language
used on your system, you must install a new software version via a USB flash drive. For more
information, contact Verathon Customer Care or your local representative. For contact information, visit
verathon.com/global‑support.

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VIDEO LARYNGOSCOPE COMPONENTS
The following diagram shows the individual parts of an AVL video laryngoscope (a reusable video baton with
a single‑use Stat).
Figure 3. AVL Video Laryngoscope Components
Camera and light
Single‑use Stat
Video baton
Video cable
(permanently
attached)
Smart Cable

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Operations & Maintenance Manual: Introduction
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BUTTONS, ICONS, & CONNECTIONS
The main component of the system is the digital, full‑color monitor. The front of the monitor includes the
screen and the buttons you use to operate the system.
The back panel of the monitor includes the sockets and ports for connecting the power cord, the video
cable, an HDMI‑to‑DVI cable for external video display, and a USB flash drive. When a socket or port is
not in use, it is recommended that the rubber cap is inserted into the opening. This protects the exposed
connectors from dust and other contamination. The back of the video monitor also features a mounting plate
fitting that allows you to attach the monitor to a mobile stand or IV pole.
Figure 4. GlideScope Video Monitor Keypad
Power button Snapshot button
Record button External Video button
Tutorial button
Battery indicator
Table 2. Keypad Buttons
BUTTON FUNCTION
Power: Press and release to turn on the monitor. Press and hold to turn it off.
Note: If the monitor freezes at any time during use, press and hold the Power button for
10seconds to reset the system.
Record: Press to start and stop recording directly to a USB flash drive that has been inserted
in the USB port. When you are recording, the red LED indicator to the right of the button will
be lit, and the Recording icon will be shown on the screen.
Note: To record video, a USB flash drive must be inserted into the monitor USB port.
Snapshot: Press this button to save a snapshot of the live display to the USB flash drive. You
may take a snapshot while video recording or independent of recording.
Note: To take a snapshot, a USB flash drive must be inserted into the monitor USB port.
External Video: Press to display video on an external monitor. The yellow LED to the right
of the button will light up to indicate that the feature has been activated. Press the button
again to deactivate the external video.
Note: An HDMI‑to‑DVI cable is required in order to display video on an external monitor.
Tutorial: If a USB flash drive is not inserted into the monitor, press and hold to access the
video tutorial. If a USB flash drive is inserted into the monitor, press and hold to access the
Playbackmenu.
Note: The Playback menu is only accessible if the GlideScope Video Monitor is operating
software version3.4 or higher and if a USB flash drive is inserted in the monitor.
Battery Indicator: LED is:
Green: Unit fully charged
Red: Unit charging
Flashing Red: Indicates a problem with the battery. Charge for 6hours, and if still
flashing, contact Verathon Customer Care.

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Table 3. On‑Screen Icons
ICON FUNCTION
Battery Status: The remaining battery power is indicated by the Battery Status
icon and the percentage above the icon. If the icon is red, the battery should be
charged as soon as possible. (See Charge the Monitor Battery.) While the battery
is being charged, a lightning bolt will be displayed alongside the Battery Status
icon.
Progress Confirmation: While the user is pressing a button, the operation is
loading. If the button is released before the loading process is completed, the
operation is canceled.
Power‑Down Countdown: The unit is about to turn off. If this is due to the
Auto Power Off feature that saves battery life, pressing any button stops the
power‑down sequence.
Note: The Auto Power Off feature can be adjusted or disabled on the User
Settings screen. For more info, see Configure User Settings on page25.
USB Flash Drive: A USB flash drive is detected.
While recording, a number next to the icon indicates approximately what
percentage of the USB flash drive has been used. When the USB flash drive is full,
recording stops.
Incompatible USB Drive: The USB flash drive that is plugged into the monitor
is not suitable for recording videos. (This normally occurs when using an older,
inexpensive USB flash drive that is not capable of the speed necessary to save
video in real time.)
USB Flash Drive Not Found: A USB drive needs to be inserted into the USB port.
Attach Video Cable: The video baton or video laryngoscope is not attached to
themonitor.
Recording: The system is recording video to the USB flash drive.
Note: Do not remove the USB flash drive while recording is in progress, or the
recording will be lost.
Saving Snapshot: The system is saving a snapshot to USB flash drive.
Note: Do not remove the USB flash drive while saving a snapshot, or the snapshot
will be lost.
Saving File: The system is saving a recorded file to the USB flash drive.
Note: Do not remove the USB flash drive while this icon is displayed, or the
recording will be lost.
External Monitor: The HDMI‑to‑DVI connection for external video is enabled.
Videomay now be displayed on an external monitor.