Verathon GLIDESCOPE TITANIUM Manual

GLIDESCOPE TITANIUM
REUSABLE & SPECTRUMSINGLE-USE
Operations & Maintenance Manual

0900-4712-02-60

GLIDESCOPE
TITANIUM
REUSABLE & SPECTRUMSINGLE-USE
Operations & Maintenance Manual
Effective: November 24, 2017
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.
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]
0413
Copyright © 2017 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, DirectView, Reveal, Verathon, and the Verathon Torch symbol are trademarks or
registered 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.

i
Operations & Maintenance Manual: Table of Contents
TABLE OF CONTENTS
IMPORTANT INFORMATION.................................................................................................................................1
Product Information............................................................................................................................................1
Product Description ............................................................................................................................................1
Statement of Intended Use..................................................................................................................................1
Essential Performance .........................................................................................................................................1
Statement of Prescription....................................................................................................................................1
Notice to All Users ..............................................................................................................................................1
Cautions & Warnings ..........................................................................................................................................2
INTRODUCTION ....................................................................................................................................................7
Reusable & Spectrum Single-Use Systems............................................................................................................7
System Parts & Accessories .................................................................................................................................8
Language Settings ..............................................................................................................................................9
Video Laryngoscope Components..................................................................................................................... 10
Video Monitor Buttons, Icons, & Connections ................................................................................................... 11
SETTING UP ......................................................................................................................................................... 14
Procedure 1. Perform Initial Inspection .....................................................................................................14
Procedure 2. Mount the System (Optional) ............................................................................................... 15
Procedure 3. Charge the Monitor Battery ................................................................................................. 18
Procedure 4. Attach the Video Cable & Blade ........................................................................................... 19
Procedure 5. Connect to an External Monitor (Optional)........................................................................... 21
Procedure 6. Configure User Settings .......................................................................................................22
Procedure 7. Perform a Functional Check .................................................................................................23

ii
USING THE DEVICE .............................................................................................................................................25
Procedure 1. Prepare the GlideScope System ............................................................................................26
Procedure 2. Intubate Using a LoPro......................................................................................................... 27
Procedure 3. Intubate Using a MAC-Style Blade ........................................................................................28
Procedure 4. Use the Record & Snapshot Features (Optional) ....................................................................29
Procedure 5. Use the Playback Feature (Optional) .....................................................................................31
CLEANING & DISINFECTING ...............................................................................................................................32
Procedure 1. Clean a Blade, Video Cable, or Smart Cable .........................................................................35
Procedure 2. Disinfect a Blade, Video Cable, or Smart Cable.....................................................................40
Procedure 3. Sterilize a Blade, Video Cable, or Smart Cable (Optional) ......................................................45
Procedure 4. Clean the GlideScope Video Monitor....................................................................................46
Procedure 5. Clean the GlideScope Premium Cart.....................................................................................47
MAINTENANCE & SAFETY..................................................................................................................................48
Periodic Inspections ..........................................................................................................................................48
Elution Compatibility.........................................................................................................................................48
GlideScope Video Monitor Battery ....................................................................................................................48
System Software...............................................................................................................................................49
Device Repair....................................................................................................................................................49
Device Disposal.................................................................................................................................................49
WARRANTY.........................................................................................................................................................50
PRODUCT SPECIFICATIONS.................................................................................................................................52
System Specifications, Standards, & Approvals...................................................................................................52
Component Specifications ................................................................................................................................53
Battery Specifications........................................................................................................................................60
Electromagnetic Compatibility........................................................................................................................... 61
GLOSSARY ...........................................................................................................................................................65

1
Operations & Maintenance Manual: Important Information
IMPORTANT INFORMATION
PRODUCT INFORMATION
GlideScope®Titanium video laryngoscopes combine innovative blade options, angles, and construction in
order to enable rapid intubations for more patients in more settings. The system is designed with low profile
blades, and the slimmer design allows for more working space in the airway and accommodates smaller
mouth openings.
PRODUCT DESCRIPTION
The GlideScope Titanium reusable and Spectrum™ single-use video laryngoscopes are designed to deliver
clear airway views and enable rapid intubation. Low-profile designs and innovative construction make these
blades streamlined and lightweight, offering improved maneuverability and working space for routine
and difficult airways. With more video laryngoscope options, including Mac-style, clinicians can choose
their preferred airway tool for a wide range of patients and clinical settings. And whether it’s reusable or
single-use, the GlideScope Titanium system features a high-resolution, full-color digital camera and monitor
for real-time viewing and recording.
GlideScope Titanium video laryngoscopes are designed to work with the GlideScope Video Monitor
version0570-0338.
STATEMENT OF INTENDED USE
The GlideScope Titanium 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 Titanium 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.
GlideScope Titanium video laryngoscopes 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 users:
• Obtain instruction from a qualified individual
• Practice using the video laryngoscope on a mannequin before clinical use
• Acquire clinical training experience on patients without airway abnormalities

2
CAUTIONS & 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61.
To maintain electromagnetic interference (EMI) within certified limits, the GlideScope system
must be used with the cables, components, and accessories specified or supplied by Verathon®.
For additional information, see the System Parts & Accessories and Product 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
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

3
Operations & Maintenance Manual: Important Information
When cleaning video laryngoscopes, do not use metal brushes, abrasive brushes, scrub pads, or
rigid tools. They will scratch the surface of the unit or the window protecting the camera and
light, which may permanently damage 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 system will cause permanent device damage and void the warranty. For a list of approved
cleaning procedures and products, see the Cleaning & Disinfecting chapter.
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
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. Refer servicing to qualified personnel.
To ensure patient safety, routinely inspect the reusable video laryngoscope before and after every use
in order to ensure the blade is free of rough surfaces, sharp edges, cracks, protrusions, or any other
indication of wear. If found, do not use the damaged or worn blade.
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
Reusable video laryngoscopes and video cables are delivered nonsterile and require cleaning and
disinfection prior to initial use.
WARNING

4
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
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
Availability of cleaning, disinfection, and sterilization 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 and 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
To reduce the risk of cytotoxic residual when cleaning with Metrex®CaviCide®, thoroughly rinse
the component as instructed in this manual.
WARNING

5
Operations & Maintenance Manual: Important Information
This instrument and related devices may contain mineral oils, 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49. 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
The reusable Titanium video laryngoscope is considered a semi-critical device intended to
contact the airway. It must be thoroughly cleaned and undergo high-level disinfection after
eachuse.
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
The external monitor must be safety-approved medical equipment.
WARNING
Use only a passive-type USB flash drive. Do not use USB drives powered by another
externalsource.
WARNING

6
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
REUSABLE & SPECTRUM SINGLE-USE SYSTEMS
The system is available in the following configurations:
• GlideScope Titanium Spectrum™ Single-Use System
• GlideScope Titanium Reusable System
Both configurations feature the same video monitor, the cables and adapters to power the device, and any
optional system components that may facilitate intubations or provide convenience to the user. The primary
differences between the systems are the video laryngoscopes and the connecting cable.
You may use either the single-use or reusable system configurations, or your facility may elect to provide
both configurations. This manual details both single-use and reusable system information and notes where
the systems differ. In this document, unless otherwise noted, the term video cable describes both the
Spectrum Smart Cable for the single-use system and the video cable for the reusable system.
Figure 1. Titanium Spectrum Single-Use System Figure 2. Titanium Reusable System
SPECTRUM SINGLE-USE SYSTEM
The single-use system features durable, plastic blades that must be disposed of after one use. It also features
the GlideScope Titanium Spectrum Smart Cable—a reusable video cable that connects the single-use
blade to the video monitor and contains the electronics that process the video data captured by the blade.
Single-use video laryngoscopes are identified by an Sin the blade name, such as LoPro S4.
Single-use blades in S3 and S4 sizes may also be available in white. These are not part of the Spectrum
Single-Use system. For more information about the white blades, see the GlideScope Titanium Single-Use
Operations and Maintenance Manual at verathon.com/product-documentation.
IMPORTANT
REUSABLE SYSTEM
The reusable system features a titanium video laryngoscope that must be cleaned and high-level disinfected
between uses. The blade is connected to the video monitor via a reusable video cable. Unlike the single-use
system, the reusable system video electronics are located within the laryngoscope. Due to their titanium
construction, reusable video laryngoscopes contain a Tin the blade name, such as LoPro T4.

8
SYSTEM PARTS & ACCESSORIES
Table 1. Required System Components
REQUIRED PARTS & ACCESSORIES
GlideScope Video Monitor Video cable
(for reusable system)
Note: Cable shortened for
illustrationpurposes.
Spectrum™ Smart Cable
(for single-use system)
Note: Cable shortened for
illustrationpurposes.
One or more of the following reusable or single-use video laryngoscopes:
Spectrum Single-Use Sizes
LoPro S1
LoPro S2 LoPro S3 LoPro S4
DirectView™
MAC S3
DirectView
MAC S4
Reusable Sizes
LoPro T3 LoPro T4 MAC T3 MAC T4
Video monitor 12V DC
poweradapter (0400-0105)
Power cable In-service USB flash drive
Note: Contains instructions for use.

9
Operations & Maintenance Manual: Introduction
Table 2. Optional System Components
OPTIONAL PARTS & ACCESSORIES
Premium cart Mobile stand Media storage USB flash
drive
Universal accessory basket
Note: For use with
mobilestand
HDMI-to-DVI cable IV pole mounting kit
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
The monitor is also compatible with GlideScope AVL system components. For more information, contact
Verathon®Customer Care or see the GlideScope AVL Single-Use Operations and Maintenance Manual.
LANGUAGE SETTINGS
The 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, see verathon.com/support.

10
VIDEO LARYNGOSCOPE COMPONENTS
The main components of the system are the LoPro or MAC video laryngoscopes in either single-use (S)
or reusable (T) configurations. The LoPro single-use blades feature the signature GlideScope curve in a
disposable format. The LoPro reusable blades combine the performance of a GlideScope blade with the
strength of titanium, and the MAC blades incorporate the look and feel of traditional Macintoshblades.
Figure 3. Video Laryngoscope Components
11
2
2
2
11
3
3
3
4
4
4
5
6
5
4
3
2
Table 3. Video Laryngoscope Components
FIGURE KEY COMPONENT NOTES
1 Connector —
2 Handle —
3Blade The low-profile, thinner blade design allows for more working room
in the airway and mouth
4 Distal tip/lifter —
5 Camera and light High-resolution, full-color camera with integrated LED light source
6Product number and
serial number
On the left side of the handle of reusable LoPro and MAC blades.
(Not available on single-use blades.)

11
Operations & Maintenance Manual: Introduction
VIDEO MONITOR BUTTONS, ICONS, & CONNECTIONS
The digital, full-color GlideScope Video Monitor clearly displays the images transmitted from the camera in
the video laryngoscope. The front of the monitor includes the screen and a keypad with 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 4. 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 key has been activated. Press the key 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.
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.

12
Table 5. 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22.
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 encrypted
USB flash drive or when using an older, inexpensive model that is not capable of
the speed necessary to save video in real time.)
USB Flash Drive Not Found: A USB flash drive needs to be inserted into the
monitor USB port.
Attach Video Cable: The video cable or blade is not properly 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 the 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,
and videois being displayed on an external monitor.

13
Operations & Maintenance Manual: Introduction
ICON FUNCTION
Hourglass: Please wait while the system prepares for the next action.
Audio Recording is Active: Audio is being recorded on the video.
Note: The default for audio recording is OFF. Audio recording on the video occurs
only if the setting has been changed to ON in user settings.
Back Arrow: Exit to previous screen.
Up Arrow: Select previous file for playback.
Down Arrow: Select next file for playback.
Play: Play the selected file or continue playing a paused video file.
Pause: Pause the video playback.
Snapshot: On the playback menu, this icon indicates that a file is a snapshot.
Video: On the playback menu, this icon indicates that a file is a video.
Figure 5. GlideScope Video Monitor Back Panel
Video-out port:
Connect the
HDMI-to-DVI cable
from the external
monitor
Video cable port:
Attach the video cable or
Smart Cable
Product identification:
Includes product serial
number
USB port:
Connect a USB
flash drive to
record video or
take a snapshot
Power socket:
Connect the barrel
plug from the 12V
power adapter Mounting plate fitting:
Connect the monitor to a
mobile stand or IV pole

14
SETTING UP
To reduce the risk of electrical shock, use only the accessories and peripherals recommended by
Verathon®.
WARNING
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:
1. Perform Initial Inspection—Inspect the system for any obvious physical damage that may have occurred
during shipment.
2. Mount the System (Optional)—Set up the GlideScope Video Monitor on a mobile stand or IV pole.
3. Charge the Monitor Battery—Note that you can use the system while the battery is charging.
Note: The monitor will operate without charging the battery by using the GlideScope Video Monitor 12V
DC power adapter that shipped with the unit.
4. Attach the Video Cable & Blade—Connect the video cable or Smart Cable to the monitor, and then
connect the video laryngoscope to the video cable or Smart Cable.
5. Connect to an External Monitor (Optional)—Connect the monitor to an external display source, such as a
larger monitor screen, by using the HDMI-to-DVI cable.
6. Configure User Settings—Enter data customized to your clinic, and configure settings such as the date
and time.
7. Perform a Functional Check—Before you use the device for the first time, perform a functional check to
ensure that the system is working properly.
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.
Note: Due to the hand-polishing method used to create the titanium exterior of the reusable blades, slight
variations or irregularities may occur in the finish. These variations do not affect the cleaning process or
system efficacy.
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.