Biotrend
Biotrend
BIOTREND®
Oxygen Saturation and Hematocrit System
0123
85652 Rev3.0
85652_fcv.qxd 7/2/2004 12:46 PM Page 2
85652 Rev3.0
BIOENM1.TPG 7/2/04 Medtronic Confidential
UC199402529cEN
8.0 in x 5.0 in (203.2 mm x 127 mm)
Bioenm1.book Page 1 Friday, July 2, 2004 12:43 PM
Alternating Current
Symbol Description
Temperature Limitation
Humidity Limitation
Storage Pressure
Lot Number
Instrument Inspection 34
Visual Inspection 34
Functional Inspection 34
Digital Output 35
Connecting to the Data Acquisition Device 35
Output Format 36
Interface Format 37
Mode Settings 37
Pin Definition 37
List of Figures
Cautions Warnings
The BioTrend system is an on-line monitoring instrument, Read all Warnings, Precautions, and Instructions for Use
not intended to substitute for regular patient observation carefully prior to use. Failure to read and follow all
and laboratory testing. Prior to any therapeutic treatment, instructions, or failure to observe all stated warnings,
the oxygen saturation and hematocrit should be could cause serious injury or death to the patient.
determined by laboratory methods.
Possible explosion hazard—do not use in the presence of
An electrical shock hazard exists when the instrument flammable anesthetics or other explosive gases.
housing is open. Refer servicing to a qualified Medtronic
service representative. Do not autoclave, sterilize, or submerge the instrument in a
liquid.
Cautions:
Federal (USA) law restricts this device to sale by or on Do not autoclave, sterilize, or submerge the sensor cables in
the order of a physician. a liquid.
Oxygen saturation levels are known to be affected by Do not autoclave or resterilize a Tri-optic Measurement Cell
fetal hemoglobin. The effect of fetal hemoglobin on the (TMC). Do not reuse a TMC.
BioTrend system has not been quantified. Do not kink sensor cables.
Do not touch the optical interfaces of the instrument, sensor
cables, or TMC.
Do not drop the instrument.
Do not place any object on this instrument.
Do not attempt any repair of the instrument.
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Features and Controls Battery Charging — With the power switch in the “On” or
“Off/Standby” position, the BioTrend instrument
Special Features automatically recharges the internal battery whenever it is
plugged into an AC power source.
(Refer to Figure 1 and Figure 2.)
AC or Battery — During operation the instrument will
Display — Large, color-coded liquid crystal display (LCD). automatically switch to battery power when disconnected
■ Oxygen Saturation Venous Value (SvO2) -Blue from an AC power source.
■ Hematocrit Value (Hct) - White
■ Oxygen Saturation Arterial Value (SaO2) - Red
■ Battery, AC - Green
■ Low Battery - Red Border
Self-Test — Automatically tests instrument functions
when instrument is turned on.
Cal — Operator initiated, self-contained calibration of
system.
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1 2 3 10 4 5 11
Hct SaO2 6
SvO2 STORE
RECALL 7
CAL
8
12
13
8
3
1
7
6
4 5
2
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Instrument Setup
1. Mount the BioTrend instrument on a sturdy intravenous
(IV) pole or pump console pole, using the integral pole
clamp feature. (The BioTrend instrument may also be
placed on a sturdy table or stand.)
3. Battery Operation:
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3 8
9
1. Keyed Sensor Cable Connector
2. Sensor Cable Base 5
3. Wide Locking Tab of 6
7
Calibration Port 2
4. Wide Slot of Sensor
Cable Base
4
5. Sensor Cable Knob
6. BioTrend® Sensor Cable
7. Dust Caps
8. AC Power Receptacle
9. Electrical Power Cord
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Calibration 3. Press the [CAL] button and hold down for approximately
5 seconds. The display message will read:
Notes:
The system calibration must be performed every time a
set-up is initiated. To perform subsequent calibrations, C A L
the instrument must be turned off, then back on.
When using two BioTrend sensor cables, they must be This indicates calibration is in process.
calibrated simultaneously.
Do not kink or disturb the BioTrend sensor cables during 4. When the calibration is completed (using both sensor
calibration. cables) the display message will become:
1. Connect the BioTrend sensor cable(s) to the SvO2 Hct SaO2
CAL PORT(s) on the BioTrend instrument (Figure 3).
00 00 00
Align the slots on the sensor cable connector to the
locking tabs on the CAL PORT and depress and rotate Note: If only one VENOUS or ARTERIAL sensor cable is
the connector knob clockwise until it locks into position. being used or if one sensor cable fails to calibrate, the
display message for that channel will become blank:
Note: The tabs and slots are keyed for proper alignment.
(example using only the venous sensor cable).
2. The display message will read:
SvO2 Hct SaO2
00 00 “blank”
C A L 1 1 3
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Warning: Do not kink sensor cables. 3. After initiation of blood flow, allow the oxygen
saturation and hematocrit readings to stabilize for 30
seconds.
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Offset Adjustment 4. SvO2, SaO2, and Hct remain active displaying current
values.
Users should read and understand the Hct and SO2 correlation 5. Receive sample results from lab.
(described in this section) completely before utilizing as this
feature is timed to button activity.
Hct Correlation
Note: This is an optional feature. The BioTrend
instrument allows the user to adjust none, one, or all of 6. Depress the [RECALL] button one time to retrieve stored
the displayed values. Normal operation of the BioTrend Hct value.
instrument is not dependent on using this feature. 7. Both SO2 displays will blank, leaving only the Hct
Note: If you choose to use the offset feature, it is display visible.
recommended that more than one lab sample be 8. Depress [UP ARROW] button to increment display or
considered when an adjustment is made. depress [DOWN ARROW] button to decrement display in
order to match lab reference result.
1. Initiate normal calibration procedure as described in the
calibration section of Setup and Operation.
2. BioTrend system enters normal run mode.
3. Depress the [STORE] button at the same time the sample
is drawn and sent to lab. This action stores all presently
displayed values.
Note: The “Store” indicator light will illuminate
providing indication that a value has been stored.
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SO2 Correlation
9. Depress the [RECALL] button again. The Hct display and
SaO2 display will become blank, leaving only the
previously stored SvO2 value visible. The perfusionist
can now increment or decrement this value. If the recall
button is depressed a third time, the SvO2 and Hct
displays will become blank, leaving only the SaO2
recalled value visible. This SaO2 value can now be
adjusted.
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Alarms and Warnings Error Codes — An error is indicated when the system
detects an abnormal function, which may compromise the
The alarms in the BioTrend instrument are visually measured results. In these cases an alphanumeric error
displayed messages. The messages are presented when message will be shown in the display area.
conditions are detected that may affect the operation of the
Note: Record this alphanumeric error message and
instrument.
contact your Medtronic service representative.
Low Battery — Indicates that the battery power is nearly
Warning: The instrument must be returned for repair
depleted and approximately 30 minutes remain before the
when one of these error messages occurs. DO NOT
system will stop operation. The actual time remaining will
attempt any repair of the instrument.
depend on the condition and age of the batteries. Returning
the unit to AC operation will discontinue the warning and Warning: Should the BioTrend instrument be dropped
recharge the batteries. or otherwise damaged, it is important to contact your
Medtronic service representative immediately to return
Note: When the low battery alarm is activated, a red
the instrument for service.
border will be visible around the battery icon on the
front panel display.
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Cleaning and Maintenance ■ Do not use alcohol on the sensor cable ends (where
the fiber ends are exposed).
General Warning: Do not sterilize the instrument or immerse it
Periodic maintenance is recommended to ensure accurate in fluids.
performance and reliability.
Note: Service on the BioTrend instrument, except for
battery recharging or replacement, should be referred to Maintenance
qualified Medtronic service personnel. Refer to the All maintenance or service should be performed by a
manual for instructions regarding battery replacement. qualified Medtronic service representative. Contact your
local Medtronic representative for assistance.
Cleaning
Note: The dust covers should be kept attached to the
The BioTrend instrument is designed to be spill resistant. If instrument connectors and sensor cable ends when not
a spill should occur, wipe off the instrument as soon as in use.
possible using a damp cloth or sponge. Use water or a mild
disinfecting detergent not containing cleaning chemicals Important: When returning the BioTrend instrument for
for cleaning (see cautions below). Wipe dry. repair to the factory, the sensor cables must be included
to ensure proper diagnosis and repair.
Cautions:
■ Do not use cleaning chemicals, such as acetone,
benzene, bleach, chlorine, or alcoholic disinfectants
for hands, as they may damage the unit.
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Technical Specifications
Oxygen Saturation Range: 40% to 99% Vertical Pole Mount: Accommodates pole diameter:
Hematocrit Operating Range: 16% to 38% 1.91 cm to 5.08 cm
(0.75 in to 2.0 in)
Display Update: 12 seconds
Weight: 5.9 kg (13 lb)
Power: 100/120 VAC 50 Hz to 60 Hz, 13.2 W, 110 mA
220/230/240 VAC 50 Hz to 60 Hz, 13.2 W, 71 mA Size: Width x Height x Depth
24.77 cm x 9.22 cm x 27.94 cm
Power 100/120 VAC Length: 3 m (9.8 ft)
(9.75 in x 3.63 in x 11.00 in)
Cords: 220/230/240 VAC Length: 2.5 m (8.2 ft)
Environmental Limits:
Battery Life: 6 hours
Operating Temperature 18°C to 33°C (64°F to 92°F)
Batteries: Rechargeable nickel-cadmium Storage Temperature -35°C to 66°C (-31°F to 150°F)
battery pack Operating Humidity 30% to 75%, noncondensing
Storage Humidity 30% to 75%, noncondensing
Battery Recharge: 24 hours to completely recharge Storage Pressure 73 kPa to 101 kPa
when connected to an AC power
source Classification (IEC 601): Class I or internally powered
Type BF
Standards Safety: IEC 601-1 Type BF
Splash proof
Standards EMC: IEC 601-1-2
Intermittent operation
Not anesthetic proof
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Order Information
Contact your customer service representative for ordering
information.
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Troubleshooting Guide
Note: When returning the BioTrend instrument for
repair to the factory, sensor cables must be included to
ensure proper diagnosis and repair.
Display not illuminated. Instrument power not turned Turn power switch (located on back of instrument) to “ON”
on. position.
Instrument turned “ON,” but Instrument battery supply is Plug power cord into AC outlet and charge the batteries.
display is not illuminated. discharged.
Instrument will not calibrate. Calibration signal is outside of 1. Check connections of sensor cable.
acceptable limits. 2. Hold one end of the sensor cable towards light, observe other
end of cable for light transmission through all fibers.
3. Change or remount the cable and attempt calibration again.
4. Contact your Medtronic service representative.
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Display shows “E- _ _” in value Internal instrument failure. Return the instrument to Medtronic, Inc. for repair. Contact your
windows. Medtronic service representative.
“Low Battery” warning Internal battery charge is Plug power cord into hospital-grade outlet.
message. depleted.
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■ Operator and Reference Manual. 1Impedance between protective earth terminal of power supply cord and
■ Inscriptions, information, and warning signs properly any accessible metal part.
and completely fixed. 2Manufacturer’s specification for the BioTrend instrument’s maximum earth
leakage current is 0.1 mA. The IEC 601-1 specification is 0.5 mA maximum.
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Output Format Note: If the self-tests do not pass, the front panel display
will show an error message “E _ _“ in the value
Upon initial power up of the BioTrend instrument, the
windows. Record this number and contact your
digital output will present a message to let you know the
Medtronic service representative.
software’s EPROM revision (for example, 1.13), as well as
the type of power the instrument is using, and a message
that the system tested successfully.
The BioTrend insturment will then send digital output to
the data acquisition device that shows oxygen saturation
Message example - operating on AC power: and hematocrit readings for both arterial (ART) and venous
MEDTRONIC BIOTREND (VEN) parameters when both lines have TMC(s) installed in
the circuit. Digital output will also be sent if only one TMC
Ver 1.13
is connected to the circuit.
AC Power on
All Tests OK The format of the digital output appears similar to that displayed
in the following sample table (shown with both arterial and
venous TMC(s) installed).
Message example - operating on battery power
MEDTRONIC BIOTREND
Ver 1.13 VEN: SO2 = 75 HCT = 24 ART: SO2 = 95 HCT = 24
Batt Voltage = 11.0 (Voltage readings vary) VEN: SO2 = 75 HCT = 24 ART: SO2 = 95 HCT = 24
All Tests OK VEN: SO2 = 76 HCT = 25 ART: SO2 = 96 HCT = 25
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Interface Format
Communication Port conforms to RS-232 standards.
Mode Settings
Parameter Setting
Baud Rate 9600
Parity None
Number of Data Bits 8
Number of Stop Bits 1
Pin Definition
Pin Function
2 Receive data
3 Transmit data
5 Signal ground
6 Data set ready (DSR) -
internally connected to +12 V
8 Clear to send (CTS) -
internally connected to +12 V
Other Not connected
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A. This Limited Warranty1 provides the following B. To qualify for the repair, replacement, or credit set forth
assurance to the purchaser of the BioTrend instrument, in Section A, the following conditions must be met:
hereafter referred to as the “BioTrend”: (1) The BioTrend must be returned to Medtronic within
(1) Should the BioTrend, excluding batteries and sensor 15 days after discovery of the defect, (Medtronic may,
cables, fail to function within normal tolerances due at its option, repair the BioTrend on site).
to a defect in materials or workmanship within a (2) The BioTrend must not have been repaired or altered
period of 1-year, commencing with the delivery of the outside of Medtronic’s factory in any way which, in
BioTrend to the purchaser, Medtronic will at its the judgement of Medtronic, affects its stability and
option: (a) repair or replace any part or parts of the reliability. The BioTrend must not have been
BioTrend; subjected to misuse, abuse or accident.
(b) issue a credit to the purchaser equal to the
Purchase Price, as defined in Subsection A(2), against C. This Limited Warranty is limited to its express terms. In
the purchase of the replacement BioTrend or (c) particular:
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(1) Except as expressly provided by this Limited
This Limited Warranty is provided by Medtronic, Inc., 710 Medtronic
Parkway, Minneapolis, MN 55432-5604. It applies only in the United States.
Warranty, MEDTRONIC IS NOT RESPONSIBLE FOR
Areas outside the United States should contact their local Medtronic ANY DIRECT, INCIDENTAL OR
representative for exact terms of the Limited Warranty. CONSEQUENTIAL DAMAGES BASED ON ANY
DEFECT, FAILURE OR MALFUNCTION OF THE
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BIOTREND, WHETHER THE CLAIM IS BASED ON shall be construed and enforced as if this Limited
WARRANTY, CONTRACT, TORT OR OTHERWISE. Warranty did not contain the particular part or term
held to be invalid. This Limited Warranty gives the
(2) This Limited Warranty is made only to the purchaser
purchaser specific legal rights. The purchaser may
of the BioTrend. AS TO ALL OTHERS, MEDTRONIC
also have other rights which vary from state to state.
MAKES NO WARRANTY, EXPRESS OR IMPLIED,
INCLUDING, BUT NOT LIMITED TO, ANY (4) No person has any authority to bind Medtronic to
IMPLIED WARRANTY OF MERCHANTABILITY, any representation, condition or warranty except this
OR FITNESS FOR A PARTICULAR PURPOSE Limited Warranty.
WHETHER ARISING FROM STATUTE, COMMON
LAW, CUSTOM OR OTHERWISE. NO EXPRESS OR
IMPLIED WARRANTY TO THE PATIENT SHALL
EXTEND BEYOND THE PERIOD SPECIFIED IN
A(1) ABOVE. THIS LIMITED WARRANTY SHALL
BE THE EXCLUSIVE REMEDY AVAILABLE TO
ANY PERSON.
(3) The exclusions and limitations set out above are not
intended to, and should not be construed so as to
contravene mandatory provisions of applicable law.
If any part or term of this Limited Warranty is held to
be illegal, unenforceable or in conflict with applicable
law by a court of competent jurisdiction, the validity
of the remaining portions of the Limited Warranty
shall not be affected, and all rights and obligations
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Limited Warranty - Customers Outside US B. To qualify for this repair, replacement or credit, the
following conditions must be met:
Medtronic® BioTrend® Instrument Limited Warranty (1) The BioTrend must be returned to Medtronic within
(This Limited Warranty applies only to products sold outside the sixty (60) days after discovery of the defect,
United States of America.) (Medtronic may, at its option, repair the BioTrend on
site).
A. This LIMITED WARRANTY1 provides the following
assurance to the purchaser of the BioTrend instrument, (2) The BioTrend must not have been repaired or altered
hereafter referred to as the “BioTrend” that should the by someone other than Medtronic in any way which,
BioTrend, excluding batteries and sensor cables, fail to in the judgement of Medtronic, affects it’s stability
function within normal tolerances due to a defect in and reliability.
materials or workmanship within a period of 1 year, (3) The BioTrend must not have been subjected to
commencing with the delivery of the BioTrend to the misuse, abuse or accident.
purchaser, Medtronic will at its option: (a) repair or
replace any defective part or parts of the BioTrend; C. This LIMITED WARRANTY is limited to its express
(b) issue a credit equal to the original BioTrend purchase terms. In particular, Medtronic is not responsible for any
price (but not to exceed the value of the replacement incidental or consequential damages based on any use,
BioTrend), against the purchase of the replacement defect or failure of the BioTrend, whether the claim is
BioTrend or (c) provide a functionally comparable based on warranty, contract, tort or otherwise.
replacement BioTrend at no charge. D. The exclusions and limitations set out above are not
intended to, and should not be construed so as to,
1 This Limited Warranty is provided by Medtronic, Inc., 710 Medtronic contravene mandatory provisions of applicable law. If
Parkway, Minneapolis, MN 55432-5604. It applies only outside the United
any part or term of this LIMITED WARRANTY is held
States.
by any court of competent jurisdiction to be illegal,
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*85652C*
All Rights Reserved
85652 Rev. 3.0
June 2004