Hillrom Extended Care Solution –
Between Patient Inspection (BPI)
Process
772267 DIR 80026727 Ver. C
Revised 2020-05
Introduction
This document provides instructions for cleaning, disinfecting, com-
pleting an inventory and inspection of returned items, and replenish-
ing disposable stock related to the Welch Allyn Spot Vital Signs 4400
(“device”) and the Hillrom Extended Care Solution.
NOTE EcoCuffs are disposable and for single-patient-use only.
EcoCuffs should be discarded after single-patient-use. They can-
not be cleaned or disinfected. If the device was returned with
EcoCuffs, discard them regardless of whether opened or not.
Warnings
A warning statement in this instruction identifies a condition or prac-
tice which, if not corrected or discontinued immediately, could lead to
injury, illness, or death.
WARNING Patient injury risk. Clean all accessories, including
cables and tubes, before storing the accessories on the device
or stand. This helps reduce the risk of cross contamination and
nosocomial infection.
Cleaning and disinfection
As a general safety precaution, the device must undergo cleaning and
disinfection/decontamination before being prescribed to another
patient or before returning for service, repair, inspection, or disposal.
Cleaning is an essential prerequisite for effective disinfection/decon-
tamination.
WARNING Electric shock hazard. Before cleaning and disinfect-
ing the device, disconnect the AC power cord from the mains
outlet and the power source.
WARNING Electric shock hazard. DO NOT immerse the device
or accessories. The device and the accessories are not heat-
resistant.
WARNING Liquids can damage electronics inside the device.
Prevent liquids from spilling on the device.
Cleaning refers to the removal of germs, dirt, and impurities from sur-
faces. It does not kill germs, but by removing them, it lowers their
numbers and the risk of spreading infection.
Disinfection refers to using chemicals, for example, EPA registered
disinfectants, to kill germs on surfaces. This process does not necessar-
ily clean dirty surfaces or remove germs, but by killing germs on a sur-
face after cleaning, it can further lower the risk of spreading infection.
1
NOTE For facilities that do not have established cleaning and
disinfection processes in place, Hillrom recommends the fol-
lowing procedure.
NOTE See the device Instructions for use for additional
approved cleaning products.
Prepare the Spot 4400 for cleaning and
disinfection
1. Unplug the device from the electrical mains outlet.
2. Use as many Clorox disinfecting wipes as necessary to ensure the
wipe remains wet, but not dripping during both the cleaning and
disinfection steps.
3. Follow the directions on the Clorox disinfecting wipes manufactur-
ing label.
4. Remove the oximetry finger sensor for separate cleaning instruc-
tions according to the manufacturer’s Instructions for use.
Step 1: Cleaning
1. Remove the wipe from the Clorox disinfecting wipes container.
2. Wipe all surfaces of the device, including the top, sides, front, rear,
and bottom of the device. Use as many wipes as needed to wipe all
surfaces.
3. Remove the thermometer probe and then wipe the entire probe.
4. Wipe cords, cables, and stand.
5. Discard any used wipe(s).
6. Wash your hands thoroughly.
Step 2: Disinfection
1. Using a new Clorox disinfecting wipe, wipe down all surfaces of the
device, including the top, sides, front, thermometer probe, rear, and
bottom of the device.
2. Use enough wipes for all treated surfaces to remain visibly wet for 4
minutes. Reapply disinfectant as needed to keep the area visibly
wet.
3. Wipe cords, cables, and stand. Make sure all wiped surfaces remain
visibly wet for 4 minutes.
4. Discard any used wipe(s).
5. Wash your hands thoroughly.
Inventory accessories and replace as
needed
• SureTemp Plus probe - (part #: 02895-000-NCE)
• NIBP tubing - (part #: 4500-34)
• Nonin SpO2 sensor - (part #: 3278-010)
• Power supply - (part #: 4400-HPS)
• Stand - (part #: 4400-DST)
• Battery - (part #: BATT22)
• Power cord - (part #: PWCD-H Line cord B, North America home use)
• Bluetooth
dongle - (part #: 4400-BLE)
• Screw kit - (part#: 410350)
Complete a physical inspection
Check for the following types of damage:
• Device: cracks, legible labels, visible distortion or discoloring of the
display when powered on.
• Stand: physical damage (bent, missing screws, missing feet)
• SureTemp Plus temperature probe: visible cracks in probe housing
or wire insulation, bare wiring or visible internal wiring damage
• Nonin SpO2 finger sensor: visible cracks in sensor ho
using or wire
insulation, screws
• Power supply: visible cracks in the housing or wire insulation, bare
or visible internal wiring
1. Disinfection for Households. Interim Recommendations for U.S. Households with
Suspected or Confirmed Coronavirus Disease 2019 (COVID-19).
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