Infinium CLEO - EtCO2 Monitoring

User’s manual of CLEO Patient Monitor
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ETCO2 MONITORING
 THEORY OF OPERATION
 WARNINGS, CAUTIONS, NOTES
 ABBREVIATIONS AND TERMINOLOGY
 ZEROING THE CO2 MODULE
 PATIENT AND TUBING PREPARATION
 ETCO2 WAVEFORM SETUP
 ETCO2 PARAMETER SETUP
 ADVANCED SETUP
 CALIBRATION
 STATUS/ERROR MESSAGES
 MAINTENCE AND CLEACING
THEORY OF OPERATION
Carbon dioxide monitoring system is a sidestream sampling system with a 50 ml/minute
low sampling rate, which is used to monitor continuous carbon dioxide and display the
End Tidal carbon dioxide (EtCO
2
), inspired CO
2
and respiratory rate values of the
non-intubated and intubated neonate, infant, pediatric and adult patient, using specially
designed sampling cannula and on-airway adapter kits. These kits incorporate a filter and
the sample cell that provides maximum filtration of fluids and contaminants and protects
the system from aspiration of these fluids.
In carbon dioxide monitoring system, infrared light is generated by the sensor and
beamed through the sample cell to a detector on the opposite side. CO
2
from the patient
that is aspirated into the sample cell absorbs some of this infrared energy. The monitor
determines CO
2
concentration in the breathing gases by measuring the amount of light
absorbed by these gases. EtCO
2
is displayed as a numerical value in millimeters of
mercury (mmHg), percent (%), or kilopascals (kPa). In addition, a CO
2
waveform
(capnogram) may be displayed which is a valuable clinical tool that can be used to assess
patient airway integrity and proper endotracheal tube (ETT) placement. Respiration rate is
calculated by measuring the time interval between detected breaths.
WARNINGS, CAUTIONS AND NOTES
WARNINGS
 Explosion Hazard: DO NOT use in the presence of flammable anesthetics or other
flammable gasses.
 Electrical Shock Hazard: Always disconnect the CO
2
module before cleaning. DO
NOT use if it appears to have been damaged. Refer servicing to qualified service
personnel.
 Failure of Operation: If the CO
2
module fails to respond as described in this user
manual; DO NOT use it until approved for use by qualified personnel.
 DO NOT position the sensor cables or tubing in any manner that may cause
entanglement or strangulation. Support the carbon dioxide monitoring system airway
adapter to prevent stress on the ET tube.
 Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use
cannula kits and on-airway adapters may compromise functionality and system
performance leading to a user or patient hazard. Performance is not guaranteed if an
item labeled as single patient use is reused.
 Inspect the sidestream on-airway adapters and sidestream sampling kits for damage
prior to use. DO NOT use the sidestream on- airway adapters and sidestream
sampling kits if they appear to be damaged or broken.
 Replace the sidestream on-airway adapters and sidestream sampling kits if
excessive secretions are observed.
 Monitor the CO
2
check waveform (Capnogram). If you see changes or abnormal