Amiplus

Ami

Ami

 ® 

 ® 

and Ami

and Ami

 ® 

 ® 

Plus

Plus

Infant Central Apnea/Heart Rate Monitors

Infant Central Apnea/Heart Rate Monitors

Caregiver’s Manual Caregiver’s Manual 21-02-01

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Ami, Ami Plus, CAS and the CAS Logo are registered trademarks of CAS Medical Systems, Inc. All other products and Ami, Ami Plus, CAS and the CAS Logo are registered trademarks of CAS Medical Systems, Inc. All other products and company names are trademarks or registered trademarks of their respective companies.

company names are trademarks or registered trademarks of their respective companies.©©2002 CAS Medical Systems, Inc.2002 CAS Medical Systems, Inc. All rights reserved. No part of this manual may be reproduced without the permission of CAS Medical Systems, Inc. All rights reserved. No part of this manual may be reproduced without the permission of CAS Medical Systems, Inc.

WARRANTY

WARRANTY

CAS Medical Systems, Inc. warrants to the owner that the

CAS Medical Systems, Inc. warrants to the owner that theAmiAmi_ororAmi PlusAmi Plus_{monitor, exclusive of expendable parts and other acces-monitor, exclusive of expendable parts and other}

acces-sories, shall be free from defects in material and workmanship for one year from the original date of sale. CAS’ sole obligation, sories, shall be free from defects in material and workmanship for one year from the original date of sale. CAS’ sole obligation, with respect to any such defect, is limited to the repair or, at CAS’ option, replacement of the monitor. Purchaser pays return with respect to any such defect, is limited to the repair or, at CAS’ option, replacement of the monitor. Purchaser pays return freight charges.

freight charges.

This warranty is made on the condition that prompt notification of a defect is given to CAS within the warranty period, and that This warranty is made on the condition that prompt notification of a defect is given to CAS within the warranty period, and that CAS has the sole right to determine whether a defect exists.

CAS has the sole right to determine whether a defect exists.

This warranty is conditional on the performance of periodic maintenance, as specified in the maintenance section of this manual, This warranty is conditional on the performance of periodic maintenance, as specified in the maintenance section of this manual, by qualified service personnel. The warranty does not apply to monitors that have been partially or completely disassembled; by qualified service personnel. The warranty does not apply to monitors that have been partially or completely disassembled; altered; subjected to misuse, negligence, or accident; or operated other than in accordance with the instructions provided by CAS. altered; subjected to misuse, negligence, or accident; or operated other than in accordance with the instructions provided by CAS. This includes repair by unauthorized personnel.

This includes repair by unauthorized personnel.

This warranty represents the exclusive obligation of CAS and the exclusive remedy of the purchaser regarding defects in This warranty represents the exclusive obligation of CAS and the exclusive remedy of the purchaser regarding defects in the monitor.

the monitor.

“This warranty is given in lieu of any express or implied warranties, including any warranty of merchantability or fitness “This warranty is given in lieu of any express or implied warranties, including any warranty of merchantability or fitness for a particular purpose.”

for a particular purpose.”

No person is authorized to modify, in any manner, CAS Medical Systems’ obligation as described above. No person is authorized to modify, in any manner, CAS Medical Systems’ obligation as described above.

CAUTION:

CAUTION: In the United States of America, Federal Law restricts this device to sale by or on the orderIn the United States of America, Federal Law restricts this device to sale by or on the order of a physician.

of a physician.

Important:

Important: TheTheAmiAmi_andandAmi PlusAmi Plus_{User’s Manual has been renamed theUser’s Manual has been renamed the}  Ami

21-02-01 21-02-0117 17 RevRev. 0. 0₄₄ 06/006/0₇₇ ii

Contents

Contents

W

Wa

arrn

niin

ng

gs

s

1

1

Warnings . . . 1-1

Warnings . . . 1-1

IIn

nttrro

od

du

uc

cttiio

on

n

2

2

In

Intr

trod

oduc

ucti

tion

on . . .

. . . . . .

. . . 2-

2-1

1

A

Ap

pn

ne

ea

a M

Mo

on

niitto

orriin

ng

g

3

3

Ap

Apnea M

nea Mon

onit

itor

orin

ing

g . . .

. . . . . .

. . . . . .

. . . . . . .

. . . . . . . .

. . . . 3-1

3-1

E

Elle

ec

cttrro

om

ma

ag

gn

ne

ettiic

c IIn

ntte

errffe

erre

en

nc

ce

e

4

4

Ele

Electr

ctromag

omagnet

netic Int

ic Interf

erferen

erence

ce . . .

. . . . . . .

. . . . . . . .

. . . . 4-1

4-1

Ele

Electrctrostostatiatic Disc Dischacharge rge . . . 4-24-2

D

De

es

sc

crriip

pttiio

on

n o

of

f tth

he

e M

Mo

on

niitto

or

r

5

5

Description of the Monitor . . . 5-1

Description of the Monitor . . . 5-1

Fr

Fronont Pat Panel nel . . . 5-5-22 Ba

Back Pck Paneanell . . . 5-5-33 Bo

Bottttom Pom Pananelel . . . 5-5-44 La

Labebels. . . ls. . . 5-5-55

A

Ac

cc

ce

es

ss

so

orriie

es

s

6

6

Ac

Acce

cess

ssor

orie

ies

s . . .

. . . . . .

. . . 6-

6-1

1

Ca

Carbrbon Elon Elecectrtrododes . . . es . . . . . . . . . . . . . . . . . 6-6-11 Le

Lead Wad Wirires. . . es. . . 6-6-11 Pa

Patitienent Cat Cable . . . . ble . . . 6-6-22 Pa

iiii 21-02-0121-02-0117 17 RevRev. 0. 044 06/006/077 Re

Remomote Ate Alalarm rm . . . 6-6-33 Po

Power wer CoCord rd . . . 6-6-33 Ca

Carrrryiying Cng Casase e . . . 6-6-44 Mo

Modem dem CabCable. . . le. . . 6-6-44 Ox

Oximimeteter . . . er . . . 6-6-44

U

Us

siin

ng

g tth

he

e M

Mo

on

niitto

or

r

7

7

Using the Monitor . . . 7-1

Using the Monitor . . . 7-1

Plu

Pluggigging in tng in the Mohe Monitnitor or . . . 7-17-1 Sys

System Ctem Checheck . . . k . . . 7-27-2 Usi

Using thng the Monie Monitor Eftor Effecfectivtively. . . ely. . . . . . . . . . . . . . . . 7-27-2

C

Co

on

nn

ne

ec

cttiin

ng

g T

Th

he

e M

Mo

on

niitto

or

r

8

8

Co

Conn

nnect

ectin

ing The M

g The Mon

onit

itor

or . . .

. . . 8-

8-1

1

A

Au

ux

xiilliia

arry

y C

Co

on

nn

ne

ec

cttiio

on

ns

s

9

9

Au

Auxi

xili

liar

ary Con

y Conne

necti

ction

ons

s . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . .

. 9-1

9-1

A

Alla

arrm

ms

s

1

10

0

Al

Alar

arms

ms . . .

. . . . . .

. . . 10

10-1

-1

Hum

Human Alan Alarmarmss . . . 10-10-11 Apn

Apnea. . . ea. . . 1010-1-1 Hear

Heart Fast Fast. . . t. . . 10-10-11 He

Hearart Slt Slow . . . ow . . . 1010-2-2 Equ

Equipmipment Alent Alarmarms. . . s. . . . . . . . . . . . . . . . . . 10-10-22 Lo

Low Batw Battetery ry . . . 1010-2-2 Loo

Loose Lese Leads. . . ads. . . 10-10-22 Mem

Memory Fory Full . . . ull . . . 10-10-33 Ser

Servicvice . . . e . . . 10-10-33 All Li

21-02-01

21-02-0117 17 RevRev. 0. 044 06/006/077 iiiiii

Troubleshooting and Error

Troubleshooting and Error

M

Me

es

ss

sa

ag

ge

es

s

1

11

1

Tr

Trou

oubl

blesh

eshoo

ootin

ting

g . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . .

. 11

11-1

-1

Err

Error Mesor Messagsages . . . es . . . . . . . . . . . . . . . . . 11-11-44 Repl

Replace Bace Battattery . . . ery . . . 11-11-44 Loo

Loose Cose Connennectiction on . . . 11-11-44

P

Po

ow

we

er

r

1

12

2

Power . . . 12-1

Power . . . 12-1

T

Ta

ak

kiin

ng

g C

Ca

arre

e o

of

f Y

Yo

ou

ur

r M

Mo

on

niitto

or

r

1

13

3

Taking Care of Your Monitor . . . 13-1

Taking Care of Your Monitor . . . 13-1

M

Ma

aiin

ntte

en

na

an

nc

ce

e

1

14

4

Ma

Main

inte

tenan

nance

ce . . .

. . . . . .

. . . 14

14-1

-1

S

Su

um

mm

ma

arry

y

1

15

5

Summary . . . 15-1

Summary . . . 15-1

Doc

Doctortor’s Pho’s Phone Nune Numbemberr . . . 15-15-11 Hom

Homecaecare Deare Dealerler’s Pho’s Phone Numne Number ber . . . . . . . . . 15-15-11

G

Gllo

os

ss

sa

arry

y

G

G--1

1

21-02-01 21-02-0117 17 RevRev. 0. 044 06/006/077 vv

Figures

Figures

Front Pannt Panel . . . el . . . 5-25-2 Figure 5-2

Figure 5-2 Ba

Back Pck Pananel el . . . 5-5-33 Figure 5-3

Figure 5-3 Bot

Bottom Ptom Paneanel. . . l. . . 5-45-4 Figure 5-4

Figure 5-4 Sa

Sampmple Lale Labebel l . . . 5-5-55 Figure 6-1

Figure 6-1 Car

Carbon Ebon Eleclectrotrodes des . . . 6-16-1 Figure 6-2

Figure 6-2 Le

Lead Wad Wirires es . . . 6-6-22 Figure 6-3

Figure 6-3 Pat

Patienient Cabt Cable. . . le. . . 6-26-2 Figure 6-4

Figure 6-4 Pat

Patienient Belt Belt t . . . 6-26-2 Figure 6-5

Figure 6-5 Re

Remomote Alte Alararmm . . . 6-6-33 Figure 6-6 Figure 6-6 Pow Power Coer Cord rd . . . 6-36-3 Figure 6-7 Figure 6-7 Ca

Carrrryiying Cang Casese . . . 6-6-44 Figure 7-1

Figure 7-1 Con

Connecnectinting the Mog the Monitnitor to thor to the Powee Power Corr Cordd . . . . . . . . . . . . . 7-17-1 Figure 7-2

Figure 7-2 Con

Connecnectinting the Powg the Power Corer Cord to the Wald to the Wall Outll Outlet . . . et . . . . . . . . . . . . . . . . . . 7-17-1 Figure 8-1

Figure 8-1 Rin

Rinse Elese Electrctrodeodess . . . 8-18-1 Figure 8-2

Figure 8-2 Ele

Electrctrode wiode with Leth Lead wirad wiree . . . 8-28-2 Figure 8-3

Figure 8-3 Bel

Belt Plact Placemeement nt . . . 8-28-2 Figure 8-4

Figure 8-4 Ele

vi

vi 21-02-0121-02-0117 17 RevRev. 0. 044 06/006/077 Figure 8-5

Figure 8-5 Wr

Wrapappeped Bed Belt lt . . . 8-8-44 Figure 8-6

Figure 8-6 Lea

Lead Wird Wires and Pes and Patiatient Cent Cablable e . . . 8-48-4 Figure 8-7

Figure 8-7 Pat

Patienient Cablt Cable and Moe and Monitnitor. . . or. . . . . . . . . . . . . . . . . . . 8-58-5 Figure 8-8

Figure 8-8 Bab

Baby and Sly and Sleepeeper . . . er . . . 8-58-5 Figure 8-9 Figure 8-9 Po Powewer r . . . 8-8-66 Figure 8-10 Figure 8-10 Tur

Turning tning the Mohe Monitnitor Ofor Offf . . . 8-78-7 Figure 9-1

Figure 9-1 Aux

21-02-01

21-02-0117 17 RevRev. 0. 044 06/006/077 viivii

Tables

Tables

Table 5-1 Table 5-1

Des

Descricriptioption of Fron of Front Pannt Panel. . . el. . . . . . . . . . . . . . . . . . 5-25-2

Table 5-2 Table 5-2

Des

Descricriptiption of Bon of Back Pack Paneanell . . . 5-35-3

Table 5-3 Table 5-3

Des

Descricriptiption of Boon of Bottottom Panem Panel . l . . . . . . . . . . . . . . . . 5-45-4

Table 5-4 Table 5-4

Des

Descricriptiption of Lon of Labeabel l . . . 5-65-6

Table 9-1 Table 9-1

Des

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

1

1

Warnings

Warnings

1

1

Warnings

Warnings

Warnings

Warnings

The following warnings appear throughout this manual. For The following warnings appear throughout this manual. For moremore informa

information on tion on a specific warning, see the a specific warning, see the section refersection referenced in enced in thethe warning.

warning.

WARNING WARNING

The monitor may not be able to detect all episodes of  The monitor may not be able to detect all episodes of  inadequat

inadequate breathing. Refer to e breathing. Refer to Section 3.Section 3.

WARNING WARNING

Caregiv

Caregivers must closely watch patients who ers must closely watch patients who are subject toare subject to obstruc

obstructive apnea. Refer to tive apnea. Refer to Section 3.Section 3.

WARNING WARNING

Federa

Federal Law l Law restrirestricts this device to sale or cts this device to sale or use by or use by or on theon the order of a licensed physician. Refer to Section 3.

order of a licensed physician. Refer to Section 3.

WARNING WARNING

Not to be used in an explosive atmosphere. Refer to Not to be used in an explosive atmosphere. Refer to Section 3.

Section 3.

WARNING WARNING

The monitor

The monitor may sometimes detect false breathing signalsmay sometimes detect false breathing signals called artifac

called artifacts. Refer to ts. Refer to Section 3.Section 3.

WARNING WARNING

Children at risk of seizures need to be closely watched to Children at risk of seizures need to be closely watched to protect them from obstructive apnea during a

protect them from obstructive apnea during a seizurseizure. Ask e. Ask  your physician for specific instructions on what to do if  your physician for specific instructions on what to do if  your child has a seizure. Refer to Section 3.

Warnings

Warnings

TheAmiAmiandandAmi PlusAmi Plusmonitors may be affected bymonitors may be affected by electromagnetic interference from household appliances, electromagnetic interference from household appliances, for example static from a

for example static from a televisitelevision set. on set. This interferThis interferenceence may keep

may keep the monitor from working properlythe monitor from working properly. Refer to. Refer to Section 4.

Section 4.

WARNING WARNING

If at any point the monitor alarm is not loud enough to get If at any point the monitor alarm is not loud enough to get your attention, do not

your attention, do not leave your child unattended. Refer toleave your child unattended. Refer to Section 7.

Section 7.

WARNING WARNING

All directions in the

All directions in theConnecting The Monitor Connecting The Monitor section mustsection must be followed carefully

be followed carefully. Refer to . Refer to Section 8.Section 8.

WARNING WARNING

To reduce the risk of strangulation, do not leave loose or To reduce the risk of strangulation, do not leave loose or unconnecte

unconnected wires in d wires in the infant’the infant’s crib. Make s crib. Make sure thatsure that wires are routed away

wires are routed away from the child’s head. Refer tofrom the child’s head. Refer to Section 8.

Section 8.

WARNING WARNING

During an equipment alarm (except Low

During an equipment alarm (except Low Battery Caution)Battery Caution) the monitor cannot sound any human alarms because of the the monitor cannot sound any human alarms because of the equipment problem. Therefore, during an equipment alarm equipment problem. Therefore, during an equipment alarm (except Low Battery Caution) someone must watch the (except Low Battery Caution) someone must watch the patient until the

patient until the equipmeequipment problem has nt problem has been correctedbeen corrected.. Refer to Section 8.

Refer to Section 8.

WARNING WARNING

If the monitor’s modem is in use, the monitor must be If the monitor’s modem is in use, the monitor must be disconnected from the phone lines before you can use the disconnected from the phone lines before you can use the phone. Refer to Section 9.

Warnings

Warnings

When the monitor is not working someone must watch the When the monitor is not working someone must watch the child at all times. Refer to Section 10.

child at all times. Refer to Section 10.

WARNING WARNING

If detergent is not fully rinsed out of the electrode belt, the If detergent is not fully rinsed out of the electrode belt, the patient may get a skin rash. Refer to Section 13.

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

2

2

Introduction

Introduction

2

2

Introduction Introduction 21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇ 2 2 - - 11

Introduction

Introduction

This book explains what apnea is and how the

This book explains what apnea is and how theAmiAmi_andandAmi PlusAmi Plus _{monitorsmonitors}

detect it. It also explains how to setup the monitor, respond to monitor detect it. It also explains how to setup the monitor, respond to monitor alarms, and care for the monitor.

alarms, and care for the monitor.

It is important that you read and understand all of the information in this It is important that you read and understand all of the information in this book. It is important that you also share this information with anyone who book. It is important that you also share this information with anyone who will care for your child.

will care for your child. This book:

This book: •

• ExplExplains ains what what apneapnea is a is and hand how the ow the monimonitor dtor deteetects cts it.it. •

• DesDescricribes bes the the monimonitor tor and and its its feafeaturetures.s. •

• ShowShows hs how tow to co conneonnect tct the mhe monitonitor or to yto your our chilchild.d. •

• DisDiscuscusses ses how how to rto respespond ond to mto monitonitor aor alarlarms.ms. •

• ExplExplains ains how thow to caro care foe for the r the monimonitor ator and whnd what to at to do if do if you hayou have ave a problem with the monitor.

problem with the monitor.

If you have questions or problems with the monitor that are not answered in If you have questions or problems with the monitor that are not answered in this book, ask your doctor or homecare dealer for help.

this book, ask your doctor or homecare dealer for help. Follow directions given to you

Follow directions given to you by your by your doctor or doctor or homecahomecare dealerre dealer.. In this

In this manual, the following conventions are used.manual, the following conventions are used.

WARNING WARNING

Directions that warn of conditions that put the baby or Directions that warn of conditions that put the baby or caregiver at risk.

caregiver at risk.

CAUTION CAUTION

Directions that help you avoid damaging your monitor or Directions that help you avoid damaging your monitor or losing data.

losing data.

Note:

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

3

3

Apnea Monitoring

Apnea Monitoring

3

3

Apnea Monitoring

Apnea Monitoring

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇ 3 3 - - 11

Apnea

Apnea Monitori

Monitoring

ng

Apnea is a medical term meaning a time when a person stops breathing. Apnea is a medical term meaning a time when a person stops breathing. Central apnea occurs when a person does not make an effort to breath. Your Central apnea occurs when a person does not make an effort to breath. Your doctor has prescribed this monitor to help protect your child from the doctor has prescribed this monitor to help protect your child from the dangers of an

dangers of an apnea event. All apnea event. All babies experiencbabies experience short, harmless periods of e short, harmless periods of  apnea. Some babies, especially premature ones, have longer

apnea. Some babies, especially premature ones, have longer periods thatperiods that can be

can be harmfharmful.ul.

Your doctor has probably spoken to you about the monitor and how it may Your doctor has probably spoken to you about the monitor and how it may help your child. The monitor, when used according to its directions, is help your child. The monitor, when used according to its directions, is intended to alert you when your child experiences central apnea. It is very intended to alert you when your child experiences central apnea. It is very importan

important that t that you immediately respond to all you immediately respond to all of the of the monitor’monitor’s alarms.s alarms. Everyone caring for the child must know how to respond to the monitor’s Everyone caring for the child must know how to respond to the monitor’s alarms.

alarms.

Everyone caring for the

Everyone caring for the child must know child must know CPR (CardiopulCPR (Cardiopulmonarymonary Resusc

Resuscitation) for infants. If you itation) for infants. If you have not have not receivreceived CPR ed CPR training, ask yourtraining, ask your doctor or homecare dealer about how to get certified training.

doctor or homecare dealer about how to get certified training. The

TheAmiAmi_andandAmi PlusAmi Plus _{monitors are intended to detect monitors are intended to detect central apneacentral apnea}

through a

through a procesprocess called s called impedancimpedance monitoring. As e monitoring. As your child’your child’s chests chest expands and contracts during breathing, the

expands and contracts during breathing, the chest’chest’s movement causes as movement causes a change in the

change in the signal between the electrodes which the monitor signal between the electrodes which the monitor sensesenses.s. When central apnea happens, the child stops breathing and the chest does When central apnea happens, the child stops breathing and the chest does not expand or contract. When the monitor detects that the chest is not not expand or contract. When the monitor detects that the chest is not moving, the alarm sounds. The

moving, the alarm sounds. The monitor does not monitor does not interfeinterfere with your re with your child’child’ss breathing.

breathing.

WARNING WARNING

The monitor may not be able to detect all episodes of  The monitor may not be able to detect all episodes of  inadequat

inadequate e breathinbreathing.g.

The

TheAmiAmi_andandAmi PlusAmi Plus _{monitors also detect your child’s heart rate with monitors also detect your child’s heart rate with thethe}

same electrod

same electrodes used to es used to detect breathing. A heart rate detect breathing. A heart rate alarm will soundalarm will sound when the heart rate is outside the set alarm limits. A heart rate alarm may when the heart rate is outside the set alarm limits. A heart rate alarm may sound when

sound when inadequainadequate breathing occurs.te breathing occurs.

WARNING WARNING

Caregiv

Caregivers must closely watch patients who ers must closely watch patients who are subject toare subject to obstructive apnea.

obstructive apnea.

Obstructive apnea is when the child tries to breathe, but the air does not Obstructive apnea is when the child tries to breathe, but the air does not reach the lungs, due to a blockage in the airway. The blockage can be reach the lungs, due to a blockage in the airway. The blockage can be caused by soft tissues in the child’s throat blocking the trachea or windpipe. caused by soft tissues in the child’s throat blocking the trachea or windpipe. If the

Apnea Monitoring

Apnea Monitoring

3

3 - - 2 2 2211--0022--0011117 7 RReevv. . 00₄₄ 06/006/0₇₇

problems

problems, , blockage from soft tissue blockage from soft tissue can occur. Thecan occur. TheAmiAmi_andandAmi PlusAmi Plus

monitors are

monitors arenot not _{intended to intended to detect obstructivdetect obstructive e apnea.apnea.}

A child’s chest can still expand and contract even when the airway is A child’s chest can still expand and contract even when the airway is blocked. The Apnea alarm may not sound because it may still detect false blocked. The Apnea alarm may not sound because it may still detect false breathing signals. If this occurs, a Heart Slow alarm may sound since the breathing signals. If this occurs, a Heart Slow alarm may sound since the child’

child’s heart s heart rate will rate will drop. Children who drop. Children who suffsuffer from er from these respiratthese respiratoryory problems must be watched closely to

problems must be watched closely to protect them from obstructive apnea.protect them from obstructive apnea.

WARNING WARNING

Federa

Federal Law l Law restrirestricts this device to sale or cts this device to sale or use by or use by or on theon the order of a

order of a licenselicensed physician.d physician.

WARNING WARNING

Not to be used in an explosive atmosphere. Not to be used in an explosive atmosphere.

Do not allow any person or pets to sleep with a monitored child. Do not allow any person or pets to sleep with a monitored child. Movements by people or by pets may cause your child to move. The Movements by people or by pets may cause your child to move. The monitor may interpret this movement as breathing from your child

monitor may interpret this movement as breathing from your child and mayand may not alarm properly.

not alarm properly.

CAUTION CAUTION

Do not rely on the monitor while the child is subject to Do not rely on the monitor while the child is subject to being jostled (use of baby swing, car travel over rough being jostled (use of baby swing, car travel over rough roads, etc.). This type of motion may prevent any roads, etc.). This type of motion may prevent any impedanc

impedance monitor e monitor from properly detecting breathing orfrom properly detecting breathing or heart rate.

heart rate.

WARNING WARNING

The monitor

The monitor may sometimes detect false breathing signalsmay sometimes detect false breathing signals called artifact.

called artifact.

An apnea alarm may be delayed, or not occur at all, if the child stops An apnea alarm may be delayed, or not occur at all, if the child stops breathin

breathing but g but the monitor detects false breathing signals. If this the monitor detects false breathing signals. If this happens ahappens a Heart Slow alarm will

Heart Slow alarm will sound if sound if your child’your child’s heart rate s heart rate drops.drops.

WARNING WARNING

Children at risk of seizures need to be closely watched to Children at risk of seizures need to be closely watched to protect them from obstructive apnea during a

protect them from obstructive apnea during a seizurseizure. Ask e. Ask  your physician for specific instructions on what to do if  your physician for specific instructions on what to do if  your child has a seizure.

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

4

4

Electromagnetic

Electromagnetic

Interference

Interference

4

4

Electromagnetic Interference

Electromagnetic Interference

Electromagnetic

Electromagnetic

Interference

Interference

TheAmiAmi_andandAmi PlusAmi Plus _{monitors may be affected bymonitors may be affected by}

electromagnetic interference (EMI) from household electromagnetic interference (EMI) from household applianc

appliances, for example, static from es, for example, static from a television set. Thisa television set. This interfe

interference may keep rence may keep the monitor from the monitor from working properlyworking properly..

The monitor is

The monitor is an electronic device. Electronian electronic device. Electronic devices can c devices can be affected bybe affected by electrical interference from household appliances. Loose electrodes can electrical interference from household appliances. Loose electrodes can cause electromagnetic interference. Although interference is unlikely, no cause electromagnetic interference. Although interference is unlikely, no device is completely immune. The monitor

device is completely immune. The monitor was tested and conforms towas tested and conforms to industry guidelines.

industry guidelines.

The monitor should not be operated near: The monitor should not be operated near: •

• tetelelevivisision on sesetsts •

• citcitizenizens s band band and and amaamateur teur radradiosios •

• mimicrcrowowavave e ovovenenss •

• papaginging g trtranansmsmittittererss •

• radradio/Tio/TV V stastation tion tratransmnsmitteittersrs •

• emeemergergency ncy vehvehicle icle two two way way radradiosios •

• aiair r cocondinditiotionernerss •

• raradiodio-c-contontrorollelled d toytoyss •

• hand-hehand-held tld transceiransceivers vers (i.e. (i.e. walkie-twalkie-talkies, alkies, securitsecurityy, e, emergenmergency)cy) •

• ElectroElectronic Arnic Article ticle SurveillSurveillance ance (EAS) (EAS) (found (found in main many sny stores tores as as securitsecurityy devices)

devices) •

• corcordlesdless s or or celcellulalular r teltelephoephonesnes •

• fofood od prprococesessosorsrs •

• wireleswireless s computer computer links links communicommunications/dcations/data ata transmtransmittersitters •

• ootthheerrAmiAmi_ororAmi PlusAmi Plus_{monitors (4 ft. monitors (4 ft. minimum separatiminimum separation)on)}

Using the monitor near these appliances may cause the monitor to fail to Using the monitor near these appliances may cause the monitor to fail to alarm. T

alarm. To prevent this, move o prevent this, move the appliance as far the appliance as far away as possible from theaway as possible from the monitor. Watch the Respiration and Heartbeat lights on the monitor.

monitor. Watch the Respiration and Heartbeat lights on the monitor. Compare with baby’s breathing and pulse. If they do not match, it may be Compare with baby’s breathing and pulse. If they do not match, it may be due to

due to electroelectromagnetic interfemagnetic interference. Carefrence. Carefully watch the ully watch the child and call child and call thethe homecare dealer for assistance.

Electromagnetic Interference

Electromagnetic Interference

4

4 - - 2 2 2211--0022--0011117 7 RReevv. . 00₄₄ 06/006/0₇₇

The monitor should not share electrical outlets with any of these The monitor should not share electrical outlets with any of these applianc

appliances. This es. This may cause electrical interferencmay cause electrical interference with e with the monitor the monitor andand cause the monitor to fail to alarm.

cause the monitor to fail to alarm.

Electrostatic Discharge

Electrostatic Discharge

electricitycity. ESD . ESD happens when you happens when you touch an touch an object, like the object, like the monitormonitor, after, after walking across a carpeted floor when

walking across a carpeted floor when the weather is the weather is cool and cool and drydry. Touching. Touching a wall or the crib before handling the monitored child or the

a wall or the crib before handling the monitored child or the Ami Ami_{MonitorMonitor}

can prevent this. Whenever possi

can prevent this. Whenever possible, use cotton bed sheets for ble, use cotton bed sheets for the baby andthe baby and a fabric softener in the

a fabric softener in the laundrylaundry. The . The use of use of a spray Static Guard in a spray Static Guard in carpetcarpeteded floor areas can help

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

5

5

Description of the Monitor

Description of the Monitor

5

5

Description of the Monitor

Description of the Monitor

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇ 5 5 - - 11

Description of the

Description of the

Monitor

Monitor

TheAmiAmi_andandAmi PlusAmi Plus _{monitors are meant to be used in the home, in amonitors are meant to be used in the home, in a}

hospital, or on family outings. Your doctor should have told you when to hospital, or on family outings. Your doctor should have told you when to use the monitor. If you are unsure when to use the monitor, use it all the use the monitor. If you are unsure when to use the monitor, use it all the time (except when bathing your child), but ask your doctor for more time (except when bathing your child), but ask your doctor for more specific directions.

specific directions.

The outlet for the patient cable is on the monitor’s front panel. The outlet for the patient cable is on the monitor’s front panel.

There are two buttons on the front panel of the monitor. These buttons are There are two buttons on the front panel of the monitor. These buttons are marked Reset and Power.

marked Reset and Power.

The front panel of the monitor also has warning lights and other indicators The front panel of the monitor also has warning lights and other indicators of the

of the monitor’monitor’s operating status.s operating status.

When lit, green lights show that the monitor is properly connected and that When lit, green lights show that the monitor is properly connected and that it is

it is detecting breathdetecting breathing and ing and heartbeheartbeats.ats.

Red lights show an alarm condition or an equipment problem. These red Red lights show an alarm condition or an equipment problem. These red lights tell you why an alarm sounds.

lights tell you why an alarm sounds.

There are ten lights on the front of the monitor. There are ten lights on the front of the monitor.

•• APNEA —APNEA —Red light shows that there has been an episode of centralRed light shows that there has been an episode of central apnea.

apnea.

•• HEART FAST —HEART FAST —Red light shows that the Red light shows that the heart is beating faster than theheart is beating faster than the set limits.

set limits.

•• HEART SLOW —HEART SLOW —Red light shows that the heart is beating slower thanRed light shows that the heart is beating slower than the set limits.

the set limits.

•• LOOSE LEAD —LOOSE LEAD —Red light shows that a wire, electrode, belt, or patientRed light shows that a wire, electrode, belt, or patient cable is loose

cable is loose or disconnected.or disconnected.

•• SERVICE —SERVICE — Red light shows that the Red light shows that the monitor is in need of monitor is in need of servicinservicing byg by a licensed provider.

a licensed provider.

•• LOW BATTERY —LOW BATTERY —A constant red light shows that there is not enoughA constant red light shows that there is not enough power to properly operate the monitor. A flashing light shows that the power to properly operate the monitor. A flashing light shows that the monitor has enough battery power to operate properly for at least 60 monitor has enough battery power to operate properly for at least 60 minutes.

minutes.

•• MEMORY FULL —MEMORY FULL —The monitor’s memory stores information that The monitor’s memory stores information that willwill be used by your doctor. A constant red light shows that this memory is be used by your doctor. A constant red light shows that this memory is full. A flashing light shows that data has been lost. Call your homecare full. A flashing light shows that data has been lost. Call your homecare dealer if this light comes on.

dealer if this light comes on.

•• RESPIRATION —RESPIRATION —Green light shows that the monitor is detectingGreen light shows that the monitor is detecting breathing.

breathing.

•• HEARTBEAT —HEARTBEAT —Green light shows that the monitor is detecting aGreen light shows that the monitor is detecting a heartbeat.

Description of the Monitor

Description of the Monitor

5

5 - - 2 2 2211--0022--0011117 7 RReevv. . 0044 06/006/077

•• CHARGINCHARGING G ——Green light shows that power is Green light shows that power is being supplied from anbeing supplied from an AC outlet and the battery is being charged.

AC outlet and the battery is being charged.

Front Panel

Front Panel

Description of Front Panel Description of Front Panel

A A _HH G G F F E E C C B B DD A

A Audible alarm output. Do not put anything in front of thisAudible alarm output. Do not put anything in front of this opening.

opening. B

B Respiration and Heartbeat lights. Green lights blink onceRespiration and Heartbeat lights. Green lights blink once with each detected breath or heartbeat.

with each detected breath or heartbeat. C

C Human Alarm lights. Red lights come on when the monitorHuman Alarm lights. Red lights come on when the monitor detects breathing effort or heart rate outside the alarm detects breathing effort or heart rate outside the alarm limits set by your doctor.

limits set by your doctor. D

D Charging light. The green Charging light shows that powerCharging light. The green Charging light shows that power is being supplied from an AC outlet and the battery is is being supplied from an AC outlet and the battery is charging.

charging. E

E RESET Button. Use to turn off alarm lights after theRESET Button. Use to turn off alarm lights after the problem is corrected. Also use with the Power button to problem is corrected. Also use with the Power button to turn the monitor off.

turn the monitor off. F

F POWER Button. Use to turn the monitor on.POWER Button. Use to turn the monitor on. G

G Patient Connector. Use to connect the monitor to thePatient Connector. Use to connect the monitor to the patient cable.

patient cable. H

H Equipment Alarm lights. Indicate an equipment alarmEquipment Alarm lights. Indicate an equipment alarm event.

Description of the Monitor

Description of the Monitor

21-02-01 21-02-0117 17 RevRev. 0. 044 06/006/077 5 5 - - 33

Back Panel

Back Panel

Description of Back Panel Description of Back Panel

A

A BB CC DD EE FF GG

A

A Audible alarm output. Do not put anything in front of thisAudible alarm output. Do not put anything in front of this opening.

opening. B

B Battery compartment.Battery compartment. C

C Remote alarm output.Remote alarm output. D

D Interface connector (RS-232).Interface connector (RS-232). E

E Telephone connector.Telephone connector. F

F Fuse holder.Fuse holder. G

Description of the Monitor

Description of the Monitor

5 5 - - 4 4 2211--0022--0011117 7 RReevv. . 0044 06/006/077

Bottom Panel

Bottom Panel

Description of Bottom Panel Description of Bottom Panel

The bottom panel of the monitor has a message display and control panel. The bottom panel of the monitor has a message display and control panel. The control panel has four buttons that are used by your dealer to enter The control panel has four buttons that are used by your dealer to enter information. If your dealer instructs you to use the control panel buttons, information. If your dealer instructs you to use the control panel buttons, follow instructions carefully.

follow instructions carefully.

A A C C D D B B A

A Message display.Message display. B

B ENTER button.ENTER button. C

C Up and down arrow keys.Up and down arrow keys. D

Description of the Monitor

Description of the Monitor

21-02-01

21-02-0117 17 RevRev. 0. 044 06/006/077 5 5 - - 55

Labels

Labels

information needed to tion needed to operate this device safelyoperate this device safely. A . A sample label is shownsample label is shown below. below. Figure 5-4 Figure 5-4 Sample Label Sample Label A A B B CC D D E E F F G G H H II J J K K L L

Description of the Monitor

Description of the Monitor

5 5 - - 6 6 2211--0022--0011117 7 RReevv. . 0044 06/006/077 Table 5-4 Table 5-4 Description of Label Description of Label A

A Attention: It is important that you read and understand all ofAttention: It is important that you read and understand all of the informa

the information in tion in this manual along with this manual along with any otherany other documentation that came with the monitor.

documentation that came with the monitor. B

B The monitor meets the IEC 601- 1 standard (anThe monitor meets the IEC 601- 1 standard (an international safety standard) for Type BF Equipment. international safety standard) for Type BF Equipment. Type BF Equipment is constructed so the patient is Type BF Equipment is constructed so the patient is protected from hazardous electrical currents. protected from hazardous electrical currents. C

C The monitor is enclosed in a case to protect againstThe monitor is enclosed in a case to protect against dripping water.

dripping water. D

D Unprotected lead wires and cables should not be used withUnprotected lead wires and cables should not be used with this device. Inappropriate electrical connections may pose this device. Inappropriate electrical connections may pose an unreasonable risk of adverse health consequences or an unreasonable risk of adverse health consequences or death.

death. E

E Not to Not to be used be used in an in an explosexplosive atmospheive atmosphere, for re, for examexample,ple, where a high amount of oxygen or flammable gas is where a high amount of oxygen or flammable gas is present.

present. F

F The monitor may be subject to electrical interference ifThe monitor may be subject to electrical interference if used near certain household appliances. Refer to Section used near certain household appliances. Refer to Section 4 for more information.

4 for more information. G

G The caregiver must read and understand the entireThe caregiver must read and understand the entire Caregiver’s Manual 

Caregiver’s Manual before using the monitor. Thebefore using the monitor. The

caregiver must share this information with anyone who will caregiver must share this information with anyone who will care for the child.

care for the child. H

H Only accessories provided by your homecare dealer mayOnly accessories provided by your homecare dealer may be used with the monitor. Using other accessories may be used with the monitor. Using other accessories may cause the monitor to not work properly. Refer to Section 6 cause the monitor to not work properly. Refer to Section 6 for more information.

for more information.

II The monitor may not alarm properly if cautionaryThe monitor may not alarm properly if cautionary information and instructions are not followed. Refer to information and instructions are not followed. Refer to Section 10 for more information.

Section 10 for more information. J

J Do not connect the monitor to an electrical outlet controlledDo not connect the monitor to an electrical outlet controlled by a switch.

by a switch. K

K US Federal law restricts the sale or use of theUS Federal law restricts the sale or use of the Ami Ami andand Ami Ami  Plus 

Plus monitors without a prescription from a licensedmonitors without a prescription from a licensed physician.

physician. L

L Read the instruction manual and all documentation beforeRead the instruction manual and all documentation before operating the monitor.

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

6

6

Accessories

Accessories

6

6

Accessories

Accessories

Accessories

Accessories

The accessories for s for thetheAmiAmi_andandAmi PlusAmi Plus _{monitors include: electrodes,monitors include: electrodes,}

patient belt, lead wires, patient cable,

patient belt, lead wires, patient cable, power cord, remote alarm, modem,power cord, remote alarm, modem, modem cable, oximeter

modem cable, oximeter, direct , direct connect cables and a connect cables and a carryicarrying case.ng case. The following accessori

The following accessories are needed es are needed to use to use the monitor:the monitor: •

• ElElecectrtrododeses •

• LeLead ad WWirireses •

• PaPatitienent t CaCablblee •

• PaPatitienent t BeBeltlt •

• PoPowewer r CoCordrd

Carbon Electrodes

Carbon Electrodes The black electrode pads pick The black electrode pads pick up the up the breathibreathing effort and ng effort and heartbeaheartbeat signalst signals from the baby.

from the baby.

Rinse the flat sides of the pads with water each day. Do not use soap or Rinse the flat sides of the pads with water each day. Do not use soap or deterg

detergent on ent on the pads because both the pads because both interfeinterfere with re with breath and heart beatbreath and heart beat signals.

signals.

Your homecare dealer may give you other types of electrodes. Your Your homecare dealer may give you other types of electrodes. Your homecar

homecare dealer will e dealer will instruinstruct you ct you in their in their proper applicatiproper application.on.

It is important that any type of pre-gelled electrodes are used before the It is important that any type of pre-gelled electrodes are used before the manufacturer’s expiration date. Before the electrodes are used, check to see manufacturer’s expiration date. Before the electrodes are used, check to see if they

if they have become dried-out or damaged during have become dried-out or damaged during storagestorage. Dried-out or. Dried-out or damaged electrodes may not properly detect the baby’s breathing effort and damaged electrodes may not properly detect the baby’s breathing effort and heartbe

heartbeat and at and may prevent an may prevent an alarm from being detected.alarm from being detected.

Figure 6-1 Figure 6-1

Carbon Electrodes Carbon Electrodes

Lead Wires

Lead Wires The lead The lead wires carry the breathing effort and heartbeat signals from thewires carry the breathing effort and heartbeat signals from the electrodes to the patient cable. Always hold the lead wires by the plastic electrodes to the patient cable. Always hold the lead wires by the plastic ends when you are connecting or disconnecting them. Never pull on the ends when you are connecting or disconnecting them. Never pull on the lead wires cord because you can damage the wires inside the leads. lead wires cord because you can damage the wires inside the leads.

Accessories

Accessories

6

6 - - 2 2 2211--0022--0011117 7 RReevv. . 00₄₄ 06/006/0₇₇

New lead wires come joined together. When you connect the child to the New lead wires come joined together. When you connect the child to the monitor, pull gently to separate the leads as much as you need to.

monitor, pull gently to separate the leads as much as you need to.

Figure 6-2 Figure 6-2

Lead Wires Lead Wires

Patient Cable

Patient Cable The patient cable carries the bThe patient cable carries the b reathireathing effort and ng effort and heartbeaheartbeat signals from thet signals from the lead wires to the monitor. Hold the patient cable at the ends when you are lead wires to the monitor. Hold the patient cable at the ends when you are connecti

connecting or ng or disconndisconnecting. Never pull on ecting. Never pull on the cable’the cable’s cord s cord becausbecause youe you may damage the wires

may damage the wires inside.inside.

Figure 6-3 Figure 6-3

Patient Cable Patient Cable

Patient Belt

Patient Belt The belt is made of soft foam and is used to hold the electrodes to theThe belt is made of soft foam and is used to hold the electrodes to the infant’

infant’s chest. The s chest. The belt is fastened around the belt is fastened around the infant’infant’s chest with s chest with a velcroa velcro strip. strip. Figure 6-4 Figure 6-4 Patient Belt Patient Belt

Accessories

Accessories

21-02-01

21-02-0117 17 RevRev. 0. 0₄₄ 06/006/0₇₇ 6 6 - - 33

Remote Alarm

Remote Alarm The remote alarm allows monitoring up to 100 feet from your baby. TheThe remote alarm allows monitoring up to 100 feet from your baby. The remote alarm will sound anytime the monitor alarms. The Alarm light will remote alarm will sound anytime the monitor alarms. The Alarm light will also come on. The alarm will sound if the monitor becomes disconnected also come on. The alarm will sound if the monitor becomes disconnected from the remote alarm or if the monitor’s Power button is pressed without from the remote alarm or if the monitor’s Power button is pressed without press

pressing the ing the Reset button first.Reset button first.

Figure 6-5 Figure 6-5

Remote Alarm Remote Alarm

Power Cord

Power Cord A standard AC power cord which connects the monitor to an electricalA standard AC power cord which connects the monitor to an electrical outlet. outlet. Figure 6-6 Figure 6-6 Power Cord Power Cord

Accessories

Accessories

6

6 - - 4 4 2211--0022--0011117 7 RReevv. . 0044 06/006/077

Carrying Case

Carrying Case This case holds the monitor, patient cables and electrodes when you need toThis case holds the monitor, patient cables and electrodes when you need to take the baby and monitor out of the home.

take the baby and monitor out of the home.

Figure 6-7 Figure 6-7

Carrying Case Carrying Case

Modem Cable

Modem Cable The modem is a standard feature of theThe modem is a standard feature of the Ami PlusAmi Plus_{monitorsmonitors. It . It sendssends}

informa

information from the tion from the monitormonitor, through telephone lines, to , through telephone lines, to a computer ata computer at another location. If the monitor has a modem there will be a label reading another location. If the monitor has a modem there will be a label reading “Modem” on the back of the monitor, below the modem jack. The modem “Modem” on the back of the monitor, below the modem jack. The modem cable connects the monitor to a phone jack

cable connects the monitor to a phone jack to transmit informato transmit information from thetion from the monitor to an

monitor to an outside source.outside source.

Oximeter

Oximeter The oximeter is a separate device that can be used with The oximeter is a separate device that can be used with thetheAmiAmi_ororAmi PlusAmi Plus

monitors to record oxygen saturation levels in the blood, and pulse rate. monitors to record oxygen saturation levels in the blood, and pulse rate. If an oximeter is used with the monitor, your homecare dealer will instruct If an oximeter is used with the monitor, your homecare dealer will instruct you on how to properly use the oximeter. The monitor does not alarm for you on how to properly use the oximeter. The monitor does not alarm for oxygen saturatio

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

7

7

Using the Monitor

Using the Monitor

7

7

Using the Monitor

Using the Monitor

21-02-01

21-02-0117 17 RevRev. 0. 044 06/006/077 7 7 - - 11

Using the Monitor

Using the Monitor

Plugging in the Monitor

Plugging in the Monitor

back of the monitorthe monitor..

Plug the other end of the cord into a wall outlet. If the integrity of the earth Plug the other end of the cord into a wall outlet. If the integrity of the earth ground connection is in doubt, the monitor should be operated on battery ground connection is in doubt, the monitor should be operated on battery power.

power.

The Charging light will only illuminate when the monitor is plugged in. If  The Charging light will only illuminate when the monitor is plugged in. If  the monitor is plugged in and the Charging light is not on, check the

the monitor is plugged in and the Charging light is not on, check the connecti

connection to on to both the monitor and the both the monitor and the electrelectrical outlet. If the light ical outlet. If the light does notdoes not come on, call your homecare dealer.

come on, call your homecare dealer.

Note:

Note:Keep the monitor Keep the monitor plugged in whenever possible.plugged in whenever possible.

Figure 7-1 Figure 7-1

Connecting the Monitor to the Power Connecting the Monitor to the Power Cord

Cord

Figure 7-2 Figure 7-2

Conne

Connecting the Power Cord cting the Power Cord to theto the Wall Outlet

Using the Monitor

Using the Monitor

7

7 - - 2 2 2211--0022--0011117 7 RReevv. . 00₄₄ 06/006/0₇₇

System Check

System Check

system check to make

system check to make sure the monitor is sure the monitor is working properlyworking properly..

During this check the monitor’s alarm will beep and all the monitor’s During this check the monitor’s alarm will beep and all the monitor’s lights, except the Charging light, will flash individually. The Charging light lights, except the Charging light, will flash individually. The Charging light will not flash during the system check.

will not flash during the system check. If you do not

If you do not hear the monitor’s alahear the monitor’s alarm beep, turn the monitor off and repeatrm beep, turn the monitor off and repeat the system check. If you do not hear the alarm beep, call your homecare the system check. If you do not hear the alarm beep, call your homecare dealer for further assistance.

dealer for further assistance.

When the system check is over, look to see if an alarm light is on. If so, When the system check is over, look to see if an alarm light is on. If so, follow the instructions in Section 10 to fix the problem.

follow the instructions in Section 10 to fix the problem.

Note:

Note:The monitor should be turned off and on daily so that it can runThe monitor should be turned off and on daily so that it can run through the system check. It is best to do this when the baby is through the system check. It is best to do this when the baby is awake. The monitor should always be used when the baby is awake. The monitor should always be used when the baby is sleepin

sleeping g or according to or according to instrucinstructions from your tions from your physiciaphysician.n.

Using the

Using the Monit

Monitor

or

Effectively

Effectively

The

TheAmiAmi_andandAmi PlusAmi Plus _{monitors are effective only if the alarms can bemonitors are effective only if the alarms can be}

heard. Before connecting the monitor to your child, you need to test how heard. Before connecting the monitor to your child, you need to test how well the alarms can be heard in every location of the home.

well the alarms can be heard in every location of the home. 1.

1. Put tPut the mohe monitonitor wher where it wre it will be ill be useused mosd most.t. 2.

2. Plug the Plug the monitor imonitor into a walnto a wall outlet. l outlet. Do not coDo not connect the nnect the monitor monitor to theto the baby.

baby. 3.

3. TurTurn the monn the monitor on. itor on. All lights All lights will illumwill illuminate ainate as the ms the monitor runonitor runss through a system check. A Loose Lead alarm will sound.

through a system check. A Loose Lead alarm will sound. 4.

4. Go to eacGo to each part of th part of the home ahe home and see ind see if you can f you can hear the hear the alarm. alarm. Try to Try to dodo the things you will normally do. If you will be running water, turn on the things you will normally do. If you will be running water, turn on the water. If the TV will be on, turn on the TV. If you will be

the water. If the TV will be on, turn on the TV. If you will be vacuumi

vacuuming, turn ng, turn on the on the vacuum.vacuum.

WARNING WARNING

If at any point during this test the monitor is not loud If at any point during this test the monitor is not loud enough to get your attention, do not leave your child enough to get your attention, do not leave your child unattended while you are in this room.

unattended while you are in this room.

A remote alarm for the

A remote alarm for theAmiAmi_andandAmi PlusAmi Plus_{monitors is available. This alarmmonitors is available. This alarm}

allows you to hear the monitor alarms from farther away. If you think the allows you to hear the monitor alarms from farther away. If you think the remote alarm is necessary, one can be obtained from your homecare dealer. remote alarm is necessary, one can be obtained from your homecare dealer. If you are using a remote alarm, repeat the test above using the remote If you are using a remote alarm, repeat the test above using the remote alarm so it can be placed in the best position. You must make sure that you alarm so it can be placed in the best position. You must make sure that you can respond to

can respond to an event immediately after its first an event immediately after its first alarm. It is alarm. It is especiespeciallyally importan

21-02-21-02-010117 17 RevRev. 0. 0₄₄ 06/006/0₇₇

Section

Section

8

8

Connecting The Monitor

Connecting The Monitor

8

8

Connecting The Monitor

Connecting The Monitor

21-02-01 21-02-0117 17 RevRev. 0. 0₄₄ 06/006/0₇₇ 8 8 - - 11

Connecting The

Connecting The

Monitor

Monitor

This section will discuss how to set up the

This section will discuss how to set up theAmiAmi_andand Ami PlusAmi Plus_{monitoringmonitoring}

systems. It is very important that all information in this section is read and systems. It is very important that all information in this section is read and understood.

understood.

WARNING WARNING

All directions in

All directions in this section must be this section must be followed carefufollowed carefullylly..

Note:

Note:Use only soap and water to clean the child’s skin where theUse only soap and water to clean the child’s skin where the electrodes will be placed. The skin must be free of lotion and electrodes will be placed. The skin must be free of lotion and powders. If the child’s skin is not clean in this area, the monitor powders. If the child’s skin is not clean in this area, the monitor may not operate properly.

may not operate properly. Use of electrodes may result in

Use of electrodes may result in an allergic or chemical reactionan allergic or chemical reaction with your

with your child’child’s skin. If s skin. If redness or skin irritation is redness or skin irritation is noticed,noticed, contact your home care provider.

contact your home care provider. Periodic placem

Periodic placement of ent of the electrodes in the electrodes in differdifferent locations mayent locations may prevent or reduce the

prevent or reduce the occurreoccurrence of nce of skin irritation.skin irritation. 1.

1. Rub the flaRub the flat side of the t side of the electroelectrodes under des under warm, rwarm, running water unning water for atfor at least one minute. Dry

least one minute. Dry the electrodes before using them.the electrodes before using them.

Figure 8-1 Figure 8-1

Rinse Electrodes Rinse Electrodes

Connecting The Monitor

Connecting The Monitor

8

8 - - 2 2 2211--0022--0011117 7 RReevv. . 00₄₄ 06/006/0₇₇

2.

2. ConConnect tnect the elehe electroctrodes to tdes to the leahe lead wired wires.s.

Plug the metal tips of the lead wires into the electrodes. Be sure you Plug the metal tips of the lead wires into the electrodes. Be sure you push the lead wire tips in all the way.

push the lead wire tips in all the way.

Figure 8-2 Figure 8-2

Electrode with Lead wire Electrode with Lead wire

3.

3. Lay Lay the the belt belt on a on a flat flat sursurfacface.e.

Lay the child down with the child’s back on the belt. Lay the child down with the child’s back on the belt. It is important to

It is important to place the electrodes correplace the electrodes correctlyctly. The . The best place is in best place is in lineline with each armpit, near the bottom rib, as shown in Figure 8-4. If you with each armpit, near the bottom rib, as shown in Figure 8-4. If you must place them somewhere else, make certain they are

must place them somewhere else, make certain they are on the on the child’child’ss rib cage, on opposite sides of the chest. If you imagine a line going rib cage, on opposite sides of the chest. If you imagine a line going from one electrode to the other, that line must seem to go through the from one electrode to the other, that line must seem to go through the center of the child’s chest.

center of the child’s chest.

Figure 8-3 Figure 8-3

Belt Placement Belt Placement

Connecting The Monitor

Connecting The Monitor

21-02-01

21-02-0117 17 RevRev. 0. 0₄₄ 06/006/0₇₇ 8 8 - - 33

4.

4. Place thPlace the electre electrodes on the odes on the belt with the belt with the VVelcro sielcro side down.de down.

Lay the electrode pads on the belt so that when the belt is wrapped Lay the electrode pads on the belt so that when the belt is wrapped around the child, the pads will be in the correct place. Place the pad around the child, the pads will be in the correct place. Place the pad with the white end on the

with the white end on thechild’schild’s_{right. Place the pad with the black endright. Place the pad with the black end}

on the

on thechild’schild’s_left.left.

The pads should be in line with the armpit and down toward the bottom The pads should be in line with the armpit and down toward the bottom rib.

rib. Separa

Separate the te the wires as much wires as much as needed.as needed.

CAUTION CAUTION

If the

If the electrodelectrodes are touching each es are touching each otherother, an , an improperimproper signal will be sent to the monitor.

signal will be sent to the monitor.

Figure 8-4 Figure 8-4 Electrode Placement Electrode Placement Black Lead Black Lead White Lead White Lead

Connecting The Monitor

Connecting The Monitor

8

8 - - 4 4 2211--0022--0011117 7 RReevv. . 0044 06/006/077

5.

5. WWrap the belt snrap the belt snugly buugly but not tightt not tightly arounly around the patiend the patient’t’s chest. Clos chest. Closese the belt and fasten it with the velcro strip.

the belt and fasten it with the velcro strip.

The belt needs to be snug but not too tight. It should be possible to slide The belt needs to be snug but not too tight. It should be possible to slide one finger under the belt after it is closed.

one finger under the belt after it is closed.

Be sure that the belt does not overlap and block one of the electrodes. If  Be sure that the belt does not overlap and block one of the electrodes. If  necessary remove the belt, then cut it to make it shorter.

necessary remove the belt, then cut it to make it shorter.

Figure 8-5 Figure 8-5

Wrapped Belt Wrapped Belt

6.

6. If an oximIf an oximeter is beieter is being usedng used, your hom, your homecare deaecare dealer will tler will tell you hoell you how tow to place the oximeter sensor.

place the oximeter sensor. 7.

7. ConnConnect thect the lead we lead wires tires to the po the patienatient cablt cable.e.

The white connector on the lead wire goes into the hole with the white The white connector on the lead wire goes into the hole with the white mark on the patient cable. The black connector goes into the hole with mark on the patient cable. The black connector goes into the hole with the black mark. Push the connectors until they snap firmly into the the black mark. Push the connectors until they snap firmly into the cable. These connections fit tightly.

cable. These connections fit tightly.

Figure 8-6 Figure 8-6

Lead Wires and Patient Cable Lead Wires and Patient Cable