transportable exam station 2.3 tes · healthcare beyond the static installation. with a laptop...

TransportableExam Station® 2.3 (TES)

User Manual

© 2002-2016 GlobalMedia Group, LLC. All Rights Reserved. GMR16020059 : MAN-600076 Rev. B

Contents

Front Page

Table of Contents

About TES

Precautions and Specifications

Definitions

Quick Start Guide

Cleaning

Peripherals

Maintenance

Troubleshooting

Warranty

Notes

Page

1

2

3

4

7

8, 9,10

11,12,13

14

15

16

17

18,19

2


About TES

Recognizing the need for mobility, GlobalMed developed the Transportable Exam Station (TES) to take healthcare beyond the static installation. With a laptop computer designed to accomodate a variety of connected medical devices housed, in an impact-, dust- and weather-resistant rolling case, TES is an interactive and fully-mobile examination station.

TES was designed and manufactured in the USA by GlobalMed.

TES is housed in a rugged, aluminum carry-on sized, wheeled case which will accommodate USB 3.0 and 2.0 devices. These devices may include:

ClearSteth™ Chest Piece

TotalExam® 3with Otoscope Head

Tota

lExa

m® 3

with

Aut

oFoc

us H

ead

Tota

lExa

m® H

D*

TotalECG™

Wireless 12- Lead ECG System

SpiroPerfectSpirometer

TotalVitals

Fundus Camera

ClearProbe™ Ultrasound

3

*The

Tot

alEx

am H

D re

quire

s a

sepa

rate

pow

er

supp

ly a

nd th

e PO

D m

ust b

e th

e U

SB 3

.0 v

ersi

on.


• TES must be plugged into a wall outlet overnight before first use.

• Always open the TES fully on a steady tabletop and deploy kickstand prior to use.

• Only use manufacturer-recommended or approved accessories to ensure compatibility.

• Unplug power supply from any component before cleaning.

• Never spray or use liquid directly on components or connectors (Reference: Cleaning Procedures).

• If any liquid penetrates into any component or connector, switch off and unplug the power cord. Contact your service provider (Reference: Contact Information on Page 1). Continuous use may lead to further damage and/or result in electrical shock or may create a fire hazard.

• If any abnormalities occur, such as smoke, odor or other, turn off TES, unplug main power supply, and contact your service provider immediately.

• Unplug main power supply during lightning storm to prevent possible damage from power surge.

• Contact your service provider prior to repairing or performing maintenance on any components or devices, as this may void existing warranties.

• Do not pull any power supply by the cord; only pull power plug. Failure to comply may result in damage to the power supply, electrical shock or may create a fire hazard.

• Never operate or touch any electrical component with wet hands.

• Inspect all components, cords, cables, and other pertinent equipment before each use. To address any concerns, power down all related components and unplug. Contact your service provider immediately.

• Please retain the original packaging material.

• TES contains two, rechargeable, Li-ion batteries. TES may be transported with the 70Wh battery connected.

• This system should be stored in a controlled environment (see specifications for acceptable conditions). Disconnecting both batteries is recommended for long-term storage. (see section 8, Replacement Components, for instructions)

Note : This device is only intended for use by licensed medical professionals.

Note: Refer to all component manuals for any additional precautions before using this unit.

PRECAUTIONS

4


• TES is not designed to support any patient or user load.

• TES is not designed to be used in an oxygen rich environment.

• TES is not designed to support or add heat directly to the patient.

• TES is not designed to deliver or support devices that deliver microwave radiation for diagnostic or therapeutic purposes.

• TES is not designed to be used with or around flammable agents.

• TES is delivered in a non-sterile condition and is not intended to be sterile for use.

• No modifications of equipment are allowed prior to consenting with service provider.

• To avoid risk of electrical shock, this equipment must only be connected to a supply mains with protective earth.

• When using TES, be sure to position the unit in a manner that does not cause a trip hazard between the unit and the electrical wall outlet.

• Do not use TES in conjunction with a pacemaker or microwave as TES may interfere with their function.

• When using TES, be sure to position the unit in a manner that does not cause the unit to tip when it is in the transport postion.

• The foam insert, in which the devices are stored, will naturally move and compress to use.

WARNINGS

5


Ports

Cables

Audio

Portability

Main Camera

Devices

Security

Safety & Regulatory

Dimensions

Weight

Power

Battery Life

Computer

Operating System

Display

Keyboard

Connectivity

21”L x 13”W x 8”H 4 USB 3.0 ports, 1 HDMI port, 1 Ethernet port

~25 poundsPC cables - IntegratedDevice cables - Not integratedThis should be: Uses a 110V 50/60Hz to

12VDC power. Tablet has HP 6-cell (44WHr) primary battery, 100W AC Adapter Integrated speaker and microphone

2 wheels with retractable handleLaptop battery will run at max configuration for a maximum of 3 hours.

Integrated 720p HD cameraIntegrated HP laptop or similar

Combination Lock

Windows® 7 or higher

FCC and EMI certified

11.6” touchscreen 1366 x 768 (HD)

Spill-resistant keyboard. Touchpad with scroll zone and gestures support integrated into tablet.

WiFi, Ethernet, 3G/4G, (depending on your network’s capability), Satellite port. Note: Requires 4G card to activate.

TES Specifications:

Power Consumption 100W

Designated Power Supply TDK-Lambda DT DTM110PW150C Input 90-264VAC 47-63 Hz Output 15VDC 6.67A IEC60601-1 Compliant

Storage Transport Conditions -10° to 50°C (-14 to 122°F) 5% to 95%, 38.7°C (101.6°F) Max Wet Bulb Temperature

6

Compatible devices include (but are not limited to): TotalExam® line of cameras; ClearProbeUltrasound devices; Stethoscope solutions: ClearSteth , TotalECG 12 Lead Wireless System,

®

®®


TYPE B APPLIED PART

TYPE BF APPLIED PART

Refer to Instruction Manual/Booklet

Do Not Incinerate

WARNING!

DEFINITIONS

7


Quick Start Guide

Note: A medical grade power supply is included as part of the ME system.

8

TotalECG™ 12 Lead Wireless SystemTotalVitals Pulse Oximeter

TotalVitals™ Thermometer

Tongue Depressor Disposable

ClearSteth Digital Stethoscope

TotalExam®3 Camera

Power Cord and adaptor

TotalVitals Storage

Blood Pressure Cuff

Additional Storage

Additional Storage

TotalExam®3 AutoFocus Head/TotalExam®3 Otoscope HeadVariable Polarizing Hood Tongue Depressor Adaptor

The foam insert in which the devices are stored, will naturally move and compress to use.


1. Place case horizontally on flat, sturdy surface and flip out kickstand for additional stability.

2. Open case fully. Default combination lock is set to “000”.

3. Open inner lid by pushing brass buttons to unlock and using them to pull open lid.

4. Carefully unpack any devices and cables you need from the individual storage compartments.

5. When available, plug the power cord into the socket on the outside of the case and then into a standard wall outlet.

a. TES will show a green light when charging. When fully charged this light will go out.

6. Press the power button to turn on TES.*

7. Turn on the tablet PC: a. Flip up screen (this can be rotated and flipped down to form a flat

tablet, or be used as a laptop). b. Slide power button on front right side briefly towards yourself. c. Select user button on login screen. d. TES user interface will launch.

8. Plug in Ethernet or connect 4G or Wi-Fi. To select Wi-Fi go to connection icon at the bottom right of the screen and select preferred connection.

Kickstand

Power Socket

*TES must have laptop connected to operate.

9


9. If using TotalExam 3 camera:

10. Launch video conferencing software.Features will vary depending on the chosen Video Conferencing software.

11. On the TES unit itself, press “speaker/headset” to activate the integrated speaker.

12. On the TES unit itself, press “headset” to activate the headphones.

13. Speaker/Headset volume

14. The Otoscope is plugged into TES via USB. Refer to eNcounter Manual for instructions on viewing video within eNcounter.

15. When finished using TES, shut down the tablet PC*, then power down the TES by pressing the power button located on the control panel of the TES unit.

a. Disconnect all devices, neatly wrap all cords and cables and store in their individual compartments.

b. Close and lock the compartment cover.

c. Close the case lid and latch the front.

* To shut down the Tablet PC:a. Select logoff/shut down button.b. Select the shut down option to end

10


1. TES and Tablet PC will operate on their internal batteries for up to 3 hours.

2. When plugged into a wall outlet, the charging light on the control panel will turn on.

3. It will take at least three hours to fully charge TES.

4. The tablet PC will also charge while TES is charging.

5. TES has a battery level gauge which displays as follows:a. When the top three lights are green, TES has an adequate charge.b. When the two yellow lights are lit, TES needs to be charged.c. When the red light is lit, the battery is depleted.

1. Cleaning the Tablet PC: a. Use cleaning system approved for touchscreen electronics. b. Do not use alcohol, ammonia, abrasive, or other cleaning solutions not specifically approved for touch screens.

2. The rest of the unit may be wiped down per Centers for Disease Control (CDC) guidelines. Reference: Cleaning Procedures

Power:

Cleaning:

11


Cleaning Procedures

The purpose of these procedures is to provide clear direction and instruction with regard to the cleaning requirements for the complete TES device and each medical device accessory based on the situational use of the products in a clinical setting.

These procedures reference the classification scheme found in the Center for Disease Control, “Guideline for Disinfection and Sterilization in Healthcare Facilities”, 2008. These procedures categorize the requirements for disinfection and sterilization into three levels according to the degree of risk for infection involved in the use of the item. The categories and their basic definitions are the following:

The tables associated with this document detail the examination type, the CDC disinfection and sterilization classification, and provide the cleaning instructions based on the product’s use.

• ALWAYS use approved disinfecting wipes and/or a soft cloth, lightly moistened with the approved cleaning solutions per CDC guidelines.

• ALWAYS check with CDC guidelines and product manuals, if in doubt.

• NEVER spray any liquids directly on the Transportable Exam Station or any of the components.

• NEVER use any abrasive cleaners or volatile solvents.

• NEVER use any alcohol, ammonia, or abrasive products on screens or monitors. They can etch the screen surface and cause the plastic to appear cloudy.

Critical

Semi-Critical

Non-Critical

- Items confer a high risk for infection if they are contaminated with any microorganism.

- Items that contact mucous membranes or non-intact skin.

- Items that contact intact skin but not mucous membranes.

12


Setting combination lock: The combination is factory set at 0-0-0

1. Open the case and look down at the combination lock mechanism through the gap between the plastic panel and the case.

2. With a small screwdriver, move the change lever left, towards the

middle of the lock as shown below:

3. Set your personal combination and then move change lever back to starting position.

4. To block the lock, rotate one or

more dials. To open, set your personal combination.

Included Accessories

Contact GlobalMed for additional approved medical devices or accessories.

Processing and communications:

• Tablet PC with HD webcam• Intuitive user interfaces on the tablet and the TES control panel• Speaker and echo-free microphone• Wi-Fi capability• Ethernet port• 4 USB 3.0 ports

13


White plastic panel and inner

lid

Medical device storage compartment

Outside of case and wheels

At least weekly or when contaminated







Gently wipe the lid with a disinfecting wipe and/or soft cloth, lightly moistened with a facility or

FDA/EPA approved cleaning solution.

Gently wipe the inner compartment with a disinfect-ing wipe and/or soft cloth, lightly moistened with a

facility or FDA/EPA approved cleaning solution.

Gently wipe the inner compartment with a disinfect-ing wipe and/or soft cloth, lightly moistened with a

facility or FDA/EPA approved cleaning solution.

Component

Non-Critical

Non-Critical

Non-Critical

Non-Critical

Non-Critical

Non-Critical

Non-Critical

Procedure Frequency CDC Classification

Cables and Cords

Touch Screen Monitor

Tablet PC Housing & keyboard

Switch Panel

Gently wipe the inner compartment with a disinfecting wipe and/or soft cloth, lightly

moistened with a facility or FDA/EPA approved cleaning solution. All of the electrical cords must

be unplugged before cleaning.

Turn off the computer. Follow instructions listed on any cleaner approved for use on touch screens.

Turn off the computer. Follow instructions listed on any cleaner approved for use on tablet PCs.

Gently wipe the housing of the switch panel with a disinfecting wipe and/or soft cloth lightly moistened with a facility or FDA/EPA approved

cleaning/disinfecting solution.

14


Component to Replace

Power and Device Cords

Case Hinge

Procedure

Due to the vibration from movement and use of the mobile unit, perform a weekly maintenance check. In addition, any time a component or device seems loose or

defective, a maintenance check must be performed immediately.

Inspect the cords for damage and bent or cracked prongs or connectors. If any of these conditions exist, stop using the device or power cord and contact GlobalMed for a repair or replacement.

Check if hinge pin has moved out of hinge at either end. Tap back into position with a hammer or mallet.

Required Maintenance

Component to Replace

Battery

Procedure

IMPORTANT

SWITCH OFF COMPUTER AND SWITCH OFF AND UNPLUG TES BEFORE PERFORMING ANY MAINTENANCE.

If additional components need to be replaced, please contact GlobalMed for instructions.

1. Contact GlobalMed for new lithium ion battery.2. Switch off computer and switch off and unplug TES.3. Remove Battery tray lid by using screwdriver to remove bolts.4. Disconnect the battery quick connect and take out battery. 5. Replace with manufacturer-recommended battery.6. Remove lithium ion batteries when TES is not in use for an extended period of time.

Replacement of Components

ATTENTION: Do not incinerate or dispose of lithium ion batteries in general trash collection. They may explode or rupture violently. Check state and local regulations dealing with the disposal of these materials. You are legally responsible for hazards created while your battery is being disposed.

15


Problem

Battery Unable to Hold a Charge

No Power

Battery Charging Light is Off

Cannot display video from eNcounter with video conferencing software

No Sound

Laptop/Tablet Issues

SolutionWhen battery life is about to expire, the charge level light will turn red. Plug unit into AC power to keep it running.

Make sure that TES is switched on On/Off button. Plug into wall in case battery is fully discharged.Plug another electrical device into the AC wall outlet to verify that the outlet is working.

Charge light goes out when fully charged. This is normal.To verify, unplug TES for a few minutes to discharge then plug back in - charge light should come back on.

In “Video Conferencing Software” select content/application sharing.

Press Volume + (Up) on the TES panel. Press MUTE to make sure that MUTE is not selected. Check that your tablet PC volume is set to high.

Please power down and restart the laptop. If this does not rectify the issue, contact technical support.

Basic Troubleshooting

16


GlobalMed’s hardware and software products come with a standard, one-year limited warranty. Products that become defective during the first year (365 days) after the order is shipped (“Original Warranty Period”) will be repaired or replaced by GlobalMed free of charge. This limited warranty is contingent upon proper use of the product and does not cover products that have been damaged (scratches, bent metal, broken components), misused, modified, or subjected to unusual physical or electrical stress. This limited warranty is contingent upon proper use of the product and does not cover products that have been damaged (scratches, bent metal, broken components), misused, modified, or subjected to unusual physical or electrical stress. Customer must obtain an official Return Merchandise Authority (“RMA”) from GlobalMed prior to shipping any products to GlobalMed for repair or replacement. Customer must include all original components, literature, and packaging in the same salable condition received to avoid any additional charges. All returns for any other reason must be made within the first 30 days from time of shipment and will be subject to a 25 percent restocking charge. In addition to the standard one-year warranty, various components may have a manufacturer’s warranty that may extend the warranty period of the individual components.

Note: The tablet PC in your Transportable Exam StationTM (TES) is under the original warranty provided by the manufacturer. Please check the service tag for the computer’s serial number and support contact information.

Warranty Information

17


Notes:

18


Notes:

19

15020 North 74th Street Scottsdale, Arizona 85260 USA

1.800.886.3692

+1.480.922.0044 phone +1.480.922.1090 fax

[email protected]

©2002-2016 GlobalMedia Group, LLC. DBA GlobalMed. All Rights Reserved. Additional copyright and patent

information can be found at www.GlobalMed.com/legal

Made in the USAProducts and servicesdistributed globally

Transforming Healthcare Delivery ™

GMR16020059 | MAN-600076 Rev. B

transportable exam station 2.3 tes · healthcare beyond the static installation. with a laptop...

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