SureSigns VS2+

Vital Signs Monitor

INSTRUCTIONS FOR USE

Release B.01

English
Notice

Proprietary Information
This document contains proprietary information, which is protected by
copyright.

Copyright
Copyright © 2011 Koninklijke Philips Electronics N.V.

All Rights Reserved

Trademark Acknowledgements
SureSigns is a registered trademark of Koninklijke Philips Electronics N.V.
Other product names may be trademarks of their respective owners.

Manufacturer
Philips Medical Systems
3000 Minuteman Road
Andover, MA 01810
(978) 687-1501
Document Number
4535 642 11391

Warranty Disclaimer
The information contained in this document is subject to change without notice.
Philips Medical Systems makes no warranty of any kind with regard to this
material, including, but not limited to, the implied warranties or merchantability
and fitness for a particular purpose. Philips Medical Systems shall not be liable
for errors contained herein or for incidental or consequential damages in
connection with the furnishing, performance, or use of this material.

ii SureSigns VS2+ Instructions for Use

Printing History

New editions of this document incorporate all material updated since the
previous edition. Update packages may be issued between editions and contain
replacement and additional pages to be merged by a revision date at the bottom
of the page. Pages that are rearranged due to changes on a previous page are not
considered revised.

The documentation printing date and part number indicate its current edition.
The printing date changes when a new edition is printed. (Minor corrections and
updates that are incorporated at reprint do not cause the date to change.) The
document part number changes when extensive technical changes are
incorporated.

First Edition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . October 2011

SureSigns VS2+ Instructions for Use iii

Conventions

This section describes the conventions used in this guide.

Text Formatting
The following typographical conventions are used in this guide.

Typeface Usage Example

Bold System keys Press the Main Screen key.

Special bold User interface text Open the System Menu.

Italic Variables, document • <product

titles name>-<hardware
configuration>-<software
version>.cfg
• SureSigns VM Series
Instructions for Use

Decimal Points
Because the SureSigns monitor uses a period (.) to indicate a decimal point in
decimal numbers (for example, 10.0), all decimal numbers in this guide use a
period as a decimal point. Commas are not used as decimal points.

Notes, Cautions, and Warnings

This guide uses the following conventions for Notes, Cautions, and Warnings.

Note — A Note calls attention to an important point in the text.

iv SureSigns VS2+ Instructions for Use

Caution A Caution calls attention to a condition or possible situation that could
damage or destroy the product or the user’s work.

Warning A Warning calls attention to a condition or possible situation that could

cause injury to the user and/or patient.

Explanation of Symbols

The following symbols appear on the SureSigns VS2+ monitor and the
packaging.

Symbol Description Symbol Description

Print key Alarm Silence key

Main Screen key NBP key

On/Standby key Serial number

CE marking Batch code

0123

SureSigns VS2+ Instructions for Use v

 Symbol Description Symbol Description

Rx Only Prescription Use Only Date of manufacture

(US Federal Law)

90% Humidity limitation Keep out of sun

15%

Fragile, handle with Keep upright

care

Keep dry Manufacturer’s Name

and Address

Catalog number Sterile

Electrostatic sensitive USB port

device handling

SpO2 connector Charging LED

Temperature connector AC Power LED

NBP connector Option number

ICES-001 Canadian ISM Ethernet port

requirement

vi SureSigns VS2+ Instructions for Use

Symbol Description Symbol Description

Compliance with CSA mark

WEEE standard

100-240V ~ 50/60Hz 120VA Power label Nurse call connector

T 1.0A 250V

Caution, consult Ingress protection

accompanying against vertically
documents falling water drops

Defibrillator Proof RF Interference

Type CF applied part

EUFP 40°C
Temperature limitation
(Environmentally-
friendly use period - -20°C

China)
K3$
PD[ Atmospheric pressure Korean radio mark
limitation

K3$
PLQ

CE marking for radio Equipotential ground

post

IC ID Industry Canada label FCC ID FCC label for radio

for radio

SureSigns VS2+ Instructions for Use vii

Regulatory and Safety Specifications

Declaration
The SureSigns VS2+ vital signs monitor is a Class IIb device and complies with
the requirements of the Council Directive 93/42/EEC of 14 June 1993
0123
concerning medical devices and carries CE-marking accordingly.

The radio device used in the SureSigns VS2+ vital signs monitor is in
compliance with the essential requirements and other relevant provisions of
Directive 1999/5/EC (Radio Equipment and Telecommunications Terminal
Equipment Directive).

Authorized EU Representative
Philips Medizin Systeme Böblingen GmbH
Hewlett-Packard Str. 2
71034 Böblingen
Germany

Rx Only

Caution United States Federal Law restricts this device to sale by or on the order of
a physician.

viii SureSigns VS2+ Instructions for Use

 Contents
1. Overview
About the SureSigns VS2+ Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
SureSigns VS2+ Monitor Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
SureSigns VS2+ Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

2. Basic Operation
The Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
The Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Setting up the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Powering Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Charging the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
On/Standby Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Deep Sleep Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Changing the System Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Mounting the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Main Screen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Vital Signs Display Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
Display Waveform Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
Patient Records Display Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
Changing the Display Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
Tool Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Changing System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Saving Patient Records to a USB Flash Drive. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19
Viewing Monitor Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20
Networked Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22
Verifying the Network Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22
Synchronizing the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-23
Using the Monitor Safely . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24

3. Creating a New Patient Record

The Patient Records Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Patient Records Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Patient ID Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Entering Patient IDs and Saving Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Contents-1
SureSigns VS2+ Instructions for Use
 Entering Patient IDs Using the On-screen Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Entering Patient IDs by Scanning Individual Barcodes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Entering Patient IDs with a Programmed Barcode Scanner . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Saving Measurements Without a Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Viewing Records in the Patient Records Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
Selecting an Existing Patient ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Editing a Patient Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Editing a Patient Record Using the On-screen Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21
Editing a Patient Record by Scanning Individual Barcodes . . . . . . . . . . . . . . . . . . . . . . . . 3-23
Editing a Patient Record Using a Programmed Barcode Scanner . . . . . . . . . . . . . . . . . . . . 3-24
Deleting Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25
Deleting Specific Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-26
Deleting All Patient Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27

4. Alarms
Visual Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Flashing Numeric Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Alarm Icons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Audible Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Speaker Malfunction Notification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Latched and Non-Latched Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Changing Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Changing Individual Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Changing Alarm Limits in the Alarm Limits Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Setting System Alarm Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Enabling Print on Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Showing or Hiding Current Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Adjusting the Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Setting Automatic Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Restoring Default Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
Acknowledging Technical Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
Audio Pause Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-19
Audio Off Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
Testing Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21
Nurse Call System Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
Alarms Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22

Contents-2
SureSigns VS2+ Instructions for Use
5. Monitoring SpO2
Selecting an SpO2 Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1
Connecting SpO2 Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
SpO2 Technical Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3
The SpO2 Numeric Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4
Changing SpO2 Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4
Changing the SpO2 Response Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5
Changing the SpO2 Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6
Changing the SpO2 Waveform Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6
Desaturation Alarm (Desat) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7
SpO2 Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

6. Monitoring NBP
NBP Measurement Limitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1
Selecting an NBP Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2
Connecting the Cuff and Hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2
NBP Numeric Panes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3
Changing NBP Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4
Enabling Automatic NBP Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
Changing the NBP Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6
Configuring the Initial Inflation Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7
Changing the NBP Units of Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8
About NBP Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9
Opening the NBP Interval Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-9
Starting NBP Interval Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10
Stopping NBP Interval Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-11
Enabling NBP STAT Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-11
Creating or Starting an NBP Interval Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-12
Clearing the Interval Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14
Recalculating the NBP Value if the Limb is not at Heart Level . . . . . . . . . . . . . . . . . . . . . .6-14
Stopping an NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
NBP Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15

7. Monitoring Temperature
Connecting the Temperature Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1
The Temperature Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Taking a Temperature Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Changing Temperature Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4
Changing the Temperature Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4
Changing the Probe Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6

Contents-3
SureSigns VS2+ Instructions for Use
 Changing the Temperature Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Changing the Temperature Units of Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Verifying the Temperature Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Temperature Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10

8. Monitoring Pulse Rate

Changing Pulse Rate Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Changing the Pulse Rate Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Changing the Pulse Rate Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Adjusting the Pulse Rate Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

9. Printing
Loading the Recorder Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Printing One Patient Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Printing Multiple Patient Records. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Printing an SpO2 Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Enabling Print on Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Enabling Auto Print NBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Changing the Recorder Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7

10. Care and Cleaning

General Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Cleaning and Disinfecting the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Cleaning and Disinfecting the Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Cleaning and Disinfecting the Temperature Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Cleaning and Disinfecting the Probe and Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Cleaning and Disinfecting the Probe Well. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

11. Accessories List

SpO2 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
NBP Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Temperature Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Miscellaneous Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10

12. Specifications
General Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Safety Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Electrical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Environmental Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
NBP Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5
Oscillometric NBP Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5

Contents-4
SureSigns VS2+ Instructions for Use
 Temperature Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-7
SpO2 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-8
Recorder Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-10
Interface Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-10
Radio Regulatory Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-11
USA — Federal Communication Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-11
Industry Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-12
European Union . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-13

13. Troubleshooting
Viewing System Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-1
Diagnosing a Problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-1
Troubleshooting Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-2
Alarms and Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-5

A. Alarm Specifications
Physiological Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Technical Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Factory Default Alarm Limits and Alarm Ranges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7
Factory Default Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7
Alarm Limit Ranges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Auto Set Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Adult/Pediatric Auto Set Alarm Calculations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Neonatal Auto Set Alarm Calculations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-10

B. Electromagnetic Compatibility
Instructions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
Reducing Electromagnetic Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Emissions and Immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3
Guidance and Manufacturer’s Declaration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-4

Contents-5
SureSigns VS2+ Instructions for Use
Contents-6
SureSigns VS2+ Instructions for Use
 1
Overview

This guide describes how to operate the SureSigns® VS2+ vital signs monitor.
For information about setting up the monitor, see the SureSigns VS2+ and VSi
Installation and Configuration Guide, which describes how to install the battery,
power up the monitor, and configure some of the system settings before using
the monitor.

About the SureSigns VS2+ Monitor

This chapter provides a brief overview of the SureSigns VS2+ monitor.

Warning Before each use, inspect the monitor and accessories for deterioration or
damage. Replace any damaged equipment or report it to your system
administrator.

Overview
SureSigns VS2+ Instructions for Use 1-1
About the SureSigns VS2+ Monitor

Note — This document includes information on functions and features that are
not available on all SureSigns VS2+ monitors or may only be available in
selected countries. For information specific to your country, please contact your
local Philips representative.

The SureSigns VS2+ is a vital signs monitor that can measure blood pressure,
pulse rate, oxygen saturation (SpO2), and temperature. Features include:

• Adult, pediatric, and neonatal capability

• Lithium ion battery
• Stores up to 100 patient records
• Flexible blood pressure modes, including auto intervals, manual start/stop,
and user-defined interval program
• SpO2 waveform (if SpO2 is installed)
• Optional recorder
• Optional roll stand or wall mount
• Optional barcode scanner for Patient ID entry
• Data export via wired LAN, wireless LAN1, or serial connection

1. The wireless option may not be available in all countries.

Overview
1-2 SureSigns VS2+ Instructions for Use
 Indications for Use

Indications for Use

The SureSigns VS2+ vital signs monitor is for use by healthcare professionals
whenever there is a need for monitoring the physiological parameters of
patients.

Standard and optional parameters include:

• NBP
• SpO2
• Temperature

Intended Use
The SureSigns VS2+ vital signs monitor is for monitoring, recording, and
alarming of multiple physiological parameters of adults, pediatrics, and neonates
in healthcare environments. Additionally, the monitor is intended for use in
transport situations within a healthcare facility.

SureSigns VS2+ Monitor Configurations

The SureSigns VS2+ monitor is available in the following configurations. In the
table, a solid circle indicates a standard feature and a hollow circle indicates an
optional feature.

Measurement Parameters and Features

NBP SpO2 Temp Recorder Wireless

863278 ● ● o o

863279 ● ● o o ●

Overview
SureSigns VS2+ Instructions for Use 1-3
SureSigns VS2+ Documentation

SureSigns VS2+ Documentation

SureSigns VS2+ documentation includes:

• SureSigns VS2+ and VSi Installation and Configuration Guide:

Provides instructions for unpacking, installing, and connecting all
hardware. Includes initial testing and configuration procedures. Also
includes instructions for returning the monitor.
• SureSigns VS2+ Instructions for Use: Provides information for day to
day operation of the VS2+ monitor. Also includes safety information,
monitor specifications, and compatible accessories.

Note — For information about purchasing additional copies of the

SureSigns VS2+ Instructions for Use, contact the Philips Customer Care
Center.

• SureSigns VS2+ Quick Card: Provides brief descriptions of commonly

used VS2+ functions.
• SureSigns VS2+ and VSi Service Guide: Provides information for
repairing and testing the monitor. Includes assembly diagrams, spare parts
lists, and troubleshooting information.
• SureSigns VS2+ and VSi Data Export Guide: Provides detailed
information about the syntax and structure of the HL7 messages that are
exported from the VS2+ monitors and VSi monitors.
• SureSigns VS2+ and VSi Network Configuration Guide: Provides
instructions for configuring your VS2+ monitors and VSi monitors to
connect to a network using a wired LAN connection, a wireless LAN
connection, or an RS-232 serial adapter.

Overview
1-4 SureSigns VS2+ Instructions for Use
 2
Basic Operation

This chapter describes how to begin using the SureSigns VS2+ monitor.

For information on setting up and configuring the monitor, see the SureSigns
VS2+ and VSi Installation and Configuration Guide.

The Front Panel

All function keys and LEDs are on the monitor’s front panel. The following
illustration and table describe these controls.

Main Screen key Print key

NBP key Navigation wheel

Alarm Silence key

Charging LED

AC Power LED
On/Standby key

Basic Operation
SureSigns VS2+ Instructions for Use 2-1
The Front Panel

Control Icon Description

Alarm Silence Press to pause an alarm for a specified period of time. For more
key information, see Chapter 4, “Alarms.”

NBP key Press to start an NBP measurement or to start the first

measurement of an NBP interval. If an NBP measurement is
underway, press this key to stop the measurement.

Main Screen key Press to close a menu and return to the main screen. When the
main screen is displayed, press to switch between display modes.

Print key Press to print patient records or SpO2 waveforms. For more
information, see Chapter 9, “Printing.”

On/Standby key Press once to power up the monitor. Press again to enter Standby
mode.

Navigation wheel Use the navigation wheel to select and change various settings.

Charging LED Changes color based on the charging status of the battery. For
more information, see “Charging the Battery” on page 2-6.

AC Power LED When lit, indicates that the monitor is connected to an AC power
source.

Basic Operation
2-2 SureSigns VS2+ Instructions for Use
 The Rear Panel

The Rear Panel

The following illustration and table describe the connectors on the back of the
monitor.

USB port

Ethernet port

Nurse call
connector

Power connector Equipotential

Grounding
Post

Connector Description

Ethernet 10/100 Base-T Ethernet port. Used for LAN data

port export. See your system administrator for more
information.

Basic Operation
SureSigns VS2+ Instructions for Use 2-3
The Rear Panel

Connector Description

USB port Standard USB 2.0, 4-pin connector used for:

• The optional barcode scanner
• Data export through the optional serial interface
adapter
• Export of patient records to a USB flash drive
• Export and import of configuration settings
• Software upgrades
For more information, see your system
administrator.

Nurse call 3.5 mm phone jack for connection to a nurse call

connector system.

Power connector Connection for the AC power cord.

100-240V ~ 50/60Hz 120VA

T 1.0A 250V

Equipotential For facilities that require a potential equalization

grounding connection.
post

Basic Operation
2-4 SureSigns VS2+ Instructions for Use
 Setting up the Monitor

Setting up the Monitor

This section describes how to power up the monitor and charge the battery.

Powering Up
The monitor operates on AC power or the internal battery.

Note — Philips recommends that a battery is always installed in the monitor. If

the monitor loses AC power, it resorts to battery power. If an AC power failure
occurs and the monitor does not contain a battery, monitoring is interrupted and
no alarms sound.

To power up the monitor:

Step

1 Connect the power cord to the power connector on the monitor’s

rear panel and to an AC power source.

Basic Operation
SureSigns VS2+ Instructions for Use 2-5
Setting up the Monitor

2 Ensure that the AC outlet is properly grounded and supplies the

specified voltage and frequency (100 – 240 VAC, 50 – 60 Hz).
Note — Within the U.S., a hospital-grade outlet is recommended.

The green AC Power LED on the front panel lights

when the AC power source is connected. Also, the
AC Power Charging LED on the front panel indicates
LED
the current charging status of the battery. For more
information, see “Charging the Battery” on page 2-6.

3 Press the On/Standby key.

The monitor powers up and performs a self-test.
During this self-test, the monitor also tests the
On/Standby speaker; listen for an audible tone to confirm that
key
the speaker is working properly. To verify the
speaker is working at any time, see “Testing
Alarms” on page 4-21.
You may also be prompted to change the system date and time the
first time you power up the system. For more information, see
“Changing the System Date and Time” on page 2-10.

If your facility requires a separate potential equalization connection, use the

grounding post on the rear of the monitor. Connect a grounding cable from the
post to the grounding system in your facility.

Charging the Battery

Any time the monitor is connected to AC power, the battery is being charged.
When you first receive the monitor, the battery charge may be low. You should
connect the monitor to an AC power source before using it on battery power
alone.

If the monitor is connected to AC power, and power is then disconnected, the

monitor automatically resorts to battery power, if the battery is sufficiently
charged. All alarm settings and patient records are preserved.

Basic Operation
2-6 SureSigns VS2+ Instructions for Use
 Setting up the Monitor

Note — To ensure that the battery is sufficiently charged, keep the monitor
plugged in to AC power when it is not in use.

Three indicators show the charging status of the battery: the Charging LED, the
Battery Status pane, and the large battery icon.

Charging LED

The Charging LED on the front panel provides the charging status of the battery.
The color of the LED indicates how much charge remains in the battery:
Charging LED
• Green: The battery is at least 90% charged.
• Flashing Green: More than 30% charge, but less than 90%.
• Yellow: More than 21% charge, but less than 30%.
• Flashing Yellow: Less than 21% charge.

Battery Status Pane

If the monitor is On (with battery or AC power), the Battery Status pane at the
Battery Status
bottom of the monitoring screen indicates battery status. The number and color
of bars in the pane indicates how much charge remains in the battery:

• Five green bars: At least 90% charge.

• Two to four green bars: More than 30% charge, but less than 90%.
• One yellow bar: More than 21% charge, but less than 30%. This charge
level triggers a Low Batt technical alarm.
• One red bar: Less than 21% charge. This charge level triggers an
Extreme Low Batt technical alarm.
If the monitor is On with battery power, you can highlight the Battery Status
pane to view the estimated time remaining in the battery.

Basic Operation
SureSigns VS2+ Instructions for Use 2-7
Setting up the Monitor

Large Battery Icon

If the monitor is in Standby mode and connected to AC power, a large battery

icon appears in the middle of the monitor screen. The number and color of bars
in the large battery icon correspond to the charge levels in the Battery Status
Battery icon
pane, as described in “Battery Status Pane” on page 2-7. For more information
about Standby mode, see “On/Standby Mode” on page 2-8.

Your system administrator can configure the monitor so the large battery icon
does not appear on the monitor screen.

Note — If the battery level drops below 12%, the monitor enters Deep Sleep
mode. No measurements are taken and no alarms sound. For more information,
see “Deep Sleep Mode” on page 2-9.

Warning Dispose of used batteries in an environmentally responsible manner. Do not

dispose of the battery in normal waste containers. Consult your hospital
administrator to find out about local arrangements.

On/Standby Mode
If you press the On/Standby key while the monitor is On, the monitor goes into
Standby mode and the following occurs:

• If the monitor is not connected to an AC power source, the display is

blank.
• If the monitor is connected to an AC power source, a large battery icon
appears in the middle of the screen, if configured to display. The number
and color of bars in the icon indicate how much charge remains in the
battery. If the battery requires service, a message appears on the screen.

Note — If the monitor is connected to an AC power source but does not

contain a battery, the large battery icon contains no bars.

Basic Operation
2-8 SureSigns VS2+ Instructions for Use
 Setting up the Monitor

• Patient records remain in memory.

• Monitoring stops.
To reduce power consumption, your system administrator can configure the
monitor to automatically go into Standby mode after 5, 10, 15, or 30 minutes of
inactivity. Only authorized personnel can change this setting (the Auto Suspend
setting) in the password-protected System Admin Menu.

To resume monitoring, press the On/Standby key.

Deep Sleep Mode

The monitor enters Deep Sleep mode when:

• The monitor is not connected to an AC power source and it remains in

Standby mode for more than 30 minutes or the battery level drops below
30%.
• The monitor is on, but not connected to an AC power source, and the
battery level drops below 12%.
In Deep Sleep mode, the display is blank and the system uses minimal power to
maintain the system clock. No measurements are taken and no alarms sound.

To resume monitoring, connect the monitor to an AC power source and press the
On/Standby key to turn the monitor back On.

Basic Operation
SureSigns VS2+ Instructions for Use 2-9
Changing the System Date and Time

Changing the System Date and Time

Use the following procedure to change the system date and time. If the
Date/Time Menu is already open, skip to step 3.

Note — If your system administrator disables the Date/Time menu in the

password-protected System Admin Menu, you cannot change the system date
and time.

The following conditions apply to the system date and time:

• If the monitor is networked and your system administrator has enabled

time synchronization, the monitor date and time are automatically
synchronized with the hospital EHR server or the HL7 interface server.
• The date and time cannot be changed while a patient record is open,
patient records are being printed, or if a temperature or NBP measurement
is in progress.
• The system clock does not adjust for daylight saving time. If time
synchronization is not enabled, you must manually change the time on the
monitor.
To change the system date and time:

Step

1 Rotate the navigation wheel to highlight the Date/Time pane, in

the lower right corner of the screen display.
Note — The Date/Time pane only displays the time. When you
highlight the Date/Time pane, the tool tip displays both the date
and time.

2 Press the wheel.

The Date/Time Menu appears.

3 Rotate the wheel to highlight the parameter you want to change.

Basic Operation
2-10 SureSigns VS2+ Instructions for Use
 Mounting the Monitor

4 Press the wheel and rotate it until the desired value appears.

5 Press the wheel again to save the new value.

6 Repeat step 3 through step 5 to change other values in the menu.

7 Rotate the wheel to highlight the Apply button, and then press
the wheel to save your changes and close the menu.

You can change the date format (mm/dd/yyyy or dd/mm/yyyy) and you can
hide the time display using options in the System Menu. For details, see
“Changing System Settings” on page 2-17.

Mounting the Monitor

You can mount the monitor on a roll stand, wall mount, or tabletop base.

Caution If your monitor is mounted on a roll stand, use the handle on the roll stand
to move the monitor. Do not use the monitor handle or the antenna to move
the monitor; doing so creates stress on the mounting bracket and could
cause the monitor to fall off the roll stand.

Note — The weight of objects placed in the basket of a roll stand must not
exceed 3.6 kg (8 lb).

For information on mounting the monitor, see the Instructions for Use provided
with the mounting hardware.

Basic Operation
SureSigns VS2+ Instructions for Use 2-11
Main Screen Display

Main Screen Display

The SureSigns VS2+ monitor has three display modes: Vital Signs mode,
Patient Records mode, and Display Waveform mode.

Note — The illustrations in this guide show the screens on a fully configured
SureSigns VS2+ monitor.

The main screen contains the following elements:

• The network status icon appears if the monitor is connected to a wired or

wireless network. For more information, see “Networked Monitors” on
page 2-22.
• Numeric panes display vital signs measurements as numeric values when
the display is in Vital Signs mode or Display Waveform mode.
• The waveform pane displays a real-time waveform for SpO2. For more
information, see “Display Waveform Mode” on page 2-15.
• The Patient Records Table lists patient records that are saved in the
monitor and appears when the display is in Patient Records mode. For
more information, see “Patient Records Display Mode” on page 2-16.
• The Message area displays short text descriptions of all active alarms.
For more information, see Chapter 4, “Alarms.”
• Menu buttons are used to open menus to change system settings:
– The New Patient button is used to open the New Patient Menu,
where you can enter patient identifiers.
– The Print button is used to open the Print Patient Data menu, where
you can select the number of records to print. For more information,
see Chapter 9, “Printing.”

Basic Operation
2-12 SureSigns VS2+ Instructions for Use
 Main Screen Display

– The System button is used to open the System Menu, where you
can change system settings, save patient records to a USB flash
drive, or view system information. Qualified personnel can access
the password-protected System Admin Menu.
– The Alarms button is used to open the Alarm Limits Menu, where
you can set alarm limits. From the Alarm Limits Menu, you can
open the Alarm Settings Menu, where you can show or hide alarm
limits, set the alarm tone volume, restore default alarm settings, set
the monitor to print on alarm, and set automatic alarm limits. For
more information, see Chapter 4, “Alarms.”
• The Battery Status pane shows the current charge of the monitor’s
battery. For more information, see “Charging the Battery” on page 2-6.
• The Date/Time pane displays the current time. You can hide the time, as
described in “Changing System Settings” on page 2-17.
• Patient Records buttons are used to view, save, edit, delete, or cancel
changes to patient records. For more information, see
Chapter 3, “Creating a New Patient Record.”
• The scroll bar is used to scroll through patient records when the display is
in Patient Records mode. For more information, see Chapter 3, “Creating
a New Patient Record.”

Basic Operation
SureSigns VS2+ Instructions for Use 2-13
Main Screen Display

Vital Signs Display Mode

In Vital Signs mode, the main screen displays vital signs measurements for the
current patient as numeric values. The patient type and patient ID appear at the
top of the screen. If you do not enter a patient ID, the text ID Unknown is
displayed. You can highlight a numeric pane to adjust individual alarm limits or
change settings for a specific parameter.

Network Status Patient Records

icon Patient Type Patient ID buttons

Adult 0009875433

98
mmHg SpO2%

122
SYS
160 100
90 90

DIA

80 80
90 bpm SpO2%

50 120
50 Numeric
Off panes

98 37.1
MAP ºC Oral
110 39.0
70 36.0

03:31:00

Message area Menu buttons Battery Status Date/Time pane

pane

Basic Operation
2-14 SureSigns VS2+ Instructions for Use
 Main Screen Display

Display Waveform Mode

In Display Waveform mode, the main screen displays vital signs measurements
for the current patient in numeric panes on the top of the screen and an SpO2
waveform on the bottom. The waveform pane displays a waveform if SpO2 is
being monitored. If SpO2 is not being monitored, a baseline is displayed.

The patient type and patient ID appear at the top of the screen. If you do not
enter a patient ID, the text ID Unknown is displayed. You can highlight a
specific numeric pane to adjust individual alarm limits or change settings for a
specific parameter.

Network Status Patient Records

icon Patient Type Patient ID buttons

Adult 0009875433

122/85
98
SpO2%
mmHg

Off
(98) Numeric
panes

80
SpO2%
bpm
Oral

37.1
ºC

SpO2

Waveform
pane

03:31:00

Message area Menu buttons Battery Status Date/Time pane

pane

Basic Operation
SureSigns VS2+ Instructions for Use 2-15
Main Screen Display

Patient Records Display Mode

In Patient Records mode, the main screen displays the patient records table.
You can display all patient records or all records for a specific patient.

If you highlight a record, the patient IDs for the highlighted record appear in a
separate pane at the bottom of the screen.

If you do not enter a patient ID, the text ID Unknown is displayed. You can also
edit or delete patient records. For more information on working with records in
the Patient Records table, see Chapter 3, “Creating a New Patient Record.”

Patient/Type Date Time Pulse NBP SpO2 Temp

0009875433 A 06/21/11 03:20:12 65 SpO2 -- / -- (--) 98 36.8 Scroll bar
0007363627 A 06/21/11 03:16:44 64 SpO2 -- / -- (--) 98 39.1
0006352516 A 06/21/11 03:12:41 72 SpO2 -- / -- (--) 99 36.9
0008763842 A 06/21/11 03:08:03 60 SpO2 -- / -- (--) 98 37.1 Patient
0006655321 A 06/21/11 03:00:43 80 SpO2 -- / -- (--) 99 36.6 Records
buttons
0008764332 A 06/21/11 02:55:11 56 NBP 111/60 (82) 97 37.2
0008893376 A 06/21/11 02:50:06 77 SpO2 -- / -- (--) 95 37.0
0008873221 A 06/21/11 02:44:32 78 SpO2 -- / -- (--) 98 36.8
0003323876 P 06/21/11 02:40:51 75 SpO2 -- / -- (--) 97 36.9

03:31:00

Message area Menu buttons Battery Date/Time pane

Status pane

Changing the Display Mode

By default, the main screen is in Vital Signs mode and displays measurements
for the current patient. To switch between display modes, press the Main
Screen key.
Main Screen
key

Basic Operation
2-16 SureSigns VS2+ Instructions for Use
 Changing System Settings

Tool Tips
When you rotate the navigation wheel to highlight a button in the main screen, a
description appears, as shown in the following illustration.

Tool Tip pops up for Print

Print button

Changing System Settings

The System Menu contains the following options:

• System settings buttons, which allow you to change system-wide settings.

• The Save Patient Records button, which allows you to export patient
records to a USB flash drive. For more information, see “Saving Patient
Records to a USB Flash Drive” on page 2-19.
• The System Info button, which displays information about the monitor.
For more information, see “Viewing Monitor Information” on page 2-20.
• The System Admin button, which provides access to the
password-protected System Admin Menu. Only qualified personnel can
access the System Admin Menu.
• The Shutdown button, which allows qualified personnel to shut down the
monitor for maintenance or repair.
To change settings in the System Menu:

Step

1 Rotate the wheel to highlight the System button,

and then press the wheel.

System button The System Menu appears.

Basic Operation
SureSigns VS2+ Instructions for Use 2-17
Changing System Settings

2 Rotate the wheel to select any of the following system settings:

• Recorder Speed — If your monitor has a recorder, use this
option to change the speed at which it prints. The lower the
speed, the greater the resolution in the printed waveforms.
Options are: 50.0, 25.0, 12.5, and 6.25 mm/s.
Note — The Recorder Speed setting is independent of the Sweep
Speed setting for the SpO2 waveform.

• Waveform Print — Use this setting to select the length of

printed waveforms. Options are 7 seconds and 20 seconds.
For more information, see “Printing an SpO2 Waveform” on
page 9-5.
• Date Format — You can change the monitor’s date format.
Options are mm/dd/yyyy and dd/mm/yyyy.
• Display Time — Use this setting to show or hide the time in
the lower right corner of the screen display.
• Default Patient Type — Select a patient type. Each time you
start a new patient, the default patient type is selected and the
alarm settings are restored to the default values for the
specified patient type. Options are Adult, Pediatric, and
Neonatal.
• Monitor Name — The default monitor name is the monitor
serial number. You can use this field to change the default
name to a more meaningful name. The Monitor Name must
be from 2 to 10 characters long. The name can contain the
uppercase and lowercase letters from A through Z, the
numbers 0 through 9, and the hyphen (-) character. The name
cannot contain spaces. The final character must not be a
hyphen.
Note — A message appears if you enter a monitor name that
contains invalid characters or is already in use on the network.

3 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Basic Operation
2-18 SureSigns VS2+ Instructions for Use
 Changing System Settings

Saving Patient Records to a USB Flash Drive

Warning Exported patient records contain patient IDs and patient data. Ensure that
the exported data is handled according to your facility’s electronic protected
health information (ePHI) guidelines.

Only authorized personnel should be allowed to view, handle, store, or

transmit patient data.

Use the Save Patient Records button on the System Menu to export patient
data to a USB flash drive. The exported file is a space-delimited .csv file with
the name RecordLog_Monitor Name.csv.

Note — Patient IDs containing non-alphanumeric characters may not display

correctly if viewed in Microsoft Excel®.

Philips recommends using a SanDisk® or Kingston® USB flash drive.

To save patient records to a USB flash drive:

Step

1 Insert a USB flash drive in the USB port on the back of the
monitor.

2 Open the System Menu and rotate the wheel to highlight the
Save Patient Records button.

Basic Operation
SureSigns VS2+ Instructions for Use 2-19
Changing System Settings

3 Press the wheel to start the export process.

A message indicates that the patient records have been exported.
Note — If the USB flash drive is not detected, ensure that the
drive is completely inserted into the USB port.

4 Press the Main Screen key to close the menu.

Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Viewing Monitor Information

The System Information window displays the following information about the
monitor:

• Serial number — The monitor’s serial number, which also appears on the
back of the monitor. The serial number is configured in the factory.
• Hardware ID — The version for each of the following hardware
components:
<Main board> - 0 - <FPGA ID>
• Software Version — The software version installed on the monitor.
• LAN MAC Address — The unique MAC address assigned to the monitor.
The MAC address is configured in the factory.
• LAN IP Address — The IP address currently assigned to the monitor.
• WLAN MAC Address — The unique wireless MAC address assigned to
the monitor. The MAC address is configured in the factory.
• WLAN IP Address — The wireless IP address currently assigned to the
monitor.
• Language — The language currently configured on the monitor.
• Configuration — The monitor type and the parameters installed in the
monitor.

Basic Operation
2-20 SureSigns VS2+ Instructions for Use
 Changing System Settings

Note — The IP addresses are 0.0.0.0 (all zeros) until a network connection is
established.

To view the System Information window:

Step

1 Rotate the wheel to highlight the System button, and then press
the wheel.
The System Menu appears. Current settings are displayed.

2 Rotate the wheel to highlight the System Info button, and then
press the wheel.
The System Information window appears.

3 Press the Main Screen key on the front panel to close the
window.
Alternative: Rotate the wheel to highlight the Return button, and
then press the wheel to close the window.

Basic Operation
SureSigns VS2+ Instructions for Use 2-21
Networked Monitors

Networked Monitors
You can connect the VS2+ monitor to a network by using a standard wired LAN
connection, a wireless LAN interface, or a serial interface adapter. A networked
monitor can export patient records from the monitor to an access point or router,
and then forward the data to an HL7 interface server or EHR system.

If your monitor is networked, the records in the Patient Records table change
from white to green after they have been exported successfully. Records that are
not exported successfully change from white to blue, and a message indicating
the reason the record was rejected may appear on the screen.

Caution If you are using the optional serial interface adapter to export data and you
disconnect the adapter to move the monitor to a different location, make
sure the black sheath completely covers the RS-232 connector after you
reconnect the cable.

Verifying the Network Connection

The network status icon, which appears in the upper left corner of the main
screen, indicates the status of the monitor’s network connection.

If the monitor detects a LAN IP address and a WLAN IP address, the monitor
first selects LAN for network communication.

Icon Connection Status

The monitor is currently connected to a wireless network. The

number of bars displayed indicates the signal strength. Four
bars indicates the strongest signal and no bars indicates a very
weak signal.

The monitor is currently connected to a wired network.

Basic Operation
2-22 SureSigns VS2+ Instructions for Use
 Networked Monitors

Icon Connection Status

No icon If the pane is empty, the monitor is not connected to a wired or

wireless network.

Synchronizing the Date and Time

Your system administrator can configure your networked monitor to
automatically synchronize the clock on the monitor to the clock on your hospital
EHR server or HL7 interface server.

If the clock on the monitor differs by more than five seconds from the clock on
the server, the monitor will automatically adjust the date and time, unless:

• A patient record is open; the time change will occur after the record is
closed.
• An NBP or temperature measurement is in progress; the time change will
occur when the measurement is complete.
• A patient record is being printed; the time change will occur after printing
is complete.
If the time difference is greater than 30 seconds, the following occurs:

• A low-priority technical alarm message, Date/Time Adjusted, appears

and flashes in the monitor’s message area.

Note — No audible alarm sounds with the Date/Time Adjusted alarm

message. To clear the message, press the Alarm Silence key.

• A horizontal blue line appears in the Patient Records table to indicate

when the date/time adjustment occurred.
• In NBP Interval mode, the monitor starts a new NBP measurement.

Basic Operation
SureSigns VS2+ Instructions for Use 2-23
Using the Monitor Safely

Note — If the system clock on the server or EHR system adjusts automatically
for daylight saving time, the monitor will synchronize with the server clock. If
the system clock on the server does not adjust automatically for daylight saving
time, you must manually change the time on the monitor.

Using the Monitor Safely

All of the patient applied parts on the SureSigns VS2+ vital signs
monitor are classified as type CF, which specifies their degree of
protection against electrical shock. All are rated as defibrillator
proof, as indicated by the heart symbol on the side panel.

This monitor is suitable for use in the presence of electrosurgery.

SureSigns VS2+ vital signs monitors conform to CISPR 11. SureSigns VS2+
vital signs monitors are suitable for use in all establishments except domestic
establishments and those directly connected to the public low-voltage power
supply network that supplies buildings used for domestic purposes.

Ensure that the monitor is in working condition before clinical use. If the
accuracy of any measurement does not seem reasonable, first check the patient’s
vital signs by alternative means and then with the monitor to make sure it is
working properly. Always verify that the monitor’s settings match your intended
selections.

If you connect the monitor to any instrument, verify proper operation before
clinical use. Refer to the instrument’s Instructions for Use for full instructions.

Accessory equipment connected to the monitor’s data interface must be certified

according to IEC Standard 60950 for data-processing equipment or IEC
Standard 60601-1 for electromedical equipment. All combinations of equipment
must be in compliance with IEC Standard 60601-1-1 systems requirements.

Basic Operation
2-24 SureSigns VS2+ Instructions for Use
 Using the Monitor Safely

Anyone who connects additional equipment to the signal input port or signal
output port configures a medical system and is therefore responsible to ensure
that the system complies with the requirements of system standard IEC Standard
60601-1-1. If in doubt, contact the Philips Customer Care Center or your local
Philips representative.

The monitor and its accessories must be tested by qualified service personnel at
regular intervals to ensure that performance has not been degraded by aging or
environmental conditions. Periodic performance verification tests must be
performed, as described in the SureSigns VS2+ and VSi Service Guide.

Warning This equipment complies with FCC radiation exposure limits set forth for an
uncontrolled environment. This equipment should be installed and operated
with a minimum distance of 20 cm between the monitor and any person.

Explosion Hazard. Equipment not suitable for use in the presence of a

flammable anaesthetic mixture with air or oxygen or nitrous oxide. Oxygen
concentrations must be <25% and partial pressure <27.5 kPa when no other
oxidants are present.

Electric shock hazard. Covers should be removed only by qualified service

personnel. There are no user-serviceable parts inside.

Do not touch the patient, or table, or instruments during defibrillation.

Measurement accuracy may decrease temporarily while performing

electro-surgery or defibrillation. This does not affect patient or equipment
safety.

Do not open the monitor or attempt to change the battery. If you suspect a
problem with parts within the monitor, contact your biomedical engineer or
local Philips Representative.

Route patient cabling to reduce the possibility of patient entanglement or

strangulation. To reduce this risk, Philips recommends the use of the cable
management kit. For more information, see “Miscellaneous Accessories” on
page 11-10.

Do not place the monitor in any position that might cause it to fall on the
patient. Do not lift the monitor by the power supply cord or patient
connections.

Do not use the monitor on more than one patient at a time.

Basic Operation
SureSigns VS2+ Instructions for Use 2-25
Using the Monitor Safely

To ensure patient electrical isolation, connect only to other equipment that

provides patient electrical isolation. Use only unshielded network cables.

Use only grounded power cords (three-wire power cords with grounded
plugs) and grounded electrical outlets. Never adapt a grounded plug to fit an
ungrounded outlet by removing the ground prong or ground clip.

Do not use extension cords to connect the monitor to electrical outlets.

LAN cables must meet all local electrical requirements.

Do not use the monitor or SpO2 sensors during magnetic resonance imaging
(MRI) scanning. Induced current could potentially cause burns. The
monitor may affect the MRI image, and the MRI unit may affect the
accuracy of the monitor’s measurements.

If multiple instruments are interconnected or if multiple instruments are

connected to a patient, the sum of the leakage currents may exceed the limits
given in IEC/EN 60601-1. Consult your service personnel.

Do not connect this monitor to any equipment or device, other than those
specified in this manual.

Sterilization is not recommended for this monitor, accessories or supplies,

unless otherwise indicated in the Instructions for Use that accompany the
accessories and supplies.

Use only approved accessories with the SureSigns VS2+ monitor. The use of
unapproved accessories can diminish monitor performance or safety.
Consult the Instructions for Use that accompany the accessories.

Electromagnetic interference may cause disruption of performance. Protect

the monitor from sources of intense electromagnetic radiation. This device is
designed to provide resistance to electromagnetic interference; however,
because of the proliferation of radio-frequency transmitting equipment and
other sources of electrical noise (such as cellular phones, mobile two-way
radios, and electrical appliances) in the healthcare and home environments,
it is possible that high levels of such interference due to close proximity or
strength of a source, may result in disruption of performance of this device.
Disruption may be evidenced by erratic readings, cessation of operation or
other incorrect functioning. If this occurs, the site of use should be surveyed
to determine the source of this disruption, and actions taken to eliminate the
source. If you need assistance, contact the Philips Customer Care Center or
your local Philips Representative.

Basic Operation
2-26 SureSigns VS2+ Instructions for Use
 Using the Monitor Safely

Disposing of the monitor: To avoid contaminating or infecting personnel, the

environment or other equipment, make sure you disinfect and
decontaminate the monitor appropriately before disposing of it in
accordance with your country’s laws for equipment containing electrical
and electronic parts. For disposal of parts and accessories such as
thermometers, where not otherwise specified, follow local regulations
regarding disposal of hospital waste.

Before disposing of a SureSigns VS2+ monitor, delete all patient information.

For instructions on deleting patient data, see the SureSigns VS2+ and VSi
Service Guide.

To protect confidential patient information, follow these guidelines:

• Do not leave the monitor unattended.

• Ask your system administrator to activate the Auto Suspend option,

which causes the display to go blank after a specified amount of time if
there is no user interaction with the monitor.

• Set the main screen to Vital Signs mode or Display Waveform mode to
hide patient records. For more information, see “Main Screen Display”
on page 2-12.

Access to the System Admin Menu is restricted. It is password-protected to

ensure that only system administrators, biomedical engineers, or other
qualified service personnel can change the system-wide settings on the
monitor.

Basic Operation
SureSigns VS2+ Instructions for Use 2-27
Using the Monitor Safely

Basic Operation
2-28 SureSigns VS2+ Instructions for Use
 3
Creating a New Patient Record

This chapter describes how to save vital signs measurements to a patient record
and how to work with records in the Patient Records table.

The Patient Records Table

The Patient Records table can store and display up to 100 records in
chronological order. The newest record appears at the top of the list and the
oldest one at the bottom of the list. If you try to enter more than 100 records, the
oldest entry is deleted from the database, and the new one is added.

Patient/Type Date Time Pulse NBP SpO2 Temp

0009875433 A 06/21/11 03:20:12 65 SpO2 -- / -- (--) 98 36.8
0007363627 A 06/21/11 03:16:44 64 SpO2 -- / -- (--) 98 39.1
0006352516 A 06/21/11 03:12:41 72 SpO2 -- / -- (--) 99 36.9
0008763842 A 06/21/11 03:08:03 60 SpO2 -- / -- (--) 98 37.1
Patient 0006655321 A 06/21/11 03:00:43 80 SpO2 -- / -- (--) 99 36.6
Records 0008764332 A 06/21/11 02:55:11 56 NBP 111/60 (82) 97 37.2
Table
0008893376 A 06/21/11 02:50:06 77 SpO2 -- / -- (--) 95 37.0
0008873221 A 06/21/11 02:44:32 78 SpO2 -- / -- (--) 98 36.8
0003323876 P 06/21/11 02:40:51 75 SpO2 -- / -- (--) 97 36.9

03:31:00

Each entry contains a patient ID (or ID Unknown if you do not enter an ID), the
patient type, date and time, and up to four measurements. The Time column
shows the time at which the last measurement completed. A question mark (-?-)
in the record indicates an invalid measurement and dashes (--) indicate that the
parameter was not measured.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-1
Caution If your patient records are exported over a network, you must enter a
patient ID and any additional information required by your facility.

Notes
• If your monitor is networked, the records in the Patient Records
table change from white to green after they have been exported
successfully. Records that are not exported successfully change
from white to blue, and a message indicating the reason the record
was rejected may appear on the screen.
• If an invalid measurement occurs in NBP Interval mode, a question
mark (-?-) is exported as the measurement value.

Patient Records Buttons

The following table describes the buttons that appear to the right of the Patient
Records table. These buttons change, depending on whether the topmost record
is open or closed.

Button
Button Description
Name
Delete If the record is closed, select the Delete button to
delete the saved record.

Edit If the record is closed, select the Edit button to

edit the record.

Cancel If the record is open, select the Cancel button to

discard the record before it is saved to the
database.
This button also appears in Vital Signs mode and
Display Waveform mode if the record is open.

Creating a New Patient Record

3-2 SureSigns VS2+ Instructions for Use
 Patient ID Overview

Button
Button Description
Name
Save If the record is open, select the Save button to
save the open record.
This button also appears in Vital Signs mode and
Display Waveform mode if the record is open.
View Select the View Records button to toggle between
Records View Patient mode and View All mode. Select
View Patient mode to view all records for a
specific patient. Select View All mode to view all
records in the Patient Records table.

See the procedures later in this chapter for detailed information on using these
buttons.

Patient ID Overview
Your system administrator configures your SureSigns VS2+ monitor to display
any or all of the following patient ID input fields in the New Patient Menu:

• Medical Record Number (MRN): A unique number used to track and

identify a patient. Maximum length is 20 characters.
• Transaction ID: Also known as a visit ID, the transaction ID is a unique
number used to track a single patient visit. Maximum length is
20 characters.
• First Name, Middle Name, Last Name: The patient’s name. Maximum
length is 15 characters for each name field.
• Location ID: Typically, a description of the physical location of the
monitor, for example a room number. Maximum length is 12 characters.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-3
Patient ID Overview

Note — If the monitor remains in one location, your system administrator

can configure a default Location ID so that you do not have to manually
enter a Location ID each time you create a new patient.

• Operator ID: The ID of the person using the monitor to measure a

patient’s vital signs. Maximum length is 12 characters.
The available patient ID input fields can only be changed by your system
administrator in the password-protected System Admin Menu. In this guide, the
term patient ID is used to refer to any of the patient ID types listed above.

Your system administrator also specifies whether an ID field is required. An

asterisk appears next to all required patient IDs in the New Patient Menu. You
cannot save the patient record until all required input fields are complete.

When you scroll through the Patient Records table, the display splits into two
panes. The top pane displays the patient records stored on the monitor, and the
bottom pane displays all of the patient IDs for the highlighted record.

Creating a New Patient Record

3-4 SureSigns VS2+ Instructions for Use
 Entering Patient IDs and Saving Measurements

Entering Patient IDs and Saving Measurements

This section describes how to enter a new patient ID, take a set of vital signs
measurements, and save the measurements to the Patient Records table.

Warning The procedures in this section instruct you to enter patient IDs in the New
Patient Menu before taking the patient’s vital signs measurements. Follow
the steps in the order they are written. Taking measurements before entering
patient IDs may result in sending measurements for the wrong patient ID to
the EHR.

Caution Before you begin monitoring, make sure that the correct patient type is
selected. The monitor’s default alarm limits and initial cuff inflation
pressures are based on the selected patient type.

Your system administrator configures the method for entering patient IDs in the
password-protected System Admin Menu. You can enter a patient ID by using
one of the following methods:

• The on-screen keyboard. See “Entering Patient IDs Using the On-screen
Keyboard” on page 3-6.
• A barcode scanner that reads each patient ID one at a time. The monitor
prompts you to scan the barcode for each patient ID field. See “Entering
Patient IDs by Scanning Individual Barcodes” on page 3-9.
• A programmed barcode scanner. When you scan the barcode, the monitor
automatically enters the scanned data in the patient ID fields. See
“Entering Patient IDs with a Programmed Barcode Scanner” on
page 3-12.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-5
Entering Patient IDs and Saving Measurements

Entering Patient IDs Using the On-screen Keyboard

To manually enter patient identifiers and save vital signs measurements:

Step

1 Rotate the wheel to highlight the New Patient

button, and then press the wheel.
New Patient The New Patient Menu appears.
button

2 If the patient type is correct, go to step 3. To change the patient

type, rotate the wheel to highlight the Patient Type field, and
then press the wheel. Rotate the wheel to select a patient type.
The choices are:
• Adult
• Pediatric
• Neonatal
Press the wheel again to save the selected patient type.

3 Rotate the wheel to highlight an ID field, and then press the

wheel. (An asterisk appears next to every required field.)
A keyboard appears.

11 2 3 4 5 6 7 8 9 0 - =
q1 w e r t y u i o p [ ]
a1 s d f g h j k l ; ‘ \
z1 x c v b n m , . / Back
Shift OK Cancel

Creating a New Patient Record

3-6 SureSigns VS2+ Instructions for Use
 Entering Patient IDs and Saving Measurements

4 To enter an ID:
• Rotate the wheel to highlight a character, and then press the
wheel after each selection.
• If you enter an incorrect character, use the Back button to
erase the character or use the Cancel button to start over.
• Use the Shift button to access uppercase characters and
additional special characters.
When you are done entering the ID, rotate the wheel to highlight
the OK button, and then press the wheel to return to the New
Patient Menu.

5 Enter IDs in any additional patient ID fields.

6 Rotate the wheel to highlight the OK button, and then press the
wheel to close the New Patient Menu.
Note — The OK button is unavailable until all required patient
ID fields are complete.

A new row appears at the top of the Patient Records table. The
new row contains the patient ID and the patient type. The text in
the new row is red.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-7
Entering Patient IDs and Saving Measurements

7 Begin taking the vital signs measurements on the new patient.

When all measurements are complete, the values appear in the
new record.

8 Do one of the following:

• To save the record, rotate the wheel to highlight the Save
button, and then press the wheel. After the information is
saved, the text changes from red to black.
• To discard the record, rotate the wheel to highlight the
Cancel button, and then press the wheel. The record is not
saved to the Patient Records table.
Note — If you do not select the Save button or Cancel button,
the record remains open for a time interval configured by your
system administrator. After the specified time elapses, the
monitor automatically saves the measurements and closes the
record.

Creating a New Patient Record

3-8 SureSigns VS2+ Instructions for Use
 Entering Patient IDs and Saving Measurements

Entering Patient IDs by Scanning Individual Barcodes

If your barcode scanner reads individual barcodes one at a time, the monitor
prompts you to scan each patient ID. The scanned information is transferred to
the highlighted patient ID field on the monitor.

Before you begin scanning, be sure that you are familiar with the barcodes used
at your facility. When the monitor prompts you to scan a patient ID, you need to
know which barcode corresponds with the highlighted ID field.

Note — If the barcode scanner cannot read the barcode or does not function
correctly, you can unplug the scanner and use the on-screen keyboard to enter
patient IDs. For more information, see “Entering Patient IDs Using the
On-screen Keyboard” on page 3-6.

To scan individual patient ID barcodes and save vital signs measurements:

Step

1 Hold the scanner over the barcode, pull the trigger, and center
the beam on the barcode.
Note — To get a proper read:

• Hold the scanner closer to small barcodes and farther away

from large barcodes.
• Ensure that the patient’s wrist band lies flat and the
barcode is visible.
• Ensure that the barcode is not damaged.
• Pause for at least one second between scans.
The New Patient Menu appears and the first enabled patient ID
field is highlighted.
Alternative: Rotate the wheel to highlight the New Patient
button, and then press the wheel to open the New Patient Menu.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-9
Entering Patient IDs and Saving Measurements

2 Verify that the correct patient type (Adult, Pediatric, or

Neonatal) is selected. If the patient type is correct, go to step 4.
If necessary, change the patient type by rotating the wheel to
highlight the Patient Type field, and then press the wheel. Select
the appropriate patient type and press the wheel again to save
your selection.

3 Rotate the wheel to highlight the first enabled patient ID field. A

message at the bottom of the screen prompts you to scan the
patient ID.

4 Hold the scanner over the barcode, pull the trigger, and center
the beam on the barcode.
The scanned ID appears in the corresponding patient ID field,
and the next enabled field is highlighted. A message at the
bottom of the screen prompts you to scan the next patient ID.

5 Repeat step 4 to scan each barcode.

Notes
• If your system administrator has configured a default
Location ID, the monitor does not prompt you to scan the
Location ID and skips to the next patient ID field. You can
change the default Location ID by rotating the wheel to
highlight the Location ID field, and then scan the Location
ID barcode again.
• The OK button is unavailable until all required patient ID
fields are complete.

6 Verify that the scanned information is accurate.

7 Press the wheel to close the New Patient Menu.

The main screen returns to the previously selected display mode.

Creating a New Patient Record

3-10 SureSigns VS2+ Instructions for Use
 Entering Patient IDs and Saving Measurements

8 Begin taking the vital signs measurements on the new patient.

When all measurements are complete, the values appear in the
new record.

9 Do one of the following:

• To save the record, rotate the wheel to highlight the Save
button, and then press the wheel. After the information is
saved, the text changes from red to black.
• To discard the record, rotate the wheel to highlight the
Cancel button, and then press the wheel. The record is not
saved to the Patient Records table.
Note — If you do not select the Save button or Cancel button,
the record remains open for a time interval configured by your
system administrator. After the specified time elapses, the
monitor automatically saves the measurements and closes the
record.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-11
Entering Patient IDs and Saving Measurements

Entering Patient IDs with a Programmed Barcode Scanner

If your barcode scanner is programmed, the scanned information is
automatically transferred to the corresponding patient ID fields on the monitor.

Before you begin scanning, make sure you are familiar with the barcodes used at
your facility.

Note — If the barcode scanner cannot read the barcode or does not function
correctly, you can unplug the scanner and use the on-screen keyboard to enter
patient IDs. For more information, see “Entering Patient IDs Using the
On-screen Keyboard” on page 3-6.

To use a programmed barcode scanner to scan patient IDs:

Step

1 Hold the scanner over the barcode, pull the trigger, and center
the beam on the barcode.
Note — To get a proper read:

• Hold the scanner closer to small barcodes and farther away

from large barcodes.
• Ensure that the patient’s wristband lies flat and the barcode
is visible.
• Ensure that the barcode is not damaged.
The New Patient Menu appears and the scanned patient IDs
appear in the corresponding patient ID fields.
Alternative: Rotate the wheel to highlight the New Patient
button, and then press the wheel to open the New Patient Menu.

Creating a New Patient Record

3-12 SureSigns VS2+ Instructions for Use
 Entering Patient IDs and Saving Measurements

2 Verify that the correct patient type (Adult, Pediatric, or

Neonatal) is selected. If the patient type is correct, go to step 3.
If necessary, change the patient type by rotating the wheel to
highlight the Patient Type field, and then press the wheel.
Select the appropriate patient type and press the wheel again to
save your selection.

3 If necessary, hold the scanner over the next barcode, pull the
trigger, and center the beam on the barcode.
The scanned identifiers appear in the corresponding patient ID
fields.

4 Verify that the scanned information is accurate.

5 Rotate the wheel to highlight the OK button, and then press the
wheel to close the New Patient Menu.
Note — The OK button is unavailable until all required patient
ID fields are complete.

The main screen returns to the previously selected display mode.

6 Begin taking vital signs measurements on the new patient.

When all measurements are complete, the values appear in the
new record.

7 Do one of the following:

• To save the record, rotate the wheel to highlight the Save
button, and then press the wheel. After the information is
saved, the text changes from red to black.
• To discard the record, select the Cancel button. The
record is not saved to the Patient Records table.
Note — If you do not select the Save button or Cancel button,
the record remains open for a time interval configured by your
system administrator. After the specified time elapses, the
monitor automatically saves the measurements and closes the
record.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-13
Saving Measurements Without a Patient ID

Saving Measurements Without a Patient ID

Caution Before you begin monitoring, make sure that the correct patient type is
selected. The monitor’s default alarm limits and initial cuff inflation
pressures are based on the selected patient type.

This section describes how to take a set of vital signs measurements, and save
the measurements to the Patient Records table, without entering a patient ID. If
you save a record with an unknown ID and then decide to assign an ID, you can
edit the ID, as described in “Editing a Patient Record” on page 3-20.

To save vital signs measurements without a patient ID:

Step

1 Verify that the correct patient type (Adult, Pediatric, or Neonatal)

is selected. The current patient type appears in the top of the
Patient Records pane.
If the patient type is correct, go to step 5.

2 To change the patient type, rotate the wheel to

highlight the New Patient button, and then press the
wheel to open the New Patient Menu.
New Patient
button

3 Rotate the wheel to highlight the Patient Type field, and then
press the wheel. Rotate the wheel to select a patient type.
Press the wheel again to save the selected patient type.

Creating a New Patient Record

3-14 SureSigns VS2+ Instructions for Use
 Saving Measurements Without a Patient ID

4 Rotate the wheel to highlight the OK button, and then press the
wheel to close the New Patient Menu.
Note — The OK button is unavailable until all required patient
ID fields are complete.

A new row appears at the top of the Patient Records table. The
text in the new row is red.

5 Begin taking vital signs measurements on the new patient.

When all measurements are complete, the values appear in the
new record.

6 Do one of the following:

• To save the record, rotate the wheel to highlight the Save
button, and then press the wheel. After the information is
saved, the text changes from red to black.
• To discard the record, select the Cancel button. The record
is not saved to the Patient Records table.
Note — If you do not select the Save button or Cancel button,
the record remains open for a time interval configured by your
system administrator. After the specified time elapses, the monitor
automatically saves the measurements and closes the record.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-15
Viewing Records in the Patient Records Table

Viewing Records in the Patient Records Table

The Patient Records table displays up to nine records at one time. You can use
the scroll bar to the right of the Patient Records table to scroll through all saved
records. You can also view all records for a specific patient.

When you scroll through the Patient Records table, the display splits into two
panes. The top pane displays the patient records stored on the monitor, and the
bottom pane displays all of the patient identifiers for the highlighted patient
record.

The View Records button in the lower right corner of the Patient Records screen
toggles between two modes: View Patient and View All. Use View Patient mode
View Records to view all records for a specific patient. Use View All mode to view all records
button in the Patient Records table.

Note — When you highlight the View Records button, the tool tip displays the
opposite mode: if you select View Patient, the label changes to View All; if you
select View All, the label changes to View Patient.

To scroll through all of the records:

Step

1 Rotate the wheel to highlight the View Records button, and

select View All mode.

2 Rotate the wheel to highlight the scroll bar to the right of the
Patient Records table, and then press the wheel.
The scroll bar changes from gray to red to indicate that it is
active.

3 Rotate the wheel to scroll through all of the records.

4 To exit scrolling mode, press the wheel.

Creating a New Patient Record

3-16 SureSigns VS2+ Instructions for Use
 Viewing Records in the Patient Records Table

Note — If you take a new measurement while scrolling mode is active, the
monitor automatically scrolls to the top and exits scrolling mode.

To view all records for a specific patient:

Step

1 Rotate the wheel to highlight the scroll bar to the right of the
Patient Records table, and then press the wheel.
The scroll bar changes from gray to red to indicate that it is
active.

2 Rotate the wheel to highlight the desired patient ID, and then
press the wheel.

3 Rotate the wheel to highlight the View Records button, and then
press the wheel to select View Patient mode.
The Patient Records table displays all records for the selected
patient.

4 To exit this view, press the wheel again.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-17
Selecting an Existing Patient ID

Selecting an Existing Patient ID

After a patient ID has been saved to the Patient Records database, you can find
and retrieve the ID if you want to take another set of measurements on the same
patient. You do not have to re-enter the ID.

Notes
• If you are using a barcode scanner to enter patient IDs, you can
select an existing patient ID from the patient ID list by unplugging
the scanner and using the on-screen keyboard.
• To save a new patient ID, you must take an associated set of vital
signs measurements and save them. If you enter a new ID but do
not save measurements for the new ID, the ID is not saved to the
database.

To add a new set of measurements to an existing patient ID:

Step

1 Rotate the wheel to highlight the New Patient

button, and then press the wheel.
New Patient The New Patient Menu appears.
button

2 Rotate the wheel to highlight the Select Patient ID from List

button, and then press the wheel.
The list of current patient IDs appears.

3 To change the sort order of the list, rotate the wheel to highlight
the List Sorted By button, and then press the wheel.

4 Rotate the wheel to highlight the list, and then press the wheel.

5 Rotate the wheel to select a patient ID from the list, and then
press the wheel.

Creating a New Patient Record

3-18 SureSigns VS2+ Instructions for Use
 Selecting an Existing Patient ID

6 Rotate the wheel to highlight the OK button, and then press the
wheel to return to the New Patient Menu.

7 Rotate the wheel to highlight the OK button, and then press the
wheel to close the New Patient Menu.

8 Begin taking a new set of measurements on the patient.

9 After taking the new set of measurements, rotate the wheel to

highlight the Save button, and then press the wheel to save the
measurements.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-19
Editing a Patient Record

Editing a Patient Record

If you saved a patient record with an incorrect patient ID or you want to change
ID Unknown to an actual patient ID, you can edit the patient ID as described in
the following procedures.

Notes
• After you enter a patient ID and then exit the New Patient Menu,
you can no longer change the Patient Type. This is because the
default alarm values are based on the selected patient type.
• After a record has been exported successfully, it can no longer be
edited. Records that are exported successfully appear green in the
Patient Records table. Records that are not exported successfully
change from white to blue, and a message indicating the reason the
record was rejected may appear on the screen.

The method for editing patient IDs depends on the method used to enter patient
IDs. You can edit a patient ID by using one of the following methods:

• The on-screen keyboard. See “Editing a Patient Record Using the

On-screen Keyboard” on page 3-21.
• A barcode scanner that reads each patient ID barcode one at a time. See
“Editing a Patient Record by Scanning Individual Barcodes” on
page 3-23.
• A programmed barcode scanner. See “Editing a Patient Record Using a
Programmed Barcode Scanner” on page 3-24.

Creating a New Patient Record

3-20 SureSigns VS2+ Instructions for Use
 Editing a Patient Record

Editing a Patient Record Using the On-screen Keyboard

To manually edit a patient record:

Step

1 Rotate the wheel to highlight the scroll bar, and then press the
wheel.

2 Rotate the wheel to highlight the desired patient record, and then
press the wheel.

3 Rotate the wheel to highlight the Edit button, and

then press the wheel.
Edit button The Edit Patient Menu appears.
• To edit the selected patient ID, continue with step 4.
• To replace the selected patient ID with a patient ID from a
list of saved IDs:
– Rotate the wheel to highlight the Select Patient ID
from List table, and then press the wheel.

– Rotate the wheel to select a patient from the list, and

then press the wheel.
The selected patient ID appears in the patient ID field.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-21
Editing a Patient Record

4 To edit the selected patient ID:

• Rotate the wheel to highlight the desired field, and then
press the wheel.
A keyboard appears.

11 2 3 4 5 6 7 8 9 0 - =
q1 w e r t y u i o p [ ]
a1 s d f g h j k l ; ‘ \
z1 x c v b n m , . / Back
Shift OK Cancel

• Rotate the wheel to highlight the Back button, and then

press the wheel to erase the incorrect ID.
• Enter a new ID by rotating the wheel to highlight each
character, and pressing the wheel after each selection.
Use the Shift button to access uppercase characters and
additional special characters.
• When you are done entering the new ID, rotate the wheel to
highlight the OK button, and then press the wheel.

5 Rotate the wheel to highlight the OK button, and then press the
wheel to close the Edit Patient Menu.
Note — The OK button is unavailable until all required patient
ID fields are complete.

A message prompts you to confirm the changes.

6 Rotate the wheel to highlight the Yes button, and then press the
wheel to save the changes.

Creating a New Patient Record

3-22 SureSigns VS2+ Instructions for Use
 Editing a Patient Record

Editing a Patient Record by Scanning Individual Barcodes

Note — If the barcode scanner cannot read the barcode or does not function
correctly, you can unplug the scanner and use the on-screen keyboard to edit
patient IDs. For more information, see “Editing a Patient Record Using the
On-screen Keyboard” on page 3-21.

To edit a patient record by scanning individual patient ID barcodes one at a

time:

Step

1 Rotate the wheel to highlight the scroll bar, and then press the
wheel.

2 Rotate the wheel to highlight the desired patient record, and then
press the wheel.

3 Rotate the wheel to highlight the Edit button, and

then press the wheel.
Edit button The Edit Patient Menu appears.
The first enabled field is highlighted and a message
at the bottom of the screen prompts you to scan the
corresponding patient ID.

4 Rotate the wheel to highlight the desired patient ID input field.

5 Scan the new barcode.

The new ID replaces the old one in the ID field, and the next
enabled ID field is highlighted.

6 If necessary, repeat step 4 and step 5 to edit other patient ID

fields.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-23
Editing a Patient Record

7 When you are done scanning the IDs, rotate the wheel to
highlight the OK button, and then press the wheel.
Note — The OK button is unavailable until all required patient
ID fields are complete.

A confirmation window opens.

8 Rotate the wheel to highlight the Yes button, and then press the
wheel to close the Edit Patient Menu and save the changes.

Editing a Patient Record Using a Programmed Barcode Scanner

Note — If the barcode scanner cannot read the barcode or does not function
correctly, you can unplug the scanner and use the on-screen keyboard to edit
patient IDs. For more information, see “Editing a Patient Record Using the
On-screen Keyboard” on page 3-21.

To edit a patient record with a programmed barcode scanner:

Step

1 Rotate the wheel to highlight the scroll bar, and then press the
wheel.

2 Rotate the wheel to highlight the desired patient record, and then
press the wheel.

3 Rotate the wheel to highlight the Edit button, and

then press the wheel.
Edit button The Edit Patient Menu appears.

4 Hold the scanner over the barcode, pull the trigger, and center
the beam on the barcode for the highlighted patient ID.
The barcode fills in the corresponding ID fields on the monitor.

Creating a New Patient Record

3-24 SureSigns VS2+ Instructions for Use
 Deleting Patient Records

5 If necessary, repeat step 4 to scan other patient ID fields.

6 When you are done scanning the IDs, rotate the wheel to
highlight the OK button, and then press the wheel.
Note — The OK button is unavailable until all required patient
ID fields are complete.

A confirmation window opens.

7 Rotate the wheel to highlight the Yes button, and then press the
wheel to close the Edit Patient Menu and save the changes.

Deleting Patient Records

Use the Delete button to delete:

• One patient record

• All records for a specific patient
• All records in the Patient Records database

Note — If you delete all records for a specific patient, the patient ID for the
deleted patient is also removed from the Patient Records database.

The options that appear in the Delete Records Menu depend on which View
mode is active.

• If View Patient mode is enabled, you can delete a specific patient record
or all records for the selected patient.
• If View All mode is enabled, you can delete a specific patient record, all
records for a specific patient, or all records in the Patient Records
database.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-25
Deleting Patient Records

Note — When you highlight the View Records button, the tool tip displays the
opposite mode: if you select View Patient, the label changes to View All; if you
select View All, the label changes to View Patient.

Deleting Specific Patient Records

To delete one patient record or all records for a specific patient:

Step

1 If necessary, press the Main Screen key to

display the Patient Records table.

Main Screen
key

2 Rotate the wheel to highlight the scroll bar, and then press the
wheel.

3 Rotate the wheel to highlight the desired patient ID, and then
press the wheel.

4 Rotate the wheel to highlight the View Patient button, and then
press the wheel to display all saved records for the selected
patient.

5 Rotate the wheel to highlight the Delete button,

and then press the wheel.
Delete button The Delete Records Menu appears. The patient
ID and patient type appear in the top of the menu.

6 Rotate the wheel to highlight one of the following options, and

then press the wheel to select the check box:
• Delete the selected patient record
• Delete all records for selected patient

Creating a New Patient Record

3-26 SureSigns VS2+ Instructions for Use
 Deleting Patient Records

7 Rotate the wheel to highlight the OK button, and then press the
wheel.
A confirmation window opens.

8 Rotate the wheel to highlight the Yes button, and then press the
wheel.
The patient record(s) are deleted.

Deleting All Patient Records

To delete all records in the Patient Records database:

Step

1 If necessary, press the Main Screen key to display

the Patient Records table.

Main Screen
key

2 Make sure View All mode is enabled.

3 Rotate the wheel to highlight the Delete button,

and then press the wheel.
Delete button The Delete Records Menu appears.

4 Rotate the wheel to highlight the Delete all records option, and
then press the wheel to select the check box.

5 Rotate the wheel to highlight the OK button, and then press the
wheel.
A confirmation window opens.

6 Rotate the wheel to highlight the Yes button, and then press the
wheel.
All patient records are deleted.

Creating a New Patient Record

SureSigns VS2+ Instructions for Use 3-27
Deleting Patient Records

Creating a New Patient Record

3-28 SureSigns VS2+ Instructions for Use
 4
Alarms

Alarms alert you to conditions that need immediate attention. Alarms on the
VS2+ monitor are divided into three severity levels:

• High — Indicates a potentially life-threatening situation. A high priority

alarm requires an immediate response from the clinician.
• Medium — Also indicates a physiological condition that requires prompt
attention. Medium alarms are most often triggered by an alarm limit
violation.
• Low — Most low-priority alarms indicate a problem with the monitor that
needs to be corrected; for example, an alarm indicating that the recorder is
out of paper.
When an alarm event occurs, the monitor issues both a visual and audible alarm.

Visual Alarms
The SureSigns VS2+ monitor uses the following visual alarm indicators:
flashing numeric values, alarm messages, and alarm icons.

Also, in the Patient Records table, a measurement that exceeds alarm limits is
enclosed in a box.

Alarms
SureSigns VS2+ Instructions for Use 4-1
Visual Alarms

Flashing Numeric Values

When a physiological alarm occurs, the text and the background of the numeric
pane change colors and start flashing, as described in the following table.

Alarm Priority Background Colors

High Flashing red and white

Medium Flashing yellow and white

Low Blue, no flashing

If a measurement exceeds the monitor’s measurement range, a question mark

(-?-) replaces the value in the numeric pane and an Out of Range message
appears in the message area.

Alarm Messages
Alarm messages appear in the message pane in the bottom left side of the screen.
Alarm messages use the same colors as the flashing numeric panes described
above. For a complete list of alarm messages and descriptions of each message,
see Appendix A, “Alarm Specifications.”

High-priority alarm messages preempt lower priority alarm messages. After the
high-priority alarm has been resolved, the lower priority alarm message appears.
If multiple alarms of the same priority occur at the same time, the alarm
messages rotate every 1.5 seconds.

Alarms
4-2 SureSigns VS2+ Instructions for Use
 Visual Alarms

Alarm Icons
Alarm icons represent the current alarm status. The following table describes
these icons.

Alarm
Description
Icon

The alarm icon with the dashed lines indicates that an alarm
has been temporarily silenced, or paused.
This icon appears when you press the Alarm Silence key once
to pause all active alarms. It also appears in all numeric panes
when you activate the Audio Pause mode to indicate that all
alarms have been temporarily silenced for the specified pause
period.

The alarm icon with the solid lines indicates that you have
explicitly turned off the alarms. The alarms will not sound
again until you explicitly turn them on again.
This icon appears when you disable one or more alarms in the
parameter menus or the Alarm Limits Menu. It also appears in
all numeric panes when you activate the Audio Off mode.

For more information, see “Silencing Alarms” on page 4-17.

Alarms
SureSigns VS2+ Instructions for Use 4-3
Audible Alarms

Audible Alarms
The alarm sound and interval depend on the alarm priority. High priority alarms
beep at a faster rate and sound different than medium and low priority alarms.

You can change the following audible alarm settings:

• Alarm volume — You can increase or decrease the alarm volume. See
“Adjusting the Alarm Volume” on page 4-13.
• Silence alarms — You can pause alarms or silence them indefinitely. See
“Silencing Alarms” on page 4-17.
• Alarm tones — The SureSigns VS2+ offers two sets of alarm tones. Only
authorized personnel can change the alarm tone in the password-protected
System Admin Menu.
To verify that the speaker is working at any time, perform the procedure in
“Testing Alarms” on page 4-21.

Warning Never pause an audible alarm or decrease the alarm volume if this could
compromise patient safety.

Do not rely exclusively on the audible alarm system for patient monitoring.
The most reliable method of patient monitoring requires correct operation
of the monitor and close observation of the patient.

Alarms
4-4 SureSigns VS2+ Instructions for Use
 Audible Alarms

Speaker Malfunction Notification

If the speaker malfunctions, a flashing red/white box with the AUDIO FAILED
message appears in the top section of the main screen and the Speaker Malfunc
message appears in the message pane.

For information on manually testing the speaker, see “Testing Alarms” on

page 4-21.

AUDIO FAILED
message

AUDIO FAILED
Patient/Type Date Time Pulse NBP SpO2 Temp
0009875433 A 06/21/11 03:20:12 65 SpO2 -- / -- (--) 98 36.8
0007363627 A 06/21/11 03:16:44 64 SpO2 -- / -- (--) 98 39.1
0006352516 A 06/21/11 03:12:41 72 SpO2 -- / -- (--) 99 36.9
0008763842 A 06/21/11 03:08:03 60 SpO2 -- / -- (--) 98 37.1
0006655321 A 06/21/11 03:00:43 80 SpO2 -- / -- (--) 99 36.6
0008764332 A 06/21/11 02:55:11 56 NBP 111/60 (82) 97 37.2
0008893376 A 06/21/11 02:50:06 77 SpO2 -- / -- (--) 95 37.0
0008873221 A 06/21/11 02:44:32 78 SpO2 -- / -- (--) 98 36.8
Speaker Malfunc
message 0003323876 P 06/21/11 02:40:51 75 SpO2 -- / -- (--) 97 36.9

Speaker Malfunc 03:31:00

Warning Audible alarms do not occur when the AUDIO FAILED message is
displayed. If this message appears, do not use the monitor and contact your
system administrator for repair.

Alarms
SureSigns VS2+ Instructions for Use 4-5
Latched and Non-Latched Alarms

Latched and Non-Latched Alarms

When a non-latched alarm occurs, the alarm stops when the condition that
triggered the alarm ends. For example, if a cable becomes disconnected, the
alarm ends when the cable is reconnected. Most alarms are non-latched.

A latched alarm continues even after the condition that caused the alarm has
resolved itself. An SpO2 Desat alarm is an example of a latched alarm. If an
SpO2 Desat alarm occurs and the SpO2 value returns to normal, the alarm will
continue to sound to notify you of the event.

The following alarms are always latched:

• SpO2 Desat
• NBP Overpressure
• Loss of Monitoring
By default, the alarms listed above are latched and all other alarms are
non-latched. However, if your system administrator has enabled the Latch
Physiological Alarms option, all physiological alarms are latched and will
continue to sound until you acknowledge the alarms by pressing the Alarm
Silence key.

Alarms
4-6 SureSigns VS2+ Instructions for Use
 Changing Alarm Limits

Changing Alarm Limits

Warning Be aware that the monitors in your care area may each have different alarm
settings, to suit different patients.

Always check that the alarm settings are appropriate for your patient before
you start monitoring.

When changing alarm limits, do not use extreme alarm limit values, which
will render the alarm system useless.

When you start a new patient, put the monitor in Standby mode, or change the
patient type, the monitor restores all of the alarm settings to their default values.

Note — Default values can be either factory-set default values or values set by
your system administrator.

You can change the alarm limits for the current monitoring session by:

• Changing alarm limits for an individual parameter, using the parameter’s

numeric pane menu. See “Changing Individual Alarm Limits” on
page 4-8.
• Opening the Alarm Limits Menu to change some or all of the alarm limits
in one place. See “Changing Alarm Limits in the Alarm Limits Menu” on
page 4-9.
The new alarm limits remain in effect for the current monitoring session.

Note — During the time that you are changing alarm limits, the alarm system
continues to operate normally.

Alarms
SureSigns VS2+ Instructions for Use 4-7
Changing Alarm Limits

Changing Individual Alarm Limits

To change the alarm limits for one parameter:

Step

1 If necessary, press the Main Screen key to display

the Vital Signs display mode.

Main Screen
key

2 Rotate the wheel to highlight the desired numeric pane.

3 Press the wheel to display the current values for the selected
parameter.

4 Rotate the wheel to highlight the high or low alarm limit.

5 Press the wheel and then rotate it to increase or decrease the

value.

6 Press the wheel to save the selected option.

Alarms
4-8 SureSigns VS2+ Instructions for Use
 Changing Alarm Limits

7 To disable the audible high or low limit alarm for the selected
parameter, rotate the wheel to highlight the alarm icon.
Press the wheel until an X appears across the
alarm icon. After an alarm has been disabled, an
Alarm Disabled alarm icon appears in the numeric pane where
icon the alarm was disabled.
Notes
• If your system administrator has changed the alarm disable
setting in the password-protected System Admin Menu,
you cannot disable audible alarms (the option is
unavailable).
• The alarm disable setting applies to high and low alarm
limits only. If you disable audible alarms and a
measurement exceeds the selected high or low alarm limits,
the monitor displays a visual alarm, but no audible alarm
sounds. All other alarms will still produce an audible and
visual alarm.

8 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Changing Alarm Limits in the Alarm Limits Menu

To change alarm limits for one or more parameters:

Step

1 Rotate the wheel to highlight the Alarms button

on the bottom of the screen, and then press the
wheel.
Alarms button
The Alarm Limits Menu appears. Current alarm
settings are displayed.

2 Rotate the wheel to highlight a high or low alarm limit.

Alarms
SureSigns VS2+ Instructions for Use 4-9
Changing Alarm Limits

3 Press the wheel, and then rotate it to increase or decrease the

value.

4 Press the wheel to save the selected option.

5 To disable an audible high or low limit alarm, rotate the wheel to

highlight the alarm icon.
Press the wheel until an X appears across the
alarm icon. After an alarm has been disabled, an
Alarm Disabled alarm icon appears in the numeric pane where the
icon alarm was disabled.
Notes
• If your system administrator has changed the alarm disable
setting in the password-protected System Admin Menu,
you cannot disable audible alarms (the option is
unavailable).
• The alarm disable setting applies to high and low alarm
limits only. If you disable audible alarms and a
measurement exceeds the selected high or low alarm limits,
the monitor displays a visual alarm, but no audible alarm
sounds. All other alarms will still produce an audible and
visual alarm.

6 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Alarms
4-10 SureSigns VS2+ Instructions for Use
 Setting System Alarm Options

Setting System Alarm Options

Use the Alarm Limits Menu and Alarm Settings Menu to:

• Change alarm limit settings (see “Changing Alarm Limits in the Alarm
Limits Menu” on page 4-9)
• Enable print on alarm
• Show or hide alarm limits
• Adjust the alarm volume
• Set alarm limits automatically
• Restore default alarm settings

Enabling Print on Alarm

If a recorder is installed in the monitor, you can configure the monitor to
automatically generate a printout when a physiological alarm occurs.

To enable the print on alarm feature:

Step

1 Open the Alarm Limits Menu and rotate the wheel to highlight
the More Settings... button.

2 Press the wheel.

The Alarm Settings Menu appears.

3 Rotate the wheel to highlight the Print on Alarm check box.

Alarms
SureSigns VS2+ Instructions for Use 4-11
Setting System Alarm Options

4 Press the wheel until the desired setting appears.

 = Print on Alarm is enabled
No  = Print on Alarm is disabled

5 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Return button,
and then press the wheel to return to the Alarm Limits Menu.

Showing or Hiding Current Alarm Limits

Current high and low alarm limits are displayed in each numeric pane by
default.

To change the alarm limit display:

Step

1 Open the Alarm Limits Menu and rotate the wheel to highlight
the More Settings... button.

2 Press the wheel.

The Alarm Settings Menu appears.

3 Rotate the wheel to highlight the Display Alarm Limits check

box.

4 Press the wheel until the desired setting appears.

 = Alarm limits display in all numeric panes
No  = Alarm limits do not display in the numeric panes

5 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Return button,
and then press the wheel to return to the Alarm Limits Menu.

Alarms
4-12 SureSigns VS2+ Instructions for Use
 Setting System Alarm Options

Adjusting the Alarm Volume

Note — Your system administrator can set a minimum alarm volume, which
prevents you from setting the volume below the specified level.

To increase or decrease the alarm volume:

Step

1 Open the Alarm Limits Menu and rotate the wheel to highlight
the More Settings... button.

2 Press the wheel.

The Alarm Settings Menu appears.

3 Rotate the wheel to highlight the Alarm Tone Volume option.

4 Press the wheel and then rotate the wheel to increase or decrease
the volume.

5 Press the wheel again.

The new alarm volume takes effect immediately.

6 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Return button,
and then press the wheel to return to the Alarm Limits Menu.

Alarms
SureSigns VS2+ Instructions for Use 4-13
Setting System Alarm Options

Setting Automatic Alarm Limits

Note — The Auto Set Alarm Limits feature is only available in NBP Interval
mode.

You can quickly set alarm limits that are based on an individual patient’s vital
signs measurements. After you take an initial set of measurements, the monitor
calculates an offset and applies it to each value to generate new upper and lower
alarm limits.

Note — If the calculated offset value exceeds the alarm limit range, the monitor
does not change the upper and lower alarm limits.

The formulas used for calculating the Auto Set Alarm Limits and the alarm limit
ranges are listed in Appendix A, “Alarm Specifications.”

To set automatic alarm limits:

Step

1 To establish a baseline, take an initial set of measurements on the

patient.

2 Open the Alarm Limits Menu and rotate the wheel to highlight
the More Settings... button.

3 Press the wheel.

The Alarm Settings Menu appears.

4 Rotate the wheel to highlight the Auto Set Alarm Limits option.

5 Press the wheel.

A confirmation window opens.

Alarms
4-14 SureSigns VS2+ Instructions for Use
 Setting System Alarm Options

6 Rotate the wheel to highlight the Yes button, and then press the
wheel.
The monitor creates new high and low alarm limits based on the
existing measurements.
Note — The alarm limits change for existing measurements
only. The alarm limits do not change if a parameter was not
measured.

7 Rotate the wheel to highlight the Return button, and then press
the wheel to return to the Alarm Limits Menu.

8 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Restoring Default Alarm Settings

Notes
• Default alarm settings can be either factory-set defaults or defaults
set by your system administrator in the password-protected System
Admin Menu. The default values set by your system administrator
override the factory defaults.
• The system automatically restores default values when you start a
new patient, change the patient type, or put the monitor in Standby
mode.

Alarm settings include the alarm limits, as well as the enable/disable alarm
settings.

Alarms
SureSigns VS2+ Instructions for Use 4-15
Setting System Alarm Options

To restore the factory-set default values or the default values set by your system
administrator:

Step

1 Open the Alarm Limits Menu and rotate the wheel to highlight
the More Settings... button.

2 Press the wheel.

The Alarm Settings Menu appears.

3 Rotate the wheel to highlight the Restore Default Alarm

Settings option, and then press the wheel.
A confirmation window opens.

4 Rotate the wheel to highlight the Yes button, and then press the
wheel.
The monitor restores all alarm settings to the default values.

5 Rotate the wheel to highlight the Return button, and then press
the wheel to return to the Alarm Limits Menu.

6 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

For a list of the factory default alarm values, see Appendix A, “Alarm
Specifications.”

Alarms
4-16 SureSigns VS2+ Instructions for Use
 Silencing Alarms

Silencing Alarms
You can silence alarms by pressing the Alarm Silence key on the
front panel of the monitor.

Measurements can be either periodic or aperiodic. Periodic

Alarm Silence
measurements include SpO2, Pulse Rate derived from SpO2, and
key
Monitored Temperature. Aperiodic measurements include NBP,
Pulse Rate derived from NBP, and Predictive Temperature. The Alarm Silence
key responds differently depending on which type of measurement is alarming.

To Press Result

Silence a periodic alarm for Alarm Silence key once. The active alarm is silenced for
60 seconds. 60 seconds. The visual alarm
indicators continue to flash.

Silence an aperiodic alarm. Alarm Silence key once. The audible and visual alarm
indicators for the active alarm are
silenced and cleared.

Pause an alarm for a Alarm Silence key twice Audible alarms are paused for the
predetermined time interval quickly. Audio Pause period. Visual alarm
(Audio Pause mode). indicators continue to flash.
When the Audio Pause period ends,
active alarms sound again.

Silence all alarms Alarm Silence key for two All alarms are silenced indefinitely.
indefinitely (Audio Off seconds. Visual alarm indicators continue to
mode). flash.

Alarms
SureSigns VS2+ Instructions for Use 4-17
Silencing Alarms

Acknowledging Technical Alarms

When a technical alarm occurs and you press the Alarm Silence key once, the
monitor responds in one of the following ways:

• For SpO2 technical alarms (such as SpO2 No Sensor) and a Low Batt
alarm, the audible alarm is silenced and visual alarm indicators continue
to flash until the error condition is corrected.
• For NBP technical alarms (such as NBP Loose Cuff) and temperature
technical alarms (such as Temp Probe Error), the audible alarm is
silenced and visual alarm indicators are cleared.
• For an Extreme Low Batt alarm, the audible alarm is silenced and visual
alarm indicators continue to flash. The audible alarm resumes after
60 seconds.
For a description of the technical alarm messages, see Appendix A, “Alarm
Specifications.”

Alarms
4-18 SureSigns VS2+ Instructions for Use
 Silencing Alarms

Audio Pause Mode

If you press the Alarm Silence key twice quickly, the monitor enters Audio
Pause mode. All audible alarms are silenced for one of the following pre-defined
time intervals: 30, 60, 90, 120, or 180 seconds. The time interval is configured
by your system administrator in the password-protected System Admin Menu.

During Audio Pause mode, a white box with the AUDIO PAUSED message
appears at the top of the main screen and a timer shows the amount of time
remaining until the Audio Pause period ends.
Audio Paused
message

Adult 0009875433 AUDIO PAUSED 1:32

98
SYS mmHg SpO2%
160
90
122 100
90

80
DIA

80
bpm SpO2%
90
50 120
50
Off

98 37.1
MAP ºC Oral
110
70 39.0
36.0

03:31:00

To end Audio Pause mode, press the Alarm Silence key.

Alarms
SureSigns VS2+ Instructions for Use 4-19
Silencing Alarms

Audio Off Mode

Note — If your system administrator has changed the Allow Audio Off setting
in the password-protected System Admin Menu, Audio Off mode is disabled.

If you press and hold the Alarm Silence key for two seconds, the monitor enters
Audio Off mode. All audible alarms are silenced until you press the Alarm
Silence key again to end the Audio Off mode.

During Audio Off mode, a red box with the AUDIO OFF message appears at the
top of the main screen
Audio Off
message

Adult 009875433 AUDIO OFF

98
SYS mmHg SpO2%

122
100
160 90
90

80
DIA

80
bpm SpO2%
90
50 120
50
Off

98
MAP

37.1
ºC Oral
110
70 39.0
36.0

03:31:00

To end Audio Off mode, press the Alarm Silence key.

Alarms
4-20 SureSigns VS2+ Instructions for Use
 Testing Alarms

Testing Alarms
To verify that the audible alarm system is working:

Step

1 Connect the NBP hose to the NBP input connector, but do not
place the cuff on your arm.

2 Press the NBP key on the front panel.

NBP key

3 Check that the NBP Timeout or NBP Loose Cuff message

appears and an alarm tone sounds.

Alarms
SureSigns VS2+ Instructions for Use 4-21
Nurse Call System Alarms

Nurse Call System Alarms

A nurse call signal reflects the audio output of the monitor: if the monitor is
sounding an alarm, the nurse call system is signaling.

If your monitor is connected to a nurse call system, note the following:

• When an audible alarm is silenced (Audio Pause or Audio Off) at the

bedside unit, the nurse call system will not alarm.

• If a user disables one or more alarms (through a specific parameter menu

or the Alarm Limits Menu) at the bedside unit, these alarms are also
disabled on the nurse call system.

• Your system administrator can change the alarm priority level for the
nurse call signal. For example, if the priority level is set to high in the
password-protected System Admin Menu, only high-priority alarms will
sound on the nurse call system. If it is set to medium, both high-priority
and medium-priority alarms will sound on the nurse call system.

Alarms Safety Information

Caution The monitor detects and responds almost immediately to most out-of-limits
conditions, except when averaging of the physiological signal is required to
reduce unwanted noise signals. Examples of averaging include SpO2
measurements and measurements derived from SpO2 signals.
The alarm volume should be loud enough to be heard within a room or
through an open door. Set the volume based on the environment and
ambient noise levels.
For visual alarms, the side-to-side viewing angle of the display is
approximately ±30 degrees relative to normal viewing.

Alarms
4-22 SureSigns VS2+ Instructions for Use
 5
Monitoring SpO2

The SureSigns VS2+ monitor uses a motion-tolerant signal processing

algorithm, which produces the following SpO2 measurements:

• Oxygen saturation of arterial blood (SpO2) — The percentage of

oxygenated hemoglobin in relation to the sum of oxyhemoglobin and
deoxyhemoglobin (functional arterial oxygen saturation)
• An SpO2 (pleth) waveform — A visual indication of a patient’s pulse
• A pulse rate value — The value can be derived from the SpO2 signal
• A perfusion indicator — Indicates the quality of the SpO2 signal

Selecting an SpO2 Sensor

When selecting a sensor, consider the patient’s weight and activity level,
adequacy of perfusion, availability of sensor sites, need for sterility, and
anticipated duration of monitoring.

You can use two types of SpO2 sensors:

• Reusable sensors can be reused on different patients.

• Disposable sensors must not be reused on different patients, however,
they can be reused or relocated on the same patient.
For more information about compatible SpO2 sensors, see
Chapter 11, “Accessories List.”

If an SpO2 value does not seem reasonable, use the pleth wave and perfusion
indicator to assess the signal quality. If the perfusion value is low (three bars or
fewer) try adjusting the sensor or using a different type of sensor.

Monitoring SpO2
SureSigns VS2+ Instructions for Use 5-1
Connecting SpO2 Cables

Caution Do not apply the blood pressure cuff to the same extremity as the one to
which an SpO2 sensor is attached because the cuff inflation disrupts SpO2
monitoring and leads to nuisance alarms.

Note — If the SpO2 measurement is delayed for more than 30 seconds (due to
an excessively noisy signal or because you are trying to measure NBP and SpO2
on the same limb), the SpO2 Extd Update alarm occurs and the SpO2 numeric
pane display alternates between the measurement value and a question mark
(-?-).

Connecting SpO2 Cables

Connect the sensor cable
to the SpO2 input
connector on the side
panel, as shown in the
illustration. If the sensor
uses an adapter cable, plug
the sensor into the adapter
cable, and the adapter
cable into the SpO2 input
connector. SpO2 input
connector

Monitoring SpO2
5-2 SureSigns VS2+ Instructions for Use
 SpO2 Technical Alarms

SpO2 Technical Alarms

The SureSigns VS2+ monitor is designed so that you can easily move from one
patient to another to take a set of vital signs measurements without sounding
alarms. However, you can also use the monitor for extended SpO2 monitoring of
an individual patient by placing the monitor in NBP Interval mode. For more
information, see “About NBP Intervals” on page 6-9.

Because the SpO2 Non-Pulsatile and SpO2 No Sensor technical alarms are not
useful if you connect and disconnect sensors between patients, these alarms are
only enabled when the monitor is in NBP Interval mode. If the sensor falls off or
becomes disconnected from the monitor, a high-priority alarm occurs.

If the monitor is not in NBP Interval mode, the SpO2 Non-Pulsatile and SpO2
No Sensor technical alarms are disabled, which allows you to remove the SpO2
sensor from a patient without sounding alarms.

Warning Do not rely exclusively on the audible alarm system for patient monitoring.
The most reliable method of patient monitoring requires correct operation
of the monitor and close observation of the patient.

Monitoring SpO2
SureSigns VS2+ Instructions for Use 5-3
The SpO2 Numeric Pane

The SpO2 Numeric Pane

The following illustration shows the components of the SpO2 numeric pane.

Perfusion
SpO2 %

98
indicator
100
90

High and low

alarm limits SpO2 measurement

After 20 seconds of a valid SpO2 signal, the monitor saves the measurement to
the patient record, and the record closes.

Changing SpO2 Settings

Use the SpO2 Menu to:

• Change the SpO2 response mode

• Change the SpO2 alarm limits
To open the SpO2 Menu:

Step

1 Rotate the wheel to highlight the SpO2 numeric pane.

2 Press the wheel.

The SpO2 Menu appears. Current SpO2 settings are displayed.

Monitoring SpO2
5-4 SureSigns VS2+ Instructions for Use
 Changing SpO2 Settings

Changing the SpO2 Response Mode

The SpO2 Response setting determines how quickly the monitor reports
changes in SpO2 values.

To change the SpO2 response mode:

Step

1 Open the SpO2 Menu and rotate the wheel to highlight SpO2
Response.

2 Press the wheel, and then rotate it to select one of the following
options:
• Slow — Use this setting when motion artifact is an issue.
SpO2 changes are reported more slowly compared to the
other modes.

• Normal — Use this setting for most monitoring situations.

• Fast — Use this setting for special applications (for

example, patients with unstable respiratory conditions)
when you need a fast response. Do not use this setting if
motion artifact is an issue.

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Monitoring SpO2
SureSigns VS2+ Instructions for Use 5-5
Changing the SpO2 Waveform Speed

Changing the SpO2 Alarm Limits

For information on changing the SpO2 alarm limits, see “Changing Alarm
Limits” on page 4-7.

The SpO2 default alarm limits are:

Adult Pediatric Neonatal

SpO2 high limit 100% 100% 95%

SpO2 low limit 90% 90% 85%

Changing the SpO2 Waveform Speed

If SpO2 is available on your monitor, the SpO2 waveform pane appears at the
bottom of the screen.

Note — The pleth waveform is normalized to the display area on the screen.
The height of the waveform has no relationship to the actual optical signal
strength.

Use the Sweep Speed setting in the SpO2 Waveform Menu to change the speed
at which the SpO2 waveform is drawn across the screen.

To change the sweep speed:

Step

1 If necessary, press the Main Screen key to display the SpO2

waveform.

2 Rotate the wheel to highlight the SpO2 waveform pane, and then
press the wheel.
The SpO2 Waveform Menu appears.

Monitoring SpO2
5-6 SureSigns VS2+ Instructions for Use
 Desaturation Alarm (Desat)

3 Rotate the wheel to highlight Sweep Speed.

4 Press the wheel, and then rotate it to select one of the following
options:
• 12.5 mm/s
• 25.0 mm/s
• 50.0 mm/s

5 Press the wheel to save the selected option.

6 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Desaturation Alarm (Desat)

The Desaturation alarm is a high-priority alarm that alerts you to a potentially
life-threatening drop in oxygen saturation. The Desat alarm is not configurable;
it is based on the current SpO2 low alarm limit. The Desat alarm limit is fixed at
10 less than the current low limit for adults and pediatric patients and 5 less for
neonates.

Monitoring SpO2
SureSigns VS2+ Instructions for Use 5-7
SpO2 Safety Information

SpO2 Safety Information

The SureSigns VS2+ pulse oximeter is calibrated to indicate functional oxygen
saturation.

Warning To minimize risk of damage to the monitor during defibrillation use only
approved supplies.

Never apply an SpO2 sensor at ambient temperatures above 35oC (95oF)

because this can cause severe burns after prolonged application.

Injected dyes, like methylene blue, or intravascular dyshemoglobins

(methemoglobin and carboxyhemoglobin) can lead to inaccurate
measurements.

Interference can be caused by:

• High levels of ambient light. To avoid this problem, cover the

application site with opaque material.
• Electromagnetic interference.
• Excessive patient movement and vibration.
High oxygen levels can predispose a premature infant to retrolental
fibroplasia. If this is a consideration, do not set the high SpO2 alarm limit to
100%. This is equivalent to switching the alarm off. Transcutaneous SpO2
monitoring is recommended for premature infants receiving supplemental
oxygen.

Do not use disposable sensors on patients who have allergic reactions to the
adhesive.

Do not use the monitor or SpO2 sensors during magnetic resonance imaging
(MRI) scanning. Induced current could potentially cause burns. The
monitor may affect the MRI image, and the MRI unit may affect the
accuracy of the monitor’s measurements.

The SpO2 Non-Pulsatile and SpO2 No Sensor technical alarms are enabled
only when the monitor is in NBP Interval mode. If the monitor is not in NBP
Interval mode, these SpO2 technical alarms will not sound.

Monitoring SpO2
5-8 SureSigns VS2+ Instructions for Use
 SpO2 Safety Information

Caution Use only specified sensors and cables, otherwise patient injury can result.
Before using a sensor, verify that it is compatible with the monitor. For a
complete list of compatible accessories, see Chapter 11, “Accessories List.”
Skin irritations or lacerations can occur if the sensor is attached to one
location for too long. Inspect the application site every two to three hours to
ensure skin quality and correct optical alignment. If the skin quality
changes, move the sensor to another site. Change the application site at
least every four hours.
Sensors are not sterile and should not be used in a sterile environment.
Do not apply the sensor too tightly as this results in venous pulsation. This
can severely obstruct circulation and lead to inaccurate measurements.
Follow the sensor’s instructions for use; adhere to all warnings and
cautions.
Check that the light emitter and the photo-detector are directly opposite
each other. All light from the emitter must pass through the patient’s tissue.
Remove colored nail polish from the application site.
Make sure that the sensor is the appropriate size. The sensor should not fall
off, nor should it be too tight.
When applying the M1193A or M1193T neonatal sensor, do not overtighten
the strap.
When using the M1195A infant finger sensor, select a finger or toe with a
diameter of between 7 mm and 8 mm (0.27" and 0.31").
If a sensor is too loose, it might compromise the optical alignment or fall off.
If it is too tight — because the application site is too large or becomes too
large due to edema — the excessive pressure may cause venous congestion
distal, leading to interstitial edema, hypoxaemia and tissue malnutrition.
Do not use OxiCliq™ disposable sensors in a high humidity environment,
such as in neonatal incubators or in the presence of fluids, which can
contaminate sensor and electrical connections causing unreliable or
intermittent measurements.
For neonatal patients, place all sensor connectors and adapter cable
connectors outside the incubator. The humidity in the incubator can cause
inaccurate measurements.
Do not place the sensor on extremities with an arterial catheter or
intravascular venous infusion line.

Monitoring SpO2
SureSigns VS2+ Instructions for Use 5-9
SpO2 Safety Information

Do not use more than one extension cable (M1941A). Do not use an
extension cable with Philips reusable sensors with part numbers ending in
-L (which indicates “Long” version). Do not use an extension cable with an
adapter cable.
To avoid electrical interference, position the sensor cable and connector
away from power cables.
To dispose of pulse oximeter equipment or components, follow local
regulations regarding disposal of hospital waste.

Monitoring SpO2
5-10 SureSigns VS2+ Instructions for Use
 6
Monitoring NBP

The SureSigns VS2+ monitor measures Systolic, Diastolic, and Mean arterial
blood pressure by acquiring pressure pulses through a series of controlled
deflation steps of an inflated cuff.

The VS2+ monitor provides two ways to monitor NBP:

• Manual — Press the NBP key on the front panel to start a single NBP
measurement.
• Interval — Open the NBP Interval Menu, where you can select a specific
NBP key interval, enable STAT measurements, or create one interval program.

NBP Measurement Limitations

You cannot take an NBP measurement on patients with heart rate extremes of
less than 40 bpm or greater than 300 bpm, or if the patient is on a heart-lung
machine.

NBP measurements may be inaccurate or impossible on patients with the

following conditions:

• An irregular arterial pressure pulse

• Cardiac arrhythmias
• Excessive and continuous movement, such as shivering or convulsions
• Rapid blood pressure changes
• Severe shock or hypothermia that reduces blood flow to the peripheries
• Obesity, where a thick layer of fat surrounding a limb dampens the
oscillations coming from the artery
• An edematous extremity

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-1
Selecting an NBP Cuff

Selecting an NBP Cuff

Select an NBP cuff based on the patient’s arm size. After wrapping the cuff
around the patient’s arm, the index line should fall between the two range lines
and the arterial marking should be over the patient’s brachial artery.

A cuff that is too loose or too tight can cause inaccurate measurements. Also, if
the cuff is too loose, it may not deflate properly.

You can use two types of NBP cuffs:

• Reusable cuffs can be reused on different patients.

• Disposable cuffs must not be reused on different patients, however, they
can be reused or relocated on the same patient.
For information about compatible NBP cuffs, see Chapter 11, “Accessories
List.”

Connecting the Cuff and Hose

Connect the selected cuff
to the hose and the hose to
the NBP input connector,
as shown in the
illustration.

NBP input
connector

Monitoring NBP
6-2 SureSigns VS2+ Instructions for Use
 NBP Numeric Panes

Warning Never connect intra-arterial or intravenous, or any other Luer connectors,

to the NBP tubing. This could cause injury and death.

Caution Do not compress the hose or restrict the pressure.

NBP Numeric Panes

The following illustration shows the components of the NBP numeric panes in
Vital Signs display mode. One pane displays the Systolic and Diastolic values.
The other pane displays the NBP MAP value. In Display Waveform mode, the
NBP measurement components appear in one numeric pane.

SYS mmHg Units of measure

122
160
90 Systolic value

DIA

85
High and low 90
50 Diastolic value
alarm limits
Off

98
MAP
110 Mean Arterial
70 Pressure (MAP) value

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-3
Changing NBP Settings

Changing NBP Settings

Use the Blood Pressure Menu to:

• Enable or disable the Auto Print NBP feature

• Change the NBP alarm limits
• Configure the initial inflation pressure
• Change the units of measurement
• Open the NBP Interval Menu
To open the Blood Pressure Menu:

Step

1 Rotate the wheel to highlight the NBP numeric pane.

2 Press the wheel.

The Blood Pressure Menu appears. Current settings are
displayed.

Monitoring NBP
6-4 SureSigns VS2+ Instructions for Use
 Changing NBP Settings

Enabling Automatic NBP Printouts

If your monitor has a recorder, you can use the Auto Print NBP option to
generate a printout each time an NBP measurement is taken. This may be useful
when you are taking NBP interval measurements.

To enable auto print:

Step

1 Open the Blood Pressure Menu and rotate the wheel to

highlight the Auto Print NBP check box.

2 Press the wheel until the desired setting appears.

 = Auto print is enabled
No  = Auto print is disabled

3 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

For more information on the monitor’s printing capabilities, see

Chapter 9, “Printing.”

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-5
Changing NBP Settings

Changing the NBP Alarm Limits

For information on changing NBP alarm limits, see “Changing Alarm Limits”
on page 4-7.

The NBP default alarm limits are:

Adult Pediatric Neonatal

Systolic

High limit 160 mmHg 120 mmHg 90 mmHg

(21.3 kPa) (16.0 kPa) (12.0 kPa)

Low limit 90 mmHg 70 mmHg 40 mmHg

(12.0 kPa) (9.3 kPa) (5.3 kPa)

Diastolic

High limit 90 mmHg 70 mmHg 60 mmHg

(12.0 kPa) (9.3 kPa) (8.0 kPa)

Low limit 50 mmHg 40 mmHg 20 mmHg

(6.7 kPa) (5.3 kPa) (2.7 kPa)

Mean

High limit 110 mmHg 90 mmHg 70 mmHg

(14.7 kPa) (12.0 kPa) (9.3 kPa)

Low limit 70 mmHg 50 mmHg 24 mmHg

(9.3 kPa) (6.7 kPa) (3.2 kPa)

Monitoring NBP
6-6 SureSigns VS2+ Instructions for Use
 Changing NBP Settings

Configuring the Initial Inflation Pressure

The Initial Inflation Pressure setting specifies the maximum amount that the
cuff will inflate when you start a new patient. In NBP Interval mode, the cuff
inflates to the Initial Inflation Pressure setting for the first NBP measurement,
and then the monitor adjusts the inflation value automatically, depending on the
previous measurement and patient type.

The factory default value for Initial Inflation Pressure is based on the patient
type:

• Adult: 160 mmHg (21.3 kPa)

• Pediatric: 140 mmHg (18.7 kPa)
• Neonatal: 100 mmHg (13.3 kPa)
As the cuff inflates, the current inflation pressure appears in the NBP MAP pane
in Vital Signs mode, or directly below the Systolic/Diastolic measurement in
Display Waveform mode. After the measurement is complete, the inflation
pressure value disappears and the final MAP value appears in the pane.

To change the initial inflation pressure:

Step

1 Open the Blood Pressure Menu and rotate the wheel to highlight
Initial Inflation Pressure.

2 Press the wheel, and then rotate it to select the desired inflation
pressure. The range of values is based on the current patient type.

3 Press the wheel to save the selected value.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

If you start a new patient, change the patient type, or put the monitor in Standby
mode, the Initial Inflation Pressure setting reverts to the factory default value or
the default value set by your system administrator on the password-protected
System Admin Menu.

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-7
Changing NBP Settings

Note — For safety reasons, the cuff automatically deflates if:

• The measurement time exceeds 120 seconds (90 seconds in

Neonatal mode)
• The microprocessor fails
• The overpressure limit is exceeded
• Power is lost

Changing the NBP Units of Measurement

To change the blood pressure units of measurement:

Step

1 Open the Blood Pressure Menu and rotate the wheel to

highlight Blood Pressure Units.

2 Press the wheel and then rotate it to select one of the following
options:
• mmHg
• kPa

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Monitoring NBP
6-8 SureSigns VS2+ Instructions for Use
 About NBP Intervals

About NBP Intervals

For continuous NBP monitoring, the SureSigns VS2+ monitor offers three types
of interval measurements:

• Auto intervals
• STAT measurements
• Interval program
NBP interval measurements are aligned with the time of day. This means that if
you set the interval to 10 minutes, and you press the NBP key at 10:17 to start
the auto interval, the monitor will record the first measurement at 10:17. The
next NBP measurement will begin at 10:20, then 10:30, 10:40, and so on.

If your monitor is networked and a time synchronization occurs in which the

time difference is greater than 30 seconds, the monitor starts a new NBP
measurement.

Opening the NBP Interval Menu

To open the NBP Interval Menu:

Step

1 Open the Blood Pressure Menu and rotate the wheel to highlight
the NBP Interval button.

2 Press the wheel.

The NBP Interval Menu appears.

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-9
About NBP Intervals

Starting NBP Interval Measurements

Note — If your system administrator enables the Default NBP Interval option
in the password-protected System Admin menu, the monitor is placed in NBP
Auto Interval mode each time you turn the monitor on or start a new patient.
You must press the NBP key to begin the interval measurement.

To start NBP interval measurements:

Step

1 Open the NBP Interval Menu and rotate the wheel to highlight
NBP Auto Interval.

2 Press the wheel and then rotate it to select one of the following
options: Off, 1, 2, 3, 5, 10, 15, 30, 60, 90, or 120 minutes.

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.
The Press message flashes in the NBP numeric pane.

5 Press the NBP key on the front panel to begin the first interval
measurement.
The Interval icon and the selected interval value
appear in the NBP numeric pane.

Monitoring NBP
6-10 SureSigns VS2+ Instructions for Use
 About NBP Intervals

Stopping NBP Interval Measurements

To stop NBP interval measurements, do one of the following:

• Open the NBP Interval Menu and select the Off option in the NBP Auto
Interval menu item.

• Start a new patient.

• Change the patient type.
• Press the On/Standby key.

Enabling NBP STAT Mode

In STAT mode, the monitor takes as many NBP measurements as possible
within a 5-minute period. There is a 10-second pause between each
measurement. At the end of the 5-minute period, the interval setting returns to
Off or to the default NBP Interval value, if your system administrator set a
default interval value.

To enable STAT mode:

Step

1 Open the NBP Interval Menu.

2 Rotate the wheel to highlight the Start option in the STAT menu
item.

3 Press the wheel.

STAT measurements begin immediately and the Start option
switches to Stop.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.
The Interval icon and the word STAT appear in the
STAT
NBP numeric pane.

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-11
About NBP Intervals

Creating or Starting an NBP Interval Program

You can create an interval program that measures blood pressure at intervals
based on your own unit-specific protocols. For example, in a post-operative
setting, you may want to configure the monitor to take a blood pressure
measurement every 15 minutes for the first hour, then every 30 minutes for the
second hour.

To create an NBP interval program:

Step

1 Open the NBP Interval Menu.

2 Rotate the wheel to highlight NBP Interval Program, and then

press the wheel.

3 Rotate the wheel to highlight On, and then press the wheel.
The NBP Interval Program Menu appears.

4 Rotate the wheel to highlight the Duration option for Period 1,

and then press the wheel.

5 Rotate the wheel to select a duration value from the list, and then
press the wheel.

6 Rotate the wheel to highlight the Interval option for Period 1, and
then press the wheel.

7 Rotate the wheel to select an interval value from the list, then
press the wheel.
Note — The interval value cannot be greater than the duration
value. The system prevents you from selecting an incorrect
interval value.

8 Repeat step 4 through step 7 to define up to five periods for the

interval program.

9 Rotate the wheel to highlight OK, and then press the wheel.

Monitoring NBP
6-12 SureSigns VS2+ Instructions for Use
 About NBP Intervals

10 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.
The Press message flashes in the NBP numeric pane.

11 Press the NBP key on the front panel to begin the first interval
measurement.

PRG10 The Interval icon, the word PRG, and the

current interval value appear in the NBP
numeric pane.

To start an NBP interval program:

Step

1 Open the NBP Interval Menu.

2 Rotate the wheel to highlight NBP Interval Program, and then

press the wheel.

3 Rotate the wheel to highlight On, and then press the wheel.
The NBP Interval Program Menu appears.

4 Rotate the wheel to highlight the OK button, and then press the
wheel.

5 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.
The Press message flashes in the NBP numeric pane.

6 Press the NBP key on the front panel to begin the first interval
measurement.

PRG10 The Interval icon, the word PRG, and the

current interval value appear in the NBP
numeric pane.

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-13
Recalculating the NBP Value if the Limb is not at Heart Level

Clearing the Interval Program

Use the Clear Program option to delete the NBP interval program. When you
select the Clear Program button, all settings are cleared and the program returns
to its default values.

To clear the NBP interval program

Step

1 Open the NBP Interval Menu.

2 Rotate the wheel to highlight the Clear Program button, and then
press the wheel.
A confirmation window appears.

3 Select Yes to confirm that you want to clear the NBP program.

Recalculating the NBP Value if the Limb is not at Heart Level

If the limb is not at heart level while an NBP measurement is in progress,
recalculate the displayed NBP value as follows:

If the limb is Then

Higher than heart For each centimeter higher, add 0.75 mmHg (0.10 kPa)
level or
For each inch higher, add 1.9 mmHg (0.25 kPa)

Lower than heart For each centimeter lower, deduct 0.75 mmHg
level (0.10 kPa)
or
For each inch lower, deduct 1.9 mmHg (0.25 kPa)

Monitoring NBP
6-14 SureSigns VS2+ Instructions for Use
 Stopping an NBP Measurement

Stopping an NBP Measurement

To stop a manual or interval measurement in progress, press the
NBP key on the front panel. If the monitor is in Interval mode
when you press the NBP key, the current measurement is
stopped, but the next scheduled measurement will occur.
NBP key

NBP Safety Information

Warning Select the correct patient category setting for your patient. Do not apply the
higher adult inflation, overpressure limits and measurement duration to
neonatal patients.

Do not measure NBP on patients with sickle-cell disease or any condition

where skin damage has occurred or is expected.

Continual NBP measurements can cause injury to the patient being

monitored. Weigh the advantages of frequent measurement against the risk
of injury.

In some cases, rapid, prolonged cycling of an NBP cuff has been associated
with any or all of the following: ischemia, purpura, or neuropathy. Apply
the cuff according to the directions and check the cuff site and cuffed
extremity regularly when blood pressure is measured at frequent intervals
or over extended periods of time.

Check the patient’s limb to assure that circulation is not constricted.

Constriction of circulation is indicated by discoloration of the extremity.
Check the limb at regular intervals based on the circumstances of the
specific situation.

Do not place the cuff on an extremity being used for intravenous infusion,
with an arterial catheter in place, or on any area where circulation is
compromised or has the potential to be compromised.

Monitoring NBP
SureSigns VS2+ Instructions for Use 6-15
NBP Safety Information

Do not apply the blood pressure cuff to the same extremity as the one to
which an SpO2 sensor is attached because the cuff inflation disrupts SpO2
monitoring and leads to nuisance alarms.

Caution Do not reuse disposable NBP cuffs on different patients.

Monitoring NBP
6-16 SureSigns VS2+ Instructions for Use
 7
Monitoring Temperature

This chapter describes how to take a temperature measurement with the

SureSigns VS2+ monitor and how to change temperature settings.

Connecting the Temperature Probe

Insert the temperature
probe in the probe well.
Connect the probe cable
to the Temperature input
connector on the Probe well
temperature module, as
shown in the illustration.
Temperature
input
connector

Monitoring Temperature
SureSigns VS2+ Instructions for Use 7-1
The Temperature Pane

The Temperature Pane

The following illustration shows the components of the Temperature numeric
pane.

Units of measure Probe type

oC Oral
High and low
alarm limits
39.0
36.0 37.1 Temperature
measurement

Taking a Temperature Measurement

Warning Use only approved, disposable probe covers. Probe covers are for single use
only. The use of unapproved probe covers or not using a probe cover can
result in the following:

• Discomfort to the patient

• Patient cross-contamination

• Erroneous temperature measurements

• Damage to the probe

If the patient temperature is lower than the temperature of the probe,

measurement errors may result.

When you take rectal temperature measurements, insert the probe slowly
and carefully to avoid tissue damage.

Monitoring Temperature
7-2 SureSigns VS2+ Instructions for Use
 Taking a Temperature Measurement

To take a temperature measurement:

Step

1 Remove the temperature probe from the probe well.

After a few seconds, a chime sounds and the Ready

icon appears, indicating that you can now take a
Ready icon temperature measurement.

2 Verify that the correct probe site (Oral, Axillary, or Rectal) is

selected. The probe site appears in the top of the Temperature
pane.
To change the probe site, see “Changing the Probe Site” on
page 7-6.

3 Place a new cover on the probe.

4 Place the probe in the appropriate site on the patient.

An hourglass appears in the numeric pane while the monitor is
calculating the temperature value. A chime sounds when the
temperature measurement is complete.

5 Eject the probe cover and dispose of it in accordance with your

facility’s policies.

6 Replace the probe in the probe well.

Note — When the monitor switches from Standby mode to On mode, the
temperature module takes several seconds to reset. Do not remove the
temperature probe from the well while the module resets.

Monitoring Temperature
SureSigns VS2+ Instructions for Use 7-3
Changing Temperature Settings

Changing Temperature Settings

Use the Temperature Menu to:

• Change the temperature mode

• Change the probe type
• Change the temperature alarm limits
• Change the units of measurement
To open the Temperature Menu:

Step

1 Rotate the wheel to highlight the Temperature numeric pane.

2 Press the wheel.

The Temperature Menu appears. Current temperature settings
are displayed.

Changing the Temperature Mode

The following two temperature modes are available:

• Predictive mode. Use Predictive mode for most monitoring situations. In

Predictive mode, the monitor measures the patient’s temperature for
approximately 4 seconds for oral measurements and approximately 16
seconds for axillary and rectal measurements.
If the probe loses contact with the patient’s tissue at any time during the
measurement, the Ready icon will reappear and the pane will not display a
value until contact has been reestablished.
If the monitor cannot get a reading after 1 minute, it automatically
switches to Monitored mode.
• Monitored mode. In Monitored mode, the monitor measures the patient’s
temperature continuously and displays the temperature in the numeric
pane as long as the probe is in contact with the patient.

Monitoring Temperature
7-4 SureSigns VS2+ Instructions for Use
 Changing Temperature Settings

Use Monitored mode only when the situation prevents accurate predictive
measurement. The monitor automatically switches to Monitored mode
when measurement quality is poor or the probe has been removed from
the well and no measurement taken within 60 seconds. When the probe is
returned to the probe well, the monitor cancels Monitored mode and
automatically switches back to Predictive mode.

Note — Temperature measurements taken in Monitored mode are not

saved to a patient record.

Caution Do not exceed the recommended measurement periods of three minutes for
oral and rectal measurements and five minutes for axillary measurements.

To change the temperature mode:

Step

1 Open the Temperature Menu and rotate the wheel to highlight

Mode.

2 Press the wheel and then rotate it to select one of the following
options:
• Monitored
• Predictive

3 Press the wheel to save the selected option.

If you select Monitored mode, the Monitored
Mode icon appears in the Temperature numeric
Monitored Mode pane when you remove the probe from the well.
icon

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Monitoring Temperature
SureSigns VS2+ Instructions for Use 7-5
Changing Temperature Settings

Note — In Predictive and Monitored modes, the monitor can sometimes

complete a temperature reading even though the quality of the measurement is
marginal. When this occurs, the Temperature numeric pane display alternates
between the measurement value and a question mark (-?-). The measurement is
not saved to the patient record.

Changing the Probe Site

The SureSigns VS2+ monitor uses blue temperature probes for oral and axillary
temperature measurements and red probes for rectal measurements.

Note — The currently selected probe site appears in the Temperature numeric
pane when you remove the probe from the probe well.

To select the measurement site:

Step

1 Open the Temperature Menu and rotate the wheel to highlight

the correct probe type — red or blue.

2 Press the wheel and then rotate it to select a measurement site.

The choices are:
• Blue Probe Site: Oral or Axillary
• Red Probe Site: Rectal

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Monitoring Temperature
7-6 SureSigns VS2+ Instructions for Use
 Changing Temperature Settings

Changing the Temperature Alarm Limits

For information on changing the Temperature alarm limits, see “Changing
Alarm Limits in the Alarm Limits Menu” on page 4-9.

The Temperature default alarm limits are:

Adult Pediatric Neonatal

Temperature high limit 39oC 39oC 39oC

(102.2oF) (102.2oF) (102.2oF)

Temperature low limit 36oC 36oC 36oC

(96.8oF) (96.8oF) (96.8oF)

If a High or Low Temperature alarm occurs in Monitored mode, the alarm

message and the blue background in the Temperature pane remain on the screen
after you press the Alarm Silence key.

The alarm is cleared only when the patient’s temperature returns to normal or
you place the temperature probe back in the probe well.

Changing the Temperature Units of Measurement

To change the temperature units of measurement:

Step

1 Open the Temperature Menu and rotate the wheel to highlight

Temperature Units.

2 Press the wheel and then rotate it to select one of the following
options:
• o
C (Celsius)
• oF (Fahrenheit)

Monitoring Temperature
SureSigns VS2+ Instructions for Use 7-7
Verifying the Temperature Accuracy

3 Press the wheel to save the selected option.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Verifying the Temperature Accuracy

To understand the method for verifying the accuracy of your thermometer, it is
important to understand how the thermometer works. Taking repeat
temperatures in quick succession on the same patient or comparing the readings
to another thermometer will not work for the following reasons:

• The thermometer is a “predictive” thermometer, which means that it uses

an algorithm to predict what a patient’s temperature would be in three to
five minutes.
• When the thermometer is placed in the patient site, the probe is generally
cooler than the patient temperature site and the patient is generally
warmer. Heat is then transferred to the probe, causing the patient’s body
site to be cooled. The body site then takes approximately 20 minutes to
return to the original temperature. If you repeat the temperature
measurement or use a different thermometer prior to the 20-minute
recovery time, the reading will likely be different.
• Different thermometers use different predictive algorithms. These
algorithms are based on a sampling of patients’ temperatures at the
desired quick predict time versus their three- to five-minute temperature.
Therefore, comparing a SureSigns temperature reading to a reading from a
different thermometer is not an effective method for testing accuracy.

Monitoring Temperature
7-8 SureSigns VS2+ Instructions for Use
 Verifying the Temperature Accuracy

After you take a predictive temperature measurement on a patient, you can

verify the value by following these steps:

Step

1 Replace the temperature probe in the probe well.

2 Open the Temperature Menu and rotate the wheel to highlight

Mode.

3 Press the wheel and then rotate it to select Monitored.

4 Press the wheel to save the selected option, and then press the
Main Screen key.
The Monitored Mode icon appears in the
Temperature numeric pane when you remove
Monitored Mode the probe from the well.
icon

5 Remove the temperature probe from the probe well and firmly
push the probe into a probe cover.

6 Place the probe in the appropriate site on the patient.

Note — The Temp Low alarm may sound for several seconds
while the temperature stabilizes.

7 Hold the probe in position for the following durations:

• 3 minutes for oral and rectal temperatures
• 5 minutes for axillary temperatures
This is the amount of time it takes for the probe and the patient's
body site to come to thermal equilibrium (or the same
temperature).

8 Before removing the probe from the patient, note the

temperature value. (Monitored temperature values are not saved
to a patient record.)

Monitoring Temperature
SureSigns VS2+ Instructions for Use 7-9
Temperature Safety Information

Temperature Safety Information

Warning To minimize risk of damage to the monitor during defibrillation, use only
approved supplies.

Use only the specified probes for your monitor.

Do not use the thermometer if you see any signs of damage to the probe.

Disposal of probe covers must be in compliance with local and facility

regulations.

Caution When you replace the temperature probe after a measurement is complete,
verify that the probe is firmly seated in the well, but do not forcefully insert
the probe in the well.
Biting the probe may cause damage to the probe.
Do not take an axillary temperature through the patient’s clothing. Direct
probe cover-to-skin contact is required.

Monitoring Temperature
7-10 SureSigns VS2+ Instructions for Use
 8
Monitoring Pulse Rate

The SureSigns VS2+ monitor calculates and displays a pulse rate value, which
can be derived from either an SpO2 or NBP measurement.

Changing Pulse Rate Settings

The following illustration shows the components of the Pulse Rate numeric
pane:

Units of measurement

85
bpm SpO2 Pulse rate Source
(SpO2 in this example)
120
50
High and low
alarm limits
Pulse rate value

Use the Pulse Rate Menu to:

• Change the Pulse Rate alarm limits

• Change the Pulse Rate source
• Change the Pulse Rate volume

Monitoring Pulse Rate

SureSigns VS2+ Instructions for Use 8-1
Changing Pulse Rate Settings

To open the Pulse Rate Menu:

Step

1 Rotate the wheel to highlight the Pulse Rate numeric pane.

2 Press the wheel.

The Pulse Rate Menu appears and displays the current settings.

Changing the Pulse Rate Alarm Limits

For information on changing the Pulse Rate alarm limits, see “Changing Alarm
Limits” on page 4-7.

The default alarm limits are:

Adult Pediatric Neonatal

Pulse rate high limit 120 bpm 160 bpm 200 bpm

Pulse rate low limit 50 bpm 75 bpm 100 bpm

Monitoring Pulse Rate

8-2 SureSigns VS2+ Instructions for Use
 Changing Pulse Rate Settings

Changing the Pulse Rate Source

You can configure the monitor to derive the pulse rate value from SpO2 or NBP.
You can also configure the monitor to search automatically for an available
source: SpO2 first, then NBP.

If you select NBP as the pulse rate source, note the following:

• The pulse rate value derived from NBP is an averaged value.

• The displayed pulse rate value is static, which means that it displays the
pulse rate value at the time of the last NBP measurement. To determine
the time at which the pulse rate was measured, see the timestamp in the
Patient Records table.
To change the pulse rate source:

Step

1 Open the Pulse Rate Menu and rotate the wheel to highlight the
Pulse Source menu item.

2 Press the wheel and then rotate it to highlight one of the following
options:
• SpO2 — The monitor derives the pulse rate value from
SpO2.
• NBP — The monitor derives the pulse rate value from NBP.
• Auto — The monitor searches for an available pulse rate
source: SpO2 first, then NBP.

3 Press the wheel to select the option.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

Monitoring Pulse Rate

SureSigns VS2+ Instructions for Use 8-3
Changing Pulse Rate Settings

Notes
• If the pulse rate source is NBP, after a measurement completes, the
value is removed from the monitor screen as soon as the record is
closed or if the value is older than three minutes, whichever comes
first.
• If your patient has a very low pulse rate or strong arrhythmia, pulse
rate readings derived from SpO2 may cause nuisance alarms. Use
the perfusion indicator to assess signal quality. If necessary, use a
different method to measure the patient’s pulse rate.

Adjusting the Pulse Rate Volume

To increase or decrease the pulse rate volume:1

Step

1 Open the Pulse Rate Menu and rotate the wheel to highlight
Pulse Tone Volume.

2 Press the wheel and then rotate it to increase or decrease the

volume. You can turn the volume Off, if desired.

3 Press the wheel again.

The new volume setting takes effect immediately.

4 Press the Main Screen key on the front panel to close the menu.
Alternative: Rotate the wheel to highlight the Main Screen
button, and then press the wheel.

1.
SpO2 tone modulation is licensed under US patent US 4,653,498 from Nellcor
Puritan Bennett Incorporated, a Tyco Healthcare company.

Monitoring Pulse Rate

8-4 SureSigns VS2+ Instructions for Use
 Changing Pulse Rate Settings

Note — The frequency of the pulse rate tone varies depending on which pulse
rate source is selected. If the source is SpO2, the frequency changes based on the
SpO2 level. If the source is NBP, there is no pulse rate tone because the NBP
measurement is static.

Monitoring Pulse Rate

SureSigns VS2+ Instructions for Use 8-5
Changing Pulse Rate Settings

Monitoring Pulse Rate

8-6 SureSigns VS2+ Instructions for Use
 9
Printing

This chapter describes how to:

• Load the recorder paper

• Print one patient record
• Print a waveform
• Print multiple patient records

Warning Printed and exported patient records contain patient IDs and patient data.
Ensure that the printed or exported data is handled according to your
facility’s electronic protected health information (ePHI) guidelines.

Only authorized personnel should be allowed to view, handle, store, or

transmit patient data.

Printing
SureSigns VS2+ Instructions for Use 9-1
Loading the Recorder Paper

Loading the Recorder Paper

Caution Use only Philips-supplied paper. Using the wrong paper can damage the
recorder. If the paper is inserted incorrectly, no data is printed.

To load the paper in the recorder:

Step

1 Press the paper eject button on the left side of the recorder door
to open the door. If the door does not open completely, pull it
toward you.

2 Remove the empty paper core.

3 Place a new roll in the holder so that the end comes over the top
of the roller and slide the paper through the slot in the door.

Roller

4 Pull the loose edge to remove any slack and close the recorder
door.

5 Press the Print key on the front panel to verify that the paper is
loaded correctly.

Printing
9-2 SureSigns VS2+ Instructions for Use
 Printing One Patient Record

Printing One Patient Record

To quickly print a single patient record, press the Print key on the front panel:

• In Vital Signs mode or Display Waveform mode, the current patient

measurements are printed.
Print key • In Patient Records mode, the record selected in the Patient Records table
is printed.

Note — Do not press the Print key until the measurement appears in the new
record.

The printout contains the patient ID, patient type, monitor name, date and time,
and all vital signs measurements. A measurement that exceeds alarm limits is
enclosed in a box.

To print a previously saved record, highlight the desired record in the Patient
Records table and press the Print key on the front panel:

123456
John Jones
Adult
US00000001

07/01/2011 03:31:00

Pulse 90 SpO2 bpm

SYS 122 mmHg
DIA 85 mmHg
MAP 98 mmHg
SpO2 98 %
Temp 99.1 o
F

Printing
SureSigns VS2+ Instructions for Use 9-3
Printing Multiple Patient Records

Printing Multiple Patient Records

Use the Print Patient Data menu to print multiple patient records from the
Patient Records table or to print multiple records for a specific patient.

07/01/11 MRN Type Date Time Pulse(bpm) NBP(mmHg) SpO2(%) Temp(ºF)

03:31:00
US00000001 0009875433 Adult 07/01/11 03:20:12 65SpO2 98 98.6
0007363627 Adult 07/01/11 03:16:44 64SpO2 98 99.2
0006352516 Adult 07/01/11 03:12:41 72NBP 122/85(98) 99 98.3
__________ 0008763842 Pediatric 07/01/11 03:08:03 60SpO2 98 100.1
__________
__________ 0006655321 Adult 07/01/11 03:00:43 80SpO2 99 99.1
__________ 0008764332 Pediatric 07/01/11 02:50:11 56SpO2 97 98.5

Step

1 If necessary, press the Main Screen key to show

the Patient Records table.

Main Screen
key

2 Rotate the wheel to highlight the View Records

button, and select a view mode:
View Records •Enable View All mode to print records from the
button Patient Records table.
•Enable View Patient mode to print records for a
specific patient.

3 Rotate the wheel to highlight the Print button,

and then press the wheel.
Print button The Print Patient Data menu appears.

Printing
9-4 SureSigns VS2+ Instructions for Use
 Printing an SpO2 Waveform

4 Rotate the wheel to highlight the number of records you want to

print. The choices are: Most Recent, 10, 20, 30, 40, 50, or All
Records.

5 Press the wheel.

The recorder prints the selected number of records.

Printing an SpO2 Waveform

To print a waveform and all vital signs measurements for the current patient,
place the monitor in Display Waveform mode and press the Print key on the
front panel of the monitor. The vital signs values appear along the top of the
printout and timestamps appear along the bottom.

07/01/11 Pulse=91bmp; SpO2=99%

20:38:31
US00000001 25.0 mm/s
12345678
Adult

__________

__________
SpO2
^20:38:24 ^20:38:28

Use the Waveform Print option in the System Menu to select the length of the
printed waveform. The Waveform Print options are:

• 20 seconds — The printout contains the values that occurred 7 seconds

before and 13 seconds after the Print button was pressed.
• 7 seconds — The printout contains the values that occurred 7 seconds
after the Print button was pressed.

Printing
SureSigns VS2+ Instructions for Use 9-5
Enabling Print on Alarm

To print an SpO2 waveform:

Step

1 If necessary, press the Main Screen key to switch

to Vital Signs display mode. The SpO2 waveform
appears in the vital signs pane.
Main Screen
key

2 Select one of the following options:

• To print a 7-second or 20-second recording, press and release
the Print key on the front panel.
• To create a continuous printout, press and hold the Print key
on the front panel for two seconds.

3 To stop continuous printing, press the Print key.

Enabling Print on Alarm

You can configure the SureSigns VS2+ patient monitor to automatically
generate a printout when a physiological alarm occurs. After a measurement is
taken, and the monitor determines that the value is outside the alarm limits, the
recorder produces a printout.

The Print On Alarm option is available in the Alarm Settings Menu. See
“Enabling Print on Alarm” on page 4-11 for more information.

Printing
9-6 SureSigns VS2+ Instructions for Use
 Enabling Auto Print NBP

Enabling Auto Print NBP

You can configure the SureSigns VS2+ to automatically initiate a printout each
time an NBP measurement is taken. For more information, see “Enabling
Automatic NBP Printouts” on page 6-5.

Changing the Recorder Speed

You can change the recorder speed on the System Menu. For more information,
see “Changing System Settings” on page 2-17.

Printing
SureSigns VS2+ Instructions for Use 9-7
Changing the Recorder Speed

Printing
9-8 SureSigns VS2+ Instructions for Use
 10
Care and Cleaning

To clean or disinfect your SureSigns VS2+ monitor, use only the approved
cleaning agents listed in this chapter.

For information about how to clean accessories, see the instructions for use
provided with the accessory.

Warning Do not use unapproved cleaning or disinfecting agents. Even small

quantities of some cleaning agents will damage the monitor.

Do not use abrasive cleaners or strong solvents such as acetone or

acetone-based compounds. The warranty does not cover damage caused by
using unapproved substances.

General Guidelines
Keep the monitor, cables, and accessories free of dust and dirt. After cleaning
and disinfecting, check the equipment carefully. Do not use the equipment if you
see signs of deterioration or damage.

If you need to return any equipment to Philips, clean and disinfect it first.

Follow these general precautions:

• Always dilute cleaning agents according to the manufacturer’s

instructions or use the lowest possible concentration.
• Do not allow liquid to enter the case.
• Do not immerse any part of the equipment in liquid.

Care and Cleaning

SureSigns VS2+ Instructions for Use 10-1
Cleaning and Disinfecting the Monitor

• Do not pour liquid onto the system.

• Never use abrasive material (such as steel wool or silver polish).
• Do not autoclave, steam sterilize, or ultrasonically clean the monitor or
cables.
• Do not use bleach on electrical contacts or connectors.
• Do not use alcohol on the patient cables. Alcohol can cause the plastic to
become brittle and fail prematurely.

Caution If you spill liquid on the exterior of the monitor, use a clean cloth to dry it.
If you believe the liquid may have entered the monitor, contact your
biomedical engineer, who can verify the performance and safety of the
equipment.

Cleaning and Disinfecting the Monitor

To clean the monitor:

Step

1 Dampen a soft cloth with mild soap and water.

2 Wring any excess moisture from the cloth and gently clean the
monitor.

Care and Cleaning

10-2 SureSigns VS2+ Instructions for Use
 Cleaning and Disinfecting the Monitor

To disinfect the monitor:

Step

1 Dampen a soft cloth with any one of the following:

• Isopropyl alcohol (70% solution in water)
• Sodium hypochlorite (chlorine bleach, 5% solution in water)
• Quaternary ammonium chloride compounds (<0.25%)
• Hydrogen peroxide (<5%)
• Peracetic acid (<1%) with Hydrogen peroxide (<1%)
• Sodium dichloroisocyanurate solid (48% before dilution)
• Ethylene glycol monobutyl ether (2.5%) with isopropanol
(14%)

2 Wring any excess moisture from the cloth and wipe the monitor to
disinfect it.

Note — If your monitor has an attached SureSigns VSi and VS2+ Tabletop
Base, use the same solutions to clean the base and the monitor.

Care and Cleaning

SureSigns VS2+ Instructions for Use 10-3
Cleaning and Disinfecting the Cables

Cleaning and Disinfecting the Cables

Caution Do not use alcohol to clean the cables. Alcohol can cause the cables to
become brittle.

To clean the cables:

Step

1 Dampen a soft cloth with alcohol-free hand soap.

2 Wring any excess moisture from the cloth and gently clean the
cables.

3 Clean the cables again with a damp cloth moistened with water
only.

To disinfect the cables:

Step

1 Dampen a soft cloth with sodium hypochlorite (chlorine bleach),

3% solution in water.

Caution: Sodium hypochlorite may discolor the cable.

2 Wring any excess moisture from the cloth and gently clean the
cables.

3 Clean the cables again with a damp cloth moistened with water
only.

Care and Cleaning

10-4 SureSigns VS2+ Instructions for Use
 Cleaning and Disinfecting the Temperature Module

Cleaning and Disinfecting the Temperature Module

Caution When cleaning the temperature module, follow these general precautions:
• Do not use steam, heat, or gas sterilization on the probe or probe well.

• Do not autoclave the probe well.

Cleaning and Disinfecting the Probe and Cord

To clean the probe and cord:

• Dampen a soft cloth with mild soap and warm water and wipe the probe
and cord.
To disinfect the probe and cord:

• Dampen a soft cloth with any one of the following solutions and wipe the
probe and cord:
– Isopropyl alcohol (70% solution in water)
– Sodium hypochlorite (chlorine bleach, 10% solution in water)
– A nonstaining disinfectant

Cleaning and Disinfecting the Probe Well

To clean and disinfect the probe well:

Step

1 Disconnect the probe and remove it from the well.

2 Remove the well from the monitor.

Care and Cleaning

SureSigns VS2+ Instructions for Use 10-5
Cleaning and Disinfecting the Temperature Module

3 Dampen a soft cloth with mild soap and warm water and wipe the
inner and outer surfaces.

4 If needed, disinfect the well with any one of the following:

• Isopropyl alcohol (70% solution in water)
• Sodium hypochlorite (chlorine bleach, 10% solution in
water)
• A nonstaining disinfectant

5 Thoroughly dry all of the surfaces before replacing the well in the
monitor.

Care and Cleaning

10-6 SureSigns VS2+ Instructions for Use
 11
Accessories List

This chapter lists accessories that are compatible with the SureSigns VS2+ vital
signs monitor.

Note — The accessory list is subject to change. For the latest information on
supported accessories, contact your authorized Philips representative or refer to
www.medical.philips.com.

Accessories List
SureSigns VS2+ Instructions for Use 11-1
SpO2 Accessories

SpO2 Accessories

Philips Reusable Sensors

Patient Cable Part Use With This

Description
Category Length Number Cable

Adult Finger sensor, for patient size 2m M1191B Extension Cable

> 110 lb (50 kg) M1941A (2 m)

Pediatric/ Finger sensor, for patient size 1.5 m M1192A

Small adult 33 lb – 110 lb (15 kg – 50 kg)

Neonatal Foot/hand sensor, for patient size 1.5 m M1193A

2.2 lb – 8.8 lb (1 kg – 4 kg)

Adult Ear clip sensor, for patient size 1.5 m M1194A

> 88 lb (40 kg)

Infant Finger sensor, for patient size 1.5 m M1195A

8.8 lb – 33 lb (4 kg – 15 kg)

Adult/Large Finger clip, for patient size 2m M1196S

Pediatric > 88 lb (40 kg)

Adult Finger sensor, for patient size 3m M1191BL No extension

> 110 lb (50 kg) cable

Adult Finger clip, for patient size 3m M1196A

> 88 lb (40 kg)

Accessories List
11-2 SureSigns VS2+ Instructions for Use
 SpO2 Accessories

Patient Cable Part Use With This

Description
Category Length Number Cable

Adult Finger sensor, for patient size 45 cm M1191T Adapter Cable

> 110 lb (50 kg) M1943A (1.1 m)
or
Pediatric Finger sensor, for patient size 45 cm M1192T M1943AL (3 m)
33 lb – 110 lb (15 kg – 50 kg)

Neonatal Foot/hand sensor, for patient size 90 cm M1193T

2.2 lb – 8.8 lb (1 kg – 4 kg)

Pediatric/ Finger sensor, for patient size 90 cm M1196T

Adult > 88 lb (40 kg)

Philips Disposable Sensors

Patient Part Use With This

Description
Category Number Cable

Adult/ Finger sensor, for patient size > 44 lb (20 kg) M1131A Adapter Cable
Pediatric M1943A (1.1 m)
or
Infant Digit sensor for patient size 7 lb – 22 lb M1132A M1943AL (3 m)
(3 kg – 10 kg)

Neonatal/ Foot/hand sensor for neonate; big toe/thumb for M1133A

Infant/Adult infant; finger for adult.
Neonate patient size, < 7 lb (3 kg)
Infant patient size, 22 lb – 44 lb (10 kg – 20 kg)
Adult patient size, > 88 lb (40 kg)

Neonatal/ Foot/hand sensor for neonate; big toe/thumb for M1134A

Infant/Adult infant; finger for adult.
Neonate patient size, < 7 lb (3 kg)
Infant patient size, 22 lb – 44 lb (10 kg – 20 kg)
Adult patient size, > 88 lb (40 kg)

Accessories List
SureSigns VS2+ Instructions for Use 11-3
SpO2 Accessories

Nellcor Disposable Sensors

Note — The Nellcor disposable sensors listed below are only available from
Philips in Europe and Japan.

Patient Part Use With This

Description
Category Number Cable

Neonate/ Sensor for neonatal foot or adult digit, for M1901B Adapter Cable
Adult patient size < 7 lb or > 88 lb (< 3 kg or > 40 kg) M1943A (1.1 m)
or
Infant Digit sensor for patient size 7 lb – 44 lb M1902B M1943AL (3 m)
(3 kg – 20 kg)

Pediatric Digit sensor for patient size 22 lb – 110 lb M1903B

(10 kg – 50 kg)

Adult Digit sensor for patient size > 66 lb (30 kg) M1904B

Accessories List
11-4 SureSigns VS2+ Instructions for Use
 NBP Accessories

Masimo Adapter Cables

Cable
Description Part Number
Length

Masimo LNOP Adapter Cable (adapts LNOP sensors to Philips 3.6 m M1020-61100
monitors)

Masimo LNCS Adapter Cable (adapts LNCS sensors to Philips 3.0 m 989803148221
monitors)

NBP Accessories

Reusable Comfort Cuffs

Patient Category/ Limb Bladder Part

Tubing
Cuff Type Circumference Width Number

Thigh 42 cm – 54 cm 20 cm M1576A M1598B (1.5 m)

or
Large Adult 34 cm – 43 cm 16 cm M1575A M1599B (3 m)
Adult 27 cm – 35 cm 13 cm M1574A

Small Adult 20.5 cm – 28 cm 10.5 cm M1573A

Pediatric 14 cm – 21.5 cm 8 cm M1572A

Infant 10 cm – 15 cm 5.5 cm M1571A

Accessories List
SureSigns VS2+ Instructions for Use 11-5
NBP Accessories

Reusable Traditional Cuffs

Patient Category/ Limb Bladder Part

Tubing
Cuff Type Circumference Width Number

Thigh 46 cm – 66 cm 17.8 cm 40401E M1598B (1.5 m)

or
Large Adult 33 cm – 47 cm 15.2 cm 40401D M1599B (3 m)
Adult 25 cm – 35 cm 12.1 cm 40401C

Pediatric 18 cm – 26 cm 8.9 cm 40401B

Infant 10 cm – 19 cm 6 cm 40401A

Reusable Easy Care Adult/Pediatric Cuffs

Patient Category/ Limb Bladder Part

Tubing
Cuff Type Circumference Width Number

Thigh 44 cm – 56 cm 21 cm M4559B M1598B (1.5 m)

or
Large Adult X-Long 35 cm – 45 cm 17 cm M4558B M1599B (3 m)
Large Adult 35 cm – 45 cm 17 cm M4557B

Adult X-Long 27.5 cm – 36 cm 13.5 cm M4556B

Adult 27.5 cm – 36 cm 13.5 cm M4555B

Small Adult 20.5 cm – 28.5 cm 10.6 cm M4554B

Pediatric 14 cm – 21.5 cm 8 cm M4553B

Infant 10 cm – 15 cm 5.5 cm M4552B

Accessories List
11-6 SureSigns VS2+ Instructions for Use
 NBP Accessories

Disposable Soft Adult/Pediatric Cuffs

Patient Category/ Limb Bladder Part

Tubing
Cuff Type Circumference Width Number

Thigh 44 cm – 56 cm 21 cm M4579B M1598B (1.5 m)

or
Large Adult X-Long 35 cm – 45 cm 17 cm M4578B M1599B (3.0 m)
Large Adult 35 cm – 45 cm 17 cm M4577B

Adult X-Long 27.5 cm – 36 cm 13.5 cm M4576B

Adult 27.5 cm – 36 cm 13.5 cm M4575B

Small Adult 20.5 cm – 28.5 cm 10.6 cm M4574B

Pediatric 14 cm – 21.5 cm 8 cm M4573B

Infant 10 cm – 15 cm 5.5 cm M4572B

Disposable Adult/Pediatric Cuffs

Patient Category/ Limb Bladder Part

Tubing
Cuff Type Circumference Width Number

Thigh 42 cm – 54 cm 20 cm M1879A M1598B (1.5 m)

or
Large Adult 34 cm – 43 cm 16 cm M1878A M1599B (3 m)
Adult 27 cm – 35 cm 13 cm M1877A

Small Adult 20.5 cm – 28 cm 10.5 cm M1876A

Pediatric 14 cm – 21.5 cm 8 cm M1875A

Infant 10 cm – 15 cm 5.5 cm M1874A

Accessories List
SureSigns VS2+ Instructions for Use 11-7
NBP Accessories

Disposable Neonatal Cuffs (Luer Connector)1

Limb Bladder Part

Cuffs Tubing
Circumference Width Number

Size 1 3.1 cm – 5.7 cm 2.5 cm M1866A M1596B (1.5 m)

or
Size 2 4.3 cm – 8.0 cm 3.2 cm M1868A M1597B (3 m)
Size 3 5.8 cm – 10.9 cm 4.2 cm M1870A

Size 4 7.1 cm – 13.1 cm 5.1 cm M1872A

Disposable Neonatal Cuffs (Safety Connector)2

Limb Bladder Part

Cuffs Tubing
Circumference Width Number

Size 1 3.1 cm – 5.7 cm 2.5 cm M1866B M1596C (1.5 m)

or
Size 2 4.3 cm – 8.0 cm 3.2 cm M1868B M1597C (3 m)
Size 3 5.8 cm – 10.9 cm 4.2 cm M1870B

Size 4 7.1 cm – 13.1 cm 5.1 cm M1872B

Size 5 Infant 10.0 cm – 15.0 cm 5.5 cm M1873B

1. The luer connector cuffs and air hoses are not available in EEA (European Economic Area) countries.
2. The safety connector cuffs and air hoses may not be available in all countries. Check with your local
sales organization.

Accessories List
11-8 SureSigns VS2+ Instructions for Use
 Temperature Accessories

Disposable Soft Neonatal Cuffs (Safety Connector)

Limb Bladder Part

Cuffs Tubing
Circumference Width Number

Size 1 3.1 cm – 5.7 cm 2.5 cm M1866S M1596C (1.5 m)

or
Size 2 4.3 cm – 8.0 cm 3.2 cm M1868S M1597C (3 m)
Size 3 5.8 cm – 10.9 cm 4.2 cm M1870S

Size 4 7.1 cm – 13.1 cm 5.1 cm M1872S

Size 5 Infant 10.0 cm – 15.0 cm 5.5 cm M1873S

Temperature Accessories

Patient
Description Part Number
Category

All patient types Rectal probe and well kit 989803143391

All patient types Oral/Axillary probe and well kit 989803143381

Disposable probe covers, 1000 per case M4823A

Accessories List
SureSigns VS2+ Instructions for Use 11-9
Miscellaneous Accessories

Miscellaneous Accessories

Description Part Number

Roll Stand with Basket 989803144001

Wall Mount 989803144011

Recorder Paper (5 rolls) 989803136891

Lithium Ion Battery 989803174881

1D Barcode Scanner (includes mounting arm for use with roll stand) 989803167691

2D Barcode Scanner (includes mounting arm for use with roll stand) 989803147821

Serial Interface Adapter 989803159601

Cable Management Kit 989803148841

SureSigns Mount Adapter 989803150281

USB hub, 4-port 453564039661

SureSigns VSi and VS2+ Tabletop Base 989803176261

Accessories List
11-10 SureSigns VS2+ Instructions for Use
 12
Specifications

General Specifications

Parameter Specification

Size

Width 18.4 cm (8.1 in.)

Height 20.5 cm (7.2 in.)

Depth 15.0 cm (5.9 in.)

Weight 2.0 kg (4.3 lb), including battery, recorder,

temperature module, and wireless option

Display

Screen Type 4.3" WQVGA TFT-AM LCD display

Resolution 480 active pixels/line, 272 active lines per frame

Refresh Frequency 60 Hz

Screen Active Area 95.0 mm × 53.9 mm (3.7 in. × 2.1 in.)

Pixel Size 0.213 mm

Viewing Angle ± 60 degrees

Alarm Audio Range Meets IEC 60601-2-49 (45 dB – 85 dB)

System Reponse Time 1 second

Specifications
SureSigns VS2+ Instructions for Use 12-1
Safety Standards

Safety Standards

Parameter Specification

EN/IEC 60601-1, EN/IEC 60601-1-2, EN/IEC 60601-2-30, EN/IEC

60601-2-49, ISO 9919

Protection Class Class I, internally powered equipment, per

IEC 60601-1

Degree of Protection Type CF defibrillator-proof, per IEC 60601-1

Mode of Operation Continuous

Protection Against Hazards Equipment is not suitable for use in the presence
of Ignition of Flammable of a flammable anaesthetic mixture with air or
Anaesthetic Mixtures oxygen or nitrous oxide, per IEC 60601-1

Electrical Specifications

Parameter Specification

Power Sources

Internal Battery Lithium ion, Smart battery

10.8V – 11.1V
2150 mAhr – 2300 mAhr

Battery Operating Time > 4.5 hours, with continuous SpO2 and
(new, fully charged battery) NBP interval measurement every 15
minutes

Specifications
12-2 SureSigns VS2+ Instructions for Use
 Environmental Specifications

Parameter Specification

Battery Charge Time Up to 5 hours to charge to 90% level

when monitoring with SpO2 and taking
an NBP measurement every 15 minutes
Up to 4 hours to charge to 90% level
when the unit is in Standby mode

Internal Power Supply 100 VAC – 240 VAC

Power Consumption <75 Watts

Frequency 50/60 Hz

Environmental Specifications

Caution The monitor might not meet performance specifications if stored or used
outside the specified temperature and humidity ranges.

Parameter Specification

Mechanical Shock Complies with mechanical shock requirement

in ISO 9919 standards for use within the
healthcare facility. Test conditions include:
• Peak Acceleration: 150 m/s2 (15.3g)
• Duration: 11 ms
• Pulse shape: Half sine
• Number of shocks: 3 shocks per direction
per axis (18 total)

Specifications
SureSigns VS2+ Instructions for Use 12-3
Environmental Specifications

Parameter Specification

Mechanical Vibration Complies with mechanical vibration

requirement in ISO 9919 standards for use
within the healthcare facility. Test conditions
include:
• Frequency range: 10 Hz – 2000 Hz
• Resolution: 10 Hz
• Acceleration amplitude:
10 Hz – 100 Hz 1.0 (m/s2)2/Hz
100 Hz – 200 Hz -3.0 dB/octave
200 Hz – 2000 Hz 0.5 (m/s2)2/Hz
• Duration: 10 min per each perpendicular
axis (3 total)

Thermal

Operating 10oC – 40oC (50oF – 104oF)

Temperature

Storage Temperature -20oC – 50oC (-4oF – 122oF) for the device

-20oC – 40oC (-4oF – 104oF) for the device plus
accessories

Humidity

Operating Up to 80% RH, non-condensing

Storage Up to 90% RH, non-condensing

Altitude Up to 3000 m (9842 ft) above sea level

(701 mbar)

Electromagnetic Meets the EN 60601-1-2:2001 standard

Compatibility

Specifications
12-4 SureSigns VS2+ Instructions for Use
 NBP Specifications

NBP Specifications

Oscillometric NBP Measurement

This monitor uses the oscillometric method for measuring NBP. In adult and
pediatric mode, the blood pressure measurements determined with this device
comply with the American National Standard for Electronic or Automated
Sphygmomanometers (ANSI/AAMI SP10-1992) in relation to mean error and
standard deviation, when compared to intra-arterial or auscultatory
measurements (depending on the configuration) in a representative patient
population. For the auscultatory reference, the fifth Korotkoff sound was used to
determine the diastolic pressure.

In neonatal mode, the blood pressure measurements determined with this device
comply with the American National Standard for Electronic or Automated
Sphygmomanometers (ANSI/AAMI SP10-1992) in relation to mean error and
standard deviation, when compared to intra-arterial or auscultatory
measurements in a representative patient population. The NBP measurement is
suitable for use in the presence of electrosurgery and during the discharge of a
cardiac defibrillator according to IEC 601-2-30:1999/EN 60601-2-30:2000.

Oscillometric devices measure the amplitude of pressure changes in the

occluding cuff as the cuff deflates from above systolic pressure. The amplitude
suddenly increases as the pulse breaks through the occlusion in the artery. As the
cuff pressure decreases further, the pulsations increase in amplitude, reach a
maximum (which approximates to the mean pressure), and then diminish.

Studies show that, especially in critical cases (arrhythmia, vasoconstriction,

hypertension, shock) oscillometric devices are more accurate and consistent than
devices using other noninvasive measuring techniques.

A physician must determine the clinical significance of the NBP information.

Specifications
SureSigns VS2+ Instructions for Use 12-5
NBP Specifications

The following table lists the specifications for the Philips NBP module.

Parameter Specification

Technique Oscillometric using stepwise deflation

pressure

Adult Measurement Range

Systolic 30 mmHg – 270 mmHg

(4.0 kPa – 36.0 kPa)

Diastolic 10 mmHg – 245 mmHg

(1.3 kPa – 32.7 kPa)

MAP 20 mmHg – 255 mmHg

(2.7 kPa – 34.0 kPa)

Pulse Rate Range 40 bpm – 300 bpm

Pediatric Measurement Range

Systolic 30 mmHg –180 mmHg

(4.0 kPa – 24.0 kPa)

Diastolic 10 mmHg – 150 mmHg

(1.3 kPa – 20.0 kPa)

MAP 20 mmHg – 160 mmHg

(2.7 kPa – 21.3 kPa)

Pulse Rate Range 40 bpm – 300 bpm

Neonatal Measurement Range

Systolic 30 mmHg – 130 mmHg

(4.0 kPa – 17.0 kPa)

Diastolic 10 mmHg – mmHg

(1.3 kPa – 13.3 kPa)

MAP 20 mmHg – 120 mmHg

(2.7 kPa – 16.0 kPa)

Specifications
12-6 SureSigns VS2+ Instructions for Use
 Temperature Specifications

Parameter Specification

Pulse Rate Range 40 bpm – 300 bpm

Blood Pressure Accuracy Maximum Standard Deviation: 8 mmHg

Maximum Mean Error: ± 5 mmHg

Pulse Rate Accuracy • 40 bpm – 100 bpm: ± 5 bpm

• 101 bpm – 200 bpm: ± 5% of reading
• 201 bpm – 300 bpm: ± 10% of
reading

Initial Cuff Inflation • Adult: 160 mmHg (21.3 kPa)

• Pediatric: 140 mmHg (18.7 kPa)
• Neonatal: 100 mmHg (13.3 kPa)

Subsequent Cuff Inflation The subsequent inflation pressure is

(in NBP Interval mode only) determined automaticallly, depending on
the previous measurement and patient
type.

Temperature Specifications

Parameter Specification

Monitored Mode Measurement 26.7oC – 43.3oC (80oF – 110oF)

Range

Predictive Mode Measurement 34.4oC – 40.6oC (93.9oF – 105oF)

Range

Accuracy ± 0.1oC (± 0.2oF) in Monitored mode

Resolution 0.1oC (0.2oF)

Specifications
SureSigns VS2+ Instructions for Use 12-7
SpO2 Specifications

SpO2 Specifications
The update rate for the SpO2 value and pulse rate is typically 1 second. Data
averaging and other signal processing on the displayed and transmitted data
values of SpO2 and pulse rate is controllable by the user-selectable SpO2
Response Mode: Slow (20 seconds), Normal (10 seconds), and Fast (5 seconds).
Depending on the magnitude of difference between the alarm limit and the
displayed value, the alarm signal generation delay may be from 1 second to the
value of the response time (5, 10, or 20 seconds).

Because pulse oximeter equipment measurements are statistically distributed,

only approximately two-thirds of pulse oximeter equipment measurements can
be expected to fall within the ± Arms value measured by a CO-oximeter.

Parameter Specification

SpO2 Measurement Range 0% – 100%

Pulse Rate Measurement Range 30 bpm – 300 bpm

Specifications
12-8 SureSigns VS2+ Instructions for Use
 SpO2 Specifications

Parameter Specification

SpO2 Accuracy1 Range Accuracy

Philips Reusable Sensors

M1191B, M1191BL, M1192A 70% – 100% ±2%

M1193A, M1194A, M1195A, 70% – 100% ±3%

M1196A, M1196S, M1191T,
M1192T, M1196T

M1193T (Neonatal) 70% –100% ±4%

Philips Disposable Sensors

M1131A, M1133A, M1134A 70% – 100% ±3%

(Neonatal)

M1132A, M1133A, M1134A 70% – 100% ±2%

(Adult/Infant)

Nellcor Disposable Sensors

M1901B, M1902B, M1903B, 70% – 100% ±3%

M1904B

Pulse Rate Accuracy 2% or 1 bpm, whichever is greater

Wavelength Range2 500 nm – 1000 nm for all specified

sensors

Maximum Optical Output Power ≤ 15mW for all specified sensors

1. Sensor accuracy was obtained by performing controlled hypoxia studies on healthy,
non-smoking adult volunteers (according to EN ISO 9919). The SpO2 readings have been
compared to CO-oximeter measurements on arterial blood samples. To represent the general
population, data from at least 10 subjects (male and female) with a wide range of skin color
was taken to validate SpO2 accuracy.
2. Information about wavelength ranges can be useful for clinicians performing photodynamic
therapy.

Specifications
SureSigns VS2+ Instructions for Use 12-9
Recorder Specifications

Recorder Specifications

Parameter Specification

Type Thermal

Paper width 58 mm

Speed User selectable speeds of 6.25, 12.5, 25, and 50 mm/sec

Interface Specifications

Parameter Specification

Nurse Call Alarm output

Connector 3.5 mm insulated phone jack, N.O and N.C

contacts

Contact rating ≤ 1A @ < 25 VAC

≤ 1A @ < 60 VDC

Isolation 1.5 kV

Delay time < 0.5 sec

Data output Ethernet port

USB port, with the optional Serial Interface
Adapter
Wireless

Software upgrade USB port

Barcode scanner USB port

connection

Specifications
12-10 SureSigns VS2+ Instructions for Use
 Radio Regulatory Compliance

Parameter Specification

Wireless interface Compliant with IEEE wireless networking

standards 802.11a, 802.11b, and 802.11g
Optional internal wireless module with antenna
for wireless connectivity

Antenna The antenna in the monitor has been tested with

the following specifications:

• Form Factor: Whip

• Type: Dipole
• Maximum 2.4 GHz Gain: 2.15 dBi
• Maximum 5.0 GHz Gain: 3.90 dBi

Radio Regulatory Compliance

USA — Federal Communication Commission

Interference Statement

This equipment has been tested and found to comply with the limits for a
Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are
designed to provide reasonable protection against harmful interference in a
residential installation. This equipment generates, uses, and can radiate radio
frequency energy and, if not installed and used in accordance with the
instructions, may cause harmful interference to radio communications. However,
there is no guarantee that interference will not occur in a particular installation.
If this equipment does cause harmful interference to radio or television
reception, which can be determined by turning the equipment off and on, the
user is encouraged to try to correct the interference by one of the following
measures:

1. Reorient or relocate the receiving antenna.

2. Increase the separation between the equipment and receiver.

Specifications
SureSigns VS2+ Instructions for Use 12-11
Radio Regulatory Compliance

3. Connect the equipment into an outlet on a circuit different from that to

which the receiver is connected.
4. Consult the dealer or an experienced radio/TV technician for help.

Caution FCC Caution: Any changes or modifications not expressly approved by the
party responsible for compliance could void the user’s authority to operate
this equipment.

This device complies with Part 15 of the FCC Rules. Operation is subject to the
following two conditions: (1) This device may not cause harmful interference,
and (2) this device must accept any interference received, including interference
that may cause undesired operation.

Note — FCC Radiation Exposure Statement:

This equipment complies with FCC radiation exposure limits set forth for an
uncontrolled environment. This equipment should be installed and operated with
minimum distance 20 cm between the monitor and any person.

Industry Canada
To prevent radio interference to the licensed service, this device is intended to
be operated indoors and away from windows to provide maximum shielding.
Equipment (or its transmit antenna) that is installed outdoors is subject to
licensing.

For the specifications for antennas that are used with the monitor, see “Interface
Specifications” on page 12-10.

Specifications
12-12 SureSigns VS2+ Instructions for Use
 Radio Regulatory Compliance

European Union
This device complies with the essential requirements of the R&TTE
Directive 1999/5/EC. The following test methods have been applied in order to
prove presumption of conformity with the essential requirements of the R&TTE
Directive 1999/5/EC:
• EN60950-1:2001 A11:2004
Safety of Information Technology Equipment
• EN 300 328 V1.7.1: (2006-10)
Electromagnetic compatibility and Radio spectrum Matters (ERM);
Wideband Transmission systems; Data transmission equipment operating
in the 2,4 GHz ISM band and using spread spectrum modulation
techniques; Harmonized EN covering essential requirements under article
3.2 of the R&TTE Directive
• EN 301 489-1 V1.6.1: (2005-09)
Electromagnetic compatibility and Radio Spectrum Matters (ERM);
ElectroMagnetic Compatibility (EMC) standard for radio equipment and
services; Part 1: Common technical requirements
• EN 301 489-17 V1.2.1: (2002-08)
Electromagnetic compatibility and Radio spectrum Matters (ERM);
ElectroMagnetic Compatibility (EMC) standard for radio equipment and
services; Part 17: Specific conditions for 2,4 GHz wideband transmission
systems and 5 GHz high performance RLAN equipment
• EN 301 893
Electromagnetic compatibility and Radio spectrum Matters (ERM);
Broadband Radio Access Networks (BRAN); Specific conditions for
5 GHz high performance RLAN equipment
• EU 2002/95/EC (RoHS)
Declaration of Compliance - EU Directive 2003/95/EC; Reduction of
Hazardous Substances (RoHS)
This device is a 2.4 GHz wideband transmission system (transceiver), intended
for use in all EU member states and EFTA countries, except in France and Italy
where restrictive use applies.

Specifications
SureSigns VS2+ Instructions for Use 12-13
Radio Regulatory Compliance

In Italy the end-user should apply for a license at the national spectrum
authorities in order to obtain authorization to use the device for setting up
outdoor radio links and/or for supplying public access to telecommunications
and/or network services.

This device may not be used for setting up outdoor radio links in France and in
some areas the RF output power may be limited to 10 mW EIRP in the
frequency range of 2454 MHz to 2483.5 MHz. For detailed information the
end-user should contact the national spectrum authority in France.

Hereby, Philips declares that this monitor is in compliance with the essential
requirements and other relevent provisions of Directive 1999/5/EC.

Specifications
12-14 SureSigns VS2+ Instructions for Use
 13
Troubleshooting

Use the information in this chapter to diagnose and correct problems with your
monitor. If you cannot resolve a problem after using the information in this
chapter, contact your system administrator or biomedical engineer.

Viewing System Information

Important monitor information, such as the hardware version and the software
version, is displayed in the System Information window.

To view the System Information window, follow the instructions in “Viewing

Monitor Information” on page 2-20.

Diagnosing a Problem
Before you begin to troubleshoot a problem, check the following basics:

1. Is the power turned on?

2. Is the battery adequately charged?
3. Is the power cord connected to the monitor and plugged into an AC power
source?
4. Is the display functioning?
5. Are the LEDs on the front panel lit as you expect?

Troubleshooting
SureSigns VS2+ Instructions for Use 13-1
Troubleshooting Table

Note — It may take several seconds for the AC Power LED to light/turn off
after the power cord is connected/disconnected.

When the monitor has power and a functioning display, use the information in
this chapter to diagnose other monitor problems.

Troubleshooting Table
Use the following table to diagnose and fix monitor problems. The table
describes a monitor problem by symptom, lists possible causes and suggested
actions. If you cannot resolve a problem by using the following table, or if the
table does not list the problem you are experiencing, see your system
administrator.

Symptom Possible Cause Action

The monitor does not turn The power cord is Ensure that the power cord
on with AC power, but unplugged. is plugged into an AC
turns on with battery power source.
power. The power cord is broken. Replace the power cord if
necessary.
The monitor turns on with The battery is not charged. Charge the battery. For
AC power, but does not more information, see
turn on with battery power. “Charging the Battery” on
page 2-6.
The power is on, but the The monitor is in Standby Press the On/Standby key
monitor screen is blank. mode. to end Standby mode.
If the problem persists, see
your system administrator.
Audible alarms do not The monitor is in Audio Confirm audio alarms are
sound. Pause mode or Audio Off enabled.
mode.

Troubleshooting
13-2 SureSigns VS2+ Instructions for Use
 Troubleshooting Table

Symptom Possible Cause Action

The NBP cuff does not The tube or cuff is bent or Straighten the tube or cuff.
inflate. twisted.
The tube or cuff is leaking Replace the cuff and ensure
air. that there is no air leakage
in the tube.
NBP measurements are not Wrong cuff size or incorrect Use the correct cuff size
displayed. cuff placement. and ensure proper cuff
placement.
The tube is bent or twisted or Ensure that the tube is
there is air leakage in the air straight and not kinked.
tube or cuff. Replace the cuff and ensure
that there is no air leakage
in the tube.
An external problem Ensure that all external
occurred. blood pressure reading
requirements are met and
that the patient is not
moving excessively.
For more information about
taking NBP measurements,
see Chapter 6, “Monitoring
NBP.”
NBP measurements are Wrong cuff size or incorrect Use the correct cuff size
unreliable. cuff placement. and ensure proper cuff
placement.
An external problem Ensure that all external
occurred. blood pressure reading
requirements are met and
that the patient is not
moving excessively.

Troubleshooting
SureSigns VS2+ Instructions for Use 13-3
Troubleshooting Table

Symptom Possible Cause Action

Temperature The probe is misplaced. Ensure that the probe is
measurements are not properly placed in the
displayed. measurement site.
The probe cable is not Ensure that the temperature
connected. probe is connected.
The temperature is over Ensure that temperature
range. readings are in the range of
15oC – 45oC
(59oF – 113oF).
The probe malfunctioned. Replace the temperature
probe.
Temperature The probe malfunctioned. Replace the temperature
measurements are probe.
unreliable.
SpO2 measurements are The SpO2 module is Wait until the module
not displayed. calculating the SpO2 value. completes the calculation.
The SpO2 sensor has Replace the SpO2 sensor.
malfunctioned.
SpO2 readings are An external problem Ensure that all external
unreliable. occurred. SpO2 reading requirements
are met and that the patient
is not moving excessively.
For more information about
taking SpO2 measurements,
see Chapter 5, “Monitoring
SpO2.”
The nurse call function Alarms have been silenced. Press the Alarm Silence
does not signal alarm key to end the Audio Off
conditions. mode or Audio Pause
mode.
The phono connector is loose Check the physical
or broken. connection to the nurse call
connector.

Troubleshooting
13-4 SureSigns VS2+ Instructions for Use
 Alarms and Error Messages

Symptom Possible Cause Action

The USB hub does not The USB hub is Ensure that all USB plugs
work. disconnected from the are firmly connected into
monitor. their ports.
The USB hub ports are Clean the USB hub. See the
blocked by dust or dirt. information that came with
the USB hub for cleaning
instructions.
The USB hub is faulty. Replace the USB hub.
The recorder paper is The paper is not installed Remove paper and reinstall
jamming. correctly. correctly.
The wrong type of paper is Install the recommended
installed. recorder paper.
The recorder does not An optional recorder is not Verify that a recorder is
print. installed. installed.

Alarms and Error Messages

If an error occurs during monitoring, an audible alarm sounds and alarm
messages appear on the monitor screen. Press the Alarm Silence key to end the
audible alarm. For a list of alarm messages, see Appendix A, “Alarm
Specifications.”
Alarm
Silence key If any of the following error messages appear, perform the actions described:

Message Action
NBP Equip Malfunc - Not Calibrated See your system administrator.
SpO2 Error. The front end will now reset Allow the monitor to reset. If the problem
itself. persists, see your system administrator.

Troubleshooting
SureSigns VS2+ Instructions for Use 13-5
Alarms and Error Messages

Message Action
Temp Error. The front end will now reset Allow the monitor to reset.
itself.
Verify that the Temperature module is
positioned correctly and secured to the side of
the monitor.
If the problem persists, see your system
administrator.
System Error See your system administrator.

Troubleshooting
13-6 SureSigns VS2+ Instructions for Use
 A
Alarm Specifications

This appendix contains an alphabetical listing of physiological and technical

alarm messages. It also contains a table of factory default alarm limits and the
calculations used for the Auto Set Alarm Limits option.

Physiological Alarms
The following table contains an alphabetical listing of physiological alarm
messages.

Alarm Message Priority Cause

NBP(D) High Medium The Diastolic NBP value has exceeded the high alarm
limit.
NBP(D) Low Medium The Diastolic NBP value has dropped below the low alarm
limit.
NBP(M) High Medium The Mean NBP value has exceeded the high alarm limit.
NBP(M) Low Medium The Mean NBP value has dropped below the low alarm
limit.
NBP(S) High Medium The Systolic NBP value has exceeded the high alarm limit.
NBP(S) Low Medium The Systolic NBP value has dropped below the low alarm
limit.
Pulse High Medium The pulse rate value has exceeded the high alarm limit.
Pulse Low Medium The pulse rate value has dropped below the low alarm
limit.

Alarm Specifications
SureSigns VS2+ Instructions for Use A-1
Technical Alarms

Alarm Message Priority Cause

SpO2 Desat High The oxygen saturation value has dropped dangerously low.
The Desat alarm sounds when the SpO2 value is 10 less
than the current low limit for adults and pediatric patients
and 5 less for neonates.
SpO2 High Medium The SpO2 value has exceeded the high alarm limit.
SpO2 Low Medium The SpO2 value has dropped below the low alarm limit.
Temp High Low The temperature value has exceeded the high alarm limit.
Temp Low Low The temperature value has dropped below the low alarm
limit.

Technical Alarms
The following table contains an alphabetical listing of technical alarm messages.

Alarm Message Priority Cause

Date/Time Adjusted Low Indicates that a time change greater than 30 seconds
occurred when the monitor synchronized the time to the
server or EHR system. This alarm can occur only if your
system administrator enables time synchronization on the
monitor. This is only a visual message.
Extreme Low Batt High This is the second low battery alarm. Remaining battery
power is less than 21 percent.
Loss of Monitoring Low Indicates that the monitor has shut itself down and then
restarted, due to an internal error. The Loss of Monitoring
message appears to inform you that some patient data may
have been lost.
Low Batt Low Remaining battery power is less than 30 percent.

Alarm Specifications
A-2 SureSigns VS2+ Instructions for Use
 Technical Alarms

Alarm Message Priority Cause

NBP Air Leak Low The monitor cannot adjust pressure. This may be due to
leakage or an NBP module internal problem.
NBP Artifact Low The monitor cannot correct the pressure to the intended
value within the time limit, or the monitor requires too
many pressure correction attempts to adjust the pressure to
the intended value.
This may be due to excessive patient movement, leakage,
or a problem with extreme edematous patients.
NBP Equip Malfunc Low NBP equipment malfunction. See your system
administrator to check the error log for details.
NBP Hose Blocked Low The monitor has detected a defect in the pneumatic system,
such as valves, tubing, or plug.
NBP Loose Cuff Low The NBP cuff cannot inflate to the target value within the
patient size dependent limit. May be caused by a pump
defect, leakage, or disconnected cuff.
NBP Out of Range Low The NBP value is outside the NBP measurement range.
NBP Overpressure High The NBP cuff pressure exceeds the overpressure safety
limits:
• 300 mmHg (40.0 kPa) for adult/pediatric patients
• 150 mmHg (20.0 kPa) for neonatal patients
This error may be caused by a sudden rise in pressure if the
cuff is squeezed or bumped.
The monitor cannot take any more NBP readings until the
alarm is acknowledged.
NBP Timeout Low The NBP cuff deflation lasts longer than the patient size
dependent limit, or the measurement time exceeded 180
seconds for adult/pediatric and 90 seconds for neonatal.
This may be due to extreme bradycardia or excessive
artifacts.

Alarm Specifications
SureSigns VS2+ Instructions for Use A-3
Technical Alarms

Alarm Message Priority Cause

NBP Weak Signal Low The monitor could not derive a blood pressure
measurement. This may be due to excessive artifacts,
extremely weak pulse signal, incorrect patient size setting,
or blood pressure out of measurement range.
Recorder Door Open Low The recorder door is open and must be closed to work
properly.
Recorder Not Installed Low The optional recorder is not installed in your monitor.
Recorder Out of Paper Low The recorder is out of paper.
Speaker Malfunc Low There is a speaker malfunction. This is only a visual
message. See your system administrator to check the error
log for details.
SpO2 Equip Malfunc Low SpO2 equipment malfunction. See your system
administrator to check the error log for details.
SpO2 Erratic Low Erratic SpO2 measurement. Often due to a faulty sensor,
incorrect application, or incorrect positioning of sensor.
SpO2 Extd Update Low The update period of the displayed SpO2 value is extended
beyond 30 seconds because an NBP measurement is being
taken on the same limb, or because of an excessively noisy
signal.
SpO2 Interference Low The level of ambient light or electrical interference is so
high that it prevents SpO2/heart rate from being measured
reliably.
SpO2 Low Perf Low SpO2 accuracy may be compromised due to very low
perfusion.
SpO2 No Sensor High The SpO2 sensor cable is disconnected from the monitor.
Note — This alarm is only enabled when the monitor is in
NBP Interval mode. If the monitor is not in NBP Interval
mode, the alarm will not sound.

Alarm Specifications
A-4 SureSigns VS2+ Instructions for Use
 Technical Alarms

Alarm Message Priority Cause

SpO2 Noisy Signal Low Excessive patient movement or electrical interference is
causing irregular pulse patterns.
SpO2 Non–Pulsatile High The pulse is too weak for the algorithm to detect the
physiological pulse or the sensor is no longer attached to
the patient.
Note — This alarm is only enabled when the monitor is in
NBP Interval mode. If the monitor is not in NBP Interval
mode, the alarm will not sound.
SpO2 Sensor Malfunc Low Malfunction of the SpO2 sensor or sensor cable. See your
system administrator to check the error log for details.
Temp Module Malfunc Low There is a module malfunction.
If the malfunction is caused by electrostatic discharge on
the temperature probe, you can reset the temperature
module and clear the error by inserting the probe in the
probe well and pulling it out.
If the error message is not cleared after you insert the
probe in the probe well and pull it out, the malfunction
may be caused by one of the following:
• Battery or power supply voltage not in range
• Ambient temperature too high
• Ambient temperature too low
See your system administrator to check the error log for
details.
Temp Out of Range Low The temperature value is outside the temperature
measurement range.

Alarm Specifications
SureSigns VS2+ Instructions for Use A-5
Technical Alarms

Alarm Message Priority Cause

Temp Probe Error Low There is a probe error
If the malfunction is caused by electrostatic discharge on
the temperature probe, you can reset the temperature
module and clear the error by inserting the probe in the
probe well and pulling it out.
If the error message is not cleared after you insert the
probe in the probe well and pull it out, the malfunction
may be caused by one of the following:
• The probe well is missing
• The probe well is not installed properly
• The probe warmer has overheated
See your system administrator to check the error log for
details.
Wireless Malfunc Low There is a wireless malfunction. See your system
administrator to check the error log for details.

Alarm Specifications
A-6 SureSigns VS2+ Instructions for Use
 Factory Default Alarm Limits and Alarm Ranges

Factory Default Alarm Limits and Alarm Ranges

This section lists the default alarm limits and the alarm limit ranges for all physiological
alarms.

Factory Default Alarm Limits

The following table lists the default alarm limits that are set in the factory.

Note — Your system administrator can change these factory defaults to different
default values.

Adult Pediatric Neonatal

High Low High Low High Low

NBP Diastolic 90 mmHg 50 mmHg 70 mmHg 40 mmHg 60 mmHg 20 mmHg
(12.0 kPa) (6.7 kPa) (9.3 kPa) (5.3 kPa) (8.0 kPa) (2.7 kPa)
NBP Mean 110 mmHg 70 mmHg 90 mmHg 50 mmHg 70 mmHg 24 mmHg
(14.7 kPa) (9.3 kPa) (12.0 kPa) (6.7 kPa) (9.3 kPa) (3.2 kPa)
NBP Systolic 160 mmHg 90 mmHg 120 mmHg 70 mmHg 90 mmHg 40 mmHg
(21.3 kPa) (12.0 kPa) (16.0 kPa) (9.3 kPa) (12.0 kPa) (5.3 kPa)
Pulse Rate 120 bpm 50 bpm 160 bpm 75 bpm 200 bpm 100 bpm
SpO2 100% 90% 100% 90% 95% 85%

Temperature 39oC 36oC 39oC 36oC 39oC 36oC

(102.2oF) (96.8oF) (102.2oF) (96.8oF) (102.2oF) (96.8oF)

Alarm Specifications
SureSigns VS2+ Instructions for Use A-7
Factory Default Alarm Limits and Alarm Ranges

Alarm Limit Ranges

The following table lists the user–adjustable ranges for all physiological alarms.

Adult Pediatric Neonatal

NBP Diastolic High 55 mmHg – 244 mmHg 55 mmHg – 149 mmHg 22 mmHg – 99 mmHg
(7.3 kPa – 32.5 kPa) (7.3 kPa – 19.9 kPa) (2.9 kPa – 13.2 kPa)
NBP Diastolic Low 11 mmHg – 85 mmHg 11 mmHg – 65 mmHg 11 mmHg – 55 mmHg
(1.5 kPa – 11.3 kPa) (1.5 kPa – 8.7 kPa) (1.5 kPa – 7.3 kPa)
NBP Mean High 65 mmHg – 254 mmHg 55 mmHg – 159 mmHg 26 mmHg – 119 mmHg
(8.7 kPa – 33.9 kPa) (7.3 kPa – 21.2 kPa) (3.5kPa – 15.9 kPa)
NBP Mean Low 21 mmHg – 105 mmHg 21 mmHg – 85 mmHg 21 mmHg – 65 mmHg
(2.8 kPa – 14.0 kPa) (2.8 kPa – 11.3 kPa) (2.8 kPa – 8.7 kPa)
NBP Systolic High 95 mmHg – 269 mmHg 75 mmHg – 179 mmHg 45 mmHg – 129 mmHg
(12.7 kPa – 35.9 kPa) (10.0 kPa – 23.9 kPa) (6.0 kPa – 17.2 kPa)
NBP Systolic Low 31 mmHg – 155 mmHg 31 mmHg – 120 mmHg 31 mmHg – 85 mmHg
(4.1 kPa – 20.7 kPa) (4.1 kPa – 16.0 kPa) (4.1 kPa – 11.3 kPa)
Pulse Rate High 55 bpm – 299 bpm 80 bpm – 299 bpm 80 bpm – 299 bpm
(SpO2)

Pulse Rate Low 31 bpm – 115 bpm 31 bpm – 155 bpm 31 bpm – 195 bpm
(SpO2)

Pulse Rate High 55 bpm – 299 bpm 80 bpm – 299 bpm 80 bpm – 299 bpm
(NBP)

Pulse Rate Low 41 bpm – 115 bpm 41 bpm – 155 bpm 41 bpm – 195 bpm
(NBP)

SpO2 High 50% – 100% 50% – 100% 31% – 100%

SpO2 Low 0% – 99% 0% – 99% 0% – 99%
Temperature High 36.1oC – 43.2oC 36.1oC – 43.2oC 36.1oC – 43.2oC
(97.0oF – 109.8oF) (97.0oF – 109.8oF) (97.0oF – 109.8oF)
Temperature Low 26.8oC – 38.9oC 26.8oC – 38.9oC 26.8oC – 38.9oC
(80.2oF – 102.0oF) (80.2oF – 102.0oF) (80.2oF – 102.0oF)

Alarm Specifications
A-8 SureSigns VS2+ Instructions for Use
 Auto Set Alarms

Auto Set Alarms

The following tables list the formulas used for calculating Auto Set Alarm Limits. The
Auto Set Alarm Limits option is avilable in the Alarm Menu.

Adult/Pediatric Auto Set Alarm Calculations

Parameter Adult/Pediatric Low Limit Adult/Pediatric High Limit

NBP Diastolic Diastolic × 0.68 + 6 mmHg Diastolic × 0.86 + 32 mmHg
(Diastolic × 0.68 + 0.8 kPa) (Diastolic × 0.86 + 4.3 kPa)
NBP MAP MAP × 0.68 + 8 mmHg MAP × 0.86 + 35 mmHg
(MAP × 0.68 + 1.1 kPa) (MAP × 0.86 + 4.7 kPa)
NBP Systolic Systolic × 0.68 + 10 mmHg Systolic × 0.86 + 38 mmHg
(Systolic × 0.68 + 1.3 kPa) (Systolic × 0.86 + 5.1 kPa)
Pulse Rate Pulse × 0.8 or 41 bpm Pulse × 1.25 or 299 bpm (whichever is
(NBP) (whichever is greater) smaller)
Pulse Rate Pulse × 0.8 or 31 bpm Pulse × 1.25 or 299 bpm (whichever is
(SpO2) (whichever is greater) smaller)
SpO2 Same as default alarm limit Same as default alarm limit
Temperature Temp – 0.5oC Temp + 0.5oC
(Temp – 0.9oF) (Temp + 0.9oF)

Alarm Specifications
SureSigns VS2+ Instructions for Use A-9
Auto Set Alarms

Neonatal Auto Set Alarm Calculations

Parameter Neonatal Low Limit Neonatal High Limit

NBP Diastolic Diastolic – 15 mmHg Diastolic + 15 mmHg
(within 20 – 40 mmHg) (within 55 – 75 mmHg)
Diastolic – 2.0 kPa Diastolic + 2.0 kPa
(within 2.7 – 5.3 kPa) (within 7.3 – 10.0 kPa)
NBP MAP MAP – 15 mmHg MAP + 15 mmHg
(within 35 – 45 mmHg) (within 65 – 75 mmHg)
MAP – 2.0 kPa MAP + 2.0 kPa
(within 4.7 – 6.0 kPa) (within 8.7 – 10.0 kPa)
NBP Systolic Systolic – 15 mmHg Systolic + 15 mmHg
(within 45 – 60 mmHg) (within 90 – 115 mmHg)
Systolic – 2.0 kPa Systolic + 2.0 kPa
(within 6.0 – 8.0 kPa) (within 12.0 – 15.3 kPa)
Pulse Rate Pulse – 30 Pulse + 40
(within 80 bpm – 100 bpm) (within 180 bpm – 210 bpm)
SpO2 Same as default alarm limit Same as default alarm limit
Temperature Temp – 0.5oC Temp + 0.5oC
(Temp – 0.9oF) (Temp + 0.9oF)

Alarm Specifications
A-10 SureSigns VS2+ Instructions for Use
 B
Electromagnetic Compatibility

This appendix lists the tests and compliance levels that make the SureSigns
VS2+ vital signs monitor suitable for use in the specified electromagnetic
environment according to IEC 60601-1-2:2001.

Instructions for Use

Medical electrical equipment can either generate or receive electromagnetic
interference. This product has been evaluated for electromagnetic compatibility
(EMC) with the appropriate accessories according to IEC 60601-1-2:2001, the
international standard for EMC for medical electrical equipment. This IEC
standard has been adopted in the European Union as the European Norm,
EN 60601-1-2:2001.

Radio frequency (RF) interference from nearby transmitting devices can degrade
performance of the product. Electromagnetic compatibility with surrounding
devices should be assessed prior to using the product.

Fixed, portable, and mobile radio frequency communications equipment can also
affect the performance of medical equipment. See your service provider for
assistance with the minimum recommended separation distance between RF
communications equipment and the product.

The cables, sensors/transducers, and other accessories for which compliance is

claimed are listed earlier in this guide.

Electromagnetic Compatibility
SureSigns VS2+ Instructions for Use B-1
Reducing Electromagnetic Interference

Warning Use of accessories, transducers, and cables other than those specified may
result in increased emissions and/or decreased immunity of the SureSigns
VS2+ vital signs monitor.

The SureSigns VS2+ vital signs monitor should not be used adjacent to or
stacked with other equipment. If adjacent or stacked use is necessary, the
monitor should be observed to verify normal operation in the configuration
in which it is used.

Reducing Electromagnetic Interference

The SureSigns VS2+ vital signs monitor and associated accessories can be
susceptible to interference from other RF energy sources and continuous,
repetitive, power line bursts. Examples of other sources of RF interference are
other medical electrical devices, cellular products, information technology
equipment, and radio/television transmission. If interference is encountered, as
demonstrated dramatic variations in physiological parameter measurement
values, attempt to locate the source. Assess the following:

• Is the interference due to misplaced or poorly applied sensors? If so, re-

apply sensors correctly according to directions in the product’s
Instructions for Use.
• Is the interference intermittent or constant?
• Does the interference occur only in certain locations?
• Does the interference occur only when in close proximity to certain
medical electrical equipment?
• Do parameter measurement values change dramatically when the AC
power cord is unplugged?
Once the source is located, attempt to attenuate the interference by distancing
the product from the source as much as possible. If assistance is needed, contact
your local service representative.

Electromagnetic Compatibility
B-2 SureSigns VS2+ Instructions for Use
 Emissions and Immunity

Emissions and Immunity

The SureSigns VS2+ vital signs monitor is designed and evaluated to comply
with the emissions and immunity requirements of international and national
EMC standards. See Table B-1 through Table B-4 for detailed information
regarding declaration and guidance.

The EMC standards state that manufacturers of patient-coupled equipment must

specify immunity levels for their systems. See Table B-2 and Table B-3 for this
detailed immunity information. See Table B-4 for recommended minimum
separation distances between portable and mobile communications equipment
and the product.

Immunity is defined in the standard as the ability of a system to perform without

degradation in the presence of an electromagnetic disturbance. Degradation in
system performance is a qualitative assessment which can be subjective.

Caution should, therefore, be taken in comparing immunity levels of different

devices. The criteria used for degradation is not specified by the standard and
can vary with the manufacturer.

Electromagnetic Compatibility
SureSigns VS2+ Instructions for Use B-3
Guidance and Manufacturer’s Declaration

Guidance and Manufacturer’s Declaration

The SureSigns VS2+ vital signs monitor is intended for use in the
electromagnetic environment specified in the following tables. The customer or
the user of the product should assure that it is used in such an environment.

Table B-1. Electromagnetic Emissions

Emissions Test Compliance Electromagnetic Environment Guidance

RF emissions Group 1 The SureSigns VS2+ vital signs monitor uses RF
CISPR 11 energy only for its internal function. Therefore, RF
emissions are very low and not likely to cause any
interference in nearby electronic equipment.

RF emissions Class A
CISPR 11

Harmonic emissions Class A The SureSigns VS2+ vital signs monitor is suitable for
IEC 61000-3-2 use in all establishments, except domestic
establishments and those directly connected to the
public low-voltage power supply network that supplies
buildings used for domestic purposes.

Voltage fluctuations/flicker Complies

emissions
IEC 61000-3-3

Table B-2. Electromagnetic Immunity (ESD, EFT, Surge, Dips and Magnetic Field)

IEC 60601 Compliance Electromagnetic Environment -

Immunity Test
Test Level Level Guidance

Electrostatic + 6 kV contact + 6 kV contact Floors should be wood, concrete, or

discharge (ESD) + 8 kV air + 8 kV air ceramic tile. If floors are covered with
IEC 61000-4-2 synthetic material, the relative
humidity should be at least 30%.

Electromagnetic Compatibility
B-4 SureSigns VS2+ Instructions for Use
 Guidance and Manufacturer’s Declaration

Table B-2. Electromagnetic Immunity (ESD, EFT, Surge, Dips and Magnetic Field)

IEC 60601 Compliance Electromagnetic Environment -

Immunity Test
Test Level Level Guidance

Electrical fast +1 kV differential +1 kV In the event of reduced performance,

transient/burst mode +2 kV it may be necessary to operate the
IEC 61000-4-4 +2 kV common patient monitor from a filtered power
mode connection or battery power (no
electrical connection to the AC mains
while monitoring).

Surge +1 kV differential +1 kV Mains power quality should be that of

IEC 61000-4-5 mode +2 kV a typical commercial and/or hospital
+2 kV common environment.
mode

Voltage dips, short < 5% UT < 5% UT

interruptions, and (> 95% dip in UT)
voltage variations for 0,5 cycle
on power supply
input lines 40% UT 40% UT
IEC 61000-4-11
(60% dip in UT)
for 5 cycles

70% UT 70% UT
(30% dip in UT)
for 25 cycles

< 5% UT
< 5% UT
(> 95% dip in UT)
for 5 sec

Power frequency 3 A/m 3 A/m Power frequency magnetic fields

(50/60 Hz) should be at levels characteristic of a
Magnetic field typical location in a typical
IEC 61000-4-8 commercial or hospital environment.

Note: UT is the AC mains voltage prior to application of the test level.

Electromagnetic Compatibility
SureSigns VS2+ Instructions for Use B-5
Guidance and Manufacturer’s Declaration

Table B-3. Electromagnetic Immunity (RF Radiated and Conducted)

Immunity IEC 60601 Compliance Electromagnetic Environment -

Test Test Level Level Guidance

Portable and mobile RF communications

equipment should be used no closer to
any part of the SureSigns VS2+ vital signs
monitor, including cables, than the
recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.

Recommended Separation Distance

Conducted RF 3 Vrms 3 V rms
IEC 61000-4-6 0.15 MHz – 80 MHz 3.5
Outside ISM bands d = ------- P ; 0.150 MHz – 80 MHz
3

Electromagnetic Compatibility
B-6 SureSigns VS2+ Instructions for Use
 Guidance and Manufacturer’s Declaration

Table B-3. Electromagnetic Immunity (RF Radiated and Conducted)

Immunity IEC 60601 Compliance Electromagnetic Environment -

Test Test Level Level Guidance

Radiated RF 3 V/m 3 V/m 3.5

IEC 61000-4-3 80 MHz – 2500 MHz d = ------- P ; 80 MHz – 800 MHz
3

7
d = --- P ; 800 MHz – 2500 MHz
3

where P is the maximum output power

rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m).

Field strengths from fixed RF transmitters,

as determined by an electromagnetic site
survey,a should be less than the
compliance level in each frequency
range.b

Interference may occur in the vicinity of

equipment marked with the following
symbol:

a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the SureSigns VS2+ vital signs
monitor is used exceeds the applicable RF compliance level above, the SureSigns VS2+ vital signs monitor should
be observed to verify normal operation. If abnormal performance is observed, additional measures are necessary,
such as re-orienting or relocating the SureSigns VS2+ vital signs monitor.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. Respiration
measurement may be subject to interference at 900 kHz to 1100 kHz and 70 MHz to 80 MHz at less than 3 V/M
field strength.

Electromagnetic Compatibility
SureSigns VS2+ Instructions for Use B-7
Guidance and Manufacturer’s Declaration

Recommended Separation Distances

The SureSigns VS2+ vital signs monitor is intended for use in an
electromagnetic environment in which radiated RF disturbances are controlled.
The customer or the user of the product can help prevent electromagnetic
interference by maintaining a minimum distance between portable and mobile
RF communications equipment (transmitters) and the product as recommended
below, according to the maximum output power of the communications
equipment.

Table B-4. Recommended Separation Distances Between Portable and Mobile

RF Communication Equipment and the SureSigns VS2+ Vital Signs Monitor

Frequency of 150 kHz – 80 MHz 80 MHz – 800 MHz 800 MHz – 2.4 GHz
Transmitter

Equation 3.5 3.5 7

d = ------- P d = ------- P d = --- P
3 3 3

Rated Maximum Separation Separation Separation

Output Power of Distance (d) Distance (d) Distance (d)
Transmitter (Watts) (meters) (meters) (meters)

0.01 0.12 0.12 0.23

0.1 0.37 0.37 0.74

1 1.17 1.17 2.33

10 3.69 3.69 7.38

100 11.67 11.67 23.33

For transmitters rated at a maximum output power not listed above, the separation distance d
can be estimated, in meters, using the equation in the corresponding column, where P is the
maximum output power rating of the transmitter in watts according to the transmitter’s
manufacturer.

These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

Electromagnetic Compatibility
B-8 SureSigns VS2+ Instructions for Use
 Index
A audible alarms
settings, 4-4
AC power LED, 2-6
troubleshooting, 13-2
AC power, troubleshooting, 13-2
Audio Off mode, 4-20
accessories
miscellaneous, 11-10 Audio Pause mode, 4-18
Auto Print NBP, 6-5
NBP, 11-5
Auto Set Alarm Limits
SpO2, 11-2
description, 4-14
temperature, 11-9
formulas, A-9
alarm defaults
Auto Suspend setting, 2-9
factory, A-7
restoring, 4-15
alarm icons, 4-3 B
alarm limits barcodes
automatic, 4-14 scanning one at a time, 3-9
changing, 4-7 using programmed scanner, 3-12
changing individual alarms, 4-8 battery
changing multiple, 4-9 disposal, 2-8
customizing, 4-14 status icon, Standby mode, 2-8
displaying, 4-12 status indicators, 2-7
hiding, 4-12 status pane, 2-7
setting, 4-14 Blood Pressure Menu, 6-4
SpO2, 5-6
alarms C
acknowledging, 4-18
alarm ranges, A-7 charging the battery
audible, 4-4 Charging LED, 2-7
colors, 4-1 charging status, 2-7
factory defaults, A-7 overview, 2-6
latched and non-latched, 4-6 cleaning
nurse call system, 4-22 approved cleaning agents, 10-2
on printout, 9-6 cables, 10-4
pausing, 4-17 guidelines, 10-1
physiological, A-1 monitor, 10-2
restoring defaults, 4-15 tabletop base, 10-3
silencing, 4-17 temperature probe and cord, 10-5
technical, A-2 temperature probe well, 10-5
testing, 4-21 configuration, viewing, 2-20
troubleshooting, 13-2 connector
visual, 4-1 NBP, 6-2
volume, adjusting, 4-13 SpO2, 5-2

Index-1
SureSigns VS2+ Instructions for Use
 temperature input, 7-1 H
connectors, rear panel, 2-3
hiding the system time, 2-18
cuff, NBP, selecting, 6-2
custom alarm limits, 4-14
I
D initial inflation pressure, 6-7
Intended Use statement, 1-3
date format, changing, 2-18
intervals, NBP, 6-9
date, changing, 2-10
Date/Time menu, 2-10
Deep Sleep mode, 2-9 K
deleting patient records keyboard, on-screen, 3-6
all, 3-27 keys, front panel, 2-1
for selected patient, 3-26
overview, 3-25 L
Desaturation alarm, 5-7
diagnosing problems, 13-1 latched alarms, 4-6
LED
disinfecting
AC power, 2-6
cables, 10-4
monitor, 10-3 Charging, 2-7
temperature probe and cord, 10-5
display mode M
changing, 2-16 main screen display, 2-12
Display Waveform, 2-15 measurement limitations, NBP, 6-1
Patient Records, 2-16 mode
Vital Signs, 2-14 Audio Off, 4-20
Display Waveform mode, 2-15 Audio Pause, 4-18
displaying alarm limits, 4-12 Deep Sleep, 2-9
display, changing, 2-16
E display, Display Waveform, 2-15
display, Patient Records, 2-16
editing patient records, 3-20
display, Vital Signs, 2-14
scanning individual barcodes, 3-23
Monitored temperature, 7-4
using on-screen keyboard, 3-21
using programmed barcode scanner, 3-24 NBP Interval, 6-9
NBP STAT, 6-11
electrical specifications, 12-2
On/Standby, 2-8
electromagnetic compatibility, B-1
Predictive temperature, 7-4
environmental specifications, 12-3
SpO2 response, 5-5
error messages, 13-5
monitor
configurations, 1-3
F mounting, 2-11
front panel, 2-1 name, 2-18
overview, 1-1
system information, 2-20

Index-2
SureSigns VS2+ Instructions for Use
Monitored mode, 7-4 O
mounting options, 2-11
On/Standby mode, 2-8
on-screen keyboard, 3-6
N
NBP P
accessories, 11-5
paper, loading recorder, 9-2
alarm limits, 6-6
patient ID
Auto Print, 6-5 scanning barcodes one at a time, 3-9
changing units of measurement, 6-8 selecting existing, 3-18
configuring inflation pressure, 6-7
using on-screen keyboard, 3-6
measurement limitations, 6-1
using programmed barcode scanner, 3-12
oscillometric measurement, 12-5 patient records
panes, 6-3
deleting all, 3-27
recalculating if limb not at heart level, 6-14
deleting for selected patient, 3-26
safety information, 6-15 editing, 3-20
settings, 6-4
printing, 9-4
specifications, 12-5
saving to USB flash drive, 2-19
stopping a measurement, 6-15 using the View Records button, 3-16
troubleshooting, 13-3
viewing, 3-16
NBP auto interval
Patient Records display mode, 2-16
starting, 6-10
Patient Records table, 2-16, 3-1
stopping, 6-11
patient type
NBP cuff changing, 3-6, 3-10, 3-13, 3-14
connecting, 6-2
setting default, 2-18
reasons for deflation, 6-8
pausing alarms, 4-17
selecting, 6-2
physiological alarms, A-1
NBP interval program
power, troubleshooting, 13-2
clearing, 6-14
powering up the monitor, 2-5
creating, 6-12
Predictive mode, 7-4
NBP intervals
Print on Alarm
auto, 6-10 description, 9-6
STAT, 6-10
enabling, 4-11
NBP STAT measurements, 6-11
printing
network connection status, 2-22 current measurements, 9-3
networked monitors
enabling NBP Auto Print, 6-5
connection status, 2-22
enabling Print on Alarm, 4-11
synchronizing date and time, 2-23
multiple patient records, 9-4
non-latched alarms, 4-6
single patient record, 9-3
nurse call system
SpO2 waveform, 9-5
alarms, 4-22
pulse rate
troubleshooting, 13-4 alarm limits, 8-2
changing the source, 8-3

Index-3
SureSigns VS2+ Instructions for Use
 changing the tone volume, 8-4 safety information, 5-8
pane, 8-1 settings, 5-4
settings, 8-1 specifications, 12-8
Pulse Rate Menu, 8-1 technical alarms, 5-3
Pulse Rate source, 8-3 SpO2 Desaturation alarm, 5-7
SpO2 Menu, 5-4
R SpO2 sensors
selecting, 5-1
radio regulatory compliance, 12-11 types of, 5-1
rear panel, connectors, 2-3 SpO2 waveform
recorder
changing the speed, 5-6
loading paper, 9-2
printing, 9-5
specifications, 12-10 STAT measurements, 6-11
troubleshooting, 13-5
synchronizing date and time, 2-23
records, See patient records
system date, changing, 2-10
restoring alarm defaults, 4-15
System Information window, 2-20
System Menu, 2-17
S system settings, changing, 2-17
safety standards, 12-2 system time
saving measurements without patient ID, 3-14 changing, 2-10
saving patient records to USB flash drive, 2-19 hiding, 2-18
selecting existing patient ID, 3-18
setting up the monitor, 2-5 T
silencing alarms, 4-17
tabletop base, cleaning, 10-3
speaker malfunction, 4-5
technical alarms
specifications acknowledging, 4-18
electrical, 12-2
messages, A-2
environmental, 12-3
SpO2, 5-3
general, 12-1
temperature
interface, 12-10 accessories, 11-9
NBP, 12-5
alarm limits, 7-7
recorder, 12-10
changing the probe site, 7-6
safety, 12-2
changing units of measurement, 7-7
SpO2, 12-8
measuring, 7-3
temperature, 12-3, 12-7
pane, 7-2
SpO2
safety information, 7-10
accessories, 11-2
settings, 7-4
alarm limits, 5-6
specifications, 12-7
cables, connecting, 5-2
verifying accuracy, 7-8
Desaturation alarm, 5-7
temperature modes
pane, 5-4 monitored mode, 7-4
readings, troubleshooting, 13-4
Predictive mode, 7-4
response mode, 5-5
temperature probe and cord, cleaning, 10-5

Index-4
SureSigns VS2+ Instructions for Use
temperature probe well, cleaning, 10-5
temperature probe, connecting, 7-1
temperature readings, troubleshooting, 13-4
testing alarms, 4-21
time synchronization, 2-23
time, system
changing, 2-10
hiding, 2-18
tool tips, 2-17
troubleshooting
AC power, 13-2
audible alarms, 13-2
diagnosing problems, 13-1
NBP, 13-3
nurse call system, 13-4
recorder, 13-5
SpO2 readings, 13-4
temperature readings, 13-4

U
units of measurement
NBP, 6-8
temperature, 7-7

V
visual alarms, 4-1
Vital Signs display mode, 2-14
volume
alarm, adjusting, 4-13
changing pulse rate tone, 8-4

W
waveforms
changing the speed, 5-6
displaying, 2-15
printing, 9-5

Index-5
SureSigns VS2+ Instructions for Use
Index-6
SureSigns VS2+ Instructions for Use