Professional Documents
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User manual
Version 2.6.4 software
Contact Information:
SLE Limited
Twin Bridges Business Park
232 Selsdon Road
South Croydon
Surrey CR2 6PL
All rights reserved. No part of this publication may be reproduced, stored in any retrieval system, or transmitted
in any form or by any means, electronic, mechanical, photocopy, recording or otherwise, without prior
permission of SLE. © Copyright SLE 10/08/2016.
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This manual is for SLE1000 CPAP Therapy
System
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Contents
1. Introduction ............................................................................................................. 10
1.1. Device ............................................................................................................ 10
1.2. Accessories and generic combination devices............................................... 11
1.3. Intended use................................................................................................... 11
1.4. Intended users................................................................................................ 11
2. SLE1000 Description .............................................................................................. 14
3. Description of symbols .......................................................................................... 16
4. User/owner responsibility ...................................................................................... 18
5. Warnings .................................................................................................................. 19
5.1. Operational warnings ..................................................................................... 19
5.2. Clinical warnings............................................................................................. 22
6. User interface .......................................................................................................... 24
6.1. Main LCD display ........................................................................................... 24
6.2. LED display windows...................................................................................... 24
6.3. Push and turn knob ........................................................................................ 25
6.4. Audio paused and boost buttons.................................................................... 25
6.5. Light bar ......................................................................................................... 25
7. Operation ................................................................................................................. 26
7.1. Power up ........................................................................................................ 26
7.2. Oxygen calibration routine description ........................................................... 29
7.3. Power down.................................................................................................... 30
8. Standby mode ......................................................................................................... 31
8.1. Exiting Standby mode .................................................................................... 31
9. Selecting a parameter, display or calibration function ....................................... 32
9.1. Upper and lower level functions. .................................................................... 32
9.2. Upper level functions, displays and parameters............................................. 37
9.3. Showing battery charge level ......................................................................... 39
9.4. Alarm history .................................................................................................. 42
9.5. Set Flow ......................................................................................................... 44
9.6. Elapsed time counter...................................................................................... 46
10. Audio mute button ................................................................................................ 47
10.1. Pre-mute....................................................................................................... 47
10.2. Audio paused ............................................................................................... 48
11. Boost button .......................................................................................................... 50
12. Indicators ............................................................................................................... 51
12.1. Cycle indicator bargraph............................................................................... 51
12.2. Breath detection ........................................................................................... 51
12.3. Averaged value ............................................................................................ 52
12.4. Measured values .......................................................................................... 52
12.5. Battery and mains indicators ........................................................................ 53
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12.6. Power related faults ......................................................................................53
13. CPAP & Flow mode ...............................................................................................56
13.1. Standby to Flow mode ..................................................................................56
13.2. Setting a flow in flow mode ...........................................................................58
13.3. Flow mode to CPAP mode............................................................................61
13.4. Standby to CPAP mode ................................................................................63
13.5. CPAP to Flow mode......................................................................................65
14. SLE1000 Set-up .....................................................................................................70
14.1. First use ........................................................................................................70
14.2. Rotation of gas inlets ....................................................................................72
14.3. Water trap and particulate filter.....................................................................72
14.4. Standard setup..............................................................................................73
14.5. Disconnection of air and oxygen hoses ........................................................76
14.6. Battery charging............................................................................................77
14.7. Battery care...................................................................................................77
14.8. Using the SLE1000 on battery power. ..........................................................77
14.9. Mains isolation ..............................................................................................78
14.10. Extended storage and transportation..........................................................78
15. Functional testing prior to patient use ...............................................................80
15.1. Battery test....................................................................................................81
15.2. Mains disconnect alarm ................................................................................81
15.3. Total power fail alarm test.............................................................................82
15.4. High leak and high pressure alarm ...............................................................82
15.5. Apnoea alarm................................................................................................82
15.6. Zero pressure alarm and purge check ..........................................................83
15.7. Gas supply alarms ........................................................................................83
16. Operational considerations ..................................................................................86
16.1. General .........................................................................................................86
16.2. CPAP ............................................................................................................86
17. Basic operation .....................................................................................................88
17.1. Monitoring .....................................................................................................88
17.2. Operation ......................................................................................................88
18. Troubleshooting chart ..........................................................................................90
Technical Information 93
19. Cleaning and disinfection .....................................................................................94
19.1. Preparation of a new SLE1000 CPAP driver ................................................94
19.2. Cleaning and disinfection of an in-service driver ..........................................94
19.3. Cleaning Method...........................................................................................95
19.4. Disinfection method ......................................................................................95
20. Messages & alarms ...............................................................................................96
20.1. Messages......................................................................................................96
20.2. Alarm messages and sounds........................................................................98
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21. Technical specification ........................................................................................ 106
21.1. Operating mode............................................................................................ 106
21.2. Monitoring..................................................................................................... 106
21.3. Indicators ...................................................................................................... 106
21.4. Controls ........................................................................................................ 106
21.5. Alarms .......................................................................................................... 107
21.6. Outputs ......................................................................................................... 107
21.7. Oxygen sensor life........................................................................................ 107
21.8. Gas supplies................................................................................................. 108
21.9. Operating environment ................................................................................. 108
21.10. Power requirements ................................................................................... 109
21.11. Dimensions................................................................................................. 109
21.12. Classification .............................................................................................. 109
21.13. Environmental storage conditions .............................................................. 109
21.14. Product life cycle ........................................................................................ 109
22. Maintenance schedule .......................................................................................... 110
22.1. SLE1000 service requirements .................................................................... 110
22.2. Maintenance schedule ................................................................................. 110
22.3. Preventative Maintenance ............................................................................ 111
23. EMC compliance ................................................................................................... 112
23.1. Electromagnetic immunity ............................................................................ 113
23.2. Recommended separation distances between portable and mobile RF
communications equipment and the SLE1000 ...................................................... 115
24. RS232 ..................................................................................................................... 116
24.1. RS232 output specification:.......................................................................... 116
25. Pneumatic unit schematic SLE1000 .................................................................... 117
26. SLE1000 Overlay ................................................................................................... 118
27. Equipment checklist ............................................................................................. 119
28. Consumables and accessories ........................................................................... 122
29. Glossary of abbreviations used in this manual ................................................. 124
30. Index ....................................................................................................................... 125
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Introduction
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1. Introduction
1.1 Device
The SLE1000 is a CPAP driver for delivering an air-oxygen treatment gas to patients via
nasal prongs or nasal mask. The SLE1000 is intended for providing CPAP to treat infant and
neonatal patients with compromised respiratory systems while in an acute or sub-acute
hospital environment.
The SLE1000 can be operated from either wall serviced, compressor or bottled pressurized
air and oxygen sources in the range 2 to 7 bar.
The SLE1000 has been designed so that it can be used with only a compressed air supply.
The SLE1000 automatically corrects the flow rate, to maintain the set CPAP or maintains the
set flow.
‘Typical’ flow-CPAP relationship is shown by the centre line in the nomogram below. This is
the relationship produced by common Nasal Generators.. The line also represents the
SLE1000 default calibration settings.
The highlighted area in the nomogram below represents the whole operating range. The
SLE1000 will alarm if the patient leak or the exhaust impedance (block) is excessive and
causes the automated flow correcting to reach a boundary of the operating zone.
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1.2 Accessories and generic combination devices
The SLE1000 can be used to drive CPAP through a generic humidified and heated patient
circuit, with or without a bacteria filter, to any universal patient interface, including nasal
prongs, flow generator, or nasal mask that operate within tolerance of chart 1.
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SLE1000 Description
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2. SLE1000 Description
Alarm mute
button
CPAP Boost
button
Main control
knob
Set apnoea
time display
% Oxygen
Set pressure display
display
Fresh gas port Proximal airway port Battery icon Mains disconnect
icon
Front View
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Battery
Mains Fuse Holder Fuse Holder Equipotential stud
Water trap
Oxygen cell
cover
Mains power
switch
Exhaust port
Rear View
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3. Description of symbols
Symbol Description
Read manual (Situated on rear panel).
Alarm mute.
CPAP boost.
Equipotential point.
Battery icon
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Operational and Clinical Warnings
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4. User/owner responsibility
The SLE1000 and the authorised accessories for it are designed to be used in accordance
with supplied manuals and instructions. This equipment must be periodically checked,
recalibrated, maintained (as per maintenance schedule) and components repaired and
replaced when necessary for the equipment to operate safely and reliably.
Parts that have failed, in whole or in part, or exhibit excessive wear, or are contaminated, or
are otherwise at the end of their useful life, should not be used and must be replaced
immediately with parts supplied by SLE, or parts which are otherwise approved by SLE.
The owner/user of this equipment shall have the sole responsibility and liability for any
damage or injury to persons or property (including the equipment itself) resulting from
operation not in accordance with the operating instructions, or from faulty maintenance not
in accordance with the authorised maintenance instructions, or from repair by anyone other
than the factory authorised service representative, or from unauthorised modification of the
equipment or accessories, or from the use of components or accessories that have been
either damaged or not authorised for use with this equipment by the manufacturer.
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5. Warnings
5.1 Operational warnings
The following warnings must be read and understood before using the SLE1000. Failure to
do so could lead to injury or death of the patient.
5.1.1 General
1. The whole of this manual should be read and understood before using the SLE1000.
Operators must be suitably trained and clinically authorised for using the SLE1000 with
patients.
2. Oxygen - Clinical use. Oxygen is a drug and should be prescribed as such.
3. Oxygen - Fire Hazard. Oxygen vigorously supports combustion and its use requires
special precaution to avoid fire hazards. Keep all sources of ignition away when oxygen
is in use. Do not use oil or grease on oxygen fittings or where oxygen is used.
4. The SLE1000 is not a dedicated transport device and does not conform to the
requirements of BS EN 794-3.
5. Always disconnect the air and oxygen hoses from the wall outlets prior to disconnection
from the unit.
6. Do not use in the presence of flammable anaesthetics.
7. Check the condition of the gas supply hoses to the SLE1000. Do not use any hose that
shows signs of cracking, abrasion, kinking, splits, excessive wear or ageing. Make sure
that the Air or O2 hose has not come into contact with oil or grease.
8. Audible and Visual warning alarms indicate a potentially harmful condition to the patient.
9. The patient must not be connected to the unit in “Standby” mode. The unit does not
deliver any therapeutic flow in this modes. In “Standby” mode all patient and gas alarms
are disabled with the exception of the “Low battery” alarm and all system failure alarms.
10. When the SLE1000 is being used on a patient, a suitably trained person must be in
attendance at all times to take prompt action should an alarm or other indication of a
problem occur.
11. The SLE1000 must not be used as the sole form of patient monitoring. Independent
monitoring of blood gases should be used in conjunction with the SLE1000. Breath
detection technology used in the apnoea monitor function is based on rate and
magnitude of change in the pressure measured in the patient interface (that is shown on
the bar graph). The sensitivity of the technology has limitations with the smallest patients
(<1000g) and if a leak exists or if the patient opens/breathes by the mouth. The apnoea
monitor may be disabled if breath non-detection / over detection results in nuisance
Apnoea / High BPM alarms.
12. At low CPAP pressures (<4mbar) it is possible for the unit not to detect a leak condition,
even in the presence of large leak.
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13. An alternative form of ventilation should be available whenever the SLE1000 is in use,
in the event of failure.
14. Do not touch the patient and SLE1000 metalwork at the same time to avoid earthing the
patient.
15. The SLE1000 is not compatible with MRI equipment or other equipment radiating high
EM fields.
16. The SLE1000 contains temperature dependant devices which perform normally in
controlled environments in hospitals. However if the SLE1000 has been stored at a
temperature different to that in which it will be used, allow the unit to acclimatize before
powering up, if difference greater than 10°C allow 2 hours. (See “Environmental storage
conditions” on page 109).
17. Any computer connected to the SLE1000 must be specified for medical use.
18. The SLE1000 does not use Latex, nor was it used in its construction.
19. The SLE1000 is not protected against the ingress of water. (IP20)
20. Do not cover the SLE1000 or allow the SLE1000 to become covered by any fabric or
curtain. Do not allow the exhaust ports or inlet vents to become obstructed or blocked by
positioning the SLE1000 near curtains or fabric.
21. The SLE1000 does not support automatic record keeping.
22. The SLE1000 has no emergency air intake.
23. The SLE1000 functional test routine must be carried out each time the SLE1000 is used
on a patient. If any of these tests do not function as described then there is a problem
and the SLE1000 must not be used until it is rectified.
24. Failure to comply with the recommended service programs could lead to injury of the
patient, operator or damage to the SLE1000. It is the owners responsibility to ensure
that the equipment is regularly maintained.
25. The SLE1000 must be connected to a suitably rated and grounded electrical power
source.
26. The SLE1000 must not be started on battery power alone.
27. The SLE1000 must have its batteries charged at least every 10 days. The SLE1000
must be connected to a mains power source for 8 hours to ensure a full charge. Failure
to charge the batteries will shorten the service life of the batteries which will result in
reduced battery life in a mains power fail situation.
28. The SLE1000 can operate on battery power in the event of mains power failure for a
maximum of 4 hours (If battery fully charged at start of mains power failure). Whilst on
battery power an alternative form of ventilation should be made ready if the mains
power supply cannot be restored.
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29. If the SLE1000 is operating on battery power and allowed to completely discharge the
battery, it should be recharged a soon as possible. This is to avoid damaging the
batteries by allowing them to remain in a deep discharged state for any period of time.
Allowing the batteries to remain in the deep discharged state will shorten the life of the
batteries and the amount of time the SLE1000 can remain on battery power.
30. If the SLE1000 is not to be used for a period in excess of 10 days then disconnect the
batteries from the power supply. (See “Extended storage and transportation” on
page 78).
31. If the SLE1000 is adversely affected by equipment emitting electromagnetic interference
then that equipment should be switched off or removed from the vicinity of the SLE1000.
Conversely, if the SLE1000 is the source of interference to other neighbouring
equipment, it should be switched off or taken to another location.
32. The functioning of this machine may be adversely affected by the operation of
equipment such as high frequency surgical (diathermy) equipment, defibrillators, mobile
phones or short-wave therapy equipment in the vicinity.
33. Do not clean the SLE1000 whilst the unit is in operation.
34. Disposal of the Oxygen cell should be in accordance with local regulations for
hazardous substances. Do not incinerate. SLE offers a cell disposal service.
35. The SLE1000 contains one sealed lead acid battery. At the end of its useful life this
battery should be disposed of in accordance with local authority guidelines. Note: the
battery should only be replaced by service personnel.
36. Apart from the battery and O2 cell, the SLE1000 and accessories do not contain any
hazardous components therefore no special precautions are required for their disposal.
The SLE1000 should be disposed of in accordance to the local WEEE (Waste Electrical
and Electronic Equipment) guidelines.
37. Care should be taken when attaching other equipment as this may affect mechanical
stability.
38. In the event of main LCD screen failure remove the patient as soon as possible (under
clinical supervision) from the SLE1000 to an alternative form of ventilation. The
SLE1000 will continue to deliver CPAP on the set parameters whilst this is arranged.
39. Do not use solvent based cleaning solutions to clean the SLE1000.
5.1.3 Compressor
43. When using a compressor the user must use the correct start-up routine otherwise the
watertrap will bleed air. (See section 14.4.3 on page 75).
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5.2 Clinical warnings
Failure to take corrective action when the alarms are activated could result in injury to the
patient.
There are risks inherent in the use of ventilatory support in the neonatal and infant patient.
1. Damage to nares.
6. Atalectasis;
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User interface
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6. User interface
The SLE1000 user interface comprises of one LCD display (1), three LED
displays (2), one push and turn knob (3), two push buttons (4) and light bar (5).
1
4
2
3
Note: The functions shown in this display are referred to as upper level
functions and display.
Note: The functions shown in this display are referred to as lower level
functions.
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6.3 Push and turn knob (3)
The push and turn knob is the sole method of selection and adjustment of driver
parameters.
6.3.1 Operation
To select a parameter rotate the knob in either direction (clockwise or anti
clockwise). Once the user has started to rotate the % Oxygen parameter will start
to flash, continue to rotate the knob and the user will cycle through the adjustable
parameters or selectable displays (dependent on mode the user has selected).
Each display will start to flash when selected. To adjust the parameter or display
press the knob to activate and rotate to change the setting or message. When the
required setting has been set, press the knob to confirm.
Note: The selection will time-out after 8 seconds if the confirm button is not
pressed. There is also a 2 second delay between button pushes.
6.4 Audio paused and boost buttons (4)
6.4.1 Audio paused
When an alarm threshold has been crossed an alarm signal is
triggered. This consist of two components, visual and audible.
Pressing the audio paused button, mutes the audible
component of the alarm for 120 seconds.
Pressing the audio paused when no alarms are active, mutes
the unit for a period of 120 seconds. For any alarms generated within this period
only the visual component will activate.
The unit will display the text “Audio Paused” and will alternate this message with
any alarm message in an alarm condition.
Pressing the button for a second time in audio paused mode will revert the unit to
normal operation.
Note: Any latching alarms active during audio paused mode are reset on the
second press of the button. See “Latching and non latching alarms” on
page 98.
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7. Operation
7.1 Power up
1. Push the power button on the rear of the
machine for 3 seconds.
Note: If the battery indicator and mains indicator lights on the front panel
are both illuminated, the unit cannot be turned on. See “Battery and mains
indicators” on page 53.
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5. At 2 in the Apnoea display window
the light bar and audio paused button
should become illuminated with
yellow LEDS.
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9. The unit will then enter Standby
mode.
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13.Once the calibration is complete the
unit will be in “Standby mode” mode
The first 180 seconds after power up the unit calibrates the
system using air. The unit displays the text “CAL” in upper case
characters.
Note: The user can when the unit is displaying “cal” in lower case letters set
the oxygen percentage.
The following 30 seconds the unit displays “--” as the unit allows
the oxygen monitoring system to stabilize.
Note: If the unit is being used with air only the “--” will not be replaced by
the measured value of percentage of oxygen. In standby mode the “O2
Calib Error alarm” will not trigger. The user will not be alerted to the
calibration failure until either CPAP or Flow mode is selected. The user will
then cancel the alarm accepting air only use.
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Warning: If the unit is connected to Oxygen and the “O2 Calib Error alarm”
is triggered when entering either CPAP or Flow mode. Manually calibrate
the 100% oxygen point in either CPAP or Flow mode. If the “O2 Calib Error
alarm” is re-triggered remove the unit from service.
The unit will then display 21% oxygen and the user can now set
required percentage.
Note: If the unit detects that the measured and set differ by ± 5% it
generates the “High Oxygen” or “Low Oxygen” alarm. In this instance the
user can manually recalibrate the 100% oxygen. See “100 % O2 Calibration”
on page 40. This check is not limited to the first four hours of operation.
The unit automatically recalibrates the oxygen every 8 hours unless a calibration
error has occurred, (i.e. using the SLE1000 with air only) then the unit calibrates
every hour.
Note: If the SLE1000 is started using only air, the user can connect the
oxygen supply at any time, but will have to manually calibrate the oxygen
system.
Warning: If the oxygen supply fails after calibration whilst set to 21%
oxygen the unit will not alarm. The " No Oxygen Supply" alarm will only
become active when the user tries to set a percentage of oxygen above
21%.
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8. Standby mode
On power up the unit enters “Standby” mode. In “Standby” mode the unit reduces
the flow to less than 2 l/min.
Note: In standby mode the user can only select the "% Oxygen", "CPAP",
"Apnoea" and "Set Flow"
B. Selecting a flow of 6 l/min (or if a flow has already been set the last set flow).
Note: Please see the “CPAP and Flow mode” chapter for a detailed
description on page 55.
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9. Selecting a parameter, display or calibration function
9.1 Upper and lower level functions.
The following is a the list of selectable parameters using the control knob:
Oxygen %, CPAP, Apnoea and Set Flow values (Lower level functions)
Note: Please see the “CPAP and Flow mode” chapter for a detailed
description on page 55.
Note: If the user is in Standby mode, they can only select one of the
following parameters % Oxygen, CPAP, Apnoea and Set flow.
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Rotate the knob to the left to
cycle through the selectable
parameters, displays or
calibration functions.
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Push the knob to confirm
the setting. The LCD
display will return to
displaying “Flow Mode”.
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9.1.2 Selecting upper level functions
Note: For the user to select an upper level function the unit will have to be in
either "Flow Mode" or "CPAP" mode.
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Push the knob to select.
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9.2 Upper level functions, displays and parameters
9.2.1 Pressure trigger sensitivity
Push or turn the knob.
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Rotate the knob to
increase or decrease the
valve.
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9.3 Showing battery charge level
Rotate the knob to select
the “Show Batt. level” and
starts to flash.
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9.3.1 100 % O2 Calibration
Push or turn the knob.
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Rotate the knob to select
the 100% Oxygen
calibration routine.
Push the knob to start the 100% Oxygen calibration routine. The
unit display returns to the Fixed Flow mode but displays the
word “cal” in the measured percentage of Oxygen area. (See
“Oxygen calibration routine description” on page 29.)
Note: If the unit is delivering CPAP then the Cycle indicator bargraph is
displayed. See section 12.1 on page 51.
Note:If the unit has been setup to operate with air only the
100% oxygen calibration will time out after 3 minutes. The
unit will return to displaying “--”. No alarms will be
generated.
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9.4 Alarm history
Push or turn the knob.
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Rotate the knob to scroll
through the last 25 alarm
messages.
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9.5 Set Flow
Push or turn the knob.
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Rotate the knob to select
the required flow.
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9.6 Elapsed time counter
The SLE1000 has an hour counter which records the
total elapsed in use time.
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10. Audio mute button
10.1 Pre-mute
The user has the ability to pre-mute the
alarm system.
Note: Any alarms that are generated during the pre-mute period will only be
able to initiate the visual component (i.e. the alarm bar and alarm message.)
The alarm message will alternate between the alarm message text and the
audio paused text.
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10.2 Audio paused
The user has the ability to mute the
alarm system.
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If the alarm condition has not been
cleared then the alarm will be re-
instated.
Note: The audio mute button has a third function of setting alarm
thresholds in flow mode. See page 67.
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11. Boost button
The boost button delivers an up to 3
mbar above the measured flow.
Warning: When the set pressure is 11 or 12 mbar and the user applies the
boost, the delivered pressure might go above 15.5 mbar momentarily and
trigger the "High Pressure" alarm. If the alarm is triggered this will cut of
the gas supply for 5 seconds. See “Alarm messages and sounds.” on
page 98.
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12. Indicators
12.1 Cycle indicator bargraph
When the SLE1000 is
delivering CPAP the LCD
displays a airway pressure
bargraph. The bargraph is
an indication of breath
cycling (mechanical or
patient).
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12.3 Averaged value
12.3.1 BPM
The BPM is an averaged value
from a 30 second rolling
window.
12.4.2 Flow
The Flow is a measured value
in l/min.
12.4.3 Oxygen
The % oxygen is a measured
value of the fraction of inspired
O2.
Page 52 of 128
12.5 Battery and mains indicators
12.5.1 Battery indicator
The battery icon will illuminate when battery drops to 10% or less of the
full charge level. It is accompanied by a audible and visual alarm. The
icon will flash whilst the battery is charging (less than 100%).
Note: If both the battery indicator and mains icon flash when the power
button is depressed the battery is depleted, the user will be unable to restart
the unit until mains power has been restored.
Note: If the battery icon is illuminated and fixed the battery has failed or has
been disconnected.
Warning: If the unit has shutdown due both mains power being
disconnected and battery depletion, the user will be unable to restart the
unit until mains power has been restored.
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CPAP & Flow mode
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13. CPAP & Flow mode
This chapter describes in detail the procedure of selecting either CPAP or Flow
mode.
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Rotate the knob to the right
to set the control to the “--”
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13.2 Setting a flow in flow mode
Push the knob.
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Push the knob to select. The
flow will now be displayed in
the top right hand corner of
the display
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The SLE1000 will start to
deliver the set flow.
Note: The user should be aware that in “Flow Mode” the trigger thresholds
for the “High leak” and “Exhaust Impeded” alarms do not auto track the
MAP. The default Flow is 6LPM and the alarm thresholds are default to
2mbar (Leak) and 6 mbar (Exhaust).
When the user increases or decreases the set flow, the MAP will cross one
of the previously set thresholds, triggering the appropriate alarm. This
alarm will not clear unless the thresholds are set by the user around the
new MAP that is being used to achieve the set flow or if the MAP crosses
back to within the previously set threshold parameters.
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13.3 Flow mode to CPAP mode
The user is in “Flow Mode”.
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Push the knob to adjust the
CPAP parameter.
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13.4 Standby to CPAP mode
Push or turn the knob.
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Rotate the knob to the right,
Continue past the “--”
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13.5 CPAP to Flow mode
The user is in CPAP mode.
Page 65 of 128
Push the knob to select.
The flow will now be
displayed in the top right
hand corner of the display
Page 66 of 128
The SLE1000 will now deliver
the set flow.
Note: The user should be aware that in “Flow Mode” the trigger thresholds
for the “High leak” and “Exhaust Impeded” alarms do not auto track the
MAP. The default Flow is 6LPM and the alarm thresholds are default to 2
mbar (Leak) and 6 mbar (Exhaust).
When the user increases or decreases the set flow, the MAP will cross one
of the previously set thresholds, triggering the appropriate alarm. This
alarm will not clear unless the thresholds are set by the user around the
new MAP that is being used to achieve the set flow or if the MAP crosses
back to within the previously set threshold parameters.
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SLE1000 Set-up
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14. SLE1000 Set-up
14.1 First use
Setting up the SLE1000 for the first time.
C. Air inlet
D. Oxygen inlet
E. Exhaust port
C D E
Page 70 of 128
Step 4. The SLE1000 is shipped
with the main battery
disconnected.
Using a screw driver
remove the battery fuse
holder. (Indicated by
arrow)
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14.2 Rotation of gas inlets
The gas inlets on the SLE1000 can be rotated through 90°. The SLE1000 is
supplied with the inlets in the horizontal position. The user can rotate the inlets
through 90° by releasing the swivel lock.
14.3.2 Maintenace
Please refer to the SLE1000 service manual for maintenance instructions and
replacement filter instructions.
Page 72 of 128
14.4 Standard setup
SLE1000 can be used with air and oxygen gas supplies or air only. For use with
air and oxygen start with section 14.4.1 on page 73 and for air only start with
section 14.4.2 on page 74.
14.4.1 With Air and Oxygen from a wall supply between 2 and 7 bar
Step 1. Connect the air and
oxygen hoses to the
SLE1000.
Proceed to “Functional
testing prior to patient
use” on page 80.
Page 73 of 128
14.4.2 With air only from a wall supply between 2 and 7 bar
Step 4. Connect the air hose to
the SLE1000.
Proceed to “Functional
testing prior to patient
use” on page 80
Page 74 of 128
14.4.3 With air only from a medical air compressor
Step 7. Connect the air hose to
the SLE1000.
Proceed to “Functional
testing prior to patient
use” on page 80
Page 75 of 128
14.5 Disconnection of air and oxygen hoses
Warning: The SLE1000 does not produce any pneumatic noise when turned
off. Always disconnect the air and oxygen hoses from the wall outlets prior
to disconnection from the unit.
Page 76 of 128
14.6 Battery charging
14.6.1 Prior to first use
The SLE1000 should be connected to mains power for 8 hours prior to first use to
allow the batteries to charge.
Note: The SLE1000 does not have to be turned on for the charging to take
place.
If the SLE1000 has been used on battery power and has been allowed to fully
discharge the battery, the battery can be described as being in a deep discharged
state. If the unit is stored or placed out of service without recharging the batteries,
the deep discharged state will reduce the battery life.
If attempting to start the unit purely on battery power and the battery and mains
indicator lights are flashing whilst the power on button is depressed, the unit will
not start. Reconnect mains power and leave connected to mains for a minimum of
8 hours to fully recharge the battery.
If the unit starts on battery power and after the pneumatic and oxygen calibration
test the low battery (medium priority) alarm becomes active, restore mains power
immediately as the unit has only 10 to 20 minutes operating time left. If the low
battery (high priority) alarm is triggered the unit will shut down after 1 minute.
Page 77 of 128
14.9 Mains isolation
To isolate the SLE1000 electrically from the mains supply,
remove the mains plug.
Page 78 of 128
Functional Testing
Page 79 of 128
15. Functional testing prior to patient use
Set the driver up as per the standard setup (section 14.4 on page 73).
Set the humidifier up as per the manufacturers instructions.
Note: When functional testing requires handling of the generator / patient
circuit please ensure that cross contamination does not occur.
Warning: If any of these tests do not function as described and the problem
can not be rectified by reference to the trouble shooting chapter on
page 89, then the unit should not be used until it has been repaired. Please
contact an SLE approved engineer, or SLE.
1. Connect the delivery circuit and flow generator as per the manufacturer’s
instructions. Flow generators and delivery circuits may differ in construction
from what is shown below.
Humidifier
Note: DO NOT connect the proximal airway tube to the driver at this time.
Connection may cause the pneumatic test to fail. (Gas flow error).
Note: Fit a set of prongs that can be discarded after functional testing.
Page 80 of 128
15.1 Battery test.
1. Disconnect the mains plug.
Caution: If both the battery indicator and mains icon flash when the power
button is depressed the battery is depleted. Connect mains power and allow
the unit to charge for a minimum of 8 hours. The user can use the unit, but
must be aware that the backup battery is depleted and may not be able to
support ventilation in the event of a mains power fail situation, until the
recharge cycle is complete. Check the battery status from the CPAP or flow
modes.
Note: If you are using the unit with air only, the “O2 CALIB ERROR” will be
triggered. Press the alarm mute button twice to clear the alarm message.
Page 81 of 128
11. The SLE1000 should display and sound the “MAINS DISCONNECT” alarm.
The mains power not connected icon on the front of the driver should
Illuminate.
12. Reconnect mains power and cancel the alarm indication.
15.3 Total power fail alarm test.
13. Turn the unit off. The total power fail alarm will now sound.
14. Repress the button to cancel.
15. Disconnect the proximal airway tube.
15.4 High leak and high pressure alarm
16. Turn the unit back on.
17. Allow the pneumatic test to clear and the unit to enter standby mode.
18. Connect the proximal airway tube.
19. Wait until the oxygen system has completed its calibration.
20. Set a CPAP pressure of 5 mbar.
Note: If you are using the unit with air only, the “O2 CALIB ERROR” will be
triggered. Press the alarm button twice to clear the alarm message.
Page 82 of 128
15.6 Zero pressure alarm and purge check
34. Disconnect the proximal airway tube from the proximal pressure port.
35. The SLE1000 should display and sound the “Zero Pressure” alarm.
36. Occlude the Proximal Pressure port.
37. The SLE1000 should display and sound the “High Pressure” alarm.
38. Remove the occlusion from the port.
39. The SLE1000 should display and sound the “Zero Pressure” alarm.
40. Reconnect the proximal airway tube to the proximal pressure port.
41. Reset the alarm by pressing the alarm button twice.
Page 83 of 128
15.7.2 Procedure when using an air only
1. Select fixed flow mode of 6 l/min.
2. Disconnect the air supply from
wall outlet. The SLE1000 should Air supply hose
display and sound the “NO AIR
SUPPLY” alarm.
3. Reconnect air supply, cancel the
alarm.
4. Set the SLE1000 to “Standby...”
mode.
Page 84 of 128
Operational Considerations
Page 85 of 128
16. Operational considerations
16.1 General
16.1.1 Standby mode
The patient must not be connected to the unit in “Standby” mode. The unit
does not deliver any therapeutic flow in this modes. In “Standby” mode all
patient and gas alarms are disabled with the exception of the “Low battery”
alarm and all system failure alarms.
16.2 CPAP
16.2.1 CPAP setting of 2 to 4 mbar
If the user is using the SLE1000 with small or medium prongs and a CPAP
pressure of between 2 and 4 mbar, the unit may not detect the disconnection of
the patient from the circuit.
The SLE1000 must not be used as the sole form of patient monitoring.
Independent monitoring of blood gases must be used in conjunction with
the SLE1000. Breath detection technology used in the apnoea monitor
function is based on rate and magnitude of change in the pressure
measured in the patient interface (that is shown on the bar graph). The
sensitivity of the technology has limitations with the smallest patients
(<1000g) and if a leak exists or if the patient opens/breathes by the mouth.
The apnoea monitor may be disabled if breath non-detection results in
nuisance apnoea alarms.
When delivering CPAP with Apnoea detection turned ON the user may have to
adjust the pressure trigger sensitivity. The method of setting the pressure trigger
sensitivity is described in’9.2.1 Pressure trigger sensitivity’ on page 37. If the user
deems that the BPM rate is high due to reasons other than patient effort then they
can decrease the sensitivity by reducing the value from the default of 3 down to 1.
The user can increase the sensitivity by increasing the value from 3 to 6. Patient
trigger detection determines the delivery of backup breaths in an apnoeaic
episode.
Page 86 of 128
Operation
Page 87 of 128
17. Basic operation
The following chapter describes the basic operation and is not intended to be
prescriptive.
17.1 Monitoring
The recommended patient monitoring requirements are:
1. ECG/heart rate.
2. Respiration rate
4. Oxygen saturation.
17.2 Operation
Step 1 Setup the SLE1000 as described in section 14.4 on page 73.
Step 2 Ensure that the SLE1000 has been functionally tested as described in section 15.
on page 80.
Step 3 Ensure the unit has calibrated the oxygen system.
Note: If you are using the unit with air only, the “O2 CALIB ERROR” will be
triggered. Press the alarm button twice to clear the alarm message. The unit
will display “- -”. Do not set the % O2 above 21% as this will trigger the “NO
O2 SUPPLY” alarm.
Page 88 of 128
Troubleshooting Chart
Page 89 of 128
18. Troubleshooting chart
Page 90 of 128
Symptom Possible Cause Remedy
Alarm message: Unit started with complete circuit Disconnect proximal airway
Gas Flow Error attached. line and cycle power.
Alarm message: Water in circuit creating circuit noise. Check patient circuit.
High BPM rate
See “High BPM rate” on page 100. Adjust trigger sensitivity.
Page 91 of 128
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Page 92 of 128
Technical Information
Page 93 of 128
19. Cleaning and disinfection
All cleaning, disinfection and sterilizing should be carried out under the direction of the
appropriate hospital authority.
DO NOT allow moisture to enter the electronic module or its electrical sockets. Electronic
malfunction may result.
DO NOT steam autoclave the driver or otherwise subject it to temperatures above 62°C.
Remove the inlet air and O2 gas port caps. (Retain for future use).
Allow the unit to acclimatize, i.e if the unit has been stored in a cold or humid environment
whilst in transit/storage.
Before cleaning or disinfecting the exterior of the driver the following tasks should be
performed:
Warning (General): Do not insert any object in to the gas ports. This action
will result in damage to the port. If the user believes there is a foreign object
in a gas port, please refer the driver to qualified service personnel for
inspection and repair.
Page 94 of 128
19.3 Cleaning Method
For cleaning use three clean, disposable, absorbent, non-shedding cloths. Wipe clean with
the first cloth using a hand hot water/mild general purpose detergent solution (as prescribed
by the appropriate hospital authority). Do not overload the cloth with liquid. Remove the
water/mild general purpose detergent solution with the second cloth using water only. Do not
overload the cloth with liquid. Wipe dry with the remaining cloth. Care should be taken to
ensure that the driver gas ports are not blocked by any debris.
Warning: Ensure that the detergent solution does not enter the unit (LCD and
LED windows). Do not use any abrasive cleaners these surfaces.
For disinfection use two clean, disposable, absorbent, non-shedding cloths. Wipe clean with
the first cloth using Alcohol (70% isopropanol). Wipe dry with the remaining cloth.
Page 95 of 128
20. Messages & alarms
20.1 Messages
The user interface messages displayed on 20 character wide LCD.
If alarm button is pressed while the Pauses alarm audio for 120
‘Alarm Paused’ message is displayed, seconds or until button or is
then normal ‘un-paused’ mode is pressed again.
immediately resumed.
Adjust Parameter Second stage of user interacting with Turning the dial will
device, where the parameter is increment/decrement the
adjusted. parameter in focus.
Pressing the dial will confirm
selection. Times out and
reverts to original value after
3 sec of inaction.
Battery N% Display of the battery charge level in Clears itself after 10 sec.
percent
Flow Mode Displayed to indicate that the user is Present whilst delivering the
in flow mode prescribed flow.
Pneumatic test Displayed during internal test Clear only when test has
passed.
Set Apnoea Time Indicator that the Apnea Time can be Clears itself after 5 sec.
selected. If selected clears after 10
sec.
Set CPAP Level Indicator that the CPAP Level can be Clears itself after 5 sec.
selected. If selected clears after 10
sec.
Page 96 of 128
User message Description Action
Set Flow Indicator that the flow can be Clears itself after 5 sec.
selected. If selected clears after 10
sec.
Set Oxygen Level Indicator that the Oxygen Level can Clears itself after 5 sec.
be selected. If selected clears after 10
sec.
Show Batt. level Indicator that the Battery Level can be Clears itself after 5 sec.
selected. If selected clears after 10
sec.
Show Alarm Hist. Indicator that the Alarm History can be Clears itself after 5 sec.
selected. If selected clears after 10
sec.
Set Trigger Sen. Indicator that the Trigger Sensitivity Clears itself after 5 sec.
can be selected. If selected clears after 10
sec.
Start O2 Calib Indicator that the O2 calibartion Clears itself after 5 sec.
routine can be selected. If selected clears after 10
sec.
Been used for: Display of the battery charge level in The user has to press the
percent alarm mute button to cancel
display.
SLE1000 Ver. N.N Version display during power-on-self- Clears itself on completion
test. of the power-on-self-test.
Ready... Indicates that power-on-self-test has Clears itself after 2 sec.
completed.
<no message> Indicates that a particular history log None
location does not have any stored
event (i.e. alarm has not occurred)
Page 97 of 128
20.2 Alarm messages and sounds.
20.2.1 Alarm messages.
Alarm messages ranked in order of priority. The current message of highest priority ranking
is stored in the history log. Simultaneous lower ranking messages are often the
consequence of a higher priority, and they are not stored in the history log. The term ‘alarm’,
when used in the Action column, means sounding and displaying a conforming audio-visual
alarm.
A non latching alarm is an alarm message that will display both the audible and visual
elements only during the alarm condition. If the alarm condition clears the audible and visual
elements self cancel.
Page 98 of 128
Alarm message Description Action
System Failure N System Failure Single or multiple sub-
system failures.
N = system failure Latching HIGH priority alarm. Remove patient to an
number which can be Cannot be disabled. alternative form of
between 1-255. ventilation. Remove the unit
Priority: HIGH
from service.
Type: TECHNICAL
Gas Flow Error Start up self test has detected Self test is repeated and
abnormal pneumatic system clears itself upon successful
response, or lacking gas supply. result.
If ventilating - remove
Latching HIGH priority alarm. patient to an alternative
Priority: HIGH form of ventilation. Remove
the unit from service.
Type: TECHNICAL
High Pressure Proximal pressure exceeds 15.5 Cuts fresh gas flow and
mbar. evacuates pressure from
the circuit. 1.5 l/min bypass
Non-latching HIGH priority alarm. flow is delivered, to flush
CO2 build up. Device will
Priority: HIGH
restart after 5 seconds.
Type: TECHNICAL
Check Patient, check
patient circuit. Adjust
ventilation parameters.
If alarm repeats after the
above checks remove
patient to an alternative
form of ventilation. Remove
the unit from service.
Apnoea Breath not detected within the user Triggers a stimulation
set apnoea period. breath of 3 mbar above set
CPAP for 0.3 seconds (only
Non-latching HIGH priority alarm. pressure mode).
Is reset by a patient breath. User has option for
disabling the apnoea
Priority: HIGH monitoring function (value
Type: PATIENT shows ‘--’).
Check Patient, check
patient circuit. Adjust
ventilation parameters.
Page 99 of 128
Alarm message Description Action
No Air Supply Air supply is too low (<2.0 bar) to Device will deliver 100%
assure normal operation. oxygen as set flow.
Connect air supply. If
Non-latching HIGH priority alarm. ventilating - remove patient
Suspends high oxygen alarm. to an alternative form of
ventilation. Remove the unit
Priority: HIGH from service.
Type: TECHNICAL
No Oxygen Supply Oxygen supply is too low (<2.0 bar) Device continues to deliver
to assure normal operation. Only air only gas to patient.
active if FiO2 is set >21%. User can prevent
recurrence by setting FiO2
Non-latching HIGH priority alarm. to 21%.
Suspends low oxygen alarm. Connect oxygen supply.
Priority: HIGH If no oxygen present, set
Type: TECHNICAL the unit to run on air only by
canceling the alarm
message.
If ventilating - remove
patient to an alternative
form of ventilation. Remove
the unit from service.
High BPM rate The measured breath rate exceeds Check Patient, check
90 BPM for at least 6 seconds patient circuit. Adjust
when the Apnoea is set in the Apnoea parameters.
range of 5 and 90 seconds.
The three pulsed tones correspond to the alarm sounder priorities, High, Medium and Low.
The pulsed tones are generated when the unit encounters an alarm condition. All the
generated tone alarms are accompanied by visual alarm indication.
The High alarm sound consists of 3 tone bursts followed by 2 tone bursts which is repeated
after 1 second with a 4 second gap before restarting (total alarm cycle of 8 seconds).
The Medium alarm sound consists of 3 tone bursts followed by a 8 second gap.
The Low alarm sound consists of 2 tone bursts followed by a 16 second gap.
21.2 Monitoring
Mean airway pressure: 0 – 20 mbar (accuracy ±1 mbar) (display precision 0.1mbar).
Oxygen concentration: 21% to 100% (accuracy ±5%) (display precision 1%).
Breath rate: 0 - 150 BPM.
Flow: 0-20 l/min (accuracy ±2 l/min) (display precision 0.1l/min).
21.3 Indicators
21.3.1 Non numeric
Pressure Cycle Indicator
Breath detection indicator
21.3.2 Numeric
Rate, MAP, Flow, Oxygen, Apnoea & CPAP
21.4 Controls
ON/OFF push button Control of mains power.
Boost button Delivers positive 3 mbar boost to existing CPAP level up to 30
seconds.
Alarm mute/pre mute Silences alarm or pre mutes alarms for 120 seconds. Sets the
pressure alarm threshold in flow mode.
Push & turn knob Control for selection and adjustment of parameters and
information.
21.6 Outputs
Digital Outputs: RS232C Serial Port, IBM-AT-compatible serial port, 9-pin DSub
Available parameters:
Alarm message
BPM rate
MAP (Mean Airway Pressure)
Flow rate
FiO2
For more details see section ’24.1 RS232 output specification:’ on page 116.
Note: The unit will only operate reliably if the difference in pressure between
the Air and Oxygen supply is less than 3 bar.
21.11 Dimensions
Size, driver only: 180 mm W x 180 mm H x 180 mm D
Height on stand: 132 cm
Weight, Driver only: 5.5 kg
21.11.1 Connectors
Fresh Gas Port: Conical to ISO5356-1
Proximal Airway: Non Conical
21.12 Classification
Type of protection against electric shock: Class I.
Degree of protection against electric shock: Type B.
IPX rating IP20
Unit must be earthed.
Note: Remove the battery fuse if the SLE1000 is stored for longer than 2
weeks, whilst disconnected from the mains. The power button detection
circuit consumes a small amount of current, which can cause the battery to
discharge over a long period.
The owner/user of this equipment shall have the sole responsibility and liability for any
damage or injury to persons or property (including the equipment itself) resulting from faulty
maintenance not in accordance with the authorised maintenance instructions, or from repair
by anyone other than the factory authorised service representative, or from unauthorised
modification of the equipment or accessories, or from the use of components or accessories
that have been either damaged or not authorised for use with this equipment by the
manufacturer.
EN60601-1-2
EN61000-3-2
EN61000-3-3
RF emissions Group 1 The SLE1000 uses RF energy only for its internal
CISPR 11 function. Therefore, its RF emissions are very low
and are not likely to cause any interference in
nearby electronic equipment.
RF emissions Class A The SLE1000 is suitable for use in all
CISPR 11 establishments other than domestic, and may be
used in domestic establishments and those directly
Harmonic emissions Class A connected to the public low-voltage power supply
IEC 61000-3-2 network that supplies buildings used for domestic
purposes, provided the following warning is
Voltage fluctuations/ Complies heeded:
flicker emissions
IEC 61000-3-3 Warning: This equipment/system is intended for
use by healthcare professionals only. This
equipment/ system may cause radio interference
or may disrupt the operation of nearby equipment.
It may be necessary to take mitigation measures,
such as re-orienting or relocating the SLE1000 or
shielding the location.
The SLE1000 is intended for use in the electromagnetic environment specified below. The customer or the user of the
SLE1000 should assure that it is used in such an environment.
Electrical fast ±2 kV for power supply ±2 kV for power supply Mains power quality should
transient/burst lines lines be that of a supply lines
typical commercial or
IEC 61000-4-4 ±1 kV for input/output lines N/A hospital environment.
Voltage dips, short <5 % UT 100% dip in UT for 0.01 Mains power quality should
interruptions and voltage (>95% dip in UT) for 0.5 seconds. be that of a typical
variations on the power cycle commercial or hospital
supply input lines 40 % UT environment.
40 % UT (60% dip in UT) for 0.1
(60% dip in UT) for 5 cycles seconds.
IEC 61000-4-11
70 % UT 70 % UT
(30% dip in UT) for 25 (30% dip in UT) for 0.5
cycles seconds.
NOTE UT is the a.c. mains voltage prior to application of the test level.
The SLE1000 is intended for use in the electromagnetic environment specified below. The customer or the user of the
SLE1000 should assure that it is used in such an electromagnetic environment.
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
aThe
ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6,765 MHz to 6,795 MHz;
13,553 MHz to 13,567 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz.
bThe compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz
to 2,5 GHz are intended to decrease the likelihood that mobile/portable communications equipment could cause
interference if it is inadvertently brought into patient areas. For this reason, an additional factor of 10/3 has been
incorporated into the formulae used in calculating the recommended separation distance for transmitters in these
frequency ranges.
cField
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 SLE1000 is used exceeds the applicable RF
compliance level above, the SLE1000 should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the SLE1000.
dOver the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m
The SLE1000 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
The customer or the user of the SLE1000 can help prevent electromagnetic interference by maintaining a minimum
between portable and mobile RF communications equipment (transmitters) and the SLE1000 as recommended
according to the maximum output power of the communications equipment.
1 0.82 1.87
10 2.59 5.91
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres
(m) be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output
power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6,765 MHz to 6,795 MHz;
13,553 MHz to 13,587 MHz; 26,957 MHz to 27,283 MHz; and 40,66 MHz to 40,70 MHz.
NOTE 3 An additional factor of 1013 has been incorporated into the formulae used in calculating the recommended
separation distance for transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency
range 80 MHz to 2.5 GHz to decrease the likelihood that mobile/portable communications equipment could cause
interference if it is inadvertently brought into patient areas.
NOTE 4 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
objects and people.
Continuously outputs current monitored values in an ascii text string that is 36 characters
long.
Note: the text “No Current Alarm” in the status field is only used for data output.
User Manual
Qty1
Mains lead UK
L1009/UMA/0UK
Qty1
M0255/07
Battery fuse
Qty1
M0457/2AC/001
SLE1000
Qty1 Trolley Fixing Screws
L1009/020/0XX Qty2
H6212 L1009/010/0UK Accessory pack
Note: Please contact SLE or your distributor for more information on the
start-up pack.
O2 Oxygen
°C Degrees Celsius
≈ Approximately equal to
bar Unit of Barometric Pressure
bpm Breaths Per Minute
cm Centimetre
cmH2O Centimetres of Water
Kg Kilogram
LCD Liquid Crystal Display
LED Light Emitting Diode
l/min Litres per Minute
MAP Mean airway pressure
mbar Millibar
ml Millilitres
ms Millisecond
NCPAP Nasal Continuous Positive Airway Pressure
PEEP Positive End Expiratory Pressure
RS232C RS232 is a long established standard for low speed serial data
communication, “C” being the current version.