Before operating the MOVES® SLC™, please refer to the Operator Manual. In this section, we will cover the controls, the navigation, the system launch, the system preparation and the shutdown procedure.
Controls on the MOVES® SLC™
The Screen Brightness Button to adjust screen brightness.
Use the Flip Screen Button to flip the information displayed on the screen 180°.
Use Alarm Audio Pause Button to either silence ALL alarms permanently (if this feature is permitted) or for a temporary period (120 seconds).
Use the NIBP Control Button to start or abort a Non-Invasive Blood Pressure (NIBP) reading.
Use the Suction Control Button to start or abort suction. All suction accessories must be connected and ready to use before activating.
The Jog Wheel is used to make selections on the various screens. Turning it clockwise or counter clockwise selects items in a circular manner going around the screen like the sweep of a clock’s hands. The Jog Wheel does not select in a left to right, line by line manner as if scrolling through a list. To activate a selection, press the Jog Wheel.
The Back Button takes you “up” one level and cancels the current entry. It ultimately is trying to get back to the screen selection button (MAIN / SETUP / etc.).
How to navigate
To navigate through the interface and change settings, rotate the Jog Wheel clockwise or counter clockwise to the item you want to select. All items that can be selected for modification are shown with a double-line white border.
The item selected will be shown the same as selectable but with yellow lines forming the double-line border.
Once the Jog Wheel is pressed, the selection is active and shown with a single, dashed line. While a menu item is selected, rotate the Jog Wheel to select/modify the setting.
Pressing the Jog Wheel once again to accept the modified setting. To cancel the current selection, simply press the Back Button.
Pre-use Test Instructions and Launching Sequence
Upon the launch of the system, a complete list of system tests are required before the use of the MOVES®SLC™.
Turn the MOVES® SLC™ unit on by pressing the Power Control Button (on the REAR panel).
Either the New Patient screen or the System Test screen is displayed.
New Patient screen
If the system has been run within the last 30 minutes, a prompt screen (New Patient Screen) will appear asking the user if the system should be configured for a new patient (i.e., begin with default values or restore previously used ones). The user should only select “NO” if the user is aware of what the previously used settings are, and the machine is still being used for the same patient.
System Test screen
Some tests, including RAM and firmware integrity checking, are AUTOMATIC (note tests initially labeled PASS). Others require preparation of the device into a certain configuration (i.e., PREP REQD) or require the user to give feedback (i.e., INPUT REQD). The first test selected, the Ventilator Cartridge Check test, is an INPUT REQD test.
Perform the preparation steps indicated if the test is PREP REQD (for other tests that are INPUT REQD, respond with the input requested), then choose Prep done to run the test.
The closed Y-Piece test is completed and passed in the screen shot below. To initiate the Alarm Lights + Audio tests, user input is required. Start must be confirmed, and then the operator must continue to observe the device and answer the questions shown on the device.
The first Alarm Lights + Audio test requires input from the user (INPUT REQD test). This test ensures that the high-priority alarm visual and audio indicators are working properly. Respond with Yes or No.
The second Alarm Lights & Audio test also requires input from the user (INPUT REQD test). This test ensures that the medium-priority alarm visual indicator is working properly. Respond with Yes or No.
The next test, the Open Y-Piece test, is a PREP REQD test. Perform the requested preparations then select Prep done.
As noted previously, in order to save time, certain tests can be run concurrently. In this case, while the Open Y-Piece test is still running, the Sample Line tests can be run.
The Sample Line test is actually comprised of two tests. Both require user preparation (PREP REQD test). Follow the instructions on screen, perform the preparation required, and then choose Prep done to start the test.
When testing is in progress, and the MOVES® SLC™ is running, a small white dot can be seen moving up and down at the top right of the screen to indicate that the device is not “frozen”. The white “dot” is a way of knowing the device is not “frozen” at any time, not just during startup tests.
If all tests are successful, the System Test screen displays a Test Summary indicating all tests have passed. Choose CONTINUE.
You are taken to the Setup Screen and placed in Monitor Only mode.
Warning: The system does not ventilate in Monitor Only or O2 Supplement modes. Changing the system to operate in these modes will cease ventilation
Make any changes necessary to the Ventilate mode settings and configure any other settings as necessary. Also, connect any desired patient monitoring cables to the patient.
Change the system to Ventilate mode. Ventilation begins using the indicated settings.
Attach the patient to the breathing circuit.
Equipment Setup Procedures
Each of the components will be further described in the sections that will follow. The below describes the MOVES® SLC™ Quick Start Guide for ventilated patients:
Lift the release/lock latch for the ventilator cartridge door at the top front of the MOVES® SLC™. Insert the ventilator breathing cartridge, close the door and lock it by depressing the latch.
Install the hydrocarbon filter in the REAR panel.
Attach the ventilator breathing circuit to the cartridge door. Connect the Nafion tubing to the sampling line.
If ventilating patients under 30 kg or using tidal volumes under 150 mL, replace the breathing filter with the paediatric breathing system filter.
Attach the suction canister and tubing to MOVES® SLC™.
Connect any required patient monitoring accessories to MOVES® SLC™. DO NOT CONNECT TO THE PATIENT AT THIS TIME.
Verify the battery charge levels and insert both batteries.
Attach the MOVES® SLC™ AC power unit (includes power supply, battery charger and cables) to the MOVES®SLC™ if required to recharge.
Ensure that a backup means of ventilation with a high level of oxygen is immediately available.
To deactivate the MOVES® SLC™ system, press and hold the Power Control button for five (5) seconds until the display turns OFF.
Detach all patient monitoring accessories from the patient connection panel.
Dispose of breathing circuit (but NOT THE WATER TRAP), sample lines (but NOT THE NAFION TUBE) and filters, breathing cartridge, ECG adhesive sensor pads, IP transducer, suction wand and tubing in a sanitary manner in accordance with local biohazard regulations.
Dry the breathing cartridge cavity.
Clean and sterilize all cables, NIBP cuffs and tubing with a disinfecting spray. Ensure that no moisture enters the tubing. Return items to storage in the accessories case.
Carefully remove the suction canister and suction filter and dispose of them and waste in a sanitary manner in accordance with local biohazard regulations.
Remove the MOVES® SLC™ batteries from the system and store them in a dry area at room temperature.