Spot Vital Signs

Welch Allyn Spot Vital Signs
SYS kPa (mmHg)
DIA kPa (mmHg)
SpO2 %
/ min
Spot Vital Signs
Directions for Use

ii Welch Allyn Spot Vital Signs
Copyright 2016 Welch Allyn. All rights are reserved. To support the intended use of the product described
in this publication, the purchaser of the product is permitted to copy this publication, for internal
distribution only, from the media provided by Welch Allyn. No other use, reproduction, or distribution of
the publication, or any part of it, is permitted without written permission from Welch Allyn.
Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the
product, that may result from failure to use this product in accordance with the instructions, cautions,
warnings, or statement of intended use published in this manual.
Welch Allyn®, Spot Vital Signs®, and SureTemp® are registered trademarks of Welch Allyn.
LNCS™, SET®, LNOP®, and Masimo® are registered trademarks of, Masimo Corporation. Possession or
purchase of a Masimo SpO2-equipped device does not convey any express or implied license to use the
device with unauthorized sensors or cables which would, alone or in combination with this device, fall
within the scope of one or more of the patents relating to this device.
Nellcor® and Oxi-Max® are registered trademarks of Nellcor Puritan Bennett Inc.
United States Federal Law restricts this device to sale by or on the order of a health care practitioner.
Software in this product is Copyright 2016 Welch Allyn or its vendors. All rights are reserved. The software
is protected by United States of America copyright laws and international treaty provisions applicable
worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with
this instrument as intended in the operation of the product in which it is embedded. The software may not
be copied, decompiled, reverse-engineered, disassembled, or otherwise reduced to human-perceivable
form. This is not a sale of the software or any copy of the software; all right, title, and ownership of the
software remain with Welch Allyn or its vendors.
For information about any Welch Allyn product, contact Welch Allyn Technical Support:
www.welchallyn.com/about/company/locations.htm.
DIR 80021849 Ver B This manual applies to 901057 Vital Signs Monitor
Revised 2016-12
Welch Allyn Regulatory Affairs Representative

4341 State Street Road Welch Allyn Limited
Skaneateles Falls, NY Navan Business Park
13153 USA Dublin Road
Navan, County Meath, Republic of Ireland
Printed in USA
Directions for Use iii
Set the date and time

After recharging a dead battery or after disconnecting the battery for a few minutes, you must program the
date and time screen.
You can change several device operating parameters in the Internal Configuration Mode. When changed,
these settings become the default power-up settings. You will also see non-changeable device
configurations for technical service purposes.
To enter the Internal Configuration Mode:
1. Turn the Spot Vital Signs off ( ).
2. Press and hold the Blood Pressure Start/Stop ( ) and Power ( ) buttons. The device enters
the Internal Configuration Mode and displays the software version.
If the device displays E38, press the Next Patient/Clear/Cancel ( ) button to cancel the error.
3. Press the Mode ( ) button to cycle through the Internal Configuration menu until you see the date
option displayed on the screen.
4. Use the Next Patient/Clear/Cancel ( ) or Blood Pressure Start/Stop ( ) buttons to change

the default setting.
iv Welch Allyn Spot Vital Signs
5. Press the Mode ( ) button once to save the change. Repeat steps 4 and 5 to set the day, month,
year, hour, and minute values.
6. Press the Power ( ) button to exit the Internal Configuration Mode.

v
Contents
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Set the date and time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
1 - Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Related Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Indications/Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Symbols and Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Safety Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Avertissements et précautions de sécurité . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Précautions générales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2 - Controls, Indicators, and Connections . . . . . . . . . . . . . . . . . . . . . . 17

Unpacking Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Possible Attachments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Front Panel Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LCD (Liquid Crystal Display) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Top, Side, and Rear Panel Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
3 - Internal Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4 - Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Blood Pressure Hose and Cuff Connections. . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Temperature Probe Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
SpO2 Sensor Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Quick Reference/Error Code Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
AC Power Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Charging the Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Standby Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
5 - Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Selecting the Blood Pressure Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Reviewing Information from the Last Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Checking the Blood Pressure Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
vi Contents Welch Allyn Spot Vital Signs
6 - Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Selecting Temperature Operation Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Temperature Measurement Range Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Normal Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Monitor Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
7 - Pulse Oximetry (Sp02). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
8 - Error Indications and Interpretation . . . . . . . . . . . . . . . . . . . . . . . . 39

Error Codes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Causes and Corrective Action. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
9 - Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Patient Population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Pulse Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Mechanical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Environmental. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Guidance and Manufacturer’s Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Patents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Agency Approvals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
10 - Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Battery Removal and Replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Masimo SpO2 Calibration Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Nellcor SpO2 Functional Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
SpO2 Accessory Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Temperature Calibration Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Service Manual/Spare Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Service Loaners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
11 - Supplies and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Latex-Free Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Pulse Oximetry Accessories and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Extended Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Miscellaneous. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Spot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
1
1 Introduction
This manual is designed to help you understand the capabilities and operation of your
Welch Allyn Spot Vital Signs. The information in this manual includes all options available
with the Spot Vital Signs (e.g., SpO2, temperature, mobile stand, and wall mount). The
applicability of some sections of this manual depends on the configuration of your particu-
lar unit. Read this manual thoroughly before attempting to use the device.
Table 1. Available Versions of Spot Vital Signs

REF Description
4200B Spot Vital Signs with blood pressure only
420TB Spot Vital Signs with blood pressure and SureTemp thermometer
42MOB Spot Vital Signs with blood pressure and Masimo SpO2
42NOB Spot Vital Signs with blood pressure and Nellcor SpO2
42MTB Spot Vital Signs with blood pressure, SureTemp thermometer, and Masimo SpO2
42NTB Spot Vital Signs with blood pressure, SureTemp thermometer, and Nellcor SpO2
Note Depending on destination countries, the model numbers above may have a suffix shown as 42xxx-XXX, where
XXX can be any characters from 0 to 9 or from A to Z. The suffix is used to specify configuration options, which the first
two XXs stand for user interface language and Direction for Use language, and the last X stands for power cord type.
Product Overview
The Welch Allyn Spot Vital Signs non-invasively and automatically measures systolic and
diastolic blood pressure, pulse rate, and oxygen saturation (SpO2) for adult and pediatric
patients. Further, the Welch Allyn Spot Vital Signs measures temperature invasively in
natural body orifices (i.e., mouth and rectum).
THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON NEONATAL
PATIENTS.
All blood pressure, pulse, temperature, and SpO2 values are viewed on a large, easy-to-
read display.
The rechargeable lithium-ion battery and variety of mounting accessories make the Welch
Allyn Spot Vital Signs convenient for many locations. You may choose any combination of
simultaneous measurement modalities.
The Welch Allyn Spot Vital Signs can be used in a wide variety of health care settings. This
includes hospital departments as well as alternate care settings such as physicians’
offices, clinics, and long-term care facilities. The Welch Allyn Spot Vital Signs is not
intended for continuous monitoring of patients, nor for use during the transport of a
patient. The Welch Allyn Spot Vital Signs is not intended for use in environments that are
not supervised by a health care practitioner.
2 Welch Allyn Spot Vital Signs
Related Publications
Masimo Directions for Use - for models 42M0B and 42MTB
Nellcor Directions for Use - for models 42N0B and 42NTB
Indications/Contraindications for Use

The Welch Allyn Spot Vital Signs is intended for measurement of blood pressure, pulse
rate, temperature, and oxygen saturation (SpO2) of adult and pediatric patients. The
device is not designed, sold, nor intended for use except as indicated.
• THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR USE ON
NEONATAL PATIENTS. To ensure pediatric blood pressure accuracy and safety, the
Welch Allyn Child Print Cuff (5200-03), the Welch Allyn Small Child Durable One-Piece
Cuff (REUSE-08-1SC), and the Welch Allyn Small Child Disposable One-Piece Cuff
(SOFT-08-1SC) are the smallest cuffs allowed for use with young children and infants.
The circumference of the child’s arm must fit within the range markings on the cuff.
• The Welch Allyn Spot Vital Signs should not be used on patients who are linked to
heart/lung machines.
• The Welch Allyn Spot Vital Signs is not designed to measure axillary temperature in
normal mode for children above three years of age.
• The Welch Allyn Spot Vital Signs is not intended to monitor patient’s vital signs.
• The Welch Allyn Spot Vital Signs is not defibrillator proof.
Directions for Use 3
Symbols and Descriptions

Familiarize all operating personnel with the general safety information in this summary.
Operators will also find specific warnings and cautions throughout the Directions for Use.
Such specific warnings and cautions may not appear here in this summary.
Caution: Consult manual for additional information.
Type BF Equipment
Handle with Care
Transport Temperature
Storage Humidity
Internally Powered, rechargeable, Lithium-Ion Battery
Class II Equipment
Not protected against the ingress of water.

IPXØ
Reorder number
Consult operating instructions/directions for use (DFU).
A copy of the DFU is available on this Web site.
A printed copy of the DFU can be ordered from Welch Allyn for delivery
within 7 calendar days.
Mode of Operation: Continuous

Do not dispose of this product as unsorted municipal waste. Prepare this
product for reuse or separate collection as specified by Directive 2002/
96/EC of the European Parliament and the Council of the European
Union on Waste Electronic and Electrical Equipment (WEEE). If this
product is contaminated, this directive does not apply.
For more specific disposal information, see www.welchallyn.com/weee,

or contact Welch Allyn Customer Service at +44 207 365 6780.
Safety Warnings and Cautions

All operating personnel should be familiarized with the general safety information in this
summary. Specific warnings and cautions are also found throughout this manual. Such
specific warnings and cautions may not appear here in this summary.
General Warnings
A warning statement in this manual identifies a condition or practice, which if not
corrected or discontinued immediately, could lead to patient injury, illness, or death.
WARNING The Welch Allyn Spot Vital Signs is designed for use by medical
clinicians. Although this manual may illustrate medical spot check techniques,
only a trained clinician who knows how to take and interpret a patient’s vital signs
should use this system.
WARNING The information in this manual is a comprehensive guide to the

operation of the Welch Allyn Spot Vital Signs. To achieve satisfactory results, you
should read the manual thoroughly before attempting to use the device.
WARNING Spot Vital Signs is not intended to take measurements on neonatal

patients. The AAMI SP10:1992 standard defines neonates as children 28 days or
less of age if born at term (37 weeks gestation or more); otherwise up to 44
gestational weeks.
WARNING The Welch Allyn Spot Vital Signs is not defibrillator proof.
WARNING The Welch Allyn Spot Vital Signs is not intended for continuous
monitoring. Do not leave the device unattended while taking measurements on a
patient.
WARNING To ensure patient safety, use only accessories and supplies (i.e.,
blood pressure cuffs, hoses, temperature probes, SpO2 sensors, etc.)
recommended for or supplied with Spot Vital Signs. Using unapproved
accessories with Spot Vital Signs can affect patient and/or operator safety.
WARNING This device is not suitable for use in the presence of a flammable
anesthetic mixture with air or oxygen or nitrous oxide. An explosion may result.
WARNING Avoid compression of the blood pressure cuff tubing or pressure

hose of the Welch Allyn Spot Vital Signs. Compression of the cuff tubing or
pressure hose may cause system errors to occur in the device.
WARNING Care should be taken to prevent water or other fluid from entering
any connectors on the device. Should this occur, the connectors should be dried
with warm air. All operating functions should then be checked for proper
operation.
WARNING Any Spot Vital Signs which has been dropped or damaged should be
checked by qualified service personnel to ensure proper operation prior to use.
Do not use the Welch Allyn Spot Vital Signs if you notice any signs of damage.
Contact the Welch Allyn Customer Service Department for assistance.
WARNING Every three months, inspect the temperature probe, SpO2 cord, and
accessories for fraying or other damage. Replace as necessary.
WARNING There are no user-serviceable parts inside the device other than
battery replacement. Refer Spot Vital Signs to the Authorized Service Center.
WARNING The Spot Vital Signs should not be used on patients who are linked
to heart/lung machines.
WARNING The Spot Vital Signs does not operate effectively on patients who are
experiencing convulsions or tremors.
WARNING This device complies with current required standards for

electromagnetic interference and should not present problems to other
equipment or be affected by other devices. As a precaution, avoid using this
device in close proximity to other equipment.
WARNING This device is not intended for hand-held use during operation.
WARNING Welch Allyn recommends leaving the battery in the device,

regardless if the device is not used for long periods of time, since there is no
hazard of leaving the battery in the device.
WARNING Do not autoclave.
WARNING Welch Allyn is not responsible for the integrity of any mounting
installation. Welch Allyn recommends that the customer contact their Biomedical
Engineering Department or maintenance service to ensure professional
installation for safety and reliability of any mounting accessory.
WARNING Lithium ion battery. Risk of fire, explosion, and burns. Do not short-
circuit, crush, incinerate, or disassemble the battery pack. Never dispose of
batteries in refuse containers. Always recycle batteries according to national or
local regulations.
Blood Pressure Warnings

WARNING To ensure pediatric blood pressure accuracy and safety, the Welch
Allyn Child Print Cuff (5200-03), the Welch Allyn Small Child Durable One-Piece
(SOFT-08-1SC) are the smallest cuffs allowed for use with young children and
infants. The circumference of the child’s arm must fit within the range markings
on the cuff.
WARNING You may experience inaccurate blood pressure measurements if

blood pressure cuffs and/or hoses other than those provided by Welch Allyn for
the Spot Vital Signs are used.
WARNING Patients who are experiencing moderate to severe arrhythmias may

give inaccurate blood pressure measurements.
WARNING When several blood pressure measurements are taken on the same
patient, it is recommended that the blood pressure cuff site and extremity are
checked regularly for possible ischemia, purpura, and/or neuropathy.
WARNING Do not change the connector(s) on the blood pressure cuff tubing of
this device to luer type. Luer type connectors are commonly used in intravenous
infusion systems. Using the luer connectors on blood pressure cuff tubing
creates the risk that the blood pressure tubing could be mistakenly connected to
a patient's intravenous line, resulting in the introduction of air into the patient's
circulatory system.
WARNING When measuring blood pressure on children younger than 3 years of

age, it is recommended that the Pressure Preset (initial inflation pressure) be set
at 160 mmHg or lower.
SpO2 Warnings
WARNING Only use Spot Vital Signs with Masimo or Nellcor SpO2 option with
Masimo or Nellcor brand sensors and accessories, respectively. Using the wrong
or unapproved sensors or cables may cause improper performance.
WARNING The SpO2 sensors and extension cables are intended for use only for
pulse oximetry measurements. Do not attempt to connect these cables to a PC
or any similar device.
WARNING Before use, carefully read the sensor’s directions for use, including
all warnings, cautions, and instructions.
WARNING Do not use a damaged sensor or SpO2 cable. Do not use a sensor
with exposed optical components.
WARNING Tissue damage can be caused by incorrect application or duration of

use of an SpO2 sensor. Inspect the sensor site as directed in the sensor’s
Directions for Use.
WARNING Do not use the sensors during magnetic resonance imaging (MRI)
scanning. Induced current could potentially cause burns. The pulse oximeter may
affect the MRI image, and the MRI unit may affect the accuracy of the pulse
oximetry measurements.
WARNING Certain ambient environmental conditions, sensor application errors,

and certain patient conditions may affect SpO2 readings and pulse signal.
WARNING Do not immerse the sensor or patient cables in water, solvents, or

cleaning solutions (the sensors and connections are not waterproof). Do not use
irradiation, steam, or ethylene oxide for sterilization.
WARNING Do not use the SpO2 cable or power cord to lift the unit because the
cable or cord could disconnect from the unit, causing the unit to drop on the
patient.
WARNING The SpO2 in the Welch Allyn Spot Vital signs is not intended for use
as an apnea monitor.
WARNING Consider the SpO2 an early warning device. As a trend toward

patient deoxygenation is indicated, use laboratory instruments to analyze blood
samples to completely understand the patient’s condition.
Temperature Warnings
WARNING THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED TO BE
USED ON NEONATAL PATIENTS.
WARNING The Welch Allyn Spot Vital Signs is not designed to measure axillary
temperature in normal mode for children above three years of age.
WARNING Single-use, disposable probe covers, available from Welch Allyn, limit
patient cross-contamination. The use of any other probe cover or the failure to
use a probe cover may produce temperature errors and is specifically not
recommended.
WARNING Use only oral probes (blue cap) for taking oral and axillary
temperatures. Use only rectal probes (red cap) for taking rectal temperatures. The
use of the wrong probe may produce temperature errors.
WARNING Do not allow the tip of the temperature probe to come into contact
with any heat source (e.g., hands or fingers) prior to taking a temperature
measurement. If this occurs, discard the probe cover and start the temperature
determination again.
WARNING Long-term continuous monitoring beyond three to five minutes is

not recommended in any mode.
IR Communications Port Warnings

WARNING The Welch Allyn Spot Vital Signs contains an infrared
communications port for isolated communications with external devices. The port
is located on the side of the device to preclude direct eye contact on a continual
basis when viewing the display. As a precaution, do not look directly into the
infrared port during operation.
General Cautions
A caution statement in this manual identifies a condition or practice, which if not
corrected or discontinued immediately, could lead to equipment failure, equipment
damage, or data loss.
Caution If the accuracy of any measurement is in question, check the patient's

vital sign(s) by an alternate method, then check to make sure the device is
functioning properly.
Caution Ensure the device is placed on a secure surface or use one of the
optional mounting accessories.
Caution Do not place fluids on the device.

Blood Pressure Cautions

Caution Extremity and blood pressure cuff motion should be minimized during
blood pressure determinations.
Caution If the blood pressure cuff is not at heart level, the difference in reading
due to the hydrostatic effect should be noted. The value of 1.80 mmHg must be
added to the displayed reading for every inch (2.5 cm) above heart level. The
value of 1.80 mmHg must be subtracted from the displayed reading for every
inch (2.5 cm) below heart level.
Caution Proper blood pressure cuff size and placement is essential to the
accuracy of the blood pressure determination. See “Chart for Determining Blood
Pressure Cuff Size” on page 25 for blood pressure cuff sizing information.
SpO2 Cautions
Caution The pulse oximeter is calibrated to determine the percentage of
arterial oxygen saturation of functional hemoglobin. Significant levels of
dysfunctional hemoglobin such as carboxyhemoglobin or methemoglobin may
affect the accuracy of the measurement.
Caution Physiological conditions, medical procedures, or external agents that

may interfere with the pulse oximeter’s ability to detect and display
measurements include dysfunctional hemoglobin, arterial dyes, low perfusion,
dark pigment, and externally applied coloring agents such as nail polish, dye, or
pigmented cream.
Caution Some sensors may not be appropriate for a particular patient. If at least
15 seconds of perfusion pulses cannot be observed for a given sensor, change
sensor location or sensor type for perfusion to resume.
Caution When selecting a sensor, consider the patient’s weight and activity
level, the adequacy of perfusion, the available sensor sites, the need for sterility,
and the anticipated duration of monitoring.
Avertissements et précautions de sécurité

Tout le personnel l’utilisant doit être familiarisé avec les informations globales de sécurité
contenues dans ce résumé. Ce manuel comprend également des avertissements et
précautions spécifiques. Il est possible que ces avertissements et précautions
spécifiques ne soient pas indiqués dans ce résumé.
Avertissements généraux
Les avertissements de ce manuel identifient les conditions ou pratiques qui, si elles ne
sont pas corrigées ou arrêtées immédiatement, risquent de provoquer des blessures, des
maladies ou le décès du patient.
AVERTISSEMENT Le Welch Allyn Spot Vital Signs est conçu pour être utilisé par
des médecins. Si ce manuel présente des techniques de vérification médicale
ponctuelle, seul un clinicien formé sachant comment relever et interpréter les
signes vitaux d’un patient doit utiliser ce système.
AVERTISSEMENT Les informations contenues dans ce manuel sont un guide

détaillé du fonctionnement du Welch Allyn Spot Vital Signs. Pour obtenir des
résultats satisfaisants, merci de lire ce manuel attentivement avant d’essayer
d’utiliser l’appareil.
AVERTISSEMENT Spot Vital Signs n’est pas conçu pour relever des données sur
des patients nouveau-nés. Selon la norme AAMI SP10:1992, un nouveau-né est
un enfant de moins de 28 jours, s’il est né à terme, (37 semaines de gestation ou
plus). Sinon, jusqu’à 44 semaines de gestation.
AVERTISSEMENT Le Welch Allyn Spot Vital Signs n’est pas protégé en cas de
défibrillation.
AVERTISSEMENT Le Welch Allyn Spot Vital Signs n’est pas conçu pour un
monitorage continu. Ne pas laisser l’appareil sans surveillance lors du relevé de
mesures sur un patient.
AVERTISSEMENT Afin d’assurer la sécurité du patient, utiliser uniquement des

accessoires et fournitures (à savoir des brassards, des flexibles, des sondes de
température, des capteurs de SpO2, etc.) recommandés ou fournis avec le Spot
Vital Signs. L’utilisation d’accessoires non-approuvés avec le Spot Vital Signs peut
affecter la sécurité du patient et/ou de l’opérateur.
AVERTISSEMENT Cet appareil n’est pas conçu pour une utilisation en présence
d’un mélange anesthésique inflammable avec l’air, l’oxygène ou le protoxyde
d’azote. Une explosion pourrait se produire.
AVERTISSEMENT Éviter de comprimer les tubes du brassard ou le tuyau de

tensiomètre de tension artérielle du Welch Allyn Spot Vital Signs. La compression
des tubes du brassard ou du tuyau de tensiomètre peut entraîner des erreurs du
système au niveau du dispositif.
AVERTISSEMENT Il convient de procéder avec soin afin d’empêcher l’eau ou

tout autre fluide de pénétrer dans les connecteurs du dispositif. Si cela se produit,
les connecteurs doivent être séchés à l’air chaud. Toutes les fonctions d’utilisation
doivent ensuite être contrôlées.
AVERTISSEMENT Tout Spot Vital Signs ayant subi une chute ou un dommage
doit être vérifié par un technicien qualifié qui s’assurera de son bon
fonctionnement avant utilisation. Ne pas utiliser le Welch Allyn Spot Vital Signs en
cas de signes d’endommagement. Contacter le Service clientèle de Welch Allyn
pour obtenir de l’aide.
AVERTISSEMENT Tous les trois mois, vérifier que la sonde de température, le

câble SpO2 et les accessoires ne s’effilochent pas et qu’ils ne sont endommagés
de quelque façon. Remplacer si nécessaire.
AVERTISSEMENT Hormis la batterie, aucune pièce de l’appareil n’est

remplaçable par l’utilisateur. Retourner le Spot Vital Signs au centre d’entretien
autorisé.
AVERTISSEMENT Le Spot Vital Signs ne doit pas être utilisé sur des patients
reliés à des machines cardiaques/pulmonaires.
AVERTISSEMENT Le Spot Vital Signs ne fonctionne pas efficacement sur des

patients souffrant de convulsions ou de tremblements.
AVERTISSEMENT Ce dispositif se conforme aux normes courantes exigibles en

matière de brouillage électromagnétique et ne devrait ni provoquer
d'interférences ni en recevoir de la part d'autres équipements. Par mesure de
précaution, éviter d’installer l’appareil à proximité d’autres équipements.
AVERTISSEMENT Ce dispositif n’est pas conçu pour une utilisation manuelle en

cours de fonctionnement.
AVERTISSEMENT Welch Allyn recommande de laisser la batterie dans

l’appareil, même si ce dernier n’est pas utilisé pendant de longues périodes. En
effet, laisser la batterie dans l’appareil ne présente aucun danger.
AVERTISSEMENT Ne pas stériliser en autoclave.
AVERTISSEMENT Welch Allyn n’est pas responsable de l’intégrité de toute

installation de montage. Welch Allyn recommande au client de contacter son
service d’ingénierie biomédicale ou d’entretien afin de s’assurer de la fiabilité, la
sécurité et l’installation professionnelle de tout accessoire de montage.
AVERTISSEMENT Batterie lithium-ion. Risque d’incendie, d’explosion et de

brûlures. Ne mettez pas la batterie en court-circuit, ne l'écrasez pas, ne l'incinérez
pas et ne la démontez pas. Ne jetez jamais les batteries à la poubelle. Les
batteries doivent toujours être recyclées conformément aux réglementations
locales.
Avertissements relatifs à la pression artérielle

AVERTISSEMENT Afin d’assurer la précision et la sécurité de la pression
artérielle chez l’enfant, le brassard Welch Allyn pour enfant (5200-03), le brassard
longue durée mono-pièce Welch Allyn pour enfant en bas-âge (REUSE-08-1SC) et
le brassard mono-pièce jetable Welch Allyn pour enfant en bas-âge (SOFT-08-1SC)
sont les plus petits brassards autorisés pour utilisation sur de jeunes enfants et
des nourrissons. La circonférence du bras de l’enfant doit se situer dans la plage
indiquée sur le brassard.
AVERTISSEMENT Les valeurs de pression artérielle peuvent être imprécises si

des brassards et/ou flexibles de pression artérielle autres que ceux fournis par
Welch Allyn pour le Spot Vital Signs sont utilisés.
AVERTISSEMENT Les patients souffrant d’arythmies modérées à aiguës

peuvent délivrer des mesures de pression artérielle imprécises.
AVERTISSEMENT Lorsque plusieurs valeurs de pression artérielle sont relevées

sur le même patient, il est recommandé de contrôler régulièrement l’extrémité et
le site du brassard de pression artérielle afin de détecter une ischémie, un
purpura et/ou une neuropathie éventuels.
AVERTISSEMENT Ne pas changer le(s) connecteur(s) sur le tuyau du

tensiomètre de cet appareil pour un type luer. Les connecteurs de type luer sont
couramment utilisés dans des systèmes de perfusion par intraveineuse.
L’utilisation de connecteurs luer sur un tuyau de brassard de pression artérielle
crée le risque que le tuyau de pression artérielle soit connecté par erreur à une
intraveineuse du patient, entraînant l’introduction d’air dans l’appareil circulatoire
du patient.
Avertissements relatifs à SpO2

AVERTISSEMENT N’utiliser Spot Vital Signs avec l’option Masimo ou Nellcor
SpO2 qu’avec les accessoires et capteurs de la marque Masimo ou Nellcor,
respectivement. L’utilisation de capteurs ou de câbles erronés ou non-approuvés
peut entraîner des performances incorrectes.
AVERTISSEMENT Les rallonges et capteurs SpO2 sont conçus pour être utilisés
uniquement avec les mesures d’oxymétrie pulsée. Ne pas essayer de connecter
ces câbles à un PC ou tout autre appareil similaire.
AVERTISSEMENT Avant utilisation, lire soigneusement le mode d’emploi du

capteur, y compris tous les avertissements, les précautions et instructions.
AVERTISSEMENT Ne pas utiliser un câble SpO2 ou de capteur endommagé. Ne

pas utiliser un capteur dont les composants optiques sont exposés.
AVERTISSEMENT Un tissu peut être endommagé par une application ou une

durée d’utilisation incorrecte d’un capteur SpO2. Inspecter le site du capteur
comme indiqué dans le mode d’emploi du capteur.
AVERTISSEMENT Ne pas utiliser les capteurs en cours d’examen d’imagerie par

résonnance magnétique (IRM). Le courant produit peut potentiellement
provoquer des brûlures. L’oxymètre de pouls MS board peut affecter l’image de
l’IRM et l’appareil d’IRM peut affecter la précision des mesures de l’oxymètre de
pouls.
AVERTISSEMENT Certaines conditions environnementales ambiantes, erreurs

d’application de capteur et certaines conditions de patients peuvent affecter les
valeurs de SpO2 et le signal de pouls.
AVERTISSEMENT Ne pas immerger les câbles patient ou capteur dans de l’eau,

des solvants ou des solutions de nettoyage (les capteurs et les connexions ne
sont pas étanches). Ne pas utiliser de rayonnement, de vapeur ou d’oxyde
d’éthylène pour la stérilisation.
AVERTISSEMENT Ne pas utiliser le câble SpO2 ou le câble d’alimentation pour

soulever l’unité. En effet, ces deux câbles sont susceptibles de se déconnecter
de l’appareil, entraînant la chute de l’appareil sur le patient.
AVERTISSEMENT Le SpO2 du Welch Allyn Spot Vital signs n’est pas conçu pour
une utilisation comme moniteur d’apnée.
AVERTISSEMENT Considérer le SpO2 comme un dispositif d’avertissement

précoce. Si une tendance à la désoxygénation du patient est indiquée, utiliser des
instruments de laboratoire pour analyser des prélèvements sanguins afin de
comprendre complètement l’état du patient.
Avertissements relatifs à la température

AVERTISSEMENT LE WELCH ALLYN SPOT VITAL SIGNS N'A PAS ÉTÉ PRÉVU
POUR LES PATIENTS NOUVEAU-NÉS.
AVERTISSEMENT Le Welch Allyn Spot Vital Signs n'a pas été conçu pour
mesurer la température axillaire en mode normal pour les enfants de plus de trois
ans.
AVERTISSEMENT Les embouts de sonde jetables à usage unique, disponibles

auprès de Welch Allyn, limitent les contaminations entre patients. Il est
spécialement déconseillé d’utiliser tout autre embout de sonde ou de ne pas
utiliser d’embout. En effet, cela peut générer des erreurs de température.
AVERTISSEMENT N’utiliser que des sondes orales (bleues) pour le relevé de

températures orales et axillaires. N’utiliser que des sondes rectales (rouges) pour
le relevé de températures rectales. L’utilisation de la mauvaise sonde peut
produire des erreurs de température.
AVERTISSEMENT Ne pas laisser l’extrémité de la sonde de température entrer

en contact avec une source de chaleur (par ex. les mains ou les doigts) avant de
procéder à un relevé de température. Si cela se produit, jeter l’embout de la
sonde et reprendre la détermination de la température.
AVERTISSEMENT Un monitorage continu longue durée de trois à cinq minutes

n’est pas recommandé, quel que soit le mode.
Avertissements relatifs au port de communication infrarouge

AVERTISSEMENT Le Welch Allyn Spot Vital Signs contient un port de
communication infrarouge pour les communications isolées avec des
périphériques externes. Ce port se trouve sur le côté de l’appareil pour empêcher
tout contact visuel direct continu lors de la consultation de l’affichage. À titre de
précaution, ne pas regarder directement le port infrarouge en cours de
fonctionnement.
Précautions générales
Dans ce manuel, Attention identifie les conditions ou pratiques qui, si elles ne sont pas
corrigées ou arrêtées immédiatement, risquent de provoquer des pertes de données, un
endommagement ou une défaillance du matériel.
Attention Si la précision de toute mesure est mise en question, vérifier le(s)

signe(s) vital (vitaux) du patient en employant une autre méthode, puis s’assurer
que l’appareil fonctionne correctement.
Attention S’assurer que l’appareil est situé sur une surface sûre ou utiliser un
des accessoires de montage optionnels.
Attention Ne pas placer de fluides sur l’appareil.

Précautions relatives à la pression artérielle

Attention Veiller à minimiser le mouvement de l’extrémité et du brassard de
pression artérielle en cours de détermination de la pression artérielle.
Attention Si le brassard de tensiomètre n’est pas au niveau du coeur, la

différence de valeur due à l’effet hydrostatique doit être notée. La valeur de
1,80 mmHg doit être ajoutée à la valeur affichée pour chaque pouce (2,5 cm)
au-dessus du niveau du coeur. La valeur de 1,80 mmHg doit être retirée à la
valeur affichée pour chaque pouce (2,5 cm) en dessous du niveau du cœur.
Attention Il est essentiel que le brassard de tensiomètre soit à la taille et

l’emplacement adéquats pour assurer la précision de la détermination de la
pression artérielle. Voir “Chart for Determining Blood Pressure Cuff Size” on
page 25 pour obtenir des informations sur la taille du brassard de pression
artérielle.
Attention Lors de la mesure de la pression artérielle sur des enfants de moins

de 3 ans, il est recommandé de définir le réglage de la pression (pression de
gonflage initiale) sur une valeur inférieure ou égale à 160 mmHg.
Précautions relatives à SpO2

Attention L’oxymètre de pouls est étalonné pour déterminer le pourcentage de
saturation en oxygène du sang artériel de l’hémoglobine fonctionnelle. Des
niveaux importants d’hémoglobine dysfonctionnelle comme la
carboxyhémoglobine ou méthémoglobine peuvent affecter la précision de la
mesure.
Attention Certaines conditions physiologiques, interventions médicales ou

substances externes sont susceptibles d’interférer avec les fonctions de
détection et de mesure de l’oxymètre de pouls, par exemple les hémoglobines
dysfonctionnelles, les colorants artériels, les conditions de faible perfusion et les
pigments foncés, ainsi que les agents de coloration appliqués par voie externe,
tels que le vernis à ongle, les teintures ou les crèmes pigmentées.
Attention Certains capteurs peuvent s’avérer inadéquats pour un patient en

particulier. S’il n’est pas possible d’observer au moins 15 secondes d’impulsions
de perfusion pour un capteur donné, modifier l’emplacement du capteur ou le
type de capteur pour la perfusion afin de reprendre l’opération.
Attention Lors du choix d’un capteur, prendre en considération le poids du

patient et son niveau d’activité, l’adéquation de la perfusion, les sites de capteurs
disponibles, le besoin de stérilité et la durée prévue du monitorage.
17
2 Controls, Indicators, and Connections

In this section, all drawing and text are representative of the Spot Vital Signs with all
available options. Your device may not include all functions, depending on the options
purchased.
Unpacking Checklist
Unpack the Welch Allyn Spot Vital Signs and applicable accessories, identify each item
with the following checklist and inspect for missing items. Retain the shipping materials in
the event of shipping damage or for return, if necessary, to Welch Allyn for repair or
warranty service. All Spot Vital Signs include the following components:
Spot Vital Signs Device. This device automatically measures and displays blood
pressure and pulse rate. Options include thermometry and pulse oximetry.
Directions for Use Manual. Read this manual thoroughly before using Spot Vital Signs.
Save this manual for reference.
Warranty Card. This card validates the Spot Vital Signs warranty. Fill out the warranty
card and mail it today.
Blood Pressure Cuff. Latex free blood pressure cuff with connectors. Other size cuffs are
available separately.
Blood Pressure Hose. Latex-free pressure hose with connectors to attach various sizes of
blood pressure cuffs to the Spot Vital Signs.
AC Power Transformer and Cord Assembly. Provides power to the Spot Vital Signs and
charges the internal battery.
Quick Reference/Error Code Card. Attach this quick operating and error code guide to
the device handle, mobile stand, or wall mount.
Possible Attachments
Spot Vital Signs may include the following items based on the model and accessories
purchased:
SureTemp Temperature Probe and Covers. One oral temperature probe (blue cap) and
one box of 25 single-use, disposable probe covers.
Pulse Oximetry (SpO2). The finger clip SpO2 sensor and extension cable are for use
with adult and pediatric patients. Other sensors are available separately.
Note Report any signs of shipping damage to the carrier. If an item is missing or
damaged, contact the Welch Allyn Service Center near you.
Front Panel Functions
Thermometer Eject Button: push to

remove used temperature probe cover.
Next Patient/Clear/Cancel Button:

SYS kPa (mmHg)
• active display: clears the display.
• in Standby Mode: recalls the last patient
information. Pressing a second time clears
DIA kPa (mmHg)
the screen.
• cancels an active blood pressure
SpO2 %
measurement and deflates the cuff.
/ min
Pressure Preset Button:

pressing this button allows the Blood Pressure Start/Stop Button:
user to change the factory initiates a new blood pressure cycle.
inflation default for one reading. Pressing again cancels an active blood
pressure measurement and deflates the cuff.
Mode Button:
• holding for 2 seconds while
the display is active turns off/on
the backlight. Pressure Hose Connector: port for blood
• in Standby Mode, recalls the pressure hose.
Spot Vital Signs
last patient information.
• with the temperature probe
removed from the probe holder,
switches the temperature from
Oral to Axillary Mode. Power Button: controls power to the device.
LCD (Liquid Crystal Display)

The LCD may indicate any of the following: systolic blood pressure (mmHg or kPa),
diastolic blood pressure (mmHg or kPa), temperature (°F or °C), thermometer mode,
pulse rate, pulse signal level, SpO2, MAP (mmHg or kPa), and battery charge level.
Option no longer available.

SYS mmHg
Systolic and Diastolic display:
if MAP is turned on, the screen
toggles between the systolic and
diastolic values, and the word
DIA mmHg “MAP” and the MAP value.
Date/Time: indicates that the
user must set/re-set the
current date and time. SpO2 Display: shows the percent saturation of arterial
SpO2 % hemoglobin (for devices with SpO2 only).
Pulse Display: shows the pulse rate.

Measurement Indicator: / min
displays the blood Temperature Display and Indicator: shows the
pressure, SpO2, or temperature in Fahrenheit or Celsius (for devices with
temperature icon as Spot SureTemp only).
Vital Signs is taking the Monitor Mode Temperature: indicates the thermometer is
respective measurement. M in Monitor Mode (for devices with SureTemp only).
P
Out-of-range indicator: shows the patient’s temperature
reading above or below the measurement range limits (for
devices with SureTemp only).
Thermometer Mode icon: Icon not used.
shows temperature mode (for
Temperature Probe Problem:

indicates a temperature probe problem Battery Level indicator: displays the battery charge level.
(for devices with SureTemp only).
Battery Charging: indicates the device is
powered through the AC power transformer.
Top, Side, and Rear Panel Connections
Probe Cover Storage Compartment: storage

space for one box of probe covers.
SpO2 Cable Connection Port

(for units with SpO2 only)
Temperature Probe Holder:

storage space for the
temperature probe when not in
use (for devices with SureTemp
only).
SureTemp Thermometer
Connection Port (for
IR Data Interface:
Port for
communicating with
an external device.
Battery Door
AC Power
Connection Port
Threaded Insert: to mount the

Spot Vital Signs to a mobile stand.
21
3 Internal Configuration
You can change several device operating parameters in the Internal Configuration Mode.
When changed, these settings become the default power-up settings. You will also see
non-changeable device configurations for technical service purposes.
To enter the Internal Configuration Mode:
1. Turn the Spot Vital Signs off.
2. Press and hold the Power and Blood Pressure Start/Stop buttons. The device
enters the Internal Configuration Mode and displays the software version.
3. Press the Mode button to cycle through the Internal Configuration menu until you see
the menu option displayed on the screen.
4. Use the Next Patient/Clear/Cancel or Blood Pressure Start/Stop buttons to

change the default setting.
5. Press the Mode button once to save the change and press the Power button to exit
the Internal Configuration Mode.
Table 2. Configuration Menu Options

Setting Description
Blood Pressure Calibration Prepares the Spot Vital Signs for calibration. Only qualified personnel should verify the
Displays “Cal” Spot Vital Signs blood pressure calibration. For more details, see “Checking the Blood
Pressure Calibration” on page 28.
Inflation Pressure Preset Level 120, 140, 160, 180, 200, 240, 280 mmHg. Factory default is 160 mmHg.
Displays “PrP”
Pressure Preset Level On or off. Disables or enables the front panel Pressure Preset button.
Displays “PrP“
Backlight On or off.
Displays “BLT”
Mean Arterial Pressure On or off.
Displays “MAP”
Date/Time Changes or updates the actual date and time.
Temperature Scale Fahrenheit (°F) or Celsius (°C) Normal Mode / Fahrenheit (°F) or Celsius (°C) Monitor
Displays “TMP MOD” Mode
Blood Pressure Units mmHg or kPa.
Displays “BP”
Battery Readings Displays the total battery voltage.
Displays “BAT”
Battery Life Total number unit measurements. Displayed information only; operator cannot change.
Displays “LFE”
22 Internal Configuration Welch Allyn Spot Vital Signs
23
4 Setup
Blood Pressure Hose and Cuff Connections
Have available the Spot Vital Signs, blood pressure cuff, and blood pressure hose.
1. Inspect the pressure hose; note that one end has a connector fitting and the other
end does not. Attach the end without the connector fitting to the pressure hose
connector (see page 18). Verify that the pressure hose is completely inserted over the
connector and that the fit is snug.
2. Join the other end of the pressure hose to the blood pressure cuff pneumatic tubing.
Twist the connectors together until finger-tight. DO NOT OVERTIGHTEN.
Temperature Probe Connection

The Welch Allyn Spot Vital Signs is available with two probes — one for oral/axillary
temperatures (blue cap), and one for rectal temperatures (red cap). The rectal probe is an
accessory item that is ordered separately.
Press down on the tab on top of the connector and insert the connector into the
temperature probe connector port on the back of the Spot Vital Signs. The probe
connector only fits into Spot Vital Signs one way. Verify the connector clicks into place.
Insert the temperature probe into the probe holder on the top of the Spot Vital Signs.
To remove the temperature probe, press down on the connector tab and lift out.
SpO2 Sensor Connection

Spot Vital Signs is available with a wide variety of SpO2 sensors and ships with a reusable
finger sensor and extension cable. All other sensors are accessory items that are sold
separately.
1. Align the shape and pin configuration of the extension cable connector to the SpO2
cable connection port on the top side of the Spot Vital Signs device.
2. Push the connector firmly into the SpO2 cable connection port.
3. Align the opposite end of the extension cable to the sensor cable connector and
firmly push them together.
Note Use only Masimo or Nellcor SpO2 sensors and accessories with the Spot Vital
Signs with Masimo or Nellcor configurations, respectively.
Quick Reference/Error Code Card

The Quick Reference/Error Code Card should be attached either to the Spot Vital Signs
handle, the Mobile Stand, or the Wall Mount.
AC Power Connection
Use the Spot Vital Signs with AC or battery power (after charging the battery).
1. Insert the round transformer connector into the AC power connection port on the left
of the Spot Vital Signs (see page 20).
2. Insert the line cord into the line connector on the transformer then plug the power
cord on the transformer into the AC main power source to charge the battery.
Charging the Battery

Note CHARGE THE BATTERY FOR TWELVE (12) HOURS PRIOR TO INITIAL USE.
Attach the AC power transformer to the Spot Vital Signs then plug the transformer into
the AC main power source.
While charging, the charger icon remains on and the battery icon segments continuously
sequence. When the battery is fully charged, all battery icon segments display.
Note If your Spot Vital Signs displays an E38 error, or the battery segments on the
display do not continuously sequence, follow the instructions on page 21 to set
the date and time.
If the Spot Vital Signs is not plugged into AC power it operates on its internal battery. As
the battery charge level decreases, the battery indicator segments turn off left to right.
The device is usable as long as all four battery segments are lit. If less than all four
segments are lit, recharge the battery.
If not used for extended periods of time then recharge the battery.
Standby Mode
When the device is powered up, but has not been used for 2 minutes, it goes into
Standby Mode. “Z Z Z” appears across the top of the display with no backlight. Standby
Mode conserves battery power.
To bring the Spot Vital Signs out of Standby Mode, press the Mode or Pressure Preset
button or begin a patient measurement.
25
5 Blood Pressure
WARNING When measuring blood pressure on children younger than age 3, it is
recommended that the Pressure Preset (initial inflation pressure) be set at 160
mmHg or lower.
Selecting the Blood Pressure Cuff

Note A durable blood pressure cuff is included with your Spot Vital Signs. A full range
of blood pressure cuff sizes are available as accessory items.
Careful sizing of the blood pressure cuff is important to the accuracy of blood pressure
readings. If the blood pressure cuff is too small, you may have false high readings. If the
blood pressure cuff is too large, you may have false low readings. Please refer to the
range markings on the blood pressure cuff for correct blood pressure cuff sizing. When
there is an area of overlap whereby you could use a smaller or larger blood pressure cuff,
it is strongly recommended that you use the larger size blood pressure cuff.
Determining Blood Pressure Cuff Size with the Markings

Wrap the blood pressure cuff around the patient’s upper arm and visually check it. The
blood pressure cuff is marked with a distinct white edge and two divisions that indicate
“range.” When the blood pressure cuff is properly fit, the edge meets the blood pressure
cuff at some point within the range.
Chart for Determining Blood Pressure Cuff Size

You can also determine blood pressure cuff size by measuring the patient’s arm circumfer-
ence midway between the elbow and shoulder, then use the chart below to select the
correct blood pressure cuff.
Cuff Size Reusable Two-Piece Cuff Maximum Range Maximum Range

(1 per pack) (cm) (in)
Child 5200-03 20.8 8.2
Adult 5200-01 31.5 12.4
Large Adult 5200-02 38.4 15.1
Thigh 5200-10 47.4 18.7
Durable Disposable Cuff Size Minimum Maximum Minimum Maximum

One-Piece Cuff One-Piece Cuffs (cm) (cm) (inches) (inches)
(Single Unit) (5 pack)
REUSE-08-1SC SOFT-08-1SC Small Child 12.4 16.8 4.9 6.6
REUSE-09-1SC SOFT-09-1SC Child 15.8 21.3 6.2 8.4
REUSE-10-1SC SOFT-10-1SC Small Adult 20.0 27.0 7.9 10.6
REUSE-11-1SC SOFT-11-1SC Adult 25.3 34.3 10.0 13.5
REUSE-12-1SC SOFT-12-1SC Large Adult 32.1 43.4 12.6 17.1
REUSE-13-1SC SOFT-13-1SC Thigh 40.7 55.0 16.0 21.7
WARNING THE WELCH ALLYN SPOT VITAL SIGNS IS NOT INTENDED FOR
USE ON NEONATAL PATIENTS.
WARNING To ensure pediatric blood pressure accuracy and safety, the Welch
Allyn Child Print Cuff (5200-03), the Welch Allyn Small Child Durable One-Piece
(SOFT-08-1SC) are the smallest cuffs allowed for use with young children and
infants. The circumference of the child’s arm must fit within the range markings
on the blood pressure cuff.
To position the blood pressure cuff:
The preferred blood pressure measurement site for adults and children is the upper arm.
Keep the patient’s arm relaxed and motion-free during measurement(s).
WARNING Do not place the blood pressure cuff on any extremity that is used
for intravenous infusions or any area where circulation is compromised.
WARNING Do not change the connector(s) on the blood pressure cuff tubing of
this device to luer type. Luer type connectors are commonly used in intravenous
infusion systems. Using the luer connectors on blood pressure cuff tubing
creates the risk that the blood pressure tubing could be mistakenly connected to
a patient's intravenous line, resulting in the introduction of air into the patient's
circulatory system.
Note Blood pressure cuff inflation during an SpO2 measurement may cause inaccurate
SpO2 results when used on the same extremity.
Wrap the blood pressure cuff snugly with room between the blood pressure cuff and the
arm for no more than two fingers.
WARNING Excessive tightness may cause venous congestion and discoloration

of the limb. Possible error may occur if the blood pressure cuff is wrapped too
loosely, preventing proper inflation.
Place the blood pressure cuff on a bare arm; clothing interferes with measurement
accuracy. Verify that the cuff artery marker is placed over the brachial artery. Ensure that
the hose is not twisted, kinked, or compressed, as this may cause measurement errors.
To set the pressure preset level (one time only):
1. Press and hold the Pressure Preset button for half a second. Spot Vital Signs displays
“PrP” (pressure preset) in the SYS and the inflation pressure in the DIA displays,
respectively.
2. Push the Pressure Preset button. The blood pressure cuff inflation pressure
decreases in 20 mmHg increments beginning at 160 mmHg (160 -> 140, 120, 200,
180, 160).
To return to the normal operating mode, push the Next Patient/Clear/Cancel button
or wait 3 seconds.
The inflation pressure resets to the default pressure setting after completing one
blood pressure cycle. The factory default is 160 mmHg.
There is a disable feature in the Internal Configuration Mode that allows the facility to
disable this button, see page 21.
To initiate a blood pressure measurement:
1. Ensure that the blood pressure cuff is properly sized and wrapped around the
patient’s upper arm (or alternate site, as necessary).
2. With the device powered on, press the Blood Pressure Start/Stop
button.The Spot Vital Signs inflates the blood pressure cuff to the
appropriate pressure and displays the pressure as the blood pressure
measurement is in process.
Pressing the Blood Pressure Start/Stop or the Next Patient/Clear/Cancel button at

any time during a blood pressure determination cancels the measurement and rapidly
deflates the blood pressure cuff.
When the measurement cycle is complete the Spot Vital Signs beeps once and
displays the systolic, diastolic, and pulse rate* measurements for two minutes
(unless another measurement is active). If the MAP is turned on then the Spot Vital
Signs toggles between the blood pressure reading and the MAP value.
If Spot Vital Signs cannot take a successful blood pressure measurement it beeps
twice and displays a “C” error code unless the measurement was purposely stopped.
* Pulse rate, as determined from the blood pressure measurement method, is displayed
with the blood pressure reading only if the SpO2 option is not in use. If the SpO2 function
is in use, all pulse rate determinations are a result of the SpO2 measurement method.
Reviewing Information from the Last Cycle

The Spot Vital Signs holds the last patient measurement cycle in memory. The informa-
tion is held in memory until the unit is turned off or you initiate the next patient’s measure-
ment. If the display is blank, press the Mode button to review data from the last
measurement cycle.
Checking the Blood Pressure Calibration

The Welch Allyn Spot Vital Signs is manufactured to the highest industry standards for
quality and accuracy. The device is manufactured using calibrated pressure standards
traceable to NIST (National Institute of Standards and Technology). Welch Allyn
recommends that blood pressure calibration for the Spot Vital Signs is checked on an
annual basis using the following procedure.
Put the Spot Vital Signs into its blood pressure calibration check mode. In this mode, the
device continuously displays the measured pressure and closes the pressure release
valve.
1. Enter the internal configuration mode (see “Internal Configuration” on page 21).
2. Press the Blood Pressure Start/Stop button to close the device’s internal valve to
apply an external pressure.
3. Connect the Spot Vital Signs as shown to

Spot Vital Signs
a calibrated pressure meter (verify
certificate is traceable to the National
Institute of Standards and Technology. The
pressure meter testing the Spot Vital
Signs must have an accuracy of better
than ±3 mmHg. Use a fixed volume or a MODE
C
blood pressure cuff wrapped around a

cylinder for the stabilization volume.
Stabilization Calibrated Pressure
Volume Meter (traceable to
4. Pressurize the Spot Vital Signs to slightly (150 - 500cc) NIST)
above 250 mmHg. Bleed the pressure to
approximately 250 mmHg. Clamp and Pressure Source
record the pressure reading and the
measurement standard. Repeat this step for 150 and 50 mmHg (approximate).
5. Calculate the difference between the readings. Subtract the rated accuracy of the
pressure measurement standard from the ±3 mmHg rated accuracy of Spot Vital
Signs. This is the pass/fail criteria to determine if the device is within calibration or
not. If the differences between Spot Vital Signs and the pressure measurement
standard are within the pass/fail criteria at all specified pressures, then the device is
within calibration.
If the Spot Vital Signs needs re-calibration the procedures are included in the Spot Vital
Signs Service Manual. Alternatively, send the device back to Welch Allyn for calibration by
contacting Technical Service.
Note The pass/fail criteria for the blood pressure calibration check depends upon the
accuracy of the pressure measurement standard used. For example:
• If the pressure measurement standard used is rated with an accuracy of ±0.1
mmHg, the pass/fail criteria is ±2.9 mmHg in order to guarantee that the
instrument under test is within ±3 mmHg of NIST.
• If the pressure measurement standard used is rated with an accuracy of ±1.0
mmHg, the pass/fail criteria is ±2.0 mmHg in order to guarantee that the
instrument under test is within ±3 mmHg of NIST.
Welch Allyn recommends using a pressure meter that is as accurate as possible when
performing calibration checks. Welch Allyn offers two different pressure measurement
standards for use:
• Setra Pressure Meter, calibrated accuracy of ±0.1 mmHg (part no. 2270-01)
• Netech Pressure Meter, calibrated accuracy of ±1.0 mmHg (part no. 200-2000IN)
Use of other pressure measurement standards is acceptable, provided they have an
accuracy of better than ±3 mmHg, are traceable to NIST, and have a current calibration.
Note Do not take more than 3 minutes to take the readings, as the Spot Vital Signs will
open its pressure relief valve as a safety feature. If this occurs, turn the device off
and start over.
The Spot Vital Signs has the option to measure pressure in kPa units. If the device
is set to kPa instead of mmHg, temporarily set the device to mmHg units or
convert all pressures to kPa units.
31
6 Temperature
WARNING Long-term continuous monitoring beyond three to five minutes is not
recommended in any mode.
Selecting Temperature Operation Mode

When configured with the temperature option, the Welch Allyn Spot Vital Signs takes a
temperature in either Normal or Monitor Mode.
In the Normal Mode, the thermometer “predicts” body temperature in approximately 4

seconds for oral temperatures, 10 seconds for axillary temperatures, and 15 seconds for
rectal temperatures.
Monitor Mode is normally used when difficult situations prevent taking an accurate
temperature in the Normal Mode. In Monitor Mode, maintain probe contact with the
tissue for at least 3 minutes for accurate oral/rectal temperature measurement, and 5
minutes for accurate axillary temperature measurement.
The default setting for the Spot Vital Signs thermometer is Normal Mode.
Temperature Measurement Range Indicators

The following display appears when temperatures are outside of the measurement range
of the device:
Condition Temperature Display Audible

Notification
Temperature is outside of high measurement range of Fahrenheit 109.4°  No

the device Celsius 43° 
Temperature is outside of low measurement range of Fahrenheit 86°  No

the device Celsius 30° 
Normal Mode
Patient actions may interfere with accurate oral temperature readings. Ingesting hot or
cold liquids, eating food, chewing gum or mints, brushing teeth, smoking, or performing
strenuous activity may affect oral temperature readings for up to 20 minutes after activity
has ended.
Probe contact with electrodes or bandages, poor tissue contact, taking an axillary
temperature over clothing, or prolonged exposure of axilla to ambient air can cause
inaccurate axillary temperature readings.
WARNING To ensure optimal accuracy, always confirm that the correct mode is
selected.
WARNING Use only Welch Allyn probe covers. Using other manufacturers’
probe covers or no probe cover may produce temperature measurement errors
and/or inaccuracy.
To take a temperature in oral or axillary mode:
WARNING Do not take an axillary temperature over the patient’s clothing. Direct
contact between the patient’s skin and the probe is required.
WARNING The Welch Allyn Spot Vital Signs is not designed to measure axillary
temperature in normal mode for children above three years of age.
Caution Use the temperature probe with the blue cap to obtain accurate oral or
axillary temperatures.
1. Verify that the correct probe (blue cap) is installed.
2. Hold the probe handle with your thumb and two fingers on the sides of the probe
handle and withdraw the probe.
3. Verify the desired temperature mode is in the temperature display area and the
desired temperature mode icon is flashing.
If the desired mode is not selected, press the Mode button until the LCD displays
“OrL” or “ALy”.
4. Insert the probe into a probe cover and press the probe handle down firmly. The
probe handle moves slightly to engage the probe cover.
5. Quickly put the probe in place.
a. For oral temperatures, place the probe tip under the patient’s tongue on either
side of the mouth to reach the sublingual pocket and ask the patient to close his/
her lips.
SUBLINGUAL POCKET SUBLINGUAL POCKET

b. For axillary temperatures, lift the patient’s arm so that the entire axilla is easily
seen and place the probe as high as possible in the axilla. Do not allow the probe
tip to come into contact with the patient until the probe is placed in the
measurement site. Any prior contact between the probe tip and the tissue with
another material may cause inaccurate readings. Verify that axillary tissue
completely surrounds the probe tip and place the arm snugly at the patient’s side.
6. Firmly hold the probe in place and keep the tip of the probe in contact with the tissue
throughout the measurement process. During the measurement process, the
temperature display area displays rotating “walking” segments.
Spot Vital Signs beeps once after reaching the final temperature. The temperature
display area displays the patient temperature. Spot Vital Signs displays the current
temperature for two minutes after the probe is placed back in the holder. The display
then goes blank (unless another measurement is active).
If Spot Vital Signs displays a probe position icon during the temperature
determination, the temperature display alternates between the final predicted
temperature and the letter “P”.
To switch to Monitor Mode, leave the probe in place after obtaining a reading and
press the Mode button once. The temperature display shows an “M” to indicate
Monitor Mode. Once in Monitor Mode proceed to Step 5 on page 35.
7. Remove the probe after the temperature measurement is complete and firmly press
the ejection button on the top of the probe to release the probe cover.
8. Return the probe to Spot Vital Signs.
To take a temperature in Rectal Mode:
WARNING Incorrect insertion of probe can cause bowel perforation.
WARNING Washing hands greatly reduces the risk of cross-contamination and

nosocomial infection.
Caution To obtain accurate rectal temperatures, use the temperature probe

with the red ejection button.
1. Verify that the rectal probe (red cap) is installed. Spot Vital Signs only operates in
Rectal Mode if the red rectal probe is installed.
handle and withdraw the probe from Spot Vital Signs.
3. Verify the Spot Vital Signs temperature display shows “rEC” to indicate a rectal probe
is in use.
5. Separate the patient’s buttocks with one hand. Use the other hand to gently insert the
probe only 5/8 in. (1.5 cm) inside the rectum (less for infants and children). The use of
a lubricant is optional.
6. Tilt the probe so that the tip is in contact with tissue. Continue to separate the
buttocks and hold the probe in place throughout the measurement process. During
the measurement process, the temperature display area displays rotating “walking”
segments.
Spot Vital Signs beeps once after reaching the final temperature. The temperature
display area displays the patient temperature. Spot Vital Signs displays the current
temperature for two minutes after the probe is placed back in the holder. The display
then goes blank (unless another measurement is active).
If Spot Vital Signs displays a probe position icon during the temperature
determination, the temperature display alternates between the final predicted
temperature and the letter “P”.
To switch to Monitor Mode after obtaining a reading, leave the probe in place after
obtaining a reading and press the Mode button once. The temperature display shows
an “M” to indicate Monitor Mode. Once in Monitor Mode proceed to Step 5 on
page 35.
7. Remove the probe after the temperature measurement is complete and firmly press
the ejection button on the top of the probe to release the probe cover.
8. Return the probe to Spot Vital Signs and wash your hands.
Monitor Mode
Monitor Mode displays the temperature of the probe as long as the probe remains in
place at the measurement site and remains within the operating patient temperature
range. The patient’s temperature will reach final equilibrium in approximately three
minutes in the oral and rectal sites and five minutes in the axillary site.
WARNING Long-term continuous monitoring beyond three to five minutes is

not recommended in any mode.
Note To switch to Monitor Mode without taking a predictive temperature, remove the
probe from the holder, attach a new probe cover, and wait one minute. Do not
place the probe in the patient’s mouth, underarm, or rectum. After one minute,
the thermometer switches to Monitor Mode and an “M” shows in the
temperature display. Continue to take the patient’s temperature.
To take a temperature in Monitor Mode:
1. Verify that the correct probe (oral/axillary = blue cap or rectal = red cap) is installed.
handle and withdraw the probe from Spot Vital Signs.
4. Take the patient’s temperature using the Normal Mode as previously described. Leave
the probe in place after Spot Vital Signs beeps once and displays the temperature.
Press the Mode button once. An “M” appears on the display to indicate Monitor
Mode.
5. Hold the thermometer in place for a total of three minutes for oral and rectal mode or
five minutes for axillary mode. The thermometer will not beep to indicate a final
temperature.
6. Record the temperature before removing the probe from the site; the monitored
temperature does not remain on the display once the probe is removed from the site
and is not stored in memory for recall.
7. Remove the probe from the patient and firmly press the ejection button on the top of
the probe to release the probe cover.
8. Return the probe to the Spot Vital Signs to reset the thermometer to Normal Mode.
37
7 Pulse Oximetry (Sp02)

Factors that may degrade the performance of the pulse oximeter:
• Excessive ambient light • Sensor not at heart level • Excessive motion

• Anemia or low hemoglobin • Fingernail polish (if finger sensor • Arterial catheters, blood pressure,
concentrations is used) and infusion lines, etc.
• Moisture in the sensor • Cardiovascular dyes • Improperly attached sensor
• Incorrect sensor for patient • Electrosurgical interference • Poor patient perfusion
• Venous pulsations
WARNING Tissue damage can be caused by incorrect application or duration of

use of an SpO2 sensor. Inspect the sensor site as directed in the sensor
Directions for Use.
WARNING Do not use a damaged sensor or pulse oximetry cable or a sensor

with exposed optical components.
To take an SpO2 measurement:
If blood pressure measurement is occurring simultaneously, place the finger sensor on

the limb opposite the one with the blood pressure cuff.
1. Insert the patient’s finger completely into the sensor; the thumb is specifically not
recommended for use with the finger clip sensor.
The pulse signal bar graph illuminates, indicating the patient’s pulse at the sensor site.
The sensor takes approximately 10 seconds to determine the initial SpO2% value and
pulse rate. When the initial values are determined, they are shown in the SpO2
display and the pulse rate display, respectively. If the accuracy of any measurement
does not seem reasonable, first use an alternate means to check the patient’s vital
signs and then check the Spot Vital Signs for proper functioning.
Spot Vital Signs measures a patient’s SpO2 for up to 10 minutes. After 10 minutes,
Spot Vital Signs displays a C9 error code and beeps twice. This error code means that
the use has exceeded the 10-minute time limit.To clear the error code, disconnect the
sensor from Spot Vital Signs and then re-attach it or press the Next Patient/Clear/
Cancel button.
2. Check sensor sites periodically to assess circulation, sensor positioning, and skin
sensitivity.
3. Remove the sensor from the patient. The device continues to display the last SpO2
reading.
39
8 Error Indications and Interpretation

The following table of conditions and error codes provides a quick reference of the
descriptions and probable causes of error codes.
To clear the error code:
Power the Spot Vital Signs off, wait five seconds, and power on. If the error code
reappears then power the Spot Vital Signs off and disconnect the battery for five minutes.
Reconnect the battery and power on. If the error code continues to reappear, call Welch
Allyn for an RMA Number (see “Technical Assistance” on page 58).
Press the Blood Pressure Start/Stop button to reset flashing patient alarm conditions.
Error Codes
Table 1. General
Code Description Corrective Action
E11 Internal safety violation Check patient, contact Technical Service.
C12 Ambient temperature out of range Adjust ambient temperature or device location.
C13 Battery failure Use wall transformer.
E0.0 - E9.9 Temperature module malfunction Contact Technical Service.
E42 Internal communications error Disconnect the battery and wait 5 minutes.
Reconnect the battery and then set the date and time,
see “Blood Pressure Hose and Cuff Connections” on
page 23.
E20 - E50 General internal malfunction Contact Technical Service.
Table 2. Blood Pressure

C02 Auto-zero failure Check for air obstruction, limit patient movement.
C03 Inflation too rapid Check for kinked blood pressure cuff tubing, pressure
hose, or other air obstruction.
C04 Excessive inflation time Check for air leaks.
C05 Excessive noise Check patient condition, blood pressure cuff
placement, limit patient movement.
C06 Measurement was outside of device’s Check patient condition.
measurement range
E10 Blood pressure cuff overpressure condition Check patient condition.
Table 3. Temperature
C20 Broken/missing probe Replace probe.
P Loss of tissue contact Ensure proper probe positioning.
E0.2, E0.3 Ambient temperature out of range Adjust ambient temperature or device location.
C22 10-minute diagnostic time exceeded Remove probe, discard probe cover, retake
temperature.
Table 4. SpO2
E7 Internal SpO2 error. Retake reading.
C6 SpO2 pulse rate out of range Check patient condition.
C8 Faulty SpO2 sensor. Replace sensor.
C9 SpO2 time limit exceeded. Remove sensor from patient. Reapply sensor and
retake reading.
Causes and Corrective Action

Table 5. Inaccurate Blood Pressure Readings
Possible Cause Explanation and Corrective Action
Incorrect blood pressure cuff Determine correct blood pressure cuff size.
size. • Use reference markings on blood pressure cuff.
Use Welch Allyn approved • Measure patient’s arm circumference midway between elbow and shoulder (see
blood pressure cuffs only. “Chart for Determining Blood Pressure Cuff Size” on page 25 to select correct
blood pressure cuff size).
Patient’s arm position Ensure patient’s arm is at heart level.
Arm movement during blood Keep arm still during blood pressure cycle.
pressure cycle • Movement may cause inaccuracies from artifact.
Blood pressure taken over Take blood pressure on a bare arm.
clothing
Arrhythmia Check for regularity of heart rate (palpate pulse or check device).
• Moderate to severe heart rate irregularities may make blood pressure difficult to
measure.
Incorrect reference Use the correct Korotkoff sound to determine diastolic blood pressure.
• Many listeners incorrectly equate diastolic blood pressure with the
disappearance of sound only (phase 5). The Welch Allyn Spot Vital Signs was
developed using the American Heart Association recommendations, which state
that phase 5 be used unless sound continues to 0 mmHg, in which case the
change in the quality of sound (phase 4) is to be used.
Deflate blood pressure cuff no faster than 3 mmHg per second.
• One of the major sources of error in auscultatory blood pressure measurement is
deflating the blood pressure cuff too quickly. The American Heart Association
recommends deflation no faster than 3 mmHg per second.
Only use a sphygmomanometer that is calibrated.
• An uncalibrated sphygmomanometer may take inaccurate blood pressure
measurements.
Change in blood pressure Check blood pressure immediately prior to Welch Allyn Spot Vital Signs reading.
between auscultatory reading
and Welch Allyn Spot Vital
Signs reading
Poor auscultatory sound Use higher quality stethoscope. Have a different observer check patient’s blood
recognition by observer pressure.
Note: Differences of up to 10 mmHg are considered normal and occur for a number of reasons including intra-patient
blood pressure variability, observer hearing differences, and auscultatory deflation rate.
Table 6. Cuff Inflation and Deflation with No Blood Pressure Reading Displayed (or Error Code in
Display)
Leak in pneumatic system Ensure all blood pressure cuff attachments are tight. Carefully
check for leaks in the blood pressure cuff, tubing, and pressure
hose attached to the device.
Arm movement during cycle Keep arm still during blood pressure cycle. Movement may cause
inaccuracies from artifact.
Blood pressure cuff tubing or pressure hose Do not contact blood pressure cuff tubing or pressure hose
movement artifact during blood pressure cycle. Movement may cause inaccuracies
from artifact.
Table 7. No Blood Pressure Cuff Inflation

Connections between device and blood Check all connections (do not overtighten).
pressure cuff loose
Table 8. Temperature Malfunction

Possible Cause Explanation Corrective Action
Error code displayed Broken probe Replace probe. Consult Service Manual. Notify biomedical
department or Welch Allyn Technical Support.
Low temperature Improper probe Place probe in most posterior sublingual pocket when in
readings placement Oral Mode. Verify patient has had nothing to eat or drink
for 20 minutes.
No temperature displayed Probe not replaced Replace probe in holder prior to taking another
temperature.
Table 9. SpO2 Malfunction

Possible Cause Corrective Action
Sensor in place but no SpO2 on Insert the patient’s finger completely into sensor.
display Verify blood pressure and SpO2 measurements are not taken on the same extremity.
Verify the sensor cable is correctly plugged into device.
Verify you are using the correct sensor. Use only Masimo or Nellcor SpO2 sensors
and accessories with the Welch Allyn Spot Vital Signs with Masimo or Nellcor
configurations, respectively.
Table 10. Device Does Not Turn On

Low battery Check connections between device and transformer, and transformer and wall
receptacle.
Device not powering up Unplug unit from wall receptacle and check for breaks in cord. If connections are
secure, check electrical outlet.
Charging indicator is on if connections are good and the device is plugged into a
working outlet.
Notify biomedical department or Welch Allyn Technical Support.
Table 11. Blood Pressure Cuff Too Tight (Over Inflation)

Pressure preset too high Check default Pressure Preset setting in internal configuration mode. Unless patient
has underlying systolic hypertension, set pressure preset at 160 mmHg. (If systolic
blood pressure greater than pressure preset, the device automatically increases an
additional 40 mmHg.)
Table 12. Blood Pressure Cuff Pops Off

Inappropriate blood pressure Determine blood pressure cuff size with the blood pressure cuff markings or see
cuff size “Chart for Determining Blood Pressure Cuff Size” on page 25. If blood pressure cuff
continues to pop off, notify biomedical department or Welch Allyn Technical Support.
Blood pressure cuff applied Re-apply blood pressure cuff. Make sure Welch Allyn label is facing away from arm.
inside out
Table 13. Blood Pressure Cuff Deflating Too Slowly

Normal operation Typical time to take a reading is 20 to 45 seconds; 165 seconds is the maximum.
Pressure preset too high Check default pressure preset setting in internal configuration mode.
Patient movement Have patient sit still. Do not have arm tight against chest wall, as respiration may
affect speed and accuracy of blood pressure measurement.
Small leak in pneumatic Check blood pressure cuff tubing and pressure hose for leaks.
system
45
9 Specifications
Patient Population
The Welch Allyn Spot Vital Signs is designed for use with adult and pediatric patients.
Welch Allyn defines a pediatric patient as 29 days or more of age.
Welch Allyn defines neonates as children 28 days or less of age, born at term (37 weeks
gestation or more), otherwise up to 44 gestational weeks.
Blood Pressure
Cuff Pressure Range 0 mmHg to 300 mmHg
Cuff Inflation Factory 160 mmHg
Default
Systolic Range 60 mmHg to 250 mmHg
Diastolic Range 30 mmHg to 160 mmHg
Accuracy Blood pressure accuracy meets or exceeds SP10-1992 AAMI standards for
noninvasive blood pressure accuracy (AAMI standard: ± 5 mmHg mean error, 8 mmHg
standard deviation). Blood pressure accuracy is validated for pressure measurement
using the upper arm only.
Determination Time Typical: 20 to 45 seconds
Maximum: 165 seconds
Pulse Rate Range 40 bpm to 200 bpm
Pulse Rate Accuracy ±5.0%
Overpressure Cutoff 305 mmHg -0/+15 mmHg
Temperature
Accuracy Calibration accuracy: + 0.2° F (+ 0.1° C).
Range Maximum: 109.4° F/43.0° C
Minimum: 86.0° F/30.0° C
Determination Time Oral: approximately 4 seconds

Axillary: approximately 10 seconds
Rectal: approximately 15 seconds
Pulse Oximetry
Masimo Sensor Accuracy Guide
Accuracy specified when used with Masimo SET pulse oximetry monitors or with
licensed Masimo SET pulse oximetry modules using Masimo patient cables, during no
motion. Numbers present ± 1 standard deviation. Plus or minus one standard deviation
represents 68% of the population. SpO2 accuracy from 70% to 100%. Pulse rate
accuracy from 25 to 240 bpm.
Performance Measurement Range SpO2: 70 to 100%

Pulse Rate: 25 - 240 beats per minute (BPM)
Perfusion 0.02% to 20%
SpO2 Accuracy Saturation: 70% to 100%
No Motion: Adults, Pediatrics ± 2 digits
Motion: Adults, Pediatrics ± 3 digits
Low Perfusion: Adults, Pediatrics ± 2 digits

Pulse Rate Accuracy Pulse Rate: 25 to 240 bpm
No Motion: Adults and Pediatrics ± 3 digits
Motion: Adults and Pediatrics ± 5 digits
Low Perfusion: Adults and Pediatrics ± 3 digits
Table 14. Masimo Sensor Accuracy Guide
Saturation Accuracy Pulse Rate Accuracy
Sensor Weight Range No Motion Motion No Motion Motion
LNCS-DCI > 30 kg ± 2% ± 3% ± 3 bpm ± 5 bpm

LNCS-DCIP 10 to 50 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNCS-ADTX > 30 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNCS-PDTX 10 to 50 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNCS INF-L 3 to 20 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNOP-DCI > 30 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNOP-DCIP 10 to 50 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNOP-ADT > 30 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNOP-PDT 10 to 50 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
LNOP INF-L 3 to 20 kg ± 2% ± 3% ± 3 bpm ± 5 bpm
Masimo Patents
The Masimo sensors and cables are covered under one or more of the following U.S.A.
patents: 5,758,644; 5,823,950; 6,011,986; 6,157,850; 6,263,222; 6,501,975; and other
applicable patents listed at www.masimo.com/patents.htm.
Nellcor® Sensor Accuracy Guide

Accuracy specifications are based on controlled hypoxia studies with healthy,
non-smoking adult volunteers over the specified saturation SpO2 range. Pulse oximeter
SpO2 readings were compared to SaO2 values of drawn blood samples measured by
hemoximetry. All accuracies are expressed as + “X” digits. This variation equals plus one
standard deviation (+ 1 SD), which encompasses 68% of the population.
Pulse Rate Range 25 to 240 bpm

Pulse Rate Accuracy ±3 bpm
±3 bpm (low perfusion)
Table 15. OxiMax Sensor Models, Single Patient Use

Sensor Models SpO2 Range
70% to 100%
MAX-AI ±2
MAX-PI ±2
MAX-II ±2
1
MAX-RI ± 3.5
1
The accuracy specification has been determined between saturations of 80% to 100%.
Table 16. OxiCliq Sensor Models, Single Patient Use

70% to 100%
OXICLIQ-PI ± 2.5
Table 17. Reusable Sensor Models

70% to 100%
D-YS (Infant to Adult) ±3
D-YS and D-YSE ± 3.5
D-YS and D-YSPD ± 3.5
DS-100A ±3
OXI-A/N (Adult) Adult: ± 3
OXI-P/I (Pediatric/infant) ±3
Nellcor Patents
Covered by one or more of the following U.S. patents and foreign equivalents:
5,485,847; 5,676,141; 5,743,263; 6,035,223; 6,226,539; 6,411,833; 6,463,310; 6,591,123;

6,708,049; 7,016,715; 7,039,538; 7,120,479; 7,120,480; 7,142,142; 7,162,288; 7,190,985;
7,194,293; 7,209,774; 7,212,847; 7,400,919.
Mechanical
Dimensions Height: 9.7 inches (24.6 cm)
Length: 5.7 inches (14.5 cm)
Depth: 4.7 inches (12.0 cm)
Weight Approximately 4.2 pounds (1.9 kg)
Mounting Self-supporting on rubber feet
Custom Mobile Stand
Custom Wall Mount
Custom IV Pole Mount
Portability May be hand-carried when held by the rear handle.
Electrical
Power Requirements Patient-rated isolation transformer is connected to AC mains:
North American Version: 120VAC, 60Hz. 0.13A Input, 7.2VDC, 1.0A Output
International Version: 230VAC, 60HZ, 0.065A Input, 7.1VDC, 0.860A Output
Australian Version: 240VAC, 50Hz, 13VA Input, 7.2VDC, 1.0A Output
Battery Lithium Ion 6.4 VDC, 3 Ah, with external charger.
A fully charged battery will support 8 hours of typical patient exams. A typical patient
exam is defined as NIBP, SpO2, and temperature taken at 7 minute intervals.The
battery automatically charges when the Spot Vital Signs is powered through the AC
power transformer. The battery charges faster when the instrument is not in
operation.
Environmental
Operating Temperature +10° to +40° C (Thermometer operating temperature 16° to 40° C)
+50° to +104° F (Thermometer operating temperature 61° to 104° F)
Storage Temperature -20° to +50° C
-4° to +122° F
Transport Temperature -20° to +49° C
-4° to +122° F
Relative Humidity 15 to 90% (non-condensing)
Operating Altitude -170 to +4877 m
-557 to +16,000 ft.
Guidance and Manufacturer’s Declaration

Emissions and Immunity Information
Electromagnetic Emissions
The 420 Series Spot Vital Signs is intended for use in the electromagnetic environment specified below. The customer or user of the 420 Series
Spot Vital Signs should assure that it is used in such an environment.
Emissions Test Compliance Electromagnetic Environment - Guidance

RF emissions Group 1 The 420 Series Spot Vital Signs uses RF energy only for its internal function. Therefore,
its RF emissions are very low and are not likely to cause any interference in nearby
CISPR 11 electronic equipment.
RF emissions Class A The 420 Series Spot Vital Signs is suitable for use in all establishments other than
domestic and those directly connected to the public low-voltage
CISPR 11 power supply network that supplies buildings used for domestic purposes.
Harmonic emissions Class A
IEC 61000-3-2
Voltage fluctuations/ Complies
flicker emissions
IEC 61000-3-3
Electromagnetic Immunity
Immunity Test IEC 60601 Compliance Level Electromagnetic Environment - Guidance

Test Level
Electrostatic discharge ± 6 kV contact ± 6 kV contact Floors should be wood, concrete, or ceramic tile. If floors are
(ESD) covered with synthetic material, the relative humidity should
± 8 kV air ± 8 kV air be at least 30%.
IEC 61000-4-2
Electrical fast transient/ ±2 kV for power supply ±2 kV for power supply Mains power quality should be that of a typical commercial or
burst lines lines hospital environment.
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output

lines lines
Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that of a typical commercial or
hospital environment.
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode
Voltage dips, short >95% dip in 0.5 cycle >95% dip in 0.5 cycle Mains power quality should be that of a typical commercial or
interruptions, and hospital environment. If the user of the 420 Series Spot Vital
voltage variations on 60% dip in 5 cycles 60% dip in 5 cycles Signs requires continued operation during power mains
power supply input interruptions, it is recommended that the 420 Series Spot Vital
lines. 30% dip for 25 cycles 30% dip for 25 cycles Signs be powered from an uninterruptible power supply or
battery.
IEC 61000-4-11 >95% dip in 5 seconds >95% dip in 5 seconds
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should be at levels
(50/60Hz) characteristic of a typical location in a typical commercial or
magnetic field hospital environment.
IEC 61000-4-8
Electromagnetic Immunity
Immunity Test IEC 60601 Compliance Electromagnetic Environment - Guidance

Test Level Level
Portable and mobile RF communications equipment should be used no closer
to any part of the 420 Series Spot Vital Signs 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 V1 = 3 Vrms d = (1.17) P
IEC 61000-4-6 150 kHz to 80 MHz
Radiated RF 3 V/m E1 = 3 V/m d = (1.17) P 80 MHz to 800 MHz
IEC 61000-4-3 80 MHz to 2.5 GHz
d = (2.33) P 800 MHz to 2.5 GHz
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 metres (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:
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.
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 420
Series Spot Vital Signs is used exceeds the applicable RF compliance level above, the 420 Series Spot Vital Signs should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the 420 Series
Spot Vital Signs.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the 420 Series Spot
Vital Signs
The 420 Series Spot Vital Signs is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The
customer or user of the 420 Series Spot Vital Signs can help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the 420 Series Spot Vital Signs as recommended below, according to the
maximum output power of the communications equipment.
Separation Distance According to Frequency of Transmitter (m)

Rated Max. Output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
Power of Transmitter
(W) d = (1.17) P d = (1.17) P d = (2.33) P
0.01 0.11667 0.11667 0.23333
0.1 0.36894 0.36894 0.73785
1 1.1667 1.1667 2.3333
10 3.6894 3.6894 7.3785
100 11.667 11.667 23.333
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated
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: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,
objects, and people.
Patents
For patent information, please visit www.welchallyn.com/patents
Agency Approvals
CERTIFIED TO: CAN/CSA STD C22.2 NO. 601.1
CONFORMS TO: IEC 60601, UL STD 60601-1

EMC Framework of Australia
The CE mark on this product indicates that it has been tested

to and conforms with the provisions noted within the 93/42/
EEC Medical Device Directive.
Regulatory Affairs Representative

Welch Allyn Limited
Navan Business Park
Dublin Road
Navan, County Meath, Republic of Ireland
55
10 Maintenance
Welch Allyn will make available, upon request, circuit diagrams and other information
which will assist appropriately qualified technical personnel in repair of this device. Please
reference “4200-89E” on page 63.
Cleaning
Spot Vital Signs
Clean on a routine basis according to your facility's protocols and standards or local
regulations.
The following agents are compatible with the Spot Vital Signs device:
• 70 percent isopropyl alcohol
• 10 percent chlorine bleach solution
Never immerse Spot Vital Signs device in any type of fluid.
Caution Do not use ethyl alcohol to clean the Spot Vital Signs device.
Caution Do not sterilize or autoclave the Spot Vital Signs.
Caution When cleaning the device, avoid using cloths or solutions that include
quaternary ammonium compounds (ammonium chlorides) or glutaraldehyde-
based disinfectants.
Note Prevent water or other fluids from entering any connectors. Should this occur, dry
the connectors with warm air. Check all measurement functions for proper
operation.
Note Disinfect according to your facility's protocols and standards or local regulations.
70 percent isopropyl alcohol

Wipe the Spot Vital Signs device with a clean cloth slightly dampened with 70 percent
isopropyl alcohol.
10 percent chlorine bleach solution

1. Wipe the Spot Vital Signs device with a clean cloth slightly dampened with a 10
percent bleach and water solution. Follow the cleaning agent manufacturer's
guidelines.
2. Rinse with a clean cloth slightly dampened with water that meets EP and USP quality
standards.
3. Allow the Spot Vital Signs device surface to dry for a minimum of 10 minutes before
using the Spot Vital Signs device.
Blood Pressure Cuff

Caution Do not press with a hot iron.
Clean the blood pressure cuff with a damp cloth, or wash in water with soap or detergent.
Before washing the blood pressure cuff, remove the tube fitting(s), close off tubes with
plugs (available as accessory 5082-163) and place the hook and loop fasteners in the
closed position. After washing, allow the blood pressure cuff to air dry. Re-assemble the
tube fitting(s).
Disinfection: You may use glutaraldehyde-type liquid disinfectants on the durable blood
pressure cuff. Prolonged use of these disinfectants at full strength may cause
discoloration of the white blood pressure cuff markings.
Sterilization: Do not use steam or heat to sterilize the blood pressure cuff or pressure
hose. If necessary, use gas sterilization.
Cables and Pressure Hose

Wipe the cabling and pressure hose with a damp cloth moistened in a mild detergent
solution. Do not immerse.
Temperature Probe
Periodically wipe the temperature probe clean with an alcohol-dampened cloth, warm
water, or properly diluted, non-staining disinfectant. Do not immerse the probe.
SpO2 Sensor
WARNING Do not immerse the sensor in water, solvents, or cleaning solutions
(the sensors and connections are not waterproof). Do not use irradiation, steam,
or ethylene oxide for sterilization.
Clean the reusable SpO2 sensor with a 70% isopropyl alcohol solution and allow to air dry.
Do not immerse the sensor or cable.
Every 3 months, inspect the temperature probe, SpO2 cord, and accessories for fraying or
other damage. Replace as necessary.
Battery Removal and Replacement

Caution Only use the Welch Allyn lithium-ion battery. Using the incorrect
battery will cause damage to the Spot Vital Signs and void the warranty.
Remove the Battery

As necessary, replace the internal battery after heavy use or the battery no longer
charges. Use a battery with the same part number.
1. Turn the Spot Vital signs off and disconnect the AC power transformer cord.
2. Remove the 4 screws holding the battery door using a phillips-head screwdriver.
Remove the battery door to expose the battery.
3. Tip the Spot Vital Signs to slide the battery out. Disconnect and discard the old battery
per local regulations. Reconnect the new battery as shown as quickly as possible to
prevent loss of power to the unit and subsequent loss of clock time.
Battery
Connectors
Replace the Battery

Slide the new battery completely into the compartment. Lay the connector on the battery.
The relief pocket in the battery door purposely provides sufficient clearance for the battery
connector.
1. Replace the battery door and tighten each of the 4 screws.

2. Connect the AC power transformer to the Spot Vital Signs and charge the new battery
for 12 hours. It is possible to use the Spot Vital Signs during this charging period.
Recycle lithium-ion batteries according to local or national regulations.
Masimo SpO2 Calibration Check

Use a Masimo-approved SpO2 simulator (Fluke Biotek Index 2 or Clinical Dynamics
SmartSat) to check the SpO2 accuracy. There is no way to change the calibration of the
SpO2 module. If the SpO2 is out of calibration, contact Technical Service.
Nellcor SpO2 Functional Check

Use a Nellcor SpO2 simulator (SRC-MAX) to check the SpO2 functionality. There is no way
to change the functionality of the SpO2 module. If the SpO2 is not functioning properly,
contact Technical Service.
SpO2 Accessory Disposal

Dispose of all finger sensors and cables in accordance with facility, local, and government
regulations.
Temperature Calibration Check

Use the 9600 Plus Calibration Tester to check the SureTemp thermometer accuracy. If the
thermometer is out of calibration, contact Technical Service.
Service Manual/Spare Parts

A Service Manual is available upon request to qualified electronic personnel. The Service
Manual is a comprehensive guide to troubleshooting, service, and repair of the Spot Vital Signs.
Also included with the Service Manual is a complete spare parts list. Order spare parts
from your local Welch Allyn Service Center listed on page ii.
Service Loaners
Service loaners are provided, on request, when a Welch Allyn Service Center provides
service. Loaners for products repaired while under the original warranty, or while under
extended warranty or service contract, are provided free of charge and are shipped within
48 hours of notification of need. Welch Allyn pays the shipment charges.
For service repairs outside of warranty or contract, loaners are available for a nominal daily
charge and shipment. This is subject to availability. Loaners are shipped pre-paid; however,
this charge is added to the service charges.
Service Policy
A Welch Allyn Service Center must approve and perform all repairs on products under
warranty. Unauthorized repairs will void the warranty. Qualified electronics personnel or a
Welch Allyn service center should repair products out of warranty.
Technical Assistance
If you have an equipment problem that you cannot resolve, call the Welch Allyn Service
Center nearest you during normal business days at the phone numbers listed on page ii.
If you are advised to return a product to Welch Allyn for repair or routine maintenance,
schedule the repair with the service center nearest you.
Before returning a product for repair, you must obtain authorization from Welch
Allyn. Our service personnel will give you an RMA number. Note this number on the
outside of your shipping box. Service centers will not accept returns without an
RMA number for delivery.
59
11 Supplies and Accessories

Latex-Free Blood Pressure
Table 1. Cuff and Bag Combination
Catalog # Description Catalog # Description
5200-01 Cuff and bladder, adult, one tube 5200-10 Cuff and bladder, thigh, one tube
5200-02 Cuff and bladder, large adult, one tube 5200-03 Cuff and bladder, child, one tube
Table 2. One-Piece Cuff

Durable Cuff Disposable Cuff
REUSE-08-1SC One-piece cuff, small child, one tube SOFT-08-1SC One-piece cuff, small child, one tube (box of 5)
REUSE-09-1SC One-piece cuff, child, one tube SOFT-09-1SC One-piece cuff, child, one tube (box of 5)
REUSE-10-1SC One-piece cuff, small adult, one tube SOFT-10-1SC One-piece cuff, small adult, one tube (box of 5)
REUSE-11-1SC One-piece cuff, adult, one tube SOFT-11-1SC One-piece cuff, adult, one tube (box of 5)
REUSE-12-1SC One-piece cuff, large adult, one tube SOFT-12-1SC One-piece cuff, large adult, one tube (box of 5)
REUSE-13-1SC One-piece cuff, thigh adult, one tube SOFT-13-1SC One-piece cuff, thigh, one tube (box of 5)
Table 3. Replacement Cuffs and Bladders

5200-04 Adult Bladder, one tube 5082-01 Adult cuff (sleeve)
5200-05 Large Adult Bladder, one tube 5082-16 Large adult cuff (sleeve)
5200-06 Child Bladder, one tube 5082-18 Child cuff (sleeve)
5200-11 Thigh Bladder, one tube 5082-64 Thigh cuff (sleeve)
Table 4. Miscellaneous Blood Pressure Accessories

5200-12 Straight Pressure Hose (8ft./2.4M) 5200-08 Calibration T-Connector
5200-19 Straight Pressure Hose (5ft./1.5M)
Pulse Oximetry Accessories and Supplies

Masimo
Table 5. Adhesive Sensors: Single-Patient Use
Catalog # Description Weight Range
LNCS-ADTX Adhesive Finger Sensor - Adult (20 per case) >30 kg
LNCS-PDTX Adhesive Finger Sensor - Pediatric (20 per case) 10 to 50 kg
LNCS INF-L Adhesive Finger Sensor - Infant (20 per case) 3 to 20 kg
LNOP-ADT Adhesive Adult sensor (20 per case) >66 lbs (30 kg)
LNOP-PDT Adhesive Pediatric sensor (20 per case) 22 to 110 lbs
(10 to 50 kg)
LNOP INF-L Adhesive Infant sensor (20 per case) 3 to 20 kg
Table 6. Reusable Sensor

Catalog # Description Weight Range Quantity
LNCS-DCI Finger sensor - adult >66 lbs (30 kg) 1
LNCS-DCIP Finger sensor - pediatric 10 to 50 kg 1
LNOP-DCI Finger sensor - adult >66 lbs (30 kg) 1
LNOP-DCIP Finger sensor - pediatric 10 to 50 kg 1
Table 7. Sensor Cables

LNC-4-WA 4-foot cable with DB-9 connector for LNCS NA 1
LNC-10-WA 10-foot cable with DB-9 connector for LNCS NA 1
PC-04-WA 4-foot cable with DB-9 connector for LNOP NA 1
PC-08-WA 8-foot cable with DB-9 connector for LNOP NA 1
Nellcor
Table 8. OxiMax Adhesive Sensors: Single-patient use
MAX-AI Adult sensor >30 kg 24
MAX-PI Pediatric sensor 10 - 50 kg 24
MAX-II Infant sensor 3-20 kg 24
MAX-RI Adult nasal sensor >50 kg 24
SRC-MAX Portable oximetry tester
Table 9. OxiMax OxiCliq® Sensors: Reusable cable

OC-3 OxiCliq sensor cable (3 ft) 1
OXICLIQ PI Pediatric oxygen transducer, user with OC-3 cable 10 - 50 kg Case of 24
Table 10. OxiMax Reusable Sensors

® adult oxygen transducer
DS-100A Durasensor >40 kg 1
OXI-A/N Oxiband® OXI-A/N, adult/neonatal* transducer <3 kg or >40 kg 1 sensor/50 wraps
OXI-P/I Oxiband OXI-P/I, pediatric/infant transducer 3 - 40 kg 1 sensor/50 wraps
® oxygen transducer
D-YS Dura-Y >1 kg 1 sensor/40 wraps
D-YSE Ear clip (use with Dura-Y sensor) >30 kg 1
D-YSPD PediCheck™ pediatric spot-check sensor (use with 3 - 40 kg 1
Dura-Y sensor)
Table 11. OxiMax Sensor Cables

Catalog # Description Quantity
DEC-4 SpO2 extension cable, 4 ft. 1
DEC-8 SpO2 extension cable, 8 ft. 1
* The Welch Allyn Spot Vital Signs is not intended for use on neonatal patients.
Temperature
Table 12. Accessories and Supplies
02678-100 Oral/axillary probe (9ft./2.7M) 05031-110 Disposable probe covers (10,000 covers, 25/box)
02679-100 Rectal probe (9ft./2.7M) 06137-000 Temperature Calibration Key
05031-101 Disposable probe covers (1,000 covers, 25/box) 01802-110 Model 9600 Plus Calibration Tester
Mounting
4700-60 Mobile Stand with basket 008-0891-00 IV Pole Mount with basket
4701-62 Wall Mount with basket
Extended Warranty
Table 14. One-year extended warranty
4200-00B Model 4200B 4200-M0B Model 42M0B
4200-OTB Model 420TB 4200-NTB Model 42NTB
4200-N0B Model 42N0B 4200-MTB Model 42MTB
Miscellaneous
105631 Lithium-Ion Battery 6 Ah 5200-101A AC Power Transformer (US/Canada/Japan)-120V,
60Hz
106656 Lithium-Ion Battery 3 Ah 5200-103A AC Power Transformer (Europe/UK) -240V, 50Hz
4200-87X* Directions for Use 5200-103Z AC Power Transformer (Australia) - 240V, 50Hz
4200-88X* Quick Reference/Error Code Card 76400 Line Cord (US/Canada/Japan)
4200-155 Inservice CD (English only) 76402 Line Cord (Europe)
4200-89E Service Manual (English only) 76404 Line Cord (UK)
4200-100 Carrying Case 76406 Line Cord (Australia)
4200-170 Connectivity Accessory Kit 53600B Printer paper (4 rolls)
53600 Printer paper (24 rolls)
* Replace the “X” with the following letter abbreviation to order the appropriate language
manual.
Table 16. Printed Material Language List

Language Language Language Language Language Language
Abbreviation Abbreviation Abbreviation
E English G Deutsch PO Polish
C Chinese I Italiano P Português
DK Dansk N Norsk S Español
F Français NL Nederlands SW Svensk
FI Suomi TR Turkish
65
Warranty
Spot
Welch Allyn warrants Spot Vital Signs, when new, to be free of defects in material and
workmanship and to perform in accordance with manufacturer's specifications for a
period of two years from the date of purchase from Welch Allyn or its authorized
distributors or agents. The battery is covered by a one-year warranty against original
defects in material or workmanship. Welch Allyn will either repair or replace any
components found to be defective or at variance from manufacturer's specifications
within this time at no cost to the customer. It shall be the purchaser's responsibility to
return Spot Vital Signs to Welch Allyn or an authorized distributor, agent, or service
representative. This warranty does not include breakage or failure due to tampering,
misuse, neglect, accidents, modification, or shipping. This warranty is also void if the
instrument is not used in accordance with manufacturer's recommendations or if repaired
by other than Welch Allyn or an authorized agent. Purchase date determines warranty
requirements. No other express warranty is given.
Remember to submit the instrument registration/warranty card for warranty validation.

Complete the information and mail the pre-addressed card to Welch Allyn.
Accessories
The Masimo finger sensor and cable are covered by a six-month warranty against original
defects in material or workmanship.
The Nellcor DS-100A is covered by a one-year warranty and the Nellcor DEC-4 cable is
covered by a three-month warranty against original defects in material or workmanship.
The Reusable Two-Piece Blood Pressure Cuff is covered by a two-year warranty against
original defects in material or workmanship.
The SureTemp probe is covered by a one-year warranty against original defects in material
and workmanship. Probe covers are intended for single-use only.

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SYS kPa (mmHg)

DIA kPa (mmHg)

Spot Vital Signs

Directions for Use

Welch Allyn Regulatory Affairs Representative

Set the date and time

To enter the Internal Configuration Mode:

1. Turn the Spot Vital Signs off ( ).

4. Use the Next Patient/Clear/Cancel ( ) or Blood Pressure Start/Stop ( ) buttons to change

6. Press the Power ( ) button to exit the Internal Configuration Mode.

2 - Controls, Indicators, and Connections . . . . . . . . . . . . . . . . . . . . . . 17

7 - Pulse Oximetry (Sp02). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

8 - Error Indications and Interpretation . . . . . . . . . . . . . . . . . . . . . . . . 39

11 - Supplies and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Table 1. Available Versions of Spot Vital Signs

Nellcor Directions for Use - for models 42N0B and 42NTB

Indications/Contraindications for Use

Symbols and Descriptions

Caution: Consult manual for additional information.

Handle with Care

Internally Powered, rechargeable, Lithium-Ion Battery

Not protected against the ingress of water.

Consult operating instructions/directions for use (DFU).

A copy of the DFU is available on this Web site.

Mode of Operation: Continuous

For more specific disposal information, see www.welchallyn.com/weee,

Safety Warnings and Cautions

WARNING The information in this manual is a comprehensive guide to the

WARNING Spot Vital Signs is not intended to take measurements on neonatal

WARNING Avoid compression of the blood pressure cuff tubing or pressure

WARNING This device complies with current required standards for

WARNING Welch Allyn recommends leaving the battery in the device,

WARNING Do not autoclave.

Blood Pressure Warnings

WARNING You may experience inaccurate blood pressure measurements if

WARNING Patients who are experiencing moderate to severe arrhythmias may

WARNING When measuring blood pressure on children younger than 3 years of

WARNING Tissue damage can be caused by incorrect application or duration of

WARNING Certain ambient environmental conditions, sensor application errors,

WARNING Do not immerse the sensor or patient cables in water, solvents, or

WARNING Consider the SpO2 an early warning device. As a trend toward

WARNING Long-term continuous monitoring beyond three to five minutes is

IR Communications Port Warnings

Caution If the accuracy of any measurement is in question, check the patient's

Caution Do not place fluids on the device.

Blood Pressure Cautions

Caution Physiological conditions, medical procedures, or external agents that

Avertissements et précautions de sécurité

AVERTISSEMENT Les informations contenues dans ce manuel sont un guide

AVERTISSEMENT Afin d’assurer la sécurité du patient, utiliser uniquement des

AVERTISSEMENT Éviter de comprimer les tubes du brassard ou le tuyau de

AVERTISSEMENT Il convient de procéder avec soin afin d’empêcher l’eau ou

AVERTISSEMENT Tous les trois mois, vérifier que la sonde de température, le

AVERTISSEMENT Hormis la batterie, aucune pièce de l’appareil n’est

AVERTISSEMENT Le Spot Vital Signs ne fonctionne pas efficacement sur des

AVERTISSEMENT Ce dispositif se conforme aux normes courantes exigibles en

AVERTISSEMENT Ce dispositif n’est pas conçu pour une utilisation manuelle en

AVERTISSEMENT Welch Allyn recommande de laisser la batterie dans

AVERTISSEMENT Ne pas stériliser en autoclave.