General Information
- All information in this manual applies to the Arrow® VPS Rhythm® DLX Device, its accessories, the optional T-Piece, and the optional Ultrasound Probe.
- Disclaimer: For a full set of instructions, warnings, cautions, indications for use, intended use, see the Operator's Manual for the Arrow® VPS Rhythm® DLX Device.
- This manual is to be used in conjunction with the Operator's Manual to troubleshoot and test the functionality of the Arrow® VPS Rhythm® DLX Device.
- Click the button below for the "Replacement Accessories" list including the relevant Operator's Manual part number.

The following conventions are used in this manual:
WARNING
- Describes precautions necessary to prevent injury or loss of life.
CAUTION
- Describes precautions necessary to protect the product.
NOTE
- Notes offer information intended to facilitate learning.
- Notes may include referencing other manuals, or product Instructions For Use.
- All feedback and questions on the product design, function, and usefulness of this manual are valued by the company.
- Please send an email to: VPSTechSupport@teleflex.com
- Only Teleflex trained, and authorized service providers may service the Arrow® VPS Rhythm® DLX Device.
- Contact your local Customer Service, Sales Representative, or Distributor for service options in your area.

- For other technical questions not included in this manual, please contact Teleflex VPS Technical Support at VPSTechSupport@teleflex.com.

- The Arrow® VPS Rhythm® DLX Device is designed to guide you with CVAD tip placement to an area within the lower third of the SVC.
- The device provides real-time tip location information of CVADs via utilization of ECG to observe P-wave changes as the catheter tip is advanced through the SVC and approaches the sinoatrial (SA) node and right atrium of the heart.
- The device can be used with various brands and types of CVADs:
- Acute hemodialysis catheters
- Central venous catheters (CVC)
- Ports
- The device can be used with two optional modules:
- Ultrasound
- TipTracker™ Navigation
PICCs | |
CICCs |
|
WARNING
- DANGER! DO NOT use this device in the presence of flammable anesthetics, oxygen-enriched atmospheres, or explosive gases.
- This device has not been tested for use near electrosurgical devices. It is not recommended for use in operating rooms.
For more information about the individual accessories, and general operation instructions please see the Operators Manual DLX-200-OPM-XX. (For a complete list of all language specific Operator Manuals, see the "Operator Manuals" section in "Replacement Accessories".)

- The "External ECG" display window will be blue with a yellow waveform in the upper section of the display.

- The "Intravascular ECG" display window will be black with a white waveform, in the lower section of the display.

- Snapshots can be taken either during external or Intravascular ECG mode.
The Remote Control or the Touchscreen can be used to select the "Snapshot"icon (1).
- Once the image is taken it will be displayed for a few seconds in the middle of the screen before moving to the right side where the most recent two snapshots are shown (2), and any tracing using the T-Piece (3).

- The "Finish"
icon on the far right will be used in the following cases. Otherwise, the "Finish" icon should not be selected.
- The case is complete after all necessary snapshots have been taken and the PICC is placed properly.
- The procedure was unsuccessful and a chest X-ray is needed.

- This side facing up.
- The Teleflex logo should be visible below the patient's chin.
- The notch of T-Piece should be placed at the patient's sternal notch.

- The 2 ports on the rear of the unit are USB 3.0 but will work with 2.0 rated flash drives.
- Common formats of FAT32 and NTFS are compatible.
- We recommend using quality name brand flashdrives of 4GB or larger.
- Secure USB Flash Drives can be used if unlocked prior to use.

- The various accessories can be connected or disconnected at any point without harming the system:
- Remote Control
- T-Piece
- Ultrasound Probe
- This can be done while the system is running.

- Please refer to the appropriate Operator's Manual for cleaning instructions and guidance.
- Prior to each use, the system components should be inspected for damage, and any damaged components replaced.
- It is recommended that the CMOS battery should be checked annually. This can be done by reviewing the voltage reading found in the "Settings" screen.
- The system does a check of the voltage on the CMOS battery during startup.
- It is recommended that when the voltage shown drops to 2.3 V that the battery be replaced to prevent any possible loss of date/time information.
NOTE
- If the voltage drops to 1.9 V a warning will appear directing replacement.
- The system will also prevent you from starting any cases until the battery has been replaced.
- Replacement should only be done at a Teleflex repair facility.

- The following accessories may be purchased through your local Teleflex Customer Service department or distributor.
- DLX-200-BAT

- DLX-200-RC

- DLX-200-ECGPC

- RHY-100-ECGA-1 - Red, White, Black (AHA)
- RHY-100-ECGB-1 - Red, Yellow, Green (IEC)

- DLX-200-PWR
(AC power cord sold separately)

Refer to https://www.iec.ch/world-plugs for descriptions of the plug pin configuration and the countries they are used in:
- DLX-200-PWRC-B
- DLX-200-PWRC-EF
- DLX-200-PWRC-G
- DLX-200-PWRC-I
- DLX-200-PWRC-L
- DLX-200-PWRC-N
NOTE
RHY-100-PWRC-EF can be used in countries that use E or F style pin configuration.

- DLX-200-USC

- DLX-200-ISO
(For use with Dymo 4XL printer)

- RHY-100-ECGJ
Arrow® VPS Rhythm® ECG Accessory Pack with Arrow® Johans™ Adapter, contains Clip Cable
Show Image - RHY-177-TTSAP
Contains TipTracker™ Stylet
Show Image
DLX-200-OPM-US | US English (non-UK) |
DLX-200-OPM-IT | Italian |
DLX-200-OPM-DE | German |
DLX-200-OPM-SE | Swedish |
DLX-200-OPM-PT | Portuguese |
DLX-200-OPM-GB | GB English (UK only) |
DLX-200-OPM-ES | Spanish |
DLX-200-OPM-FR | French |
DLX-200-OPM-NL | Dutch |
DLX-200-OPM-CA | Canadian French |
- Teleflex offers the Dymo LabelWriter 4XL printer that can be connected to the Arrow® VPS Rhythm® DLX Device via a USB cable.
- This Arrow® VPS Rhythm® DLX Device Printer allows the clinician to print JPG files from the Arrow® VPS Rhythm® DLX Device onto a label, which can then be placed, or scanned, into the patient record.
- Please see the printer "Instructions for Use" for full operational details or visit www.dymo.com for local language information.
- Model: LabelWriter 4XL
- Printer requires 4” x 6” (104 x 159 mm) labels to allow the procedure snapshots to be viewable when printed.

RHY-100-PRN-NA | North America |
RHY-100-PRN-ANZ | Australia |
RHY-100-PRN-LATAM | Latin America |
RHY-100-PRN-UKHK | United Kingdom / Hong Kong |
RHY-100-PRN-EMEA | Europe (non-UK/HK) |
RHY-100-PRNL-A | Labels (4" x 6") |
RHY-100-PRNL-B | Labels (104 x 159 mm) |


Installation and Setup
- The system is shipped from the distribution center with the internal battery disconnected via a small switch located
near the battery.
This is to prevent the battery from completely losing charge while in storage. - This switch needs to be moved to the connected position to allow the system to use the battery.
NOTE
- This switch is recessed and cannot be moved by hand, a tool like a small screwdriver is needed to push the switch actuator.
- See images on "Procedure" tab for further clarifications of On/Off switch positions.

Unlocking the Battery Door
- Turn the twist lock 90 degrees counterclockwise to unlock the battery door.

Removing the Battery Door
- Lift the battery door to remove it from the unit.

Connecting the Battery
- Locate the battery disconnect switch and move it to the connected position which is toward the front screen of the device.

Charging the Battery
- Allow the system to charge for at least 8 hours to fully charge battery.
- It will take approximately 8 hours to fully charge a depleted battery with the unit powered off and plugged in.
- It will take approximately 12 hours to charge if the unit is powered on.
- The system can operate for at least 2 hours on battery power.
- The Arrow® VPS Rhythm® DLX Device can be mounted to the RHY-100-CARTA, using the additional arm and holder accessory kits that includes all the required hardware such as VESA adapter plate and screws.
- DLX-200-ARM contains the metal arm, VESA plate, and screws.
- DLX-200-TGR contains the T-Piece holder and gel/remote holders as shown in the picture on the right.


Preparing the Monitor
- The DLX-200-ARM comes with an envelope marked FLP-0002-17, containing the VESA mounting plate and a variety of screws.
- Use the four M4x0.7 / 6mm screws to attach the VESA plate to the rear of the DLX monitor which has 100mm x 100mm spaced mounting holes.

Mounting the Monitor
- Use four of the M4x0.7 / 8mm screws to attach the DLX monitor to the 75mm x 75mm mounting configuration of the cart.
- During the initial setup of the Arrow® VPS Rhythm® DLX Device, the Biomed should establish their password for unlocking the Service mode which is used to activate the USB ports and setting up printers.

Booting the Monitor
- Power ON the monitor with a short press of the button on the lower left side of the monitor (you will hear a click).
To fully boot to the blue startup screen will take 1-2 minutes, during which time the screen will cycle through various stages of blank screen and images. This is normal.

Opening Settings
- Allow the system to go through the boot-up process and arrive at the startup screen.
- Select the "Settings" icon in the lower left.

Setting the Password
- Scroll down to the Service Login.
- Create a password.
- Press "Set" to save the password.
- Passwords are the first line of defense against unauthorized access to the Arrow® VPS Rhythm® DLX Device.
- Strong passwords should be set upon receipt of the device and should be consistent with institutional policies and procedures.

Setting System Date/Time
- After the Biomed PIN has been established, and the Biomed has logged in, the "System Configuration" settings are active and various settings can be adjusted.
- While in the "Settings" screens, scroll down to the bottom and choose "System Date / Time" to set the system to local time.
- Prior to using a printer, it must be set up while the Biomed is logged in, and USB ports must be enabled.
For more details, see section . - For complete instructions on printer setup please refer to the Operator's Manual (DLX-200-OPM-XX).

Enabling USB Ports
- If using a USB printer, the USB ports will need to be enabled by clicking checkbox to enable the USB ports.

Connecting the USB Printer
- The Dymo LabelWriter 4XL is the only USB printer which has been tested with the system.
- If used, the DLX-200-ISO USB Isolator should be used between the printer and the DLX monitor to eliminate leakage current through the printer. Please refer to the image showing the connection of the printer to the Isolator and the Isolator connected to the rear of the DLX Monitor.
- The Biomed will also choose which color of ECG leads are used in their facility, which will be reflected in the graphics displayed.

ECG Leads Selection
- Use the "System Configuration" menu to select one of the following ECG Leads coloring:
- AHA: Red, Black, White
- IEC: Red, Yellow, Green

Reference: ECG Leads
AHA: Red, Black, White | |
---|---|
White | right arm (RA) |
Black | left arm (LA) |
Red | lower left chest or upper left leg (LL) |
IEC: Red, Yellow, Green | |
---|---|
Red | right arm (R) |
Yellow | left arm (L) |
Green | lower left chest or upper left leg (F) |
- The USB ports are inactive by default and require a Biomed login to activate.
- This is for cybersecurity integrity.
- USB ports should only be activated when required and deactivated at all other times.
- USB Port activation is required for:
- Printing using the Dymo 4XL printer
- Downloading Log Files to a USB flash drive
- Updating Software
- Exporting All Data


Booting the Monitor
- Boot the DLX monitor, and allow it to get to the Home screen.
- Click on the "Settings" icon to go to the "Settings" screen.

Opening Settings
- Scroll down to the Biomed Login.
- Log in using the Biomed login to gain access to "System Configuration" and "System Maintenance" features (1).
- Click the checkbox to activate the USB ports (2).
- During setup a Clinician PIN code needs to be set by the clinicians. This PIN code is intended to protect access to patient data stored in the monitor.
- The Clinician PIN code is required to access the Manage Cases function which allows printing and viewing of stored cases.
NOTE
- Only 1 PIN code can be set and would be shared by all clinicians who need to access Patient Files.
- No PIN is required to perform a case.

Booting the Monitor
- Power ON the monitor with a short press of the button.
- Allow the system to go through the boot-up process and arrive at the startup screen.

Opening Settings
- Select the "Settings" icon in the lower left.

Setting the PIN Code
- Choose "Set Pin" (1) and enter a 4-6 Digit PIN code (2).
Only 1 Clinician PIN can be set.
- The Clinician PIN code is required to access the "Manage Cases" function which allows printing and viewing of stored cases.
NOTE
- Only 1 PIN code can be set and would be shared by all clinicians who need to access Patient Files.
- No PIN is required to perform a case.
- If the Clinician PIN to access "Manage Cases" is forgotten, it can be reset by the hospital Biomed using the Service Login on the "Settings" screen.

Booting the Monitor
- Power ON the monitor with a short press of the button.
- Allow the system to go through the boot-up process and arrive at the startup screen.

Opening Settings
- Select the "Settings" icon in the lower left.

System Maintenance
- Scroll down to the Service Login.
- Enter the Service Password (1) to unlock the "System Maintenance" option (2).

System Maintenance
- Select Reset Clinician PIN.
- This erases the Clinician PIN.

Setting the PIN Code
- Scroll back to the top of the "Settings" screen.
- Choose "Set Pin" and enter a 4-6 Digit PIN code.
Only 1 Clinician PIN can be set.
NOTE
- The unit can still be used while awaiting the password reset code.
- Only the "System Configuration" and "Maintenance" related features cannot be accessed until the password reset process has been completed.
- The Service password unlocks the various "System Configuration" settings, and the "System Maintenance" functions.
- If the Service password is forgotten, the following process will need to be followed to reset the password.

Booting the Monitor
- Power ON the monitor with a short press of the button.
- Allow the system to go through the boot-up process and arrive at the startup screen.

Opening Settings
- Select the "Settings" icon in the lower left.

Requesting a Reset Code
- Scroll down to the Service Login.
- Click on "Forgot?" to obtain a code for requesting a reset code.
Password Reset
- Email the code (e.g. 31365766) and Serial Number of the device to VPSTechSupport@teleflex.com.
VPS Tech Support - VPS Tech Support will email back a reset code to enter.
- You should receive a reply within 24h during normal business calendar days, based on Eastern Standard Time zone.
- The unit can still be used while awaiting the password reset code.
- Only the "System Configuration" and "Maintenance" related features cannot be accessed until the password reset process has been completed.

Password Reset
- The Technician should then set up a new Service password.
- Passwords are the first line of defense against unauthorized access to the Arrow® VPS Rhythm® DLX Device.
- Strong passwords should be set upon receipt of the device and should be consistent with institutional policies and procedures.
- The "Settings" screen provides the clinician and biomed with the ability to set up the unit with default settings for various display settings.
- It also provides access to system technical data points to aid with system troubleshooting and diagnosis.
- This is also the where the USB port activation can be found.

- Ability to adjust the Brightness, Logout timer, and Screen Saver delay.
- Ability to change Clinician PIN or Language of the display.
- Ability to access the Training video to view an example of the expected ECG p-wave behavior.

- Any user can adjust the Brightness, Logout Timer and Screen Saver by using the slide bars.

- Any user can change the Clinician PIN.
- The Clinician PIN code is required to access the "Manage Cases" function which allows printing and viewing of stored cases.
- Procedure: Choose "Set Pin" (1) and enter a 4-6 Digit PIN code (2).
NOTE
- Only 1 PIN code can be set and would be shared by all clinicians who need to access Patient Files.
- No PIN is required to perform a case.

- Any user can also select the language.
- Procedure: Choose "Language" (1) and click on the desired language option (2).

- Any user can view the training video.
- The video is intended to be used during the initial training by Teleflex representatives of new clinical users.
- Choose "Training" from the "Clinician Settings" menu.
Show Image - Click on the desired video in the list and it will play.
Show Image - There is no audio, and no way to adjust the video.
NOTE
- This panel offers information about
- System hardware
- Software versions
- Memory (RAM)
- MAC address (defaults to blank as Ethernet is disabled)

- This panel shows results of the self tests performed during startup.

This panel shows the current Battery Status and whether it is detecting AC power.
- Level, % - How charged the battery is.
- The battery will take approximately 8h to fully charge with the unit powered off and 12h with the unit powered on.
- The battery can power the device for at least 2h, longer if not using Ultrasound.
- Power, W - The consumption or output
- On battery power the value should be -18W to -35W.
Show Image - Plugged in the value should be 7-14W.
Show Image - Values outside these ranges indicate a battery that should be replaced.
- On battery power the value should be -18W to -35W.
- Efficiency, % - How efficient the battery is charging
NOTE
If the Efficiency drops below 75% and the unit is primarily used for extended periods of time on battery, it is recommended to consider replacing the battery (DLX-200-BAT).
- This panel indicates whether the signal is detected coming from each of the ECG leads.

- This panel can be used to test the buttons on the remote control without being in a case.

- This panel indicates if the S tylet is detected as being connected to the Remote Control stereo plug.

- This panel shows the current test status for the T-Piece.
- It can be used to test the coils on the T-Piece without being in a case.
- If the T-Piece test is run, the results will display.
- If the T-Piece test has not been run, the panel will show "UT" (UnTested).

- This panel shows the Firmware versions, temperature status and power output of the Single Board Computer.
Note on CMOS Battery voltage
- It is recommended that if this drops below 2.3 V that the CMOS coin cell battery should be replaced, to prevent any possible loss of system time/date and the loss of Bios settings.
- If the voltage drops to 1.9 V the system will display a warning and Start Case will be disabled until the battery is replaced.
- Replacement should only be done at a qualified Teleflex repair facility.

- This panel shows the version and connection status as well as the serial number of the Ultrasound Probe.

- Service login is required to gain access to "System Configuration" and "System Maintenance" features.
- For more details, see section .

The "System Configuration" menu offers the following options:
- System Date / Time
Allows the date and time to be set appropriate to your location. - Screen Calibration
Allows the color calibration of the screen. No password required, just click enter to proceed and follow the instructions on the screen. - Printer Settings / Install Bluetooth Print Driver
Allows you to set up a printer to use with the system. See the Operators Manual for detailed steps on setting up the Dymo 4XL USB printer or the Brother MW-260Mfi Bluetooth printers which have been tested with the DLX. - Settings for Printer media size
Use Letter/A4 for the Brother printer and Label/A6 for the Dymo printer. - Lead type
AHA (Red/Black/White) or IEC (Red/Yellow/Green). - Enable USB port checkbox
Must be checked to enable the USB ports.
For more details, see section .NOTE
- When the Ultrasound Probe is in use, the USB ports are temporarily disabled.
- Once the Ultrasound screen is exited, the USB ports will become active again if they are set to be enabled.

The "System Maintenance" menu offers the following options:
- Reset Clinician Pin
If the clinician PIN is forgotten, it can be reset.
For more details, see section . - Repair Application
If the software is not working as intended, this will allow Windows to reinstall the application software. All cases and logs remain, only the application is reinstalled. - Log File Manager
This allows viewing and exporting off the log files, which may be requested to investigate errors or other issues.
For more details, see section . - Update History
Shows the log of any software updates that have been applied to the system since manufacture. - Export All Data
Allows for export of database to USB flash drive. This may be requested by Teleflex Service for troubleshooting purposes.

- If you are notified of a software update available for your system, follow the instructions provided with the notification to obtain the Zip file containing the update installer.


Booting the Monitor
- Boot the DLX monitor, and allow it to get to the Home screen.
- Click on the "Settings" icon to go to the "Settings" screen.

Logging in
- Log in using the Biomed login to gain access to "System Configuration" and "System Maintenance" features (1).
- Click the checkbox to activate the USB ports (2).
- For more details, see section .

Inserting USB Drive
- Insert the USB drive with the update installer zip file.

Updating Software
- A new button will appear at the top of the "Settings" screen (you may need to scroll back to the top).
- Click on the "Software Update Available" button to install the update.
- If it requests a password, none is required, just click "OK" to continue and finish the update.
- Once completed, the USB drive can be disconnected, and the system should be rebooted.
After reboot the USB ports will still be active and should be disabled, unless they are required for printing.
- During troubleshooting with Teleflex Technical Support, they may request that the log files collected at the time of an event be sent to them for analysis and investigation.
- Follow these steps to download the files to a flash drive so they can be emailed to VPSTechSupport@teleflex.com.


Booting the Monitor
- Boot the DLX monitor, and allow it to get to the Home screen.
- Click on the "Settings" icon to go to the "Settings" screen.

Activating USB Ports
- Log in using the Biomed login to gain access to "System Configuration" and "System Maintenance" features (1).
- Click the checkbox to activate the USB ports (2).

Opening Log File Manager
- Click on "Log File Manager" to open an overview of recent log files.

Inserting USB Drive
- Insert USB drive to unit.
- Only use name brand USB drives 4 GB or larger.

Downloading / Submitting Log Files
- Choose the Log Files to be downloaded to the USB drive and click the "USB" icon in the upper right corner.
Submitting Log Files
- The resulting zip file can then be emailed to VPSTechSupport@teleflex.com for review.
VPS Tech Support

Troubleshooting: Power On Conditions - Battery Operation Mode
- When facing the rear of the Monitor, the Battery is on the right side.
- Turn the twist lock 90 degrees counterclockwise to unlock the battery door.
- Lift the battery door to remove it from the unit.
- Verify that the Battery is installed.

- If there is no Battery, install the Battery.

- Remove the Battery and press the charge button to view LED charge meter.
- Verify that the Battery shows at least 1 bar on the LED charge meter.

- If less than one steady bar, connect Power Supply and plug into AC outlet and allow unit to charge a full charge.
- This will take approximately 8 hours when the Monitor is OFF.

- Verify the switch next to the Battery is in the forward position (toward the front of the monitor) to ensure the Battery can charge.
NOTE
The switch is small and fully recessed. A small tool is needed to move the switch position.

- Connect Power Supply to Monitor and plug into AC outlet.
- Verify green LED is illuminated on rear of Monitor.

- If Monitor works when plugged in, but not with charged Battery, replace Battery (DLX-200-BAT).

- Remove and reinsert Battery.

- Check LED readout on Battery.
- If flashing multiple bars, replace Battery (DLX-200-BAT).

- If Battery will not charge with good Power Supply after several hours, replace Battery (DLX-200-BAT).

- If the condition persists, remove the unit from use and request service from your local Teleflex Authorized Service Center.

- Verify the switch next to the Battery is in the forward position (toward the front of the monitor) to ensure the Battery can charge.
NOTE
The switch is small and fully recessed. A small tool is needed to move the switch position.

- Check green LED on Power Supply is illuminated when Power Supply is plugged into the AC outlet.
- If not, replace Power Supply (DLX-200-PWR) or Power Cord (RHY-100-PWRC (B / G / I / L / N / EF)).

- Check and verify the AC outlet is functional by plugging in a known working device.
- If green LED on Monitor is not lit, hold connector and rotate cable.
- If green LED on Monitor is intermittent, replace Power Supply (DLX-200-PWR).

- Remove and reinsert Battery.

- Check LED readout on Battery.
- If multiple bars are flashing, replace Battery (DLX-200-BAT).

- In "Settings" screen, confirm the Power, W reading under Battery Status is between +7.0 to +14.0 W.

- If Battery will not charge with good Power Supply after several hours, replace Battery (DLX-200-BAT).

- If Battery will still not charge, remove unit from use and request service from your local Teleflex Authorized Service Center.


Troubleshooting: Power On Conditions - AC Power Mode
- Check and verify the AC outlet is functional by plugging in a known working device.
- If green LED on Monitor is not lit, hold connector and rotate cable.
- If green LED on Monitor is intermittent, replace Power Supply (DLX-200-PWR).

- If the condition persists, remove the unit from use and request service from your local Teleflex Authorized Service Center.


Troubleshooting: Power On Conditions - Not Staying On
- Check and verify the AC outlet is functional by plugging in a known working device.
- If green LED on Monitor is not lit, hold connector and rotate cable.
- If green LED on Monitor is intermittent, replace Power Supply (DLX-200-PWR).

- Remove and reinsert Battery.

- Check LED readout on Battery.
- If multiple bars are flashing, replace Battery (DLX-200-BAT).

- In "Settings" screen, confirm the Power, W reading under Battery Status is between +7.0 to +14.0 W.

- If Battery will not charge with good Power Supply after several hours, replace Battery (DLX-200-BAT).

- Unplug the unit and remove the battery.
- Inside the battery compartment you will see a small opening with a button.
- Using a small tool, reach in and press and hold the button for about 5 seconds to reset the CMOS battery.
- Insert the battery and reboot the unit. It will run for 10 seconds with a blank screen and power down. The second reboot should be normal.
- If necessary, reset the date and time. For more details, see section .

- If the condition persists, remove the unit from use and request service from your local Teleflex Authorized Service Center.


Troubleshooting: Basic Functionality - Touchscreen

Troubleshooting: Basic Functionality - ECG Signal
- Check leads and pads attached to patient.
- Verify pads are contacting patient's skin.
- Verify leads are in correct position on the patient.
AHA Color Codes / Letter on the ECG hub | |
---|---|
White | right arm (RA) |
Black | left arm (LA) |
Red | lower left chest or upper left leg (LL) |
IEC Color Codes / Letter on the ECG hub | |
---|---|
Red | right arm (R) |
Yellow | left arm (L) |
Green | lower left chest or upper left leg (F) |

- Replace pads.
- Replace Snap Leads (RHY-100-ECGA-1 or RHY-100-ECGB-1).

- Check ECG Snap Lead connections to patient cable or T-Piece.
- If any lead is damaged, replace (RHY-100-ECGA-1 or RHY-100-ECGB-1).

- Check ECG Patient Cable, replace if damaged (DLX-200 ECGPC).

- Check T-Piece for damage, replace if damaged (DLX-200-TP).

- Check that External ECG is detected (verify symbol at right displays on Monitor).

- You should hear or feel a click when it connects.
- If not, replace the ECG Patient Cable (DLX-200-ECGPC) or T-Piece (DLX-200-TP).

- Replace ECG Patient Cable (DLX-200 ECGPC) or T-Piece (DLX-200-TP).

- Check leads and pads attached to patient.
- Verify pads are contacting patient's skin.
- Verify leads are in correct position on the patient.
AHA Color Codes / Letter on the ECG hub | |
---|---|
White | right arm (RA) |
Black | left arm (LA) |
Red | lower left chest or upper left leg (LL) |
IEC Color Codes / Letter on the ECG hub | |
---|---|
Red | right arm (R) |
Yellow | left arm (L) |
Green | lower left chest or upper left leg (F) |

- Replace pads.
- Replace Snap Leads (RHY-100-ECGA-1 or RHY-100-ECGB-1).

- Check ECG Snap Lead connections to ECG Patient Cable or T-Piece.
- If any lead is damaged, replace (RHY-100-ECGA-1 or RHY-100-ECGB-1).

- Check ECG Patient Cable, replace if damaged (DLX-200 ECGPC).

- Check T-Piece for damage, replace if damaged (DLX-200-TP).

- You should hear or feel a click when it connects.
- If not, replace the ECG Patient Cable (DLX-200-ECGPC) or T-Piece (DLX-200-TP).

- Check horizontal and vertical scaling setting.
- Set both horizontal and vertical scaling options to "Auto".

- Power OFF unit and then power back ON.

- Remove all devices from patient area that could possibly interfere with the signal, per hospital policy.
- Make sure cart installation is not causing EM interference.

- Remove unit from use and request service from your local Teleflex Authorized Service Center.

- Check that the plastic sleeve was pierced when connecting to Remote Control Stereo connector.
- Check that the "Stylet Disconnect" icon is not shown.

- Check Stylet tip to make sure end of wire does not extend beyond the PICC tip.
- It should be approximately 1 cm inside the PICC tip.
- Stylet should be in the distal lumen of the PICC.

- Disconnect and reconnect Stylet.
- Replace Stylet (RHY-177-TTSAP).

- Replace Remote Control (DLX-200-RC).

- Check that the plastic sleeve was pierced when connecting to Remote Control Stereo connector.

- Confirm clip connection to Arrow® Johans™ Adapter or conductive catheter stylet / guide wire.
- Confirm saline column is maintained.
- Check connection of Remote Control to Monitor.

- Verify no visible damage to Remote Control Cable, examining pins in connector, to make sure they are straight and all present.

- Disconnect and reconnect Stylet.
- Replace Stylet.

- Replace Remote Control (DLX-200-RC).

- Remove unit from use and request service from your local Teleflex Authorized Service Center.

- Confirm the leads are plugged into the proper ports on the ECG hub of the T-Piece or ECG Patient cable.

- Confirm leads are properly placed on the patient.
AHA Color Codes / Letter on the ECG hub | |
---|---|
White | right arm (RA) |
Black | left arm (LA) |
Red | lower left chest or upper left leg (LL) |
IEC Color Codes / Letter on the ECG hub | |
---|---|
Red | right arm (R) |
Yellow | left arm (L) |
Green | lower left chest or upper left leg (F) |

- Replace Patient Cable (DLX-200 ECGPC) or T-Piece (DLX-200-TP).


Troubleshooting: Basic Functionality - Data Export Problem
- Ensure the USB ports are enabled.
- For more details, see section .

- Ensure a case is selected to export.
- Disconnect and then reconnect the USB flash drive.

- Try using a different flash drive.
- Verify the flash drive is working by plugging it into a familiar device such as a computer and viewing the drive.
- Verify sufficient space for new files to be uploaded by comparing the file size and remaining storage available on the drive.
- Try using a different USB flash drive with at least 4 GB capacity.
- If files are still unable to export, remove unit from use and request service from your local Teleflex Authorized Service Center.

- Delete files from USB drive and try exporting them again.
- Verify sufficient space for new files to be uploaded by comparing the file size and remaining storage available on the drive.
- Try using a different USB flash drive with at least 4 GB capacity.

- If exported files are still corrupted, remove unit from use and request service from your local Teleflex Authorized Service Center.


Troubleshooting: Basic Functionality - Remote Control

Troubleshooting: Basic Functionality - USB Printer
- Check bottom of "Settings" screen to verify USB ports are enabled. The green checkmark must be displayed to indicate the ports are active.
- This can be enabled by the Biomed using the Service Login established during Monitor installation.
- For more details, see section .

- Verify connections between the opto-isolator and the rear of the Monitor and the printer and the opto-isolator.
NOTE
The green light will be illuminated only if the USB ports are enabled.

- Verify Printer icon is active, not greyed out.

- If Printer is not recognized, disconnect and reconnect cables.

- Press the reset button on the opto-isolator box.

- Verify the Printer has proper labels loaded.
- For more details, see section .
- Verify the spindle is not too loose, allowing the labels to get skewed.
- Verify the spindle is not too tight, restricting the proper feed of labels.

- Verify the labels are loaded in the correct orientation, label side down as it feeds into the print head.
- Verify that the form-feed button feeds labels.

- Try to reprint image.
- Check bottom of "Settings" screen to verify Label/A6 is highlighted.
- This can be enabled by the Biomed using the Service Login established during Monitor installation.

- Replace Printer RHY-100-PRN (ANZ / EMEA / LATAM / NA / UKHK)
(Dymo LabelWriter 4XL Printer).

- Check bottom of "Settings" screen to verify Label/A6 is highlighted.
- This can be enabled by the Biomed using the Service Login established during Monitor installation.

- Follow instructions in Operators Manual for setting label size in Advanced Options.

- If settings are correct, disconnect printer, delete printer, reconnect and check all settings again.
- Replace Printer RHY-100-PRN (ANZ / EMEA / LATAM / NA / UKHK)
(Dymo LabelWriter 4XL Printer).

- If the labels are loose on the spindle they can feed in skewed, and this prevents the proper recognition of the gap between labels.
- Verify the spindle is not too loose, allowing the labels to get skewed.
- Verify the spindle is not too tight, restricting the proper feed of labels.

- Replace Printer RHY-100-PRN (ANZ / EMEA / LATAM / NA / UKHK)
(Dymo LabelWriter 4XL Printer).

- Clear jammed labels per manufacturer's instructions.
- Clean Printer per manufacturer's instructions to remove partial labels or debris.
- Verify the Printer has proper labels loaded.
- For more details, see section .
- Verify the spindle is not too loose, allowing the labels to get skewed.
- Verify the spindle is not too tight, restricting the proper feed of labels.

- If jam persists, replace Printer RHY-100-PRN (ANZ / EMEA / LATAM / NA / UKHK)
(Dymo LabelWriter 4XL Printer).


Troubleshooting: Basic Functionality - T-Piece
- Verify active T-Piece icon is displayed.

- If no T-Piece icon, restart the case and select PICC mode.

- Verify T-Piece is connected to grey port in rear of Monitor.
- If T-Piece connection is not secure, disconnect and reconnect.

- Verify no damage to the T-Piece connector on rear of monitor.
- Verify no pins are broken or bent on T-Piece cable.

- Replace T- Piece (DLX-200-TP).

- Check leads and pads attached to patient.
- Verify pads are contacting patient's skin.
- Verify leads are in correct position on the patient.
AHA Color Codes / Letter on the ECG hub | |
---|---|
White | right arm (RA) |
Black | left arm (LA) |
Red | lower left chest or upper left leg (LL) |
IEC Color Codes / Letter on the ECG hub | |
---|---|
Red | right arm (R) |
Yellow | left arm (L) |
Green | lower left chest or upper left leg (F) |

- Replace pads.
- Replace Snap Leads (RHY-100-ECGA-1 or RHY-100-ECGB-1).

- Check ECG Snap Lead connections to patient cable or T-Piece.
- If any lead is damaged, replace (RHY-100-ECGA-1 or RHY-100-ECGB-1).

- Check ECG Patient Cable, replace if damaged (DLX-200 ECGPC).

- Check T-Piece for damage, replace if damaged (DLX-200-TP).

- Check that External ECG is detected (verify symbol at right displays on Monitor).

- You should hear or feel a click when it connects.
- If not, replace the ECG Patient Cable (DLX-200-ECGPC) or T-Piece (DLX-200-TP).

- Replace ECG Patient Cable (DLX-200 ECGPC) or T-Piece (DLX-200-TP).

- Check that the plastic sleeve was pierced when connecting to Remote Control Stereo connector.
- Check that the "Stylet Disconnect" icon is not shown.

- Check Stylet tip to make sure end of wire does not extend beyond the PICC tip.
- It should be approximately 1 cm inside the PICC tip.
- Stylet should be in the distal lumen of the PICC.

- Disconnect and reconnect Stylet.
- Replace Stylet (RHY-177-TTSAP).
Show Image - Replace Remote Control (RHY-100-RC).
Show Image

Troubleshooting: Basic Functionality - Ultrasound Probe
- Disconnect and reconnect and try Start Case again.

- Make sure the cable is fully inserted into the probe.
- Note the orientation.
NOTE
- Note that the cable on the right is not fully seated in the probe.

- Verify no pins are broken or bent.

- Verify the cable is not damaged.
- Replace cable DLX-200-USPC.

- Remove probe from use and request service from your local Teleflex Authorized Service Center.

- Disconnect and reconnect and try imaging again.

- Make sure the cable is fully inserted into the probe.
- Note the orientation.
NOTE
- Note that the cable on the right is not fully seated in the probe.

- Verify no pins are broken or bent.

- Verify the cable is not damaged.
- Replace cable DLX-200-USPC.

- Remove probe from use and request service from your local Teleflex Authorized Service Center.


Functional and Electrical Safety Testing
- Follow these steps to check the functionality of the Arrow® VPS Rhythm® DLX Device Monitor, T-Piece, and Ultrasound Probe.
Please note:
- If any part of this test fails, please contact Teleflex VPS Technical Support at VPSTechSupport@teleflex.com.
- Or call 1-877-236-6869 (US) from 8 am to 4 pm Eastern Standard Time for North America Support.
- Or contact your local Customer Service, Sales Representative, or Distributor for service options in your area.
- Arrow® VPS Rhythm® DLX Device Monitor Bundle and additional accessories (Monitor, Power Supply, AC Power Cord, Snap Leads, ECG Patient Cable, Remote Control).
- ECG Simulator capable of outputting a 60 bpm, 1 mV signal, with a V1 terminal to clip to.
- ECG Clip Cable - part of RHY-100-ECGJ (ECG-only Accessory Pack)
- TipTracker™ Stylet - part of RHY-177-TTSAP (TipTracker™ Stylet Accessory Pack), only needed if a T-Piece is being tested.
- USB mouse
- Connect the system as shown.
CAUTION
- Do not connect Power Supply to outlet yet!
- Connect the ECG leads to the corresponding terminals on the ECG Simulator.
- The ECG Clip Cable is plugged into the Stereo Plug of the Remote Control.
- Clip the other end to the V1 terminal on the ECG simulator.
- Set simulator to: 60 bpm, 1 mV Amplitude
NOTE
- If using a Yellowjacket Simulator there is only a bpm setting.
- You choose it by pressing on the right end Mode button to cycle through until 60 bpm is lit briefly.


Checking Monitor charge
- Power ON the monitor and check that the battery is between 10-90% as displayed in the upper Left of the Startup screen.
- If the battery is <10%, plug in the system and allow it to charge to at least 10%, then unplug it.
- If the battery is over 90%, allow the device to run on battery power to drain the battery to 90% or less.
- This is required to allow for proper testing of the charging feature.

Preparing ECG Simulator
- Power ON the ECG Simulator and set to 60 BPM and 1 mV amplitude.
Starting a Case
- Allow the system to go through the boot-up process and arrive at the startup screen.
- Select "Start Case".

Entering Patient Information
- Enter in any text for a Patient ID, this is the only required field (1).
- Press the green checkmark button (2).

Selecting the Procedure Type
- Select the Procedure type CICC.

Confirming Function of Snap Leads / Patient Cable / Monitor Board
- On the ECG Screen, confirm it looks similar to the one pictured above.
- Confirm that the HR (Heart Rate) stabilizes to 60 +/- 1.
- This confirms the function of the Snap Leads, Patient Cable, and Monitor Board.
- To test individual leads, disconnect one at a time to see the appropriate Lead Off icon appear.

Confirming Function of Remote Control
- Using the Remote Control arrow buttons
, move the highlight back and forth across the icons on the bottom of the screen (1).
- Stop with the snapshot icon highlighted
, and press the RETURN button
on the Remote Control to take an image of the External ECG signal (2).
This confirms the function of the buttons on the Remote Control.

Confirming Function of IV Signal Pathway
- The captured image will display briefly in the center of the screen, before being placed on the right side of the screen (1).
- The display will switch focus to the intravascular ECG signal in the lower panel and the
icon will be highlighted (2).
- The same process can be used to capture a snapshot of the intravascular ECG signal as shown in the screen capture above.
- This shows that the pathway for the intravascular signal is functioning properly, with a correct connection.
- To further test the path, unclip the cable from the simulator and note the error symbol, and that the waveform flatlines.

Exiting the case
- To exit a case, click on the
button in the lower right corner.
- The Tip Confirmation Checklist screen will be shown. Press NO. Then press the green
button.

Confirming Power (Battery)
- The display will return to main Startup screen.
- Click on the "Settings" icon
.

Confirming Power (Battery)
- On the "Settings" Screen, scroll down to the Smart Battery Information and confirm the Power, W stabilizes to -18 to -35 W.
- If the battery is under 10% charge the readings may fall outside the expected range.
- The battery should be charged to at least 10% before checking the power output.
Confirming Power (Power Supply)
- Plug the Power Supply with region appropriate power cord into an A/C outlet and the Monitor.
- Confirm the green LED light is illuminated next to the plug on the rear of the Monitor.
Show Image - Wait for 1 minute to allow the system to update status and confirm the Power, W stabilizes to
+7.0 to +14.0 W.
Show Image
- This confirms the functionality of the Power Supply and charging system.
- For the power tests of the charging system to work properly, the battery charge should be between 10-90%.

Testing USB Ports
- To test the USB ports, they must be enabled by use of the Service Login.
- Scroll down to the Service Login and enter the password (1) to unlock the Service settings, which include the ability to enable the USB ports.
- Click the checkbox to activate the USB ports (2).
- Plug in a USB mouse to one of the ports on the back of the monitor and move the cursor to test the function of the port.
- Repeat for the second port.
This confirms the functionality of the two USB ports.
CAUTION
- Do NOT perform this test on a metal-top table as a solid sheet of metal interferes with T-Piece function!
- Do NOT place the Remote Control near [keep 10" (25cm) away] the T-Piece as interference in tracking may occur!
- Connect the system as shown.
NOTE
- Stylet wire still in protective sheath for ease of viewing in image.
- Stylet wire does not have to be in the sheath for testing.


Preparing the Monitor
- Power ON the monitor if needed. If unit is already on, simply connect T-Piece.
Preparing ECG Simulator
- Power ON the ECG Simulator and set to 60 BPM and 1 mV amplitude.

Booting the Monitor
- Allow the system to go through the boot-up process and arrive at the startup screen.
- Select "Start Case".

Entering Patient Information
- Enter in any text for a Patient ID, this is the only required field.
- Press the green checkmark button.

Selecting the Procedure Type
- Select the Procedure type PICC.

Patient Landmark Measurement
- Select a measurement on the Patient Landmark Measurement screen.
- For service testing any value can be used.

Selecting a PICC length
- Select a PICC length on the next screen.
- For service testing any value can be used.

Confirming Function of IV Signal Pathway
- Confirm the resulting screen looks similar to the one pictured above.
- Confirm that the HR (Heart Rate) stabilizes to 60+/- 1, and the T-Piece Icon at the bottom is white.
- This confirms the function of the Snap Leads, T-Piece ECG path, and Monitor Board.
- To test individual leads, disconnect one at a time to see the appropriate Lead Off icon appears.
- Also perform manipulations near the connection points to check for internal damage to the snap lead.

Testing Lead Off detection (1)
- To test the Lead Off detection, disconnect the RA (white lead) from the simulator and look for a loss of signal and the icons at the top of the window to indicate the lead has been disconnected.
- This will be a red circle around the icon and the dot on the patient figure will be pink.

Testing Lead Off detection (2)
- Remove the LL (red lead) and look for the appropriate icon change (red circle around red lead).
- Reconnect the LL Lead (red lead).
Saving a Snapshot
- Save a Snapshot using either the buttons on the Remote Control or the touchscreen icon
.
- The External Snapshot will appear on the screen for a few seconds, then the following alert will appear.
Press the green
button.
Show ImageBy default, the red "X" button has focus to force an active choice of the green "Check" button if remote control is used.
- The external ECG Snapshot will then appear to the right side as seen below.
Show Image - And the screen will switch to the Tracking sceen.

T-Piece Tracking Verification
- To verify T-Piece Tracking, place or hold stylet wire tip several inches from the T-Pice.
The Stylet wire does not have to be in the catheter for testing.
CAUTION
- Do NOT perform this test on a metal-top table as a solid sheet of metal interferes with T-piece function.
- Also, do NOT place the Remote Control near (keep 10" (25 cm) away) to the T-piece as interference in tracking may occur.

T-Piece Tracking Verification
- Move the stylet and confirm the tracing appears and approximates the movement of the stylet tip.
Trace will reflect actual movement of the wire, and may be different than the trace shown above.
CAUTION
- Do NOT perform this test on a metal-top table as a solid sheet of metal interferes with T-Piece function!

Opening Settings
- Connect the T-Piece to the Monitor and power on the system.
- Wait for the Start Screen and press the "Settings" icon
in the lower left corner.

Running the Test
- Scroll down the "Settings" screen to the T-Piece Status.
- It should look similar to the image above.
- Press the "Run Test" button.

Running the Test
- The system will display the EM warning box.
- Click the green
button.
By default, the red "X" button has focus to force an active choice of the green "Check" button.

Evaluating the test
- This will power on the coils in the T-Piece, perform a self check of the coils and display the results.
- If any of the coils fail, repeat the test.
- If it fails again, remove the T-Piece from use and contact VPSTechSupport@teleflex.com to arrange service repair.
- After running the test, the "Run Test" button will be greyed out.
- To repeat the test the T-Piece must be disconnected and reconnected to enable the button again.

Inspecting the probe
- Inspect probe for any damage to the cable (1), cracks in the housing, or damage to the transducer surface (2).
- If the cable is damaged, replace it (DLX-200-USPC).
- If the housing or transducer surface is damaged, contact VPSTechSupport@teleflex.com to arrange service.

Starting a case
- Connect the Ultrasound Probe to the Monitor (1) and power on the system (2).

Starting a case
- Wait for the Start Screen and press "Start Case".

Confirm Probe Detection
- The Ultrasound screen will appear.
- If this screen does not appear, the Probe was not detected.
- Disconnect and reconnect the Probe and repeat the process.
- If it still does not appear, replace the cable (DLX-200-USPC).

Test Scan
- Using some Ultrasound gel, scan your arm or a suitable test device such as the ATS Laboratories Model 551 Small Parts Phantom.
- Look for abnormalities in the image such as blank stripes or lines that would indicate damage to the array.
- If there are abnormalities, return the device for service and repair.
- Monitor Rating: Rated type CF patient protection.
- External Power Supply Rating: Class I, medical grade external Power Supply.
- The Hipot test is performed during manufacturing to ensure the insulation within the power supply is functioning as intended.
- It is not required to repeat this test after servicing.
- Teleflex recommends following standard local testing procedures appropriate for local regulatory requirements to measure the leakage current of the Arrow® VPS Rhythm® DLX Device as a whole system including the VPS Rhythm® DLX Device Monitor, Power Supply, and Remote Control.
- If there is no standard local Current Leakage testing protocol, the following information can be used as a guideline for testing using local test equipment.
- A non-conductive table for performing the test.
- DLX monitor should be removed from any cart it may be mounted to.
- Recommended access to 220V-265V AC Outlet, or a step-up transformer to obtain a voltage in this range.
- Programmable Current Leakage Tester pre-programmed with the settings listed in the Current Leakage Test Settings Table.
- Test Probe accessory for the Current Leakage Tester.
- Connect Arrow® VPS Rhythm® DLX Device Power Supply and appropriate Power Cord to the rear of the Monitor.
- Connect the Remote Control to the white connector on the rear of the Monitor.
- Connect the Arrow® VPS Rhythm® DLX Device Power Cord to the Line Leakage Tester.
- Connect the Line Leakage tester to an appropriate outlet, step-up transformer, or other power source capable of outputting 220V-265V.
NOTES
- The Arrow® VPS Rhythm® DLX Device has a DC plug that connects to the Arrow® VPS Rhythm® DLX Device Monitor. Therefore, no ground lug connection is required.
- The exact connections will vary depending on the Line Leakage Tester and whether a step-up Transformer or other external AC Power Supply is being utilized to achieve a voltage in the range of 220V-265V.
- For the Earth Leakage testing there is no need to connect the Hi Probe lead from the Line Leakage tester to anything.

- Since the TipTracker™ Stylet which connects to the Remote Control Stereo Connector is placed inside the body, the leakage to this connection is tested rather than the ECG connectors which are external only.
- There is no need to connect the ECG leads to the Monitor or tester, but if they are connected, the readings are equivalent.

- Program the Current Leakage Tester for the desired test parameters, according to the Test Settings Table below.
- Use the Upper Limit to determine if the system passes.
-
Earth Leakage
-
Patient Leakage
Normal 1 -
Patient Leakage
Normal 2 -
Patient Single
Fault 1 -
Patient Single
Fault 2 -
Patient Single
Fault 3 -
Patient Single
Fault 4
Earth Leakage | |
---|---|
Upper Limit | 5.0 mA |
Lower Limit | Off (0) |
Wait / Delay Time | 3 s |
Measure / Dwell Time | 3 s |
Polarity / Reverse | Off |
Ground | Open |
Neutral | Closed |

Patient Leakage Normal 1 | |
---|---|
Upper Limit | 10.0 µA |
Lower Limit | Off (0) |
Wait / Delay Time | 3 s |
Measure / Dwell Time | 2 s |
Polarity / Reverse | Off |
Ground | Closed |
Neutral | Closed |

Patient Leakage Normal 2 | |
---|---|
Upper Limit | 10.0 µA |
Lower Limit | Off (0) |
Wait / Delay Time | 3 s |
Measure / Dwell Time | 2 s |
Polarity / Reverse | On |
Ground | Closed |
Neutral | Closed |

Patient Single Fault 1 | |
---|---|
Upper Limit | 50.0 µA |
Lower Limit | Off (0) |
Wait / Delay Time | 3 s |
Measure / Dwell Time | 2 s |
Polarity / Reverse | Off |
Ground | Open |
Neutral | Closed |

Patient Single Fault 2 | |
---|---|
Upper Limit | 50.0 µA |
Lower Limit | Off (0) |
Wait / Delay Time | 3 s |
Measure / Dwell Time | 2 s |
Polarity / Reverse | On |
Ground | Open |
Neutral | Closed |

Patient Single Fault 3 | |
---|---|
Upper Limit | 50.0 µA |
Lower Limit | Off (0) |
Wait / Delay Time | 3 s |
Measure / Dwell Time | 2 s |
Polarity / Reverse | Off |
Ground | Closed |
Neutral | Open |

Patient Single Fault 4 | |
---|---|
Upper Limit | 50.0 µA |
Lower Limit | Off (0) |
Wait / Delay Time | 3 s |
Measure / Dwell Time | 2 s |
Polarity / Reverse | On |
Ground | Closed |
Neutral | Open |


Alarms, Alerts & Informational Messages
- Turn off the monitor, and then turn it back on.
- If the alert persists, remove the monitor from use and contact VPS Tech Support.

- If any of these tests fails, turn off the monitor, and then turn it back on.
- If the alert persists, remove the monitor from use and contact VPS Tech Support.
NOTE
In this state, you cannot start or continue a case, but you can access settings and manage case records.

- Turn off the Monitor, and then turn it back on.
- If the alert persists, remove the Monitor from use and contact VPS Tech Support.

- Turn Monitor off and then back on.
- If the alert persists, remove the Monitor from use and contact VPS Tech Support.

- Disconnect T-Piece, inspect for damage to connector, or cable.
- Reconnect and repeat test, if error persists remove the T-Piece from use and contact VPS Tech Support.

- Disconnect T-Piece, inspect for damage to connector, or cable.
- Reconnect and repeat test, if error persists remove the T-Piece from use and contact VPS Tech Support.

- Plug the system into AC Power.
- Ensure the Battery Disconnect switch is in the forward position to allow charging.
- For more details, see section .

- Turn monitor off and then back on.
- If the alert persists, remove the monitor from use and contact VPS Tech Support.

- Press the green
button to continue with the unfinished case.
- Press the red
button to discard the unfinished case.

- Try saving the Ultrasound snapshot again.
- If the error persists, remove the monitor from use and contact VPS Tech Support.

- Click the Ultrasound probe icon to reset the communications.
- If the error persists, replace the USB Cable DLX-200-USPC.
- If the error persists after cable replacement, remove the probe from use and contact VPS Tech Support.

- Either acknowledge the warning, by pressing the green
button, or cancel out of the warning and return to waveform display screen.

- Check connections from ECG patient cable to ECG Pads on Patient or Simulator.
- Consider replacing ECG pad if excessive noise or erratic ECG waveform with patient.
- Reconnect/Replace Snap Leads.
- Replace Patient Cable (DLX-200-ECGPC).

- Ensure the T-Piece is positioned correctly on the patient.
- Check that the TipTracker™ Stylet/PICC is inserted far enough into the patient to appear on the navigation screen.
- Replace Stylet.
- Replace T-Piece (DLX-200-TP).

- Check ECG Clip Cable or TipTracker™ Stylet connection to Remote Control Cable.
- Confirm plastic sleeve has been punctured by stereo cable pin on Remote Control and is not preventing connection.
- Replace ECG Clip Cable or TipTracker™ Stylet.
- Replace Remote Control (DLX-200-RC).

- Check TipTracker™ Stylet connection to Remote Control Cable.
- Make sure plastic sleeve is pierced.
- Replace Stylet.
- Replace Remote Control (DLX-200-RC).

- Check the connection between the Probe and Monitor. Disconnect and reconnect.
- Check the connection of the Probe cable to the Probe, ensure it is properly seated.
- Replace Ultrasound Cable (DLX-200-USC).

- Check the connection between the monitor and the T-piece.
Navigation is unavailable in CICC mode.
- Inspect the T-Piece cable and connector for damage.
- Reboot system.
- If the issue persists, replace T-Piece (DLX-200-TP).

- Ensure a case is selected for deletion.
- Power cycle the system.
- If issue persists, remove the monitor from use and contact VPS Tech Support

- Ensure the USB ports are enabled.
- Ensure a case is selected to export.
- Disconnect and then reconnect the USB flash drive.
- Try using a different flash drive.

- Ensure a case is selected to print. Verify that the printer is turned on.
- For a USB printer, ensure the USB ports are enabled.
- For Bluetooth printer, ensure printer is paired to monitor.

