Braun WelchAllyn ThermoScan Ear Thermometer Pro 6000 Manual

INSTRUCTION MANUAL

ThermoScan® Ear thermometer
Model: PRO 6000

1.Braun PRO 6000

2. Package components

Braun ThermoScan® PRO 6000 thermometer Cradle Probe covers (1 or 2 probe cover boxes, depending on model) CD containing Directions for use, Quick reference guide, Welch Allyn Service Tool software and Service Tool installation guide.
2 (AA) Duracell® alkaline batteries

3. Product description (See 1. PRO 6000)

1. Probe lens window
2. Probe
3. ExacTemp light
4. Measure button
5. Measure light
6. Display
7. C/F button
8. Memory button
9. Timer button
10. Tether mount (Tether sold separately)
11. Probe cover detect switch
12. Probe cover ejector
13. Battery door latch
14. Battery door
15. Small cradle—one storage box
16. Large cradle—two storage boxes
17. Probe cover
18. Probe cover box
18. a Probe cover box carrier
19. GTIN code

4. Screen elements

2. Probe cover icon
The icon animates in an upward motion to remove probe cover. The icon animates in a downward motion to apply a probe cover. See 9. Using the PRO 6000 3

3. Timer icon
The PRO 6000 includes a 60 second timer that features an audible notification and visual indicator at 0, 15, 30, 45, and 60 seconds. The first quadrant begins flashing when timer starts and becomes solid at 15 seconds. This repeats for each 15 second interval. The timer turns off automatically 5 seconds after 60 seconds is completed. See 10.3 Controls, Manual timer

4. Alert icon
Icon that appears with error message. See 12. Errors and notifications

5. Memory indicator
Indicates the reading shown on the display is the reading in memory. See 10.1 Controls, Memory

6. C/F scale
Indicates default temperature scale. Either °C or °F will display, depending on setting. See 10.2 Controls, C/F Celsius/Fahrenheit

7. Security unlock icon and countdown time
(Requires charging station or compatible Welch Allyn Vital Signs device, sold separately.) If the security function is enabled, it requires the thermometer be returned to the charging station within a pre-selected time interval. Countdown time indicates the amount of time remaining until the thermometer will be locked if not returned to the charging station. See 11.2 Settings, Advanced functions

7. Security lock icon
(Requires charging station or compatible Welch Allyn Vital Signs device, sold separately.) Indicates the thermometer is locked. Return the thermometer to the charging station to reset the countdown and resume normal operation. See 11.2 Settings, Advanced functions

5. About the Braun PRO 6000

The Braun ThermoScan® thermometer is a clinical grade ear thermometer indicated for the intermittent measurement of human body temperature in patients of all ages in a professional use environment.

Please read all instructions carefully and thoroughly before using this product.

5.1 How does Braun ThermoScan work?

The Braun PRO 6000 technology reads the infrared energy emitted by the tympanic membrane and surrounding tissues to determine the patient’s temperature. To help ensure accurate temperature measurements, the sensor itself is warmed to a temperature close to that of the human body. When the Braun ThermoScan is placed in the ear, it continuously monitors the infrared energy until a temperature equilibrium has been reached and an accurate measurement can be taken. The thermometer displays an actual measured ear temperature or clinically accurate, oral equivalent temperature that has been validated in clinical studies by comparing IR measurements with the oral readings from afebrile and febrile patients of various ages. Unadjusted operating mode ear temperature readings are available via unadjusted mode, which can be accessed using the Welch Allyn Service Tool.

5.2 PerfecTemp™ technology

Speed and ease of access are two key advantages of ear thermometry. Concerns regarding accuracy and reliability have hindered adoption of this technology. In clinical studies, the precision of ear temperature measurement has been shown to be influenced by ear canal anatomy and variability in user technique. Proper probe placement can also be a challenge, particularly with young patients that move around during measurement. Shallow probe placement, coupled with anatomical variabilities such as ear canals with a small circumference and poor visibility of the tympanic membrane, can result in readings that are low compared to core temperature because the thermometer could be focused on the cooler outer ear canal.

The Braun PRO 6000 thermometer incorporates a new proprietary technology, PerfecTemp™ technology, that overcomes the challenges presented by ear canal anatomy and variations in technique among clinicians. The thermometer collects information about the direction and depth of ear probe placement as it is placed into the ear canal and automatically incorporates this information into the temperature calculation. Incorporating information related to patient specific anatomy and exact ear probe placement in the ear canal increases the accuracy of the measurement as compared to core temperature, especially when probe positioning is not ideal.

5.3 ExacTemp™ technology

The Braun PRO 6000 thermometer also features ExacTemp™ technology which supports temperature measurement reliability by detecting the stability of the probe placement during the measurement. The ExacTemp light flashes during the measuring process and remains illuminated when the measurement is complete, indicating consistent placement of the probe during the measurement process. Consistent probe placement helps support accurate temperature measurement.

5.4 Why measure in the ear?

Clinical studies have shown that the ear is an excellent site for temperature measurement because temperatures taken in the ear reflect the body’s core temperature1. Body temperature is regulated by the hypothalamus2, which shares the same blood supply as the tympanic membrane3. Changes in core body temperature are usually seen sooner at the tympanic membrane than at other sites, such as the rectum, mouth or under the arm. Advantages of taking temperatures at the ear versus traditional sites:

• Axillary temperature measurements reflect skin temperature which may not reliably indicate the internal body temperature.
• Rectal temperatures often lag significantly behind internal body temperature changes, especially at times of rapidly changing temperatures. Also, there is a risk of cross contamination.
• Oral temperatures are often influenced by eating, drinking, thermometer placement, breathing through the mouth, or the inability of the person to close their mouth completely.

1. GUYTON A C, TEXTBOOK OF MEDICAL PHYSIOLOGY, W.B. SAUNDERS, PHILADELPHIA, 1996, P 919
2. GUYTON A C, TEXTBOOK OF MEDICAL PHYSIOLOGY, W.B. SAUNDERS, PHILADELPHIA, 1996, P 754-5
3. NETTER H F, ATLAS OF HUMAN ANATOMY, NOVARTIS MEDICAL EDUCATION, EAST HANOVER, NJ, 1997, PP 63, 95.

5.5 Body temperature

Normal body temperature is a range. The following table shows that this normal range also varies by site. Therefore, measurements from different sites, even if taken at the same time, should not be directly compared.

A person’s normal temperature range tends to decrease with age.
The following table shows normal ThermoScan ranges by age.

The range of normal varies from person to person and can be influenced by many factors such as time of day, level of activity, medications and gender.

1. Sund-Levander M, Forsberg C, Wahren LK. Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review. Scand J Caring Sci 2002 June;16(2):122-8.
2. Herzog L, Phillips SG. Addressing concerns about fever. Clin Pediatr (Phila) 2011 May;50(5):383-90.

6. Contraindications

Clinical studies have shown the Braun ThermoScan thermometer can obtain accurate temperature measurements on full term newborn, pediatric and adult patients. However, there are special situations when an ear thermometer should not be used. These include, but may not be limited to the following situations:

• Do not use an ear thermometer if there is blood or drainage in the external ear canal.
• An ear thermometer should not be used on a patient who exhibits symptoms of an acute or chronic inflammatory condition of the external ear canal.
• Common situations like the presence of moderate amounts of cerumen (ear wax) in the ear canal, otitis media and tympanostomy tubes do not significantly impact temperature readings. However, complete ear canal occlusion due to cerumen (ear wax) can result in lower temperature readings.
• Use the untreated ear if prescription ear drops or other ear medications have been placed in the ear canal.
• Patients who have deformities of the face and/or ear may not be able to have a temperature taken with an ear thermometer.
• This thermometer is not intended for pre-term babies or small-for-gestational age babies.

6.1 What affects accuracy

Always use a new disposable probe cover for each measurement to maintain accuracy and hygiene. The right ear measurement may differ from the measurement taken in the left ear. Therefore, always take the temperature in the same ear. The ear must be free from obstructions or excess earwax build-up to take an accurate reading.

External factors may influence ear temperatures, including:

In the event of lying on a pillow, ear plugs or hearing aid, remove the individual from the situation and wait 30 minutes prior to taking a temperature.

7. Warnings and precautions

This thermometer is for professional use only.

This thermometer must only be used with genuine Braun ThermoScan probe covers.

Do not use any cleaning agent other than isopropyl or ethyl alcohol for cleaning the probe lens window and probe as specified in the cleaning section of this manual.

Do not use any cleaning agent other than the approved list of cleaners for cleaning the
body of the thermometer.

To avoid inaccurate measurements, always attach a new, clean probe cover for each
temperature measurement.

The probe lens window must be kept clean, dry and undamaged at all times to ensure
accurate measurements. To protect the probe lens window, always keep the thermometer in the storage cradle while transporting or when not in use.

This thermometer is not intended for pre-term babies or small-for-gestational age babies.

Do not modify this equipment without authorization of manufacturer.
Never use the thermometer for purposes other than those it has been intended for. Please follow the general safety precautions.

Do not expose the thermometer to temperature extremes (below –4ºF / – 25ºC or over
122ºF / 55ºC) nor excessive humidity (> 95 % RH).

This thermometer complies with current required standards for electromagnetic
interference and should not present a problem to other equipment nor is it effected
by other devices. As a precaution, avoid using this device in close proximity to
other equipment.

8. Setup
8.1 Battery installation

Your Braun PRO 6000 thermometer ships with two (AA) alkaline batteries.
See 14.7 Maintenance and service, Replacing the batteries.
The Braun PRO 6000 Charging station (sold separately) ships with one rechargeable
battery pack.

8.2 Mounting instructions (Large cradle only)

Mounting hardware not included. The large cradle (2 box storage) can be mounted as an easily removable wall hanger or a permanent wall mount. All mounting must be done into a wall stud. To mount the cradle the following items are needed:

• 2 #8 wood or sheet metal, pan head screws, 3.2 cm (1.25”) long
• Ruler (or tape measure could be substituted)
• Screwdriver to match drive of screws

1.Remove probe cover box carrier from the cradle by rotating the probe cover box
carrier forward.

2. Mount to wall:

• Removable wall hanger: Locate the stud on the wall. Mount the 1st screw in position 1 and the 2nd screw in position 2a.
• Permanent wall mounting: Locate the stud on the wall. Mount the 1st screw in position 1 and the 2nd screw in position 2b. Tighten screws.

Note: Permanent mounting is not recommended if using the charging station to access the security function, other advanced functions or charge the rechargeable battery.

3. Place probe cover box carrier back in cradle by lining up the brackets and pushing down.

8.3 Tether installation

A kit to tether the thermometer to the cradle is available separately. Installation instructions are provided with the tethering kit. Contact Welch Allyn for details.

9. Using the Braun PRO 6000

Temperature measurement

1.Remove thermometer from cradle by gripping thermometer at base and pivoting up.

Thermometer will turn on automatically. Probe cover icon will flash on display indicating a new probe cover is needed.

2. Attach new probe cover by
pushing probe tip straight into box, then pulling thermometer out.

3. Wait for the ready indication. Ring around MEASURE button turns green, thermometer will beep once and three lines on display indicate thermometer is ready.

4. Place probe snugly in ear canal and direct toward opposite temple. Keep thermometer probe steady in the ear canal. Correct probe placement is essential for accurate measurements.

5. Press and release MEASURE button.

The thermometer will beep once, running dashes will appear on the display then the green ExacTemp light will flash, indicating consistent probe position.

Note: Always press the MEASURE button before taking a measurement.

6. Temperature measurement. A long beep and steady green ExacTemp light will signal the end of the measuring process.

The temperature will show on the display.

If the thermometer is unstable or patient is moving during the measuring process, the device will beep, the green ExacTemp light will flash and POS (Position Error) will flash on the display. Be sure the device is stable and restrict patient movement for the next measurement. Change the probe cover to reset.

• See 12. Errors and notifications

7. Remove used probe cover by pressing Probe Cover Ejector button

To achieve accurate measurements, use a new, clean probe cover for each measurement.
To take another measurement, place a new, clean probe cover on the thermometer. If no action is taken the thermometer will enter SLEEP mode after 10 seconds or upon return to the thermometer cradle or host device.

10. Controls

10.1 Memory
Press the MEMORY button to reveal the last completed temperature. The temperature will show with a MEM indicator until the MEMORY button is pushed again, a new probe cover is applied, or the thermometer enters sleep state. Memory can also be accessed from the thermometer sleep mode and will display for 5 seconds before returning to sleep.

10.2 C/F (Celsius/Fahrenheit)
Once the temperature scale has been set (See 11.1 Default temperature scale), the alternative scale can be quickly referenced at any time while a temperature is displayed.

1.If the temperature scale is set to Celsius, press and release C/F button to view the temperature in Fahrenheit.

If the temperature scale is set to Fahrenheit, press and release C/F button to view the temperature in Celsius.

2. Press and release the C/F button again to revert back to default scale.

NOTE: If Temperature Conversion is disabled, refer to the Service Manual for more information.

10.3 Manual timer
The Braun PRO 6000 includes a 60 second timer that features an audible notification and visual indicator at 0, 15, 30, 45, and 60 seconds. The timer turns off automatically 5 seconds after 60 seconds is completed. The timer can be stopped at any time by pressing the Timer button or applying a probe cover. This feature can be used to time pulse, respirations, etc. To use this feature:

1.Press and hold timer button for one second to activate timer. A beep is heard at initiation of the timer.

The display will show timer counting up in seconds.

The display will show an icon that has four 15 second quadrants.

The timer will beep at the completion of each 15 second interval to provide audible notification. Then the current segment will become solid and the next segment will flash.
At 60 seconds a long beep will sound, all quadrants will appear solid ending the timer function. The thermometer will exit the timer mode after an additional 5 seconds.

2. To stop the timer at any time, press the timer button.

11. Settings

11.1 Default temperature scale
To set the default temperature scale:

1.Open battery door by sliding spring latch to the right using your finger or a pointed object such as a pen. While holding the latch in the open position, grasp the battery door and remove it. Remove batteries and set aside. Once batteries are removed, C/F switch is accessible.

2. Slide switch to C or F using a pen or pointed object.

3. Place batteries back into thermometer. Snap the battery door back into place and ensure the latch returns to the original latched position. Celsius or Fahrenheit symbol will appear on the display.

11.2 Advanced functions
The following device settings must be completed using the Welch Allyn Service Tool
(See 11.3 Advanced function settings and 11.4 Service tools)

11.3 Advanced function settings
The charging station or compatible Welch Allyn Vital Signs device can be used with the Welch Allyn Service Tool to modify settings on the thermometer. Follow the instructions to access Braun Pro 6000 advanced settings using the Welch Allyn Service Tool.

1.Dock the Braun PRO 6000 thermometer in the Charging Station

2. The recommended action is to use the USB cable that connects to the wall adapter – unplug it from the wall adapter and plug it into your computer.

3. Launch the Service Tool. If the log on prompt appears enter the User ID “ADMIN” (all caps) with no password and click the log on button.

4. Click the Braun Thermometer from the device list to highlight, then click the select button.

5. The Device tab opens.

6. Click the Configure tab to the right of the Device information tab.

7. Click the Change button in the current settings box. The configuration settings dialog box opens.

8. Select the setting you wish to enable or disable by clicking the check box next to the setting. A check mark indicates the setting will be enabled, an empty check box indicates the setting will be disabled. To select the Security function click the drop down menu and click the desired time or Off to disable. To restore the factory default settings click Restore Defaults. Once the desired settings are selected click the Save button to send the settings to the Braun thermometer and close the box.

To close the box without changing the settings click the Cancel button.

11.4 Service tools Service tools
For more information, refer to the Service Tool installation guide. The service tool software and service tool installation guide are available on the CD provided with the Braun PRO 6000 thermometer or from ttp://www.welchallyn.com/promotions/services/servicetool.htm

11.5 Charging station for storage, charging and security function (optional)

A charging station is available for the Braun PRO 6000. The charging station automatically recharges the thermometer when using the rechargeable battery which is included. Use of alkaline batteries in the thermometer while using the charging station is permitted but the alkaline batteries will not be charged.

The charging station has an electronic, individually adjustable security function which requires the thermometer to be returned to the station within an individually pre-selected time or the thermometer will be locked. The charging station serves as a convenient storage base which can also be wall mounted. Contact Welch Allyn for details.

Welch Allyn Technical Support:
www.welchallyn.com/support
visit locations:
www.welchallyn.com/about/company/locations.htm

12. Errors and notifications

12. Errors and notifications

13. PerfecTemp™ status

14. Maintenance and service

14.1 Cleaning and disinfecting the probe lens window and probe Only use Braun ThermoScan® disposable probe covers.

Do not use damaged, perforated, soiled or poor fitting probe covers. Do not reuse probe covers.

Dirty probe lens window = lower readings. Fingerprints, cerumen, dust and other soiling components reduce transparency of the tip and result in lower temperature measurements.

If thermometer is placed in ear without a probe cover, clean immediately.
Do not damage probe lens window. Avoid touching probe lens window except when cleaning.

If probe lens window is damaged return to Welch Allyn for service.
Do not modify, change or adjust probe lens window. These changes will affect calibration and accuracy of the thermometer. If probe lens window is damaged return to Welch Allyn for service.

Do not use cleaning solution other than isopropyl or ethyl alcohol to clean probe lens window and probe. Other cleaning agents can damage probe lens window and probe.

Cleaning and disinfecting procedure
The thermometer probe and probe lens window should be cleaned when there are fingerprints, cerumen, dust or other soiling components present, following the below directions:

1.Remove probe cover and discard.

2. Moisten cotton swab or cloth slightly with isopropyl or ethyl alcohol. Do not saturate.

3. Gently wipe surface of probe lens window with cotton swab or cloth slightly moistened with isopropyl or ethyl alcohol only. Note: Use gentle pressure when cleaning the sensor to prevent damaging the unit by accidently changing the position of the sensor.

4. With probe facing down, wipe the probe with a damp cloth or cleaning wipe moistened with isopropyl or ethyl alcohol.

5. Gently wipe with dry, clean cotton swab or cloth immediately.

6. Allow at least 5 minutes drying time before taking temperature. Make sure probe lens window is clean and dry prior to use.

14.2 Cleaning and disinfecting the thermometer body and cradle
Do not submerge the thermometer. Excess liquid may cause damage to the thermometer.
Wipes should be moist, not saturated.
Do not use any chemical other than those listed in the Approved Cleaning Solution Table to clean the thermometer body and cradle. Other cleaning agents could cause damage to the thermometer.
When cleaning the probe lens window or probe ONLY use isopropyl or ethyl alcohol.
Do not use abrasives pads or cleaners.

Additional cleaning agents may be periodically evaluated for compatibility. If your cleaning agent is not listed, contact Welch Allyn to determine if additional cleaning agents are approved for use. As needed, clean the thermometer body and cradle following the below directions.

Removing and installing

14.6 Storage instructions
Store thermometer and probe covers in a dry location (the thermometer is not protected against ingress of water), free from dust and contamination and away from direct sunlight. The ambient temperature at the storage location should remain fairly constant and within the range of 50°F to 104°F (10°C to 40°C) to allow for immediate use.

14.7 Replacing the batteries
The thermometer is supplied with two 1.5 V batteries type AA (LR 6). For best performance, we recommend Duracell® alkaline batteries.

This product contains batteries and recyclable electronic waste. To protect the
environment, do not dispose of it in the trash, but take it to appropriate local collection
points according to national or local regulations.

14.8 Calibration testing
The thermometer is initially calibrated at the time of manufacture. If the thermometer is used according to the use instruction, periodic readjustment is not required. However, Welch Allyn recommends checking calibration on an annual basis or whenever clinical accuracy of the thermometer is in question. Procedures for checking calibration are outlined in the 9600 Plus Calibration Tester (REF 01802-110) directions for use manual.

The above recommendations do not supersede the legal requirements. The user must always comply with legal requirements for the control of the measurement, functionality, and accuracy of the device which are required by the scope of relevant laws, directives or ordinances where the device is used.

15. Specifications

CAUTION: Do not use this device in the presence of electromagnetic or other interference outside the normal range specified in IEC 60601-1-2.

Standards and compliance
This device conforms to the following Safety and Performance standards:
This infrared thermometer meets requirements established in ASTM Standard E 1965-98 (for the thermometer system [thermometer with probe cover]). Full responsibility for the conformance of the product to the standard is assumed by Kaz USA, Inc.,
250 Turnpike Road, Southborough, MA 01772, USA.

This product conforms to the provisions of the EC directive 93/42/EEC (Medical Device Directive).

A clinical summary is available upon request.

EN 60601-1:2006 Medical electrical equipment –
Part 1: General requirements for basic safety and essential performance

EN 12470-5: 2003 Clinical thermometers – Part 5: Performance of infra-red ear thermometers (with maximum device)

Meets CB Scheme
EN 60601-1-2 :2007, IEC 60601-1-2:2007 General requirements for basic safety and essential performance—Collateral Standard: Electromagnetic Compatibility–Requirement & Tests Medical electrical equipment – Part 1-2: General requirements for basic safety and essential performance – Collateral standard: Electromagnetic compatibility – Requirements and test

IEC 62304 :2006 Medical device software- Software life cycle processes
IEC 62366 :2007 (IEC60601-1-6) Medical devices -Application of usability engineering to medical devices

EN980 :2008 Symbols for use in the labelling of medical devices
ISO14971 :2007 Medical devices -Application of risk management to medical devices
ISO 80601-2-56 :2009 Medical electrical equipment – Part 2-56: Particular requirements for basic safety and essential performance of clinical thermometers for body temperature measurement

ISO 10993-1:2009 Biological Evaluation of Medical Devices Part 1: Evaluation and Testing (includes US FDA Blue book memo G95-1-100 Title)
GBT 21417.1:2008 MEDICAL ELECTRICAL EQUIPMENT needs special precautions regarding EMC. For detailed description of EMC requirements please contact an authorized local Service Centre.

Portable and mobile RF communications equipment can affect MEDICAL
ELECTRICAL EQUIPMENT Internally powered ME equipment.
Continuous operation.

Not protected against ingress of water.

Symbol definitions:

14. Warranty

For Model PRO 6000
The Braun ThermoScan PRO 6000 thermometer has a limited three year warranty and the PRO 6000 cradle has a limited one year warranty.. The PRO 6000 instrument is warranted by Kaz to be free from defects in material and workmanship under normal use and service for a period of three years from the date of delivery to the first professional user who purchases the instrument.

This warranty does not cover batteries, damage to the probe window, or damage to the instrument caused by misuse, negligence or accident and extends to only to the first purchaser of the product. Additionally this warranty becomes void if the thermometer is operated with anything other than genuine Braun ThermoScan® Probe Covers.

Thermometer service or replacement will be carried out by Welch Allyn subject to the terms of this warranty. Loss or damage in return shipment to Welch Allyn shall be at purchaser’s risk. Kaz reserves the right to replace a non- conforming product with the most comparable product currently available. This product has a five year minimum expected lifetime.

IN NO EVENT SHALL KAZ BE LIABLE FOR ANY SPECIAL, INCIDENTAL, INDIRECT OR
CONSEQUENTIAL DAMAGES IN CONNECTION WITH THE PURCHASE OR USE OF ANY PRODUCT. This warranty shall not apply to, and Kaz shall not be responsible for, any loss arising in connection with the purchase or use of any product which has been serviced by anyone other than a Kaz authorized service representative or altered in any way so as, in Kaz’s judgment, to affect its stability or reliability, or which has been subject to misuse or negligence or accident, or which has the serial number or lot number altered, effaced or removed, or which has been used other than in accordance with the instructions furnished by Kaz. IN NO EVENT SHALL KAZ’S LIABILITY EXCEED THE ORIGINAL COST OF THE PRODUCT.

This warranty is in lieu of all other warranties, express or implied, and of all other obligations or liabilities on Kaz’s part, and Kaz neither assumes nor authorizes any representatives or other person to assume for it any other liability in connection with the sale of its products.

TO THE EXTENT PERMITTED BY LAW, KAZ DISCLAIMS ALL STATUTORY AND IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO, WARRANTIES OF MERCHANT ABILITY AND FITNESS FOR A PARTICULAR PURPOSE.

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