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Chapter 7 Alarm

--108--

User Manual of Veterinary Monitor



Alarm Reminder Tone

The monitor provides the function of monophonic alarm prompts which remind users that the system

currently has an active alarm in case alarm silence is activated or the [Alarm Volume] is 0.

Explanation

Alarm Silencing

Alarm Pausing

Alarm Sound Off

Some Parameters Alarm Off

Attention



The monitor will provide alarms of the highest level in both lighting and sound when different levels

of alarms are triggered at the same time.

7.5 Alarm Setup

Press the Alarm Setup shortcut key, or select the [Main Menu] to enter the Alarm Setup window, as shown in

Figure 7.1:

Figure 7.1 Alarm Setup Menu

This window includes: 1. Global Alarm 2. Parameter Alarm 3. ST Alarm 4. Arrhythmia Analysis and 5.

Arrhythmia Threshold.

For the ST Alarm Setup, please refer to Section 6.1 on ECG for the Arrhythmia Analysis Setup and Arrhythmia

Parameter Threshold Setup.

Summary of Contents for iM 12

Page 1: ...User Manual Shenzhen Biocare Bio Medical Equipment Co Ltd P N 02111717 01 Veterinary Monitor Model iM 12 iM 15 ...

Page 2: ......

Page 3: ...rohibited For technical development and updating of the present product the company reserves the rights to amend and alter the contents of the manual If the alternation does not involve the safety of the product having been sold the customer will not be informed individually For reasons of technical updating and customers special requirements if the product performance is unaffected some assembled...

Page 4: ... 80 20537 Hamburg GERMANY Shenzhen Biocare Bio Medical Equipment Co Ltd 16 1 Jinhui Road Jinsha Community Kengzi Sub District Pingshan New District 518122 Shenzhen PEOPLE S REPUBLIC OF CHINA Tel 86 755 33005899 Fax 86 755 27960643 Website http www biocare com cn ...

Page 5: ...5 2 3 3 Back View 17 2 4 Modules 17 2 5 Screen Display 18 2 5 1 Main Interface 18 2 5 2 Interface Explanation 18 2 6 Shortcut Key 22 Chapter 3 Basic Operation 23 3 1 Installation 23 3 1 1 Unpacking and Checking 23 3 1 2 Environmental Requirements 23 3 1 3 Normal Operation Conditions 23 3 2 Operation Preparation 24 3 2 1 A C Power Supply Connection 24 3 2 2 Turn On 24 3 2 3 Sensor Connection 25 3 2...

Page 6: ...pter 5 User Interface 35 5 1 Interface Style Setup 35 5 2 Standard Interface 35 5 3 Minitrends Interface 36 5 4 BigNumerics Interface 37 5 5 OxyCRG Interface 37 5 6 View Other Bed Interface 38 5 7 C O Measure Screen Optional 40 5 8 7 Lead Half Screen 41 5 9 7 Lead Full Screen 41 Chapter 6 Parameter Monitoring 43 6 1 ECG 43 6 1 1 ECG Measuring Principle 43 6 1 2 Definition of ECG Monitoring 44 6 1 ...

Page 7: ...Measure Mode 69 6 5 5 Measure Procedure 69 6 5 6 NIBP Display 70 6 5 7 NIBP Setup 71 6 5 8 NIBP Leakage Test 72 6 5 9 NIBP Accuracy Test 73 6 6 Temp 74 6 6 1 General Description 74 6 6 2 Safety Information 75 6 6 3 Measure Procedure 75 6 6 4 Measure Display 76 6 6 5 Temp Unit Setup 76 6 6 6 Alarm Setup 76 6 7 IBP Optional 76 6 7 1 General Description 76 6 7 2 Safety Information 77 6 7 3 Monitoring...

Page 8: ...ncing Factors 106 6 10 9 Emissions 106 Chapter 7 Alarm 107 7 1 General Description 107 7 2 Alarm Type 107 7 3 Alarm Level 107 7 4 Alarm Mode 107 7 5 Alarm Setup 108 7 5 1 Global Alarm Interface 109 7 5 2 Parameter Alarm Setup 109 7 6 Alarm Configuration 110 7 7 Alarm Setup 111 7 7 1 Alarm Setup Interface 111 7 7 2 Parameter Alarm Setup 112 7 8 Alarm Pause 113 7 9 Alarm Silence 113 7 10 Alarm Detec...

Page 9: ...wer On 131 11 2 Colors of the Measured Physiological Parameters 131 11 3 Analog Output Setup 131 11 4 Nurse Call System 131 11 5 Defibrillation synchronization 132 11 5 Manual Event 133 11 6 Defaults 133 11 7 System State Indicator 133 11 8 Standby Mode 134 Chapter 12 Battery 135 12 1 General Description 135 12 2 Battery Installation 136 12 3 Battery Recycling 136 Chapter 13 Cleaning and Maintenan...

Page 10: ... Accessories 145 A 1 Packaging 145 A 2 Accessories 145 Appendix B Product Specifications 147 B 1 Safety Specifications 147 B 1 1 Product Classification 147 B 1 2 Environment Specifications 148 B 1 3 Power Specifications 148 B 2 Physical Specifications 148 B 3 Hardware Specifications 148 B 4 Data Storage 150 B 5 Wireless Network 150 B 6 Measuring Specifications 150 B 6 1 ECG Monitoring 150 B 6 2 Re...

Page 11: ...179 E 1 Guidance and manufacture s declaration electromagnetic emissions for all EQUIPMENT and SYSTEMS 179 E 2 Guidance and manufacture s declaration electromagnetic immunity for all EQUIPMENT and SYSTEMS 179 E 3 Guidance and manufacture s declaration electromagnetic immunity for EQUIPMENT and SYSTEMS those are not LIFE SUPPORTING 180 E 4 Recommended separation distance between portable and mobile...

Page 12: ...Content VIII User Manual of Veterinary Monitor The Blank Page ...

Page 13: ...ring sensors optional modules blood oxygen probes body temperature probes EtCO2 measurement components optional modules and anesthesia gas measurement components optional modules Scope of application This series of monitors application is for monitoring animals electrocardiogram respiration pulse rate heart rate pulse oxygen saturation body temperature non invasive blood pressure invasive blood pr...

Page 14: ...Preface 2 User Manual of Veterinary Monitor The Blank Page ...

Page 15: ...han two hour clamping for the same finger is recommended More careful inspection of the pulse oxygen sensor measurement site should be done for animals with special needs The sensor cannot be placed on edematous or fragile tissues This series of monitors must be well grounded in order to prevent possible electrical danger as well as to secure a good ECG signal quality Although all animal contact p...

Page 16: ...monitoring animals with pacemaker Do not modify this series of equipments without authorization of the manufacturer If this series of equipments are modified appropriate inspection and testing must be conducted to ensure continued safe use of the equipment Please read clinical limitations and contraindication information carefully ...

Page 17: ...ve contact with other conductoring wires including the ground Do not open the outer shell of the device or electric shock may occur The maintenance and upgrading of this series of monitors can only be performed by the maintenance persons trained or authorized by the company When there is a doubt about the integrity of the grounding wire the battery DC power in the machine should be used Do not tou...

Page 18: ...should be placed out of reach of children Explanation For the sake of the animal s safety please use the accessories specified in the user manual When the device and its accessories are nearing the expiration date for use they should be disposed of according to associated local regulations or hospital rules Electromagnetic fields can influence the performance of this series of monitors Therefore a...

Page 19: ...ch cannot prevent noxious liquid infiltration 4 Based on safety levels in an atmosphere of easily flammable anesthetic gas mixed with air or with oxygen or nitrous oxide This series of monitors cannot be used in an atmosphere of easily flammable anesthetic gas mixed with air or with oxygen or nitrous oxide 5 Based on duty A continuously running equipment 1 4 Safety Requirements Animal Number This ...

Page 20: ...batteries which lose electricity even after the monitor has been turned off Therefore the battery should be fully charged and then taken out before the monitor is stored so that the service life of the battery is not shortened Accessory and Equipment Handling Disposable accessories can only be used once Repeated use can lead to performance reduction and cross contamination Service Life The service...

Page 21: ... shock especially on permissive leakage current compared to type B applied parts Other Identifications Table 1 1 Identification Explanations Attention please refer to the attached device files Turn on Shut down AC POWER Battery In Use Battery Charging Waveform Freezing Screen Switching Recording NIBP Main Menu Alarm Silencing Alarm Pausing Alarm Sound Off Some Parameters Alarm Off USB Interface Ad...

Page 22: ...Chapter 1 Operation Safety Information 10 User Manual of Veterinary Monitor The Blank Page ...

Page 23: ...bited from operating the monitor C O monitoring is restricted to animals 20 kg only This series of monitors have the following monitoring functions ECG the heart rate three and seven channel ECG waveforms ST segment analysis and arrhythmia analysis Resp respiratory rate and wave Temp dual channel Temp data SpO2 oxygen saturation pulse rate and pulse wave Pulse rate PR pulse rate in one minute NIBP...

Page 24: ...face 3 Basic Parameters Heart rate body temperature pulse oxygen saturation non invasive blood pressure contractive diastolic and mean blood pressures invasive blood pressure Art PA LAP RAP ICP CVP and P1 P2 optional end expiration CO2 EtCO2 airway respiratory rate awRR optional and Anesthetic gas CO2 AG N2O AA O2 optional 2 3 Main Unit 2 3 1 Front View Figure 2 1 Front View of iM 12 ...

Page 25: ...arm Blind no technical alarm 3 Display Screen 12 1 inches or 15 inches 4 Power Switch Turn on press this button to start the monitor after A C power connection Shut down press this button to shut down the working monitor the shut down time lag depends upon the manufacturer s preset An indicator light has been mounted inside the switch It turns on when the monitor is on and turns off when the monit...

Page 26: ...m will be displayed in the information region Press it again to restore the alarm 10 Freezing Button Press this button to freeze the waveform on the screen under a failure free operation mode Press it again to release the frozen waveform 11 Screen Switching Button Press this button to switch the screen interface layout 12 Recording Button If the monitor is equipped with a recorder press this butto...

Page 27: ...Chapter 2 Overview User Manual of Veterinary Monitor 15 2 3 2 Side View Figure 2 3 Left Side View of 12 Inches Monitor Figure 2 4 Left Side View of 15 Inches Monitor ...

Page 28: ...15 inches monitor The recorder is installed internally on the right side of the monitor as shown in Figure 2 5 12 inches monitor 2 6 15 inches monitor Explanation All the side view structure below please take the left picture in Figure 2 3 2 4 as example 1 Parameter Interfaces IBP1 IBP2 invasive blood pressure interface T1 T2 body temperature probe interface NIBP non invasive blood pressure interf...

Page 29: ...o initiate nurse call signals when an alarm occurs or to call nurse s attention For connection to the defibrillator to carry on synchronized defibrillation 5 Analog output interface For connection to devices such as an oscilloscope to put out analog signals 6 Isoelectric terminal For synchronized use of the monitor and other devices through which to overcome the potential differences between the m...

Page 30: ...epartment bed number Animal s name animal type and pacemaker status in that order Department this can be set up in User Maintain Hospital Inf without input no information will be shown at this site Bed number it refers to the animal s hospital bed number which can be set up at Net Setup in User Maintain Animal s name it can be set up in Animal Demographics without input no information will be show...

Page 31: ...rip is displayed The respiratory waveform gain is displayed on the right of the respiration lead name A window can pop up from the waveform region for menu operation Data Region Figure 2 10 Heart Rate and Temperature Data Region ECG shows the current heart rate e g 60 represents the current captured heart rate 120 50 the upper and lower heart rate alarm limits ST 0 08 I ST 0 10 II the numerical va...

Page 32: ... Invasive Blood Pressure Data Region Art a blood pressure type identification 120 80 93 the values of measured IBP contracture diastolic and mean blood pressures 160 90 the upper and lower limits of an IBP alarm CVP blood pressure type identification 6 8 a measured value 13 6 0 0 the upper and lower limits of an IBP alarm Figure 2 15 CO2 Data Region CO2 end expiration carbon dioxide awRR the airwa...

Page 33: ...d time are displayed in this region A successful wired network connection A successful wireless network connection An unsuccessful wired network connection An unsuccessful wireless network connection Interface setup menu Identification Battery identification System time Menu region Four shortcut keys are defaulted at the bottom of the screen Main Menu Alarm Setup Admit Animal and Audio Setup User ...

Page 34: ...larm Setup Audio Setup User can customize the shortcut keys 1 Select Main Menu System Screen Setup Screen Config as shown in Figure 2 17 Figure 2 17 Screen Setup 2 Select Shortcut Key You can select the displayed shortcut keys as well as arrange their order according to need in the current interface as shown in Figure 2 18 Figure 2 18 Shortcut Key Setup ...

Page 35: ...ren in case of asphyxia In handling of the packing materials you must observe the local laws and regulations or the hospital s stipulations on waste management 3 1 2 Environmental Requirements 1 Avoid exposing the monitor to direct sunlight avoid excessive temperature in the machine 2 The monitor should not be operated in the atmosphere of noxious or easily flammable gas 3 The monitor should be in...

Page 36: ...lowing specifications AC 100V 240V 50 Hz 60 Hz Use the power cord supplied with the monitor insert one end of the cord into the power interface on the monitor and the other end into a single phase outlet with protective grounding Use the specialized grounding wire supplied with the monitor to connect the monitor to the protective ground terminals Special attention insure that the monitor has norma...

Page 37: ...oring 1 Decide what functions should be monitored or measured 2 Install the required modules animal cables and sensors 3 Check whether the animal cables and sensors are the correct ones or not 4 Check whether the monitor has been accurately set up 5 Please refer to corresponding chapters and sections for various function measurements and monitoring 3 4 Turn Off Please shut down the monitor by foll...

Page 38: ...put faceplate interface the cursor left and right shift key 3 6 Touch Screen Optional If you select the optional touch screen function for your equipment your may click the touch screen directly to accomplish some operations conveniently and quickly You can cancel or restore the touch screen feature as you need To lock the screen press the shuttle knob for 3 seconds and will appear at the bottom T...

Page 39: ...ion 1 is not set as off and Temp NIBP parameter lists and gas will not be displayed on the main screen The system will arrange the current displayed waveforms automatically to achieve an optimal display effect When associated parameters or waveforms are not displayed on the interface after a module is added please check Whether the lead cable cable sensor or external add in equipment has been well...

Page 40: ...mation Please refer to User Maintain in section 14 6 for detailed explanation 3 9 2 Screen Type Setup Select Main Menu System Screen Setup or press directly to enter the screen setup Select Interface Type Standard Minitrends BigNumerics OxyCRG View Other Bed 7 lead half and 7 lead full Please refer to User Interface in Chapter 5 for detailed information 3 9 3 Screen Brightness and Panel Backlight ...

Page 41: ...tup When a parameter in Alm Source is set up the QRS prompt sound volume will sound according to the rhythm of that parameter During SpO2 monitoring the system also adjust the QRS pulse sound frequency according to SpO2 Select the Audio Setup shortcut key and then select Pulse Volume 0 10 or select Main Menu Parameters ECG Setup Others QRS Volume 0 10 Select 0 to turn off the volume and 10 to turn...

Page 42: ...iguration information including the self defined configuration name and type in which the configuration type is identical to the animal type After filling in the information select Save to store the self defined configuration The stored configuration name in the system is presented as Name Animal Type Configuration For example if the self defined configuration name is ICU and the animal type is 20...

Page 43: ...cording to the following procedures Select Main Menu Defaults select the company configuration or user configuration according to the animal type select Resume and then select OK after the window is displayed to restore the selected default configuration model Attention Default configuration recovery may change all the current setups and layout ...

Page 44: ...Chapter 3 Basic Operation 32 User Manual of Veterinary Monitor The Blank Page ...

Page 45: ...system cannot detect when to alarm when ECG signals are too weak For non pacemaker animals Paced should be set to No Or the system cannot detect ventricular premature associated arrhythmias including PVCs counts 4 2 Quick Admit When you have no time to fill in the animal s detailed information in a special or urgent situation adopt the quick animal acceptance model The complete detailed informatio...

Page 46: ... file types are data files and Config Files users can select anyone of them or select all to export Note Do not power off when data importing exporting or it is may cause the data disorder even lost Because the system time is different between monitors and monitors Import animal data may be interleaved with native data on time 4 6 Central Monitoring System This series of monitors can be connected ...

Page 47: ...waveform regions For more detailed information about screen setup please refer to the Interface Setup section in 3 7 In the window Big Numerics Screen you can select the large font interface to highlight the needed parameters and waveforms Parameter Color Select Main Menu System Screen Setup or press the screen setup shortcut key to enter the interface Screen Setup In this window select Para Color...

Page 48: ... Config Interface Type Minitrends The short trend is displayed on the left of the waveform region and shows the trend of the parameter in the recent time period as shown in Figure 5 2 Figure 5 2 Minitrends Interface In each minitrends the parameter label is shown at the top the scale is shown on the left and the timescale is shown at the bottom as shown in Figure 5 3 Figure 5 3 Minitrends of Param...

Page 49: ...The big numerics interface is shown in Figure 5 4 Figure 5 4 BigNumerics Interface 5 5 OxyCRG Interface Select Screen Setup Screen Config Interface Type OxyCRG which is shown in Figure 5 5 Figure 5 5 OxyCRG Interface In this interface you may select the time range and RR Trend Resp Wave gram of the respiratory oxygenation gram as shown in Figure 5 6 ...

Page 50: ...w Other Bed which is shown in Figure 5 7 Figure 5 7 View Other Bed Interface Other Bed Set This series of monitors can select five monitors at most in the same network to form an Other Bed Set The realization of the set depends on that the monitor and other monitors that have the same group field in Local IP of Net Setup Select Setup in the View Other Bed window and an Other Bed Setup window will ...

Page 51: ... some of the physiological waveforms and parameter data of the other bed monitors 3 Other bed set column 4 Other bed information region displaying physiological and technical alarms Select this region to open Other Bed Alarm Information for observation of all alarm information of the other beds In addition you may select waveforms and parameters for observation according to need Select some wavefo...

Page 52: ...nt colors Red indicating a high level physiological or technical alarm for this series of monitors Yellow indicating a moderate or low level physiological or technical alarm for the monitor Blue indicating a low level technical alarm for the monitor Gray indicating an unsuccessful network connection or a standby state for the monitor By selecting a monitor in the other bed set column you can Obser...

Page 53: ...Lead Half Screen Select Screen Setup Screen Config Interface Type 7 Lead Half as shown in Figure 5 12 Figure 5 12 7 Lead Half Interface 5 9 7 Lead Full Screen Select Screen Setup Screen Config Interface Type 7 Lead Full as shown in 5 13 Figure 5 13 7 Lead Full Interface ...

Page 54: ...Chapter 5 User Interface 42 User Manual of Veterinary Monitor The Blank Page ...

Page 55: ...onductor these electrical changes will eventually spread to the body surface Given that a great number of electrical signals are generated by the heart at the same time they can be recorded as functions of time through electrodes that are placed on the surface of the chest or limbs and this recorded curve is called electrocardiogram ECG Electrocardiograph ECG is a representation of changes of bioe...

Page 56: ...ng continuous waveforms of his her cardio electric activities To this end normal connection of the cardio electric lead cables should be guaranteed in the interest of accurate measured values The animal cable is comprised of two parts The trunk is the connection with the monitor and lead equipment to animals Parameters displayed on the monitor include heart rate HR ST segment measured value and ar...

Page 57: ...skin Wash skin with soap and water ether and pure alcohols are not allowed because there may result in an increased impedance of skin Wipe dry skin to increase blood flow of the blood capillaries and then remove hair and oil from the skin 2 Place electrodes on the animal body If conductive paste free electrodes are used please put conductive paste onto the electrodes before placing 3 Connect elect...

Page 58: ...lower left abdomen RL lower right abdomen V the positions of V lead are shown as following Figure 6 3 Placement of 5 Lead Electrodes Attention Use of electrode patches by animals should be immediately discontinued if any skin allergy or irritation takes place and the use of electrode patches by animals having skin inflammatory disorders or infected skin is NOT allowed Electrode Placement for Surgi...

Page 59: ... Parameter Region and select Others Paced Warning When the animal is wearing a pacemaker Paced should be set to Yes if not set to No The paced pulse analysis function should be activated for pace making animals Otherwise the pace making pulses may be counted as normal QRS complexes resulting in abnormal HR computation 6 1 6 ECG Display The default interface of the monitor is 5 lead interface as sh...

Page 60: ...t cases numeric value of heart rate HR and pulse rate PR are the same The monitor can select either as its alarm source so that alarms of heart rate and pulse rate are given at the same time To reset alarm source select Alm Source in the menu ECG Setup HR PR and Auto HR Heart Rate as HR PR alarm source PR Pulse Rate as HR PR alarm source Auto when ECG measure is started and effective HR is obtaine...

Page 61: ...ble leads and re compute the heart rate Still when it is reconnected the now connected lead will be automatically restored to its original state 6 1 8 ST Analysis The ST analysis function is not suitable for 10 kg ST analysis can measure ST elevation or reduction on a given lead Unit of ST measured value mV or mm Meaning of ST measured value a positive number indicates an elevation while a negativ...

Page 62: ...ST Alarm Limit Setup Select Alarm Setup in the window ST Analysis and then set the alarm limits levels and records ST Waveform Review Select ST Waves Setup in the window ST Analysis and then set the lead for reviewing ST segment characteristic waveform When several ST waveform leads are selected waveforms will be stack displayed Determining ST Analysis Point ST measured value is the vertical drop ...

Page 63: ...n This series of monitors display arrhythmia rhythm state information including Asystole VT ventricular tachycardia Non Sustained VT Tachy tachycardia Brady bradycardia Vent Rhythm ventricular rhythm Bigeminy Trigeminy Irregular Rhythm SNR sinus rhythm Paced Rhythm and Unknown Rhythm The rhythm state information is displayed at the right side of the principal ECG waveform It is updated once every ...

Page 64: ... exceeds preset higher limit Run PVCs 2 More than 2 continuous PVCs in the last minute Couplet Paired PVCs detected in the last minute R on T R wave on T wave detected in the last minute Multiform Ventricular premature of 2 or more forms is detected in the last minute HeartBeat Pause Heart beat not detected when preset asystole threshold time has passed Missed Beats In case the heart rate is below...

Page 65: ... close attention to animal s clinical condition Arrhythmia Alarm Mode Setup Since arrhythmia alarm is instantaneous during arrhythmia analysis it is suggested that user select Latch Alarm for arrhythmia detections to prevent any possible failure to responding to arrhythmia information which could happen when Unlatch Alarm mode is selected You can set Latch Alarming in User Maintain Alarm Config Al...

Page 66: ...ven hide more serious conditions Therefore except for high level arrhythmia alarm this series of monitors will select three alarm links for mid low level arrhythmia alarm to arrange alarm priority PVC alarm link heart beat detection alarm link and heart rate alarm link as shown in Figure 6 12 Descriptions on alarm priorities in alarm link In a single alarm link alarm priority from top to bottom is...

Page 67: ...an set the forbid time in User Maintain Alarm Config 1st Forbid Time 2nd Forbid Time During the forbidden time of a mid low level alarm when a higher priority alarm is triggered the forbidden time of this alarm is instantly over and the system enters the forbidden time for higher priorities During the forbidden time of a mid low level alarm when a higher priority alarm not belonging to any alarm l...

Page 68: ...ge of ECG 1 or ECG 2 in the ECG Setup interface To reconnect the cables 6 2 Resp 6 2 1 Resp General Description This series of monitors measure respiration through the method of thoracic electrical bio impedance The size and shape of a breathing animal s thoracic cavity varies resulting in changes in impedance between the two electrodes placed on the animal s chest Thus the breathing rate can be c...

Page 69: ...est expansion to obtain optimal respiration waveforms In case a negative thoracic pressure is generated for some animals 10 kg in particular when their thoraxes are expanding laterally it is better to place the two respiration electrodes in the region between the right midaxillary line and left thorax where respiratory movement is more evident than other regions so as to obtain optimal respiratory...

Page 70: ...he respiratory waveforms Once determined the detection level will not automatically adapt to different depths of respiration Thus users are required to readjust the detection level to adapt to changes in the depths of respiration according to actual conditions Users can directly click and in the window to raise or lower the upper lower dotted lines if the touch screen function is configured When t...

Page 71: ...ed with oxygen the blood has a 97 SpO2 oxygen saturation and the reading of SpO2 values on the monitor is 97 SpO2 value represents a percentage of hemoglobin molecules that are formed into oxyhaemoglobin SpO2 plethysmography parameter can further provide pulse rate and plethysmography wave SpO2 plethysmography parameter measure works as follows Oxygen saturation is measured by pulsation oximetry T...

Page 72: ...d Parameter Display SpO2 Module 1 Pulse oximetry Wave Pleth an animal s pulse signal intensity has no influence on Pleth waveform amplitudes 2 Arterial oxygen saturation percentage of oxyhemoglobin in total hemoglobin 3 Dynamic plasma in direct proportion to pulse intensity 4 Pulse rate PR pulse rate measured every minute 5 blood oxygen unit Figure 6 22 SpO2 Waveform and Parameter Display Masimo S...

Page 73: ...placement will produce inaccurate measure Improper securing of blood oxygen sensor with adhesive tape will yield venous pulse which may cause inaccurate SpO2 measure Clear any ray barring obstacle along the light path Strong light beams and electromagnetic interference in the area and excessive amount or level of animal s activity may lead to wrong readings of the monitor When blood oxygen sensors...

Page 74: ...buzocaine and other drugs may cause severe measured deviation for pulse oximetry 4 Pulse oximetry only has referable significance to anemic anoxia and toxic anoxia because some severe anemian animals may still present relatively better pulse oximetry measured value 6 4 3 SpO2 Module The user can select and configure the SpO2 module as needed The monitor can support three types of SpO2 module SpO2 ...

Page 75: ...sponding SpO2 interface on the left panel of the monitor Please push or pull plug by using fingers to hold the plug head 2 Insert the forefinger or middle finger or ring finger of the subject into probe by referring to Figure 6 24 Figure 6 24 Diagram on Pulse Oximetry Probe and Finger Positions Attention Don t fold or twist the cables 6 4 5 SpO2 Setup Open the SpO2 Setup menu by Select Main Menu P...

Page 76: ...d by averaging data sampled within a given period of time A shorter averaged time represents a higher response speed of the monitor yet lower measuring accuracy when the animal s SpO2 values are changing Correspondingly a longer averaged time represents lower response time of the monitor yet higher measuring accuracy when the animal s SpO2 values are changing A relatively shorter averaged time is ...

Page 77: ...not to open the alarm record 6 4 6 Influencing Factors of Measure Animal s body movement Electromagnetic influence e g by NMR equipment Electro surgical equipment Existence of some dyes Outside optical radiation Improper placement of blood oxygen sensor or use of incorrect blood oxygen sensor Animal s shock anemia and low temperature 6 4 7 Masimo Information Masimo patent The monitor is protected ...

Page 78: ...ion method has different measuring definitions on the diastolic pressure mean pressure and systolic pressure from that of the Coriolis sound method The circuit of an oscillation measurer separates the cuff pressure and amplitude indicating changes of the cuff pressure with pulses and defines the blood pressure corresponding to the maximum cuff pressure amplitude as the mean pressure In this method...

Page 79: ...e g with the output values from invasive or non invasive simulators In addition the results on the high or low side should be statistically judged It is suggested that the medical workers who are more familiar with the Coriolis sound method measure make different physiological indexes for the oscillation method results 4 Researches show that the Coriolis sound method yields the most inaccurate res...

Page 80: ...ive any result after the first inflation when the blood pressure is elevated or the animal is changed this monitor will automatically regulate inflations and continue measuring until there are results produced but the measure should be conducted no more than 4 times 7 It should be guaranteed that correct animal categories are selected while measuring 10 20 kg and 10 kg Improper selections will pos...

Page 81: ...there are already special methods for recognizing and excluding occasional doubtful experimental data which will not be discussed here and doctors can exclude obviously unreasonable data by judging with their experience Many foreign documents have indicated that it is normal for occasional error of 1 33 kPa 10 mmHg in blood pressure measure 6 5 4 Measure Mode There are three measure modes Manual w...

Page 82: ...cting the cuff plug with the interface labeled NIBP on the monitor Please plug it in or out by using fingers to hold the plug head Explanation Blood pressure measurements determined with this device are equivalent to those obtained by an auscultatory method and intra arterial blood pressure measurement device within the limits prescribed by the IEC 60601 2 30 Selected using the invasive method val...

Page 83: ...n the first measure is done If the button NIBP is pressed during the idle time between automatic measures a manual measure will be conducted The monitor will continue automatic measures when the manual one is completed Press either the button NIBP on the front panel or Stop NIBP at any time the automatic measure is in process and the current NIBP measure will end but the system will continue its a...

Page 84: ...indow NIBP Setup and then set Cuff Pressure in the pop up menu for values for venipuncture pressure 2 Select Venipuncture 3 Puncture venous vessel and take blood samples 4 Select the NIBP button in the front panel or Stop All in the window NIBP Setup to deflate the cuff if it is not deflated the cuff will be automatically deflated when a preset period has elapsed The cuff inflation pressure and th...

Page 85: ...0 3 standard this leakage test method is only operable for user to conveniently detect whether leakage exists during NIBP inflation Warning NIBP leakage test should be conducted once every two years or when you find readings that are incorrect 6 5 9 NIBP Accuracy Test Pressure sensor checking procedures 1 Use a rigid container with a 500 ml 5 volume to replace the cuff 2 Connect a calibrated refer...

Page 86: ...nce with hospital s procedures or when you find readings are incorrect 6 6 Temp 6 6 1 General Description This series of monitors measure body temperature by means of a temperature sensor by the following two channels as Figure 6 34 shows Figure 6 34 Temp Sensor Socket The monitor supports coin shaped sensors body surface cylindrical sensors body cavity and disposable temperature sensors Body surf...

Page 87: ...mechanically damaged when tightened excessively Warning Before use please check whether the probe cables are undamaged When the temperature probe cable is pulled out of its jack the prompting message will be displayed on the screen that T1 T2 Module Disconnected and alarm sounds Body temperature measure checking should be conducted once every two years in accordance with hospital stipulated calibr...

Page 88: ...ct measure on blood pressure The arterial blood pressure and its changes are sent to the pressure induction surface of a pressure sensitive sensor through physiological saline filled conduits by means of the arterial cannula method then the arterial blood pressure signal is linearly converted by the pressure sensitive sensor into electrical signals which are then amplified and filtered via signal ...

Page 89: ...conduit are damped please stop using it and contact the provider of the invasive pressure sensor Attention Before monitoring please zero calibrate first Make sure that the pressure sensors are constantly leveled with the heart during monitoring Please continuously inject heparin saline to flush conduits to prevent them from being clogged and maintain the pressure measuring paths are smooth while c...

Page 90: ...ure 6 7 5 IBP Setup Select Main Menu Parameters Art Setup CVP Setup users can set pressure indicators in the setting menu as referred to Figure 6 39 and Figure 6 40 Figure 6 39 Art Setup Figure 6 40 CVP Setup Pressure Label Setup Select the IBP parameter region of the renaming indicator and open the setting menu then select Label and find appropriate indicator in this list Art Arterial Pressure PA...

Page 91: ...o calibrations for sensors by following the hospital s rules and regulations Zero calibration must be done in the following cases New sensors or sensor cables are used The monitor is restarted Reconnect the sensors cables and the monitor The pressure data of the monitor is suspicious in its accuracy Zero Calibration Procedures 1 Connect the pressure sensors sensor cables and the monitor as referre...

Page 92: ...ed air during the process of anaesthesia recovery and respiratory disease care It can be used in the OR ICU and general wards with the animals as the subject The mainstream CO2 module is often recommended to intubated animals or it can be done through the special mask while the sidestream CO2 module is for both intubated and non intubated animals It can be connected by using a three way connector ...

Page 93: ... the use protocol or contact the manufacturer Don t use the CO2 module when it is wet or there is condensation Readings will deviate if you do not allow a warm up period Extremely high or low CO2 concentration as a result of severe respiratory failure etc e g the EtCO2 is lower than 1 or higher than 10 may cause inaccurate measure Mobile and RF communication devices will affect measure and use of ...

Page 94: ...in Figure 6 44 Figure 6 44 Dewatering Bottle Attaching and Detaching Diagram 2 As shown in Figure 6 44 hold the two ends of dewatering bottle and gently pull the tube down to remove water 3 As shown in Figure 6 45 connect one end of the sampling tube with the dewatering bottle s threaded nipple and the other end with the breathing tube of the animal s breathing machine or anesthesia machine or wit...

Page 95: ...airway adapters for damage prior to use Do not use the CO2 airway adapters if they appear to be damaged or broken Replace the CO2 airway adapters if excessive secretions are observed If the CO2 waveform Capnogram appears abnormal inspect the CO2 airway adapters and replace if needed Monitor the CO2 waveform Capnogram for elevated baseline Elevated baseline can be caused by sensor or animal problem...

Page 96: ...fer to the following or contact manufacturer Table 6 4 Airway Adapter Type Airway Adapter Type ET Tube Diameter SPU 10 20 kg 20 kg 4 0 mm 20 kg Reusable 4 0 mm SPU 10kg 0 20 kg 4 0 mm 10 kg Reusable 4 0 mm SPU Single Animal Use 3 Attaching the airway adapter to the CAPNOSTAT 5 sensor Before attaching the airway adapter to the CAPNOSTAT 5 sensor verify that the airway adapter windows are clean and ...

Page 97: ...rs can set to suit the actual installed modules Figure 6 47 CO2 Setup Apnea Delay Set apnea delay time to trigger the monitor s alarm in case the animal s asphyxia time exceeds the preset values BTPS Compen The Main Stream CO2 sensors are built with heating elements to prevent water from condensing thus it is unnecessary to set temperature compensation when the Main Stream module is in use While f...

Page 98: ... different pump speeds for the Side Stream CO2 module Select Flow Rate 50 ml min 100 ml min and 150 ml min Warning The animal s capacity should be taken into account to select the pump speed suitable for the animal while setting the flow rate Wave Fill Select Wave Fill Off or On Set the areas below the CO2 waveforms to be displayed filled or not Scale Tune the scale on the waveforms and the wave a...

Page 99: ...ain Zero and CO2 Zero Progress is prompted on the screen 5 The prompting message disappears when the zero calibration is completed Attention The module must be zero calibrated when the system prompts that CO2 measure is over the time allowed The module should be zero calibrated regularly after a long use period Zero calibration must be performed by specialized technicians Warning Incorrect zero ca...

Page 100: ...on is conducted by users with the help of authorized technicians since incorrect calibration may yield incorrect results 6 8 7 Influencing Factors of Measure Leakage or internal leakage of sampled gases Mechanical impact Circulating pressure above 10 kPa 75 mmHg and 100 cmH2O and abnormal changes in airways Other interference sources 6 8 8 Faulty Handling Please conduct the following checks when t...

Page 101: ...ion of known volume and temperature is injected into the right atrium through the proximal port of a pulmonary artery PA catheter The cold injectable solution mixes with the blood in the right ventricle and the change in blood temperature is measured with a thermistor at the distal end of the catheter in the pulmonary artery The C O Cable Socket is shown as follows 6 9 2 Influencing Factors of Mea...

Page 102: ... of the animal s blood Inject solution rapidly and smoothly Inject solution when the expiration ends Wait before measurement until the blood temperature becomes stable Measurement Steps 1 Insert securely the C O cable into the C O cable socket on the monitor 2 Interconnect the C O module catheter and syringe as shown below 3 In Main Menu select Parameter and then access the C O Setup menu C O modu...

Page 103: ...accurate measurements a certain period of time should be allowed for the blood temperature to become stable before starting a new measurement To set the interval between two measurements in the C O Setup menu select Interval and enter an appropriate time period Every time when a measurement is completed the monitor will count down the time period and display prompt message of remaining time 4 In C...

Page 104: ...ecking under the measurement windows and the monitor will automatically calculate and display the averaged C O and C I If you perform more than six measurements the oldest output will be deleted and the new output will enter Before an injection turn off the stopcock to the PA catheter and turn on the stopcock to the injectable solution and then draw the injectable solution into the syringe When th...

Page 105: ...characteristics of gas to infrared The gases that can be measured by anesthetic gas module can absorb infrared light and each gas has its own absorption characteristics The gas is transferred to a sample chamber and the infrared filter selects the infrared light of a specific band to pass through the gas To measure several kinds of gases several infrared filters are required In a given volume the ...

Page 106: ...ration of an agent at sea level that in 50 percent of a tested population prevents gross muscular movement in response to a painful standardized stimulus The MAC value may be calculated and displayed by using end tidal Et gas concentrations according to the following formula Attention Above formula does not consider the altitude 6 10 4 Mainstream AG module Intended Use The IRMA main stream multi g...

Page 107: ...itch the power on 2 Snap the IRMA probe on top of a new IRMA airway adapter It will click into place when properly seated Figure 6 51 3 Depending on IRMA model perform the following IRMA AX IRMA CO2 Wait minimum 30 seconds Perform zeroing refer to section Zeroing Procedure Perform zeroing refer to section Zeroing Procedure if gas readings does not show 0 or if an unspecified accuracy message is di...

Page 108: ... of changing the adapter It allows free positioning of the IRMA probe as well Figure 6 55 8 Unless the IRMA probe is protected with an HME always position the IRMA probe with the status LED pointing upwards Figure 6 56 Placement of IRMA Probe When connecting IRMA probe to an infant animal circuit it is important to avoid a direct contact between the IRMA probe and the animal s body If for whatever...

Page 109: ...eroing If a ZERO_REQ alarm should appear directly after a Zeroing procedure the procedure has to be repeated Always perform a pre use check after Zeroing the probe IRMA CO2 Probes Zeroing needs to be performed ONLY when an offset in gas values is observed or when an unspecified accuracy message is displayed Allow 10 seconds for warm up of the IRMA CO2 probe after power on and after changing the IR...

Page 110: ...nd Attentions Warning The IRMA probe is intended for use by authorized and trained medical personnel only The IRMA probe must not be used with flammable anesthetic agents Disposable IRMA airway adapters shall not be reused Reuse of the single use adapter can cause cross infection Used airway adapters shall be disposed of in accordance with local regulations for medical waste Do not use the IRMA 20...

Page 111: ...ent U S federal law restricts this device to sale by or on the order of a physician The IRMA Airway Adapters are non sterile devices Do not autoclave the adapters as this will damage them 6 10 5 Sidestream AG module Intended Use The ISA product family consists of three types of sidestream gas analyzers ISA CO2 ISA AX and ISA OR which are intended to be connected to other medical host devices for m...

Page 112: ...e symbol Temperature limitation Pressure limitation Humidity limitation Do not re use Nomoline and nomoline airway adapter set are intended for single animal use Biohazardous waste Nomoline family sampling lines shall be disposed as biohazardous waste For EU only Waste Electrical and Electronic Equipment WEEE For EU only electrical and electric equipment shall be collected and recycled in accordan...

Page 113: ... these steps 1 Securely mount the ISA analyzer Figure 6 58 2 Connect the ISA analyzer interface cable to the host device 3 Connect a nomoline family sampling line to the ISA analyzer input connector Figure 6 59 4 Connect the gas sample exhaust port to a scavenging system or return the gas to the animal circuit to prevent pollution of the operation room when N2O and or anesthetic agents are being u...

Page 114: ...f it has decreased more there is a major leakage in the ISA unit or in the nomoline Do not operate the ISA if there is a major leakage in the unit Consumables For ordering information related to consumables delivered by PHASEIN refer to section A 2 Accessories AG sidestream Phasein Attention Using sample tubes or cannuals with larger inner diameter than 1 mm will increase ISA s total system respon...

Page 115: ...oing requires the presence of ambient air 21 O2 and 0 CO2 ensure that the ISA is placed in a well ventilated place Avoid breathing near the ISA sidestream gas analyzer before or during the zeroing procedure Alarms Also include an overview of the status indicated by the LEGI Table 6 7 Alarms Status Indication Status Steady green light System OK Blinking green light Zeroing in progress Steady blue l...

Page 116: ...tion of this equipment is allowed without authorization of the manufacturer If this equipment is modified appropriate inspection and testing must be conducted to ensure continued safe operation ISA sidestream gas analyzers are not designed for MRI environments During MRI scanning the host device must be placed outside the MRI suite Use of high frequency electrosurgical equipment in the vicinity of...

Page 117: ...ngly Operating Mode For detailed please refer to the content of 6 8 4 CO2 Setup Operate Mode O2 Compen Warning Please set O2 compensation to meet different actual conditions otherwise the measured results may deviated greatly and result in misdiagnosis 6 10 7 Replacing Anesthetic If the anesthetic used on the animal changes the mixing of the two gases can be detected by the module during the trans...

Page 118: ...a 75 mmHg 100 cmH2O Other sources of interference 6 10 9 Emissions Use an exhaust pipe and the vent on the module connected to the sample gas emissions to the waste processing system Warning Anesthetic to measure the use of anesthetics or recently used anesthetic animals the vent on the module must be connected to the exhaust gas treatment system anesthesia machine or ventilator to avoid medical p...

Page 119: ...l and technical alarms Attention Only the Mid and Low alarm levels are available for arrhythmia analysis except Asystole and VFib VTac ventricular fibrillation ventricular tachycardia 7 4 Alarm Mode Lighting Alarm Please refer to 2 3 1 for more details Audible Alarm Please refer to 7 6 10 for more details Parameter Flashing When a physiological parameter of the animal is alarmed the parameter in p...

Page 120: ...tion The monitor will provide alarms of the highest level in both lighting and sound when different levels of alarms are triggered at the same time 7 5 Alarm Setup Press the Alarm Setup shortcut key or select the Main Menu to enter the Alarm Setup window as shown in Figure 7 1 Figure 7 1 Alarm Setup Menu This window includes 1 Global Alarm 2 Parameter Alarm 3 ST Alarm 4 Arrhythmia Analysis and 5 A...

Page 121: ...Main Menu Alarm Setup or directly click the shortcut key Alarm Setup on the screen Select Global ST Alarm Delay Off 30s 45s 60s 75s 90s 105s 120s 135s 150s 165s and 180s Alarm Limit Display Setup Select Main Menu Alarm Setup or directly click the shortcut key Alarm Setup on the screen Select Global select Limit Display On or Off When On is selected the upper and lower limits of the parameter are d...

Page 122: ... Config and select Pause Time 60s 120s and 180s Alarm Mode Setup Enter Alarm Config and select Alarm Mode Unlatch and Latch Latch alarm alarm lasts until animal processing is done Unlatch alarm alarm ends and terminated by the system Silence Other Bed Setup Enter Alarm Config and select Silence Other Bed Off or On Parameter Flash Setup Enter Alarm Config and select PAR Flash Off or On Parameter is...

Page 123: ...rm Sound Setup Enter Alarm Config and select Alarm Sound ISO Mode 1 and Mode 2 The ISO mode is self definable when Mode 1 or Mode 2 is selected the Alarm Sound Interval is defaulted and cannot be reset ISO Mode High level alarm sound interval 0s 1s 5s 10s and 20s Mid level alarm sound interval 0s 1s 5s 10s and 20s Low level alarm sound interval 0s 1s 5s 10s and 20s Mode 1 System Default High level...

Page 124: ...rhythmia Analysis Setup and Arrhythmia Parameter Threshold Setup 7 7 2 Parameter Alarm Setup Select Main Menu Alarm Setup PAR Alarm and users can view and revise the warning On Off state warning upper and lower limits warning levels and alarm record On Off state of all parameters in the current measure Figure 7 4 Parameter Alarm Attention This alarm triggers the recorder to output the waveforms of...

Page 125: ... module can press the button PAUSE to make the system enter the Alarm Pause state 7 9 Alarm Silence Press the button SILENCE on the control panel then all alarms of the monitor currently in process can be silenced the audible alarm and the lighting is cleared while the alarm state symbol is displayed When a physiological alarm is silenced a is added in the front of the text message indicating that...

Page 126: ...Type View Other Bed 2 Select the button Setup in the View Other Bed window and set the Auto Alarm On in the pop up menu In case the other bed alarm automatic prompting function is set to On the monitor also provides prompting information in the Prompting Message Region as shown in Figure 7 4 when another bed monitor alarms but its observation interface is not started in another bed cluster establi...

Page 127: ... time scale where the freeze moment is marked 0s As waveform moves right the time scale will turn to 1s 2s 3s in order The time scale applies to all waveforms on the screen It can be viewed for at most 2 minutes and will not be stored when power is turned off Figure 8 2 Freeze Menu Review 8 2 Remove Freeze In freeze state the following operations can be done to remove freeze state Push the button ...

Page 128: ...igure8 4 shows Figure8 4 Graphic Trends Window 1 Event bar 2 Timer bar 3 Graphic Trends zone 4 Trend data zone 5 Cursor 6 Tool operating bar High level alarm event will be respectively marked on the event bar display in red Mid level and Low level alarm event is yellow and the manual event is green View Mode Select Time or Event to view graphic trends window Window Time Select WindTime you can set...

Page 129: ...ata zone displays the time corresponding to the current cursor and the trend data zone displays the parameter data at that moment They will change as the trend cursor moves Select or to browse last page s parameters or next page to display more parameter values Quick Search Select Quick Search and you can find Veterinary Monitoring Graphic trends information in the period of time Record Select Rec...

Page 130: ...and parameter alarm event When an event occur monitor will store the time the event occurs relative parameter values and relative waveform data 5 secs before or after the event occurs so that user can proceed with event review You can review at most the last 700 events with event review Moreover event review also has power down and store function Event Type Select Event and select the event type t...

Page 131: ...meter values Events List Display events in list mode View Mode Event Select or to browse the last event or the next event push or to browse the event that occurred first or occurred last Time Select or to browse the waveform 1 sec before or after a certain event push or to browse the waveform 5 secs before or after a certain event Gain Select 1 8 1 4 1 2 1 2 4 to change the gain of the ECG wavefor...

Page 132: ...cent NIBP data are located or the page with the first measured NIBP data is located NIBP list review supports at most display of 1000 groups of NIBP data Moreover NIBP list review has power down and store function Record Record NIBP data displayed in the record list Quick Search Select Quick Search and you can find Veterinary Monitoring Events information in the period of time 8 4 6 Long ECG Selec...

Page 133: ...ng zoom is not locked and the magnifying zoom button appears as You can browse 2 hours waveform data with browse button Select or to turn back or forward 1 line to view the ECG waveform select or to turn pages forward or backward to view ECG waveform select or to view the first or the last ECG waveform To lock the magnifying zoom push magnifying zoom button when it displays You can browse waveform...

Page 134: ...Chapter 8 Freeze and Review 122 User Manual of Veterinary Monitor The Blank Page ...

Page 135: ...rrectness of the input parameters and the suitability of the calculating results The company will not be responsible for any results that is caused by input and operation errors Explanation When using the soft keyboard to input parameters if the input values are beyond the effective scope WARNING appears and shows the effective input range The printing content of animal information in calculation ...

Page 136: ... dosages units system will be automatically adjust to input parameter values The calculating units of each kind of medications are as follows Drug A Drug B Drug C Aminophylline Dopamine Dobutamin Epinephrine Isuprel Lidocaine Nipride and Nitroglycerin with unit series g gram mg milligram mcg microgram Drug D Heparin Pitocin with unit series Unit one unit kU one thousand units MU one million units ...

Page 137: ...the recorder 9 3 Hemodynamic Calculation Select Main Menu Calculation Hemodynamic Calculation as figure 9 3 shows Figure 9 3 Hemodynamic Calculation In Input interface you can select Review View outputs and Calculate 9 3 1 Review Select Review enter Review interface which displays all the results as figure 9 4 shows Figure 9 4 Review interface In Review interface Select Original Calculate return t...

Page 138: ...utput values Select Unit display the unit of the output values Select Review enter Review interface Select View inputs enter Input interface Select Record print the current calculation The printing content includes name Gender No Bed No Height Weight Birthday Record Time and Hospital 9 4 Renal Function Calculation Oxygenation Calculation Ventilation Calculation Select Main Menu Calculation Renal F...

Page 139: ...ion of the arrow press down and you can open the recorder door Indicating Light On recording apparatus is in the normal functioning state Off recorder off Flashing recorder failure i e no paper 10 2 Record Setup Select Main Menu Record Setup as figure10 2 shows Figure 10 2 Record Setup Record Mode Setup Set Record Mode Manual Continuous Curve Setup This series of monitors recorder can print at mos...

Page 140: ...t the modes below to start recording Select PRINT button on the monitor panel or recording apparatus module to start real time recording Select Record button in the current window and start certain function related recording Recorder automatic recording start When the alarm switch of the parameters is set to on and the alarm recording setting is also on Once the parameter triggers an alarm it will...

Page 141: ...ter a long time using of the recorder there will be scraps of paper and impurities on the print head influencing the recording quality and the life of the print head and roller So when using user should clean the recorder regularly to make sure the print head is clean After turning off open the cartridge cover of the recording device and get out the recording paper wipe the surface of the print he...

Page 142: ...Chapter 10 Recording 130 User Manual of Veterinary Monitor The Blank Page ...

Page 143: ...hrough ports Select Main Menu System Output Setup as Figure 11 1 shows Figure11 1 Output Setup Select Analog Output Off or On Select Curve Select select the curve you want to output Attention Analog output function in clinical rarely used If you need more detailed information please contact with repair 11 4 Nurse Call System This series of monitors have nurse calling ports After connecting the mon...

Page 144: ...d visual alarm of the equipment with animals clinical manifestations and symptoms to serve as the main alarm message source that notifies the doctors and nurses about an alarm state 11 5 Defibrillation synchronization When detecting R wave the monitor will output a defib Syn pulse signal Defibrillator gets the defib Syn signal from the monitor and should discharge accordingly during the declining ...

Page 145: ... Event Setup select Trigger Manual Event and you can manually trigger a stored event Figure 11 3 Manual Event Setup Attention If the three curves in Curve Select are off at the same time it will not store any curve but still can store measured data 11 6 Defaults Figure 11 4 Resume Default Setup Refer to Chapter 3 10 5 11 7 System State Indicator Including AC DC power supply indicator there are ind...

Page 146: ... return to main screen and click Standby shortcut key select OK in the indicating information interface that has popped up then you can shift into standby mode In the standby mode push any button or click anywhere on the screen and you can end standby mode Select standby option in Animal Manage Discharge Animal menu you can also enter standby mode after the monitor executes discharge animals clear...

Page 147: ... is used up Life expectancy of a battery depends on how frequent and how long it is used For a properly maintained and stored lithium ion battery its life expectancy is about 3 years For more aggressive use models life expectancy can be less We recommend replacing lithium ion batteries every 3 years The operating time depends on the configuration and operation For example monitoring NIBP repeatedl...

Page 148: ... upper left insert the battery into the grove Take care to keep the contact in good condition If needed repeat the above procedure to change another battery Put the holding clamp back to the middle position and close the battery compartment Figure 12 1 Battery Installation Warning The diagram of Battery installation is as 12 inches monitor for example Handle the battery with care Please do not thr...

Page 149: ...or natural drying Attention If you are going to clean the touch screen during use please lock it first Warning Never wipe the monitor with abrasive materials Never immerse any part of the monitor in liquid or let any liquid leak into the casing Do not pour liquid onto the monitor or its accessories Do not leave any cleanser or disinfectant on the surface of any part of the monitor 13 2 Disinfectin...

Page 150: ...e for half a year the monitor should be thoroughly checked by a qualified technician to ensure that the equipment is working normally If you find that the monitor is slightly damaged during use or its functional display is incomplete or abnormal do not use the monitor on an animal Table 13 1 Maintenance Period Maintenance items Maintenance period years Check according to IEC 60601 1 2 NIBP calibra...

Page 151: ...ct Stop NIBP Overpressure Test or press NIBP key on the panel to manually stop the NIBP Overpressure Test Warning NIBP Overpressure Protection Test It should not exceed 300 mmHg 39 9 kPa for the 20 kg and not exceed 150 mmHg 19 9 kPa for the 10 20 kg or 10 kg 14 4 NIBP Leakage Test Refer to 6 5 8 for details 14 5 User Maintain Select Main Menu Maintenance User Maintain Enter the user maintain pass...

Page 152: ...k at the center point of in sequence to make calibrations After the calibration is finished the monitor will display the prompt press Retry to calibrate again Press OK to save the new touch screen parameters and exit Press Cancel to cancel the saving of new parameters and exit The user may select as needed Maintenance of CO2 Module Refer to 6 8 5 and 6 8 6 for details Other Setup Notch Filter 50Hz...

Page 153: ...he ECG lead is inserted no matter if the Auto Screen Layout is set to On or Off 14 6 Demo Model Select Main Menu Maintenance Demonstrate Input the demo password to enter the demo mode Attention The demo mode is used for factory demonstration or hospital training purposes This function is provided with password protection During demonstration all waveforms and data are virtual and some menus and fu...

Page 154: ...Chapter 14 Maintenance 142 User Manual of Veterinary Monitor The Blank Page ...

Page 155: ...od condition and if it has good contact with the monitor and the power socket If DC power is used check if the battery is correctly inserted into the machine refer to Chapter 12 Battery Please use AC power if the battery power is low If the equipment still cannot be turned on after above procedures please contact the manufacturer 15 3 The Monitor cannot be Shut Down Normally with ON OFF Switch Kee...

Page 156: ...e that the connector is securely tightened or if there is hole in the tube or if the dewatering bottle is damaged or cracked For mainstream module check if the air tube is tightly connected to the main tube and if the sensor is clamped to the correct position on the air tube adapter When changing the adapter or a new animal please zero the scale before use refer to 6 8 6 If the problem remains ple...

Page 157: ...1 piece LNOP TF I 30 kg Forehead 1 piece SpO2 Nellcor Optional Dura Y D YS 10 kg Multi position 1 piece D YSE Ear clip 30 kg Multi position 1 piece D YSPD Pedicheck 10 20 kg clip 3 kg 40 kg Multi position 1 piece NIBP Cuff connection tube Hard pipe bright side 3m in length at both ends with metal gas line connection 1 piece Veterinary with a metal connector arm circumference 7cm 13cm surface witho...

Page 158: ...tream CO2WFA Optional Water trap 1 piece Sampling tube 1 piece Tee 1 piece Water trap clamp 1 piece AG Sidestream Phasein Sampling tube Nomoline without condensation Sampling tube 1 piece AG Mainstream Phasein Airway adapter Mainstream AG Airway adapter 1 piece Others Power cable V3203C V1625A 10A 250V power cable European 1 8m 2m black H05VV F 3G 0 75 AP24 AC24 According to customer requirements ...

Page 159: ...n Against hazards of Explosion Mode of Operation Main unit I Not marked Ordinary Not suitable Continuous ECG Resp Module NA CF IBP Module Optional NIBP Module Temp Module SpO2 Module CO2 Module Optional BF AG Module Optional ATTENTIONS I Class I Equipment BF Type BF applied part The symbol indicates the availability of defibrillation proof function CF Type CF applied part The symbol indicates the ...

Page 160: ...C Input Voltage 100 V 240 V Input Power 75 VA Frequency 50 Hz 60 Hz Allowable frequency error 1Hz Fuse 3 15A 250V Safety Classification Class I Type BF CF B 2 Physical Specifications Host 12 inches monitor 15 inches monitor Weight About 4 5 kg About 5 5 kg Size L W H 310 mm 163 mm 285 mm 370 mm 187 mm 313 mm B 3 Hardware Specifications Display Type TFT LCD Screen Dimensions 12 1 inches 12 inches m...

Page 161: ...ansmit all the Veterinary Monitored data to the central monitoring system USB USB disk supported For the manufacturer to upgrade and service the application software and export data Structurally 2 USB host interfaces supported VGA Supported for connection of external display Analog Output Port 1 piece It can be connected to oscilloscope for output of the analog signals Nurse Call System Interface ...

Page 162: ...oring Input Mode 3 Lead ECG input Optional 5 Lead ECG input Standard Lead Selection Ⅰ Ⅱ Ⅲ Optional Ⅰ Ⅱ Ⅲ aVR aVL aVF V Ⅰ Ⅱ Ⅲ aVR aVL aVF V1 V6 Optional Lead Standard AHA IEC Measuring Range of Heart Rate 20 kg 15 bpm 300 bpm 10 20 kg 15 bpm 350 bpm 10 kg 15 bpm 350 bpm Heart Rate Display Tolerance 1 or 1 bpm whichever is higher Sensitivity 1 25 mm mV 1 8 2 5 mm mV 1 4 5 0 mm mV 1 2 10 0 mm mV 1 20...

Page 163: ...apacity The monitor can inhibit the pacemaker pulse that conforms to the following conditions Pulse Amplitude 2 mV 100 mV Pulse Width 0 1 ms 2 ms Pulse Rise Time 10μs 100 μs Pacemaker pulse should be no overshoot Alarm Limit Specifications Range Upper Limit of ECG Heart Rate Alarm upper limit for 20 kg Lower limit 2 bpm 300 bpm Alarm upper limit for 10 20 kg Lower limit 2 bpm 350 bpm Alarm upper l...

Page 164: ...me Brady Non Sustained VT PVC Tachycardia Bradycardia VR ventricular rhythm V Bigeminy V Trigeminy Irr Rhythm PVCs min Run PVCs 2 Couplet R on T Multiform HeartBeat Pause Missed Beats b Pace making Pacemaker not captured PNC Pacemaker not paced PNP ST Interval Measuring Range 2 0 mV 2 0 mV Accuracy Measuring Tolerance measuring tolerance within 0 8 mV 0 8 mV is 0 02 mV or 10 whichever is higher It...

Page 165: ...e 1 of the setting Sensing element Optical power 15 mW Red light wavelength 658 nm 664 nm infrared light 897 nm 915 nm Information on the wavelength range is particularly useful for clinicians e g in optical dynamic therapy SpO2 Module Monitoring Parameters SpO2 and Pulse Rate PR Range 0 100 Resolution 1 Data update period 1 s Accuracy Within 70 100 the measuring tolerance is 2 Within 0 69 the mea...

Page 166: ...pm Alarm upper limit for 10 kg Lower limit 2 bpm 250 bpm PR Lower Limit Alarm lower limit for 20 kg 25 bpm Upper limit 2 bpm Alarm lower limit for 10 20 kg 25 bpm Upper limit 2 bpm Alarm lower limit for 10 kg 25 bpm Upper limit 2 bpm PR from SpO2 Module Range 30 bpm 250 bpm Resolution 1 bpm Measuring Tolerance 2 bpm Average Time 8 s PR from Masimo SpO2 Module Range 25 bpm 240 bpm Resolution 1 bpm ...

Page 167: ... in cuff exceeds 297 mmHg 39 5 kPa 3 mmHg 0 4 kPa the control valve shall relieve the pressure 10 20 kg state When the pressure in cuff exceeds 240 mmHg 31 9 kPa 3 mmHg 0 4 kPa the control valve shall relieve the pressure 10 kg state When the pressure in cuff exceeds 147 mmHg 19 6 kPa 3 mmHg 0 4 kPa the control valve shall relieve the pressure Alarm Limit Specifications Range Upper Limit of Systol...

Page 168: ...g Method Invasive direct measuring Volume displacement Abbott 0 04 mm 3 100mmHg IBP Measuring Range 50 mmHg 350 mmHg Resolution 1 mmHg Accuracy 2 or 1 mmHg whichever is higher exclusive of the sensor Updating Interval 1 s Alarm Limit Specifications Range Art P1 P2 Upper Limit of Systolic Blood Pressure Lower limit 2 mmHg 350 mmHg Lower limit 0 3 kPa 46 7 kPa Upper Limit of Mean Blood Pressure Uppe...

Page 169: ...mmHg Preheating time 10 s Report the concentration and reach the highest precision Total System Response Time 3 s use of 2m sampling tube Primary agent threshold ISA OR AX 0 15 vol When an agent is identified concentrations will be reported even below 0 15 vol Secondary agent threshold ISA OR AX 0 2 vol 10 of total agent concentration Airway Leakage 0 5 ml min Range of Breathing Rate 0 rpm 150 rpm...

Page 170: ...mHg FiCO2 Upper Limit 0 mmHg 99 mmHg awRR Upper Limit Lower limit 2 rpm 100 rpm awRR Lower Limit 0 rpm Upper limit 2 rpm Respironics Sidestream LoFlo Module Measuring Method Infrared Spectrum Method Measuring Mode Sidestream Preheating time Max length of waveform is 20s Full accuracy requirements satisfied after 2min environment temp 25 Range 0 19 7 0 mmHg 150 mmHg 0 kPa 20 kPa Resolution 0 1 mmHg...

Page 171: ...ability Short term drift 0 8 mmHg 0 1 kPa within 4h Long term drift accuracy maintained within 120h Rise Time 60 ms Unit selection mmHg kPa Operating temperature 0 45 32 113 Storage temperature 40 70 40 158 Operating humidity 10 90 non condensing Storage humidity 0 90 non condensing Storage atmospheric pressure 50 kPa 106 kPa 375 mmHg 795 mmHg Accuracy Environment Temp at 35 0 mmHg 40 mmHg 0 kPa 5...

Page 172: ...above Accuracy When 5 0 0 3 2 0 mmHg 0 27 kPa When 5 0 6 of the reading Range of Breathing Rate 3 rpm 150 rpm Accuracy of Breathing Rate 1 or 1 rpm whichever is higher Asphyxia Alarm Delay 30 s 35 s 40 s 45 s 50 s 55 s 60 s Automatic Pressure Compensation yes Alarm Limit Specifications Range EtCO2 Upper Limit Lower Limit 2 mmHg 99 mmHg EtCO2 Lower Limit 0 mmHg Upper Limit 2 mmHg FiCO2 Upper Limit ...

Page 173: ...team effect gases and steam Gas concentration Carbon dioxide IRMA CO2 OR IRMA AX OR Anesthetic gas Nitrous oxide N2O4 60 vol 1 2 1 2 1 1 Hal 4 4 1 1 1 1 Enf Iso Sev 4 5 Reading of 8 3 1 1 1 Des 4 15 Reading of 12 3 1 1 1 Xe Xenon 4 80 Reading of 10 3 1 1 He Helium 4 50 Reading of 6 3 1 1 Quantitative spray 4 Not for quantitative spray Ethanol 4 0 3 1 1 1 1 Isopropano 4 0 5 1 1 1 1 Acetone 4 1 1 1 ...

Page 174: ... 2 10 FiSev lower limit 0 upper limit 0 2 EtDes Upper Limit lower limit 0 2 22 EtDes lower limit 0 upper limit 0 2 FiDes Upper Limit lower limit 0 2 22 FiDes lower limit 0 upper limit 0 2 FiO2 Upper Limit lower limit 16 mmHg 760 mmHg lower limit 2 1 kPa 101 1 kPa FiO2 lower limit 137 mmHg upper limit 16 mmHg 18 3 kPa upper limit 2 1 kPa EtO2 Upper Limit lower limit 16 mmHg 760 mmHg lower limit 2 1...

Page 175: ...of ventricular tachycardia Extreme Tachycardia Heart rate exceeds extreme tachycardia threshold Extreme Bradycardia Heart rate lower than extreme bradycardia threshold Ventricular Rhythm Lead rhythm of the adjacent ventricular beat exceeding the number of idioventricular rhythm threshold and the heart rate is lower than VT rate Ventricular Bigeminy Rhythm N V N and V Ventricular Trigeminy Rhythm N...

Page 176: ...lead line and main cable is loosened Integrated display is used for showing all alarms so that the user may easily view all the information on a lead off Check the connection between electrode and animal as well as the connection between lead line and main cable NIBP Alarm Information Triggering Condition Treatment Measure NIBP Measure Timeout Failure occurs during measuring resulting in the syste...

Page 177: ...0 Check if the type of temperature probe is consistent with the setting of the monitor Check if the temperature probe is not well connected or damaged CO2 Alarm Information Triggering Condition Treatment Measure CO2 Sensor Off The CO2 sensor is not correctly connected Confirm that the CO2 sensor has been correctly connected CO2 Sensor Too Hot The CO2 sensor temperature is too high Check and stop u...

Page 178: ... Check the print paper and reinstall it Recorder Serial Error The recorder serial port communication has an error Clear the print task and restart the equipment Recorder Uninstall The recorder is improperly installed Check the recorder installation and restart the equipment Head of Print Hot The recorder has worked too long Clear the print task and output the records after the machine has cooled V...

Page 179: ... replacement is completed AG Sample Pipe Off AG sampling pipe off Check the airway and eliminate the blocking AG Need Oxygen Calibrate AG needs oxygen calibration Perform the calibration operation AG Need Oxygen Range Calibrate AG requires oxygen range calibration Perform the calibration operation AG Sensor Software Error AG module failure Remove and reinsert the module or restart the monitor AG M...

Page 180: ...Appendix C Alarm Information 168 User Manual of Veterinary Monitor The Blank Page ...

Page 181: ...ult Setup Global Alarm Volume 8 Alarm Delay 5 s ST Alarm Delay 30 s Limit Display On Alarm Config Pause Time 120 s Alarm Mode Unlatch Silence Other Bed On PAR Flash On Full Prohibiton Off 1st Forbid Time 3 min 2nd Forbid Time 10 min Fatal Arrh Off Disable MIN Alarm Volume 2 Reminder Tone On Reminder Volume 5 Reminder Interval 1 min Alarm Sound ISO Alarm H Interval 10 s Alarm M Interval 20 s Alarm ...

Page 182: ... 50 Mid On Off Art M mmHg 110 70 Mid On Off CVP M cmH2O 13 6 0 Mid On Off EtCO2 6 6 2 0 Mid On Off FiCO2 0 5 Mid On Off awRR rpm 30 8 Mid On Off EtCO2 AG 30 0 Mid On Off FiCO2 AG 30 Mid On Off awRR AG rpm 30 8 Mid On Off FiAA1 Mid Off Off EtAA1 Mid Off Off FiAA2 Mid Off Off EtAA2 Mid Off Off FiO2 100 18 2 Mid On Off EtO2 87 9 18 2 Mid On Off FiN2O 53 0 Mid On Off EtN2O 55 0 Mid On Off ST Alarm ST ...

Page 183: ...rt M mmHg 90 50 Mid On Off CVP M cmH2O 5 4 0 Mid On Off EtCO2 6 6 2 6 Mid On Off FiCO2 0 5 Mid On Off awRR rpm 30 8 Mid On Off EtCO2 AG 30 0 Mid On Off FiCO2 AG 30 Mid On Off awRR AG rpm 30 8 Mid On Off FiAA1 Mid Off Off EtAA1 Mid Off Off FiAA2 Mid Off Off EtAA2 Mid Off Off FiO2 100 18 2 Mid On Off EtO2 87 9 18 2 Mid On Off FiN2O 53 0 Mid On Off EtN2O 55 0 Mid On Off ST Alarm ST X mV 0 2 0 2 Mid O...

Page 184: ...0 55 Mid On Off Art D mmHg 60 20 Mid On Off Art M mmHg 70 35 Mid On Off CVP M cmH2O 5 4 0 Mid On Off EtCO2 5 9 3 9 Mid On Off FiCO2 0 5 Mid On Off awRR rpm 100 30 Mid On Off EtCO2 AG 30 0 Mid On Off FiCO2 AG 30 Mid On Off awRR AG rpm 100 30 Mid On Off FiAA1 Mid Off Off EtAA1 Mid Off Off FiAA2 Mid Off Off EtAA2 Mid Off Off FiO2 90 18 2 Mid On Off EtO2 87 9 18 2 Mid On Off FiN2O 53 0 Mid On Off EtN2...

Page 185: ... Default Setup Unit Setup Height cm Weight kg CO2 Blood Press mmHg CVP cmH2O Temp ST Voltage mV O2 kPa TB Show Unit Disable Other Setup Notch Filter 50 Hz ECG Off Level Low SpO2 Off Level Low Tone Modulation On While DC Fan On Record Bold Curve Off Curve Draw Ladder Wave Lines Thin Auto Screen Layout On D 6 ECG ECG Default Setup ECG Setup Filter Diagnose ECG1 Ⅱ ECG2 Ⅰ ECG Gain 1 Sweep 25 0 mm s Al...

Page 186: ...reme VT H 140 bpm Extreme VB L 30 bpm Arrhythmia Analysis Alarm On Off Alarm Level Alarm Record Asystole On High Off VFib VTac On High Off VTac On High Off VB On High Off Extreme Tachy Off Mid Off Extreme Brady Off Mid Off Non Sustained VT Off Mid Off VR Off Mid Off Run PVCs 2 Off Mid Off Couplet Off Mid Off R on T Off Mid Off V Bigeminy Off Mid Off V Trigeminy Off Mid Off PVCs min Off Mid Off Mul...

Page 187: ...Manual Interval 5 min Vein Puncture Pressure 20 kg 80 mmHg 10 6 kPa 10 20 kg 60 mmHg 8 0 kPa 10 kg 30 mmHg 4 0 kPa D 8 SpO2 SpO2 Setup Default Setup NIBP Simul Off Sweep 25 0 mm s PR Source Auto Alarm Source Auto Pulse Volume 6 Sensitivity Mid Normal Only for Masimo SpO2 Pump Show On Wave Fill Off Smart Tone Mode Off Only for Masimo SpO2 Fast SAT Mode Off Only for Masimo SpO2 SIQ View Off Only for...

Page 188: ... Channel 1 Setup Label Art Scale 0 140 Sweep 25 0 mm s Filter Normal Sensitivity Mid Channel 2 Setup Label CVP Scale 0 80 Sweep 25 0 mm s Filter Normal Sensitivity Mid D 11 CO2 CO2 Setup Default Setup Apnea Delay 30 s BTPS Compen Off O2 Compen 0 N2O Compen 0 Des Compen 0 Operate Mode Measure Flow Rate For sidestream only 50 ml min Wave Fill Off Scale 7 0 Sweep 12 5 mm s Pump Switch For sidestream ...

Page 189: ... Low 36 0 Comp Const 0 542 Auto TI Off Manual TI 0 0 Temp Unit Interval 30 D 13 AG AG Setup Default Setup AG Setup Apenea Delay 20 s Operating Mode Measure Pump Switch On O2 Compen 0 CO2 Wave Fill Off CO2 Scale Off AA Scale 7 0 N2O Scale 9 0 O2 Scale 50 0 Sweep 6 25 mm s D 14 PR Other Setup Default Setup PR Source Auto Alarm Source Auto Pulse Volume 6 ...

Page 190: ...15 Other Setup Other Setup Default Setup Output Setup Analog Output On Curve Select II Nurse Call Setup Nurse Call On Signal Type Pulse Low Trigger Alarm Level High Medium Low Trigger Type Physiology Technology Trigger Manual Storage Waveform Curve 1 I Curve 2 II Curve 3 Off ...

Page 191: ...he Veterinary Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Veterinary Monitor should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD EN 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood concret...

Page 192: ...ency of the transmitter Recommended separation distance P V d 5 3 1 P E d 5 3 1 80 MHz to 800 MHz P E d 7 1 800 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 b Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should...

Page 193: ...quipment and the Veterinary Monitor The Veterinary Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Veterinary Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Veterinary Monitor as recommen...

Page 194: ...Appendix E EMC Guidance and Manufacture s Declaration 182 User Manual of Veterinary Monitor The Blank Page ...

Page 195: ......

Page 196: ...Medical Equipment Co Ltd Address 16 1 Jinhui Road Jinsha Community Kengzi Sub District Pingshan New District 518122 Shenzhen PEOPLE S REPUBLIC OF CHINA Tel 86 755 33005899 Fax 86 755 27960643 Website http www biocare com cn ...

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Biocare iM 12, User Manual

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