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Datex-Ohmeda S/5 FM, User Manual

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Datex-Ohmeda S/5 FM User Manual Download Page 6

4 

 

4

Cautions 

A CAUTION indicates a situation in which the unit or 

devices connected to it may be damaged. 

• 

Leave space for circulation of air to prevent the monitor from 
overheating. 

• 

Do not store or use the monitor outside the temperature and 
humidity ranges specified in the "Performance" section of this 
manual.  

• 

After replacing a battery, always make sure to close the battery 
compartment by sliding the lid back to the right until it clicks. 

• 

Other transmitting radio devices using the same radio frequency 
band (Industrial Scientific and Medical 2.45 GHz band) may 
degrade or disturb the wireless network communication. 

Disposal 

• 

Dispose of the whole device or parts of it in accordance with local 
environmental and waste disposal regulations. 

Points to note 

• 

Medical electrical equipment needs special precautions 
regarding electromagnetic compatibility and needs to be 
installed and put into service according to the electromagnetic 
compatibility information provided in the "Technical Reference 
Manual" by qualified personnel. 

• 

Portable and mobile RF communications equipment can affect 
the medical electrical equipment.  

• 

The allowed cables, transducers and accessories for the system 
are listed in the “Supplies and Accessories” catalog delivered 
with the monitor.  

• 

The equipment is suitable for use in the presence of 
electrosurgery. Please notice the possible limitations in the 
parameter sections and in the "Safety precautions” section. 

• 

Service and reparations are allowed for authorized service 
personnel only. 

• 

CISPR classifications:  

- 

Group 1 contains all ISM (Industrial, scientific and medical) 

equipment in which there is intentionally generated and/or 
used conductively coupled radio-frequency energy which is 
necessary for the internal functioning of the equipment 
itself. 

- 

Class B equipment is suitable for use in domestic 

establishments and in establishments directly connected to 
a low voltage power supply network which supplies 
buildings used for domestic purposes.

Summary of Contents for S/5 FM

Page 1: ...S 5 FM User s Guide guide_FM_uusi pmd 03 04 2004 8 31 1 ...

Page 2: ...icensed medical practitioner Outside the USA check local laws for any restriction that may apply All specifications are subject to change without notice Document no M1017181 01 April 2004 Datex Ohmeda Inc Datex Ohmeda Division P O Box 7550 Instrumentarium Corporation Madison WI 53707 7550 USA P O Box 900 Tel 1 608 221 1551 FI 00031 DATEX OHMEDA FINLAND Fax 1 608 222 9147 Tel 358 10 39411 Fax 358 9...

Page 3: ...Wireless LAN Installation Guide Intended purpose Indications for use The Datex Ohmeda S 5 FM is intended for multiparameter patient monitoring The S 5 FM with L FICU03 or L FICU03A software is indicated for monitoring of hemodynamics including arrhythmia and ST segment analysis and respiratory status of all hospital patients Impedance respiration measurement is indicated for patients three years o...

Page 4: ...nce respiration 63 Temperature 64 Pulse oximetry 65 NIBP 67 Invasive blood pressure 69 Airway gas 73 Troubleshooting 75 Messages 77 Abbreviations 81 Performance 87 End User License Agreement 91 Warranty 92 Trademarks Datex Ohmeda and other trademarks S 5 D lite D lite Pedi lite Pedi lite Mini D fend D fend D fend OxyTip MemCard ComWheel EarSat FingerSat FlexSat PatientO2 Entropy Patient Spirometry...

Page 5: ...asive pressure transducers approved by Datex Ohmeda For a list of approved supplies and accessories see the Supplies and Accessories catalog delivered with the monitor Other cables batteries transducers and accessories may cause a safety hazard damage the equipment or the system result in increased emissions or decreased immunity of the equipment or system or interfere with the measurement Protect...

Page 6: ...put into service according to the electromagnetic compatibility information provided in the Technical Reference Manual by qualified personnel Portable and mobile RF communications equipment can affect the medical electrical equipment The allowed cables transducers and accessories for the system are listed in the Supplies and Accessories catalog delivered with the monitor The equipment is suitable ...

Page 7: ... mounting attached Lithium battery on CPU board follow the regional regulations for disposal Type BF IEC 60601 1 protection against electric shock Type BF IEC 60601 1 defibrillator proof protection against electric shock Type CF IEC 60601 1 protection against electric shock Type CF IEC 60601 1 defibrillator proof protection against electric shock When displayed in the upper left corner of the scre...

Page 8: ...Safety precautions ESD precautionary procedures in the User s Reference Manual for details Symbol for non ionizing electromagnetic radiation Interference may occur in the vicinity of equipment marked with this symbol SN S N Serial number Submenu Selecting a menu item with this symbol opens a new menu The monitor is connected to the Datex Ohmeda S 5 Network Local Area Network The monitor is connect...

Page 9: ...nts for the S 5 FM are Patient Side Modules E PSM and E PSMP Extension Modules N FREC N FCREC and N FC S 5 Wireless Network Option N FMW S 5 Remote Controller K CREMCO For details regarding modules see section Measurement modules The monitor provides places for one E PSM P and or one N Fx module The S 5 Network Option is always included Attaching and mounting the monitor The S 5 FM has various mou...

Page 10: ...sing the Data Card Use network for this purpose The Data Card is used for storing and transferring patient data from the S 5 FM The Menu Card is used for loading and storing hospital specific user modes Interfacing other devices External devices can be connected to the S 5 FM and the data they measure can be seen on the monitor screen For more information see section Interfacing external devices W...

Page 11: ...3 5 Side panel keys see page 12 6 The ComWheel 7 Command Board keys see page 10 8 Guide rail for GCX mounting 9 Mains power and battery LEDs see page 13 10 ON standby key 11 Connector for the Device Interfacing Solution marked with X6 12 Connector for defibrillator synchronization marked with X5 13 Measurement modules see page 15 14 Slot for Data Card or Menu Card ...

Page 12: ... marked with X4 3 Guide rail for GCX mounting 4 Receptacle for power cord 5 Fuse holder 6 Serial port marked with X9 7 Network ID connector marked with X8 8 Connector for K CREMCO marked with X7 9 Accessory multi I O adapter with connectors 6 8 above 10 Network connector 11 Equipotential connector ...

Page 13: ...ients and for activating the Lab Data and the Drug Calculator menu 5 For creating snapshots 6 For activating parameter specific menus NOTE All modules do not measure all of these parameters For more information see page 15 7 For returning the Normal Screen view to the screen 8 For activating pulse oximetry impedance respiration and temperature setup menus 9 For printing and recording different tre...

Page 14: ...ssure channels see page 69 NOTE Functional with the E PSMP module only For starting the NIBP autocycling see page 67 For starting or stopping the NIBP manual cycling see page 67 Silence Alarms Alarms Setup Zero ALL Start Cancel Invasive Pressures Recorder NIBP For starting or stopping local recording see page 39 NOTE Functional with the N FREC and N FCREC modules only ...

Page 15: ... powered Batteries are fully charged the size of the green bar indicates the charging level Green lit Orange dark A B Monitor is battery powered Battery A is empty battery B is ok Green lit Orange dark Monitor is battery powered Battery A failure battery B is ok Green lit Orange flashing B NOTE If both batteries fail the green battery LED is dark B Monitor is battery powered Battery A missing batt...

Page 16: ...nt located 2 Lift up the battery you want to change 3 Push in the new battery Make behind the transportation handle by sliding it to the left Check the indicators and messages on sure that the charging indicator screen to make sure that you change the is facing forward and push the battery with lower charge battery down all the way Check the monitor indicators see above CAUTION After replacing a b...

Page 17: ... PSM P module or one N Fx module or one of each See the following pictures and explanations for module features Patient Side Modules E PSM and E PSMP in the drawing 7 1 2 4 5 3 6 1 Module keys see below 2 NIBP connector 3 InvBP connector in E PSMP only 2 channel measurement 4 Temperature connector 2 channel measurement 5 SpO2connector 6 ECG 3 5 12 lead and impedance respiration connector 7 Tab for...

Page 18: ...In E PSMP only Zero P1 for zeroing pressure channel P1 Zero P2 for zeroing pressure channel P2 Module versions The Patient Side Modules have the following measurement capabilities E PSM Non invasive blood pressure Temperatures Pulse oximetry ECG and impedance respiration E PSMP in the drawing above Non invasive blood pressure Invasive blood pressures Temperatures Pulse oximetry ECG and impedance r...

Page 19: ...asurement in N FCREC and N FC 4 Water trap 5 Tab for removing the module 6 Sample gas inlet 7 Gas outlet Module versions The Extension Modules have the following measurement capabilities and features N FREC Built in strip chart recorder for local recording N FCREC in the drawing Built in strip chart recorder CO2 measurement N FC CO2 measurement ...

Page 20: ...ving a module 1 Pull the module outwards using the tab Make sure not to drop it when it comes out Using two modules To install an E PSM P and an N Fx module 1 Insert the N Fx module first as explained in section Inserting a module 2 Attach the E PSM P to the N Fx 2 1 WARNING When detaching modules be careful not to drop them Always support with one hand while pulling out with the other ...

Page 21: ...ode which is one of the user modes chosen during configuration The default modes are STEP DOWN ED PACU CCU NEURO and PEDIATRIC For more information about the default user modes see the Default Configuration Worksheet delivered with the monitor For more information about the installation settings and user modes see the User s Reference Manual Using pages Each user mode has six configurable pages Al...

Page 22: ...20 20 For your notes ...

Page 23: ...menu is 16 4 34 The default password for entering the Save Modes menu is 13 20 31 Interfacing 1 Press Monitor Setup and select Interfacing 2 Select the desired interfaced external devices Battery setup Through this menu you can check the battery status 1 Press the Monitor Setup key 2 Select Battery Setup Battery information is now available Setting time and date NOTE If the monitor is connected to...

Page 24: ...t YES to keep alarm messages on screen until Silence Alarms key is pressed Reminder Volume Adjust volume of audible alarm reminder tone Alarm Tones Select ISO 9703 2 standard tones or general tones Printer ECG Printout Type Select 2x6 25 2x6 50 or 3x4 25 Snapshot Printout Select 12 5 or 25 mm Printer Connection Select printer connection default None Paper Size Select A4 or Letter Monitor settings ...

Page 25: ... alarm limits and volume press the Alarms Setup side panel key For instructions see section Alarms 3 Confirm changes through Monitor Setup Install Service Save Modes Save You can save the changes also in other modes If you do not save the changes in the modes they are temporary and valid only until you discharge a patient or change the mode or until more than 15 minutes has elapsed from the turn o...

Page 26: ...veforms digits and trends 1 Select Monitor Setup Install Service Colors 2 Select colors for parameters Changing the recorder settings 1 Press Print Record 2 Select Record Waveforms and select the recorded waveforms delay paper speed and length and select if you wish to record waveforms on alarms 3 Select Record Trends and set the numerical trend resolution and trend type and select the graphical t...

Page 27: ...ay with the waveforms ST Trend or None Minitrend Length Select the length of the minitrend Changing the layout of other pages You can check the contents of the pages by pressing the Pages Views key To change the layout of the pages 1 Press Monitor Setup 2 Select Install Service Pages Setup 3 Select the page and make the changes Changing the display brightness 1 Press Monitor Setup and select Displ...

Page 28: ...nds Graphical Time Scale and the value Select Trends Graphical Trend Scales and adjust the scales Configuring snapshots To change the snapshot settings press Monitor Setup and select Install Service Trends Snapshot Snapshot Field 1 Field 6 Select to display waveform graphical trend or numerical trend Five fields can be displayed on screen and six fields can be printed Create on Alarms Select YES d...

Page 29: ...rding to the patient s clinical condition when you start monitoring a patient Starting monitoring 1 Prepare the patient connections according to the setup picture in the measurement section Use only Datex Ohmeda approved supplies and accessories see the Supplies and Accessories catalog delivered with the monitor The alarms and parameter default settings become active 2 If necessary adjust the wave...

Page 30: ...ntin Previous window Alarms are activated The previous data is retrieved and the monitor starts collecting new data NOTE Zero invasive pressure lines Ending monitoring 1 Print necessary data press the Print Record key 2 Wait until the printing is finished Then clear the patient data and return the settings including alarm limits to their defaults through Admit Discharge Discharge YES 3 Turn off th...

Page 31: ...hen loading trends of patient data without the patient s name or ID select the data according to time indicated in the message field Receiving data from other sites Once the monitor is connected to the Datex Ohmeda S 5 Network you can view and receive data from other monitors in the network 1 Press the Pt Data Trends key To receive alarms from other patient sites select Other Patients Receive Alar...

Page 32: ...30 30 For your notes ...

Page 33: ... Only time and date settings are stored permanently Modifying the screen permanently You can make permanent changes in the screen setup This is described briefly in the section Setting up the monitor before use For information on default configuration refer to the Default Configuration Worksheet Changing the split screen contents You can split the Normal Screen page into two parts The other half o...

Page 34: ... Waveforms are always evenly spread to fill the entire waveform area When 3 or fewer waveforms are displayed the waveforms are displayed in an enlarged format Selecting Combine Pressures displays invasive pressures in the same waveform field with the same zero line but with individual scales If 5 or 12 lead ECG is measured up to three different ECG leads can be displayed simultaneously in differen...

Page 35: ...he alarm LED indicators light up for a few seconds To check them see Cleaning and care Functioning of the alarms You can also check the functioning of the audio signal and alarm light through Alarms Setup Alarm Volume or Alarm Light When an alarm becomes active messages appear in the order of priority The alarming measurement value flashes and its background color indicates the alarm category see ...

Page 36: ...nel LED indicators Alarm light if enabled Red For life threatening situations Triple double beep every 5 seconds or continuous beep 5 red LED lit flashing red Yellow For serious but not life threatening problems Triple beep every 19 seconds or double beep every 5 seconds 19 5 5 yellow LED blinking flashing yellow White Advisory Single beep yellow LED lit dark ...

Page 37: ... Monitor Setup Install Service Installation Alarm Options Alarm Light When enabled it flashes red or yellow according to the currently active highest priority alarm To adjust the brightness of the light 1 Press the Alarms Setup key 2 Select Alarm Light and adjust with the ComWheel During adjustment the light is on to help you determine a suitable brightness level Changing source For NIBP P1 and P2...

Page 38: ...s the Silence Alarms side panel key during the silencing period The alarm sounds of new alarms are activated Silenced alarms are active after a two minute period Apnea alarm is activated after five breaths Silencing audible alarms permanently 1 Press the Alarms Setup side panel key and select Audio ON OFF 2 Select Silence Apnea Silence ECG Silence Apn ECG or Silence ALL If an active alarm is silen...

Page 39: ...erent parameters Five fields can be displayed and six fields can be printed Real time ECG waveform is always displayed at the top of each page The graphical trend time scale varies from 20 minutes to 72 hours and the resolution from 10 seconds to one minute With the 20 minute trend length the displayed time period is 30 minutes and the resolution 10 seconds With trend lengths from one to 72 hours ...

Page 40: ... can be defined separately for each arrhythmia alarm For more details see section ECG ST and section Setting up the monitor before use Snapshots are always taken automatically on Brady Tachy and Art sys dia mean high low alarms when they reach the red level if automatic snapshot creation is enabled see section Setting up the monitor before use Invasive pressure alarms reach the red level only when...

Page 41: ...rmal paper for the recorder NOTE Recordings on thermal paper may be destroyed when exposed to light heat alcohol etc Take a photocopy for your archives NOTE A vertical line in the printed trends means that the standby function of the monitor has been activated through menu selections Side panel key Starts and stops recording Starting and stopping the recording Use the side panel key to start and s...

Page 42: ...phical trends To print graphical trends 1 Press the Print Record key 2 Select Print Graphical Printing patient report 1 Press the Print Record key 2 Select Print Report Printing currently displayed screen contents You can print currently displayed trend data calculation trends ECG waveforms and calculations To print trend data Press the Pt Data Trends key and select Trends Graphical Snapshot Numer...

Page 43: ...b horizontal 1 Press the Print Record key 2 Select Record Trends Num Trend Type and Num or Tab Recording graphical trends 1 Press the Print Record key 2 Select Record Trends Record Graphical 3 You can stop recording by selecting Stop Graphical Trends are recorded for the time period that corresponds to the time scale of the graphical trends To choose the time scale 1 Press the Pt Data Trends key 2...

Page 44: ...ecording waveforms You can record three waveforms to a local recorder and two to four waveforms to a network recorder 1 Press the Print Record monitor key 2 Select Record Waveforms Record Wave 3 If the monitor is connected to the network you can also use the network recorder by selecting Record to Net The network recorder uses the settings of the S 5 iCentral 4 Stop recording by selecting Stop Wav...

Page 45: ...rature correction In the laboratory blood gas values are measured and calibrated at 37 C These values may need to be adjusted to the actual patient temperature since an increase or decrease in temperature changes the volume of dissolved gas PO2 PCO2 pH The monitor has three options for temperature correction To choose 1 Press the Pt Data Trends key and select Lab Data 2 Select Correct and one of t...

Page 46: ...es derived from them with the letter e Viewing calculations To view values of the three most recent calculations 1 Press the Wedge C O key 2 Select Calculations Hemodynamic Calcs or Oxygenation Calcs 3 Select Calc Trends If the patient demographics have been entered the monitor displays indexed values You can select the non indexed values with the ComWheel Recording calculations To record the curr...

Page 47: ...gh the Installation menu for more information see the User s Reference Manual NOTE The drug list can be saved to and loaded from the network or Menu Card with the modes However it is not mode dependent NOTE Infusion rate calculations may require the patient weight Enter it by selecting Demographics in the Drug Calcs menu Performing drug calculations 1 Press the Pt Data Trends key 2 Select Drug Cal...

Page 48: ...e Edit Values 4 Enter the data you have available for example the drug name and concentration by turning and pushing the ComWheel 5 The monitor calculates the infusion rate and the drip rate Printing or recording the titration table In some cases the titration table may be required near the patient You can print the table on the recorder in modules N FREC and N FCREC or on a laser printer The Calc...

Page 49: ...ence Manual and the Installation Guide provided with the interfacing module 1 Datex Ohmeda S 5 FM 2 Device specific interfacing module NOTE Only version 01 or later is compatible with the S 5 FM 3 Abbott Laboratories Q Vue monitor 4 AVL Opti CCA blood gas analyzer WARNING Connecting electrical equipment together or using the same extension cord for more than one device may cause their leakage curr...

Page 50: ...nt water from entering the module Checking the functioning of the S 5 DIS You can check the functioning of the S 5 DIS in two ways 1 Press the Monitor Setup key and select Interfacing Status Page The Status Page shows you the current communication status of the interfacing modules connected to the bus 1 4 pcs 2 Check the LED indicators on the interfacing module GREEN YELLOW INDICATION lit dark Phy...

Page 51: ...calibration see below Permitted detergents Permitted disinfectants DO NOT Datex Ohmeda Cleaning Fluid Other mild detergents Ethanol Isopropyl alcohol Chlorite compounds Glutaraldehyde Do not use hypochlorite acetone phenol or ammonia based cleaners Do not autoclave the device or its parts Do not immerse any part of the device in liquids or allow liquid to enter the interior Do not apply pressurize...

Page 52: ...life Condition a battery every six months or when the message Replace Battery A appears on the screen Always observe the messages and symbols on the screen to see the battery status You can also check the status through Monitor Setup Battery Setup For more information see sections Replacing the batteries Symbols and Messages Conditioning a battery is best done on an external charger To do this ple...

Page 53: ...e message No P1 transducer or No P2 transducer is displayed when the invasive pressure transducer or channel P1 P2 cable is disconnected NIBP Ensure that you are using correct cuff size and have selected correct inflation limits Check that the cuff hose detection Adult Infant works properly Check that the pump is not restarting in Venous Stasis mode If it does there may be a leakage in the cuff Ch...

Page 54: ...Ensure that the calibration gas and regulator are functioning properly before calibration Perform annual maintenance on the regulator as required NOTE Calibrate the N FCREC or N FC module with calibration gas 755580 only and set the O2 concentration to 20 1 Turn on the power Let the monitor warm up for 30 minutes 2 Attach a regulator to the calibration gas container 3 Attach a new sampling line to...

Page 55: ...Accessories catalog delivered with the monitor NOTE In 5 lead ECG place the 5th electrode C V in one of the six places indicated and select the corresponding V lead label In 12 lead ECG C V is the same as C1 V1 WARNING Vibrations during intrahospital transport may disturb ECG measurement 2 2 6 F GREEN IEC LL RED AAMI R RED IEC RA WHITE AAMI LEAD I LEA D III LEAD II L LA R RA F LL L YELLOW IEC LA B...

Page 56: ...w the clavicles in the infraclavicular fossae The lower limb leads are located just above the iliac crests The six precordial leads chest leads are positioned as follows V1 is placed in the fourth intercostal space to the right of the sternum V2 is placed in the fourth intercostal space to the left of the sternum V3 is placed between V2 and V4 V4 is placed in the fifth intercostal space in the mid...

Page 57: ...lters high frequency artifacts but catches slow ST changes Monit filters high frequency artifacts and slow ST changes NOTE No ST analysis Diagn catches high frequency changes and slow ST changes Selecting the number of electrodes 1 Press the ECG key 2 Select ECG Setup 3 Select 5 lead Cable 3elect or 5elect With 12 lead ECG the electrode selection is automatic Selecting the user leads 1 Press the E...

Page 58: ...y and defibrillation However the ECG trace on the monitor screen may be disturbed during electrosurgery Displaying ECG grid To view the ECG waveforms over gridlines on the screen Press the ECG key and select ECG Setup Grid ON To view without gridlines select OFF Changing the HR source Press the ECG key and select ECG Setup HR Source AUTO selects the first available of ECG Art ABP and Pleth Beat so...

Page 59: ...equipment The disturbance of HF surgical equipment typically causes false positive pacer detection WARNING The impedance respiration measurement may cause rate changes in Minute Ventilation Rate Responsive Pacemakers Set the pacemaker rate responsive mode off or turn off the impedance respiration measurement on the monitor WARNING When using the electrosurgery unit ensure proper contact of the ESU...

Page 60: ...58 58 For your notes ...

Page 61: ...o confirm the changes and return to menu NOTE Alarm priorities can also be set using the S 5 iCentral if the iCentral configuration allows it Starting relearning manually When the patient s ECG pattern changes considerably the monitor should start relearning a new ECG pattern You can start relearning manually through ECG Relearn Start Selecting leads for the arrhythmia analysis When measuring 5 or...

Page 62: ...nt morphologies are detected R on T PVC Early PVC beat detected as a PVC and previous beat as not a PVC current RR interval is less than half of the previous RR interval Tachycardia HR over the HR alarm limit Ventricular bigeminy The following pattern is detected N V N V N V where N normal V PVC every other beat is a PVC Ventricular couplet Two consecutive ventricular beats preceded and followed b...

Page 63: ...ilter With Monit filter the ST analysis is not available ISO point is on the isoelectric line J point is the point on the ECG trace where the S wave transitions to the ST segment ST segment is the component of the ECG trace between the end of the QRS complex and the T wave ST View To get the ST View on screen 1 Press the ECG or Pages Views key 2 Select ST View ST number field with four ST values t...

Page 64: ... J point and ST point in milliseconds Studying ST Trends Press ECG or Pages Views and select ST View ST Trends QRS complexes and trends for the three user leads are displayed by default HR trend is also displayed To see complexes and trends for other leads select Leads and then User Lat Inf or Ant To check the saved average complex for the displayed leads select Cursor and move the trend cursor wi...

Page 65: ...limits closer to each other 1 Press the Others key 2 Select Resp Setup Detection Limit 3 Adjust the limits WARNING This device is not an apnea monitor system intended to alarm primarily upon the cessation of breathing In central apnea it indicates an alarm after a pre determined time since the last breath detection Do not attempt to use it for detecting obstructive or mixed apneas since respiratio...

Page 66: ...4 1 3 2 Changing temperature label 1 Press the Others key 2 Select Temp Setup T1 Label or T2 Label Changing temperature units You can select the temperature units to be either degrees Celsius or degrees Fahrenheit 1 Press the Others key and select Temp Setup 2 Select Unit and then C or F with the ComWheel Combining different temperatures The monitor displays the difference between different temper...

Page 67: ...monitor NOTE For each SpO2 accessory refer to the instructions for use in the accessory package for patient weight limits WARNING Allow sensor and cable to dry completely after cleaning Moisture and dirt on the connector can affect the measurement accuracy WARNING Vibrations during intrahospital transport may disturb SpO2 measurement OXY F UN OXY E UN OXY W UN OXY SE 3 OXY AP OXY AF 2 1 ...

Page 68: ...f use of alternate monitoring methods such as direct measurement of arterial oxyhemoglobin saturation SaO2 Displaying pulse rate The heart rate can originate from various sources Displaying the pulse rate measured with pulse oximetry 1 Press the Others key and select SpO2 Setup 2 Select HR Source Pleth Measurement limitations The pulse oximeter cannot distinguish between oxyhemoglobin and dyshemog...

Page 69: ...ee the Supplies and Accessories catalog delivered with the monitor WARNING Vibrations during intrahospital transport may disturb NIBP measurement WARNING Non invasive blood pressure measurement is intended for patients weighing over 5 kg 11 lb INDEX LINE Over brachial artery 3 Use smaller cuff Correct size Use larger cuff 2 1 ...

Page 70: ...f time Make sure that tubes are not bent pressed or stretched Measurement may be impaired Blood pressure values may be affected by a change in the patient s position NOTE When 30 minutes has passed from the latest NIBP measurement the numeric value turns gray NOTE The presence of some arrhythmias during NIBP measurement may increase the time required for the measurement For details about the test ...

Page 71: ...tor up to two pressure channels with the E PSMP module by using a dual cable NOTE For a comprehensive list of sensors and accessories see the Supplies and Accessories catalog delivered with the monitor NOTE Invasive pressures need to be zeroed after reconnecting the pressure transducer or cable and whenever patient s position is changed If all channels have not been zeroed the message InvBP s not ...

Page 72: ...ght atrium Zero the transducer and pressures whenever the patient s position is changed Open the line to the patient Labeling channels The label of the pressure channel sets its display scale color filter alarm source and alarm limits The label descriptions are preconfigured To change the label 1 Press the Invasive Pressures key 2 Select P1 Setup Label Factory default descriptions The channels hav...

Page 73: ...r across the pressure waveform you can get accurate pressure values at selected points This may be useful for example if the patient s breathing pattern is irregular The cursor is not available for pressures shown with a combined scale 1 Press the Invasive Pressures key 2 Select P1 Setup P1 Cursor 3 Move the cursor up or down by turning the ComWheel Every time the cursor is moved the time hours an...

Page 74: ...g PCWP To manually adjust the wedge pressure level 1 In the Wedge menu turn the ComWheel to move the cursor to a point that represents the true PCWP level 2 Push the ComWheel and select Confirm Canceling the PCWP measurement In the Wedge menu select Cancel WARNING Vibrations during intrahospital transport may disturb InvBP measurement WARNING All invasive procedures involve risks to the patient Us...

Page 75: ... capability Gas sampling line Airway adapter with sampling line connector Water trap You get Carbon dioxide measurement EtCO2 FiCO2 capnogram Respiratory rate NOTE For a comprehensive list of accessories see the Supplies and Accessories catalog delivered with the monitor ...

Page 76: ...full Disconnect the airway adapter during nebulization of medications NOTE When the measured CO2 value is outside the specified measurement range the numeric value is gray Waveform scaling If EtCO2 is above 6 or the difference between FiO2 and EtO2 is above 6 change the scale for capnogram 1 Press the Airway Gas key 2 Select CO2 Setup 3 Select Scale Changing the units You can use kPa or mmHg as th...

Page 77: ... V6 Select the one with the largest amplitude to ECG2 After selecting the leads start relearning manually Batteries Battery operation time is markedly shortened Condition batteries see section Conditioning the batteries ECG ECG signal is noisy or no QRS is detected Ensure that the patient is not shivering Select the correct filter by pressing ECG and selecting ECG Setup Filter Check the electrode ...

Page 78: ... it Printing is not possible Printer selection is None change it through Print Record Printer Connection Printer is not connected to the network Check printer cable Monitor measurements printing recording Recording is not possible There is no N FREC or N FCREC module connected Connect an N FREC or N FCREC module Non invasive blood pressure NIBP measurement does not work or values seem unstable Che...

Page 79: ... detected for 20 seconds respiration or CO2 measurement Check the patient status Check the ventilator and breathing circuit Apnea deactivated Apnea alarm is silenced but will activate after five breaths If required turn on the alarms through Alarms Setup Audio ON OFF Activate Alarms Artifacts Patient movements shivering deep breathing arrhythmia or irregular beats may cause some measurements to fa...

Page 80: ...C module has been removed Reconnect the module if you want to restart the CO2 measurement Identical modules Another module measuring the same parameter is already installed in the system Remove the other module Note that you can only use one E PSM P and or one N Fx module at a time Infl limits Check setup NIBP Adult or child cuff is used but infant inflation limit is selected Check cuff and inflat...

Page 81: ...n removed Reconnect the module if you want to restart the measurement RAM error Memory checking failed Contact authorized service personnel Recorder module removed The N FREC or N FCREC module has been removed Reconnect the module if you need a recorder Replace Battery A Replace Battery B There is hardly any charge left in one of the batteries Also check the symbol on screen Replace the battery as...

Page 82: ...ssure is unstable at start of the NIBP measurement Calm the patient and retry Weak pulsation Difficult to measure NIBP because cuff position or attachment is not correct blood circulation is weak or abnormal heart rate is slow and it is associated with artifacts patient is moving there is an air leak Check the patient status Check the cuff position and attachment Check that the cuff is not damaged...

Page 83: ... BAEP brainstem auditory evoked potential Bal balance gas bar 1 atmosphere Beta BE beta frequency band Bigem bigeminy BIS bispectral index Blad bladder temperature Blood blood temperature C O measurement Body body temperature BP blood pressure Brady bradycardia BSA body surface area BSR burst suppression ratio B TO B beat to beat BTPS body temperature and pressure saturated gas c calculated derive...

Page 84: ...ot total energy expenditure elect electrode elev elevation EMC electromagnetic compatibility EMG electromyogram Enf enflurane Entr entropy EP evoked potential ESD electrostatic discharge Eso esophageal temperature ESV end systolic volume ESVI end systolic volume index ET Et end tidal concentration EtAA end tidal anesthetic agent EtBal end tidal balance gas EtCO2 end tidal carbon dioxide EtN2O end ...

Page 85: ...aboratory LAN local area network LAP left atrial pressure Lat lateral lb pound LCD liquid crystal display LCW left cardiac work LED light emitting diode LVEDP left ventricular end diastolic pressure LVEDV left ventricular end diastolic volume LVSW left ventricular stroke work LVSWI left ventricular stroke work index MAC minimum alveolar concentration Max maximum mbar millibar mcg microgram mean me...

Page 86: ...of carbon dioxide in the arteries PAO2 partial pressure of oxygen in the alveoli PaO2 partial pressure of oxygen in the arteries PAOP pulmonary artery occlusion pressure Paw airway pressure Pbaro barometric pressure PCWP pulmonary capillary wedge pressure PE polyethylene Pedi pediatric PEEP positive end expiratory pressure PEEPe extrinsic positive end expiratory pressure PEEPe i total positive end...

Page 87: ...SA sinoatrial SaO2 arterial oxygen saturation SD standard deviation SE state entropy SEF spectral edge frequency SEMG spontaneous electromyogram Sev sevoflurane SI stroke index Skin skin temperature SN S N serial number Spiro patient spirometry SpO2 oxygen saturation Spont spontaneous breathing SQI signal quality index SR sinus rhythm SR suppression ratio SSEP somatosensory evoked potentials ST si...

Page 88: ...s V ventricular V volume V Q ventilation perfusion ratio V0 5 volume expired during the first 0 5 seconds V1 0 volume expired during the first second VA alveolar ventilation VC vital capacity VCO2 carbon dioxide production Vd dead space Vd Vt dead space ventilation Vent Calcs ventilation calculations WLAN wireless local area network VO2 oxygen consumption VO2calc calculated oxygen consumption VO2I...

Page 89: ... requirements Wireless Network Option N FMW Type Built in transceiver and antenna Frequency range Worldwide product covering 2 4 to 2 5 GHz programmable for different country regulations Data rate 11 Mbps per channel max Output power 100 mW Data transmission IEEE 802 11b compliant Direct Sequence Spread Spectrum DSSS Security Wired Equivalent Privacy WEP 40 and 128 bit encryption Certificates Wi F...

Page 90: ...on power supply The average time and time range to alarm for tachycardia are as follows ANSI AAMI EC13 4 1 2 1 g Figure 4a halved amplitude 6 3 s 5 7 to 7 1 s Figure 4a normal amplitude 6 1 s 5 0 to 8 6 s Figure 4a doubled amplitude 4 8 s 4 7 to 5 1 s Figure 4b halved amplitude 5 7 s 5 2 to 6 4 s Figure 4b normal amplitude 6 6 s 5 1 to 8 7 s Figure 4b doubled amplitude 5 6 s 5 4 to 6 2 s The ECG m...

Page 91: ...oes not cause a burn hazard through the NIBP cuff because there is no electrical connection between the cuff and the NIBP measuring electronics NOTE NIBP measurement is intended for patients weighing over 5 kg 11 lb SpO2 2 Measurement and display range 0 to 100 Calibration range 70 to 100 Calibrated against functional oxygen saturation Measurement accuracy 5 SpO2 1SD 100 to 70 2 digits 3 digits du...

Page 92: ...tures Halothane 4 increases 0 3 vol Isoflurane 5 increases 0 4 vol Enflurane 5 increases 0 4 vol Desflurane 24 increases 1 2 vol Sevoflurane 6 increases 0 4 vol Helium 50 decreases 0 3 vol If O2 compensation is not activated O2 40 to 95 decreases 0 3 vol If O2 compensation is activated O2 40 to 95 error 0 15 vol If N2O compensation is not activated N2O 40 decreases 0 4 vol If N2O compensation is a...

Page 93: ...d You may not transfer assign rent lease sell or otherwise dispose of the software firmware or the products on a temporary basis 4 Copy Restrictions The software firmware and the accompanying written materials are copyrighted Unauthorized copying of the software including software that has been modified merged or included with other software or other written materials is expressly forbidden You ma...

Page 94: ...dance with written instructions provided by Datex Ohmeda or altered by anyone other than Datex Ohmeda or if the Product has been subject to abuse misuse negligence or accident Datex Ohmeda s sole and exclusive obligation and Buyer s sole and exclusive remedy under the above warranty is limited to repairing or replacing free of charge at Datex Ohmeda s option a Product which is telephonically repor...

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