Fukuda DYASCOPE 8000 Series Page 302 Operation Manual Download

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15-4

Chapter 15 Setup Item/Default Value

Parameter Setup



Multigas Concentration

Item

Description

Default

Setting at

Discharge

Scale

0-50, 0-100mmHg

0 to 50mmHg

Default

0-4, 0-8, 0-10kPa

0-4kPa

0-4, 0-8, 0-10%

0-4%

Scale

18-30, 18-60, 18-100, 0-30, 0-60, 0-100%

18-30%

Default

Agent Scale

0-4, 0-8, 0-16%

Default

AWP Scale

10, 20, 30, 50, 120cmH

50cmH

Default

AWF Scale

±5, ±10, ±20, ±50, ±180L/min

±50L/min

AWV Scale

50, 250, 500, 1000, 3000mL

500mL

Wave Clip

ON, OFF

No Change

Summary of Contents for DYASCOPE 8000 Series

Page 1: ......

Page 2: ......

Page 3: ...metry iv Bidirectional Wireless Communications Module TCON v Precautions when Using with Other Equipment vi Pacemaker vi Non Explosion Proof vii Defibrillator vii MRI Magnetic Resonance Imaging vii Precautions for Using the Equipment viii This System viii Wired Network System xii Wireless Network System xiii TCON System xiii RTC and Data Backup xiv Cables xiv Precautions about the Peripheral Devic...

Page 4: ...Configurations Central Monitor Display 3 8 Menu Configurations Individual Bed Display 3 9 Description of the Setup Window 3 9 Display on the Extended Display Unit and External Monitor 3 11 Chapter 4 Basic Operation Operation Procedure 4 1 Fixed Keys 4 1 Touch Key 4 1 Mouse Keyboard 4 2 Remote Control 4 3 Operation on the Home Display Individual Bed Display 4 4 To Change the Quantity of Displayed N...

Page 5: ... 4 To Change the Admit Date 6 7 EMR Link Function 6 7 Restrictions of EMR Link Function 6 8 Admit Discharge on the EMR 6 8 Data Transfer Function 6 9 When the Patient Temporarily Leaves the Bed 6 10 When the Patient is Transferring to Other Bed 6 11 When the Patient is Transferring to Other Bed When EMR Link Function is Used 6 12 Suspend Monitoring 6 13 To Suspend Monitoring 6 14 To Resume Monitor...

Page 6: ...7 18 All Beds Alarm Events 7 19 Event List 7 21 Alarm History 7 22 Displayed Items 7 22 Alarm History Setup and Printing 7 25 All Beds Nurse Call Setup 7 26 Chapter 8 Parameter Setup To Display Each Parameter Setup Screen 8 1 ECG 8 2 Arrhythmia Relearn 8 3 ST Setup 8 3 Size Lead 8 5 Detail Setup 8 6 RESP 8 11 Waveform Size 8 11 Common Setup Impedance Setup 8 12 NIBP 8 13 NIBP Periodic Measurement ...

Page 7: ...tion Setup 9 12 Recall Setup and Printing 9 13 Divider Function 9 15 Review Data Display for Discharged Patient 9 17 Review Data Display for Transferring Patient 9 18 Searching Displaying the Discharged Data 9 20 Alarm History 9 22 Chapter 10 Waveform Review ST Measurement 10 1 ST Measurement Display 10 1 Reference Waveform Setup 10 2 ST Alarm Setup 10 3 12 Lead Analysis 10 3 Displayed Items 10 3 ...

Page 8: ...g 12 10 Manual Printing 12 10 Alarm Printing Periodic Printing 12 12 Remote Printing 12 12 Review Data Printing 12 13 Measurement Status 12 14 Operation Procedure for HR 800 12 15 Paper Feed Stop Printing 12 15 Status Message 12 15 Laser Printer Operation 12 16 Status Message 12 16 Stacked Data 12 16 To Delete the Stacked Data 12 16 Chapter 13 Menu Items General Description of the Setup Menu 13 1 ...

Page 9: ...splay Configuration Setup 13 35 Tone Volume 13 36 Brightness 13 37 Monitor Suspend Setup 13 38 Nurse Team Setup 13 39 Chapter 14 Troubleshooting Message List 14 1 Messages Displayed inside the Numeric Data Box 14 8 Troubleshooting 14 12 Wired Network DS LANIII TCP IP Network 14 12 Telemetry TCON 14 12 Bed Register 14 14 Alarm 14 14 Display 14 15 General 14 16 Recorder Unit HR 800 14 17 Laser Print...

Page 10: ...mmon Setup 15 18 Chapter 16 Accessories Accessories 16 1 Optional Accessories 16 1 Chapter 17 Specification Specification Performance 17 1 Specification 17 1 Performance 17 2 Measurement Unit for Each Parameter 17 4 External Connection 17 6 RS 232C Connector Output Signal Serial Connector 17 6 Technical Information 17 6 Settings for Each Alarm System 17 6 Alarm Limit Range for Each Parameter 17 7 ...

Page 11: ... For Safe Operation of the Equipment i Intended Use of this Equipment i Copyright ii Maintenance Repair Replacement ii Contact ii About This Manual iii Expression Used in This Manual iii Composition of This Manual v System Construction and Installation vi ...

Page 12: ...Contents ...

Page 13: ...low the respective regulation to minimize the probability of accidents Intended Use of this Equipment This equipment is designed for the following Intended Use Intended Use This equipment is intended for monitoring one or more patients in ICU or nurse station in the ward by acquiring data from the bedside monitor through the network The patient data acquired on the central telemetry receiver can b...

Page 14: ...nance Repair Replacement Fukuda Denshi is liable for the safety reliability and performance of its equipment only if Maintenance modifications and repairs are carried out by authorized personnel or organization Components are used in accordance with Fukuda Denshi operating instructions A full technical description of the DS 8900 System is available from your local Fukuda Denshi sales representativ...

Page 15: ... Various network system such as wired and wireless network can be constructed with this equipment Some display and setups on this system are restricted depending on the system construction Type of Precaution Description DANGER Failure to follow this message may cause immediate threat of death or serious injury WARNING Failure to follow this message may result in death or serious injury CAUTION Fai...

Page 16: ... possible on this equipment LX LW Bed LW bed receiving data from the LX series transmitter HLX LW Bed LW bed receiving data from the HLX series transmitter LW T Bed Telemetry TCON Network Bed The monitoring data is transmitted to the telemetry receiver which is then transmitted to this equipment through the wired network DS LANIII Monitoring control such as NIBP measurement from this equipment is ...

Page 17: ...emodynamics calculation 12 Printing Printing functions on the printers 13 Menu Items Settings of the display configuration tone volume color etc 14 Troubleshooting Maintenance and troubleshooting 15 Setup Item Default Value Setup item and default value 16 Accessories List of accessories and optional accessories 17 Specification Specification and performance of the equipment Chapter Title Descripti...

Page 18: ...users should not attempt it The system construction and network setup of this equipment should be performed by our service representative or system administrator of your institution Maintenance Manual Installation of the Unit P1 1 Maintenance Manual System Construction P2 1 Verify that the initial settings are properly set before monitoring Maintenance Manual Initial Settings P7 1 ...

Page 19: ...llator vii MRI Magnetic Resonance Imaging vii Precautions for Using the Equipment viii This System viii Wired Network System xii Wireless Network System xiii TCON System xiii RTC and Data Backup xiv Cables xiv Precautions about the Peripheral Device Accessories Optional Accessories xiv Connection to Peripheral Device xiv Fuse xiv Accessories and Optional Accessories xv Recording Paper xv Precautio...

Page 20: ...Contents ...

Page 21: ...o not damage or erase the warning label attached to the equipment This warning label contains descriptions important for handling and operating the equipment properly and safely A damaged label may compromise safe operation DS 8900 Main Unit The warning label is attached to the rear side of the equipment Type of Precaution Description Indicates an imminently hazardous situation which if not avoide...

Page 22: ...ed in blue Failure to follow operating instructions could place the patient or operator at risk Follow operating instructions Information Indicates the need to refer to the related accompanying documents before operation General precaution Indicates the need for cautious use Electrostatic Sensitive Part Directly touching this connector part with hands should be avoided TCP IP Network Connector Con...

Page 23: ...onnection and polarity to ensure proper operation of the equipment Make sure the power system has adequate earth ground Ensure that all cables are firmly and safely connected Pay special attention when the equipment is used in conjunction with other equipment as it may cause erroneous diagnosis and danger Precautions During Using the Equipment Always observe the equipment and patient to ensure saf...

Page 24: ...subjected to extreme mechanical stress e g after a heavy fall When the equipment was subjected to liquid spill When the monitoring function is interrupted or disturbed When parts of the equipment enclosure are cracked removed or lost When any connector or cable shows signs of deterioration Precautions about the Network System Medical Telemetry Precautions about the Installation The medical institu...

Page 25: ... problems The Zone Manager and Overall Manager are to deal with the problem properly and or contact their nearest Fukuda Denshi representative for service Bidirectional Wireless Communications Module TCON Precautions about the Installation The medical institution hereinafter referred to as Institution must execute investigation required to prevent interference including types of radio waves freque...

Page 26: ...munication is poor as there are metal concrete or other such obstacles between the Bidirectional Wireless Communications Modules TCON When a different wireless device is using the same frequency channel When there are other TCON devices nearby using different channels groups When a cell telephone or other wireless device is being used nearby When citizens broadcast bands such as amateur radio or t...

Page 27: ... by the discharged energy When defibrillating make sure that the electrodes sensor cables or relay cables are firmly connected to the device Contacting the metal part of the disconnected cable may result in electrical shock from the discharged energy When defibrillating do not touch the patient and the metal part of the device or cables Electric shock may result from the discharged energy MRI Magn...

Page 28: ...acemaker use selection influences the precision of the QRS detection and arrhythmia analysis Make sure the correct selection is made The patient classification selection influences the precision of the QRS detection and NIBP measurement range Make sure the correct selection is made When Suspend is selected for Setup at Discharge Initial Settings User I F the monitoring on this equipment will not r...

Page 29: ...tor is required for that parameter When a parameter monitored on a bedside monitor or telemetry transmitter is in a connector off condition the numeric data and waveform for that parameter will not be displayed on the central monitor Also the alarm will not generate for that parameter Make sure that the connectors are securely connected If the parameter is not selected for the HR PR Alarm Source E...

Page 30: ... data Many of the Initial Settings items can be set only on the network administrating monitor Central ID 001 These settings will not be displayed on other central monitors Canceling the bed registration will clear all data for that bed The Drift Filter setting on the Initial Settings Meas Other should be the same for all central monitors Proper operation will not be performed if the setting is di...

Page 31: ...charged on the bedside monitor and vice versa For details of the bedside monitor type and software version refer to your nearest service representative When the discharge process is performed on the bedside monitor or other central monitors the monitoring on this equipment will not be suspended even if Suspend is selected for Setup at Discharge Initial Settings Display Print User I F When EMR link...

Page 32: ...ipment Pay attention not to allow chemical solution to enter the equipment or connectors Do not use organic solvents thinner toluene or benzene to avoid damaging the resin case Do not polish the equipment with abrasive or chemical cleaner When disinfecting the entire room using a spray solution pay close attention not to get any solution into the equipment or connectors Use only neutral detergent ...

Page 33: ...he channel label attached to the transmitter with a new one If the channel ID is changed without notifying it will result in monitoring an incorrect patient To avoid incorrect diagnosis make sure that the channel ID corresponds to the patient When using the wireless system and TCON at the same time the registered channel ID will be automatically assigned for the TCON bed Therefore if the same chan...

Page 34: ...tor and not on the cable itself For cable with a lock tab push the tab when disconnecting Pull the connector straight so the connector pins do not bend When attaching the cables to each other both connectors should be directly facing each other Precautions about the Peripheral Device Accessories Optional Accessories Connection to Peripheral Device To use the equipment safely and to ensure maximum ...

Page 35: ...t is shut off and avoid direct sunlight Do not leave the paper in a high temperature 50 C 122 F and above Do not store the paper in a polyvinyl chloride bag Do not superpose the papers until the diazo copy is completely dried Do not expose the paper to alcohol hydrochloric acid or ester ketone Avoid using adhesive agents other than water based glue Precautions about Disposing of the Equipment Acce...

Page 36: ...ring monitoring check the electromagnetic influence and take appropriate countermeasures The following are examples of the common cause and countermeasures Cellular Phone The radio wave may cause malfunction to the device Cellular phones and radio sets should be turned off in the room building where medical device is located Lightning A lightning nearby may induce excessive voltage to the equipmen...

Page 37: ...C Electromagnetic Compatibility When using this equipment verify that it is used within the environment specified below Compliance to the Electromagnetic Emissions The DS 8900 System is intended for use in the electromagnetic environment specified below The customer or the user of the DS 8900 System should assure that it is used in such an environment Guidance and Manufacturer s Declaration Electr...

Page 38: ...l or hospital environment Surge IEC 61000 4 5 1kV differential mode 2kV common mode 1kV differential mode 2kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycles 5 UT 95 dip in UT for 0 5 cycles Mains power quality should be ...

Page 39: ...rengths from fixed RF transmitters as determined by an electromagnetic site survey 1 should be less than the compliance level in each frequency range 2 Interference may occur in the vicinity of equipment marked with the following symbol Note 1 At 80MHz and 800MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic p...

Page 40: ... Power of Transmitter W Separation Distance according to Frequency of Transmitter m 150kHz to 80MHz d 1 2 80MHz to 800MHz d 1 2 800MHz to 2 5GHz d 2 3 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be determined using the equation applicable to t...

Page 41: ...th the Telemetry Channel Frequency Table in the transmitter operating manual The manufacturers installers and users of WMTS equipment are cautioned that operation of this equipment could result in harmful interference to other nearby medical devices Users are advised to periodically contact the FCC or specified frequency coordinator and determine if your transmitter frequencies may cause interfere...

Page 42: ... not cause harmful interference 2 This device must accept any interference received including interference that may cause undesired operation The responsible party for this device is Fukuda Denshi USA Inc 17725 C NE 65th Street Redmond WA 98052 Phone 425 881 7737 US Agent Changes or modification not approved by the responsible party for compliance of this device could void the user s authority to ...

Page 43: ...1 1 Chapter 1 General Description Contents Chapter 1 General Description General Description 1 1 Composition of the System 1 1 Features 1 1 Various Display Configuration 1 2 Operation Flow 1 3 ...

Page 44: ...1 2 Chapter 1 General Description Contents ...

Page 45: ...ay are just the same as those on the bedside monitor The operation is performed using the touch panel An alarm indicator is equipped which notifies the alarm with different flash patterns according to the priority level Connecting the optional mouse and keyboard allows mouse control of the touch panel keys and keyboard input The alarm sound can be silenced using the remote control optional By usin...

Page 46: ...to the left and right side of the screen The example shown on the left is 10 beds configuration with 8 beds displayed on the left and 2 beds displayed on the right Depending on the degree of severity of the patient the display can be freely customized Like the other central monitors of existing model the display configuration of all beds in equal size is also possible Same Display as the Bedside M...

Page 47: ...l display 5 Adjust the size scale baseline position of the waveform 6 Set the parameters 3Discharge the patient NOTE The short term backup battery used on this equipment needs to be periodically replaced every 3 years depending on the frequency of usage On the supplied Parts Replacement All Beds Alarm Settings All Beds Alarm Events All Beds Alarm Settings P7 9 All Beds Alarm Events P7 19 By making...

Page 48: ...1 4 Chapter 1 General Description Operation Flow Label write down the replacement period and label it on the main unit for indication of replacement period ...

Page 49: ...2 1 Chapter 2 Name of Parts and Their Functions Contents Chapter 2 Name of Parts and Their Functions ...

Page 50: ...2 2 Chapter 2 Name of Parts and Their Functions Contents ...

Page 51: ... data in various formats The operation can be performed using the touch panel 4 Power Supply LED Indicates the power supply status Lights when the AC power is supplied and main power switch is turned ON Green In normal operation Red Operation error Light OFF AC power is not supplied or main power supply switch is turned OFF 5 Alarm Silence Key Temporarily silences the alarm sound generated on all ...

Page 52: ...nnector COM1 to 4 Connects the specified equipment 2 Status Input Output Connector Status II Connects the specified equipment 3 Extended Display Unit Connector DISPLAY OUT Connects the Extended Display Unit LC 8026T 4 Serial Connector COM A Connects the specified extended display unit and performs serial communication 5 Extended Display Unit Connector VIDEO OUT A Connects the specified extended di...

Page 53: ...The DS LAN connector cannot connect to the DS LANII network Right Side 1 Serial Connector COM5 Connects the specified equipment 2 External Equipment Connector Connects the specified equipment 3 Battery Cover Stores the battery for the backup memory 1 2 3 ...

Page 54: ...2 4 Chapter 2 Name of Parts and Their Functions ...

Page 55: ...scription of the Home Display 3 2 Individual Bed Display 3 5 Description of the Individual Bed Display 3 5 Alarm Occurrence 3 7 Menu Screen 3 7 To Display the Menu 3 7 Menu Configurations Central Monitor Display 3 8 Menu Configurations Individual Bed Display 3 9 Description of the Setup Window 3 9 Display on the Extended Display Unit and External Monitor 3 11 ...

Page 56: ...3 2 Chapter 3 Description of the Display Contents ...

Page 57: ...onitor one patient specifically About the Home Display The home display is the basic display to monitor the patient The display can be configured according to the monitoring purpose The waveforms numeric data of up to 32 beds can be displayed By using the LC 8026T Extended Display Unit dual display monitoring is also possible A flexible display layout is possible which allows to set the display co...

Page 58: ...rea for Each Bed The information for each bed will be displayed Pressing this area will display the shortcut keys for each bed Room Bed ID Telemetry Transmitter Channel ID TCON Transmitter Type LX HLX TCON Signal Strength TCON Mark Nurse Call Mark Patient Name Bed Name Pacemaker Mark Sex Patient Type Adult Child Neonate and Icon Patient ID Max 20 characters Print Key Displayed only when printer is...

Page 59: ...n mark etc may be displayed Icons Displayed on Waveform Area Icon Description HLX Bed LX Bed Indicates that the HLX 561 or HLX 801 Telemetry Transmitter Module or LX series Telemetry Transmitter Module is used on the bedside monitor TCON Information Display Area P3 5 Indicates the signal strength of Bidirectional Wireless Communication Module TCON Nurse Call Nurse Call Setup P13 21 Indicates that ...

Page 60: ... Monitor Minimize Key To Minimize Restore the Window P4 7 Maximum of 8 windows on the central monitor display can be minimized The minimized window list will be displayed in dropdown list format 3 Recorder Unit Status Display Area Message List P14 1 The status of HR 800 Recorder Unit optional such as Recorder Busy Check Recorder will be displayed 4 Laser Printer Status Display Area The quantity of...

Page 61: ... be displayed can be set differently for each patient Display Configuration for Individual Bed P13 3 Description of the Individual Bed Display Other than waveforms and numeric data alarm message status message will be displayed The keys to control the individual bed display will be also displayed The items displayed on each area are explained below Area on the Individual Bed Display 1 Information ...

Page 62: ...Waveform Other than the waveforms parameter lead type waveform size scale are displayed Numeric Data The numeric data for the monitoring parameters are displayed Depending on the situation messages and icons Alarm OFF HR synchronization mark etc may be displayed The user keys can be assigned to the numeric data box User Key Area The control keys are displayed 1 Minimize Key To Minimize Restore the...

Page 63: ...arts of the display Alarm Function P7 1 Menu Screen To Display the Menu Each of the individual bed display and central monitor display has its own menu items The Menu keys are provided on each display Pressing the Menu key will display the menu items 1 Menu key on the central monitor display 2 Menu key on the individual bed display 2 1 ...

Page 64: ...Nurse Call Full Disclosure Waveform Data Server Waveform Parameter ON OFF Common Setup Menu Items P13 1 Display Configuration Tone Volume Brightness Monitor Suspend Nurse Team Initial Settings Maintenance Manual Initial Settings P7 1 Alarm Alarm Nurse Call Custom Measurement Unit Other User I F Display Print Admit User Key Operation Shortcut Key External Device Serial Communication Network Extende...

Page 65: ...l is expressed using the symbol This area also functions as keys making it possible to return from the lowermost to topmost window in a one touch operation 2 Tab Display Area These are the tabs to display the screens under the same menu level The screens under the same menu level can be switched by one touch operation of these tabs without returning to the main menu 3 Operation Guide Message 4 Pag...

Page 66: ... list will close when a selection has been made Pressing the item again or selecting a different item will also close the dropdown list Some menu may display a subwindow to perform the setup To close the subwindow press either the key Home or Prev Disp key Pressing the key with the icon will display another window To return to the original display press the key 9 Dropdown List Select one from the ...

Page 67: ...n be performed independently The mouse control on the main display unit and the extended display unit can be performed independently The alarm indicators on the display units will light independently CAUTION When 32 beds are displayed on the main display unit display on the extended display unit is not possible Slave Display On the slave monitor the same display of the main unit or extended unit c...

Page 68: ...3 12 Chapter 3 Description of the Display Display on the Extended Display Unit and External Monitor ...

Page 69: ... To Change the Quantity of Displayed Numeric Data 4 4 To Enlarge Reduce the Numeric Data Box Size 4 4 Optimizing the Displayed Beds on the Home Display 4 5 Short Cut Keys Display 4 5 Operation on the Window 4 6 Moving the Floating Window 4 6 Switching the Page Screen 4 6 To Minimize Restore the Window 4 7 Subwindow Display 4 8 Another Window Display 4 8 To Enter Characters 4 9 For Easier Use 4 10 ...

Page 70: ...4 2 Chapter 4 Basic Operation Contents ...

Page 71: ...ettings Alarm Alarm Silence key for the fixed key user key remote control unit will be disabled Maintenance Manual Alarm P7 2 Touch Key Operation can be performed by pressing the displayed keys CAUTION Always operate the touch panel with fingers or a touch panel pen Do not touch with a pen point or other hard edged instruments It may cause malfunction or damage the touch panel Do not apply pressur...

Page 72: ...use connected to the I O connector of the main unit can be selected Maintenance Manual Connecting the Mouse and Keyboard P1 5 Keyboard The keyboard can be used when entering patient information NOTE The keyboard operation is possible only when the alphanumeric keyboard is displayed patient name monitor suspend setup etc It is not possible for the display such as password entering window with only ...

Page 73: ...ey on the remote control unit will silence all the alarms generated on the displayed beds Pay attention not to miss any important alarms REFERENCE When Disable is set for All Beds Alarm Silence Key Initial Settings Alarm Alarm Silence key for the fixed key user key remote control unit will be disabled Maintenance Manual Alarm P7 2 1 Alarm Silence Silences the alarm sound for all the displayed beds...

Page 74: ...ntity key preassigned as user key Pressing this key will sequentially change the quantity of displayed numeric data To Enlarge Reduce the Numeric Data Box Size The numeric data box size can be enlarged reduced without changing the area size of all numeric data REFERENCE It is necessary to assign Zoom Numeric Data key as user key in advance Depending on the setting enlarging reducing the numeric da...

Page 75: ...y The beds discharged when Suspend is set for Setup at Discharge will not be displayed and the display area for the monitored beds will be enlarged to optimize the home display NOTE When ON is set for Optimize Displayed Beds PC communication function cannot be used The beds which will not be displayed when optimizing the display are the discharged beds when Suspend is set for Setup at Discharge un...

Page 76: ...display area Switching the Page Screen The keys used for displaying other page screen is explained below 1 Hierarchical Level Display The hierarchy level of the current window is displayed This area also functions as keys making it possible to return from the lowermost to topmost window in a one touch operation 2 Tab The menus belonging to the same hierarchy are displayed It can be switched from e...

Page 77: ...ze Restore the Window To temporarily display the home display during the setup press the Minimize key The current window will be minimized By pressing the minimized window the window will be redisplayed 1Press the Minimize key The window will be minimized 2Press the minimized window The original window will be displayed again NOTE Maximum of 8 windows can be minimized If exceeded the oldest window...

Page 78: ... the waveform size is shown as an example To close the subwindow press either the key Home or Prev Disp key Another Window Display Pressing the key with the icon will display another window or subwindow To return to the original display press To close the subwindow press Example of Subwindow Example of Another Window Display Arrhythmia Alarm Setup ...

Page 79: ...aracters is explained below using the example of patient admit menu Entering Alphanumeric Characters Enter alphabets numerics or symbols 1Press ABC or QWERTY to switch the displayed keyboard Enter the alphanumeric characters Entering Numerics Setup windows for age telemetry channel ID etc can enter only numerics In such case only numeric keys will be displayed Enter the numerics ...

Page 80: ...al bed display Maintenance Manual User Key P7 20 1 User Keys for Home Display 2 User Keys for Individual Bed Display 3 Numeric Data Area User Key By assigning the User Key to the user key area 2 pages of user keys can be registered Press the User Key to switch the pages The user key can be enlarged by using 2 display areas The user key can be also assigned to the numeric data area It is useful if ...

Page 81: ...5 1 Chapter 5 Preparation Contents Chapter 5 Preparation Turning ON OFF the Power 5 1 Installing the Recording Paper Optional 5 3 Daily Check 5 5 Nurse Call Daily Check 5 5 ...

Page 82: ...5 2 Chapter 5 Preparation Contents ...

Page 83: ...ystem construction Power Supply Cable CS 24 Recorder Unit HR 800 Extended Display Unit Slave Monitor Network System etc Maintenance Manual Installation of the Unit P1 1 Maintenance Manual System Construction P2 1 2Turn ON the main power supply switch The main power supply LED on the front side will light in green and the display will turn ON 3Adjust the angle of the display for optimum view NOTE W...

Page 84: ...ning the power OFF make sure that the CF card indicator is turned OFF If the power is turned OFF while the CF card indicator is ON it may result in data damage and equipment failure When unplugging the cables make sure to pull from the connector part of the cable and avoid applying excessive force Otherwise it may result in wire break or contact failure Keep the unit clean to ensure proper operati...

Page 85: ...w Store in a place where light is shut off and avoid direct sunlight Do not leave the paper in a high temperature 50 C 122 F and above Do not store the paper in a polyvinyl chloride bag Do not superpose the papers until the diazo copy is completely dried Do not expose the paper to alcohol hydrochloric acid or ester ketone Avoid using adhesive agents other than water based glue Installing the Recor...

Page 86: ... open 2Set the Paper The outside surface of the paper is heat sensitive Make sure to place the outside surface of the paper facing up NOTE Place the paper so that the FUKUDA DENSHI logo is outside and facing up 3Close the paper holder NOTE Push until it locks into place with a click sound ...

Page 87: ...rse call setup status for all the patients monitored on the DS 8900 system will be displayed The display can be switched between Displayed Bed and Registered Bed 2Check the nurse call connection status of each bed Press the check key 1 2 3 The displayed number 1 to 3 inside the check key indicates the urgency level The key will turn blue when pressed Nurse call will start The key will remain blue ...

Page 88: ...5 6 Chapter 5 Preparation Nurse Call Daily Check ...

Page 89: ...Admit Date 6 7 EMR Link Function 6 7 Restrictions of EMR Link Function 6 8 Admit Discharge on the EMR 6 8 Data Transfer Function 6 9 When the Patient Temporarily Leaves the Bed 6 10 When the Patient is Transferring to Other Bed 6 11 When the Patient is Transferring to Other Bed When EMR Link Function is Used 6 12 Suspend Monitoring 6 13 To Suspend Monitoring 6 14 To Resume Monitoring 6 15 To Resum...

Page 90: ...6 2 Chapter 6 Admit Discharge Contents ...

Page 91: ...is discharged delete the patient s monitoring data by performing the discharging procedure If monitoring of new patient is started without performing a discharge procedure of the previous patient new data will be added to the previous data which will result in inaccuracy If monitoring is suspended on the bedside monitor the data for that patient will not be transmitted to the central monitor When ...

Page 92: ...ation age will be displayed in days 4Height Weight BSA The BSA Body Surface Area will be automatically calculated from the height and weight 5Admit Date Time The patient s admit date time will be displayed The admit date time can be changed when a data server is used through the TCP IP network For data server setup Maintenance Manual Data Server P2 22 6Bed Name Select the bed name from the display...

Page 93: ...ngs Nurse Team Setup P13 39 11Pacemaker Select from Used Not Used WARNING The pacemaker use selection influences the precision of the QRS detection and arrhythmia analysis Make sure the correct selection is made When Used is selected the monitor will identify the pacemaker pulse and insert an artificial pulse onto the ECG waveform for easy identification When pacing waveform does not appear pacing...

Page 94: ...wly acquired information Discharge and admit as new patient Initializes the current patient data monitoring condition and admits the searched patient as new patient Cancel Cancels the acquired information NOTE The item not acquired from the magnetic card or barcode will be left blank For the blank item manually enter the information Entering the Patient Information P6 2 Entering Patient Informatio...

Page 95: ...to find patient information for the entered ID Time out Patient information could not be found When Using the Patient Data Server and Magnetic Card Reader or Barcode Reader 1Display the Admit Discharge menu 2Acquire the patient information The procedure differs depending on the ON OFF setting of Search Patient ID Linked to Magnetic Card Reader Barcode Reader for the patient data server setup When ...

Page 96: ...ata monitoring condition and admits the searched patient as new patient Cancel Cancels the acquired information When Using Only the Patient Data Server 1On the Admit Discharge menu press the key for ID The ID window will be displayed 2Use the touch keys or keyboard to enter the ID 3Press the Search ID key The searched patient data will be displayed in the New Information area 4Select from Change o...

Page 97: ...bers will be finalized EMR Link Function Using the EMR link function through the patient data server allows to perform the following operation When a patient is admitted on EMR the same patient will be admitted on the DS 8900 system When a patient is discharged on EMR this patient s information on the DS 8900 system will be initialized and allows discharge operation When a patient information is c...

Page 98: ...will start When EMR link function is used patient ID patient name and admit date from the EMR cannot be changed on the central monitor but other patient information can be manually changed Function Item EMR Link Function EMR Admitted EMR Discharged EMR Offline Admit Discharge ID No No Yes Search ID No No No Name No No Yes Discharge No Yes Yes Monitor Suspend Yes Yes Yes Admit Date Time No No Yes B...

Page 99: ...l Data Server P2 22 Multiple upload process cannot be performed simultaneously within one DS LAN network The data will be uploaded one at a time in the order of starting time of transfer CAUTION During transferring the patient do not discharge the patient on the transport monitor While uploading the review data Uploading will be displayed on the central monitor and Uploading Data will be displayed...

Page 100: ...ed The case when the host monitor is DS 8400 and the transport monitor is DS 8007 is explained below When Leaving the Bed 1Disconnect the transport monitor from the host monitor 2The monitor suspend confirmation window will be displayed on the host monitor 3If the patient is temporarily leaving select Monitor Suspend Item Graphic Trend Maximum 24 hours Tabular Trend Maximum 24 hours Recall Maximum...

Page 101: ...ge key When Transferred to the New Bed 1Connect the transport monitor to the host monitor 2The Patient Selection window will be displayed on the host monitor 3Select the patient of the transport monitor REFERENCE When Monitor Patient of This Equipment is selected the patient on the transport monitor will be discharged and the monitoring of the host monitor patient will start When Monitor New Patie...

Page 102: ...EMR When Leaving the Original Bed 1Disconnect the transport monitor from the host monitor 2The monitor suspend confirmation window will be displayed on the host monitor 3Select Monitor Suspend 4Discharge the patient through the EMR CAUTION Make sure to perform the discharge process after the transport monitor is disconnected Otherwise the patient information on the transport monitor will be cleare...

Page 103: ...he bedside monitor the monitor suspend resume operation will not synchronize between the bedside monitor and the central monitor Suspending resuming monitoring on the bedside monitor will not suspend resume monitoring on the central monitor Similarly suspending resuming monitoring on the central monitor will not suspend resume monitoring on the bedside monitor If monitoring is suspended on the bed...

Page 104: ... s Message and Monitor Suspend Time are ON The Monitor Suspend screen will be displayed 1 Select the label to be displayed during the monitoring suspended condition 2 Select the monitoring suspend duration from 15Min 30Min 1Hr 1 5Hr 2Hr Continuous will start to suspend monitoring without setting the duration Confirmation window to suspend monitoring will be displayed Pressing the Suspend key will ...

Page 105: ...e rounded up Ex When the elapsed time is 30 seconds it will be displayed as 0 01 If Monitor Suspend s Message is ON and Monitor Suspend Time is OFF The Suspend screen will be displayed 1 Select the monitor suspend s message A confirmation message will be displayed Pressing the Suspend key will suspend the monitoring The selected monitor suspend s message with the set color will be displayed on the...

Page 106: ...0 sec 30 sec 1 min 2 min 3 min 4 min 5 min NOTE When the Resume key is pressed during the auto resume duration the Resume key operation will be prioritized Condition to Automatically Resume Monitoring The monitoring will resume when the telemetry reception condition is good and either one of ECG RESP SpO2 SpO2 2 NIBP BP1 BP2 TEMP1 TEMP2 CO2 meets the specified condition Measurement Condition to Re...

Page 107: ...t information monitoring data monitoring condition will be cleared to prepare for monitoring the next patient The following data will be cleared after the discharge procedure Patient information entered during the admit procedure patient name pacemaker used not used etc Patient monitoring data trend data recall waveform etc Setup data changed during monitoring CAUTION Depending on the bedside moni...

Page 108: ...urement data of the previous and new patient will become mixed up on the recall and trend data When the discharge procedure is performed patient data such as recall and trend will be initialized The parameter and alarm will be reset according to the settings made under Menu Initial Settings Admit User I F Maintenance Manual Admit P7 16 1Press the Discharge key on the Admit Discharge screen The dis...

Page 109: ...f Alarm Settings 7 8 All Beds Alarm Settings 7 9 Alarm Occurrence 7 10 Alarm Suspend 7 13 Alarm Silence and Alarm Sound Suspend 7 13 Alarm Silence 7 13 Alarm Sound Suspend 7 15 Too Far Alarm 7 16 When the SpO2 Check Sensor Alarm Occurs 7 16 When the SpO2 Disconnected Alarm Occurs 7 17 ECG Alarm at Lead Off Condition 7 18 All Beds Alarm Events 7 19 Event List 7 21 Alarm History 7 22 Displayed Items...

Page 110: ...7 2 Chapter 7 Alarm Function Contents ...

Page 111: ...edside monitor type and software version the ventilator alarm factor may not be transmitted to the central monitor For details of the bedside monitor type and software version refer to your nearest service representative The alarm message for the arrhythmia alarm except Tachy Brady Ext Tachy Ext Brady will continue to be displayed for 30 seconds even after the alarm condition dissolves During arrh...

Page 112: ...alarms and arrhythmia alarms Arrhythmia Alarm Alarms based on arrhythmia analysis Ex Asystole VF Numeric Data Alarm Alarms based on numeric data ex Upper HR Lower BP1 Equipment Alarm Alarms based on measurement status Includes alarms of arrhythmia status measurement status external equipment Arrhythmia Status Arrhythmia analysis condition such as noise etc Ex ECG Low ECG Artifact Measurement Statu...

Page 113: ...ayed If more than one alarms generate at the same time the alarm messages will be displayed alternately in 2 seconds intervals In such case mark will be displayed on the right side of the message 2 Individual Bed Display Message Area The messages such as equipment alarm vital alarm external equipment alarm alarm silence alarm suspend etc will be displayed If more than one alarms generate at the sa...

Page 114: ...monitors contact your nearest representative Example If SpO2 is set as the HR PR alarm source on the bedside monitor HR alarm will be OFF on this equipment Even if alarm ON OFF setting or threshold is changed it will automatically turn OFF after 3 seconds CAUTION On a wired network DS LANIII the alarm generated on the bedside monitor will be transmitted to this equipment with maximum of 5 seconds ...

Page 115: ... to set the limits automatically REFERENCE For the alarm limit range for each parameter refer to Alarm Limit Range for Each Parameter P17 7 The set alarm limits on the DS 8900 System will be retained even after the power is turned OFF When the discharge operation is performed on the central monitor the alarm limits will be reset according to the settings made under Initial Settings User I F Admit ...

Page 116: ...rate NOTE Asystole VF VT alarm cannot be turned OFF HR Lower Limit for VT Run SVT On the Detail Setup for arrhythmia alarm HR lower limit for VT Run SVT can be set CAUTION The settings for the HR Lower Limit for VT HR Lower Limit for Run HR Lower Limit for SVT will be compared with the average HR of continuous VPC Therefore the displayed HR value at alarm generation may be lower than the settings ...

Page 117: ...using the arrhythmia learn function will recover the original accuracy Arrhythmia learning will be performed for about 20 beats for the normal ECG but it may take longer if the heartbeat is unstable During the arrhythmia learning procedure arrhythmia alarm other than Asystole VF Pause Tachy Brady Ext Tachy Ext Brady will not generate The arrhythmia learning can be performed from the ECG screen or ...

Page 118: ...or the bed which arrhythmia learning was not performed press again the Arrhythmia Relearn key on the central monitor user key area Asystole VF VT Alarm To not miss any life threatening alarm Asystole VF VT alarm cannot be turned OFF List of Alarm Settings The alarm settings can be verified in list format The alarm settings for each parameter can be changed on this list 1Press the Menu List Alarm k...

Page 119: ...window will be displayed Press to set the threshold level All Beds Alarm Settings The alarm settings for all beds can be verified in a list format Maximum of 8 beds 10 parameters can be displayed on one display 1Press the Menu All Beds Alarm Function keys The alarm settings for all beds will be displayed 4 5 6 7 2 3 ...

Page 120: ...which the nurse call is set to ON or OFF will be highlighted OFF The highlight display will be cancelled 6The currently displayed data will be printed on the laser printer NOTE If a laser printer is not connected Print key will not function 7Use the keys to change the displaying beds Alarm Occurrence When the measurement data exceeds the alarm limit or when arrhythmia is detected or when connectio...

Page 121: ...formed for the alarm generated during the standby state REFERENCE The alarm printing setup can be performed on the Print Settings Alarm Printing Setup P12 3 Storing the Alarm Factor as Recall Data At alarm generation the waveform or numeric data of the alarm factor can be stored as recall data and can be used for later review Recall P9 11 Nurse Call System By connecting the nurse call system to th...

Page 122: ...nding on the nurse call system condition For ExtSpO2 ExtSpO2 2 the nurse call notification will be according to the nurse call settings made for SpO2 SpO2 2 respectively HR ST1 ST2 BP1 to 8 NIBP SpO2 PR 1 RR Apnea EtCO2 InspCO2 T1 to T8 Asystole VF VT Slow VT Run Couplet Pause Bigeminy Trigeminy Frequent Tachy Brady Ext Tachy Ext Brady Triplet R on T Multiform Vent Rhythm SVT Irregular RR Prolonge...

Page 123: ...N when the suspended time completes 3To Turn ON the Alarm 1 Press the Alarm Suspend key while in alarm suspended condition The key will turn gray and the alarm suspend condition will be cancelled The set alarm limits for parameters and ON OFF will be enabled Alarm Silence and Alarm Sound Suspend There are two functions to suspend the alarm sound for fixed amount of time which are Alarm Silence and...

Page 124: ...dition the alarm silence duration for the first alarm will not be extended If another alarm with the same or higher level occurs during the alarm silence condition the alarm sound for the new alarm will occur Depending on the Alarm System setting under Initial Settings the alarm operation will differ as follows To Cancel the Alarm Silence Condition The alarm silence condition can be cancelled Pres...

Page 125: ...ce for a preprogrammed duration 1 2 5 10 30 60 90 120 240 360 min at a time such as during operation when the alarm generation is expected When the alarm sound is suspended on the bedside monitor connected by DS LAN III network the alarm sound will be also suspended on this equipment and Alarm Sound Suspended message will be displayed Even when the alarm sound is suspended alarm judgment message d...

Page 126: ... 5 sec to 60 sec alarm will generate again When the SpO2 Check Sensor Alarm Occurs For the telemetry and wired network bed SpO2 Check Sensor will be displayed when the SpO2 sensor is detached from the finger The displayed color of the message and alarm sound will be according to the alarm level setting Maintenance Manual Alarm P7 2 1To Silence the Alarm Press the event key or Individual Alarm Sile...

Page 127: ... be silenced for the preprogrammed duration Wired Network Bed The alarm will be canceled 2To Cancel the Alarm Open the SpO2 setup menu To Display Each Parameter Setup Screen P8 1 For SpO2 Disconnected press the Cancel key for 1 second SpO2 Disconnected message will disappear and alarm sound will cease 3After the alarm is canceled the alarm judgment will resume under the following condition When th...

Page 128: ...arm function during lead off condition the following setup can be performed on the Alarm Setup ON OFF of Alarm Judgment ON OFF of Lead OFF Message ON OFF of Alarm Printing Lead OFF Alarm Interval 5 30 60 sec WARNING If the Alarm Judgment for During Lead OFF is set to OFF HR alarm and arrhythmia alarm will not be generated at lead off condition If this condition is left unresolved a sudden change o...

Page 129: ...t Function keys The alarm events for all beds will be displayed The alarm event will be displayed with the color set at procedure 4 2Changing the time span scrolling the time displaying the latest data can be performed The upper row shows the time zone for the whole data The lower row shows the time zone for the displayed data 1 The time zone scale can be selected from 4h 8h 12h 16h 20h 24h 36h 48...

Page 130: ... to be displayed for each line 4 Maximum of 4 parameters per line can be selected 5 Select the display color for the selected events from 12 colors 6 Press the Change Name key to change the event group name 5Select the event to be displayed on the event list 1 Select the number of item to be displayed from 1 to 32 Use the keys to switch the display 2 Select the alarm event to display Use the keys ...

Page 131: ... the all beds alarm events screen The event list will be displayed To return to all beds event screen press the patient selection key again The key for the selected patient will be displayed in blue The generated alarm events are displayed in time bar format The displayed color is fixed 2Press the patient selection key for other patient The event list screen will switch to the list for the next se...

Page 132: ... change in alarm settings can be displayed Maximum of 5000 data per bed can be stored NOTE When the alarm history exceeds 5000 data the data will be deleted from the oldest one The alarm history data will be deleted when the power of the equipment has been turned OFF for more than 5 minutes Displayed Items Select a bed and press the Menu Alarm History Data Review on the individual bed display 1 8 ...

Page 133: ...may be also displayed In case of alarm setting change the changed value will be also displayed The control source of discharging the patient silencing the alarm etc will be displayed as follows From this equipment Manual Through the DS LAN III network DS LAN Through the TCON network TCON From the magnetic card reader barcode reader ID CARD From the ID search function ID SEARCH From the EMR link fu...

Page 134: ...ource Manual DS LAN TCON Alarm Silence Starting of Alarm Silence Control Source Manual DS LAN Alarm Suspend Starting of Alarm Suspend Control Source Manual DS LAN Canceling of Alarm Suspend Control Source Manual DS LAN Alarm Sound Suspend Time of alarm sound suspend start cancel Discharge Bed Transfer Exchange Control Source Manual DS LAN EMR etc Monitor Suspend Monitor Suspend Monitor Resume All ...

Page 135: ...e as follows 3Printing the Alarm History The currently displayed alarm history will be printed It can be output on the Recorder Unit HR 800 or the laser printer Output Printer Setup for Review Data Printing P12 9 4Displaying other review screens at the same time Common Operation P9 1 Alarm Type Events Numeric Data Numeric Data Alarm Arrhy Arrhythmia Alarm Equip Status Equipment Status Low Battery ...

Page 136: ...ients from This Display Other Display Nurse Team 3Alarm Items Select the displaying parameters from following Basic Circ Resp Gas Arrhy ST List Custom Other Alarm Level S to L 4Highlight Alarm ON Alarm OFF The parameter which the alarm is set to ON or OFF will be highlighted Nurse Call ON Nurse Call OFF The parameter which the nurse call is set to ON or OFF will be highlighted OFF The highlight di...

Page 137: ...mon Setup Impedance Setup 8 12 NIBP 8 13 NIBP Periodic Measurement 8 13 Detail Setup 8 14 BP 8 15 Scale 8 15 Label 8 16 Detail Setup 8 17 SpO2 8 18 Waveform Size 8 18 Label 8 18 Detail Setup 8 19 TEMP 8 19 CO2 8 20 Measurement Unit and Scale 8 20 GAS SPIRO 8 21 Scale 8 21 Detail Setup 8 22 Ventilator Data 8 23 Scale 8 23 SvO2 CCO Monitor Data 8 24 BIS Monitor Data 8 24 INVOS Monitor Data 8 24 Para...

Page 138: ...8 2 Chapter 8 Parameter Setup Contents ...

Page 139: ...ed display numeric data are displayed Each numeric data display area functions as a parameter key Pressing the parameter key will display the setup menu for the corresponding parameter 1Select the patient to perform the parameter setup by pressing the bed selection area The individual bed display for the selected patient will be displayed 2For example press the ECG parameter key area where HR data...

Page 140: ...ecover the original accuracy Arrhythmia Alarm Setup ON OFF of each arrhythmia alarm alarm limit Asystole Run Pause Frequent Ext Tachy Ext Brady R on T SVT Irregular RR S Frequent Pacer Not Capture Pacer Not Pacing ST Setup ST reference waveform reference point measurement point ON OFF of ST level alarm alarm limit HR Alarm ON OFF of HR alarm alarm limit Lead Size Size and lead of ECG waveform Deta...

Page 141: ...Reference Point Measurement Point Set the reference point and measurement point for the reference waveform 1Press the key for ST Setup on the ECG Setup screen The ST alarm setup screen will be displayed 2Update the ST reference waveform CAUTION If the lead is off the reference waveform cannot be set Check if the electrode is properly attached and perform the setup again 1 Press the Update Ref Wave...

Page 142: ...the T wave direction ST Level Alarm Setup The ST upper value and lower value compared with the reference waveform will be set 1Select the ST Setup screen 2Select ON OFF for ST All Alarm 3Select the lead to set the alarm limit The selected lead will be displayed large at the right For the lead not selected on the screen switch the page using 4Select ON OFF of alarm for the selected lead This setup ...

Page 143: ...G12 The Size screen will be displayed When the display layout is 12 Lead the waveform size can be set differently for limb leads and chest leads 2Select the waveform size for displaying and printing Auto ECG amplitude will be automatically adjusted to 10mm The automatic adjustment is effective only when the Auto key is pressed 3Use the keys to adjust the baseline position If the waveform is diffic...

Page 144: ...e leads with high QRS for ECG1 and ECG2 especially for arrhythmia detection The lead size selected for ECG1 or ECG2 links with the bedside monitor 1Press the key for ECG1 to ECG12 The Lead selection window will be displayed When the display layout is set to 12 Lead press the key of Arrhythmia to switch ECG1 and ECG2 2Select the ECG monitoring lead Detail Setup 2 1 2 ...

Page 145: ...be displayed The synchronized tone will be set to ON 3Pacemaker Used Pacemaker pulse will be detected and pace pulse mask function will be performed for set duration Not Used Pacemaker pulse will not be detected 4Pacemaker Pulse Pacemaker Pulse Detection Algorithm is as follows 1 ECG Signal Input ECG signal will be input 2 Pacemaker Pulse Detection and Suspension of QRS Detection Detects the high ...

Page 146: ...Mask Time WARNING If the QRS pace mask function is set to OFF 10ms 20ms 40ms the pace pulse may be erroneously be detected as a QRS complex and HR asystole alarms may not generate due to incorrect HR counting pace pulse as QRS complex Select OFF 10ms 20ms 40ms only if you are sure that pacing failure will not occur or when the patient can be constantly monitored REFERENCE For the patients using pa...

Page 147: ...her ECG1 or ECG2 with the larger amplitude NOTE This setting is available only for the telemetry beds LW bed LW T bed QRS may not be detected for ECG waveform with amplitude 0 3 mV or below When only one ECG waveform is measured QRS detection will be performed only for ECG1 regardless of the setting The QRS detection for the wired network bed BED will be according to the setting made on the bedsid...

Page 148: ...he data set on the bedside monitor will be displayed HLX bed will not be displayed 8AC Filter ON AC filter will be set If the ECG waveform is interfered with AC noise the AC filter cuts off the frequency component 50Hz 60Hz OFF AC filter will not be set NOTE The AC Filter can be set only for the telemetry beds LX patient on LW bed The AC filter frequency can be set by pressing the Menu Initial Set...

Page 149: ... will be displayed shown on right 2Select from 1 4 x1 2 x1 x2 x4 3Use the keys to adjust the baseline position REFERENCE If the waveform is difficult to see due to impedance waveform amplitude set the baseline position to 0Ω The baseline position for printing will not change Waveform Size Respiration waveform size RESP Alarm ON OFF of RR alarm alarm limit APNEA Alarm ON OFF of APNEA alarm alarm li...

Page 150: ...RR synchronized mark based on CO2 waveform will be displayed for only the wired network beds Vent RR alarm will be generated based on the RR measured by the ventilator Also the RR synchronized mark based on ventilator measurement will be displayed for only the wired network beds Impedance Setup 1CVA Detect ON When CVA is detected alarm will generate and message will be displayed OFF CVA detection ...

Page 151: ...rval Timer OFF 2When Interval is selected select the interval from 2min to 120min The measurement time will be integral multiple of the selected interval time starting from 0 minute Ex If the current time is 13 14 the measurement time will be as follows for each interval time 2 min 13 16 13 18 13 20 2 5 min 13 15 13 17 30 13 20 3 min 13 15 13 18 13 21 3When Timer is selected select the measurement...

Page 152: ...is made To perform correct NIBP measurement appropriate NIBP air hose corresponded to the set patient classification must be used However if the patient classification is child NIBP air hose for adult can be used 2PR Display ON PR will be displayed NOTE When the DS 8500 system bedside monitor is used PR will be displayed only It will not generate alarm or be displayed for the tabular trend functio...

Page 153: ...et the BP alarm refer to Chapter 7 Alarm Function Scale Select the full scale for displaying and printing The scale selection will differ depending on the label as shown below Scale BP waveform scale Label BP Label BP Alarm ON OFF of BP alarm Alarm limit for systolic S diastolic D mean M blood pressure BP Detail Setup Synchronized Mark Tone Display Type BP Label Scale 5 10 15 20 30 40 50 75 100 15...

Page 154: ...lic and mean pressure Note that Systolic Pressure SYS Peak Systolic Pressure PSP CAUTION Note that Systolic Pressure SYS Peak Systolic Pressure PSP when reviewing graphic trend data base or when setting the alarm When ECG is not measured PDP cannot be calculated When the BP Label is CVP The measurement unit can be selected from mmHg kPa cmH2O Initial Settings Measurement Unit The selected measurem...

Page 155: ...synchronized mark will be displayed OFF Synchronized mark will not be displayed NOTE If the corresponding BP BP1 ART is not measured PR BP will be displayed as 2Display Type The display type of BP numeric data S M D S D M can be set only on the bedside monitor The setting will be displayed on the central monitor S M D The systolic mean diastolic BP value will be displayed S D The systolic diastoli...

Page 156: ...et 1Press the key for Size The Size screen will be displayed 2Select from x1 4 x1 2 x1 x2 x4 Label SpO2 label cannot be changed on this equipment The label set on the bedside monitor will be displayed on the key for Label Waveform Size Pulse waveform size Label SpO2 Label SpO2 Alarm ON OFF of SpO2 alarm Ext SpO2 alarm PR alarm SpCO alarm SpMet alarm SpHb alarm alarm limit SpO2 Detail Setup Synchro...

Page 157: ...he PI Perfusion Index data can be selected TEMP This section explains the procedure for TEMP measurement condition setup For procedure to set the TEMP alarm refer to Chapter 7 Alarm Function TEMP label cannot be changed on this equipment The label set on the bedside monitor will be displayed on the key for Label Label TEMP Label Alarm ON OFF of TEMP alarm Tb alarm alarm limit ...

Page 158: ...t unit is changed make sure to set the alarm limit with the set unit Set the alarm for each measurement unit 1Select the unit from mmHg kPa The data of currently set measurement unit will be displayed on the graphic tabular trend 2Select the scale from 0 50 0 100 if the measurement unit is mmHg and from 0 4 0 8 0 10 if the unit is kPa or Unit CO2 measurement unit Scale CO2 waveform scale Alarm ON ...

Page 159: ...from 18 30 18 60 18 100 0 30 0 60 0 100 Agent Select from 0 4 0 8 0 16 For SPIRO the following scale can be set AWF Scale Select from 5 10 20 50 180 L min AWP Scale Select from 10 20 30 50 120 cmH2O AWV Scale Select from 50 250 500 1000 3000 mL CO2 Scale EtCO2 InspCO2 Alarm Detail Setup Wave Clip O2 Scale InspO2 ExpO2 Alarm Detail Setup Wave Clip N2O InspN2O ExpN2O Alarm Detail Setup Wave Clip Age...

Page 160: ...eded part can be selected ON The exceeded part of the waveform will be displayed in straight line at the upper or lower scale limit OFF The whole part of the waveform will be displayed even if it exceeds the scale However the exceeded part may not be displayed depending on the sweep speed of the waveform displayed above or below the gas waveform CO2 Setup O2 Setup N2O Setup Agent Setup ...

Page 161: ...e ventilator connected to the bedside monitor can be displayed on the DS 8900 System This section explains the setup procedure of AWP AWF AWV scale Scale 1AWF Scale Select the AWF Airway Flow scale from 5 10 20 50 180 L min 2AWP Scale Select the AWP Airway Pressure scale from 10 20 30 50 120 cmH2O 1 2 3 ...

Page 162: ...ndividual Bed Display Numeric Data Waveform P13 4 Display Configuration on the Home Display Numeric Data Waveform P13 30 There are no setup items for SvO2 CCO monitoring BIS Monitor Data The DS 8900 System can display the BIS monitor measurement data BIS SQI EMG SR There are no setup items for BIS monitoring INVOS Monitor Data The DS 8900 System can display the regional cerebral oxygen saturation ...

Page 163: ...r ON OFF screen will be displayed Parameter ON OFF key can be also assigned to the user key 2Press the Setup key for the bed to perform the setup and select ON OFF for each parameter When OFF is selected OFF will be displayed inside the numeric data box for corresponding parameter Pressing the numeric data box where OFF is displayed will display the Parameter ON OFF screen 2 ...

Page 164: ...8 26 Chapter 8 Parameter Setup Parameter ON OFF ...

Page 165: ...bular Trend 9 8 Displayed Items 9 8 Tabular Trend Setup and Printing 9 9 Parameter Selection for Tabular Trend 9 10 Recall 9 11 Displayed Items 9 11 Recall Condition Setup 9 12 Recall Setup and Printing 9 13 Divider Function 9 15 Review Data Display for Discharged Patient 9 17 Review Data Display for Transferring Patient 9 18 Searching Displaying the Discharged Data 9 20 Alarm History 9 22 ...

Page 166: ...9 2 Chapter 9 Data Review Contents ...

Page 167: ... be selected from 4h 8h 12h 16h 20h 24h 36h 48h 2 The time zone range can be changed 3 The time zone for the whole data is shown indicates the alarm occurrence point Pressing the time bar will display the data at pressed time 4 Indicates the displayed time range with the bar length Dragging the slider to the right will display newer data and dragging it to the left will display older data 5 The la...

Page 168: ...ed If less than 5 seconds it will be stored as 0 zero CAUTION When Check extended memory is displayed for the system status message internal 1 Time Bar Common Operation P9 1 2 Graph The graphic trend of 4 parameters can be displayed simultaneously The graph can be scrolled by dragging inside the graph 3 Parameter and Scale The parameters and scales of the graphic trend will be displayed 4 Alarm Ba...

Page 169: ...ds is displayed one mark will be displayed for the 12 minute 720 second data If the display resolution is higher than the minimum resolution of the data the same data is repeated to match the display resolution Refer to the following table for resolution The resolution will differ depending on the parameter Display Resolution Time Span Minimum Resolution Line Display Mark Display 10 sec Sample 30 ...

Page 170: ...window 1 Select the scale 2 Select the parameter to be displayed Changing the parameter will also change the parameter in the trend group 3 Select the display format 3Moving the Cursor The cursor position can be adjusted by using the keys The measurement data at the cursor point will be always displayed below will display the 10 minute trend data before and after the cursor position will return th...

Page 171: ... alarm bar Trend Parameters The displayed trend parameters will be selected Select All All parameters including arrhythmia will be selected Cancel All All selections will be cancelled Select All Arrhythmia All arrhythmia will be selected Each parameter key Each time the key is pressed selected unselected status will change 7Graphic Trend Printing To print the trend data press the Print key select ...

Page 172: ...1 to 8 TEMP 20 to 45 30 to 40 C 68 0 to 113 0 86 0 to 104 0 F Tb Blood Temperature Cardiac Output Measurement 20 to 45 30 to 40 C 68 0 to 113 0 86 0 to 104 0 F RR_IMP Impedance Respiration Rate 50 100 150 Bpm RR_GAS Gas Unit Respiration Rate 50 100 150 Bpm RR_VENT Ventilator Respiration Rate 50 100 150 Bpm APNEA Apnea Impedance CO2 Ventilator 15 30 s second EtCO2 InspCO2 Gas Unit CO2 Concentration...

Page 173: ...5 g dL PI 1 2 Perfusion Index 10 20 PI 1 2 Pleth Variability Index 30 60 100 ExpMV Expiratory Minute Ventilation Volume 6 0 12 0 20 0 L min PEAK Peak Airway Pressure 10 20 50 100 cmH2O PEEP Peak End Expiratory Pressure 10 20 50 100 cmH2O Lt rSO2 Regional Cerebral Oxygen Saturation 20 to 100 Rt rSO2 S1 rSO2 S2 rSO2 Parameter Details Scale Unit ...

Page 174: ...olor of BP1 S BP1 M BP1 D will be displayed in red If the display resolution is higher than the minimum resolution of the data the same data is repeated to match the display resolution The data resolution differs according to the parameter as shown below 1 Time Bar Common Operation P9 1 2 Numeric Data List The numeric data will be displayed The alarm generated data will be displayed with red backg...

Page 175: ...ase the lost data will be displayed as not measured data Tabular Trend Setup and Printing 1Time Bar Duration Scroll Interval Update Display Common Operation P9 1 The displaying time span can be selected by pressing one of the keys such as 10sec x12 shown on right NIBP The tabular trend display interval will be according to the NIBP measurement time 2Switching the Displaying Items By dragging the s...

Page 176: ...rs 1 Press the Fix x param key The dropdown list will be displayed 2 Select from 0 param to 6 param The selected quantity of parameters will be always displayed on the tabular trend and these will be remained displayed even when scrolled 3Parameter Selection for Tabular Trend 1 The data can be filtered by pressing the key for Filtering 10 sec The displayed data will be filtered in 10 seconds sampl...

Page 177: ... data Displayed Items Press the Menu Recall Data Review keys When the alarm for the specified recall factor occurs the specified waveform 12 seconds and numeric data for each recall factor will be stored up to 1000 data when 1 recall waveform and up to 500 data when 2 recall waveforms The recall data to be displayed can be selected Maximum of 18 compressed recall waveforms will be displayed Pressi...

Page 178: ...displayed 3 Enlarged Display Area Maximum of 2 waveforms 12 seconds each can be displayed The waveform can be dragged to left and right When a mouse is used divider function can be used 4 Date Time at Alarm Occurrence Recall Factor Numeric Data 5 Nurse Call Mark Indicates that the recall factor was notified to the nurse call system 6 Latest Recall Factor A diamond shape mark will be displayed for ...

Page 179: ...wing delay time tracing back from the alarm occurrence For the parameters measured on the multigas unit the delay time is 8 seconds Recall Setup and Printing The procedures to select the displaying recall factor to delete the recall waveform to print the recall waveform etc are explained below Adult Child Neonate Numeric Data Alarm Arrhythmia Alarm Delay Time 12 sec 12 sec 8 sec 12 sec 1 2 3 4 5 6...

Page 180: ...the selected waveform will be displayed shown on right To select all displayed waveforms press the Select All key To cancel the selection select again the waveform with mark mark will be cleared indicating that it has been removed from the printing parameter selection 3 Pressing the Print key will display the Print OK Cancel keys 4 Press the Print OK key to print the waveforms with mark on the las...

Page 181: ...waveform 2Divider Mode Operation 1 The divider start line will be displayed on the dragging start point 2 While dragging the mouse to the right the divider end line will be displayed along with the mouse pointer 3 When the drag operation is released the finalized divider end line will be displayed The divider interval will be displayed in mm unit Multiple Cancel key will be displayed in the wavefo...

Page 182: ...agging the square marks on the upper lower end of the divider line the divider interval from the previous divider line can be decreased increased By using the square marks on the center the start line and end line can be dragged at the same time without changing the divider interval By releasing the drag operation a divider interval Multiple Cancel keys will be displayed again 4When the enlarged w...

Page 183: ...splay Full Disclosure Waveform Compressed Display Enlarged Display 1On the review display for the Bed ID which the discharged patient was previously registered scrolling back the time will display the review data for the discharged patient The data for the discharged patient will be displayed with lower brightness The review data can be printed along with patient information Example on Graphic Tre...

Page 184: ...splay 1Open the review display for the monitoring patient On the patient information area of the individual bed display history icon will be displayed 2Press the history icon The past data history of the monitoring patient will be displayed On the past data history maximum of 17 data before or during transferring will be displayed The displayed colors on the past data history indicate the followin...

Page 185: ... the central monitor communication function is used the past data of the corresponding patient saved on the central monitors on the network will be displayed 3Select the displaying data from the past data list The review data of the selected past data will be displayed REFERENCE The review display from the past data list allows to review the data within the time range of the selected past data and...

Page 186: ...ct the searching item from patient ID or patient name Enter the searching characters and press Search REFERENCE The past data will be searched with exact match condition Ex If the patient ID 123 is searched only the patient ID 123 will be searched and patient ID 12345 1123 etc will not be searched The past data can be searched in blank condition without entering search characters Ex If the patient...

Page 187: ...the selected past data and can switch between different review displays To display the current monitoring data or other past data close the review display and open the review display again NOTE When the past data is searched and displayed the patient information displayed on the individual bed display will change to the patient information of the past data When the past data is displayed the alarm...

Page 188: ...9 22 Chapter 9 Data Review Alarm History Alarm History REFERENCE For details of the alarm history display refer to the following chapter Alarm History P7 22 ...

Page 189: ...10 2 ST Alarm Setup 10 3 12 Lead Analysis 10 3 Displayed Items 10 3 Operation on the 12 Lead Analysis Screen 10 5 Comparison of Analyzed Results 10 6 Full Disclosure Waveform 10 7 To Select the Waveform to Store 10 7 Displayed Items 10 9 Full Disclosure Waveform Setup 10 10 To Print the Full Disclosure Waveform 10 12 To Search by Time 10 14 ...

Page 190: ...10 2 Chapter 10 Waveform Review Contents ...

Page 191: ...lowing case ST level will not be displayed When learning arrhythmia When the lead is off When the reference waveform is not set When N or S is not detected for QRS within 30 seconds 1Press the Menu ST Waveform Review key Or press the ST key on the user key area ST screen will be displayed 1 Time Bar Common Operation P9 1 2 Reference Waveform Set the reference waveform Reference Waveform Setup P10 ...

Page 192: ...splayed 2Update the ST reference waveform CAUTION For the lead which the electrode is detached the reference waveform cannot be set Check if the electrode is correctly attached and perform the setup again 1 Press the Update Ref Wave key 16 beats average of the ECG judged as normal QRS by arrhythmia analysis will be set as the reference waveform While updating the reference waveform the Update Ref ...

Page 193: ...on the bedside monitor will be displayed Maximum data of 2 080 32 beds 64 data per bed will be saved REFERENCE By using the 12 lead analysis server the 12 lead analysis result can be transmitted to the server Maintenance Manual 12 Lead Analysis Server P2 29 Displayed Items Press the Menu 12L Analysis Data Review on the individual bed display to display the 12 lead analysis screen CAUTION If the ti...

Page 194: ...inant waveform is the waveform at the point of mark on the rhythm waveform On the analyzed result the abnormal lead with the highest grade finding will be highlighted in red 4 Rhythm Waveform Among the ECG leads used for analysis the lead for ECG1 displayed on the bedside monitor will be displayed 5 Analyzed Result Main numeric data used for ECG analysis will be displayed The abnormal numeric data...

Page 195: ...ing the Analyzes Result Display Use the keys to change the displaying analyzed data 3Analysis Comparison Display Comparison of Analyzed Results P10 6 4Analysis Display Setup Select the analysis waveform size for Chest Lead Size and Limb Lead Size Select Background Black The displayed color will be black for background gray for grid green fixed for waveform White The displayed color will be white f...

Page 196: ...s set analysis report will be printed on the laser printer 7Deleting the Analyzed Data Pressing the Delete key will display the delete confirmation window Press OK to delete the data Comparison of Analyzed Results By pressing the Analysis Comparison key on the 12 lead analysis result screen the comparison of analyzed results will be displayed On the 12L Comparison screen dominant waveform rhythm w...

Page 197: ...ooting section Troubleshooting P14 12 The full disclosure waveform data is periodically stored to the internal memory but if the power has been turned OFF for 5 minutes or more maximum of 20 seconds of data may be lost In such case the lost data will be displayed as not measured data NOTE When the full disclosure waveform data exceeds the maximum capacity the data will be deleted from the old one ...

Page 198: ...r part of the display Use this quantity as an indication and select the waveforms for each bed To cancel the selection press the key for the corresponding waveform 5Set the same settings to all beds Pressing the Setup key will display a confirmation window Press the OK key to update the settings for all beds 6Press the Enter key The settings will be finalized NOTE When the waveform selection is ca...

Page 199: ...the waveform area will display the enlarged full disclosure waveform at the lower part of the display 4 Displayed Waveform and Color 5 Instant HR Trend Display Area Instant HR trend will be displayed The trend display duration can be changed Pressing any area will display the compressed and enlarged waveform at that point Whether to display or not display the instant HR trend can be selected 6 Ful...

Page 200: ...ng the key will shift the waveform to the alarm review point 3Slide Show Update of Display By pressing the key compressed waveform will be updated with the set interval The updating interval will be according to the set interval for Slide Show Interval under Setup During the slide show mode the key will turn to Pressing the key again will cease the slide show 4Alarm Display When turned ON when the...

Page 201: ...tant HR trend display 12 Lead Display Position Adjustment only for DS LAN bed Select the 12 lead display position from Center Proportional OFF 8Print Waveform To Print the Full Disclosure Waveform P10 12 9Numeric Data Display at Cursor Point The numeric data at the cursor position blue line on the enlarged waveform area will be displayed in another window 10Display Type only for DS LAN Bed Select ...

Page 202: ...aveform to Store P10 7 1Pressing the Print key will display the dropdown list of Compress Enlarge 12 Lead Select Area Report shown on right 2Compressed Waveform Printing The currently displayed compressed waveform will be printed 3Enlarged Waveform Printing The currently displayed enlarged waveform will be printed 412 lead Waveform Printing When the HR 800 Recorder Unit is used the 12 lead wavefor...

Page 203: ...play When the display is switched to other patient When the Select Area mode is canceled the Select Area key will change to Print key 6Report Printing NOTE The report printing function is available only when the laser printer is used On the full disclosure waveform screen 6 waveforms are displayed but only the first and second waveforms can be output on the report printing 1 Select the Display Dur...

Page 204: ...splay will be printed for the set report duration For example if the set report duration is 1 hour 1 page will be output for the 1 waveform display If the set report duration is 1 hour 2 pages will be output for the 2 waveforms display If the set report duration is 8 hours 8 pages will be output for the 1 waveform display and 16 pages will be output for the 2 waveforms display If the operation is ...

Page 205: ...11 Calculation Contents Chapter 11 Calculation Hemodynamics 11 1 Calculation Data 11 1 To Display Print the Hemodynamics Data 11 2 New Input of Hemodynamics Calculation 11 2 To Edit the Hemodynamics Input Data 11 4 ...

Page 206: ...11 2 Chapter 11 Calculation Contents ...

Page 207: ... Stroke Volume Index mL beat m2 SVR Systemic Vascular Resistance dynesꞏsecꞏcm 5 SVRI Systemic Vascular Resistance Index dynesꞏsecꞏcm 5 m2 SVRxBSA PVR Pulmonary Vascular Resistance dynꞏsecꞏcm 5 PVRI Pulmonary Vascular Resistance Index dynꞏsecꞏcm 5 m2 PVRxBSA LVW Left Ventricular Work kgꞏm COx MAP PCWP x0 0136 LVWI Left Ventricular Work Index kgꞏm2 LVSW Left Ventricular Stroke Work gꞏm SVx MAP PCWP ...

Page 208: ...rinted New Input of Hemodynamics Calculation The hemodynamics calculation can be performed using the newly entered data The data can be entered manually using the numeric keys or automatically using the current data 1Press the Menu Hemodynamics Calculation New Regist keys The Edit window will be displayed The current time will be displayed at the upper area Unmeasured data will be left blank 2Ente...

Page 209: ... Height cm 0 cm to 300 cm WEIGHT Weight kg 0 kg to 350 kg BSA Body Surface Area m2 0 m2 to 9 99 m2 CO Cardiac Output L min 0 00 L min to 20 00 L min HR Heart Rate bpm 0 bpm to 350 bpm ART S Systolic Arterial Pressure mmHg kPa 0 mmHg to 350 mmHg 0 kPa to 46 6 kPa ART M Mean Arterial Pressure mmHg kPa 0 mmHg to 350 mmHg 0 kPa to 46 6 kPa ART D Diastolic Arterial Pressure mmHg kPa 0 mmHg to 350 mmHg ...

Page 210: ...ted 1Press the Menu Hemodynamics Calculation and then the date time display area for the data to edit The Edit window will be displayed 2Edit the data New Input of Hemodynamics Calculation P11 2 3Register the edited data New Input of Hemodynamics Calculation P11 2 4Delete the data Press the Delete key to display the Delete window and press Yes 2 3 4 ...

Page 211: ...ad Printing Setup 12 7 Output Printer Setup for Review Data Printing 12 9 To Start Stop the Printing 12 10 Manual Printing 12 10 Alarm Printing Periodic Printing 12 12 Remote Printing 12 12 Review Data Printing 12 13 Measurement Status 12 14 Operation Procedure for HR 800 12 15 Paper Feed Stop Printing 12 15 Status Message 12 15 Laser Printer Operation 12 16 Status Message 12 16 Stacked Data 12 16...

Page 212: ...12 2 Chapter 12 Printing Contents ...

Page 213: ...epresentative When printing operation is performed from the DS 8500 system from version 6 the printing will be output on the central monitor with the smallest central ID For example if the bedside monitor BED 001 is monitored on 3 central monitors CNT Printing Types Output Printer Recorder Unit HR 800 Laser Printer A4 Letter Waveform Printing Manual Printing x Alarm Printing x Periodic Printing x ...

Page 214: ... again 1Press the Menu Print Settings Each Bed keys and press the Setup key for the patient to perform the setup The manual printing setup window for the selected patient will be displayed 2Output Waveform Selection Maximum of 3 waveforms can be selected for printing When selected the key will be displayed in blue 3Print Duration 12sec 24sec Printing will automatically stop after 12 seconds or 24 ...

Page 215: ...be also stored as recall data The priority of alarm printing factor will be according to the alarm priority If the alarms of same priority generates the priority will be in the following order ASYSTOLE VF VT SLOW VT RUN COUPLET PAUSE BIGEMINY TRIGEMINY FREQUENT TACHY BRADY HR ST1 ST2 SpO2 PR APNEA EtCO2 InspCO2 T1 T2 MVe PEAK PEEP SpO2 2 PR 2 SpMet NIBP BP1 BP6 SpMet 2 SpCO SpCO 2 ST I ST V6 BP7 B...

Page 216: ...op after 12 seconds or 24 seconds The delay time differs depending on the print duration 6All Beds Applies the same setting for alarm printing to all beds Alarm Factor and Printed Waveform Print Duration Delay Time Adult Child Neonate Numeric Data Alarm Arrhythmia Alarm 12 sec 12 sec 12 sec 8 sec 12 sec 8 sec for the multigas unit alarm 24 sec 16 sec 16 sec 16 sec 16 sec Alarm Factor Printed Wavef...

Page 217: ...tion Setup T1 to T8 Pause ECG1 ECG2 MV AWF Bigeminy ECG1 ECG2 PEAK AWF Trigeminy ECG1 ECG2 PEEP AWF Frequent ECG1 ECG2 SpCO SpO2 Tachy ECG1 ECG2 SpCO 2 SpO2 2 Brady ECG1 ECG2 SpMet SpO2 SpMet 2 SpO2 2 Alarm Factor Printed Waveform Alarm Factor Printed Waveform ...

Page 218: ...tores the data as recall waveform OFF Turns OFF the periodic printing function 3Periodic Interval Timer Printing will automatically start at selected time Interval Printing will automatically start at selected interval shown on right For example if 5 min is selected for Interval printing will start at 10 00 10 05 10 25 If 60 min is selected printing will start at 10 00 11 00 12 00 4Waveform Maximu...

Page 219: ...ong with 10 seconds of rhythm waveform ECG1 lead on the home display 6 Waves x2 Prints 6 waveforms in 2 columns 12 Waves Prints 12 waveforms in 1 column 3Position Center Equalizes the printing width of each lead so that the waveform baseline will be at the center The printing scale of the waveform will be also automatically adjusted Proportional Equalizes the blank space between each lead to avoid...

Page 220: ...ter Auto Scale When OFF is set for Position select whether or not to automatically adjust the scale The scale will be adjusted in the range of x1 x1 2 x1 4 It will not be adjusted to x2 x4 even if the amplitude is small ON Printing scale will be automatically adjusted OFF Printing will be performed with the displayed scale 6Print Calibration ON Calibration waveform will be printed OFF Calibration ...

Page 221: ...ata 1On the Print Settings menu press the Setup Printer key for the patient to perform the setup 2Output Printer Selection Recorder Unit Data will be printed on the HR 800 Recorder Unit Laser Printer Data will be printed on the laser printer REFERENCE If selecting laser printer for the output printer it is necessary to perform network setting in advance Maintenance Manual Laser Printer P2 21 3All ...

Page 222: ...Duration under Manual Printing Operation from the User Key for Individual Bed 1Assign Print Start Stop key to the user key for the individual bed Maintenance Manual User Key P7 20 2Press the Print Start Stop key Printing will start Operation from the User Key for All Beds NOTE Using this procedure will start the printing for all beds displayed on the home display The printing duration is 12 second...

Page 223: ...isplay area will be printed 8 Bed Type DSLAN Wired Network Bed 9 QRS Classification Selecting ON for QRS Classification Menu Initial Settings User I F Display Print will print the following symbols Maintenance Manual Display Print P7 12 10 Delay Time If None is selected for Delay Time on Manual Printing setup window MANUAL REC DIRECT will be printed 11 Printing Mode 12 Printing Speed 13 Waveform T...

Page 224: ...int Start Stop key on the bedside monitor Printing will be performed on the recorder unit of this equipment If more than one central monitors are connected to the network printing will be performed on the central monitor with the smallest central ID The printing will be performed according to the printing setting on the bedside monitor The printing setting on the central monitor will not be effect...

Page 225: ... this unit NOTE Select ON for LX Remote Printing Menu Initial Settings User I F Display Print Maintenance Manual Display Print P7 12 Example of Telemetry Remote Printing The measurement value at the beginning of the waveform at the bed ID channel ID display area will be printed Review Data Printing The review data such as graphic trend tabular trend NIBP list recall waveform ST waveform can be pri...

Page 226: ...e amplitude of ECG waveform is too low ECG CAN T Cannot analyze ECG1 LOW The amplitude of ECG1 waveform is low ECG2 LOW The amplitude of ECG2 waveform is low ECG1 CAN T Cannot perform arrhythmia analysis of ECG1 ECG2 CAN T Cannot perform arrhythmia analysis of ECG2 CO2 CHECK CO2 sensor error TLM OFF Too far noise interference TLM LOWBAT Telemetry battery or bedside monitor battery is depleted LAN ...

Page 227: ...it status will be indicated with the following message Displayed Message Details Check Printer Thermal head error Check Cassette The paper cassette is open Set the cassette properly Paper Out There is no paper The printing will automatically stop when the paper is out Set a new pad of paper Installing the Recording Paper Optional P5 3 The message will continue to be displayed until the paper is se...

Page 228: ...al data To Delete the Stacked Data 1Press the Cancel Printing key while printing All stacked data will be deleted NOTE Pressing the Print key on each review data screen will not stop the printing It will stack a new data instead Displayed Message Details Numeric Value Quantity of stacked data is displayed Maximum of 64 data can be stacked Printing Status Icon Printing status is displayed The statu...

Page 229: ... Discharged List 13 18 All Beds Events 13 19 All Beds Nurse Call 13 19 Nurse Call Daily Check 13 19 Printing Setup 13 20 Color 13 20 Nurse Call Setup 13 21 Full Disclosure Waveform Setup 13 23 Data Server Output Waveform Setup 13 23 Parameter ON OFF 13 25 Display Configuration of the Home Display 13 25 Setting Registering the Layout 13 26 Selecting the Displaying Bed 13 28 Numeric Data Box Size 13...

Page 230: ...13 2 Chapter 13 Menu Items Contents ...

Page 231: ...ndividual bed menu settings for admit discharge alarm parameter display configuration of the individual bed display can be performed Central Monitor Menu The following items can be set on the central monitor menu Admit Discharge Chapter 6 Admit Monitor Suspend Discharge Alarm Chapter 7 Basic Circ Resp Gas Arrhy ST List Parameter Chapter 8 ECG RESP NIBP BP SpO2 TEMP GAS External Device CO2 SpO2 2 S...

Page 232: ...er unit or laser printer can be performed Printing Condition Output Destination Setup P12 2 Color The colors of waveforms and numeric data can be set Nurse Call ON OFF of nurse call system nurse call factor alarm duration before notification can be set The key for this function will be displayed only when Nurse Call is assigned to Main Unit Port for serial communication Initial Settings External D...

Page 233: ...ize can be selected from Standard Large 12 Lead Bottom When Bottom is selected the numeric data box will be displayed large but user keys cannot be assigned to the numeric data box area 5When changing the layout some of the currently displayed parameters may not be able to be displayed and Delete Confirmation window will be displayed To change the layout press the Set key Layout The layout of the ...

Page 234: ...nlarged By pressing the selected area again the selection will be cancelled To restart from the beginning press the Reselect Area key For the 12 Lead layout HR numeric data box and 12 lead user key will be automatically assigned to 6 boxes from the top and cannot be changed shown on right The selectable box size differs depending on the parameter Numeric Data Box Size Range P17 12 3Parameter Selec...

Page 235: ...igned to the area outlined in blue By selecting multiple areas the waveform display can be enlarged For ECG1 to ECG12 minimum of 2 areas needs to be assigned By pressing the selected area again the selection will be cancelled To restart from the beginning press the Reselect Area key 4Waveform Selection Select the waveform to display When Block Cascade is selected the waveform block set for Block C...

Page 236: ...ndividual bed display 1Press the Change key for User Key The User Key Selection window and user key display area will be displayed 2User Key Display Area Selection The selected area will be outlined in blue By selecting multiple areas the display area can be enlarged By pressing the selected area again the selection will be cancelled To restart from the beginning press the Reselect Area key 3User ...

Page 237: ...this setting 2 At Alarm Occurrence How to display the numeric data box at alarm occurrence can be set Reversed The numeric data display will alternately change between standard display and reversed highlighted display 3D The numeric data display will alternately change between standard display and 3D display 3Settings for Waveform Display 1 Grid ON Grid will be displayed Bold Grid will be displaye...

Page 238: ...ipped and vice versa 5 Fill CO2 O2 Agent Waveform ON The waveform will be filled in with black color from the baseline OFF The waveform will not be filled in 6 BP Overlap RR Overlap The overlapping BP waveforms can be set for each overlap group 1 to 3 The overlapping RR waveforms can be set for each overlap group 1 to 3 7 12 Lead ST Waveform The ST waveform to be displayed for the 12 Lead layout c...

Page 239: ...is block Block Cascade needs to be assigned to the waveform display area Numeric Data Waveform P13 4 NOTE When the waveform quantity for block cascade is changed Block Cascade assigned to the waveform area will be cancelled To Set the Same Setting for All Beds The display configuration setting for the individual bed can be applied to all beds 1Press the Set key for All Beds on the display configur...

Page 240: ...ge function patient information and alarm settings can be transferred exchanged between beds The procedure for bed transfer exchange is explained below Bed Transfer The setup data of the original bed will be overwritten to the setup data of the new bed The original bed will be treated as discharged bed monitoring data will be cleared and setup data will be initialized Bed Exchange The setup data o...

Page 241: ...m Alarm Settings Discharge 2 Transfer Transfer Transfer Print Settings Print Settings Discharge 3 Transfer 7 Transfer 7 Transfer 7 Review Data Graphic Trend Discharge 1 Transfer 6 Transfer 6 Transfer 6 Tabular Trend Full Disclosure Waveform Recall ST Delete or Transfer 4 Delete or Transfer 4 Delete or Transfer 4 12 Lead Analysis Hemodynamics Nurse Call Setup Nurse Call Settings Discharge 2 No Chan...

Page 242: ...rent Bed and Bed 2 New Bed NOTE If central communication setup Initial Settings External Device Network is not performed Other Unit cannot be selected This Unit must be set for either Bed 1 Current Bed or Bed 2 New Bed Other Unit cannot be set on both beds at the same time 4When performing bed transfer exchange within this central monitor 1 Press the Transfer or Exchange key for the original bed 2...

Page 243: ...ntral monitors max 15 connected to the TCP IP network will be displayed Select Other Display Unit or central monitor on the list 2 The list of beds monitored on the selected central monitor will be displayed Select the bed from the list 3 The confirmation window will be displayed Proceed to step 6 6The New Bed or Bed B will be finalized and a confirmation message will be displayed To perform bed t...

Page 244: ...m sound will not generate 1Press the Menu Network View Function keys On the network view select the bed to display from maximum of 100 beds in case of DS LAN III connected to the wired network The Room Bed ID key for the alarm generating bed will be indicated in red The other bed alarm generating bed will be indicated by an icon inside the Room Bed ID key 2Set the area name and the bed to register...

Page 245: ... be indicated by blue frame To cancel the selection press the key for the bed again Select All Cancel All Selection cancellation for all the beds can be performed at once Enter The selection will be finalized 3 Press the Area Name Color key to set the area name and color 1 Select the color to distinguish the area A triangle mark with the selected color will be displayed at the corner of the Room B...

Page 246: ...ed patient will be displayed If an alarm is generated for this bed the vital alarm arrhythmia alarm message will be displayed NOTE The alarm sound will not generate for the bed on network view 1Message Area The message for the other bed will be displayed 2Waveform Display Area The display will be automatically configured with the measured parameters and the waveforms will be displayed 3Numeric Dat...

Page 247: ...e TCON bed 1Press the Menu Night Mode Function keys The Night Mode menu will be displayed For the bed in night mode ON key will be displayed in blue and for the bed in normal monitoring mode OFF key will be displayed in blue 2Press the ON or OFF key for the bed to change the mode 3Press the Set key When changing to night mode a confirmation window will be displayed Press the OK key to enter into n...

Page 248: ...r all beds will be displayed in the order of discharged date time from new to old For each discharged patient bed ID patient ID patient name data start end time will be displayed The discharged patient key will be displayed in blue if the review data display is valid and white if the review data display is invalid The review data display can be validated for only one patient If it is validated on ...

Page 249: ...ata for the discharged patient can be viewed on the following display Graphic Trend Tabular Trend Recall List Display Enlarged Display Full Disclosure Waveform Review Data Display for Discharged Patient P9 17 All Beds Events REFERENCE The alarm events for all beds can be verified in a list format Refer to the following chapter All Beds Alarm Events P7 19 All Beds Nurse Call REFERENCE The nurse cal...

Page 250: ... selected from 12 colors white of the selected palette The selected color for the parameter will be applied to the waveform numeric data graphic trend and tabular trend 1Press the Menu Color Each Bed keys The Color selection window will be displayed 2Color Palette Selection Select the palette from Light Clear Deep Vivid 3Changing the Color 1 Press the Color key for the bed to change the color 2 Se...

Page 251: ...NG The PHS nurse call system should be used as supplementary function of alarm notification Make sure to monitor the alarm on this equipment as it may not be notified to the PHS depending on the nurse call system condition ON OFF of nurse call system nurse call factor alarm duration before notification can be set WARNING When using the PHS nurse call system make sure to set the Bed Name as it will...

Page 252: ...ority is selected for Notify Nurse Call 4 The alarm duration before notification is displayed It will not be displayed if None is selected for Alarm Duration Before Notification 1 Select the nurse call alarm factor by pressing the key for the corresponding parameter or custom setting The setup window will be displayed 2 Set the Notify Nurse Call ON Priority The parameter will be set as the high pr...

Page 253: ...ia Alarm APNEA NIBP Too Far alarm duration before notification cannot be set The alarm will be notified to the nurse call system at alarm generation without any delay 4 To set the same setting for all beds press the Setup key for All Beds Full Disclosure Waveform Setup REFERENCE The parameters to save as full disclosure waveform can be set Refer to the following chapter To Select the Waveform to S...

Page 254: ...to output At the upper part of the display the remaining quantity of waveforms will be displayed NOTE There are following restrictions for waveform selection depending on the data server communication protocol 6Press the Enter key The settings will be finalized Protocol Waveform Quantity Selectable Waveform Ver 01 Total 32 Waveforms For Each Bed 8 Waveforms Maximum of 16 Beds ECG1 ECG2 BP1 BP2 SpO...

Page 255: ... each data server protocol Parameter ON OFF REFERENCE For setup procedure for Parameter ON OFF refer to the following chapter Parameter ON OFF P8 25 Display Configuration of the Home Display On the Display Configuration screen the following setup can be performed All Beds Layout Selection The home display layout can be selected from the registered layouts Layout Change The layout of the home displ...

Page 256: ...Registered Layout 1Press the All Beds Layout Selection keys Menu Common Setup Display Config 2The list of registered layout will be displayed Select the layout from the list The selected layout will be displayed on the preview area part on the display example shown above To display 32 beds select 32 Beds Display To set a more detailed layout refer to the next section Changing the Layout 2 1 1 ...

Page 257: ...de for both left and right side of the home display 4Pattern Selection Depending on the settings made on step 2 3 the selectable layout pattern will differ 5Equal Layout By selecting ON for Equal Layout each bed will be equally arranged on the home display 6Borderline between the Beds 1 After pressing the Move key for Bed Border press the borderline on the preview area to display the cursors to mo...

Page 258: ...splay configuration menu for all beds Common Setup Display Config All Beds 2Select the area to register 3The set layout will be registered 4The name for the registered layout can be changed 5The registered layout will be deleted NOTE If Regist key is pressed while the registered layout is selected the settings will be overwritten Selecting the Displaying Bed The displaying beds can be selected fro...

Page 259: ...celled Numeric Data Box Size Set the Numeric Data Box Size and Meas Zoom 1Press the Other Setup key on the display configuration menu for all beds Common Setup Display Config All Beds 2Numeric Data Box Size Select from 1 2 4 8 When center split is set select from 1 2 The color of the key will change depending on the status White Selectable bed White with blue shadow Bed selected on other display u...

Page 260: ...can be selected The numeric data box size can be also set Numeric Data Selection 1Press the Numeric Data key on the display configuration menu for each bed Common Setup Display Config Each Bed 2Select the bed and set the numeric data box size The numeric data box can be assigned to the area outlined in blue on the preview area part on the display example shown above The selectable box size differs...

Page 261: ...splayed on numeric data area Adjust the size Waveform Selection 1Press the Waveform key on the display configuration menu for each bed Common Setup Display Config Each Bed 2Select the bed and set the waveform display area size The waveform can be assigned to the area outlined in blue on the preview area part on the display example shown above 3Waveform Selection Select the waveform to display 4Fin...

Page 262: ...Room ID OFF For the waveform display area select also the displaying size from Large Size Standard Size NOTE The same item cannot be assigned to both patient data area and waveform area 3Auto Display Configuration If ON is selected Numeric Data The numeric data box will be displayed according to the priority set under Menu Common Setup Display Config Detail Setup Numeric Data Display Priority Wave...

Page 263: ...a Display Priority Window shown on right the display priority of the parameter can be set When the quantity of numeric data box is changed the display will change according to this display priority 1 First select the priority from 1 to 72 under New Priority and then select the parameter from the right 2 Pressing the Add key will insert the parameter to the specified priority order and the priority...

Page 264: ...lay priority using the same procedure for setting the numeric data display priority Step 3 Numeric Data Display Settings 4 Display Priority 6Other Setup 1 Patient Data Area ON Patient data area will be displayed OFF Patient data area will not be displayed NOTE When the patient data area is OFF alarm history or comment will not be displayed even if selected for Disp Item for Patient Info Area 2 Dis...

Page 265: ...SPIRO VENT The numeric data on the waveform area will be displayed with the following priority High Priority Common Setup Display Config Each Bed Numeric Data Low Priority Common Setup Display Config Detail Setup Numeric Data Display Priority The highest priority is the numeric data set at the top left on the Each Bed setting and the lowest priority is the numeric data set at the bottom on the Dis...

Page 266: ...d Alarm sound for ECG SpO2 CO2 will be different from the test sound The set volume will be applied but the set tone will not be applied to these parameters When Standard Tone is set for the Alarm System the alarm volume and tone for the ventilator alarm and equipment status alarm will be the same with that of the vital alarm NOTE The tone setup for synchronized sound is effective only for HR and ...

Page 267: ... set lower than the lower priority alarm and vice versa The sound test cannot be performed when the vital alarm and equipment alarm is generated Brightness In this section brightness adjustment of the monitor display is explained CAUTION This equipment utilizes LED for the backlight Since this LED deteriorates by the life cycle the display may become dark scintillate or may not light by the long t...

Page 268: ...t 1Press the Menu Monitor Suspend Common Setup keys The monitor suspend confirmation window will be displayed 2Select ON for Monitor Suspend s Message Selection to set the details message color etc 3Select the key to edit the monitor suspend message 4Set the details Usage Select whether or not to use this monitor suspend message Color Select the color The background of the monitor suspend message ...

Page 269: ...ommon Setup keys The nurse team setup screen will be displayed 2Select the key to edit the nurse team 3Set the details 1 Edit name and color Select whether or not to use this nurse team 2 Color Select the color for the nurse team The set color will be displayed on the waveform area of each bed according to the nurse team 3 Name Set the nurse team name Use the touch panel keys or keyboard to enter ...

Page 270: ...13 40 Chapter 13 Menu Items Nurse Team Setup ...

Page 271: ...IP Network 14 12 Telemetry TCON 14 12 Bed Register 14 14 Alarm 14 14 Display 14 15 General 14 16 Recorder Unit HR 800 14 17 Laser Printer 14 18 CF Card 14 19 Remote Control 14 19 Magnetic Card Reader Barcode Reader 14 19 PHS Nurse Call System 14 20 EMR Link Function 14 20 Data Transfer 14 21 Mouse Keyboard 14 21 Slave Monitor 14 22 Bed Transfer Exchange 14 22 Extended Display Unit 14 23 ...

Page 272: ...14 2 Chapter 14 Troubleshooting Contents ...

Page 273: ...m level S H M x x S Top Priority Top Priority Alarm H High Priority Urgent Alarm M Medium Priority Cautionary Alarm L Low Priority Status Alarm N Notification Notification Alarm The alarm level that cannot be set will be indicated by x For the HR Alarm the alarm level of S Top H High M Medium can be set and L Low N Notification cannot be set Parameter Message Default Level Alarm Level Selection No...

Page 274: ... Upper Tb M x H M L x Lower Tb RESP Upper RR H x H M x x Lower RR Apnea Alarm H S H M x x CO2 Upper CO2 E H x H M x x Lower CO2 E Upper CO2 I M x H M x x Upper RR H x H M x x Lower RR Apnea Alarm H S H M x x Anesthetic agent Upper CO2 E H x H M x x Lower CO2 E Upper CO2 I M x H M x x Upper O2 E H H M Lower O2 E Upper O2 I H x H M x x Lower O2 I Upper N2O E H x H M x x Lower N2O E Upper N2O I H x H...

Page 275: ...ng Message List SPIRO Upper MV E M x H M L x Lower MV E Upper PEAK M x H M L x Lower PEAK Lower PEEP M x H M L x VENT Upper RR H x H M x x Lower RR Apnea Alarm H S H M x x Parameter Message Default Level Alarm Level Selection Note ...

Page 276: ...F H S H x x x VT H S H x x x Ext Tachy H S H x x x Ext Brady H S H x x x Slow VT H x H M x x Run H x H M x x Couplet M x H M L x R on T L x H M L x Multiform L x H M L x Vent Rhtm L x H M L x Pause M x H M x x Bigeminy M x H M L x Trigeminy M x H M L x Frequent M x H M L x Tachy H S H M x x Brady H S H M x x SVT L x H M L x Ireg RR L x H M L x Prolong RR L x H M L x Not Capt L x H M L x Not Pacing...

Page 277: ... be received by TCON TCON Set Changing N Changing TCON setting TCON Set Failed N Failed to change TCON setting NIBP meas failed M L N Chk Electrode H M L Alarm level setting will be applied regardless of ON OFF setting of Alarm Judgment Menu Initial Settings Alarm During Lead OFF Chk Electrode xx H M L xx lead type Alarm level setting will be applied regardless of ON OFF setting of Alarm Judgment ...

Page 278: ...ormation from the nurse call system controller Check TCON Comm N Communication error with the TCON system TCON Interference N Noise is interfering Chk TCON Reception N When TCON C2 is set communication with the TCON administrator C1 fails Check extended memory M Error on the extended memory Check PC CF Card N CF card error or the card cannot be identified Check Data Server Comm N When a data serve...

Page 279: ...tion Note Ventilator H S H x x x No transmission of ventilator alarm factor VENT_AWP VENT_MV VENT_APNEA VENT_CONT HP Upper VENT_FiO2 Lower VENT_FiO2 Upper VENT_CO2 Lower VENT_CO2 Upper VENT_RR Lower VENT_RR VENT_PEEP VENT_COMM VENT_URGENT Message Level Note Check Printer N Printer error is generated Check Cassette N The printer cassette is open Check Paper N There is no paper Printing in process N...

Page 280: ... for BP1 and ART Level M for other label Pulse Rate BP Source NIBP Message Upper HR Alarm Lower HR Alarm Cannot Analyze Check Electrodes Low Amplitude Noise Interference Message Lower ST Alarm Upper ST Alarm Message Lower BP Alarm Upper BP Alarm Message Upper PR Alarm BP Lower PR Alarm BP Message Upper NIBP Alarm Lower NIBP Alarm Measurement Failed ...

Page 281: ... Lower SpO2 Alarm SpO2 Disconnected Check Sensor Attach No Pulse Detected Pulse Search Upper SpCO Alarm Upper SpMet Alarm Upper SpHb Alarm Lower SpHb Alarm ExtSpO2 Alarm Message Upper PR alarm SpO2 Lower PR alarm SpO2 Message Upper TEMP Alarm Lower TEMP Alarm Message Lower Tb Alarm Upper Tb Alarm Message Apnea Alarm Upper RR Alarm Lower RR Alarm CVA detected ...

Page 282: ... RR Alarm Message Upper CO2 E Alarm Lower CO2 E Alarm Upper CO2 I Alarm GAS Zeroing CAL Error Sensor error GAS Warm Up Message Upper CO2 E Alarm Lower CO2 E Alarm Upper CO2 I Alarm Upper O2 E Alarm Lower O2 E Alarm Upper O2 I Alarm Lower O2 I Alarm Upper N2O E Alarm Lower N2O E Alarm Upper N2O I Alarm Lower N2O I Alarm Upper AGT E Alarm Lower AGT E Alarm Upper AGT I Alarm Lower AGT I Alarm Upper M...

Page 283: ...wer RR Alarm Apnea Alarm The selected or detected label will be displayed for the agent label Message Check SPIRO Upper RR Alarm Lower RR Alarm Apnea Alarm Upper MV Alarm Lower MV Alarm Upper PEAK Alarm Lower PEAK Alarm Upper PEEP Alarm Lower PEEP Alarm Message Upper BIS Alarm Fixed as Level M Lower BIS Alarm Fixed as Level M Message ...

Page 284: ...t confuse the HUB for DS LAN and TCP IP network A central monitor which is not compatible is used The following central monitors can not be used with the DS LANIII network DS 5700 DS 5800N NX NXMB DS 7600 7600W with software version V05 and prior DS LAN Cable Ethernet branch cable or connection cable is not correctly connected Or the wire is broken Check if DS LAN cable is properly connected Or re...

Page 285: ...s actually connected does not match Check if the port which TCON is connected and the port set on the serial communication menu are the same If not set it correctly The TCON group between this equipment and the bedside monitor is different If the group is different between the equipments TCON communication cannot be performed Set the same TCON group The distance between this equipment and the beds...

Page 286: ...the parameter is set to OFF On the alarm setup menu for the corresponding parameter set the alarm ON Alarm Limit Setup for Each Parameter P7 4 The alarm threshold level is not set for the parameter Set the upper lower alarm threshold level on the alarm setup menu for the corresponding parameter Alarm Limit Setup for Each Parameter P7 4 Alarm sound is not generated Alarm sound is suspended When the...

Page 287: ... Beds Alarm Silence Key Initial Settings Alarm Alarm Silence key for the fixed key user key remote control unit will be disabled Set to Enable when using the Alarm Silence key Situation Cause Solution A certain parameter cannot be displayed The parameter is not set to be displayed on the bedside monitor Set the parameter to be displayed on the bedside monitor The parameter is set to OFF on the Par...

Page 288: ... unit for the bedside monitor and the central monitor Maintenance Manual Unit P7 9 Situation Cause Solution The data was initialized when the power was turned ON The power has been turned OFF for more than 5 minutes When the power has been turned OFF for more than 5 minutes NIBP list will be deleted To retain the data turn ON the power within 5 minutes Internal memory error is generated Contact yo...

Page 289: ...anual alarm periodic printing for each bed Printing Condition Output Destination Setup P12 2 Alarm printing does not function The alarm printing mode is set to OFF Set ON for Alarm Printing Each Bed Print Settings Alarm Printing Also set the printing waveforms and alarm factors Alarm Printing Setup P12 3 Alarm is set to OFF for the parameter On the alarm setup menu for the corresponding parameter ...

Page 290: ...nnot be output to the printer Printer cable is disconnected Connect the printer cable Printer is set to offline mode Set the printer to online mode Printer is in sleep mode Change the printer setting so that it will not enter into sleep mode Printer output does not stop Printing operation was performed too frequently Wait until the printing is complete Or deleted the stacked data Do not turn off t...

Page 291: ...ion for the CF card has reached its maximum capacity When the number of times of write operation reaches maximum capacity writing cannot be performed Replace with a new card The data cannot be transferred The key on the CF Card screen does not function The CF card is write protected Cancel the write protect function Unspecified card is used Use the specified CF card The card is defective Replace w...

Page 292: ...or ID is set to 0 Monitor ID should be set in the range from 1 to 99 and make sure that it does not duplicate with other central monitors Maintenance Manual Nurse Call Detail Setup P5 4 Situation Cause Solution The Check EMR comm message is displayed The Check Data Server Comm message is displayed There is a communication failure between the DS 8900 system and the patient data server Check the com...

Page 293: ...t Data Transport Monitor of the individual bed menu and upload the data again Situation Cause Solution The mouse pointer does not move A mouse other than recommended is used If a mouse other than recommended is used it may not function or may suddenly stop functioning Use the recommended mouse The keyboard and mouse are not properly connected Properly connect the keyboard and mouse to the correspo...

Page 294: ...rk setup is incorrect Set the correct IP address and port number on the network setup menu Initial Settings External Device Network The server does not exist within the network for central monitor communication Assign one central monitor within the network to Server Initial Settings External Devices Network Central Monitor Comm The TCP IP network is disconnected Central Monitor Communication Error...

Page 295: ...on cable CJ 731B The power of the extended display unit is not turned ON Connect the AC power cable to the extended display unit and turn ON the main power OFF is selected for Extended Display Unit Usage Select ON for Extended Display Unit Usage Initial Settings External Device Extended Display Maintenance Manual Setup P1 11 32 beds display mode is used When 32 beds display mode is used monitoring...

Page 296: ...14 24 Chapter 14 Troubleshooting Troubleshooting ...

Page 297: ...ter 15 Setup Item Default Value Patient Admit Discharge 15 1 Alarm Setup 15 1 Parameter Setup 15 2 Review Function 15 5 Basic Setup for Individual Bed Display 15 10 Menu Central Monitor Display 15 12 Functions 15 12 Each Bed Setup 15 14 Common Setup 15 18 ...

Page 298: ...15 2 Chapter 15 Setup Item Default Value Contents ...

Page 299: ...ocess Patient Admit Discharge Alarm Setup Item Description Default Setting at Discharge ID Numeric Alphabet Symbol 20 characters Blank Default Patient Name Numeric Alphabet Symbol 16 characters Blank Default Birth Date Birth Date Blank Default Age 0 to 150 years or 0 to 999 days 0 year Default Height 0 to 300 0 0cm Default Weight 0 to 350 0 0kg Default BSA 0 to 9 99 0 0m2 Default Admit Date Blank ...

Page 300: ...ith Patient Admit Discharge section Pacemaker Pulse ON OFF Distinct Color Distinct Color No Change Pace Pulse Mask Time Auto 10ms 20ms 40ms OFF Auto No Change Drift Filter ON OFF ON No Change AC Filter ON OFF ON No Change Auto Lead ON OFF OFF No Change ST VPC Arrhy Alarm Display ON OFF ON No Change Item Description Default Setting at Discharge Waveform Size x1 4 x1 2 x1 x2 x4 x1 Default RR Synchro...

Page 301: ...escription Default Setting at Discharge Scale 20 50 75 100 150 200 250 300mmHg 200mmHg Default 4 8 12 16 20 24 32 40kPa 24kPa Synchronized Mark Tone Same with selection for ECG Setup Display Type S M D S D M S M D No Change The scale selection will differ depending on the label Item Description Default Setting at Discharge Label T Tsk Tre Tes Tco US1 to US7 T T1 to T8 No Change Item Description De...

Page 302: ...2 Scale 0 50 0 100mmHg 0 to 50mmHg Default 0 4 0 8 0 10kPa 0 4kPa 0 4 0 8 0 10 0 4 O2 Scale 18 30 18 60 18 100 0 30 0 60 0 100 18 30 Default Agent Scale 0 4 0 8 0 16 4 Default AWP Scale 10 20 30 50 120cmH2O 50cmH2O Default AWF Scale 5 10 20 50 180L min 50L min AWV Scale 50 250 500 1000 3000mL 500mL Wave Clip ON OFF ON No Change ...

Page 303: ...OFF No Change Trend D Upper Row OFF OFF OFF OFF Middle Row OFF OFF OFF OFF Lower Row OFF OFF OFF OFF No Change Time Span 20min 1h 2h 4h 8h 12h 16h 24h 4 hours No Change Graphic Display A B C D E Scale Display Selection HR PR_SpO2 PR_IBP 100 200 300bpm Graphic A 300bpm No Change ST1 ST2 ST I to V6 0 2 0 5 1 0 2 0mV 0 5mV No Change 2 0 5 0 10 0 20 0mm Graphic B 5 0mm VPC 20 50 100 beats Graphic C 20...

Page 304: ...45 0 C No Change BIS 25 50 75 100 Graphic A 100 No Change MAC 5 0 10 0 Graphic A 5 0 No Change PEAK 10 20 50 100 cmH2O Graphic A 20 cmH2O No Change PEEP 10 20 50 100 cmH2O Graphic A 20 cmH2O No Change ExpMV 6 0 12 0 20 0L min Graphic A 12 0L min No Change Lt rSO2 20 100 Graphic A 20 100 No Change Rt rSO2 20 100 Graphic A 20 100 No Change S1 rSO2 20 100 Graphic A 20 100 No Change S2 rSO2 20 100 Gra...

Page 305: ...IBP_D SpO2 PR_SpO2 BP1_S BP1_D BP1_M BP2_S BP2_D BP2_M EtCO2 RR_GAS RR_IMP APNEA T1 T2 No Change Group B HR VPC ST I ST II ST III ST aVR ST aVL ST aVF ST V1 ST V2 ST V3 ST V4 ST V5 ST V6 No Change Group C HR RR_IMP RR_GAS RR_VENT SpO2 P_PEAK P_MEAN P_PEEP E_TV I_TV MV O2_I EtCO2 APNEA No Change Group D SvO2 CCO CCI B TEMP No Change Group E BIS SQI EMG SR No Change Group F HR SpO2 NIBP S NIBP D NIB...

Page 306: ...l 5 min 10 min 20 min 30 min 60 min 5 min No Change Reference Waveform ON OFF OFF No Change Displaying Leads Standard 12 lead Cabrera Anteroseptal Infarction Inferior Infarction Lateral Infarction Standard 12 lead No Change Item Description Default Setting at Discharge Compressed Waveform Quantity 1 to 6 1 No Change Compressed Waveform Parameter OFF ECG1 ECG2 ECG I to ECG V6 BP1 to BP8 SpO2 SpO2 2...

Page 307: ... 30 0 60 0 100 18 30 No Change Agent Scale 0 4 0 8 0 16 0 4 No Change AWP Scale 10 20 30 50 120 cmH2O 50 cmH2O No Change AWF Scale 5 10 20 50 180 L min 50 L min No Change AWV Scale 50 250 500 1000 3000 mL 500 mL No Change Item Description Default Setting at Discharge Limb Lead Size x1 4 x1 2 x1 x2 x4 x1 No Change Chest Lead Size x1 4 x1 2 x1 x2 x4 x1 No Change Background Color White Black Black No...

Page 308: ...FF ECG1 to ECG12 ECG 1 Cascade to ECG12 Cascade BP1 to BP8 BP Overlap 1 BP Overlap 2 BP Overlap 3 SpO2 SpO2 2 RESP AWF AWP AWV CO2 O2 Agent Block Cascade RR Overlap 1 RR Overlap 2 RR Overlap 3 ECG1 SpO2 BP1 RESP CO2 No Change User Key OFF Home Menu User Key Up Down Alarm Silence Alarm Suspend NIBP Start Stop Print Start Stop Monitor Suspend Freeze Admit Discharge Scale Trend Tabular Trend NIBP Lis...

Page 309: ...3 no selection No Change RR Overlap CO2 O2 Agent RR Overlap 1 CO2 O2 Agent RR Overlap 2 no selection RR Overlap 3 no selection No Change ST Wave Ref OFF Ref No Change ST VPC Arrhy Alarm Display ON OFF ON No Change Block Cascade Wave Quantity 2 3 4 5 6 2 No Change Waveform OFF ECG1 to 12 BP1 to BP8 SpO2 SpO2 2 RESP AWP AWF AWV CO2 O2 AGENT Wave 1 ECG1 Wave 2 ECG2 Wave 3 to 6 OFF No Change Detail Se...

Page 310: ...geminy Trigeminy Frequent Tachy Brady Ext Tachy Ext Brady Triplet R on T Multiform Vent Rhythm SVT Irregular RR Prolonged RR S Frequent S Couplet VPC S VPC Pacer not Capture Pace not Pacing Meas HR ST NIBP RR Apnea SpO2 Ext SpO2 PR SpCO SpMet SpHb SpO2 2 Ext SpO2 2 PR 2 SpCO 2 SpMet 2 SpHb 2 PR_IBP BP1 to BP8 T1 to T8 Tb CO2 O2 N2O ISO HAL ENF SEV DES MAC MV PEAK PEEP Other Ventilator Too Far Chk ...

Page 311: ... HAL ENF SEV DES MAC MV PEAK PEEP Other Ventilator Too Far Chk Electrode SpO2 Sensor Chk HR No Change Event 2 Asystole No Change Event 3 VF No Change Event 4 VT No Change Event 5 SpO2 No Change Event 6 NIBP No Change Event 7 BP1 No Change Event 8 OFF No Change Event 9 RR No Change Event 10 Apnea No Change Event 11 CO2 No Change Event 12 OFF No Change Event 13 Chk Electrode No Change Event 14 SpO2 ...

Page 312: ...Print Duration 12 sec 24 sec 12 sec No Change Periodic Printing Item Description Default Setting at Discharge Periodic Printing Printer Recall OFF OFF No Change Periodic Interval Interval Timer Interval No Change Interval 1 2 3 5 10 15 20 30 60 120 min 60 min No Change Timer 0 00 1 00 2 00 21 00 22 00 23 00 All OFF No Change Waveform ECG1 ECG2 BP1 to 8 SpO2 SpO2 2 RESP CO2 O2 Agent AWF AWP AWV Sel...

Page 313: ...nit No Change Tabular Trend Recorder Unit No Change Recall Enlarged Waveform Recorder Unit No Change ST Recorder Unit No Change Full Disc Compressed Wave Recorder Unit No Change Full Disc Zoom Wave Recorder Unit No Change 12 Lead Waveform Recorder Unit No Change 12 Lead Analysis Recorder Unit No Change Hemodynamics Recorder Unit No Change Alarm History Recorder Unit No Change ...

Page 314: ...P1 Red 1 No Change ART Red 1 No Change PAP Yellow 4 No Change CVP Cyan 8 No Change ICP Peppermint 7 No Change IAP Pink 12 No Change LVP Orange 2 No Change LAP Green 6 No Change RAP Magenta 11 No Change UAP Blue 9 No Change RVP Peppermint 7 No Change US1 to US5 BP White 13 No Change BP2 Cyan 8 No Change BP3 Yellow 4 No Change BP4 Green 6 No Change BP5 Orange 2 No Change BP6 Pink 12 No Change BP7 Bl...

Page 315: ..._2 SpCO SpCO_2 SpHb SpHb_2 NIBP BP1 to BP8 PR_IBP EtCO2 InspCO2 T1 to T8 MV PEAK PEEP Other Ventilator Too Far Chk Electrode ON OFF All OFF Setting at Admittance When Nurse Call Factor Setup is ON Alarm Duration Before Notification None None Noise OFF 5 sec 10 sec 15 sec 20 sec 30 sec Item Description Default Setting at Discharge Waveforms to Save ECG1 ECG2 ECG I to ECG V6 BP1 to BP8 SpO2 SpO2 2 R...

Page 316: ... None Other Setup Numeric Data Box 1 2 4 8 2 Zoom Numeric Data All Beds Each Bed All Beds Layout Registration Quantity of beds left right etc 1 8 beds display left 2 right 6 2 7 beds display left 3 right 4 3 16 beds display left 8 right 8 4 to 10 not registered Each Bed Item Description Default Numeric Data OFF HR PR_SpO2 PR_SpO2 2 PR_IBP VPC PACE ST VPC ST Ato C BP1 to 8 NIBP NIBP List SpO2 SpO2 ...

Page 317: ...IMP 8 T1 T2 9 72 no selection Waveform Circulatory mm s 12 5 25 25 Respiratory mm s 6 25 12 5 25 6 25 Grid Standard Bold OFF Standard Scale ON Bold1 Bold2 ON Thickness Regular Thin Thick Regular Wave Clip ON OFF ON Fill CO2 Waveform ON OFF ON Fill O2 Waveform ON OFF OFF Fill Agent Waveform ON OFF OFF BP Overlap BP1 to 8 BP Overlap1 BP1 to 4 BP Overlap 2 no selection BP Overlap 3 no selection RR Ov...

Page 318: ...Volume 11 levels 2 Tone 5 types 1 Key Sound Volume 11 levels 4 Tone 3 types 1 Other Volume 11 levels 4 Tone 1 type 1 Boot Sound Shutdown Sound Volume 11 levels 2 Tone 3 types 1 When Fukuda Tone is selected for Alarm System the tone can be selected from 8 levels Item Description Default Brightness 7 levels Fourth Level Item Description Default Monitor Suspend s Message Selection ON OFF OFF Monitor ...

Page 319: ...entral Monitor Display Nurse Team Setup Item Description Default Team 1 ON OFF Label Max 14 characters Color 8 colors ON Red Team 2 ON Orange Team 3 ON Yellow Team 4 ON Yellow green Team 5 ON Green Team 6 ON Light Blue Team 7 ON Blue Team 8 ON Purple ...

Page 320: ...15 22 Chapter 15 Setup Item Default Value Menu Central Monitor Display ...

Page 321: ...16 1 Chapter 16 Accessories Contents Chapter 16 Accessories Accessories 16 1 Optional Accessories 16 1 ...

Page 322: ...16 2 Chapter 16 Accessories Contents ...

Page 323: ...ual DS 8900 System Maintenance Manual Parts Replacement Label DS LAN Cable Retainer Screw Double Washer Sems M3x8 For attaching the DS LAN cable retainer REFERENCE For procedure to use the DS LAN cable retainer refer to Maintenance Manual Connection Procedure P2 11 Optional Accessories The following products are available as optional accessories for the DS 8900 system Purchase them as required CAU...

Page 324: ...ernet Branch Cable CJ 522E Length 20m For HUB connection Connection Cable CJ 530A Length 2 5m For direct connection to equipments Connection Cable CJ 530B Length 5m For direct connection to equipments Connection Cable CJ 530C Length 10m For direct connection to equipments Ethernet HUB For DS LANIII network Use the recommended product Item Model Type Note Bidirectional Wireless Communications Modul...

Page 325: ...nit Other Setup Item Model Type Note Extended Display Unit LC 8026T 26 inch LCD Touch Panel Item Model Type Note Ground Cable CE 01A Clip Type Ground Cable CE 11 DIN Type Fixing Bracket OAO 80A DynaBase Software CVW 6000 For data storage and remote viewing of the data ...

Page 326: ...16 4 Chapter 16 Accessories Optional Accessories ...

Page 327: ...ion 17 1 Performance 17 2 Measurement Unit for Each Parameter 17 4 External Connection 17 6 RS 232C Connector Output Signal Serial Connector 17 6 Technical Information 17 6 Settings for Each Alarm System 17 6 Alarm Limit Range for Each Parameter 17 7 Arrhythmia Type 17 10 Numeric Data Box Size Range 17 12 ...

Page 328: ...17 2 Chapter 17 Specification Contents ...

Page 329: ...g Temperature 10 C to 60 C Relative Humidity 10 to 95 non condensing Atmospheric Pressure 80 kPa to 106 kPa Safety General Standard ANSI AAMI ES60601 1 2005 and A1 2012 Medical electrical equipment Part 1 General requirements for basic safety and essential performance EMC Standard IEC 60601 1 2 2007 Medical electrical equipment Part 1 2 General requirements for basic safety and essential performan...

Page 330: ...n Pulse Rate BP1 8 NIBP CO2 concentration O2 concentration N2O concentration AGENT SvO2 Mixed Venous Oxygen Saturation CCO Continuous Cardiac Output CCI Continuous Cardiac Index BT Blood Temperature SpCO Carboxyhemoglobin Concentration SpMet Methemoglobin Concentration SpHb Total Hemoglobin Concentration MVe Expiratory Minute Volume TVe Expiratory Tidal Volume TVi Inspiratory Tidal Volume PEAK Pea...

Page 331: ...erial Connector COM A U LINK Connector I O Connector Infrared Remote Control Input External Equipment Connector Slave Output Connector Keyboard Connector Mouse Connector Full Disclosure Waveform Continuous Storing of Patient Data Maximum 120 hours Recorder Printing Waveforms Maximum 3 waveforms Printing Speed 25 mm sec 50mm sec Waveform Type ECG RESP SpO2 IBP CO2 O2 AGENT AWF AWP AWV Status paper ...

Page 332: ...bpm beats per minute Carboxyhemoglobin Concentration SpCO SpCO 2 Methemoglobin Concentration SpMet SpMet 2 Total Hemoglobin Concentration SpHb SpHb 2 g dL Temperature TEMP 1 to 8 T1 to 8 C F CO2 Concentration End Tidal CO2 Concentration EtCO2 mmHg kPa Inspiratory CO2 Concentration InspCO2 mmHg kPa Gas Data End Tidal Oxygen O2 E Inspired Oxygen O2 I Expired Nitrous Oxide N2O E Inspired Nitrous Oxid...

Page 333: ...iratory Tidal Volume TVe L min Inspiratory Tidal Volume TVi L min Oximeter Data Mixed Venous Oxygen Saturation SvO2 Central Venous Oxygen Saturation ScvO2 Continuous Cardiac Output CCO L minute Continuous Cardiac Index CCI L minute m2 Blood Temperature BT C BIS Monitor Data Bispectral Index BIS no unit Signal Quality Index SQI Electromyograph EMG dB Suppression Ratio SR INVOS 5100C Monitor Data Re...

Page 334: ... Vital Alarm Sound Level H 1 Continuous melodic tone 2 Continuous rapid tone ECG Continuous melodic tone with rising pitch SpO2 O2 Continuous melodic tone with falling pitch CO2 Continuous melodic tone with mixed low and high pitch Other than above Continuous melodic tone Continuous tone Level M 1 Alternate high and low pitch in 5 seconds interval 2 Rapid tone in 5 seconds interval ECG Rising pitc...

Page 335: ...med Equipment Status Alarm Setup cannot be changed Level M Level L Setup other than above Ventilator Alarm Sound Sound Continuous tone Tone Cannot be changed Volume Can be adjusted Sound Continuous melodic tone Tone Cannot be changed Volume Can be adjusted Continuous tone Alarm Operation Fukuda Tone 1 Tone 1 to 4 2 Tone 5 to 8 Melodic Tone Standard Tone Item Adjustable Range Auto Setting Lower Lim...

Page 336: ... 0 kPa MAP 10 mmHg to 295 mmHg 15 mmHg to 300 mmHg DIA 10 mmHg to 295 mmHg 15 mmHg to 300 mmHg 5 mmHg increments NIBP kPa SYS 1 5 kPa to 39 5 kPa 2 0 kPa to 40 0 kPa MAP 1 5 kPa to 39 5 kPa 2 0 kPa to 40 0 kPa DIA 1 5 kPa to 39 5 kPa 2 0 kPa to 40 0 kPa 0 5 kPa increments SpO2 SpO2 2 50 to 99 51 to 100 Upper OFF Lower current value 90 1 increments Ext SpO2 Ext SpO2 2 50 to 98 Adult Child Lower SpO...

Page 337: ... 5 increments DES Insp DES 0 5 to 18 0 0 5 to 18 0 Exp DES 0 5 increments MVe Adult 2 0 L min to 18 0 L min 4 0 L min to 20 0 L min N A 0 5 L min increments MVe Child Neonate 0 5 L min to 4 5 L min 1 0 L min to 5 0 L min N A 0 5 L min increments PEAK 8 cmH2O to 98 cmH2O 10 cmH2O to 100 cmH2O N A 1 cmH2O increments PEEP 2 cmH2O to 48 cmH2O 4 cmH2O to 50 cmH2O N A 1 cmH2O increments SpCO SpCO 2 1 to...

Page 338: ...d duration is detected Bigeminy Ventricular Bigeminy ON OFF QRS pattern of V x V x V x is detected 4 Trigeminy ON OFF QRS pattern of x x V x x V is detected 4 Frequent Frequent VPC ON OFF 1 bpm to 50 bpm 1 beat increments VPC exceeding the preprogrammed value is detected within 1 minute Tachy Tachycardia ON OFF The upper HR alarm limit is exceeded Brady Bradycardia ON OFF The lower HR alarm limit ...

Page 339: ...rsensing ON OFF 20 bpm to 200 bpm 20 bpm to 150 bpm 5 beat increments 150 bpm to 200 bpm 10 beat increments Pacing pulse and HR are not detected during the set instant HR Triplet Triplet VPC ON OFF 3 continuous VPC beats are detected S Frequent Frequent SVPC ON OFF 1 bpm to 50 bpm 1 beat increments SVPC exceeding the preprogrammed value is detected within 1 minute S Couplet Couplet SVPC ON OFF 2 c...

Page 340: ...erformed Parameter Size W6xH1 W6xH2 W6xH3 W3xH1 W3xH2 W3xH3 W1 5xH1 HR PR_SpO2 PR_SpO2 2 PR_IBP VPC PACE ST VPC ST A ST B ST C x x BP1 to BP8 NIBP NIBP List x SpO2 SpO2 2 SpCO SpCO 2 SpMet SpMet 2 SpHb SpHb 2 SpO2 PR_SpO2 SpO2 2 PR_SpO2 2 RR_IMP RR_GAS RR_VENT T1 to T8 x x x x Tb x x x x T1 T2 T3 T4 T5 T6 T7 T8 VENT x x x x x SvO2 CO BIS INVOS CO2 O2 N2O Agent RR CO2 Agent O2 N2O x x x CO2 Agent O...

Page 341: ...n Technical Information Agent O2 N2O x x x Agent N2O SPIRO x x x GAS SPIRO x x x Adjustable Size of the Numeric Data Box Setup can be performed x Setup cannot be performed Parameter Size W6xH1 W6xH2 W6xH3 W3xH1 W3xH2 W3xH3 W1 5xH1 ...

Page 342: ...17 14 Chapter 17 Specification Technical Information ...

Page 343: ...Lead 8 10 Auto Resume Monitoring 6 16 B Backup 15 1 Barcode Reader 6 4 Battery Cover 2 3 Bed Border 13 27 Bed Exchange 6 17 13 10 Bed Name 6 2 Bed Selection 13 28 Bed Selection Key 3 3 Bed Transfer 6 17 13 10 13 11 BIS Monitor Data 8 24 Block Cascade 13 9 BP Detail Setup 8 17 BP Overlap 13 8 C Central Monitor Minimize Key 3 4 Central Monitor User Key 3 4 CF Card Slot 2 2 Changing the Quantity of D...

Page 344: ...ilence 7 14 Individual Bed Display Display Procedure 3 5 Displayed Items 3 5 Parameter 13 4 Patient Information Display Area 3 5 Waveform Numeric Data Area 3 6 Individual Bed Display Configuration 13 3 Interval 8 13 INVOS Monitor Data 8 24 K Key 9 16 key sound 13 36 Keyboard 4 2 Keyboard Connector 2 2 L LAN Connector 2 2 Laser Printer 1 1 Laser Printer Status 3 4 Layout Registration 13 28 M Magnet...

Page 345: ... Display 3 1 Review Data of the Discharged Patient 9 17 Review Data Printing 12 13 Room ID Display 13 32 RR Overlap 13 8 RR Synchronized Mark 8 12 RR APNEA Alarm Source 8 12 S Scale Display 13 8 Search ID 6 5 6 6 Serial Connector 2 2 Serial Connector COM A 2 2 Serial Connector COM5 2 3 Setup for ST Level Alarm 8 4 Short Cut Key 4 5 Shortcut Key 1 3 Shortcut Keys 3 2 Slave Monitor 3 11 Slave Output...

Page 346: ...ex W Warning Label 2 i Waveform Clip 13 8 13 34 Waveform Display Settings 13 7 Waveform Remote Printing 12 12 Waveform Size Auto 8 5 ECG Waveform Size Selection 8 5 RESP 8 11 Waveform Thickness 13 8 Window 3 9 4 6 ...

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