Gima 35145, User Manual

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1. Except volume of audible alarm can be adjustable, the other properties of the alarm cannot be adjusted by
the user, such as alarm priority setting, alarm lamp flashing and so on. In addition, all alarms in this patient
monitor are “non-latched” type, that is to say, when the alarm event disappears, the corresponding alarm
will automatically stop. The alarm volume range is shown as below:
• High: 0dB~80dB (The distance between device front and test instrument is 1m)
• Medium: 0dB~75dB (The distance between device front and test instrument is 1m)
• Low: 0dB~70dB (The distance between device front and test instrument is 1m)
2. Alarm settings are non-volatile, that means the previous settings will still sustain even the patient monitor is
powered off including unexpected power failure and manual reboot.
6.5 Testing Alarms
When the monitor starts up, a self-test is performed. In this case the alarm lamp will light, and the system gives
a beep. This indicates that the visible and audible alarm indicators are functioning correctly.
For further testing of individual measurement alarms, perform the measurement on yourself (for example SpO
2
or CO
2
) or enter Demo Mode, or use a simulator. Adjust alarm limits and check that appropriate alarm behavior
is observed.
6.6 When an Alarm Occurs
When an alarm occurs, observe the following steps and take proper actions:
1. Check the patient’s condition.
2. Confirm the alarming parameter or alarm category.
3. Identify the source of the alarm.
4. Take proper action to eliminate the alarm condition.
5. Make sure the alarm condition is corrected.
Chapter 7
ECG MONITORING
7.1 Introduction
The electrocardiogram (ECG) is primarily a tool for evaluating the electrical events within the heart. The ECG
signals can be detected by electrodes at the surface of the skin, this device connects ECG signals and repre-
sents them on the monitor as waveforms and numerical value such as heart rate. The S-T segment measure-
ment and arrhythmia detection can be done as well by the ECG signals.
The ECG electrodes connect the patient and the lead wires and/or ECG cable, the lead wires and/or cable
connect to the monitor. The electrode type selection and the locations of the electrodes are very important to
ensure accurate ECG measurement.
7.2 Safety Information

This patient monitor can only be equipped with ECG cable and/or lead wires provided by the manufacturer;
using those from other suppliers may cause improper performance or poor protection while using defibrillator.
 Using the same type of qualified and authorized electrodes which should be within its effective life on the
same patient. If any side-effect such as allergic or stimulus skin is found, the measurement should be
stopped at once. It is prohibited to apply the electrode to the patient with lesion and body putrescence.

To the patient with pacemaker, normally the heart rate meter does not count the pacemaker pulse due to
the function of pacemaker pulse inhibition, but for the pacemaker with overshoot pulse, the inhibition func-
tion may not be fully effective. So it is important to observe the ECG waveforms carefully and do NOT rely
entirely on the heart rate display and alarm system when monitoring the pacemaker patient.

The improper connection with electro-surgical unit may not only cause burns, but also damage the monitor
or arouse deviations of measurement. You can take some steps to avoid this situation, such as do NOT use
AG
EtAA2
High limit 3.0
Low limit 0
Ins.AA2
High limit 3.0
Low limit 0