background image

70 

PVS bigeminy  No pacing  PVS bigeminy 

Selectabl
e by users 

PVS trigeminy  No pacing  PVS trigeminy 

Selectabl
e by users 

R ON T 

No pacing 

HR<100,  RR  interval  <  1/3of  average  interval,  after  which 
there is a compensation interval of which length is 1.25 x R-R 
mean (next R waveform is moved up to the previous T wave.)   

Selectabl
e by users 

Single PVS 

No pacing  Single PVS not belonging to the above types 

Selectabl
e by users 

Tachycardia 

Full 

Successively  5  QRS  waveforms  and  RR  mean  smaller  than 
0.5s 

Selectabl
e by users 

Bradycardia 

Full 

Successively 5 QRS waveforms and RR mean greater than 1.5s 

Selectabl
e by users 

MB(Missed 
Beat) 

No pacing 

Where HR is smaller than 100times/minute, HB is not detected 
in the 1.75 times of time for RR mean; or where HR is greater 
than  100times/minute,  pulsation  is  not  detected  within  1 
second.   

Selectabl
e by users 

Pacemaker 
doesn‘t work.   

Pacing 

In  the  1.75  times  of  time  for  RR  mean  there  are  no  QRS 
waveform  and  pacing  pulse  (only  for  the  patient  with  the 
pacemaker). 

Selectabl
e by users 

Pacemaker 
doesn‘t  capture 
pacing.   

Pacing 

In case of pacing pulse there is no QRS wave in the 1.75 times 
of time for RR mean (only for the patient with the pacemaker). 

Selectabl
e by users 

Applied  Patient  Type:  ―Full‖  means  the  arrhythmia  analysis  that  can  be  given  to  the  patient  with  the 

pacemaker as well as that to the patient without the pacemaker.   

―Non-pacing‖: means the arrhythmia analysis that can be given to the patient without the pacemaker. 

―Pacing‖: means the arrhythmia analysis that can be given to the patient with the pacemaker.   

Prompt Message: 

Prompt 
Message 

Cause 

Alarm 
Level 

ARR Learning 

QRS wave template necessary in ARR analysis is forming. 

No Alarm 

Caution

 

Arrhythmia name displays in the alarm message area. 

11.6

 

10.6 ECG Alarms & Reminders 

Alarming information 

Possibly  happened  alarms  during  ECG  measurement  are  classified  into  physical  alarms  and  technical 

alarms, while during the same process there may be various reminders. The visual and audio appearance of 

the monitor upon happening of such alarms or reminders, are as described in the Alarming chapter. On the 

display screen, physical alarms and general reminders are displayed in the alarming area, while technical 

alarms and those reminders unable to activate alarms are displayed in the information area. In this chapter 

all the descriptions on alarming applies out of the arrhythmia and ST segment analysis parts. 

When  the  alarming  record  function  under  relevant  menu  is  turned  on,  those  physical  alarms  activated 

Summary of Contents for Datalys V650

Page 1: ...Multi parameter Veterinary Monitor Datalys V650 User Manual...

Page 2: ...pany only considers itself responsible for any effects on safety reliability and performance of the equipment if Assembly operations extensions re adjustments modifications or repairs are carried out...

Page 3: ...EART BEAT VOLUME 17 3 3 3 KEY VOL Keyboard Vol 17 3 3 4 LCD LIGHT LCD Brightness 17 3 4 MONITOR SETUP Monitor Setting 17 3 4 1 ALARM SETUP 18 3 4 2 RECORD Record output setting 18 3 4 3 TIME SETUP Sys...

Page 4: ...peration and Status Information of Recorder 37 6 3 1 Requirements on record paper 37 6 3 2 Normal service 37 6 3 3 Insufficient paper 37 6 3 4 Paper loading procedures 38 6 3 5 Solution to paper jam 3...

Page 5: ...ER11 ECG MONITORING 53 11 1 Definition of ECG Monitoring 53 11 2 Attentions during ECG Monitoring 53 11 3 Monitoring Procedures 54 11 3 1 Preparation 54 11 3 2 Install ECG leads 55 11 3 3 ECG lead con...

Page 6: ...87 14 1 General Information 87 14 2 NIBP Monitoring 87 14 2 1 NlBP Measurement 87 14 2 2 Operational guide 89 14 2 3 Measurement restriction 91 14 2 4 NIBP Parameter Setting Adjustment 91 14 3 NIBP s...

Page 7: ...er 116 16 9 5 Zeroing 116 16 10 PHASEIN Branded Mainstream and Sidestream Analyzer Related Information 116 16 10 1 Zeroing 116 16 10 2 CO2 Module Lighting Information 117 16 10 3 Others 117 CHAPTER17...

Page 8: ...ty Warning Information 141 18 9 Airway Obstruction 143 18 10 Discharging Waste Gases 143 18 11 Consumables 144 18 12 Safety Symbol Information 144 18 13 Patents and Trademarks 145 18 14 Maintenance 14...

Page 9: ...VIII Blank page...

Page 10: ...ks in electric shock Any maintenance or upgrading on the monitor must be conducted by service personnel trained and authorized by our Company Warning Don t use this monitor where there are flammables...

Page 11: ...rd output to build such a solid and light monitor Its replaceable built in battery makes convenience for patient movement and it will clearly display 7 waveforms and all the monitoring parameter infor...

Page 12: ...analysis pulse analysis heart rate turbulence analysis etc This monitor has a friendly operation interface able to provide all functions with the keys and buttons on the front panel refer to Function...

Page 13: ...tton should be greater than 2 seconds and the frequency should not be excessively high To start stop NIBP measurement press to inflate the cuff to start a blood pressure measurement When measuring pre...

Page 14: ...en displaying connection Network Bed No should not conflict with other monitors or there will be unnecessary problems for the monitor If any problem happens because of confliction unplug network wire...

Page 15: ...larm function chapter for details Waveform Area There are four waveforms in the waveform area which are respectively from up to down two channel ECG waveform SpO2 volume graphic waveform and respirato...

Page 16: ...channel 1 and channel 2 unit mv PVCs times Unit times minute NIBP None Invisive Blood Pressure From left to right Systolic Diastolic Mean Unit mmHg or kPa SpO2 SpO2 unit Pulse Rate unit bpm IBP optio...

Page 17: ...ime and within 4 seconds after such a time ALM PAUSE TIME Alarm pause time 1 minute 2 minutes or 3 minutes ALAM LIMIT Display alarm limits ON and OFF ALM LATER Disabled 5s 10s 15s 20s Select Disable w...

Page 18: ...if the paper fixed well or not If no printing prease re fix the paper Figure1 4 recorder Right Panel On the right side of the monitor are sockets for each transducer TEMP 1 TEMP2 ECG SPO2 NIBP IBP1 op...

Page 19: ...et 10 Fan 11 Place for clamp or hook Warning This network port can only be connected with CARL NOVEL s central monitoring system Warning All the simulated or digital equipments connected with this mon...

Page 20: ...connected to different equipments the leakage current should not exceed the limit 1 5 Built in charge battery The multi parameter monitor has a built in charge battery When connected with AC power th...

Page 21: ...power cables Make sure the AC supply complies with the following specification 100 250VAC 50 60Hz Use the power cables provided with the monitor together Plug in the power cable into power supply int...

Page 22: ...ensure sufficient power storage Attention If any monitoring functions are found with damage or there are any error reminders don t use this monitor to monitor patients and quickly contact with the bi...

Page 23: ...MENU Figure 3 1 Main Menu MAIN MENU including PATIENT MANAGE SURVEY SETUP SELECTION MONITOR SETUP FACE SELECT TREND GRAPH TREND TABLE NIBP RECALL ALM RECALL WAVE RECALL INFO DRUG CALC MAINTAIN DEMO 3...

Page 24: ...PATIENT TYPE BIG SMALL 5 Weight kg 0 200 for example 100 Attention PACE The default setting is OFF after you restart the monitor In this menu user can select the UPDATE PATIENT and select CONFIRM TO U...

Page 25: ...TUP RESP SETUP CO2 SETUP RESP SETUP and CO2 SETUP both can appear only one of them IBP 1 2 SETUP the parameters set in this menu parameters chapters details in the description of this ignored the pop...

Page 26: ...ct the SELECTION Pitch on the BEAT VOL with the cursor and turn the knob to select the volume from such five options as OFF 1 2 3 and 4 3 3 3 KEY VOL Keyboard Vol Pitch on the KEY VOL with the cursor...

Page 27: ...alarm occurs the instrument that occurs immediately alarm When Select five seconds alarm occurs only when the parameters continue to exceed the the alarm upper or lower limit of 5 seconds instrument o...

Page 28: ...can not monitor REST and no parameter area of RESP in main interface NIBP ON OFF When it is ON machine can monitor NIBP when it is OFF machine can not monitor NIBP and no parameter area of NIBP in ma...

Page 29: ...the System Menu select the FACE SELECT to enter the dialog box in the following Figure Here there are such five options as STANDARD LIST FACE TREND SCREEN oxyCRG SCREEN BIG FONT Figure3 6 Work Interf...

Page 30: ...ical axis is for measured values and horizontal axis for measurement time The symbol is the cursor for TREND diagrams and the measured value at the position it arrows is displayed below the TREND diag...

Page 31: ...nce been marked which corresponds to the time of the marked cases Parameters in the TREND Figures can be categorized into the following 9 groups HR ST1 ST2 RR T1 T2 TD SPO2 PR NIBP S D M DATE IBP1 S D...

Page 32: ...ecall Data is sorted in time sequence from early to late and each screen can display 10 times of measurement data while users can select or to view later or earlier data Maximally 2000 measurement res...

Page 33: ...ate to end time date 2 Would be re check the alarm status in RECALL EVENT menu the events include ALL ECG SPO2 NIBP IBP CO2 RESP TEMP status 3 Optional ALM RECALL_Condition window would be recall the...

Page 34: ...tion or all information within memory data following with figure below Figure 3 12 Wave Recall Condition Setup the review types of the recall events and times enter in WAVE RECALL Condition selected W...

Page 35: ...r or not 4 Wave type SpO2 waveform and RESP waveform has two type to select LINE and FILL 5 Exporting Data Data including alarm data NIBP list data and trend table data The monitor export data provide...

Page 36: ...as to affect patient monitoring and delay treatment So this menu is set with the password 3 15 SCR LOCK screen lock Screen Lock In order to avoid non operators misuse Monitor the instrument has a tou...

Page 37: ...ND SCREEN oxyCRG SCREEN BIG FONT 4 1 1 STANDARD In the FACE SELECT menu select the STANDARD to enter the standard work interface The Standard interface provides us the parameter waveforms under monito...

Page 38: ...29 Figure 4 2 List interface 4 1 3 TREND SCREEN Enter the FACE SELECT and select the TREND SCREEN in the Work Interface Selection menu to enter such an interface Figure 4 3Trend Sreen Interface...

Page 39: ...ptions select any other work interface to end the trend concurrence interface 4 1 4 OxyCRG SCREEN In the Work Interface Selection menu select the oxyCRG Screen to enter the oxyCRG work interface Figur...

Page 40: ...Trend and this position will show the TREND Diagram of the respiratory rate select the Compressed Respiratory Wave and this position will show the respiratory wave after compression In the Work Interf...

Page 41: ...of the technical alarm will appear in the technical alarm area above the screen 3 Prompt message Strictly speaking prompt message does not belong to the domain of alarm It is to display the informati...

Page 42: ...alarm indicating lamp will show alarms in different levels with color and flashing frequency High level alarm red with flash frequency of 2 per second Medium level alarm yellow with flash frequency of...

Page 43: ...level alarm Medium level alarm Low level alarm 5 7 Alarm Parameter Flashing When a parameter is alarming the parameter will flash once every second 5 8 Icon of Alarm Status Besides the alarm modes men...

Page 44: ...ain menu to select setting alarm in which the alarm volume is set at one of the levels of 1 4 When the measured value exceeds the upper or lower limit of alarm set the Alarm Level as High Medium and L...

Page 45: ...ic record interval is selected by users through menus while waveforms are identical to real time records 6 2 Record Type This monitor generates slip records of the following types Real time continuous...

Page 46: ...me Bed number HR RR ST1 ST2 T1 T2 SPO2 PR NIBP 6 3 Operation and Status Information of Recorder 6 3 1 Requirements on record paper Only qualified heat sensitive record paper can be used otherwise ther...

Page 47: ...of the recorder Close the recorder door Attention Paper loading must be done softly so as to avoid heat on the heat sensitive head Unless during paper loading or trouble shooting the recorder door mu...

Page 48: ...econds TREND diagram for latest 120 hours can be displayed one data per minute per 5 minutes or per 10 minutes Select TREND GRAPH in the MAIN MENU to pop up the following TREND figure Figure7 1 Trend...

Page 49: ...to change Values higher than the biggest axis value will be represented by the biggest axis value 7 1 5 Obtain the TREND data at certain time in the current TREND diagram Select Cursor and rotate the...

Page 50: ...the TREND diagrams to the recorder just select the record button so as to let the recorder output NIBP TREND of the current review window 7 Press to exit observation on TREND diagram 7 2 TREND TABLE...

Page 51: ...later or earlier TREND curves 7 2 3 Observe TREND data of various parameters Press or button and select one group of parameters out of 6 available groups 7 2 4 Operation sample To observe a NIBP TREND...

Page 52: ...orted in time sequence from early to late and each screen can display 10 times of measurement data while users can Press or button to view later or earlier data Maximally 2000 measurement results can...

Page 53: ...nd Drag E provided to flexibly replace any medicine Users can select Drug Calculation under the MAIN MENU to pop up the following window Figure8 1 Drug Calculation The following formulae are used for...

Page 54: ...alue exceed out of expression of the relevant unit the system will display Attention After operators input a certain value the system will give a clear reminder in the menu reminding operators to chec...

Page 55: ...cine contents Attention This function of medicine calculation is only to provide a medicine calculator while values in the list should not be related with the patient under monitoring Thus the patient...

Page 56: ...d press the knob to select the step length in the range of 1 10 Move the cursor to the Dosage Type and press the knob to select the dosage unit Move the cursor to the or button and press and turn the...

Page 57: ...ment where the portable monitor is located users should reasonably avoid vibration dusts corrosive or explosive gases extreme temperature and moisture In case installed inside a chamber the front side...

Page 58: ...nel of the monitor while the other side connected with one interface of the equal potential system In case of any damage to the protective earthing system the equal potential earthing system will take...

Page 59: ...t be conducted by qualified personnel once per 6 12 months and after each time of repair Warning if any hospital or agency responsible for using the Monitor fails to implement a set of satisfying main...

Page 60: ...ted from the power line b Use soft cotton ball to adsorb a small amount of cleaning agents and clean the screen c Use soft cloth to adsorb a small amount of cleaning agents and clean the monitor shell...

Page 61: ...ny liquid enter the cover and don t immerse any part of the equipment into any liquids Don t remain any cleaning liquid on the equipment surface Don t pour liquids onto the equipment during the disinf...

Page 62: ...lect the lead to be monitored Displayed monitoring parameters include HR ST segment measurement value and arrhythmia All the above parameters can be taken as alarm parameters Attention In the ex facto...

Page 63: ...h soap and water don t use ethyl ether or pure alcohol as they will increase skin resistance 3 Drily sweep the skin so as to increase capillary blood flow as remove skin scraps and oil 4 Install sprin...

Page 64: ...S standard US standard European standard Lead name Color Lead name Color RA White R Red LA Black L Yellow LL Red F Green RL Green N Black V Brown C White Three lead ECG electrodes position Figure 11 1...

Page 65: ...d with ECG cables together Positioning of ECG leads is up to operation types for example for chest operation electrodes can be put on breast sides or back Inside operation rooms using surgery electric...

Page 66: ...5 In case a user selects the same leads the monitor will automatically adjust to different lead Characteristics of a good signal High and narrow without incisura High R wave fully above or below the b...

Page 67: ...e otherwise the system will automatically change the similar name into another 2 The 1st ECG Waveform Gain used to adjust the amplitude of ECG waveform The gain of each calculation channel can be sele...

Page 68: ...he system provide the real signal that has not been treated In the filtering modes such as Monitoring and Operation the ECG waveform will abnormally occur to the different extents At this time the sys...

Page 69: ...xt have pompt HR ALM SETUP setup heart rate hight limit middle limit low limit of the upper and lower limits Alarms will happen once the HR values exceed the upper or lower limit Adjustable ranges for...

Page 70: ...f each ECG waveform there is a 1 mv rod of which height and amplitude are proportional Sweep ECG Waveform scanning wave has four levels for option such as 6 25 12 5 25 0 and 50 0mm s Filtering Mode Th...

Page 71: ...nitor will decide HR source based on signal quality if users select All the monitor will concurrently display HR and PR In case PLETH is taken as the HR source the PULSE reminder will be displayed tog...

Page 72: ...on the monitor All available leads can be monitored continuously The ECG waveform does not need to be displayed on the Screen for ST segment analysis Warning This monitor provides ST level change info...

Page 73: ...t ISO and ST ISO BP base point set the baseline point Power on time is ste at 96 ms ST SP starting point set the measuring point Power on time is set at 128ms Figure11 9 Determine the ST Segment AP IS...

Page 74: ...lyzed Alarms Reminders used in ST Segment Analysis Caution The alarm limits for two measured values of ST SEGMENT are coincident The alarm limit of each channel can t be set alone The alarm record swi...

Page 75: ...HB according to arrhythmia analysis and make a diagnosis and give treatment In addition to detect the ECG change arrhythmia analysis can monitor patients and give a suitable alarm The default of arrh...

Page 76: ...larm Level PVCs too high PVCs measured value is above the set alarm upper limit Selectable by users Technical alarms prompt message Causes Alarm Level Solutions PVCs alarm limit is wrong Function safe...

Page 77: ...e the cursor to select the arrhythmia events in the list 3 Waveform press this button and the window will show the waveforms occurrence time and parameters of the selected arrhythmia events 4 Press to...

Page 78: ...eform of channels analyzed 4 seconds before and after alarming The alarm or prompt message related to arrhythmia analysis is as shown in the following table Physical alarms Prompt Message Applied Pati...

Page 79: ...r the patient with the pacemaker Selectabl e by users Applied Patient Type Full means the arrhythmia analysis that can be given to the patient with the pacemaker as well as that to the patient without...

Page 80: ...CG module initialization error Failure in ECG measurement module High Stop using the measurement function provided from the ECG module and inform biochemical engineers or our maintenance personnel ECG...

Page 81: ...ssure will be generated if their breast is horizontal expanded In that case users should put the two RESP electrodes respectively at middle line of the right axilla and left side to the breast where t...

Page 82: ...al line so as to obtain the best RESP wave Need keep the liver and heart area out of the line formed by such electrodes so as to avoid artificial discrepancy generated from heart cover or pulsatile bl...

Page 83: ...HI Alarm high used to be set with the upper limit for RR alarm 5 ALM LO Alarm low used to be set with the alarm lower limit RESP alarming takes the set upper lower limits as standard and once the RES...

Page 84: ...RESP waveforms under five optional enlargement rates 0 25 0 5 1 2 and 4 SWEEP Waveform speed Three optional speeds 6 25mm s 12 5mm s and 25 0mm s WAVE COLOR green cyan red yellow white blue violet WAV...

Page 85: ...onfiguration the original configuration will be overwritten select No to abandon the current operation the system remains the original configuration unchanged 12 5 RESP alarm information and prompt in...

Page 86: ...ical alcohol naturally dried or cleaned by clean and dry clothes Disinfection To avoid long term damage to the equipment we recommend you to disinfect the products only when deemed as necessary under...

Page 87: ...rmine how many rays from the light source of the sensor penetrate the patient s tissue such as fingers or ears and reach another receiver As for the wave length measurable by the sensor generally the...

Page 88: ...out the light The detector cable should be fixed on the back of hand Attention SpO2 value always displays at the fixed place Only in the following cases PR will appear In ECG menu set HR Source as SPO...

Page 89: ...probe clip open in the left and right sides of the clip installed infrared LED sensor see Figure 13 1 A 2 open the monitor 3 to one end of the sensor cable connector insertion the SpO2 module s SpO2...

Page 90: ...photo oximeter and SPO2 sensor are used during MRI process as the inductive current may cause burns Intravenous Dye Frequent movement by patient Light radiation from outside Improper installation of...

Page 91: ...ll not happen but will be prompted beside SpO2 in the screen parameter area ALM LEV Alarm level used to set alarm levels and during SpO2 alarming for alarm reminder and saving Options include High Mid...

Page 92: ...Waveform Speed the scanning speed of SpO2 volume recording waveform is provided with 12 5 and 25 0mm s for option Waveform Colour green cyan red yellow white blue violet WAVE TYPE LINE or FILL 13 7 SP...

Page 93: ...s PR ALM SETUP see the content of this chapter parameter area the SPO2 set alarm settings If the oxygen probe in the machine NELLCOR probe SPO2 alarm settings PR pulse rate alarm settings set upper an...

Page 94: ...ommunication mistaken High Stop use of SpO2 module measurement function and advise the biomedicine engineer or User Service Dept SPO2 module communication wrong SPO2 alarm limit wrong Function safety...

Page 95: ...leaning Having cleansed the surface of the sensor with the cotton ball or cotton cloth soaked with medical alcohol dry it with the dry cloth The luminotron and receiver of the sensor can be cleaned in...

Page 96: ...ious DIC users should decide whether to apply NIBP measurement based on clinical assessment as there may have blood tumor at the touching area between body and cuff In case of measurement on infants a...

Page 97: ...knee and try to get the cat away from the noise and bright location The forelimb is better to place the blood pressure cuff position feeling nervous cat blood pressure cuff may be better placed in th...

Page 98: ...easurements Cuff length Cuff width Tube length Pet blood pressure cuff 1 3 5 5 cm 12 2cm 2 6 cm 2m Pet blood pressure cuff 2 4 8 cm 15 4 cm 3 2 cm Pet blood pressure cuff 3 6 11 cm 18 7 cm 4 2 cm Pet...

Page 99: ...the START STOP button on the control panel 5 Stop a manual measurement Re press the START STOP button on the control panel 6 Conduct a continuous measurement Enter the NIBP Setting menu and select th...

Page 100: ...heartbeats resulted from arrhythmia measurement will be unreliable or even impossible while measurement time will also be extended Heart lung machine If a patient is connected with an artificial hear...

Page 101: ...rameter area ALM REC Alarm record Users can select On to output through recorder when blood pressure alarms happen Measure mode big or small INTERVAL MANUAL and auto 1min 2min 3min 4min 5min 10min 15m...

Page 102: ...eter area ALM REC Users can select On to output through recorder when blood pressure alarms happen Unit mmHg kPa MEASURE MODE big or small INTERVAL Time interval Unit minute for automatic measurement...

Page 103: ...iguration is to be used the original configuration will be overwritten 14 5 NIBP Pressure Calibration The manufacturer recommends to use pressure meter or mercurial sphygmomanometer with calibrated pr...

Page 104: ...n the knob move the cursor to leak testing press the knob Leak detection will display beneath the NIBP parameters area on the screen The system has began to perform leak detection system automatically...

Page 105: ...than specified alarming upper limit User defined ND over low Measured diastolic pressure lower than specified alarming lower limit User defined NM over high Measured average pressure higher than spec...

Page 106: ...nd inform biochemical engineers or our maintenance team Arm movement Big signal noise or irregular PR due to arm movement Low Make sure the patient is silent without movement Overpressure protection P...

Page 107: ...ng Warning Don t compress the rubber pipe on a cuff Keep water or cleaning liquids out of the connector socket in the front of the monitor otherwise the equipment may be damaged During monitor cleanin...

Page 108: ...until the rubber gag is positioned exactly Insert the rubber pipe into the cuff letting it go through the hole liner and extend out 14 8 2 One time blood pressure cuff Cuffs for one time use can only...

Page 109: ...n will display the error information T sensor disconnected and make voice alarming Attention A one time TEM detector can only be used once Warning Be careful to use or store TEMP detector and cables s...

Page 110: ...Record it is mainly used in starting closing the output function of TEMP alarm record If On is selected the present TEMP alarm will be outputted through the recorder Disp Color green cyan red yellow...

Page 111: ...p Color green cyan red yellow white blue violet T1 T2 TD ALM HI LO Temperature alarm is set high limit and low limit alarm when the temperature exceeds the high limit or below the lower limit Default...

Page 112: ...t down the AC power supply before cleaning the monitor or the connected sensor This monitor is compatible with YSI400 series TEMP detectors whose cleaning procedures are as follows Reusable TEMP detec...

Page 113: ...e the respiratory gases through patient airways are sampled with a constant sampling flows and analyzed by remote CO2 sensors built in the measurement system In the mainstream measurement mode CO2 sen...

Page 114: ...d sensors are employed to measure the attenuation degrees of received infrared rays at the other side of the measuring chamber and the attenuation degree is directly proportional to the CO2 concentrat...

Page 115: ...y the RESPIRONICS company is shown in the figure below Figure 16 3 Sidestream Mode CO2 Connection Schematic 3 The schematic of connection of the ISA sidestream analyzer produced by the PHASEIN company...

Page 116: ...tled 17 6 Measuring Procedure and Before Using Checking for the measuring procedure and change the procedure for setting the AG module menu to CO2 menu setting Warning Before use please check airway j...

Page 117: ...e cable to the CO2 interface of the CO2 plug in module or the minihost 4 Enter into the conventional screen of the host monitoring equipment select Exchange Waveform to call out the CO2 waveform and p...

Page 118: ...000 1524 628 31 5 500 1676 4 616 31 6 000 1828 8 604 30 6 500 1981 2 593 30 7 000 2133 6 581 29 7 500 2286 570 29 8 000 2438 4 560 28 8 500 2590 8 549 27 9 000 2743 2 539 27 10 000 3048 518 26 10 500...

Page 119: ...the altitude are corresponding the atmospheric pressure can be adjusted only by setting the altitude 11 In the CO2 Settings menu select Zeroing after zeroing the following prompt is displayed at the l...

Page 120: ...Gas Compensation i To connect the outlet of the sample gas to the discharge system or to make the gas to flow back to the patient s circuit j If it is green LED indication ISA Analyzer is available k...

Page 121: ...used to protect the IRMA probe the state indicating LED should face upward all the time during IRMA probe placement Do not pull the cable of ISA By flow Gas Analyzer Do not operate the ISA By flow Ga...

Page 122: ...t of INS alarm if the measured INS value exceeds the upper limit there will be an alarm and prompting APNEAALM apnea alarm No 1s 2s 5s 10s 15s 20s 25s 30s 35s 40s CO2 ALM SETUP Used for to adjust CO2...

Page 123: ...te the shuttle button to move the cursor to CO2 hotkey in the parameter area on the main screen and then press the shuttle button to enter the menu CO2 SETUP as below Figure 16 8 CO2 Settings Note Ref...

Page 124: ...rocessing system or the patient circuit on the anesthesia machine or the respirator so as to prevent medical personnel from inhaling the anesthetic 16 9 Maintenance and Cleaning of RESPIRONICS Branded...

Page 125: ...s to eliminate the effect of baseline drifting on the results during measurement thus ensuring the correctness of measured results Usually the module will zero itself automatically when necessary The...

Page 126: ...requires that the gas analyzer exists in the ambient air 21 oxygen and 0 CO2 you should make sure that the ISA is placed at a well ventilated position Before and after executing the zeroing procedure...

Page 127: ...ssory if applied should confirm to safety requirements of medical equipment Warning In connection and application accessories should be avoided from contacting metal parts connected with electric appa...

Page 128: ...ion applied to the pressure pipe and the sensor is splashed on the instrument or accessories especially when the liquid may enter the sensor or the monitor place contact with the maintenance departmen...

Page 129: ...ig 17 1 IBP Monitoring 17 4 IBP Menu 17 4 1 IBP 1 2 setup in the parameter area Rotate the knob and move the cursor to the IBP hotkey in the parameter area of the screen Fig 17 2 IBP Parameter Setting...

Page 130: ...arm limit used for setting the lower alarm limit MEA Lower MEA alarm limit used for setting the lower alarm limit DIA Lower DIA alarm limit used for setting the lower alarm limit CH2 ART PA CVP RAP LA...

Page 131: ...ange is the measurement range of the current pressure CH2 ATR PA CVP RAP LAP ICP P1 P2 Setup Upper scale The pressure value represented by the upper scale limit The choice range is the measurement ran...

Page 132: ...s including ART PA CVP RAP LAP ICP P1 and P2 are provided SWEEP 12 5mm s 25mm s FILTER smooth normal no filter WAVE COLOR green cyan red yellow white blue purple WAVE TYPE line fill 17 4 3 IBP 1 2 set...

Page 133: ...2 setup the CH Press Setup ALARM SETUP see this chapter parameter area IBP 1 2 setup the ALARM SETUP SCALE AGJUST see this chapter parameter area IBP 1 2 setup the SCALE AGJUST DEFAULT checked into th...

Page 134: ...ro calibration should be done before monitoring start and at lease once per day zero calibration must be done each time after the cable is plugged or pulled Fig 17 5 Connection layout of IBP pressure...

Page 135: ...annel to be calibrated Charge gas to raise the scale of the mercury column to the set pressure value in the menu Repeatedly adjust until values in the menu equal to pressure values in the blood pressu...

Page 136: ...al engineers or maintenance workers 17 6 Maintenance and Cleaning Warning Please turn off the monitor and disconnect the AC power supply before cleaning the monitor or sensor When the operations of pr...

Page 137: ...e cap immerse the sensor except the electrical connector in the disinfectant for the recommended time and then use the sterile water or physiological saline to rinse out all components except the elec...

Page 138: ...aveform is displayed The system can display such parameters as CO2 N2O O2 and AA the anesthetic agent being monitored DES ISO ENF SEV or HAL including both the inhalation and exhalation value and also...

Page 139: ...n its paramagnetic characteristics Inside the sensor of oxygen module there are two crystal balls filled with nitrogen hung in symmetrical magnetic fields with the help of a torsion device In case of...

Page 140: ...MAC value for N2O is only obtained in a high pressure chamber Caution The above data of a 40 year old healthy male patient comes from ISO21647 and is published by FDA In practice such factors as age a...

Page 141: ...be The water tank is used to collect the condensed water drops from the sampling airway and prevent them entering the module Please pour the water in the water tank when it reaches a certain amount or...

Page 142: ...alarm limit middle alarm limit low alarm limit if the measured ET value exceeds the limit there will be an alarm and prompting FI ALM SETUP set high alarm limit middle alarm limit low alarm limit if...

Page 143: ...in the main menu to select AG Setup and CO2 and then press the shuttle button to enter the menu CO2 Refer to the section CO2 Setup in Parameter Area for the specific options of the menu CO2 in Survey...

Page 144: ...form area and then press the shuttle button to enter the menu O2 as below Figure 18 6 AG O2 Settings SWEEP 12 5mm s or 25 0mm s Wave Color Green Cyan Red Yellow White Blue or Purple Gain 1 2 or 4 to a...

Page 145: ...o override the original settings 2 N2O Settings in Waveform Area In the AG interface rotate the shuttle button to move the cursor on the display interface to the N2O hotkey in the waveform area and th...

Page 146: ...middle alarm limit low alarm limit if the measured ET value exceeds the limit there will be an alarm and prompting FI ALM SETUP set high alarm limit middle alarm limit low alarm limit if the measured...

Page 147: ...ndensation Quantitative effects of atmospheric pressure Disturbing gases or water vapor Other disturbing sources 2 Gas measurement unit Volume percentage is used as the unit of concentration of a repo...

Page 148: ...to the ISA sidestream gas analyzer The relative humidity of all the gases collected is approximately 95 If you need the CO2 value under BTPS you can use the following equation Et CO2 Et CO2 value vol...

Page 149: ...at a well ventilated position Before and after executing the zeroing procedure avoid breathing in the vicinity of the ISA sidestream gas analyzer The Nomoline sampling tube and its interface are not g...

Page 150: ...ischarging system If the collected gas sample needs to supply air for respiration a germ filter should be used at the discharging side all the time When placing the ISA gas analyzer try not to place i...

Page 151: ...in the IRMA probe is a disposable product containing corrosive electrolytes and lead The IRMA probe is designed only as an auxiliary means for patient evaluation It must be used together with other vi...

Page 152: ...ons 18 9 Airway Obstruction When the anesthetic gas airway is obstructed on the screen there will be such a prompt message as The anesthetic gas airway is obstructed under such a circumstance replace...

Page 153: ...angerous situation which may cause personal injury or death A warning symbol should be in conformity with ISO 7010 W001 Operation Instructions Please refer to operation instructions ISA operating inst...

Page 154: ...ti gas AX or OR ISA equipment can measure multiple gases Sigma multi gas technology PHASEIN Sigma multi gas technology is applied in the product Gas inlet Gas outlet discharge Patient circuit connecti...

Page 155: ...the LEGI interface the Nomoline sampling tube should be connected all the time during analyzer cleaning Before cleaning the IRMA probe take off the disposable IRMA airway adapter Warning The Nomoline...

Page 156: ...040 000339 00 Veterinary simulation SPO2 probe 1PCS 4 040 000343 00 Veterinary cuff 1 1PCS 5 040 000344 00 Veterinary cuff 2 1PCS 6 040 000345 00 Veterinary cuff 3 1PCS 7 040 000346 00 Veterinary cuf...

Page 157: ...CO2 module 1 PCS 12 040 000024 00 Airway adapter with a dehumidification tube 1 PCS 13 040 000025 00 Module fixing clip 1 PCS 14 099 000006 00 PHASEIN IRMA CO2 analyzer IRMA CO2 1PCS 15 040 000216 00...

Page 158: ...onitor Specifications 1 Size and weight Name Specifications Size and weight Size 245 5mm 220mm 110mm Weight 3kg 2 Environment requirement Name Specifications Working environment Environment temperatur...

Page 159: ...shion I II III Electrode disconnection Indication Automatic detection display Scanning speed 12 5 25 50mm s Gain selection 1 4 1 2 1 2 4 Cardiac Electrophysiology Noise level 30 VP P Cardiac Electroph...

Page 160: ...2 1 g waveform figure 4 a 1 range 10s figure 4 a 0 5 range 10s figure 4 a 2 range 10s figure 4 b 1 range 10s figure 4 b 0 5 range 10s figure 4 b 2 range 10s 7 SpO2 specification Name Specifications D...

Page 161: ...mode 150mmHg tolerance 3mmHg Range and error of alarm preset Big Systolic blood pressure Upper limit 46 270mmHg Lower limit 40 264mmHg Mean blood pressure Upper limit 26 230mmHg Lower limit 20 224mmHg...

Page 162: ...ame CO2 s resolution 1mmHg or 0 1kPa or 0 1 Gain 0 25 0 5 1 2 4 Unit mmHg KPa CO2 s accuracy 2mmHg between 0mmHg 40mmHg 5 between 41mmHg 70mmHg 8 between 71mmHg 100mmHg 10 between 101mmHg 150mmHg Atmo...

Page 163: ...Alarm specification range step accura cy EtCo2 upper limit lower limit 2 76mmHg lower limit 0 upper limit 2 mmHg 1mmHg 1mmHg FiCo2 upper limit lower limit 2 76mmHg lower limit 0 upper limit 2 mmHg 1mm...

Page 164: ...155 FiHal FiEnf FiI So FiSev FiDes v upper limit lower limit 0 2 25 lower limit 0 upper limit 0 2 0 1 0 1...

Page 165: ...suffers from arrhythmia of PVS bigeminy Check the current status of the patient and whether the electrode and lead cable are connected correctly TRIGEMINY PVS trigeminy The patient suffers from arrhy...

Page 166: ...wrong X Error X appears when XX module is initialized Restart the monitor for trial If errors still exist please contact the manufacturer for maintenance XX module communication stop XX module can t c...

Page 167: ...ease contact the manufacturer for maintenance Recorder voltage too low Recorder head too hot Maybe the continuous recording time is too long After the recorder is fully cooled do the record output If...

Page 168: ...ressure protection Maybe the air path has once been folded Please do measurement again after checking whether the air path is smooth and the patient s condition If the error persists please contact th...

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