Medrad Veris 8600 Operation Manual Download Page 1

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Page i

Veris

8600

Vital Signs Monitor

Operation Manual

3010796 Revision 0

Date 10/04

PRELIMINARY

Summary of Contents for Veris 8600

Page 1: ...Page i VerisTM 8600 Vital Signs Monitor Operation Manual 3010796 Revision 0 Date 10 04 PRELIMINARY...

Page 2: ...anual Copyright 2004 MEDRAD Inc All rights reserved Reproduction of this manual is strictly prohibited without express written consent of MEDRAD Inc For more information about MEDRAD products and serv...

Page 3: ...tor 1 3 Communication Port Main Monitor 1 4 Main Monitor Base Connections 1 5 Chassis Ground 1 5 DC Connection 1 5 Exhaust Port 1 5 Air Intake Port 1 5 Remote Display 1 6 Printer 1 8 Accessory Tray 1...

Page 4: ...ing a Patient 2 33 CONFIG Softkey System Configuration 2 34 Password Protection 2 35 Date Format 2 35 Time Date Setting 2 35 Freeze Timeout 2 35 Standby Timeout 2 35 Standby Tone 2 35 Alarm Tone Warni...

Page 5: ...4 Graphical Trend Display 4 5 Tabular Trends 4 6 Tabular Trend Markers 4 6 Trend Messages 4 6 Data Format 4 7 Clearing the Memory 4 10 Section 5 ECG Theory of Operation 5 1 Heart Rate 5 1 ECG Measurem...

Page 6: ...7 3 Attaching the Probe to the Monitor 7 4 Attaching the Probe to the Patient 7 4 Finger Probe Application for Adults 7 6 Neonate Probe Placement 7 7 SpO2 Peripheral Gating 7 10 Section 8 IBP Theory o...

Page 7: ...eory of Operation 11 1 Respiration 11 1 Capnometry Measurement of CO2 11 1 Measuring Oxygen O2 11 2 CO2 Monitoring Procedure 11 4 O2 Monitoring Procedures 11 5 Interfering Gasses for O2 11 5 N2O Monit...

Page 8: ...ttings for Unit Defaults B 5 PARAMS Menu Settings B 5 PRINT Menu Settings B 6 DISPLAY Menu Settings B 6 ALARMS Menu Settings B 7 Other Alarm Settings B 11 Appendix C Specifications ECG C 1 ECG System...

Page 9: ...d Service D 3 Appendix E Troubleshooting General Troubleshooting E 1 Troubleshooting Table E 1 Appendix F IBP Transducer Specifications IBP Specifications F 1 Transducer Specifications F 1 Transducer...

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Page 11: ...MEDRAD K K P O Box 205 9F Central Shin Osaka Bldg 6190 AE Beek 4 5 36 Miyahara The Netherlands Yodogawa ku Telephone 31 0 43 3585600 Osaka 532 0003 Japan FAX 31 0 43 3656598 Telephone 81 0 6 6350 068...

Page 12: ...one 39 0 382 552882 Telephone 49 0 9381 80 36 80 FAX 39 0 382 552876 FAX 49 0 9381 80 36 85 MEDRAD Mexicana S de Mediwest Norway AS R L de C V Leibnitz 204 Aslakveien 14A Col Anzures Del Miguel Hidalg...

Page 13: ...mote display Identifies the degree of protection against fluid as drip proof main monitor Identifies the degree of protection against fluid as drip proof power supply Equipotential Terminal Protective...

Page 14: ...l and local regulations Risk of electrical shock Do not remove cover Refer servicing to qualified personnel System Symbols Fuse Alternating Current AC Direct Current DC Wireless Device Port Symbols Si...

Page 15: ...Definition Technical Support Phone Number Manufacturing Contact Serial Number Part Reference Number Place this side against the skin Blood Pressure Cuff Placement of the cuff over the brachial artery...

Page 16: ...le anesthetic mixture with air or with oxygen or Nitrous Oxide Possible explosion hazard Do not use the monitor in the presence of gas mixtures which may be flammable Cables tubing and lead wires may...

Page 17: ...KER PATIENTS This device does not include pacemaker spike rejection capability Heart rate readouts derived from the ECG patient connections are likely to display erroneous high or erratic rates when a...

Page 18: ...e keys Use only your fingertips to press on the keys Changes or modifications not expressly approved by MEDRAD Inc may void the user s authority to operate the equipment and may also void the warranty...

Page 19: ...this manual any minor fluctuations will have a negligible effect Very low line voltage will cause the monitor to revert to battery power Very high line voltage may cause damage to the charger circuits...

Page 20: ...or inverted with the patient in the magnetic field This effect is due to hemodynamic flow induced voltage and may interfere with QRS detection Try other leads and or electrode placements for best res...

Page 21: ...pproved by the party responsible for compliance could void the user s authority to operate the equipment The term IC before the certification registration number only signifies that the Industry Canad...

Page 22: ...be a professional health care provider Physiological data gas monitoring system alarms and patient analysis will be available to the care provider from the monitor The monitor shall be MR compatible b...

Page 23: ...ys be checked by the caregiver before use for actual patient monitoring Perform the following procedure before using the monitor with each patient 1 Make sure the monitor has been fully charged before...

Page 24: ......

Page 25: ...een is the primary control panel equipped with the power button eight dedicated function keys and a menu knob Menu selections are displayed on the screen and can be selected via the menu knob The keyp...

Page 26: ...which may be selected and activated by the menu knob are also displayed on this and the optional remote display screen Water Trap and Gas Sampling Connection The water trap connection is a feature on...

Page 27: ...blood pressure NIBP connections are standard on all Veris 8600 models All potential Veris main monitor connections are described in the picture below The optional remote display has no patient connect...

Page 28: ...c communication between the main monitor and the remote display See the Installation Instructions for installing the fiber optic communications See Figure 1 8 Remote Display Fiber Optic Connections on...

Page 29: ...fic to prevent tripping and or damage to the cable Exhaust Port The exhaust port is located on the base of the Anesthesia monitor assembly by the DC connection The scavenging kit fits this nozzle Use...

Page 30: ...ation Changes to the display can be made from the remote display and be effected on the patient monitor Figure 1 6 Remote Display Rear View Printer Door AC Power Connection Chassis Ground Communicatio...

Page 31: ...Ports Remote Display There are also two fiber optic ports on the right side of the remote display These ports on both the main monitor and the remote display are for fiber optic communication between...

Page 32: ...ditional printer information Printers are only available on Veris 8600 remote displays Accessory Tray The monitor has an integral accessories tray where the user can store and hang accessories Do not...

Page 33: ...011991 Base MR Monitor Standard 3 lead ECG SpO2 and NIBP 3011992 BasePlus MR Monitor Base plus Remote Display 3011993 Cardiology configuration Base plus 5 lead ECG ECG Gating SpO2 Gating IBP The Remot...

Page 34: ......

Page 35: ...en it is connected to the power supply The monitor can operate in continuous use for a minimum of 10 hours on a fully charged battery Charge the battery from the power supply over night for approximat...

Page 36: ...con colors are Green Battery life is greater than 1 hour Yellow Battery is weak less than 1 hour and more than 15 minutes of charge remains A LOW BAT message also appears Black Battery is nearly drain...

Page 37: ...d been previously admitted by the monitor a notice message RESUME MONITORING appears in a yellow box Press the knob to continue monitoring with the current patient Select NO to change the patient Figu...

Page 38: ...ibrated by the user NOT ZEROED In either case it is not necessary to attach or zero the transducers in order to use the other features of the monitor Gas Calibration The agent gas detector may require...

Page 39: ...eform slot selected for the waveform The parameter box displays to the right of its corresponding waveform if displayed in a waveform slot The screen display is the same on the patient monitor and the...

Page 40: ...proportional to pulse volume The SpO2 waveform display is not automatically gain adjusted ALARMS PARAMS DISPLAY ALARMS PARAMS DISPLAY Adult Adult V000 NO ADMIT V000 NO ADMIT SPO2 SENSOR SPO2 SENSOR ZE...

Page 41: ...icon shows a bell with an X and the words 2 Min when the SILENCE hard key has been momentarily pressed ALARM INHIBIT The alarm inhibit icon appears in the parameter boxes when one or more of an indivi...

Page 42: ...and auto ranging features The selected range appears at the left side of the waveform The scaling for IBP slots are locked at x1 and cannot be changed Use the range settings to adjust the appearance...

Page 43: ...dedicated to display the heart rate The source of the heart rate i e ECG IBP SpO2 or NIBP is shown in the lower left corner of this box The color of the numeric display for heart rate matches the colo...

Page 44: ...The system detects an agent other than one set in the configuration of the system If using more than one agent set the Agent to Monitor selection in the PARAMS menu to Auto The abbreviated name of the...

Page 45: ...to channel 2 The units F or C appear in the upper right corner of each box Main Menu The main menu area is directly under the Temperature and NIBP boxes on the left hand side of the screen There are...

Page 46: ...WARNING ICONS There is space reserved for two battery icons The battery icons represent the state of the internal rechargeable batteries See Battery Indicators on page 2 2 and Charging the Battery on...

Page 47: ...ement start key Press the key again to cancel an NIBP measurement Print Press once to begin printing or for serial output Press a second time to stop printing Silence Press this key momentarily to beg...

Page 48: ...each window without making changes At the bottom of the first window there may be selections allowing access to subordinate windows Some windows and settings discussed in this manual may not be prese...

Page 49: ...e memory If no profile has ever been selected the initial profile is CUSTOM DEFAULTS and begins with the same settings as the Factory Default Settings listed in Factory Defaults on page 2 38 The perma...

Page 50: ...ALARMS PARAMS DISPLAY ZERO IP1 ADM DIS CONFIG PRINT ZERO IP2 EXIT Alarm Volume 5 ECG Lead Fail MEDIUM Patient size Adult HIGH LOW Heart Rate 150 40 SpO2 OFF 90 NIBP Systolic 200 50 NIBP Diastolic 100...

Page 51: ...adjust the settings as necessary including the extended windows that appear under Other Alarm Setups Then change to the next patient size and adjust the settings again including the extended windows...

Page 52: ...ect current are the two IBP channels shown at the top of the screen These can be set to pulsatile or non pulsatile sites The limits at the bottom of the screen are used if the IBP site location is cha...

Page 53: ...mary agent can be changed in the PARAMS menu If the primary agent is changed the corresponding limits for the new primary agent are applied from the default alarm limits listed for each specific gas E...

Page 54: ...hich has been designated or automatically determined as the primary agent for monitoring The anesthetic agents go by other names as shown in the table below It is the responsibility of the physician t...

Page 55: ...do not display The audible alarms associated with that module are also disabled The ON OFF setting or absence of a monitoring module can also affect the Smart Heart Rate function COLOR SETTINGS At th...

Page 56: ...d with each NIBP measurement rather than being continuously updated with the ECG IBP or SpO2 waveform data When the heart rate is based on NIBP data the numerical heart rate value is removed 2 minutes...

Page 57: ...lly When auto ranging is selected for a channel in the PARAMS window the monitor determines the best display range based on previous extremes of the waveform The scale changes to exceed the waveform m...

Page 58: ...the SpO2 SEARCH message appears The SpO2 Low Limit Alarm can be set to either high or medium priority as desired The monitor generates an alarm of that level when the low limit threshold is passed RES...

Page 59: ...for monitoring it must be correctly entered Always confirm the primary agent selection before use Incorrect primary agent setting may result in erroneous limit alarms Alarm characteristics of the moni...

Page 60: ...mary halogenated agent has its own set of alarm limits as described earlier in this section This is for use when the primary agent is selected manually When automatic primary agent detection is used t...

Page 61: ...ed in a variety of ways as described in the following text The waveforms may be adjusted in size and dimension by using the settings provided The gain listed on the DISPLAY window settings increases t...

Page 62: ...rm 3 ECG aVR x1 0 25 0 25mm Waveform 4 PLETH x1 0 25 0 25mm Waveform 5 OFF x1 0 25 0 12mm Waveform 6 ET CO2 x1 0 25 0 12mm External Display OFF ALARMS PARAMS DISPLAY ALARMS PARAMS DISPLAY Adult Adult...

Page 63: ...Waveform 1 ECG II x1 0 25 0 25mm Waveform 2 Cascade x1 0 25 0 25mm Waveform 3 ECG aVR x1 0 25 0 25mm Waveform 4 PLETH x1 0 25 0 12mm Waveform 5 Cascade x1 0 25 0 12mm Waveform 6 Cascade x1 0 25 0 12m...

Page 64: ...ble height waveforms Gain and Sweep The GAIN and SWEEP settings found in the DISPLAY menu can also be used to modify the way waveforms are displayed on the screen The upper three 25mm slots of the dis...

Page 65: ...lear break between patient histories in the memory This also ensures that label headers are properly printed out for each patient It is possible to admit a blank patient If this is done there is no pa...

Page 66: ...BP pressure limit For Adult and Pediatric the limit is 300 mmHg The limit for Neonate is 150 mmHg Patient Information To enter change or update patient information 1 Set the menu to ADM DIS and press...

Page 67: ...ows 1 Set the menu to ADM DIS and press the knob the ADM DIS window appears 2 Rotate the knob to highlight Discharge The discharge selection is not available if a patient has not been admitted 3 Press...

Page 68: ...ency setting affects the SpO2 filter function The Return to Factory Defaults setting may make changes affecting all of the physiological monitoring modules The printing and communications settings are...

Page 69: ...When the FREEZE key is pressed the waveforms are redrawn on the screen The FREEZE function forces an exit from the current pop up window or dialog box Standby Timeout The Standby Timeout can be set t...

Page 70: ...n to the right is highlighted 6 Turn the knob until the desired language appears 7 Press the knob again to select the new language 8 Exit the configuration window The language should be properly set w...

Page 71: ...ctivation of a new high or medium level alarm See Printing and Data Ports on page 12 1 for more information on printing TABULAR PRINTING Numerical values for all current parameters are printed GRAPHIC...

Page 72: ...3 0 F 93 0 F 93 0 F Respiration High 6 120 Off 36 36 60 Respiration Low 6 120 Off 4 4 14 CO2 Inspired High 0 100 mmHg Off 10 mmHg 10 mmHg 10 mmHg CO2 Inspired Low 0 100 mmHg Off 5 mmHg 5 mmHg 5 mmHg C...

Page 73: ...0 0 0 LV Diastolic Low 0 to 240 Off 0 0 0 LV Mean High 10 to 240 Off 120 0 0 LV Mean Low 10 to 240 Off 60 0 0 RA Mean High 10 to 240 Off 15 15 15 RA Mean Low 10 to 240 Off 1 1 1 RV Systolic High 0 to...

Page 74: ...w 0 0 10 0 Off OFF OFF OFF ISO Inspired High 0 1 20 0 Off 3 6 3 6 3 6 ISO Inspired Low 0 0 10 0 Off OFF OFF OFF ISO Expired High 0 1 20 0 Off 2 4 2 4 2 4 ISO Expired Low 0 0 10 0 Off OFF OFF OFF DES I...

Page 75: ...One All None IBP 2 Site ART PA LA RA LV RV CVP ICP OFF CVP IBP 2 Range 10 to 10 0 to 20 0 to 30 0 to 40 0 to 60 0 to 100 0 to 150 0 to 200 0 to 300 and Auto ranging 0 to 20 IBP 2 Zero None One All No...

Page 76: ...ine Frequency 50 60 Hz By Destination Serial Format TEXT CSV CUSP CUSP Baud Rate 2400 4800 9600 19200 38400 57600 Hi Speed Hi Speed Analog Out Select ECG I II III aVR aVL aVF V Resp Pleth IBP 1 IBP 2...

Page 77: ...I Gain waveform 1 x0 5 x1 0 x2 0 x4 0 x1 0 Waveform 2 ECG I II III V aVR aVL aVF PLETH IBP 1 IBP 2 EtCO2 O2 Agent N2O Off PLETH Gain waveform 2 x0 5 x1 0 x2 0 x4 0 x1 0 Printer Speed 12 5 25 0 50 0 mm...

Page 78: ...by Breath and Off PLETH Gain 0 5x 1x 2x or 4x 1x Sweep 6 25 12 5 25 or 50 mm per second 25 mm per second Size 12 or 25 mm 12 mm Waveform 5 Type Lead I Lead II Lead III Lead V Lead avL Lead avR Lead av...

Page 79: ...is less than 1 second Alarms can be silenced or turned off from the remote display as if they were silenced or turned off at the patient monitor Audible Alarms All alarms conform to EN 475 requirement...

Page 80: ...messages appear in yellow and high alarm warning messages appear in red WAVEFORM SLOT VISUAL ALARMS When a high or medium alarm occurs for a vital sign that has an active waveform the message appears...

Page 81: ...2 for more information about battery status and charging Special Alarm Conditions The monitor s alarms may be adjusted to suit the specific needs of the clinical environment Special functions are incl...

Page 82: ...larm is generated The tone is a low pitched double beep the same as the long key press tone A password is required to turn this function off The Alarms tone warning function can be set in the CONFIG m...

Page 83: ...y to begin patient monitoring The standby message disappears and normal alarms resume The SILENCE key also returns to normal operation Standby Mode Timeout This is a function on Base Base Plus and all...

Page 84: ...ck and ensure that the audible and visual alarm limit settings are operating as expected the user may do so by performing the following suggested procedure 1 Apply power to the monitor Observe that al...

Page 85: ...OFF User Selectable The left leg lead is off Reconnect the lead ECG V LEAD OFF User Selectable The chest lead is off Reconnect the lead ECG LEADS OFF User Selectable The ECG leads are off Either the...

Page 86: ...perature module for temperature channel 1 Contact the MEDRAD Service Department LOW TEMP1 Medium Temperature value for temperature channel 1 dropped below the value set in the ALARMS menu HIGH TEMP1 M...

Page 87: ...l mode when using a neonatal cuff Can also indicate a leak in the cuff or the cuff is wrapped too loosely BP EXCES MOTION Low Patient motion or shivering is interfering with an accurate reading BP LO...

Page 88: ...clipped Adjust the range to display the entire waveform NO XDUCER Informational Transducer is not connected to the channel Check cable connections and verify that the correct transducer is being used...

Page 89: ...ssary May indicate a leak in the breathing circuit AGT OCCLUSION Medium The sampling line or water trap to the Veris monitor is completely blocked The Veris monitor attempts to clear the block by draw...

Page 90: ...ALARMS menu LOW EXP AGENT Medium The expired agent value has dropped below the value set in the ALARMS menu HIGH EXP AGENT Medium The expired agent value has exceeded the value set in the ALARMS menu...

Page 91: ...e has dropped below the value set in the ALARMS menu HIGH EtO2 Medium The expired O2 value has exceeded the value set in the ALARMS menu LOW INO2 Medium The inspired O2 value has dropped below the val...

Page 92: ...e remote display Move the lever to the down position Check for paper jam PRINT Vp ERROR Informational Internal printer communication problem on the remote display Contact MEDRAD Service PRINT TEMP ERR...

Page 93: ...es are unavailable Respiration value is stored every 30 seconds at the zero and 30 seconds mark NIBP storage is determined by cycle time interval demand and stat readings Every NIBP reading is stored...

Page 94: ...nd Setup window 4 Set the trend type to Graphical or Tabular 5 Press the TREND key The trend displays 6 Rotate the knob clockwise to see older data 7 Press and hold the TREND key to exit trends Select...

Page 95: ...odels On Anesthesia models select Basic Trend Display or Advanced Trend Display Select YES or NO for Use parameter colors Figure 4 2 Tabular Trend Setup Window EXIT Trend Type Graphical Trend Interval...

Page 96: ...d Trend Interval Trend Interval Minutes per each click 2 hours 1 4 hours 2 8 hours 4 12 hours 6 24 hours 12 The time stamps are updated each time the knob is rotated It is not possible to scroll past...

Page 97: ...m as it changes its source 10 12 a m Monitoring began 4 00 p m IBP event is recorded 10 00 p m ECG leads removed HR defaults to IBP 4 00 a m IBP lines removed HR defaults to SpO2 10 12 a m Current HR...

Page 98: ...n a marker is recorded All messages appear in the trend table regardless of the interval selected for the table or the time that the message occurred Markers are recorded for Standby Mode is entered o...

Page 99: ...rameter has an error condition If there is no NIBP data for a particular time stamp the NIBP trend area is left blank NOTE The Trends are automatically cleared when the DATE TIME is changed __________...

Page 100: ...INS mmHg 8 8 8 8 EXP 27 27 27 27 O2 INS 21 21 21 21 EXP 17 17 17 17 AGT INS 10 5H 10 5H 10 5H 10 5H EXP 11 0 11 0 11 0 11 0 N2O INS 64 63 64 64 EXP 39 39 39 39 _______________________________________...

Page 101: ...mean value AR Arterial ART PA Pulmonary Artery PA CV Central Venous CVP RA Right Atrial RA LA Left Atrial LA IP Intracranial ICP RV Right Ventricle RV LV Left Ventricle LV RESPIRATION SOURCE INDICATIO...

Page 102: ...trend 2 Press and hold TREND key again to display the trend setup window 3 Select the clear trend option and select YES to confirm the clearing of the trend data The trend memory is automatically clea...

Page 103: ...nt and is only current during an NIBP measurement ECG Measurement The electrocardiogram ECG or EKG records the changing potential generated by electrical activity of the heart Electrical currents infl...

Page 104: ...VL aVF and V views The monitor has automatic lead switching capability for 5 lead monitoring which may be selected by the user If a lead becomes detached or is unmeasurable the monitor can automatical...

Page 105: ...eart Three or five electrodes placed on the skin on opposite sides of the heart transmit the electrical potentials to circuitry in the ECG module which in turn transmits this information to the Veris...

Page 106: ...n injury such as patient burns Use only ConMed Invisatrace electrodes or other electrodes specifically recommended by Medrad with the Veris monitor The ECG signal is not intended for diagnostic use In...

Page 107: ...rtain that the module is stationary i e not moving or vibrating All metallic wires going into the magnet bore will drain off RF power the fiber optic cables are non conductive and will not drain off p...

Page 108: ...monitor employs a one Hertz filter that allows extraction of ECG waveforms in an MRI environment Although this design deviates from requirements of EC13 per sections 5 2 9 7 and 5 2 9 8 there is a min...

Page 109: ...activity The ECG module contains an internal rechargeable battery A power switch is provided on the rear of the module When the monitor is not in use make certain that the power switch on the ECG modu...

Page 110: ...ECG module charger to charge the module Use of other chargers may damage the module and or charger Do not use the charger on other devices as this may damage the charger and or device NOTES When not i...

Page 111: ...outlet outside the magnet room 2 Ensure the ECG module is disconnected from the patient and that the module power switch is in the OFF position 3 Open the charger cover on the ECG module Figure 5 9 C...

Page 112: ...using the instructions printed on the charger Figure 5 11 Charging with Indicator Light 6 The ECG module charges in 3 hours or less Observe the charger indicator to determine when the module is fully...

Page 113: ...cohol Alcohol removes electrolytes from the skin and decreases the quality of the electrical contact Medrad recommends the use of ConMed Invisitrace electrodes These electrodes are MRI compatible See...

Page 114: ...rodes less than four inches from each other and do not loop the leadset Insulate the leadset from the patient 3 LEAD SETUP The three major planes that detect electrical activity are Lead I Lead II and...

Page 115: ...tion below Leads I II III aVL aVF aVR or V may be selected in the monitor s DISPLAY window Figure 5 13 Electrode Locations for 5 Lead Setup The V lead chest lead in a 5 lead configuration can be place...

Page 116: ...c Rotate and press the menu knob to select ON 4 Choose the appropriate lead set cable and select this on the monitor a Select the PARAMS menu with the menu knob b Select LEAD SET c Rotate and press t...

Page 117: ...t the leads are not connected to the patient 9 Setup the display for the desired lead set combinations a Select the DISPLAY menu with the menu knob b Select the desired waveform c Select an ECG lead c...

Page 118: ...nitoring causes one of the following results 1 If a failure occurs in the primary lead while currently being displayed the system attempts to switch from the current lead view to an alternate lead vie...

Page 119: ...ated by a dash no switching occurs since the electrode is unused for that selected lead In cases where LL fails no switching occurs because that electrode is required for each selectable lead configur...

Page 120: ...ection of the ECG signal at the patient to the input of the MR scanner is less than or equal to 5 milliseconds One of two icons appears in the upper left corner of the heart rate numerical display box...

Page 121: ...th the manufacturer s recommendations If using the universal EGC gating cable always select Lead II on the scanner console NOTE In the event that the desired lead view is not available the monitor swi...

Page 122: ......

Page 123: ...ff Pressure and Pulse over Time on page 6 2 The cuff pressure at this point is equal to the patient s diastolic pressure which is stored by the monitor As cuff pressure continues to increase the pulse...

Page 124: ...The monitor automatically deflates the cuff if the time limit is violated The monitor contains hardware protection for overpressure conditions pressure transducer failures or microprocessor and pump c...

Page 125: ...e Use only NIBP accessories recommend by MEDRAD See Accessories in Appendix D The monitor has a quick connect disconnect fitting for the NIBP extension tubing The patient end of the tubing has a threa...

Page 126: ...affected by the presence of drugs or therapies which alter the patient s cardiovascular dynamics The sensitivity of blood pressure measurement may be affected when monitoring patients with intra aort...

Page 127: ...ly low pressure readings The cuff shown below on the left is too small for the arm therefore full cuff pressure is never applied to the artery This causes an erroneously high blood pressure reading Th...

Page 128: ...over clothing may cause errors in measured values Care should be taken to center the dot on the cuff directly over the brachial artery Shown below as a circle with a vertical line The extension tube s...

Page 129: ...ressing the NIBP key causes the monitor to take one measurement The monitor may make a second attempt if there is excessive motion during the first attempt to take a measurement Press momentarily the...

Page 130: ...atically deflates The monitor automatically attempts a second measurement with no displayed error message if it cannot calculate a blood pressure on the first inflation If a patient experiences a sudd...

Page 131: ...nalog circuitry for signal processing Digital signal processing in the microprocessor results in lower noise from circuitry components resulting in a cleaner signal and better performance under low pe...

Page 132: ...xyhemoglobin results in a higher displayed SpO2 value than is actually present in the patient Special MR compatible sensors help provide for patient safety in the MR environment because the sensor cab...

Page 133: ...ate probe Shown below are two of these attached to a sensor extension cable The sensor is connected to the Veris monitor by means of an extension cable The sensor extension cable contains electrically...

Page 134: ...the ON OFF or STANDBY button to turn on the monitor 2 Connect the SpO2 sensor extension cable to the monitor Align the red dot on the monitor s SpO2 receptacle with the red dot on the black SpO2 conn...

Page 135: ...levels of dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin affects the accuracy of the SpO2 measurement SpO2 measurement may be affected in the presence of high ambient light Shie...

Page 136: ...ly positioned for a plethysmographic waveform to appear Placing tape too tightly around an extremity reduces blood flow thus diminishing the amplitude of the plethysmographic waveform If possible do n...

Page 137: ...robe Placement Select either the standard or small separation as appropriate When using the neonate probe on a toe it can be helpful to cut the tape strip along the length Figure 7 3 Tape Prep for Neo...

Page 138: ...n the tape TOE 1 Attach the neonate probe to a pre punched neonate tape strip 2 Remove the backing from the light source side of the neonate tape See Figure 7 5 Neonate Probe Tape on page 7 8 3 Attach...

Page 139: ...rce side on the top or outside of the foot to keep the detector side away from ambient light 4 Remove the backing from the center section of the neonate tape See Figure 7 5 Neonate Probe Tape on page...

Page 140: ...the MR scanner NOTE Gating cables are scanner specific If a specific cable does not exist for your particular scanner the universal cable may be used The source of the gating signal may arise from th...

Page 141: ...the Veris patient monitor NOTE The gating cable must be IEC 950 or IEC 60950 compliant 2 Connect the MR scanner end of the cable to the scanner interface receptacle NOTES To remove the gating cable gr...

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Page 143: ...The circuit has a potential measuring range of 1000 mmHg of pressure This range is restricted to 20 to 300 mmHg for actual monitoring purposes There is no analog amplification of the transducer signal...

Page 144: ...d Pressure with the use of a Blood Pressure Transducer The transducer converts the hydrostatic signals into electrical signals which are displayed graphically on the monitor Figure 8 1 IBP Cable Conne...

Page 145: ...ulting in serious injury or death IBP Interface Cable There are 4 IBP interface cables Each one is specific for a particular transducer The cables can be connected to the monitor through IBP1 Port Cha...

Page 146: ...g portion of the IBP kit in the magnet bore to ensure patient safety and improve measurement accuracy Use a disposable set which is a minimum of four feet 1219 mm in length Calibrate zero the transduc...

Page 147: ...20 hertz There are several to choose from Each IBP channel has its own dedicated IBP port that is located on the side of the monitor Figure 8 2 IBP Ports The IBP ports are customized 5 pin female sock...

Page 148: ...e ambient room pressure The monitor reads the transducer signal and makes adjustments to compensate for small changes in the transducer and or ambient pressure This operation is described as having ze...

Page 149: ...are displayed for a channel until it has been zeroed 6 Select PARAMS and open the first window of parameters Figure 8 3 Setting IBP in the PARAMS Window NOTE The example window shown contains factory...

Page 150: ...e ZERO GOOD briefly appears 13 Exit the PARAMS window 14 Return the transducer to its normal monitoring position The numerical values for pulsatile IBP sites appears and displayed IBP waveforms resume...

Page 151: ...gainst the vessel wall Overdamping exhibits itself as a poorly defined waveform without a noticeable dicrotic notch Catheter whip is caused by excessive movement of the catheter tip within the vessel...

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Page 153: ...cable and the optoelectronic sensor head containing detection optics signal processing and interfaces The probe itself contains a patented highly temperature sensitive phosphor as its sensing element...

Page 154: ...ure monitoring is intended for the detection of hypothermic and hyperthermic conditions The skin temperature sensor is designed for placement on the surface of the skin only To insure the proper perfo...

Page 155: ...the temperature sensor cable to remove the temperature connector from the monitor Fiber optic sensors can be damaged if subjected to severe stress such as pulling bending or crushing The sensor includ...

Page 156: ...onitor s temperature connection accepts any MEDRAD fiber optic temperature accessory 3 Unwind the cable from the protective card and peel the sensor from the card Attaching the Temperature Probe to th...

Page 157: ...etector samples gas breathed by the patient through a sidestream circuit It measures the concentrations of CO2 N2O and halogenated anesthetic agents in the sampled gas The detector uses far infrared m...

Page 158: ...bination filter and moisture condenser The same circuit is used for CO2 O2 N2O and agent monitoring Shown below is the patient monitor with a water trap and sample line connection Please refer to Acce...

Page 159: ...en patients through contaminated masks and nasal cannulas Change the sample devise and sampling line before use with each new patient Never attach intravenous tubes to gas sampling connections Gas sam...

Page 160: ...Figure 10 2 WaterChek 2 Water Trap The trap slides out of the front receptacle and can be quickly replaced if it becomes filled or occluded The front of the WaterChek 2 water trap has a female Luer l...

Page 161: ...ng devices such as masks may be used if they have a female Luer locking sampling entrance Intubation breathing circuits require a sampling entrance near the connection to the endotracheal tube The div...

Page 162: ...ation and Startup The monitor automatically begins an auto calibration sequence when powered up During this time the monitor may display a flat capnogram for approximately ten seconds When the calibra...

Page 163: ...ces lines and water traps if they become blocked or filled Occlusions The monitor displays a visual message AGT OCCLUSION if the gas sampling system is blocked If the sampling line or water trap becom...

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Page 165: ...The absorption of light is directly related to the concentration of the gas As infrared light passes through the sample gas chamber the light transmitted is converted to a voltage signal The monitor...

Page 166: ...y reactive metal reacts with the metal and produces a current As the oxygen reacts this reactive metal is gradually being used up Once the metal is used up the cell is depleted and can no longer sense...

Page 167: ...ll patient populations The O2 monitor is suitable for use in breathing systems and with the use of inhalation anesthetic agents STABILITY OF ACCURACY The oxygen cell contains temperature correction ci...

Page 168: ...f the numeric respiration rate is determined through capnography USE OF NITROUS OXIDE Since nitrous oxide has a similar infrared signature to that of CO2 and it affects absorption of CO2 special care...

Page 169: ...thetic agents and oxygen are used Expected O2 changes are provided here for the purpose of comparison N2O Monitoring Environmental pollution of nitrous oxide and halogenated agents may cause accuracy...

Page 170: ......

Page 171: ...econds then the Veris prints out the waveform data selected 4 5 seconds prior to a PRINT keypress and 1 5 seconds after the PRINT keypress History Size History Size is a period of time defined by the...

Page 172: ...tting is violated a graphical print strip is issued displaying a 6 second snapshot plus history size the waveforms selected in the print menu This strip represents the history size added to the snapsh...

Page 173: ...RINT key to print the trend data displayed on the screen If the monitor is set for Tabular trends then the printout is tabular if the monitor is set for Graphical trends then the printout is graphical...

Page 174: ...a physical parameter the print out will be a split dual waveform If only one of the waveforms is turned on a single waveform will be printed using the entire waveform area If both waveforms are turne...

Page 175: ...12 5 12 Printing and Data Ports Figure 12 2 Single Waveform Printout Figure 12 3 Dual Waveform Printout Figure 12 4 Sample Agent with CO2 Printout...

Page 176: ...in the upper right corner of the printout The lower waveform information appears in the lower right corner of the printout The example above is the shortest printed waveform view available Longer prin...

Page 177: ...paper must be loaded with the thermal reactive side down as shown in the pictures below Open the printer door and remove the old spool Figure 12 7 Open The Printer Door Insert the paper between the r...

Page 178: ...MEDRAD Veris 8600 12 8 Figure 12 9 Feed Paper Close the paper door while sliding the end of the paper through the slot in the door Figure 12 10 Close Door...

Page 179: ...E This connection has a protective cover that needs to be removed before use Figure 12 11 COM1 Pinout Diagram SERIAL PRINTING The COM 1 port supports sending data to an external serial printer or comp...

Page 180: ...with serial output selected With the computer terminal connected a data file may be collected The file may then be further evaluated by computer See the description for CSV format at the end of this s...

Page 181: ...log output signal available at pin 2 For information about sending analog data to a plotter or chart recorder contact MEDRAD Technical Support The connector pinouts are shown below Figure 12 12 COM2 P...

Page 182: ...Communications to set the computer s connector to the proper port Check communications settings 4 Choose Transfers Receive Text File Assign a name to the data e g DATA TXT and press OK 5 At this point...

Page 183: ...er cord from the remote display to isolate any AC Mains power from the remote display Remove the main monitor from the MR Scanner room environment to a safe location for cleaning purposes Avoid using...

Page 184: ...70 alcohol mild bleach solution or other disinfectant Disposable blood pressure cuffs are for single patient use and are not intended to be disinfected The cloth cuff and neoprene bag may be steriliz...

Page 185: ...e and probe may be wiped clean with alcohol The temperature cable and probe may be disinfected by wiping the cable and probe in a 2 glutaraldehyde solution Do not place either the cable nor the probe...

Page 186: ...The monitor remote display or power supply should be inspected by a service technician as soon as possible 5 If the internal mechanism is saturated allow the liquid to drain out for 24 hours before sh...

Page 187: ...ests should be performed by qualified service personnel only Service Checks If the monitor shows any signs of physical damage contact MEDRAD Service immediately Have a qualified service technician per...

Page 188: ...it plugged into the power supply for continuous charging Failures which occur due to lack of proper maintenance will not be covered under warranty Local regulations or hospital protocol may require e...

Page 189: ...titution s policies and procedures and any local and national policies and procedures for disposal of patient contact medical waste Discard disposable medical waste according to your institution s pol...

Page 190: ......

Page 191: ...ces 3 Turn the knob to ACCEPT 4 Press the menu knob once The message Action Completed is highlighted 5 Press the menu knob to re establish the profile The monitor returns to the main menu Default Sett...

Page 192: ...s window press the menu knob to scroll the highlight bar down the right hand column list to the desired default to be changed Press to select 6 Turn the menu knob to scroll the highlight bar to EDIT P...

Page 193: ...the DEFAULT key again The Install Configuration Defaults screen displays See Figure B 3 Install Configuration Defaults Screen Figure B 3 Install Configuration Defaults Screen The Install Configuratio...

Page 194: ...eens 1 WIth the SELECT feature highlighted press the menu knob to select from Base System Cardiac System or Anesthesia System depending upon your unit s configuration 2 Turn the menu knob to select AC...

Page 195: ...er Monitor Monitor Monitor Monitor Monitor Monitor Auto Lead Switching NO NO YES YES YES YES IBP1 Site ART ART ART ART IBP 1 Range 0 to 200 0 to 200 0 to 200 0 to 200 IBP 1 Zero None None None None IB...

Page 196: ...erval Print na Off na Off na Off Interval Print Type na Tabular na Tabular na Tabular Snapshot Size na 6 seconds na 6 seconds na 6 seconds History Size na 6 seconds na 6 seconds na 6 seconds Waveform...

Page 197: ...onate 35 35 35 35 35 35 NIBP Diastolic High Adult Pediatric 100 100 100 100 100 100 Neonate 80 80 80 80 80 80 NIBP Diastolic Low Adult Pediatric 30 30 30 30 30 30 Neonate 30 30 30 30 30 30 NIBP Mean H...

Page 198: ...ean High Adult Pediatric na na 150 150 150 150 Neonate na na 100 100 100 100 IBP1 Mean Low Adult Pediatric na na 50 50 50 50 Neonate na na 40 40 40 40 IBP2 Mean High na na 15 15 15 15 IBP2 Mean Low na...

Page 199: ...60 60 60 Pediatric Neonate na na 0 0 0 0 LV Diastolic High Adult na na 40 40 40 40 Pediatric Neonate na na 0 0 0 0 LV Diastolic Low Adult na na 0 0 0 0 Pediatric Neonate na na 0 0 0 0 LV Mean High Ad...

Page 200: ...na na na OFF OFF N2O Expired Low na na na na OFF OFF HAL Inspired High na na na na 2 3 2 3 HAL Inspired Low na na na na OFF OFF HAL Expired High na na na na 1 5 1 5 HAL Expired Low na na na na OFF OFF...

Page 201: ...s Other Alarm Settings SEV Expired High na na na na 3 4 3 4 SEV Expired Low na na na na OFF OFF Setting Base BasePlus Cardiac Cardiac with Temp Anesthesia Anesthesia with Temp All models Value Alarm V...

Page 202: ......

Page 203: ...on Type CF Defibrillation Protection Yes Electrosurgery Protection No HF Equipment Protection No Pacemaker Pulse Rejection No Battery Rechargeable 7 4V 1 5Ah Lithium Polymer internal not user servicea...

Page 204: ...ure Blip SpO2 Range 1 99 Resolution 1 percent of full scale Accuracy 2 percent of full scale at 70 99 3 percent of full scale at 50 69 50 oxygen saturation is unspecified Averaging Time User selectabl...

Page 205: ...g function provides gating signals 97 of the time or greater after the first 2 pulses of a scanner RF sequence Temperature Channels 2 Technique Fluoroptic Thermometer Range 68 F to 113 F 20 C to 45 C...

Page 206: ...0 mmHg to 300 mmHg Capnometry CO2 Method Sidestream non dispersive infrared NDIR Range 0 99 mmHg 0 12 5 0 12 5 kPa 0 99 Torr Resolution 1 mmHg 0 1 0 1 kPa 1 Torr Accuracy 0 2 abs or 4 of reading for b...

Page 207: ...c secondary agent Maximum Rise Time With a concentration of 10 of the halogenated agent 10 90 of maximum 650 msec for 10 90 at 100 ml min 500 msec for 10 90 at 150 ml min 400 msec for 10 90 at 200 ml...

Page 208: ...Calibration Auto calibrating Units Percent Display Numerical Inspired N2O Expired N2O N2O waveform Oxygen Monitoring O2 Units Percent Display Inspired O2 expired O2 Numerical values waveform Method O...

Page 209: ...n IBP Systolic Diastolic Mean Agents N2O Printer Remote Display only Recorder Type Internal thermal line printer Data Formats Single or dual waveform Tabular Paper Speed 12 5 or 25mm sec continuous Sn...

Page 210: ...0 Power Supply IPX2 Mechanical Electrical Power Supply Size 34 3 cm x 20 3 cm x 7 6 cm 13 5 inches x 8 0 inches x 3 0 inches Weight 8 2 kg 18 lbs Operation Continuous Use Mechanical Shock Negligible e...

Page 211: ...tinuous Use Mechanical Shock Negligible effect up to 40G Vibration Negligible effect up to 0 5G at 200Hz Power Requirements 400VA typical Voltage 100 120 220 240VAC 50 60 Hz Number of Batteries 2 Batt...

Page 212: ......

Page 213: ...ube 3006321 ECG Gating Accessories ECG Gating Cable Phillips ACS NT 3010474 ECG Gating Cable Phillips Intera 3010558 ECG Gating Cable GE 3010475 ECG Gating Cable Siemens Sonata Symphony 3010559 ECG Ga...

Page 214: ...0533 Disp Blood Pressure Cuff 8 15cm 1 box of 10 3010534 Disp Blood Pressure Cuff Child 10 19cm 1 box of 10 3010468 IBP Accessories IBP interface Cable Abbot 5m 3010478 IBP interface Cable Baxter 5m 3...

Page 215: ...peration Manual German 3011450 Veris 8600 Operation Manual Italian 3011451 Veris 8600 Operation Manual Japanese 3011452 Veris 8600 Operation Manual Portuguese 3011453 Veris 8600 Operation Manual Spani...

Page 216: ......

Page 217: ...to wall outlet Connect power cord to a live outlet Replace AC fuses Display is blank or not readable Batteries are discharged AC power cord is not securely connected to the remote display Connect mon...

Page 218: ...or CO2 malfunction Trap is plugged or leaks O2 Cell is loose Replace trap Tighten O2 Cell O2 not responding CO2 functioning ok O2 Cell depleted Replace O2 Cell No sound from speaker Volume turned down...

Page 219: ...y due to poor connections Consult with your transducer manufacturer before using additional accessories with the Veris monitor Transducer Cables Invasive blood pressure transducers are available with...

Page 220: ...ices that are required to be used in conjunction with invasive blood pressure monitoring accessories during high frequency electrosurgery electrocautery procedures Use of invasive blood pressure trans...

Page 221: ...ized what displays on the main monitor displays on the remote display at the same time For example if the user changes an alarm setting both units display the ALARMS menu and the change as it takes pl...

Page 222: ...its cycle through the synchronization process again after communications are restored The communication icon on the main monitor in the heart rate parameter box does not display until communication is...

Page 223: ...ards Refer to the Service Manual for battery replacement Number of Batteries 2 Type Sealed lead acid Voltage 12 Volt Amp hour 17 amp hour Battery Life Minimum of 10 hours on a fully charged battery Re...

Page 224: ...re found on the Main PCB F1 3A Time Delay carries 15mA F2 4A Time Delay carries 3A peak F3 3A Time Delay carries 15mA F4 1A Time Delay circuit not used in Veris F5 5A Time Delay carries 4 5A peak F6 4...

Page 225: ...rear of the remote display directly above the AC power entry socket Remote displays use 1A 250V Slo Blo fuses 1 Press in the side clips at the same time with a tool and lift out the small black acces...

Page 226: ...r Supply There are two AC power fuses located at the AC input side of the power supply directly above the AC power entry socket Power supplies use 5A 250V slow acting fuses 1 Pry the cover from the fu...

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