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13-1

13

NIBP Monitoring

13.1 Overview................................................................................................... 13-2
13.2 Monitoring Procedure ............................................................................... 13-3

13.2.1 Cuff Selection and Placement ....................................................... 13-3
13.2.2 Operation Guides........................................................................... 13-5

13.3 Measurement Limitations.......................................................................... 13-6
13.4 NIBP Setup Menu ..................................................................................... 13-7

13.4.1 Calibration..................................................................................... 13-9
13.4.2 Testing for Air Leakage............................................................... 13-10

13.5 Maintenance and Cleaning .......................................................................13-11

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Summary of Contents for PM-9000

Page 1: ...PM 9000 Patient Monitor Operation Manual...

Page 2: ......

Page 3: ...tion Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden Release amendment reproduction distribution rent adaption and...

Page 4: ...rict observance of this manual Warranty This warranty is exclusive and is in lieu of all other warranties expressed or implied including warranties of merchantability or fitness for any particular pur...

Page 5: ...the shipping container Return shipments will not be accepted if the Mindray Customer Service Authorization Number is not clearly visible Please provide the model number serial number and a brief descr...

Page 6: ...l Park Nanshan Shenzhen 518057 P R China Tel 86 755 26582479 86 755 26582888 Fax 86 755 26582934 86 755 26582500 Website www mindray com EC Representative Shanghai International Holding Corp GmbH Euro...

Page 7: ...External Appearance 2 5 2 2 1 Front Panel 2 5 2 2 2 Side Panel 2 6 2 2 3 Rear Panel 2 8 2 3 Control Panel 2 10 2 4 Display 2 12 2 5 Batteries 2 15 2 5 1 Battery Maintenance 2 16 2 5 2 Battery Recycli...

Page 8: ...ta Output 4 16 4 4 6 Analog Output 4 17 4 4 7 Module Setup 4 18 4 4 8 Trace Setup 4 19 4 4 9 Mark Event 4 20 4 5 Selection Setup 4 21 4 6 Monitor Version 4 22 4 7 Maintenance 4 24 4 7 1 IP Address Set...

Page 9: ...7 Freezing Waveforms 7 1 7 1 Overview 7 2 7 2 Freezing and Unfreezing 7 2 7 3 FROZEN Menu 7 3 7 4 Waveform Recall 7 4 7 5 Recording Frozen Waveforms 7 4 8 Recording 8 1 8 1 Overview 8 2 8 2 Recording...

Page 10: ...RESP Monitoring 11 43 11 7 1 Overview 11 43 11 7 2 Electrode Placement 11 44 11 7 3 Respiration Setup 11 45 11 8 Maintenance and Cleaning 11 47 12 SpO2 Monitoring 12 1 12 1 Overview 12 2 12 2 Mindray...

Page 11: ...ure 14 3 14 3 TEMP Setup Menu 14 4 14 4 Maintenance and Cleaning 14 6 15 IBP Monitoring 15 1 15 1 Overview 15 2 15 2 Precautions 15 3 15 3 Monitoring Procedure 15 4 15 4 IBP Menu 15 5 15 4 1 IBP Setup...

Page 12: ...7 21 17 3 6 Oridion Information 17 21 17 4 Welch Allyn CO2 Module 17 22 17 4 1 Principles of Operation 17 22 17 4 2 Preparations for CO2 Measurement 17 23 17 4 3 CO2 Setup Menu 17 24 17 4 4 Maintenanc...

Page 13: ...8 ECG Specifications 20 8 A 9 RESP Specifications 20 10 A 10 SpO2 Specifications 20 11 A 11 NIBP Specifications 20 13 A 12 TEMP Specifications 20 14 A 13 IBP Specifications 20 15 A 14 CO Specificatio...

Page 14: ...Contents XII FOR YOUR NOTES...

Page 15: ...rvice This manual is an integral part of and should always be kept close to the patient monitor so that it can be obtained conveniently when necessary Intended Audience This manual is geared for the c...

Page 16: ...our patient monitor All names appeared in this manual and illustrations are fictive It is a mere coincidence if the name is the same with yours Conventions Italic text is used in this manual to quote...

Page 17: ...1 1 1 Safety 1 1 Safety Information 1 2 1 1 1 Dangers 1 3 1 1 2 Warnings 1 3 1 1 3 Cautions 1 4 1 1 4 Notes 1 5 1 2 Equipment Symbols 1 6 1 3 CE Marking 1 8 1 4 Reference Literature 1 8...

Page 18: ...or specific to the operations DANGER z Indicates an imminent hazard situation that if not avoided will result in death or serious injury WARNING z Indicates a potential hazard situation or unsafe pra...

Page 19: ...rm sound is activated when an alarm occurs z ELECTRIC SHOCK Do not open the monitor housing All servicing and future upgrades to this device must be carried out by personnel trained and authorized by...

Page 20: ...you have any questions concerning disposal of the products please contact with us z Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason...

Page 21: ...of CISPR11 EN55011 class A z The software was developed per IEC601 1 4 The possibility of hazards arising from errors in software program is minimized z Put the patient monitor in a location where you...

Page 22: ...CF applied part The unit displaying this symbol contains an F type isolated floating patient part providing a high degree of protection against shock and is suitable for use during defibrillation TYP...

Page 23: ...tive The following definition of the WEEE label applies to EU member states only This symbol indicates that this product should not be treated as household waste By ensuring that this product is dispo...

Page 24: ...l Equipment 1 4 Reference Literature 1 Medical Device Directive 93 42 EEC 2 EN60601 1 A1 A2 or IEC60601 1 A1 A2 Medical Electrical Equipment Part 1 General Requirements for Safety 3 EN60601 1 1 or IEC...

Page 25: ...Contraindications 2 3 2 1 3 Components 2 3 2 1 4 Functions 2 3 2 2 External Appearance 2 5 2 2 1 Front Panel 2 5 2 2 2 Side Panel 2 6 2 2 3 Rear Panel 2 8 2 3 Control Panel 2 10 2 4 Display 2 12 2 5 B...

Page 26: ...s see 2 1 4 Functions for single adult pediatric and neonatal patient to display patient data and waveforms to store patient data in a trend database and to generate alarms and recordings This monitor...

Page 27: ...lowing parameters ECG Heart rate HR 2 channels of ECG waveforms Arrhythmia and ST segment analysis optional Pace analysis PACE RESP Respiration rate RR Respiration waveform SpO2 Oxygen saturation SpO2...

Page 28: ...tN2O EtO2 EtAA AA refers to one of the following anesthetic agents HAL Halothame ISO Isoflurane ENF Enflurane SEV Sevoflurane DES esflurane Airway respiration rate AwRR Minimum alveolar concentration...

Page 29: ...anufacturer instructions the screen display will recover within 10 seconds after defibrillation The alarm indicator of this monitor complies with the requirement of EN60825 1 A11 Class 1 for LED The L...

Page 30: ...CO2 sensor connector Welch Allyn CO2 module 2 T1 Temperature probe connector channel 1 3 T2 Temperature probe connector channel 2 4 IBP1 IBP transducer connector channel 1 5 IBP2 IBP transducer conne...

Page 31: ...2 or AG module 3 Exhaust outlet 4 Recorder NOTE z Some modules are optional Their connectors may not be available on your patient monitor z Your monitor can be equipped with Oridion Welch Allyn or Min...

Page 32: ...Through network connector this monitor can be connected with the central monitoring system another monitor or a PC It enables the functions of viewbed monitoring data output and on line software upgr...

Page 33: ...To know details about the connections of the connectors please refer to 3 1 Installation WARNING z Accessory equipments connected to this patient monitor must be certified according to the respective...

Page 34: ...to the monitor 3 MAIN Press this key to exit the menu currently displayed and return to the main screen 4 FREEZE This key is pressed to freeze and unfreeze waveforms See 7 Freezing Waveforms for more...

Page 35: ...e control knob The control knob rotates in either direction to highlight parameter labels and menu options After highlighting the desired selection press the control knob to execute an operation make...

Page 36: ...patient type If no patient is admitted it displays NO PATIENT ADMITTED If the patient s information is incomplete corresponding symbols will be displayed 2 System time The system time of the monitor i...

Page 37: ...cluding two ECG waveforms one SpO2 plethysmogram two IBP waveforms one CO2 waveform and one RESP waveform In HALF SCREEN MULTI LEADS display mode a maximum of ten waveforms can be displayed among whic...

Page 38: ...icon will be displayed aside the parameter label For more information see 6 3 1 Alarms Disabled 8 Prompt information area The battery symbol in this area displays the status of the battery For more i...

Page 39: ...capacity No battery is installed in the battery slot The capacity of the internal battery is limited When the battery capacity is too low a high level alarm is triggered and the Battery two low messa...

Page 40: ...e uninterrupted for 10 hours 4 Remove AC power and allow the monitor to run from the battery until it shuts off 5 Apply AC power again to the monitor and allow the battery to charge uninterrupted for...

Page 41: ...unctioned if its operating time is too short after being fully charged The operating time depends on the configuration and operation For example measuring NIBP more frequently will also shorten the op...

Page 42: ...The Basics 2 18 FOR YOUR NOTES...

Page 43: ...2 3 1 2 Environmental Requirements 3 3 3 1 3 Power Source Requirements 3 3 3 1 4 Bracket Mounting 3 3 3 1 5 Installation Method 3 4 3 1 6 Powering on the Monitor 3 8 3 1 7 Powering off the Monitor 3...

Page 44: ...he carrier or our company If the packing case is intact open the package and remove the instrument and accessories carefully Check all materials against the packing list and check for any mechanical d...

Page 45: ...being exposed to differences in humidity or temperature Make sure that during operation the instrument is free from condensation 3 1 3 Power Source Requirements The power applied to the monitor must m...

Page 46: ...pany or customer service z If the monitor is connected to another electrical instrument and the instrument specifications cannot tell whether the instrument combination is hazardous e g due to summati...

Page 47: ...side and then insert the other one in the same way if your monitor is equipped with two batteries 5 Release the battery catch and it will fix the battery 6 Close the battery door WARNING z Make sure t...

Page 48: ...onitoring system or with the network connector of a PC or with the network connector of another patient monitor NOTE z Different network cable may be used for different connections Please consult our...

Page 49: ...ore defibrillating the patient the user should ensure the defibrillator and the monitor have been tested as a system and the two devices can work together safely and effectively 3 1 5 7 Connecting to...

Page 50: ...nformation in the lower left part of the screen XX represents the name of every module such as NIBP RESP etc 6 At this time you can operate the monitor using the control panel XX alarm disabled inform...

Page 51: ...12 consecutive months This is to ensure the normal operation of the system Follow these guidelines when inspecting the equipment The environment and the power supply meet the specified requirements I...

Page 52: ...ed soap water Diluted ammonia water Diluted sodium hyoichlo bleaching agent Diluted formaldehyde 35 to 37 Hydrogen peroxide 3 Ethanol 70 or Isopropanol 70 To avoid damage to the equipment follow these...

Page 53: ...l s infection controllers or professionals z The cleaning solutions above can only be used for general cleaning If you use them to control infections we shall assume no responsible for the effectivene...

Page 54: ...Installation and Maintenance 3 12 FOR YOUR NOTES...

Page 55: ...4 4 2 Alarm Setup 4 11 4 4 3 Time Setup 4 13 4 4 4 Recorder Setup 4 14 4 4 5 Data Output 4 16 4 4 6 Analog Output 4 17 4 4 7 Module Setup 4 18 4 4 8 Trace Setup 4 19 4 4 9 Mark Event 4 20 4 5 Selecti...

Page 56: ...ngs could be saved after the monitor is turned off Few settings which could not be saved will be specified in the relevant sections This chapter only gives introduction to the system menu Other menus...

Page 57: ...CEL key are provided You can confirm the operations with these keys The following introduces the submenus of the SYSTEM MENU PATIENT SETUP DEFAULT SYSTEM SETUP SELECTION VERSION MAINTAIN DEMO Details...

Page 58: ...Menu This menu displays the patient s information as well as four buttons located below If no patient is admitted only the default settings of PAT TYPE and PACE are displayed The DISCHARGE PATIENT an...

Page 59: ...e patient s information details If the patient s information is entered incompletely corresponding symbols will appear in the upper left hand of the monitor screen PAT NO Patient identification number...

Page 60: ...knob and highlight the field after DEPT 2 Press the control knob and the cursor jumps to the soft keypad below 3 Rotate the control knob and move the cursor to the desired letter number or space and...

Page 61: ...E Figure 4 4 Quick Admit Patient 4 Select OK button and the patient is admitted 5 If the monitor is connected with the central monitoring system you can monitor the patient throuth the central monitor...

Page 62: ...Select YES in the pop up menu 4 2 5 Discharge Patient If a patient has been admitted the patient should be discharged To discharge the patient being monitored please follow this procedure 1 Select DI...

Page 63: ...You can also modify the configuration of the monitor and save the modified configuration as the user defined default configuration of the corresponding patient type When the monitor begins monitoring...

Page 64: ...Select SYSTEM SETUP in SYSTEM MENU The following menu appears Figure 4 6 System Setup SYSTEM SETUP menu contains the following submenus FACE SELECT ALARM SETUP TIME SETUP RECORD DATA OUTPUT ANALOG MO...

Page 65: ...ars Figure 4 7 Face Select In the FACE SELECT menu options are available as shown above For detailed information see 5 Face Selection 4 4 2 Alarm Setup Select ALARM SETUP in SYSTEM SETUP menu The foll...

Page 66: ...ng to the alarm recording time ALM PAUSED TIME Options 1MIN 2MIN and 3MIN PARAALAM TYPE Options LATCH and UNLATCH Detailed information about alarms is given in chapter 6 Alarms If a parameter alarm se...

Page 67: ...month day hour minute and second as well as select the displayed format of the time YYYY MM and DD refer to year month and day respectively If the monitor is connected with the central monitoring sys...

Page 68: ...e the ECG3 ECG4 ECG5 and ECG6 options are also available When OFF is selected waveform 1 will not be recorded REC WAVE2 Recorded waveform 2 Recorded waveform 2 has the same options as waveform 1 but t...

Page 69: ...z TIMING REC TIME cannot be saved after the monitor is turned off But it can be saved as the user default configuration z RT REC TIME has priority over TIMING REC TIME REC RATE Recording rate Options...

Page 70: ...ALARM arrhythmia alarm 4 Select OUTPUT in the menu and the prompt CONNECTING is shown aside If you exit the DATA OUTPUT menu at this time the prompt will be displayed in prompt information area at the...

Page 71: ...be output from the auxiliary output port on the rear panel of the monitor ANALOG WAVE Options ECG1 ECG2 IBP1 and IBP2 In the MULTI LEADS DISPLAY mode the ECG3 ECG4 ECG5 and ECG6 options are also avail...

Page 72: ...ure 4 13 Module Setup This menu allows you to enable or disable a parameter module to determine the information displayed on the main screen As shown in the figure above indicates an enabled module A...

Page 73: ...splayed and that without the mark will not be displayed The TRACE SETUP menu merely contains the parameter modules enabled in the MODULE SETUP menu Besides in the MULTI LEADS DISPLAY mode or the HALF...

Page 74: ...pear in the frame of the even being selected If you attempt to unmark an event press the control knob again on the marked selection The purpose of event marking is to define the records such as dose t...

Page 75: ...layed OFF Indicates the online help function is disabled and the help information will not be displayed SCAN TYPE Scan type REFRESH The waveform keeps stationary with real time refreshing from the lef...

Page 76: ...ct VERSION in SYSTEM MENU The following menu appears Figure 4 18 Version You can see the software versions of the monitor The DEVICE CONFIG LIST option allows you to see the configuration of the monit...

Page 77: ...System Menu 4 23 The DEVICE VERSION LIST option allows you to see the following version information Figure 4 20 Device Version List...

Page 78: ...ce Select MAINTAIN in SYSTEM MENU The following menu appears Figure 4 21 Enter Maintain Password Enter USER KEY then select CONFIRM button The following menu appears Figure 4 22 User Maintain You can...

Page 79: ...occurs The lead off alarm is of the low priority level Mode 2 The monitor sounds at an interval of 3s when a high priority alarm occurs and at an interval of 14s when a medium priority alarm occurs Th...

Page 80: ...you can turn on DEFIB SYNC in the ECG SETUP menu to enable the defibrillator synchronization For details see 11 3 ECG Setup Menu If not selected the defibrillator synchronization function will be disa...

Page 81: ...ral Monitoring System in the wireless mode and constructs with the CMS the monitoring network Note z If the monitor is connected through the network connector the use of this connection is preferentia...

Page 82: ...arameter s of a parameter module are to be displayed OTHER PARA refers to the parameters NIBP and TEMP which do not have waveform CO2 refers to the parameters measured by CO2 module or AG module AG O2...

Page 83: ...multiple alarms occur simultaneously only one pulse signal will be output If an alarm comes out before the previous alarm is cleared another pulse signal will be output 2 CONTINUUM When continuum is s...

Page 84: ...of the preset alarm level and alarm type comes out 3 The monitor is not in the Alarms Paused or the System Silenced status NOTE z If no option in ALM LEV or ALM TYPE is selected the nurse call signal...

Page 85: ...tails please refer to 17 2 4 CO2 User Maintain Menu and 17 3 4 CO2 User Maintain Menu 4 7 6 Monitor Status Select STATUS in ENTER MAINTAIN PASSWORD menu The following menu appears Figure 4 27 Monitor...

Page 86: ...displayed on the main screen The purpose of the demonstration display is to demonstrate the performance of the monitor and for training purposes WARNING z In clinical applications this function is for...

Page 87: ...5 1 5 Face Selection 5 1 Standard Screen 5 2 5 2 Trend Screen 5 3 5 3 OxyCRG Screen 5 4 5 4 Viewbed Screen 5 5 5 5 Large Font Screen 5 7 5 6 Standby Mode 5 8...

Page 88: ...in SYSTEM SETUP menu Figure 5 1 Face Select The standard screen is the default screen If the current screen is not the standard screen you may enter the standard screen by selecting STANDARD SCREEN an...

Page 89: ...s are displayed to the left of the trend graph Trend length The dynamic trend length located below the trend graph is 2 hours On the trend graph the scale of the right end of the X axis is 0 hour whil...

Page 90: ...the scale of the trend time In addition three labels are displayed beneath the time scale see 1 2 and 3 in the figure above The labels are detailed as below 1 Trend length This label allows you to sel...

Page 91: ...work To enter the following screen open FACE SELECT menu select VIEWBED SCREEN and then select EXIT Figure 5 5 Viewbed Screen The monitor you are viewing from is called host monitor The monitor being...

Page 92: ...ll and the sweep speed of the viewbed waveform follow the host monitor Besides information relating to the viewbed waveform is shown above the waveform 6 Technical information area On the right of the...

Page 93: ...ayed on the upper left of the screen In case the ECG SpO2 or NIBP parameter module is turned off the corresponding parameters and waveform disappear If all the three modules are closed no waveform or...

Page 94: ...onnect all leads and sensors between the patient and the monitor 2 Select the STANDBY label at the lower right corner of the main screen A dialog box pops up and you can choose to enter the standby mo...

Page 95: ...ms 6 4 6 2 2 Audible alarms 6 4 6 2 3 Alarm Messages 6 5 6 2 4 Parameter Flashes 6 5 6 3 Alarm Statuses 6 6 6 3 1 Alarms Disabled 6 6 6 3 2 Alarms Paused 6 7 6 3 3 System Silenced 6 7 6 3 4 Alarms Sil...

Page 96: ...al alarm either indicates that a monitored physiological parameter is out of specified limits or indicates an abnormal patient condition For example HR TOO LOW ECG LOST or RESP ARTIFACT etc Physiologi...

Page 97: ...evel alarms 1 High level alarms The patient s life is in danger and requires emergency treatment or Serious technical problem occurs to the monitor such as error in ECG module initialization 2 Medium...

Page 98: ...and frequency to indicate different alarm levels High level alarm red and quick flash Medium level alarm yellow and slow flash Low level alarm yellow light without flash 6 2 2 Audible alarms The moni...

Page 99: ...s to indicate the alarm level High level alarms red background color Medium level alarms yellow background color Low level alarms yellow background color NOTE z Comparing with an alarm message the bac...

Page 100: ...ms of a parameter you should open the setup menu of the parameter Take heart rate HR as an example 1 Rotate the control knob and highlight the ECG parameter label 2 Press the control knob The ECG SETU...

Page 101: ...silence the system press the SILENCE key for no less than 2 seconds In the System Silenced status all system sounds are shielded and the icon is displayed in the sound icon area However other modes o...

Page 102: ...status or Press the SILENCE key for 2 seconds or more to switch to the System Silenced status 3 In the System Silenced status Press the SILENCE key for less than 2 seconds to switch to the Alarms Paus...

Page 103: ...n if the initial alarm condition has ceased The alarm messsage continues to be displayed but the alarming modes change as follows The measured parameter value and the upper or lower parameter limits s...

Page 104: ...ons as normal Please refer to Appendix C Alarm Messages and Prompt Information to see for which technical alarms that the audible and visual indications can be cleared 2 Clearing all alarm indications...

Page 105: ...er to the following steps and take action properly 1 Check the patient s condition 2 Identify the alarming parameter and the alarm category 3 Identify the cause of the alarm 4 Take action to remedy th...

Page 106: ...Alarms 6 12 FOR YOUR NOTES...

Page 107: ...7 1 7 Freezing Waveforms 7 1 Overview 7 2 7 2 Freezing and Unfreezing 7 2 7 3 FROZEN Menu 7 3 7 4 Waveform Recall 7 4 7 5 Recording Frozen Waveforms 7 4...

Page 108: ...waveforms displayed in the waveforms area The monitor can freeze waveforms in any screen type except for the STANDBY mode screen The frozen waveforms can be reviewed and recorded 7 2 Freezing and Unfr...

Page 109: ...1 Waveform 1 It determines the first frozen waveform to be printed on the recorder paper The options of waveform 1 include all waveforms displayed on the screen and OFF The waveform 1 will not be reco...

Page 110: ...e selected frozen waveforms and the parameters measured at the moment when the waveforms were frozen 3 If OFF is selected from the WAVE 1 or WAVE 2 options the recorder will merely print out one wavef...

Page 111: ...8 1 8 Recording 8 1 Overview 8 2 8 2 Recording Types 8 2 8 3 Recorder Operations 8 5 8 4 Installing Recorder Paper 8 9...

Page 112: ...continuous real time recording or 8 second real time recording Automatic recording Alarm recording measured parameter alarm ST segment alarm or arrhythmia alarm recording Frozen waveform recording Tr...

Page 113: ...waveforms of 8 16 or 32 seconds respectively 4 8 or 16 seconds before and after the alarm See 4 4 2 Alarm Setup and all measured parameters 2 ST segment alarm recording In case of an ST segment alarm...

Page 114: ...g When the HEMOD WINDOW is opened you can select the REC option to print the hemodynamic calculation result after measurement Titration table recording You can select the TITRATION option in the DRUG...

Page 115: ...The recorder starts recording automatically at the preset interval RT REC TIME 2 The recording stops automatically in 8 seconds Alarm recording 1 When an alarm occurs the recorder starts recording au...

Page 116: ...mpletes the recorder stops automatically NIBP measurement recording 1 Select NIBP RECALL in SYSTEM MENU to open the NIBP RECALL window 2 Select the REC option to start recording 3 When the recording c...

Page 117: ...O MEASUREMENT 3 Press START option to start a CO measurement 4 Press REC option to start recording 5 When the recording completes the recorder stops automatically Hemodynamic calculation recording 1 S...

Page 118: ...arts recording 3 When the recording completes the recorder stops automatically Monitor status information recording 1 Select MAINTAIN in SYSTEM MENU and a popup menu is opened 2 Select STATUS in the p...

Page 119: ...omatically and the paper comes out of the compartment 5 Push down the roller lever 6 Close the recorder door Figure 8 1 Installing Recorder Paper CAUTION z Use the specified recorder paper only Other...

Page 120: ...open the recorder door to check for a paper jam You can follow the operations below to remove the paper jam 1 Open the recorder door 2 Tear the paper off from the leading edge at the paper outlet 3 Li...

Page 121: ...9 1 9 Recall 9 1 Overview 9 2 9 2 Trend Graph Recall 9 3 9 3 Trend Table Recall 9 5 9 4 NIBP Recall 9 7 9 5 Alarm Event Recall 9 8 9 6 Non Volatile Data Storage 9 10...

Page 122: ...a systolic pressure a mean pressure a diastolic pressure a pulse rate and a measurement time Alarm Event Recall You can review the latest 70 parameter alarm events as well as the 8 16 or 32 second wa...

Page 123: ...the systolic pressure the t mark indicates the diastolic pressure and the mark indicates the mean pressure The x axis shows the time scale while the y axis shows the value scale of a parameter The tr...

Page 124: ...otate the control knob to highlight the ZOOM option and then press 2 Rotate the control knob to adjust the vertical value scale 3 The amplitude of the trend curve changes at the vertical direction acc...

Page 125: ...n the brackets On the right of the TIME is the EVENT If a marked event happened at a specific time the mark will be displayed aside that time in the EVENT field On the right of the trend table are par...

Page 126: ...t the upper right of the TIME field you can rotate the control knob clockwise to page up and review the trend data of later time L RIGHT 1 Rotate the control knob to highlight the L RIGHT option and t...

Page 127: ...ement time TIME The optional pressure units UNIT are mmHg and kPa NUM indicates the current measurement times PR is derived from SpO2 measurements A maximum of ten measurements can be displayed on the...

Page 128: ...RECALL EVENT provides a list of parameter options to be reviewed Among them ALL indicates all parameter alarm events are to be reviewed H refers to the upper parameter limit and L refers to the lower...

Page 129: ...se refer to 4 4 2 Alarm Setup Figure 9 5 Alarm Event Recall UP DOWN The monitor is able to store a maximum of 70 alarm events But only one alarm event can be displayed in the ALARM RECALL window once...

Page 130: ...d optional to realize the non volatile data storage function During monitoring the patient s data including trend data NIBP measurement results alarm events arrhythmia events and relative waveforms wi...

Page 131: ...10 1 10 Drug Calculation 10 1 Drug Calculation 10 2 10 2 Titration Table 10 5...

Page 132: ...Drug Calculation 10 1 1 1 Calculation Formula CONCENTRAT AMOUNT VOLUME INF RATE DOSE CONCENTRAT DURATION AMOUNT DOSE DOSE INF RATE CONCENTRAT 10 1 1 2 Operating Method 1 Select the drug name Open the...

Page 133: ...tion formula according to the doctor s instruction 4 Verify the correctness of the calculation results After the calculation the operator shall verify the correctness of the entered parameter values s...

Page 134: ...atient information used for drug calculation may not consist with the patient of your monitor Any change in the DRUG CALC menu will not affect the information of the patient under monitoring WARNING z...

Page 135: ...control knob to highlight the field on the right of BASIC 2 Press and rotate the control knob to select DOSE INF RATE or DRIP RATE 3 The data in the trend table changes accordingly STEP 1 Rotate the...

Page 136: ...Rotate the control knob to highlight the UP DOWN option in the window 2 Rotate the control knob to review more data REC The REC option allows you to print the currently displayed data from the record...

Page 137: ...enu 11 21 11 5 Arrhythmia Analysis 11 25 11 5 1 Overview 11 25 11 5 2 Arrhythmia Analysis Menu 11 26 11 5 3 Arrhythmia Alarm Setup 11 27 11 5 4 Arrhythmia Recall 11 28 11 6 ECG 12 Lead Monitoring 11 3...

Page 138: ...t the monitor gives three lead options I II and III When you use a 5 lead set the monitor gives seven lead options II III aVR aVL aVF V and I 2 Gain of the channel 1 waveform You may use this label to...

Page 139: ...ith slight interference 4 ECG lead of channel 2 You can select the lead of channel 2 in the same method used to select the channel 1 lead 5 Gain of the channel 2 waveform You can adjust the gain of th...

Page 140: ...are displayed to the right of the ECG waveforms as shown above The heartbeat indicator flashes in the same rate with the patient s heartbeat On the right of the heart rate numeric are the ON OFF statu...

Page 141: ...trodes Following is a suggested guideline for skin preparation Shave hair from skin at chosen sites Gently rub skin surfaces at sites to remove dead skin cells Thoroughly cleanse the site with a mild...

Page 142: ...location of the electrodes every 24 hours z Do not touch the patient bed or instrument during defibrillation z When applying the ECG cable with no resistance to our patient monitor or other patient m...

Page 143: ...on the chest Attach the chest V electrode to one of the following positions indicated in Figure 11 4 V1 On the 4th intercostal space at the right sterna margin V2 On the 4th intercostal space at the...

Page 144: ...r axillary line of the back Figure 11 4 Positions of Chest Electrode The chart below shows the label used to identify each leadwire Included also is its associated color code per American AHA and Euro...

Page 145: ...arm electrode near the left shoulder directly below the clavicle F left leg electrode on the left hypogastrium Figure 11 5 Positions of 3 Leadwire Electrode Placement The chart below shows the label...

Page 146: ...ft sides near the stomach and place the chest lead on the left side at mid chest Avoid placing the electrodes on the upper arms This will cause the ECG waveform to be too small WARNING z When using El...

Page 147: ...height of the R wave With the T wave less than one third of the height of the R wave With the P wave much smaller than the T wave Figure 11 6 Standard ECG Waveform To display a 1 millivolt calibratio...

Page 148: ...e alarm OFF When a heart rate alarm occurs the monitor neither gives alarm indications nor stores the alarm When OFF is selected the icon is displayed on the right of the ECG label ALM LEV Alarm level...

Page 149: ...isplayed to the right of the ECG label while the PR pulse rate value is displayed below The monitor activates pulse beeps instead of heartbeat beeps Besides the monitor gives indications to PR alarms...

Page 150: ...HANNEL CH1 The heart rate is determined by the first ECG waveform CH2 The heart rate is determined by the second ECG waveform AUTO The monitor automatically selects a proper channel to calculate the h...

Page 151: ...he display of the ECG waveform in the HR derived channel OFF The SMART LEAD OFF is turned off When ECG is in NORMAL DISPLAY mode if the SMART LEAD OFF is configured ON and there is a LEAD OFF in the H...

Page 152: ...e function of pacemaker pulse rejection with overshoot is enabled 2 MODE2 In this mode the function of pacemaker pulse rejection with overshoot is disabled A pacemaker may produce an overshoot signal...

Page 153: ...the user default configuration When the monitor is started restarted or when the factory or user default configuration is selected PACE DETECT returns to MODE1 z The PACE tag can be printed in the re...

Page 154: ...synchronization ON The function of defibrillation is enabled OFF The function of defibrillation is disabled If the function of defibrillator synchronization is enabled and the ventricular defibrillat...

Page 155: ...and the filter mode is set to DIAGNOSTIC z When the defibrillation is done sure to disable the defibrillation function and select the filter method as needed ECG CAL Select this option to begin calib...

Page 156: ...EFAULT You can use this option to access the ECG DEFAULT CONFIG menu You may choose the FACTORY DEFAULT CONFIG or the USER DEFAULT CONFIG After finishing the selection a dialog pops up asking for conf...

Page 157: ...variance of the ST segment at the waveform tracks of the selected lead can be measured The ST measurement result is displayed numerically in the ST1 and ST2 positions in the parameter window You can r...

Page 158: ...ons and saves the alarm OFF If the measured ST numerics exceed the alarm limit the monitor does not give alarm indications or saves the alarm When OFF is selected the icon is displayed on the right of...

Page 159: ...cate the positions of the ISO and ST points ISO It is the base point used to indicate the baseline point of the ST analysis The default is 78ms ST It is the ST measurement point The default is 109ms T...

Page 160: ...wave is the reference point for ST measurement The ST measurement value for a beat complex is equal to the vertical difference between the two measurement points NOTE z Abnormal QRS complex is not con...

Page 161: ...and give proper treatment The arrhythmia analysis of the monitor has the following characteristics Up to 13 types of arrhythmia analysis Applicable to the monitoring of either a patient with a pacema...

Page 162: ...the monitor neither gives alarm indications nor saves the alarm When OFF is selected the icon is displayed on the right of PVCs in the parameter window ALM LEV Alarm level Options HIGH MED and LOW ALM...

Page 163: ...indicates the alarm recording on off status and LEV indicates the alarm level You can change the settings as described below ALL ALM ON All alarms on Enables all arrhythmia alarms ALL ALM OFF All ala...

Page 164: ...to review more At most 8 pages can be reviewed CURSOR This option allows you to select an arrhythmia event displayed in the window DELETE This option allows you to delete a selected arrhythmia event R...

Page 165: ...o review the waveform and the parameters of other arrhythmia events L RIGHT This option allows you to review 8 second waveform of the currently displayed arrhythmia event REC Selecting this option sta...

Page 166: ...displayed and flashes at the frequency of the patient s heartbeat To the right of the HR numeric are the status or numerics of PACE ST PVCs and NOTCH When the ST analysis function is set to ON the ST...

Page 167: ...tient s heartbeat To the right of the HR numeric are the status or numerics of PACE 3 groups of ST PVCs and NOTCH 11 6 2 Monitoring Procedure For the preparation for the electrode placement refer to 1...

Page 168: ...tive ointment coatings should be isolated and the chest electrodes should have no contact with each other to avoid short circuit z Do not use the physiological saline which erodes the electrodes inste...

Page 169: ...and III are the standard leads aVR aVL and aVF are monopolar augmented limb leads and Vx x corresponds to any of 1 2 3 4 5 and 6 is the monopolar chest lead Together these leadwires structure the 12...

Page 170: ...ollowing menu appears Figure 11 22 ECG Setup Menu This menu contains ECG setup items and sub menus For details refer to 11 3 ECG Setup Menu In this menu you can set LEAD TYPE to any of 3 LEADS 5 LEADS...

Page 171: ...E indicator The 12 lead ECG monitoring functions and other sub menus are elaborated in the following sections Entering the 12 lead ECG monitoring screen In ECG SETUP menu set LEAD TYPE to 12 LEADS to...

Page 172: ...NC function z On the 12 lead analysis screen FILTER is DIAGNOSTIC which cannot be set by the user z In the 12 lead analysis mode the setting of HR CHANNEL is the same in the normal monitoring screen B...

Page 173: ...lead waveform and this label changes to RELEASE Press it again the frozen waveforms will be unfrozen and this label becomes CATCH again When the waveforms are not long enough if you select this label...

Page 174: ...EXIT You can select this label to exit the 12 lead analysis screen NOTE z In the 12 lead analysis screen labels except the ECG related ones ECG ST GAIN RHYTHM CATCH RECALL ANALYSIS WAVESET EXIT are a...

Page 175: ...nitor selects DIAGNOSTIC mode automatically You can set the monitor to MONITOR or SURGERY mode as required However the ST numerics might be severely distorted in these modes ST ALM ST segment alarm ON...

Page 176: ...mit of the ST alarm in the INF group 2 0mV is the highest INF ALM LO Determines the lower limit of the ST alarm in the INF group 2 0 mV is the lowest LAT ALM HI Determines the upper limit of the ST al...

Page 177: ...graph refer to 9 2 Trend Graph Recall Figure 11 29 Trend graph In the 12 lead monitoring process each ST numeric has a trend graph In TREND GRAPH window when you select a ST parameter from PARA SELEC...

Page 178: ...veforms of the first two ECG channels Alarm event review For details about the alarm event review refer to 9 5 Alarm Event Recall For the alarm event review in the 12 lead monitoring In case of an ST...

Page 179: ...spiration Waveform and Parameter 1 Waveform name 2 RESP lead I or II 3 Waveform gain 7 options are available 0 25 0 5 1 2 3 4 5 If the gain is too large the upper part of the waveform may not be norma...

Page 180: ...ovement to optimize the respiratory waveform NOTE z Please select the ECG cable with no resistance for RESP monitoring z To optimize the respiration waveform place the RA and LA electrodes horizontall...

Page 181: ...e alarm occurs the monitor neither gives alarm indications nor stores the alarm When OFF is selected the icon is displayed on the right of the RESP label ALM LEV Alarm level Options HIGH MED and LOW A...

Page 182: ...s AUTO and MANUAL 1 AUTO When AUTO is selected the monitor automatically determines the detection threshold for respiration and calculates the respiration rate The HOLD HI and HOLD LO options are inac...

Page 183: ...leaned with a soft cloth dampened with the alcohol and then be air dried or dried with a clean dry cloth Disinfection Disinfection may cause damage to the equipment We recommend the disinfection be co...

Page 184: ...ECG RESP Monitoring 11 48 FOR YOUR NOTES...

Page 185: ...ciples of Operation 12 12 12 3 2 Precautions 12 14 12 3 3 Monitoring Procedure 12 16 12 3 4 Measurement Limitations 12 16 12 3 5 SpO2 Setup Menu 12 17 12 3 6 Sensors and Accessories 12 19 12 3 7 Masim...

Page 186: ...played by percentage and is followed by a perfusion indicator pro rata with the pulse intensity Besides the SpO2 label at the upper left corner of the parameter window allows you to access the SpO2 SE...

Page 187: ...d the PITCH TONE function will be disabled as well This monitor can be equipped with any of the following SpO2 modules Mindray SpO2 module Masimo SpO2 module Nellcor SpO2 module A monitor equipped wit...

Page 188: ...rate by measuring the absorption of selected wavelengths of light The light generated in the probe passes through the tissue and is converted into electrical signals by the photodetector in the probe...

Page 189: ...ipment wire and SpO2 cable must not be tangled up z Do not put the SpO2 sensor on the limb with arterial catheter or venous syringe z Do not perform SpO2 and NIBP measurements on the same limb simulta...

Page 190: ...the SpO2 connector on monitor 12 2 3 1 Finger Sensor Placement You can easily place the finger sensor as shown below Figure 12 2 Finger Sensor Placement NOTE z Place the SpO2 sensor cable at the backs...

Page 191: ...the V groove of the other side of the sheath Then loosen the belt After the V edges of the two sides of the belt fit well into the V grooves on the two sides of the sheath put the belt into the first...

Page 192: ...measured position in time z In the process of extended and continuous monitoring you should periodically check the position of the sensor In case that the position of the sensor moves during monitori...

Page 193: ...Shock anemia low temperature and application of vasomotor all reduce the arterial blood flow and may affect the pulse oximetry measurement The absorption of oxyhemoglobin HbO2 and deoxyhemoglobin to...

Page 194: ...larm recording ON When a SpO2 alarm occurs the monitor enables the recording OFF When a SpO2 alarm occurs the monitor does not enable the recording SPO2 ALM HI SpO2 upper alarm limit SPO2 ALM LO SpO2...

Page 195: ...HIGH MED and LOW When HIGH is selected the monitor gives quick response to the change of the oxygen saturation but the measurement accuracy might be compromised When LOW is selected the monitor gives...

Page 196: ...nal SpO2 module It calculates the SpO2 value by passing red and infrared light into a capillary bed and measuring changes in light absorption during the pulsatile cycle The red and infrared light emit...

Page 197: ...in an empirically derived equation into the software The values in the empirically derived equation are based upon human blood studies against a laboratory co oximeter on healthy adult volunteers in...

Page 198: ...moglobin saturation that is updated every two seconds 12 3 2 Precautions WARNING z The pulse wave from the MS 7 module must NOT be used for apnea monitoring z As a trend towards patient deoxygenation...

Page 199: ...ution chemicals z Verify sensor cable fault detection before beginning monitoring Unplug the SpO2 sensor cable from the connector The screen displays the prompt information SPO2 SENSOR OFF and the aud...

Page 200: ...nsor application or use Significant levels of dysfunctional hemoglobins e g carboxyhemoglobin or methemoglobin Intravascular dyes such as indocyanine green or methylene blue Exposure to excessive illu...

Page 201: ...SpO2 Setup Menu Selecting the SPO2 label in the parameter window opens the following menu Figure 12 7 MASIMO SpO2 Setup Menu You can perform the following settings in this menu ALM SpO2 alarm on off s...

Page 202: ...limit Step SpO2 100 0 1 PR 240 0 1 The default SpO2 and PR alarm limits Parameter Patient type Upper limit Lower limit Adult 100 90 Pediatric 100 90 SpO2 Neonate 95 80 Adult 120 50 Pediatric 160 75 PR...

Page 203: ...If your monitor is equipped with a Masimo SpO2 module use only Masimo oximetry sensors for SpO2 measurements Other sensors may cause improper pulse oximeter performance Before use carefully read the d...

Page 204: ...ht ensure that the sensor is properly applied and cover the sensor site with dark opaque material if required Failure to take this precaution in high ambient light conditions may result in inaccurate...

Page 205: ...Adhesive Sensor LNOP single use sensors may be reapplied to the same patient if the emitter and detector windows are clear and the adhesive still adheres to the skin The adhesive can be partially reju...

Page 206: ...5 769 785 6 002 952 6 036 642 6 067 462 6 206 830 6 157 850 and international equivalents U S A and international patents pending No Implied License Possession or purchase of this device does not conv...

Page 207: ...sorption of red and infrared light i e spectrophotometry 2 The volume of arterial blood in tissue and hence light absorption by that blood changes during the pulse i e plethysmography A monitor determ...

Page 208: ...ically Functional versus Fractional Saturation This monitor measures functional saturation oxygenated hemoglobin expressed as a percentage of the hemoglobin that can transport oxygen It does not detec...

Page 209: ...ce the possibility of patient entanglement or strangulation z Do not use this instrument and the sensors during magnetic resonance imaging MRI Induced current could potentially cause burns The monitor...

Page 210: ...tes and patients of poor perfusion or skin sensitive to light Check the sensor location every 2 3 hours and move to another location if the skin deteriorates More frequent examinations may be required...

Page 211: ...cal conditions or medical procedures that may interfere with the monitor s measurements include significant levels of dysfunctional hemoglobin low perfusion and dark pigment Loss of pulse signal can o...

Page 212: ...e spared during peripheral vasoconstriction 12 4 5 SpO2 Setup Menu Selecting the SPO2 label in the parameter window opens the following menu Figure 12 9 SpO2 Setup Menu You can perform the following s...

Page 213: ...e Upper limit Lower limit Adult 100 90 Pediatric 100 90 SpO2 Neonate 95 80 Adult 120 50 Pediatric 160 75 PR Neonate 200 100 WARNING z Setting the SpO2 upper alarm limit to 100 will disable the upper a...

Page 214: ...surements Other sensors may cause improper pulse oximeter performance Before use carefully read the directions for the sensor When selecting a sensor consider the patient s weight and motion the adequ...

Page 215: ...803 910 5 853 364 5 865 736 6 083 172 6 463 310 6 591 123 6 708 049 Re 35 122 and international equivalents U S A and international patents pending No Implied License Possession or purchase of this d...

Page 216: ...SpO2 Monitoring 12 32 FOR YOUR NOTES...

Page 217: ...nitoring Procedure 13 3 13 2 1 Cuff Selection and Placement 13 3 13 2 2 Operation Guides 13 5 13 3 Measurement Limitations 13 6 13 4 NIBP Setup Menu 13 7 13 4 1 Calibration 13 9 13 4 2 Testing for Air...

Page 218: ...BP measurement is performed as many times as possible in five minutes The NIBP measurement does not produce any waveform Instead it displays the measurement result in the NIBP parameter window as show...

Page 219: ...1 Power on the monitor 2 Check the patient information area on the screen If the patient type is incorrect select a correct patient type in PATIENT SETUP menu 3 Plug the air hose in the NIBP cuff con...

Page 220: ...e heart level deduct 0 75 mmHg 0 10 kPa for each centimeter of difference WARNING z The width of the cuff should be either 40 of the limb circumference 50 for neonates or 2 3 of the upper arm length T...

Page 221: ...ING z Auto non invasive blood pressure measurements performed in long intervals may incur ischemia and neuropathy in the limb wearing the cuff When monitoring a patient examine the extremities of the...

Page 222: ...ient Movement E g The patient is moving shivering or having convulsions Cardiac Arrhythmia s E g The patient s cardiac arrhythmia has caused an irregular heartbeat Heart lung Machine E g Measurements...

Page 223: ...arm indications and stores the alarm OFF When a NIBP alarm occurs the monitor neither gives alarm indications nor stores the alarm When OFF is selected the icon is displayed on the right of the NIBP l...

Page 224: ...y displays a group of NIBP values obtained in the latest measurement GROUPS Multiple groups of measurement values are displayed at the lower left corner of the screen as shown below NS NM ND PR DATE T...

Page 225: ...her than 1mmHg To perform the calibration follow the procedure shown below 1 Remove the blood pressure cuff from the monitor and replace it with a rigid metal container or vessel with a capacity of 50...

Page 226: ...NIBP cuff connector of the monitor 2 Wrap the cuff around a cylinder of a proper size as shown below Figure 13 4 NIBP Leakage Test 3 Select the PNEUMATIC option and the information Pneum testing is di...

Page 227: ...cover the rubber tube with a lid Avoid splashing liquid into the rubber tube or the monitor inadvertently Reusable Blood Pressure Cuffs The cuff is not suitable for dry cleaned Instead it should be m...

Page 228: ...in position 4 Thread the rubber tubes from inside the cuff and out through the small hole under the internal flap CAUTION z Some disinfectants may cause skin irritation Please rinse cuff thoroughly wi...

Page 229: ...14 1 14 TEMP Monitoring 14 1 Overview 14 2 14 2 Measurement Procedure 14 3 14 3 TEMP Setup Menu 14 4 14 4 Maintenance and Cleaning 14 6...

Page 230: ...ameter window as shown below Figure 14 1 TEMP Parameter Window 1 TEMP label Selecting this label opens the TEMP SETUP menu 2 Temperature unit or 3 T1 Temperature channel 1 Displays the temperature mea...

Page 231: ...elf test lasts about 2 seconds and does not affect the normal measurement of temperature WARNING z Verify probe cable fault detection before beginning monitoring Unplug the temperature probe cable of...

Page 232: ...alarm indications nor stores the alarm When OFF is selected the icon is displayed on the right of the TEMP label ALM LEV Alarm level Options HIGH MED and LOW ALM REC Alarm recording ON When a TEMP ala...

Page 233: ...ULT You can select this option to access the NIBP DEFAULT CONFIG menu in which you may select FACTORY DEFAULT CONFIG or USER DEFAULT CONFIG After finishing your selection and exiting the menu the syst...

Page 234: ...00 176 to 212 for a short time The probe must not be disinfected in steam Only detergents containing alcohol can be used for disinfection The rectal probes should be used if possible in conjunction wi...

Page 235: ...15 4 2 IBP Pressure Zero Menu 15 8 15 4 3 IBP Pressure Calibration 15 11 15 5 Maintenance and Cleaning 15 14 15 6 ICP Transducer ICT B 15 16 15 6 1 Introduction 15 16 15 6 2 Precautions 15 17 15 6 3 C...

Page 236: ...ssure Besides each waveform is followed by three scale lines among which the upper and the lower ones are marked by scales on the left The parameter window locates to the right of the IBP waveforms as...

Page 237: ...rom burning caused by leakage current z Verify transducer cable fault detection before beginning to monitor Unplug the transducer cable from the IBP connector on the monitor The screen will display th...

Page 238: ...apped air in the pressure system re fill the system with normal saline 3 Connect the catheter to the pressure line making sure there is no air present in the catheter or pressure line 4 Position the t...

Page 239: ...15 4 IBP 1 2 Select Menu 15 4 1 IBP Setup Menu The IBP SETUP in IBP 1 2 SELECT menu allows you to access the following menu Figure 15 5 IBP 1 2 Setup Menu You can perform the following settings in thi...

Page 240: ...AP LAP ICP P1 and P2 and then adjust the IBP scale in the SCALE ADJUST menu 2 AUTO If AUTO is selected the waveform labels of IBP channels become P1 and P2 and the IBP scale is adjusted by the system...

Page 241: ...Figure 15 7 IBP Scale Adjust Menu 1 HI Determines the high scale The reference scale changes when the high scale is changed 2 LO Determines the low scale The reference scale changes when the low scale...

Page 242: ...e 15 8 IBP Pressure Setup Menu DEFAULT You can select this option to access the IBP 1 2 DEFAULT CONFIG menu in which you may select FACTORY DEFAULT CONFIG or USER DEFAULT CONFIG After finishing your s...

Page 243: ...PRESSURE ZERO menu to start zeroing NOTE z To ensure correct measurement zero the transducer before it is used to zero the monitor z Position the transducer at the same level with the patient s heart...

Page 244: ...rompt information contact our Customer Service IN DEMO FAIL Make sure the monitor is not in DEMO mode and perform pressure transducer zeroing again If the monitor continues to give this prompt informa...

Page 245: ...Calibration Menu Calibration Procedure 1 Disconnect the pressure transducer from the patient Connect the 3 way stopcock the sphygmomanometer and the inflation orb using a T shape connector as shown b...

Page 246: ...sure value indicated the mercury column 6 Select CALIBRATE in IBP PRESSURE CALIBRATE menu The monitor starts calibrating 7 Wait for the calibration result Take actions in response to the prompt inform...

Page 247: ...e this prompt information contact our Customer Service IN DEMO FAIL Make sure the monitor is not in DEMO mode and perform the calibration again If the monitor continues to give this prompt information...

Page 248: ...not immerse the connector in any liquid After cleaning dry the transducer thoroughly before storing Slight discoloration or temporary increase of surface stickiness of the cable should not be consider...

Page 249: ...t for the recommended sterilizing period Ensure that the dome has been removed Then rinse all transducer parts except the electrical connector with sterilized water or saline The transducer must be th...

Page 250: ...a flat silicone rubber membrane or balloon covering the pressure sensing diaphragm Two internal tubes connect the two sides of the diaphragm to a female luer fitting on the connector shell By introdu...

Page 251: ...insert the catheter into the epidural space in an S bend The catheter should be protected in the position of the sutures to avoid any damage to the catheter when pulling sutures tight When removing t...

Page 252: ...le luer fitting to form a connection to a reference pressure such as a syringe and manometer The output of the transducer and amplifier system can be reliably and quickly confirmed Figure 15 14 ICT B...

Page 253: ...ting the equipment to familiarize the operation Set up the monitor and the ICT B as already described Use either a water column or the calibration tube to apply a known pressure of from 10 25mmHg to t...

Page 254: ...uld be placed facing the dura and under the cranium The transducer is marked by 2 5cm scale on its back Thus the scale is visible if the sensor is placed correctly The placement site should be away fr...

Page 255: ...s or with a silicone rubber suture collar provided by the manufacturer such as the peritoneal shunt systems The latter method is preferred as it will help prevent from damage to the catheter by suture...

Page 256: ...lling sutures tight Otherwise the catheter will be easily cut 4 Use some bone wax on the edges of bone where the catheter and tip make contact with bone 5 When removing the catheter special attention...

Page 257: ...turer for repair Inspect for cuts or damage to silicone coating before immersing it in any liquid Avoid getting liquid on the connector pins or inside the connector via the luer fitting Wash the cathe...

Page 258: ...make and mode AMSCO Eagle 2000 Prevacuum 15 minutes 24 inches Hg Relative humidity 40 Temperature 140 ETO mix 12 88 Gas pressure 8 Pa Exposure time 1 hour and 45 minutes Post Vacuum 15 minutes 24 inc...

Page 259: ...ter or saline solution for a few hours to stabilize before use Liquids entering the back of the sensor will cause damage to the sensor Cutting on the outer coating should be avoided and repaired immed...

Page 260: ...inge attached What s the reason There is a leak in the catheter or sensor tip Remove wipe clean with alcohol and then disinfect Return the device to the manufacturer for repair Readings were taken wit...

Page 261: ...times raising the scale of the monitor requires a high zero offset Try raising the pressure scale to 90 120 or 300mmHg and then zero This solution may work but the waveform resolution will be compromi...

Page 262: ...e monitor displays good waveforms but the ICP reading is negative Improper zeroing The ICT B cannot read negative pressure Rezero the monitor transducer combination Make sure that the female luer is n...

Page 263: ...6 1 Overview 16 2 16 2 Measurement Procedure 16 3 16 2 1 Window for CO Measurement 16 5 16 2 2 Blood Temperature Monitoring 16 8 16 3 CO Setup Menu 16 9 16 4 Hemodynamic Calculation 16 11 16 5 Mainten...

Page 264: ...u can perform up to six measurements before calculating the average cardiac output C O and the average cardiac index C I Prompt information displayed on the screen guides you to perform the measuremen...

Page 265: ...correctly as shown in Figure 16 2 The blood temperature reading is displayed 3 Open the C O SETUP menu and adjust the parameters contained in this menu WARNING z Make sure that the computation coeffic...

Page 266: ...igure 16 2 CO Sensor Connections 5 You may repeat the measurement if necessary 6 When measurement s is finished open WINDOW FOR C O EDIT to edit the measured data The rest of the sections include deta...

Page 267: ...ndow For CO Measurement 1 CO measurement curve 2 Prompt information 3 Measurement start time 4 CO measured cardiac output 5 CI cardiac index 6 BSA body surface area 7 TB temperature of blood 8 TI temp...

Page 268: ...ter WINDOW FOR C O EDIT EXIT This option allows you exit WINDOW FOR CO MEASUREMENT Measurement Procedure 1 The cardio output measurement can be started when the prompt information Ready for new measur...

Page 269: ...formed the latest measurements will replace the earlier ones If a curve in the editing window is not selected for calculation excluded from the averaging calculation the place of the curve will be tak...

Page 270: ...ded curve becomes white NOTE z The excluded curve can be selected and counted in the calculation again 16 2 2 Blood Temperature Monitoring Blood temperature monitoring can function when C O measuremen...

Page 271: ...he following settings in this menu ALM TB alarm on off status ON When a TB alarm occurs the monitor gives alarm indications and stores the alarm OFF When a TB alarm occurs the monitor neither gives al...

Page 272: ...jectate OFF When this option is selected the injectate temperature is given and you can set INJ TEMP in the menu The system obtains the preset injectate temperature directly from the setting instead o...

Page 273: ...and highlight a parameter field to adjust the value of the selected parameter After finishing all parameter settings select the CALCULATE option The calculation result is displayed in the window immed...

Page 274: ...dex SVR BSA PVR Pulmonary vascular resistance 79 96 pamap pawp CO PVRI Pulmonary vascular resistance index PVR BSA LCW Left cardiac work 0 0136 apmap CO LCWI Left cardiac work index LCW BSA RCW Right...

Page 275: ...f warm water and soap or other cleaning solution Use the sponge to clean the cable and then dry it Do not immerse the cable in water Check each cable for corrosion cracks and deterioration Gas Disinfe...

Page 276: ...CO Monitoring 16 14 FOR YOUR NOTES...

Page 277: ...ning 17 12 17 3 Oridion CO2 Module 17 13 17 3 1 Principles of Operation 17 13 17 3 2 Preparations for CO2 Measurement 17 14 17 3 3 CO2 Setup Menu 17 15 17 3 4 CO2 User Maintain Menu 17 19 17 3 5 Maint...

Page 278: ...eters 1 CO2 label This option allows you to access the CO2 SETUP menu 2 Pressure unit mmHg or kPa 3 EtCO2 The measured value of EtCO2 4 InsCO2 The measured value of InsCO2 5 AwRR The measured value of...

Page 279: ...nfrared ray The measurement procedure is as follows send the CO2 to a measurement chamber inside the module through the airway system and then irradiate 4 26um infrared ray at one side of the chamber...

Page 280: ...CO2 module you must change the work mode to MEASURE The work mode of the CO2 module keeps unchanged when the monitor is restarted For instance if the monitor is power off when the CO2 module is worki...

Page 281: ...and warming up During the warming up the module can measure CO2 but the measurement is not standard After the above information disappears the standard measurement can be performed z The sidestream s...

Page 282: ...the alarm OFF When a CO2 alarm occurs the monitor neither gives alarm indications nor stores the alarm When OFF is selected the icon is displayed on the right of the CO2 label ALM LEV Alarm level Opt...

Page 283: ...s mmHg kPa and WAVE SCALE Options HIGH and LOW This option allows you to adjust the amplitude of the CO2 waveform WORK MODE Options MEASURE and STANDBY To start the CO2 monitoring select the MEASURE m...

Page 284: ...the measured gas is no smaller than 30 OFF Select OFF when the N2O content in the measured gas is smaller than 30 O2 COMPEN O2 compensation ON Select ON when the O2 content in the measured gas is no...

Page 285: ...sure an accurate measurement you should turn ON the BTPS In this mode the system adjusts the calculation coefficient automatically so that the measured value is just the actual CO2 content in the pati...

Page 286: ...measured CO2 content Unit In the field at the right of the CO2 value you can select a standard gas containing a certain amount of CO2 for calibration Options 3 4 5 6 and 7 BAROMETRIC The currently mea...

Page 287: ...a standard gas of certain CO2 content 3 4 5 6 and 7 and input the gas to the monitor 4 Open the CO2 USER MAINTAIN menu and set the CO2 field to a value which is the same with the CO2 content of the ga...

Page 288: ...emove it from the water trap In this situation if the screen displays a prompt information indicating the CO2 sampling line is abnormal the water trap must have been blocked and you must replace it wi...

Page 289: ...nfrared ray The measurement procedure is as follows send the CO2 to a measurement chamber inside the module through the airway system and then irradiate 4 26um infrared ray at one side of the chamber...

Page 290: ...tivat the CO2 module you must change the work mode to MEASURE The work mode of the CO2 module keeps unchanged when the monitor is restarted For instance if the monitor is power off when the CO2 module...

Page 291: ...the alarm OFF When a CO2 alarm occurs the monitor neither gives alarm indications nor stores the alarm When OFF is selected the icon is displayed on the right of the CO2 label ALM LEV Alarm level Opt...

Page 292: ...5 12 5 and 25 0 Unit mm s UNIT Options mmHg kPa And WAVE SCALE Options HIGH and LOW This option allows you to adjust the amplitude of the CO2 waveform WORK MODE Options MEASURE and STANDBY To start th...

Page 293: ...rmally the lung temperature of the patient is 37 and the water vapor is sufficient or regarded as saturated But the temperature and water vapor content of the sampling line are different from the pati...

Page 294: ...ally When AUTO STANDBY is set to 0min it means the CO2 module is in MEASURE state If the sampling line is not connected the CO2 module enters the standby mode automatically 3 minutes later ZERO CAL Th...

Page 295: ...following information is displayed in the menu above CO2 The currently measured CO2 content Unit In the field at the right of the CO2 value you can select a standard gas containing a certain amount of...

Page 296: ...a value which is the same with the CO2 content of the gas bottle 5 When the CO2 USER MAINTAIN menu displays the currently measured CO2 content wait until a stable reading is indicated and then select...

Page 297: ...n Germany and US Oridion Patents This device and the CO2 sampling consumable designed for use herewith is covered by one or more of the following USA patents 4 755 675 5 300 859 5 657 750 5 857 461 an...

Page 298: ...n irradiate infrared ray at one side of the chamber and use the sensor to measure the attenuation degree of the received infrared ray at the other side Since the attenuation degree of the infrared ray...

Page 299: ...Connections When the monitor is powered on for the first time the CO2 module enters the STANDBY mode by default To activat the CO2 module you must change the work mode to MEASURE The work mode of the...

Page 300: ...After the above information disappears the standard measurement can be performed 17 4 3 CO2 Setup Menu Selecting the CO2 label in the parameter window opens the following menu Figure 17 13 CO2 Setup...

Page 301: ...ers an alarm and gives the CO2 APNEA alarm message Options 10S 15S 20S 25S 30S 35S and 40S SWEEP Waveform speed Options 6 25 12 5 and 25 0 Unit mm s UNIT Options mmHg and kPa WAVE SCALE Options HIGH a...

Page 302: ...60 N2O contained or DES 12 ALL ON ON O2 60 N2O contained Operation method select a compensation type GENERAL O2 DES or ALL as described above and then select to turn ON or OFF the water vapor compens...

Page 303: ...en measuring the CO2 content of the environment or a certain vessel turn OFF BTPS In the standard ambient pressure and dry gas the accuracy of the sensor measurement is not affected NOTE z Set the com...

Page 304: ...not required Removing Exhaust Gases from the System Anesthetics When using the CO2 measurement on patients who are receiving or have recently received anesthetics connect the outlet to a scavenging s...

Page 305: ...18 1 18 Anesthesia Gas Monitoring 18 1 Overview 18 2 18 2 Measurement Principles and Procedure 18 4 18 3 AG Setup Menu 18 6 18 4 Maintenance and Cleaning 18 10...

Page 306: ...monitored anesthetic DES ISO ENF SEV or HAL Airway respiration rate AwRR respiration per minute BrPM The patient monitor can display simultaneously a maximum of 4 waveforms including the CO2 waveform...

Page 307: ...othame ISO Isoflurane ENF Enflurane SEV Sevoflurane DES Desflurane Figure 18 2 AG parameters NOTE z The waveform and value of only one anesthetic can be displayed at one time z If there are too many w...

Page 308: ...fore the AG concentration can be obtained by calculating the infrared For the AG module that implements the measurements of multiple gases multiple infrared filters are necessary Measurement principle...

Page 309: ...hich protect the module from being contaminated by bacterium liquid or patient secretion When the water trap works for a long time dusts or other foreign bodies may block the filter materials or even...

Page 310: ...nesthetic type Therefore you have to select the used anesthetic before using the AG module so that the AG module can conduct measurements normally If you select the AION 03 AG module the used anesthet...

Page 311: ...UP menu 1 you can set the following items ALM Alarm on off status ON When the AG has an alarm the system will give alarm indications and save the alarm information OFF The system will not give alarm i...

Page 312: ...limit of AwRR which triggers the alarm AWRR ALM LO Set the lower limit of AwRR which triggers the alarm Select OTHER SETUP in ALARM SETUP menu The following menu appears Figure 18 6 ALARM SETUP menu...

Page 313: ...just the display amplitude of CO2 waveform Options 1 2 3 4 and 5 N2O WAVE AMP Used to adjust the display amplitude of N2O waveform Options 1 2 3 4 and 5 O2 WAVE AMP Used to adjust the display amplitud...

Page 314: ...it if necessary Check the airway adapter for water If necessary drain the water and install the adapter again Internal Occlusion If the interior of the AG module is contaminated by the condensed wate...

Page 315: ...Accessories 19 5 19 2 3 Nellcor SpO2 Accessories 19 5 19 3 NIBP Accessories 19 6 19 4 TEMP Accessories 19 7 19 5 IBP Accessories 19 8 19 6 CO Accessories 19 9 19 7 CO2 Accessories 19 10 19 7 1 Mindra...

Page 316: ...5 Lead ECG Cable IEC with no resistance 0010 30 12241 6P 3 Lead ECG Cable with no resistance AHA 0010 30 12242 6P 3 Lead ECG Cable IEC with no resistance 0010 30 12243 6P 5 Lead ECG Cable with 1K resi...

Page 317: ...ength 5 Lead AHA leadwires of clip 0010 30 12387 Long 3 Lead AHA leadwires of clip 0010 30 12388 Mixed length 5 Lead IEC leadwires of clip 0010 30 12389 Long 3 Lead IEC leadwires of clip 0010 30 12390...

Page 318: ...P I Pediatric Infant Sensor and Sensor Wraps 9000 10 07308 OXI A N Adult Neonatal Sensor and Sensor Wraps 9000 10 07336 Disposable SpO2 Sensor for Adults 2211 1 0010 10 12333 Disposable SpO2 Sensor fo...

Page 319: ...010 10 42634 LNCS DC I Adult SpO2 Resuable Sensor 0010 10 42600 LNCS YI SpO2 Multisite Reusable Sensor and Single Use Attachment Wraps 0010 10 43016 19 2 3 Nellcor SpO2 Accessories Description PN 6Pin...

Page 320: ...12158 Adult 25 to 35cm Arm Circumference CM1203 0010 30 12159 Large Adult 33 to 47cm Arm Circumference CM1204 0010 30 12160 Adult Thigh 46 to 66cm Arm Circumference CM1205 0010 30 12161 M1872A Dispos...

Page 321: ...mperature Probe Skin Adult 900E 10 04881 Adult Reusable Esophageal Rectal Temperature Probe 0011 30 90440 Pediatric Neonatal Reusable Esophageal Rectal Temperature Probe 0011 30 90441 Adult Reusable S...

Page 322: ...ssure Transducer 0010 10 12208 Intracranial Pressure Transducer ICT B Gaeltec 0010 10 12151 6Pin ICP Cable 0010 21 12154 Transducer Interface Cable Reusable TC VTK 6000 10 02106 Disposable Pressure Tr...

Page 323: ...DA P N SP4042 BD 6000 10 02079 IT sensor housing OHMEDA P N SP5045 BD 6000 10 02080 CO syringe 93610 EDWARTDS 0010 10 12317 12CC contrl syringe W 1CC Stop W Rotator Medex 6000 10 02081 6Pin CO cable 9...

Page 324: ...al 006324 0010 10 42562 FilterLine Set Adult Pediatric Long 007768 0010 10 42563 FilterLine H Set Adult Pediatric Long 007737 0010 10 42564 FilterLine H Set Infant Neonatal Long 007738 0010 10 42565 S...

Page 325: ...576 NIV Line Adult 008174 0010 10 42577 NIV Line Pediatric 008175 0010 10 42578 19 7 3 Welch Allyn CO2 Accessories Description PN Mainstream Sensor II P N 000 59000 9000 10 07299 Airway Adapter Adult...

Page 326: ...P N 60 13100 00 9200 10 10530 Sampling Line Adult 2 5m P N 60 15200 00 9200 10 10533 DRYLINE Airway Adapter Elbow P N 60 14200 00 9000 10 07487 Sampling SATRAIGHT CTEE 9200 10 10593 SAMPLING ELBOW P...

Page 327: ...P Specifications 20 10 A 10 SpO2 Specifications 20 11 A 11 NIBP Specifications 20 13 A 12 TEMP Specifications 20 14 A 13 IBP Specifications 20 15 A 14 CO Specifications 20 16 A 15 CO2 Specifications 2...

Page 328: ...the equipment shall be operated from its internal electric power supply batteries Degree of protection against electric shock Sidestream CO2 AG ECG RESP TEMP SpO2 NIBP IBP CO mainstream CO2 BF defibri...

Page 329: ...2 module 5 to 35 With Oridion CO2 module Operating temperature 10 to 35 With AION AG module Operating humidity 15 to 95 noncondensing Altitude 500 to 4600m 1640 to 15092 feet 305 to 3014m 1000 to 9889...

Page 330: ...time 48 minutes or 120 minutes typical when powered by one or two new fully charged batteries respectively 25 ECG SpO2 NIBP measurement per 15 minutes Charge time A maximum of 6 h for each battery and...

Page 331: ...ng rate Vertical resolution 80 dots cm Width of the recorder paper 50 mm Length of the recorder paper 30 m Recording rate 25 mm s 50 mm s Recorded waveforms 2 LED indicator Alarm indicator 1 yellow an...

Page 332: ...nada Europe Spain France Japan 1 to 11 10 11 2 Operating channel For other country please refer to your local law Safe distance 10m a circle centering AP with the diameter of 10m Maximum data rate 11M...

Page 333: ...ement No pace rejection or enhancement IBP analog output Bandwidth 0 to 12 5 Hz 3dB reference frequency 1Hz Maximum propagation Delay 55ms the filter function is disabled Sensitivity 1 V 100mmHg 5 Nur...

Page 334: ...100Hz 12 lead 0 05 to 150Hz 0 5 to 40Hz 1 to 20Hz Diagnostic mode Monitor mode Surgery mode 90 dB 12 lead 95 dB 105 dB 105 dB Common mode rejection The notch filter is turned off Differential input i...

Page 335: ...age 7 2s 6 6 to 14 5s average 10 5s Pace pulse Pace pulses meeting the following conditions are marked by the PACE indicator Pulse indicator Amplitude Width Rise time 4 to 700mV 0 1ms to 2ms 10us to 1...

Page 336: ...e test range 0 3 to 3 Excitation current 300 A Baseline impedance range 200 to 2500 using an ECG cable with 1k resistance Bandwidth 0 2 to 2Hz 3 dB Sweep speed 6 25 mm s 12 5 mm s 25 mm s RR Measureme...

Page 337: ...ions Undefined Refreshing rate 1s PR Measurement range 20 to 254bpm Resolution 1bpm Precision 3 bpm non motion conditions 5 bpm in motion conditions Refreshing rate 1s A 10 2 Masimo SpO2 Specification...

Page 338: ...0 to 100 0 to 69 2 5 Undefined D YS DS 100A OXI A N and OXI P I 70 to 100 0 to 69 3 Undefined SpO2 measurement range and precision MAX R D YSE and D YSPD 70 to 100 0 to 69 3 5 Undefined PR measurement...

Page 339: ...90 120 180 240 480 minutes Measurement time in continuous mode 5 minutes mmHg Adult Pediatric Neonate Systolic pressure 40 to 270 40 to 200 40 to 135 Diastolic pressure 10 to 210 10 to 150 10 to 100 M...

Page 340: ...parameters T1 T2 and TD Measurement range 0 to 50 C 32 to 122 F Resolution 0 1 C Precision 0 1 C excluding the sensor 0 2 C including the YSI 400 series sensor Update period 1s Minimum time for accur...

Page 341: ...PA CVP RAP LAP ICP P1 and P2 ART 0 to 300 mmHg PA 6 to 120 mmHg CVP RAP LAP ICP 10 to 40 mmHg Measurement range P1 P2 50 to 300 mmHg Resolution 1 mmHg Precision 2 or 1mmHg whichever is greater Update...

Page 342: ...Measurement technique Thermal dilution Calculated parameter CO hemodynamics CO 0 1 to 20l min TB 23 to 43 C Measurement range TI 0 to 27 C Resolution CO TB TI 0 1 l min 0 1 C Precision CO TB TI 5 or 0...

Page 343: ...e status AwRR measurement range 0 to 120 BrPM Precision 0 to 70 BrPM 70 BrPM 2 BrPM 5 BrPM Response time 240 ms 10 to 90 Delay time 2s Length of sampling tube 7 feet inner diameter 0 055 inches sampli...

Page 344: ...to 150BrPM 1BrPM 2BrPM 3BrPM Apnea alarm delay AwRR 10 to 40s Precision applies for breath rates of up to 80 bpm For breath rates above 80 bpm accuracy complies with EN 864 ISO 9918 4 mmHg or 12 of r...

Page 345: ...nnecessary Calibration stability There is a difference 1 from the precison criteria after a 12 month continuous service time Alarm range 0 to 99 mmHg AwRR measurement range 0 to 150 BrPM AwRR alarm ra...

Page 346: ...200 ml minute user selectable Sampling flow sidestream Neonatal 70 90 120 ml minute user selectable Gas type CO2 N2O O2 optional Des Iso Enf Sev Hal Measurement range CO2 N2O Des Sev Enf Iso Hal O2 A...

Page 347: ...g rate 1s Calibration Yearly calibration requested Calibration stability After module being used for 12 consective months the error is 1 CO2 250 ms fall time 200 ms N2O 250 ms O2 600ms HAL ISO SEV DES...

Page 348: ...ipment should be observed to verify normal operation in the configuration in which it will be used z The equipment needs special precautions regarding EMC and needs to be installed and put into servic...

Page 349: ...ssions CISPR 11 Group1 The equipment uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment R...

Page 350: ...1 kV differential mode 2 kV common mode 1 kV different mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage dips Short interruptions and vo...

Page 351: ...fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked wi...

Page 352: ...ansmitter M Meters Rated Maximum Output power of Transmitter W Watts 150kHz 80MHz P d 2 1 80MHz 800MHz P d 2 1 800MHz 2 5GHz P d 3 2 0 01 0 12 0 12 0 23 0 1 0 37 0 37 0 74 1 1 17 1 17 2 34 10 3 69 3 6...

Page 353: ...pulse analysis CO2 APNEA 1 RESP APNEA 1 The respiration signal of the patient is so weak that the monitor cannot perform respiration analysis ASYSTOLE 1 The asystole arrhythmia event occurs to the pa...

Page 354: ...ation between XX module and the main board Restart the monitor If the error remains contact our company for repair XX ALM LMT ERR No No 1 The alarm limit of the XX parameter is changed inadvertently X...

Page 355: ...mperature channel Contact our company for repair TEMP CALIBRATION ERR No No 2 Error in temperature channel calibration Restart the monitor If the error remains contact our company for repair C 2 5 NIB...

Page 356: ...ocked Deal with the blocking and perform the measurement again If the problem still exists contact our company for repair C 2 6 Mindray SpO2 Module Alarm Messages Alarm message A B L Cause Measure SPO...

Page 357: ...the probe to a place of weaker light or cover the probe SPO2 UNRECOGNIZED SENSOR No No 3 The monitor cannot recognize the SpO2 probe type Check for correct probe type SPO2 BOARD FAULT No No 1 The SpO...

Page 358: ...SpO2 probe is inserted upside down Disconnect and reconnect the sensor as directed by the instructions Pay attention to the mark on the probe SPO2 INTERFERENCE No No 3 The pulse signals are subject to...

Page 359: ...Alarm message A B L Cause Measure TB SENSOR OFF No Yes 3 The cable for blood pressure measurement is disconnected from the monitor Check for proper connection of TB cable C 2 11 Mindray CO2 Module Ala...

Page 360: ...ilure Make sure the preset calibration gas concentration consists with the input calibration gas If the problem remains contact our company for repair CO2 SYSTEM ERROR No No 1 EEPROM reading address e...

Page 361: ...REPL SCRUBBER PUM P No No 1 CO2 CHANGE SENSOR No No 1 CO2 15VOLT OUT OF RANGE No No 1 CO2 module fault Contact our company CO2 CALIB ERROR No No 2 Including the error messages displayed at the lower...

Page 362: ...f the problem remains contact our company for repair CO2 BAROMETRIC TOO LARGE No No 2 CO2 PNEUMATIC LEAK No No 2 CO2 SIGNAL NOISY No No 3 CO2 SIGNAL SATURATE No No 3 CO2 CALCULATION ERR No No 1 CO2 SE...

Page 363: ...of the fault AG PARAMAGNETIC O2 ERR Yes No 1 AG GALVANIC O2 ERROR Yes No 1 AG OXIMA DEPLETION WARN Yes No 2 AG OXIMA DEPLETION ERR Yes No 2 O2 module fault Contact Mindray to get rid of the fault AG O...

Page 364: ...OUT OF PAPER Yes Yes 3 The recorder paper is used up Replace with a new paper roll RECORDER PAPER JAM No No 2 The recording continues for more than 30 minutes Place the recorder correctly and try agai...

Page 365: ...eyboard error The keyboard cannot be used KEYBOARD ERROR No No 2 NET INIT ERR G No No 2 NET INIT ERR Ram No No 2 NET INIT ERR Reg No No 2 NET ERR Run 1 No No 2 NET ERR Run 2 No No 2 The system cannot...

Page 366: ...ndray CO2 module CO2 STANDBY The CO2 module enters the energy saving status when switching from the Normal mode to the Standby mode None CO2 START UP The CO2 module is starting Wait for the CO2 module...

Page 367: ...AG module to finish warming itself up NIBP module Manual measure The NIBP module is performing the manual measurement CONTINUAL The NIBP module is performing the continuous measurement Auto measuring...

Page 368: ...he measurement None Reset failed The reset fails None ST LEARNING ARR LEARNING The QRS complex template for the ARR analysis is forming Wait till the end of the ARR learning DEFIB SYNC ON The DEFIB SY...

Page 369: ...arm limits of parameters Press the MENU button In SYSTEM MENU select SELECTION to enter the SELECTION menu and then set ALM LIMIT to ON Drug Calculation and Titration Table The system provides the fun...

Page 370: ...can be output from the patient monitor to the PC Press the MENU button In SYSTEM MENU select SYSTEM SETUP to enter the SYSTEM SETUP menu and then select DATA OUTPUT In the DATA OUTPUT sub menu set pa...

Page 371: ...ed below with their meanings E 1 Symbols A ampere Ah ampere hour bpm beats per minute BrPM breaths per minute centigrade cc cubic centimeter cm centimeter dB decibel DS dyne second fahrenheit g gram G...

Page 372: ...econd mV millivolt mW milliwatt nm nanometer ppm part per million s second V volt VA volt ampere ohm A microampere m micron V microvolt W watt minus percent per divide or power plus equal to less than...

Page 373: ...ft arm augmented lead aVR right arm augmented lead AwRR Air way respiratory rate BSA body surface area BTPS body temperature and pressure saturated CCU critical care unit CH channel CI cardiac index C...

Page 374: ...an Fi fraction of inspired FiCO2 fraction of inspired carbon dioxide FiN2O fraction of inspired nitrous oxide FiO2 fraction of inspired oxygen fpga Field Programmable Gate Array HAL halothame Hb CO Ca...

Page 375: ...P mean arterial pressure MDD Medical Device Directive MEAN mean pressure MetHb methemoglobin Mii initialize MII registers fail MRI magnetic resonance imaging N2O nitrous oxide N A not applied NEO neon...

Page 376: ...iration RL N right leg ROM read only memory RR respiration rate S systolic SEV sevoflurane SpO2 arterial oxygen saturation from pulse oximetry SYNC synchronization SYS systolic T1 temperature of chann...

Page 377: ......

Page 378: ...P N 9100 20 11311 6 2...

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