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Northern Meditec Taurus E, Operator'S Manual

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Northern Meditec Taurus E Operator'S Manual Download Page 97

文件编号：

NR-TP-0715-008                                                                                                                 

版本：

1.0 

- 85 - 

 

SpO2 alarm preset 

limits 

Upper alarm limit 

1%~100% 

Lower alarm limit 

0%~99% 

SpO2 alarm preset 

accuracy 

±1% 

SpO2 alerting signal 

generates a delay   

No delay 

SpO2 value refresh 

period 

1s/time 

SpO2 value refresh 

delay   

＜

  10s 

Average period 

Low sensitivity 

7

～

8s 

Intermediate sensitivity 

4

～

6s 

Advanced sensitivity 

2

～

3s 

Alarm condition delay 

period 

Low sensitivity 

＜

8s 

Intermediate sensitivity 

＜

6s 

Advanced sensitivity 

＜

3s 

Alarm sign generates 

delay period 

0s 

PR 

Measuring range 

30~254bpm 

Resolution 

1% 

Accuracy 

±2% or ±2bpm 

Summary of Contents for Taurus E

Page 1: ...Taurus E Multi parameter Patient Monitor Operator s Manual Northern Meditec Limited ...

Page 2: ...of master unit display ECG cable SpO2 probe blood pressure cuff and temperature probe Monitors patient ECG respiration RESP blood oxygen saturation SpO2 pulse rate PR noninvasive blood pressure NIBP and temperature TEMP as well as displays reviews and stores the monitoring information Northern Meditec Limited Floor 4 Block B1 Famous Industrial Products Center Baoyuan Road Xixiang Subdistrict Baoan...

Page 3: ...ny organization or individual is prohibited to photograph copy modify or print any part of this Manual or translate into other languages However Northern is not liable for any incidental or consequential damages to the actual performance and use due to errors in this Manual or the provision of this Manual Northern does not provide license conferred by patent law to any other parties Northern does ...

Page 4: ...ility and performance of the product i e Assembly expansion re adjustment improvement and repair should only be performed by qualified personnel approved by Northern All the replaced parts and supported accessories and consumables relate to the maintenance shall be originally from Northern or others approved by Northern The electrical equipment complies with relevant standards and the requirements...

Page 5: ... reliability and performance of the product if the following requirements are met The product is used in accordance with the Operator s Manual Product installation repair and upgrade are carried out by personnel approved or authorized by Northern The storage operating and electrical environment meets product specifications The S N label or manufacturer logo of the product is clearly visible and it...

Page 6: ...ec Limited Customer Service Department Address Floor 4 Block B1 Famous Industrial Products Center No 168 Baoyuan Road Xixiang Subdistrict Baoan Shenzhen Postal Code 518102 Website www northernmeditec com Email info northernmeditec com Tel 86 755 29970566 Fax 86 755 23010273 ...

Page 7: ...or s Manual is a major component of the product and should always be placed near the product for easy reference Object of Application This Operator s Manual is intended for professional clinical staff or personnel with experience in the use of monitoring equipment The readers should have knowledge and work experience in medical procedures practices and terminology of patient monitoring Illustratio...

Page 8: ...Starting Monitoring 8 2 5 Turning off 8 Chapter3 Monitor Overview 10 3 1 Introduction 10 3 1 1 Scope of Application 10 3 1 2 Contraindications 10 3 1 3 Composition and Structure 10 3 2 Master Unit 11 3 2 1 Front View 11 3 2 2 Side View 13 3 2 3 Rear View 14 3 3 Screen Display 14 3 4 Smart Hotkeys 16 Chapter4 Basic Operation 18 4 1 Basic Operation 18 4 1 1 Using the shuttle 18 4 1 2 Using Keys 18 4...

Page 9: ...ics 29 6 2 3 ECG 7 Lead Half Screen 30 Chapter7 Alarm 31 7 1 Alarm Type 31 7 2 Alarm Level 32 7 3 Alarm Mode 32 7 3 1 Light Alarm 33 7 3 2 Audible Alarm 33 7 3 3 Alarm Info 33 7 3 4 Parameter Flashing 34 7 4 Alarm States 34 7 4 1 Silence 34 7 4 2 Alarm sound off 34 7 4 3 Alarm Pause 35 7 4 4 Alarm off 35 7 5 Alarm Setup 36 7 5 1 Setting the Alarm Sound 36 7 5 2 Setting the Alarm Delay Time 36 7 5 ...

Page 10: ...P Display 51 10 6 Inflation Pressure 52 10 7 Resetting 52 10 8 Leakage Test 52 10 9 Calibration 53 10 10 Clean and disinfection 53 10 10 1 Cleaning 53 10 10 2 Disinfection 54 10 11 Alarm Setup 54 Chapter11 Temp 55 11 1 Overview 55 11 2 Safety Information 55 11 3 Measurement Steps 55 11 4 Measuring Requirements 55 11 5 Temp Display 56 11 6 Selecting Resistance Type of Temp Probe 56 11 7 Setting Tem...

Page 11: ... Maintenance Plan 75 15 4 ECG Calibration 76 15 5 Touch Screen Calibration 76 Chapter16 Accessories 78 Appendix A Specifications 79 A 1 Safety Specifications 79 A 1 1 Product Category 79 A 1 2 Power Specifications 79 A 2 Hardware Specifications 80 A 2 1 Physical Specifications 80 A 2 2 Display 80 A 2 3 Host LED 80 A 2 4 Audio Instruction 80 A 2 5 Recorder 80 A 2 6 Alarm Signal 81 A 2 7 Data Storag...

Page 12: ...文件编号 NR TP 0715 008 版本 1 0 11 Appendix D Default Parameter Configuration 95 ...

Page 13: ...ossibly in a remote risk of more serious injury Caution In order to safely use the device continuously it is required to comply with the instructions listed The instructions listed in this Manual are not substitute for the medical procedure being performed Note Emphasize important considerations and provide a description or explanation in order to make better use of the product In order to safely ...

Page 14: ...t open the enclosure in order to avoid an electric shock Any repair and upgrade of the monitor must be done by service personnel trained and authorized by Northern When handling packaging materials abide by local laws and regulations or hospital waste disposal regulations Keep the packaging materials away from children Do not use this instrument at a place with inflammables such as anesthetics to ...

Page 15: ...instrument so that using other devices in the vicinity of this instrument must comply with relevant EMC requirements For example mobile phone X ray or MRI equipment is likely to be a source of interference since they will transmit high intensity electromagnetic radiation Before powering on the device make sure that the power used by the device complies with the supply voltage and frequency require...

Page 16: ...pplied part USB interface Caution Refer to accompanying documents Operator s Manual Network Interfac Power on off Signal input and output interface AC power supply AC Refer to the Operator s Manual Battery operating indicator Equipotential terminal Alarm silence Serial Number NIBP Production date Wave freezing Manufacturer info Print Waste Electrical and Electronic Equipment Directive ...

Page 17: ... connected with multiple devices the total electric leakage cannot exceed the allowable value The copyright of the monitor software belongs to Northern Without permission any organization or individual shall not interpolate copy or exchange by any means or form When the monitor is combined with other devices it must comply with IEC60601 1 and shouldn t be connected with multi socket wire board or ...

Page 18: ...pheric pressure 50kPa 106kPa and without corrosive gases The operating environment of the monitor should avoid noise vibration dust corrosive or flammable and explosive materials In order to allow air flowing smoothly and achieve good heat dissipation at least 2 inches 5cm clearance should be kept around the device When the device is moved from one environment to another the device may have conden...

Page 19: ...Plug the power cord into the AC power outlet If using battery power make sure the battery is fully charged Check all the functions required for patient monitoring to make sure that the monitor works properly Warning If the monitor is damaged or fails to work normally do not use it for patient monitoring Please contact the maintenance personnel or Northern immediately 2 4 2 Starting the Monitor Aft...

Page 20: ...the patient Note For proper connections and related requirements for a variety of sensors see Chapters 7 12 2 4 4 Starting Monitoring Start monitoring in the following steps Check if the patient cable and the sensor are connected properly Check if the settings of the monitor are correct such as patient category Patient Cat For the details of parameter measurement or monitoring see the appropriate ...

Page 21: ...TP 0715 008 版本 1 0 9 If the monitor cannot be turned off properly or special cases occur you can simply disconnect the power to force shutdown However forced shutdown may cause data loss and is not recommended ...

Page 22: ...ESP pulse rate PR blood oxygen saturation SPO2 noninvasive blood pressure NIBP and temperature TEMP monitoring It is equipped with a replaceable built in battery to provide convenience for the patient movement in hospital 3 1 2 Contraindications None 3 1 3 Composition and Structure The monitor consists of master unit display ECG cable SpO2 probe blood oxygen cuff temperature probe and built in lit...

Page 23: ...this key for two seconds to turn off the monitor The key integrates indicator which is lit when the monitor is turned on and off when the monitor is turned off 2 Battery indicator On The battery is being charged or has been fully charged Off The battery has not been installed or the battery has been installed but the AC power is not connected and the monitor is not turned on Flashing The monitor i...

Page 24: ...t of non invasive blood pressure 7 Admitting patient or menu Admitting a patient key Press to pop up quick admitting patient menu Menu Press to pop up menu 8 Display 9 Shuttle Shuttle can be used to perform the following operations Rotate Rotate clockwise or counterclockwise to move the focus Press Press the knob to perform an action such as access to a menu or execute a command 10 Alarm indicator...

Page 25: ...ide View 1 Temp Temperature probe interface 2 ECG ECG cable interface 3 SpO2 or CO2 SpO2 cable interface could conneted to Masimo SpO2 Northern SpO2 or Phasin CO2 module 4 NIBP NIBP cuff interface 5 Printer or printer plate Could install a printer optional ...

Page 26: ...te the ground potential difference between different devices and ensure safety 2 AC adaptor socket connect to AC adaptor 16 8V 1A charge the battery of the monitor 3 USB interfaces 2 Connect an external storage device to upgrade the monitor software 4 Network interface 5 Signal input and output interface standard DB9 interface which can be connected to the PC to output data or connected with a com...

Page 27: ...is divided into four areas 1 Info area 2 Parameter area and wave area 3 NIBP list 4 Smart hotkey area Fig 2 4 Standard Interface Demo Mode 1 Introduction of info area 1 The info area includes patient information alarm status icon physiological alarms and technical alarms from left to right 2 Parameter area and wave area 2 It consists of small parameter areas which show the corresponding parameter ...

Page 28: ...displayed at the bottom of the main screen of the monitor and enable you to use certain features conveniently The smart hotkeys at the bottom of the main screen are divided into fixed smart hotkeys and removable smart hotkeys There are five fixed smart hotkeys of which the names or features are Pause Alarm pause Left Slide left to show more smart hotkeys Right Slide right to show more smart hotkey...

Page 29: ...文件编号 NR TP 0715 008 版本 1 0 17 Print Print key Switch Interface switch key Freeze Freeze key Ala Set Alarm setting key Silence Silence key Review Review key Vol Set Volume setting key ...

Page 30: ...monitor has three types of keys Soft keys The position that the cursor can stay on the interface allowing quick access to certain menus or performing certain actions including Parameter hotkey Select a parameter area and enter the appropriate parameter setup menu Wave hotkey Select a wave area and enter the appropriate parameter setup menu Smart hotkey The shortcut keys that the user can operate q...

Page 31: ...ey on the monitor interface via the shuttle or directly the touch screen to open the Main Menu as shown below Through the main menu you can complete most of the operations and settings Fig 3 1 Main Menu The style of other menus is basically similar to the Main Menu and generally consists of the following components Menu title a summary of the current menu Close menu Close the current menu exit the...

Page 32: ... enter the password and confirm User Maintenance menu Select Device Name Enter device name through the soft keyboard on the screen Select Department Enter the sector and department using the device through the soft keyboard on the screen Select Bed No Enter the bed number through the soft keyboard on the screen 4 2 2 Language Setup Set the monitor language in the following steps Select Menu Smart ...

Page 33: ...s the minimum volume and Y value plus minus 1 when turning the shuttle once 2 Key pressing volume Select Vol Set smart hotkey Volume Setup menu Select Key Volume N N value ranges from 0 to 9 plus minus 1 when turning the shuttle once select 0 to turn off the key pressing tone and select 9 to set to the maximum volume 3 QRS volume Select Vol Set smart hotkey Volume Setup menu Select QRS Volume M M ...

Page 34: ...elect the unit mmHg kPa as needed Select Temp Unit and select the unit C F as needed 4 2 6 Network Setup Press Main Menu UserMaintenance Network Setup to connect the monitor with CMS 4 2Network Setup 1 Press Net Type to choose the network type 2 Press IP Add to set the IP address of the monitor 3 If the network type is wireless type then network name in SSID and type the password in Passwords and ...

Page 35: ... or not the system will give a default value to Patient Cat and Paced and the user must confirm that the default value is appropriate for the patient being monitored For patients with pacemakers Paced must be set to Yes Otherwise the pacing pulse will be treated as normal QRS wave group and the system is unable to detect the alarm status of ECG Signal weak For patients without a pacemaker Paced mu...

Page 36: ...mitting a Patient Quickly Admit a patient quickly as follows In Patient Setup menu select Quick Admit Warning menu OK Quick Admit menu which is shown below Fig 4 2 Quick Admitting Menu Select Patient Cat and set the patient category as needed Adu Adults Ped Pediatric ...

Page 37: ...fo a Select SurName and enter patient s surname through the soft keyboard b Select Name and enter patient name through the soft keyboard c Select Case and enter the case number through the soft keyboard d Select Gender and set the patient s gender according to the patient condition Male Males Female Females Others Others e Select Patient Cat and set the patient category as needed Adu Adults Ped Pe...

Page 38: ...lood type of the patient j Select Admit date yyyy mm dd and set the date of admitting the patient k Select Birthday yyyy mm dd and set the birth date of the patient After setting select OK to save the current setup select Cancel and do not save the current setup 5 4 Editing Patient Info When the monitor has admitted a patient but the patient information is incomplete or needs to be changed Select ...

Page 39: ...文件编号 NR TP 0715 008 版本 1 0 27 After the patient is discharged all the information of the patient stored by the monitor will be cleared Therefore discharge the patient only when needed ...

Page 40: ... information Below describes the working interfaces 6 1 Selecting User Interface Select the user interface as follows Select Switch smart hotkey Screen Setup Select Screen Select and select the user interface according to needs Normal Screen Standard interface Big Numerics Big font interface ECG 7 Lead Half Screen ECG 7 lead half screen ECG 7 Lead Full Screen ECG 7 lead full screen 6 2 Interface I...

Page 41: ...played in the parameter area This is the basic working interface of the monitor The interface displays NIBP SPO2 TEMP one blood oxygen binding capacity scan wave Press menu Screen Setup to setup the parameters shown in the display 6 2 2 Big Numerics 5 The Big Numerics screen is as shown in Fig 6 2 Fig 6 2 Big Numerics Screen ...

Page 42: ...observing NIBP SPO2 parameters and one blood oxygen binding capacity scan wave 6 2 3 ECG 7 Lead Half Screen ECG 7 Lead Half Screen 6 3 Fig 6 3 ECG 7 Lead Half Screen ECG 7 Lead Half Screen allows observing all parameters seven ECG waves I II III AVR AVL AVF V ...

Page 43: ... normal working and the alarm and other parameters remain unchanged 7 1 Alarm Type According to the nature of the alarm the alarms of the monitor can be divided into physiological alarms technical alarms and prompt messages Physiological alarms A physiological alarm is usually triggered when a physiological parameter of the patient exceeds the alarm limit or the patient has physiological abnormali...

Page 44: ...detect the patient s critical state and endangering the patient s life Medium level alarms The patient s physiological signs are abnormal and appropriate measures or treatment should be taken immediately Or although it won t endanger the patient s life the mechanical failure or misoperation of the monitor will affect the normal monitoring of key physiological parameters Low level alarms The patien...

Page 45: ...m is that the monitor prompts the alarm levels with different sound characteristics when an alarm occurs High level alarm Beep beep beep beep beep beep beep beep beep beep Medium level alarm Beep beep beep Low level alarm Beep 7 3 3 Alarm Info Alarm info refers to that the physiological or technical alarm area of the monitor will display the corresponding alarm information when an alarm occurs The...

Page 46: ...ound off Alarm pause Alarm off 7 4 1 Silence Select Silence smart hotkey and you can temporarily turn off the alarm sound of currently occurring physiological alarms of the monitor but the alarm information is still retained For technical alarms clear the alarm state display alarm prompt information only and the monitor enters alarm silence state and the alarm state icon area displays the icon Whe...

Page 47: ...m area Alarm parameters and upper lower limit stop flashing The audible alarm and light alarm of technical alarms are suspended but the alarm message is still displayed After the alarm pause is finished the monitor will automatically cancel the alarm pause state During the alarm pause you can also press Pause smart hotkey to manually cancel the alarm pause You can set the alarm pause time as follo...

Page 48: ... Warning When the alarm volume is set to 0 or the alarm pause time is set to permanent the monitor does not sound an alarm when an alarm occurs Therefore the operator should use this feature carefully 7 5 Alarm Setup 7 5 1 Setting the Alarm Sound See 3 9 4 Volume Control for the method to set the alarm volume 7 5 2 Setting the Alarm Delay Time For over limit alarm of continuous measurement paramet...

Page 49: ...O2 parameter area select Alarm Setup in the popup SpO2 Setup menu to enter the SpO2 alarm setup interface 1 Turn on off alarm Select Alarm Switch and set the alarm switch as follows On Turn on SpO2 alarm when the parameter alarm occurs the monitor will prompt according to the set alarm level OFF Turn off SpO2 alarm icon is displayed in the parameter area and the monitor won t prompt the parameter ...

Page 50: ...ical alarm is cleared the system will still be latched that is continue to display the alarm information corresponding to physiological alarm the alarm sound also continues but the alarm mode has the following changes Parameters and upper or lower alarm limit are no longer flashing Display the time that the latest alarm was triggered after the alarm message in the physiological alarm area No latch...

Page 51: ... some events may have an impact on the patient resulting in changes of some monitoring waves or parameters In order to assist in the analysis of these effects you can manually record these events through the Event smart hotkey and then view it in the event review refer to13 4 Event Review for detailed operation ...

Page 52: ...ow changes with time as it is pulsating By measuring the light absorbed during pulsating it is possible to obtain the arterial blood SpO2 Detection pulsation can give a plethysmography wave and pulse rate signal The main screen displays SPO2 value and plethysmography wave This monitor applies to measure SPO2 of adults 18 years pediatric 30 Days to18 years Contact SPO2 probe to Patient s finger to ...

Page 53: ...ay require more frequent inspection such as patients with perfusion disorders or sensitive skin because persistent and prolonged monitoring may increase unpredictable skin changes such as allergies redness blistering or pressure necrosis Carefully select SpO2 alarm upper limit High oxygen level will cause crystal like fibrous tissue disease to premature children Note Do not put the oxygen probe an...

Page 54: ...isplayed in the technical alarm area until the monitor measured pulse rate Check the sensor mounting position whether the sensor is damaged or sensor type Reconnect the sensor or use new sensor 8 4 Display SpO2 parameter area is shown in Fig 8 1 Fig 8 1 SpO2 Parameter Area SpO2 wave is shown in Fig 10 2 Fig 8 2 SpO2 Wave 8 5 SpO2 Setup Select SpO2 parameter area or Pleth wave area SpO2 Setup menu ...

Page 55: ...er the average time the faster the monitor responds when the patient s SpO2 value changes but the measurement accuracy is lower Conversely the longer the average time the slower the monitor responds when the patient s SpO2 value changes but the measurement accuracy is higher In monitoring critically ill patients a smaller average time is conducive to timely analysis of the disease The setting meth...

Page 56: ...n such as carboxyhemoglobin COHb and methemoglobin MetHb SpO2 too low Poor perfusion of test site Shock anemia hypothermia and the application of vasoconstrictor drugs may reduce the arterial blood flow to a level that can not be measured The measurement also depends on the absorption of specific wavelengths of light by oxyhemoglobin and reduced hemoglobin If there is any other substance that abso...

Page 57: ...Parameter Area 9 3 Pulse Vol Select SpO2 parameter area or Pleth wave area SpO2 Setup menu Select Pulse Vol to set Pulse Vol to 0 9 and plus minus 1 each time the shuttle is turned Select 0 to turn off the key pressing tone and select 9 to set the maximum volume Note HR sound has higher priority than PR sound when HR makes a sound PR won t when HR sound is 0 PR can make a sound 9 4 Alarm Setup Sel...

Page 58: ...文件编号 NR TP 0715 008 版本 1 0 46 Alarm Setup for detailed setting method ...

Page 59: ...t SBP Oscillation amplitude reaches the peak reflect MAP When the cuff pressure is suddenly lowered reflect DBP Measuring mode manual cycle and continuous Each mode shows systolic mean and diastolic blood pressure Manual mode Using Manual mode start to measures by hand Automatic mode measures Use manual mode to open automatic mode then the measure will automatically turn to automatic mode after a ...

Page 60: ...ed the measuring range of the patient pediatric mode 240mmHg Neonate mode 150mmHg Using the wrong patient mode may endanger the safety of patients because higher adult blood pressure level does not apply to pediatric and neonate patients Do not install a cuff on the limbs with intravenous infusion or duct because it may lead to tissue damage around the duct when the cuff is inflated and makes the ...

Page 61: ...with the detection of arterial pressure pulse and extend the pressure measurement time Arrhythmia If the patient shows arrhythmia which results in irregular heartbeat the measurement will be unreliable and even cannot be done and the pressure measurement time will be extended Use of an artificial heart lung machine If a patient is connected to an artificial heart lung machine the measurement will ...

Page 62: ...e following method make sure that the cuff is completely deflated and then tie it to the upper arm or thigh of the patient Determine the limb circumference of the patient Select the appropriate cuff marked with appropriate limb circumference Cuff width should be 40 Neonate 50 of the limb circumference or 2 3 of the upper arm length The length of the inflated part of the cuff should be sufficient f...

Page 63: ...e in the same horizontal position of the patient s heart Otherwise correct the measurement results with the following correction method If the cuff is above the heart level position increase 0 75mmHg 0 10kPa per centimeter of gap to the measured results If the cuff is below the heart level position subtract 0 75mmHg 0 10kPa per centimeter of gap from the measured results If the patient is obese or...

Page 64: ... blood pressure pump is not working properly but no warning is given you can reset the blood pressure pump and automatically restores the blood pressure pump 10 8 Leakage Test The purpose of leakage test is to detect if the sealing of the air passage is in good condition If the leakage test passes the NIBP parameter area displays Leakage test Stopped If not passed the NIBP parameter area displays ...

Page 65: ... Cuff leak it indicates that the air passage leaks At this time the operator should check if the entire connection is loose and test for leak once again when the connection is correct If there is error prompt still please contact the manufacturer for repair Fig 11 2 NIBP Leakage Test Connection Diagram 10 9 Calibration Users can not calibrate NIBP If calibration is required please contact your ser...

Page 66: ...eversing valve and saturated valve Don t use a soft cotton ball and fiber to clean this accessory because they will stick on the cuff and extension tub 10 10 2 Disinfection 1 Sprinkle bleach solution Formula the proportion of water and bleaching powder to 1 10 then keep 5 minutes 2 Wipe off excess bleach solution and elute with distilled water again 3 Natural dry cuff 10 11Alarm Setup In NIBP Setu...

Page 67: ...perature measuring instrument at least once every two years or according to hospital procedures When calibration is required please contact the manufacturer 11 3 Measurement Steps Please refer to the following steps 1 Turn on the monitor and check if it works normally 2 Select the appropriate temperature probe according to the patient category and measurement needs 3 Insert the probe lead wire int...

Page 68: ...difference between the two temperature TD and temperature units Select Temp parameter area and open the Temp Setup menu Temp display area is shown below Fig 12 1 TEMP Parameter Area 11 6 Selecting Resistance Type of Temp Probe Select the appropriate Temp Sensor value according to the actual resistance of the temperature probe being used The specific setting method follows Select Menu smart hotkey ...

Page 69: ...eplace a probe with appropriate resistance or adjust the monitor and select the appropriate resistance 11 7 Setting Temperature Unit You can define your favorite temperature unit as follows Select TEMP parameter area TEMP Setup menu In the TEMP Setup menu set Unit to C or F 11 8 Alarm Setup In TEMP Setup menu select Alarm Setup to enter Alarm Setup interface and set TEMP alarm switch alarm level u...

Page 70: ...g the two leads You can use the shuttle to change the lead name on the left of the ECG wave on the screen and select the lead to be monitored The parameters displayed in the parameter area of the monitor include heart rate HR ST segment measurements and arrhythmia counts per minute All these parameters can be used as alarm parameters Note In the factory setup of this instrument ECG waves display i...

Page 71: ...asurement accuracy may be temporarily reduced This does not affect the safety of the patient or the instrument Do not expose this equipment to X ray or strong magnetic fields MRI 12 3 Monitoring Steps 12 3 1Preparation Before placing the electrode prepare the patient s skin in the following steps Skin preparation Since the skin is a poor conductor it is very important to treat the patient s skin f...

Page 72: ... menu Select Lead Type and select the ECG lead as needed 3 Lead 3 lead ECG wave options I II III 5 Lead 5 lead ECG wave options I II III AVR AVL AVF V 12 3 3Lead Name and Corresponding Color The lead names in European standard and U S standard represented with R L N F C in European Standard and represented with RA LA RL LL V in the U S standard are shown in Table 7 1 Table 7 1 Lead Name in Europea...

Page 73: ...the clavicle near the left shoulder F electrode placed on the left abdomen Fig 7 1 3 lead Connection Method 5 lead The electrode placement position of 5 lead is shown in Fig 7 2 R electrode placed below the clavicle near the right shoulder L electrode placed below the clavicle near the left shoulder n electrode placed on the right abdomen F electrode placed on the left abdomen C electrode placed o...

Page 74: ...ems 12 3 5Checking the Pacemaking Status Before ECG monitoring it is very important to set the pacemaking state of the patient properly If the patient has a pacemaker set Paced to Yes and the icon displays in the patient information area When the system detects a pacing signal the symbol will be marked in the top of the ECG wave You can change the pacing state in the following method Select the pa...

Page 75: ...eference purposes only The graphics displayed on your monitor may be slightly different Fig 7 4 ECG Wave on Normal Screen In addition when Paced is set to Yes and the patient wears a pacemaker the symbol will be marked in the top of the ECG wave ECG parameter display The ECG parameter area of the monitor in the normal screen is shown in Fig 7 5 Fig 7 5 ECG Parameter in Normal Screen ...

Page 76: ... Channel and select heart rate calculation channel Select ECG1 ECG2 to set the display wave channel Select ECG1 ECG2 and set the names of upper ECG wave and lower ECG wave on the screen ECG1 ECG2 should not be the source of the same wave Select ECG1 Gain ECG2 Gain and set the ECG wave gain When the wave is shorter increase the wave gain factor appropriately when the wave is high or the peak cannot...

Page 77: ...ng cases you need to start arrhythmia self learning In ECG monitoring process when the patient s ECG module has larger changes arrhythmia self learning should be started once ECG module changes could cause wrong arrhythmia alarm ST measurement lost and inaccurate heart rate 12 6 Alarm Setup Select Alarm Setup Alarm Setup interface to set ECG related alarms see 6 5 Alarm Setup for the setting metho...

Page 78: ...3 1 Trend Chart In the trend chart use the following method to select the parameter to be reviewed Select the parameter box rotate the shuttle to select the parameters to be reviewed click on the shuttle and set the parameter box as the parameter to be reviewed Select Interval and select the option as needed 1s observe the trend of the last hour at 1sec interval 5s observe the trend of the last ei...

Page 79: ...he parameter values of the time which will change automatically with the move of trend cursor 13 2 Reviewing Trend Table Select Review smart hotkey to enter Review menu select Tabular and enter the following window Fig 13 2 Trend Table Select Interval and select the option as needed 1s observe the data of the last hour at 1sec interval 5s observe the data of the last eight hours at 5sec interval 1...

Page 80: ...ve more data Select and to turn pages up or down and move the trend table to observe more data 13 3 NIBP Measurement Review Select Review smart hotkey to enter Review menu and select NIBP to enter the following window Fig 13 3 Measurement of NIBP Review This window shows the measurement time of noninvasive blood pressure systolic blood pressure Sys diastolic blood pressure Dia mean blood pressure ...

Page 81: ...Event to enter the following window 13 4 Event Review This window shows the time of alarm events and corresponding alarm information and the time of manual events and corresponding manual tag events This monitor allows reviewing 200 events in total including the physiological alarm events technical alarm events and manual events Select Module and select an option as needed ECG View ECG related ala...

Page 82: ...vents Mid View middle level alarm events Low View low level alarm events and manual events Select Wave Forms to view the waveform and relevant parameters when alarm occurs as shown in Fig 13 5 below Fig 13 5 Waveform Review Event viewing method is as follows Select and to move the trend table upward or downward progressively and observe more data Select and to turn pages up or down and move the tr...

Page 83: ...e frequency of cleaning Before cleaning please consult the hospital about device cleaning requirements Below are available cleaning agents Diluted ammonia Diluted sodium hypochlorite washing bleach Diluted formaldehyde Hydrogen peroxide 3 Ethanol 70 Isopropanol 70 Before cleaning 1 Turn off the monitor disconnect the power cord and remove the battery 2 Use a soft cotton ball to adsorb appropriate ...

Page 84: ...low any liquid entering into the enclosure and never immerse any part of the device into liquid Do not leave any cleaning solution on the surface of any part of the device Notes Wipe the monitor and sensor surface with medical alcohol dry it naturally or with clean dry lint free cloth Northern is not liable for effectiveness of using these chemicals for infectious disease control Please consult th...

Page 85: ...lso recommend that the instrument to be sterilized must first be cleaned Sterilization materials recommended for the monitor ethanol group aldehyde group Caution Dilute or use concentration as low as possible according to the manufacturer s instructions Do not let liquid enter into the enclosure Never immerse any part of the instrument Do not pour liquid onto the instrument in the sterilization pr...

Page 86: ...ign of damage do not use this monitor for any patient monitoring Please contact the hospital s professional maintenance personnel or our customer service personnel Every 6 12 months or after each repair a comprehensive examination must be performed by trained and qualified technical service personnel including functional safety checks the specific inspection items are as follows Environment and po...

Page 87: ...lays the software version information of the monitor The software version of the monitor V1 1 7 15 3 Maintenance Plan The following tasks can only be done by qualified service personnel of Northern When the following maintenance is needed please contact your service representative Before testing or maintenance clean and disinfect the device Inspection Maintenance Item Frequency Check the safety ac...

Page 88: ...enu Select Module Maintenance Module Maintenance menu Select ECG ECG Maintenance menu and select Calibration to calibrate the ECG Measure the wave amplitude with a caliper in different filtering modes X0 25 is 2 5 5 mm X0 5 is 5 0 5 mm X1 is 10 0 5 mm and X2 is 20 0 5 mm Comparing the amplitude of the square wave with the ruler the error range should be within 5 When calibration is complete select...

Page 89: ...0715 008 版本 1 0 77 If the touch screen calibration is finished after clicking three times select Ok to exit the calibration interface if the touch screen isn t completely calibrated select Retry for re calibration ...

Page 90: ...use performance degradation If the packaging or accessories have any sign of damage do not use such accessories Standard accessories are as follows No Name Specifications characteristics Standard quantity 1 5 lead ECG cable Adult 5 lead all in one clip 1 2 Electrode slice 50mm 55mm adult disposable 1 3 Oxygen probe Adult finger clip 1 4 Blood pressure cuff Adult repetitive single tube cuff 1 Blood...

Page 91: ...quipment When you question the integrity of the external protective earthing or protective ground conductor parameter of the equipment the device must be powered by the internal power supply battery Electric shock protection grade ECG NIBP SpO2 PR TEMP RESP CF defibrillation protection Explosion protection grade Common equipment no explosion protection Liquid inlet protection grade IPX1 prevent wa...

Page 92: ...ns Dimensions 8 inch 175 275 175mm L W T Weight 3kg under standard configuration A 2 2Display Host Monitor Type Color TFT LCD Size Resolution 8 inch 600 800 pixels A 2 3Host LED Alarm indicator 1 yellow red AC power indicator 1 green Battery status indicator 1 green A 2 4Audio Instruction Speaker Alarm sound 45 85dB key pressing sound QRS sound PR sound Alarm sounds meet IEC 60601 1 8 standard A 2...

Page 93: ... waves or 3waves A 2 6Alarm Signal Alarm delay Off or 1s 2s 3s 4s 5s 6s 7s 8s depending on the configuration the default is 4s Pause duration 1min 2min 3min 4min 5min 10min 15min or infinite depending on the configuration the default is 2min A 2 7Data Storage Trend data Long trend 120h minimum resolution 1min Short trend 1h minimum resolution 1s Parameter alarm event 200 parameter alarm events NIB...

Page 94: ...Electrode polarization voltage range 400mV Baseline recovery time 3s after defibrillation in monitor and surgery mode Calibration signal 1mV peak peak accuracy 3 Pacing pulse Pulse identification For PACE pulses that meet the criteria below PAEC will be marked on the screen Detection range 4mv 700mv Pulse width 0 2ms 2 0ms Average HR Calculate from 15s data Interval of HR refreshing Calculate once...

Page 95: ...limit 0 1 C 50 0 C 0 1 C 0 1 F T1 T2 lower limit 0 C 49 9 C TD upper limit 0 50 C RESP Measurement method Thoracic electrical bioimpedance method Measuring lead Lead I II Wave gain 0 25 0 5 1 2 Respiratory impedance range 0 5 5Ω Baseline impedance 500 4000Ω Gain 10 grades Scan speed 6 25mm s 12 5 mm s 25mm s A 3 2 NIBP Specifications Standards compliant EN 60601 2 30 IEC 60601 2 30 EN 1060 1 EN 10...

Page 96: ...g range Adult 150mmHg 80 240mmHg Pediatric 100mmHg 80 200mmHg Overpressure protection point software Adult 300mmHg Pediatric 240mmHg Overpressure protection point hardware Adult 320 330mmHg Pediatric 265 275mmHg Pressure accuracy 3mmHg Electrical characteristics Supply voltage 10V 14V DC Maximum power consumption 3 6w Quiescent current 50mA Maximum current during measurement 180mA Maximum current ...

Page 97: ...elay No delay SpO2 value refresh period 1s time SpO2 value refresh delay 10s Average period Low sensitivity 7 8s Intermediate sensitivity 4 6s Advanced sensitivity 2 3s Alarm condition delay period Low sensitivity 8s Intermediate sensitivity 6s Advanced sensitivity 3s Alarm sign generates delay period 0s PR Measuring range 30 254bpm Resolution 1 Accuracy 2 or 2bpm ...

Page 98: ...vice When the input signal amplitude is smaller than the minimum amplitude specified in the technical specifications it may result in inaccurate measurements Mobile communication devices or wireless network devices may have an impact on the device Electromagnetic Emission Guidelines and Declarations Taurus Patient Monitor should be used in the specified electromagnetic environment The user should ...

Page 99: ... or hospital environment Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode 1 kV differential mode 2 kV common mode Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip inUT for 25 cycles 5 UT 95 dip in UT for 5 s 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for...

Page 100: ...xed 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 with the following symbol Note 1 From 80 MHz to 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and...

Page 101: ... Output power of Transmitter Watts W Separation Distance Meters m Corresponding to Frequency of Transmitter 150k to 80MHz d 3 5 80M to 800MHz d 3 5 800M to 2 5GHz d 0 01 0 35 0 35 0 23 0 1 1 11 1 11 0 74 1 3 5 3 5 2 34 10 11 07 11 07 7 38 100 35 35 23 24 For transmitters at a maximum output power not listed above the separation distance can be estimated using the equation in the corresponding colu...

Page 102: ...ormation Source Alarm message L Causes and countermeasures ECG HR Too High M HR value is higher than the upper alarm limit or lower than the lower alarm limit Check the patient s physiological condition and check if the patient category and alarm limit settings are appropriate for the patient HR Too Low PVCS Too High M PVCs value is higher than the upper alarm limit or lower than the lower alarm l...

Page 103: ...and check if the patient category and alarm limit settings are appropriate for the patient RR Too Low Apnea RESP H The patient s respiratory signal is too weak and the system can t analyze Check the patient s condition electrodes cables and leads RESPARTIFACT H Respiration heartbeat interference Temp T1 Too High M T1 T2 value is higher than the upper alarm limit or lower than the lower alarm limit...

Page 104: ... s physiological condition and check if the patient category and alarm limit settings are appropriate for the patient PR Too Low NIBP NIBP signal weak M NIBP value is higher than the upper alarm limit or lower than the lower alarm limit Check the patient s physiological condition and check if the patient category and alarm limit settings are appropriate for the patient NIBP Sys Too High NIBP Sys T...

Page 105: ...odule failure or communication failure between the module and the host please restart the device SPO2 Comm Error H SPO2 No Sensor L SpO2 sensor falls off from the patient or monitor malfunctions or sensor other than specified in this Manual is used Check the sensor mounting position whether the sensor is damaged or sensor type Reconnect the sensor or use new sensor SPO2 Sensor Off L SPO2 Sensor Er...

Page 106: ...re are special reasons affecting ambient pressure NIBP over range L The measured blood pressure of the patient exceeds the measuring range NIBP signal weak L Patient s pulse may be weak or cuff is too loose Check the condition of the patient and place the cuff in a suitable position If the failure persists replace the cuff NIBP signal unstable L Excessive movement may result in too much motion art...

Page 107: ...On On Alarm limits 50 120 on 75 160 on ST segment analysis ST segment analysis Off Off Alarm level Mid Mid Alarm record Off Off Alarm limits 0 2 0 2 on 0 2 0 2 on Arrhythmia analysis Alarm level Mid Mid Alarm record Off Off Alarm limits 0 10 on 0 10 on ARR alarm settings Alarm switch On On Alarm level Mid Mid Alarm record Off Off Gain x1 x1 Wave velocity 25 0mm s 25 0mm s Filter mode Monitor Monit...

Page 108: ...vel Mid Mid Alarm record Off Off Apnea alarm 20 sec 20 sec Alarm limits 8 30 on 8 30 on Gain x1 x1 Wave velocity 12 5 12 5 Wave color Yellow Yellow Wave style Line Line PR Alarm source SPO2 SPO2 Alarm level Mid Mid Alarm record Off Off Alarm limits 50 120 on 75 160 on TEMP Alarm level Mid Mid Alarm record Off Off Display color White White Temperature unit C C T1 alarm limits 36 0 39 0 on 36 0 39 0...

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