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Saadat ALBORZ B9, Operator'S Manual

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Chapter 5: ECG Monitoring

User Manual

5-1

Chapter 5, ECG Monitoring

5.1 GENERAL............................................................................................................................... 2
5.2 Patient Preparation................................................................................................................. 4
5-3 ECG Lead Wire Placement ................................................................................................... 5

Electrode placement for 3-Wire cable ......................................................................................... 6
Electrode placement for 5-Wire cable ......................................................................................... 7
Electrode placement for 10-Wire cable ....................................................................................... 9

5.4 ECG WINDOW .................................................................................................................... 12
5.5 ECG OUTPUT

................................................................................................................... 22

5.6 ECG Alarms .......................................................................................................................... 23

a) Physiological alarms.............................................................................................................. 23
b) Technical alarms ................................................................................................................... 24

Summary of Contents for ALBORZ B9

Page 1: ...POOYANDEGAN RAH SAADAT OPERATOR S MANUAL ALBORZ B9 Patient Monitor D00132 15...

Page 2: ...16599 Tel 98 21 77960719 98 21 77962181 Fax 98 21 77964239 Customer Services Tel 98 21 73098000 98 21 77798910 Cell 98 912 1977157 Fax 98 21 77960761 Legal responsible Trionara Technologies AB Polygon...

Page 3: ...vice This manual is an essential part of and should always be kept close to the bedside monitor to be available whenever necessary Intended Audience This manual is provided for the clinical medical pr...

Page 4: ...5 C O 16 SIGMA TREND ALARM RECALL 17 Recorder 18 Drug Calculation 19 Bed to Bed 20 Patient Safety 21 TECHNICAL SPECIFICATION 22 Accessories 23 Care Cleaning PM 24 Troubleshooting 25 Default Settings A...

Page 5: ...Introduction User Manual 1 1 Chapter 1 Introduction 1 1 General Warnings 2 1 2 Getting Start 6 1 3 General Information 8 1 4 Display Screen 10 1 5 Buttons Function 13 1 6 Interfaces 15 1 7 Built in B...

Page 6: ...nical signs and symptoms Warning If the accuracy of any measurement does not seem reasonable first check the patient s vital signs by alternate means and then check the monitor for proper functioning...

Page 7: ...sed e g Calibration date of the system must be valid Warning Alarm must be set according to different situations of individual patient Make sure that audio sounds can be activated when an alarm occurs...

Page 8: ...t when several systems are connected to the patient simultaneously Warning Monitor software is designed in a way that hazards arising from errors in the software programmed are minimized Warning Do no...

Page 9: ...User Manual 1 5 Warning Make sure that cables and accessories are not under tension during monitoring Warning When using a defibrillator parameters and signals will be temporarily interrupted until el...

Page 10: ...ake sure the AC power supply complies with following specification 100 240 VAC 50 60Hz Plug the power cable to power supply socket of the monitor Connect the other end of the power cable to a grounded...

Page 11: ...SP For more information see chapter RESP NOTE Check all the functions of modules that may be used and make sure that the monitor is in good connection Warning If any sign of damage is detected or the...

Page 12: ...easily operated using some buttons a rotary knob The battery indicator is green when the battery is fully charged otherwise it is orange Alarms button is inactive The monitoring system is used for eff...

Page 13: ...meters will be measurable Note Each of the below parameters can be used only if its software is enabled by the manufacturer and its specific probe is available Arterial pulse signal strength PI Total...

Page 14: ...en displaying operating state of the monitor and status of the patient The parameters in Header Area are page number bed number type of patient adult pediatric or neonate patient name current date and...

Page 15: ...he parameters values refresh every second except that the NIBP and CO values refresh each time the measurement is over Message Area Different messages are displayed based on alarm priority in this are...

Page 16: ...Chapter 1 Introduction User Manual 1 12 Warning Always verify the audible and visible alarms when monitor is powered on Please refer to chapter Alarm for details...

Page 17: ...e measurement While measuring press it again to stop the measurement START STOP Press it to disable alarm for 120 s A countdown timer appears and Silence symbol blinks on the Header area every 5 sec I...

Page 18: ...p ECG LEAD Window and change lead setting ECG Lead Press to access different pages of the system Pages Press to capture a picture of what is on your screen and saving it in a window in which you can s...

Page 19: ...king condition as described above 1 6 Interfaces Connector for ECG cable Connector for Spo2 Sensor Connector for IBP1 transducer Connector for IBP2 transducer Connector for NIBP cuff Connector for TEM...

Page 20: ...lue Video Pin 11 NC Pin 4 Ground Pin 12 NC Pin 5 NC Pin 13 Horizontal Sync Pin 6 Red Ground Pin 14 Vertical Sync Pin 7 Green Ground Pin 15 NC Pin 8 Blue Ground How to use 1 Install the VGA slave monit...

Page 21: ...monitor must be only connected to manufacturer s central system Warning Use only the recommended central cable for connecting monitor to central system Warning If the network cable plug is broken ple...

Page 22: ...tery Normal usage of the device includes the below conditions Brightness is automatically set by system ECG Resp SpO2 TEMP measurements in Use NIBP measurement every 15 minutes The above conditions ar...

Page 23: ...pear in the Header area When the battery is running out of power level III alarm is activated If user does not apply AC power to the monitor level II and I alarms are displayed respectively as the cha...

Page 24: ...Chapter 2 Configuration User Manual 2 1 Chapter 2 System Configuration 2 1 HOME WINDOW 2 2 2 SETUP 3 2 3 MODULE SETUP 7 2 4 ABOUT 10...

Page 25: ...on the front panel or the rotary switch in Header area to enter HOME WINDOW and set configuration Refer to the chapter TREND SIGMA ALARM RECALL ALARM PATIENT INFORMATION RECRDER CARDIAC OUTPUT DRUG CA...

Page 26: ...e are pages with different configurations to display parameters and waveforms If IBP module is OFF P1 You can monitor ECG two traces SpO2 and RESP GAS signals as well as numeric parameters HR SpO2 PR...

Page 27: ...nd TEMP are also displayed in this page MAIN DISPLAY PAGE 1 mode P2 You can monitor same parameters and signals as P1 but arrangement of parameters windows differ slightly from P1 MAIN DISPLAY PAGE 2...

Page 28: ...d NIBP will be displayed In this page only BFA settings are available If RESP is selected ECG SpO2 IBP1 IBP2 and BFA signals as well as numeric parameters HR SpO2 IBP1 IBP2 T1 T2 NIBP and RESP will be...

Page 29: ...ation as the monitor DISPLAY OFF The display screen is turned off until a button is pressed or an alarm occurs If Alarm Silence is activated the display will not be turned off TOUCH SOUND Available op...

Page 30: ...ese messages are as follows ARE YOU SURE TO CLEAR TREND YES NO ARE YOU SURE TO CLEAR NIBP LIST YES NO ARE YOU SURE TO CLEAR ARR LIST YES NO ARE YOU SURE TO CLEAR ALARM RECALL LIST YES NO 2 3 MODULE SE...

Page 31: ...ameters color the following message will appear on the screen that asks you whether to change color or not ARE YOU SURE TO CHANGE COLOR YES NO Choose MODULE VERSION in MODULE SETUP window to access th...

Page 32: ...to the Central system Choose MASIMO VERSION in MODULE SETUP window to call up the following window in which you can observe MASIMO module information set frequency and enable intended MASIMO parameter...

Page 33: ...MODULE SETUP window to call up the following window in which you can observe NIBP module information 2 4 ABOUT Choose ABOUT in HOME WINDOW to call up the following window in which you can observe the...

Page 34: ...arm Categories 3 3 2 1 Physiological alarms 3 3 2 2 Technical alarms 3 3 2 3 Prompt messages 3 3 3 Alarm Modes 3 3 3 1 Alarm Level and Setup 3 3 3 2 Alarm Modes 4 3 4 Alarm Causes 5 3 5 Alarm Silence...

Page 35: ...r in its own window ALARM FREEZE Pick ON to freeze all the related signals when parameter s value violates adjusted alarm limits In freeze mode press Freeze button on the front panel to release the wa...

Page 36: ...device malfunction or a patient data distortion due to improper operation or mechanical problems 3 2 3 Prompt messages In fact prompt messages are not alarm messages In addition to physiological and...

Page 37: ...an informative message or if Alarm silence key is pressed the background will change to gray Alarm Indicator Alarm indicator flashes red for Level I alarm and yellow for Level II alarm and lights yell...

Page 38: ...n any patient and notify After Sales Service 3 4 Alarm Causes Alarms are triggered by a parameter or by technical problems of the patient monitor The delay time from an alarm occurrence to alarm manif...

Page 39: ...e following actions will take place 1 Alarm message is displayed on the screen 2 The monitor beeps in its corresponding alarm level and volume 3 Alarm indicator flashes NOTE For more specific informat...

Page 40: ...INDOW to call up the following window Press NEW to enter new patient information The below confirmation message will appear ARE YOU SURE TO CLEAR ALL DATA YES NO If you select YES ARR LIST NIBP LIST T...

Page 41: ...ent name length 18 characters PATIENT ID Hospital ID for patient length 18 characters BIRTH DATE Date of the birth GENDER Available options are MALE and FEMALE WEIGHT Available between 0 5 to 300 Kg H...

Page 42: ...2 5 2 Patient Preparation 4 5 3 ECG Lead Wire Placement 5 Electrode placement for 3 Wire cable 6 Electrode placement for 5 Wire cable 7 Electrode placement for 10 Wire cable 9 5 4 ECG WINDOW 12 5 5 EC...

Page 43: ...left arm and left leg The monitor processes and amplifies these signals and presents the ECG waveform on the screen Only proper connection of the ECG cables can ensure satisfactory measurement Normal...

Page 44: ...rom a non grounded instrument near the patient and or ESU Electro Surgical Unit interference can cause the waveform inaccuracy Warning Select patient mode carefully because QRS detection s thresholds...

Page 45: ...ntact to skin Shave hair from the selected sites if necessary Wash sites thoroughly with soap and water Never use ether or pure alcohol because increases skin impedance Rub the skin gently to increase...

Page 46: ...ient cable consists of 2 parts The trunk cable that is connected to the monitor and the patient lead wires that are connected to the patient Available cable types and the various methods of lead place...

Page 47: ...ht Arm RA red electrode be placed near the right shoulder directly below the clavicle Left Arm LA yellow electrode be placed near the left shoulder directly below the clavicle Left Leg LL green electr...

Page 48: ...ire ECG Cables For ECG 5 WIRE mode attach the C electrode to different positions on the chest V1 on 4th intercostal space at the right sterna margin V2 on 4th intercostal space at the left sterna marg...

Page 49: ...Chapter 5 ECG Monitoring User Manual 5 8 ECG Leads Depending on cable s type 3 WIRE or 5 WIRE you can choose different leads I II III aVR aVL aVF and V...

Page 50: ...he clavicle Left Arm LA yellow electrode be placed near the left shoulder directly below the clavicle Right Leg RL black electrode be placed on the right hypogastrium Left Leg LL green electrode be pl...

Page 51: ...d to the patient Make sure that there is no contact between the conductive parts of electrodes including the neutral electrode and any other conductive parts including earth Warning Use only one type...

Page 52: ...he chest or on the back In the operating room artefacts can sometimes affect the ECG waveform due to the use of ESU Electro Surgical Unit To reduce this effect you can place the electrodes on the righ...

Page 53: ...he symbol is displayed in the ECG window The following are the reasons for this For 3 wire cable Each of the electrodes is disconnected or not connected properly For 5 or 10 wire cable Both or one of...

Page 54: ...D by pressing ECG LEAD the following menu will pop up ECG TRACE You can choose the following leads for traces 1 to 4 to show RA LA waveform to show RA LL waveform to show LA LL waveform aVR to show RA...

Page 55: ...than one trace of ECG signal is displayed the first trace is related to the main lead NOTE ST ARR Pace and HR are calculated from main lead that is displayed on the first trace and can be adjusted in...

Page 56: ...eads are displayed in two traces You can select any lead for ECG TRACE 1 but selected leads for TRACE 2 and TRACE 1 cannot be the same o 4 TRACES the signals of four leads are displayed in this mode Y...

Page 57: ...pplicable in normal situation EXTENDED 0 05 100HZ In diagnostic application but the ECG waveform might have some noises MONITOR 0 5 24HZ This mode may reduce interference from Electrosurgery equipment...

Page 58: ...3a ventricular bigeminy 67 30 30 3b slow alternating ventricular bigeminy 126 126 126 3c rapid alternating ventricular bigeminy 87 105 40 105 40 105 3d bidirectional systoles HR SOURCE The heart rate...

Page 59: ...ot connected to the system HR value will not be displayed NOTE IBP3 and IBP4 can only be active in the ALBORZ B9 system NOTE Calculating HR from IBP signal is possible just from ART PAP RVP LVP and IB...

Page 60: ...d signals from ECG signal so that they will be ignored in calculating the heart rate Detected pacemaker signals will be marked on the ECG waveform as 1 centimeter spike if the patient does not have a...

Page 61: ...urveillance ECG CALIB Pick ON to view 1mV calibrated ECG wave When it is ON the calibration waveform will be displayed until closing the ECG WINDOW or turning the rotary switch ALARM Pick ALARM in ECG...

Page 62: ...onitor is able to detect up to 13 types of arrhythmia Refer to the chapter ARR MONITORING for detailed information about arrhythmia analysis in the system ST ANALYSIS Pick ST ANALYSIS in ECG WINDOW to...

Page 63: ...nector and other devices Warning To avoid any cable strain or damage bedside monitor should be placed in a proper distance from reference device Warning For patient with pacemaker the PACE DETECT func...

Page 64: ...limit HR value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level Activated HR LOW Heart rate violates adjusted low limit HR value blinks The...

Page 65: ...is message is displayed again the user should contact local After Sale Service Alarm level 2 the message is displayed in yellow background By pressing ALARM SILENCE background becomes gray and the ala...

Page 66: ...Make sure that all electrodes and patient cable are properly connected Alarm level 2 the message is displayed in yellow background By pressing ALARM SILENCE background becomes gray and the alarm is di...

Page 67: ...Chapter 6 Arrhythmia Monitoring User Manual 6 1 Chapter6 Arrhythmia Monitoring 6 1 GENERAL 2 6 2 ARR ANALYSIS WINDOW 5 6 3 ARRHYTHMIA ALARMS 11...

Page 68: ...and give proper treatment NOTE If arrhythmia monitoring is ON the heart rate is calculated by the arrhythmia software NOTE This monitor can detect up to 13 types of arrhythmias NOTE Arrhythmia monitor...

Page 69: ...ing names normal beats ventricular beats and questionable beats Through this process the monitor can verify an arrhythmia event s occurrence Parallel to this process there is an algorithm for detectio...

Page 70: ...RRHYTHMIA Ventricular Bigeminy Sequence of beats with the pattern normal PVC normal PVC normal PVC TRIGEMINYARRHYTHMIA Ventricular Trigeminy Sequence of beats with the pattern normal normal PVC normal...

Page 71: ...to premature ventricular beats 6 2 ARR ANALYSIS WINDOW Pick ARR ANALYSIS in the ECG WINDOW to call up the following menu ECG ARR ANALYSIS WINDOW ARR MONITOR Pick this item to enable or disable arrhyth...

Page 72: ...ettings which could not be changed for a specific arrhythmia are dimmed Select an arrhythmia event to access ECG ARR SETUP CHANGE WINDOW figure 14 4 and perform the arrhythmia settings Figure 14 4 ECG...

Page 73: ...unt for ASYSTOLE VFIB COUPLET BIGEMINY TRIGEMINY TACHY BRADY AFIB and PAUS Count of AIVR is 3 and cannot be modified Count setting Arrhythmia event 5 12 step by 1 VTAC VTACcount 1 3 step by 1 RUN 1 15...

Page 74: ...vent pages Maximum of 8 arrhythmia events can be displayed in each page of ARR EVENT RECALL window simultaneously When there is more than 8 events different pages are available Pick UP DOWN the most l...

Page 75: ...This option allows you to page up and down to review the waveform and the parameters of other arrhythmia events RECORD This option allows you to record the arrhythmia signal If settings of RECORDER S...

Page 76: ...rning procedure verify the quality of the ECG signal and ensure that the patient s ECG displays a normal reference pattern NOTE The monitor automatically begins to learn a reference template whenever...

Page 77: ...interval T 60 N 1 R where N is defined as the VTAC count and R is defined as the VTAC rate VTAC ARRHYTHMIA Activated If ARR MONITOR and Alarm Level are switched ON The alarm indicator flashes The alar...

Page 78: ...e is displayed in a background corresponding to its level Sinus Bradycardia HR BRADY rate setting A PVC or other abnormal beat breaks the analysis sequence and restarts analysis BRADY ARRHYTHMIA Activ...

Page 79: ...Chapter 7 ST Monitoring User Manual 7 1 Chapter 7 ST Monitoring 7 1 GENERAL 2 7 2 ST ANALYSIS WINDOW 4 7 3 ST Alarm Messages 8...

Page 80: ...thm The ST measurement for each beat complex is vertical difference between the two measurement points ST and ISO The ST analysis examines QRS complexes classified as normal beats beat detection and c...

Page 81: ...he first trace and can be adjusted in ECG menu NOTE To ensure proper analysis of ST segment deviation it is recommended to use Extended filter ST monitoring function is OFF as a default You can switch...

Page 82: ...n 1 and 2 Level 1 represents the most serious case ST LIMIT ST alarm is activated when the ST segment value exceeds adjusted ALARM HIGH limit or falls below adjusted ALARM LOW limit Range 2 0 2 0 step...

Page 83: ...ly begins to learn a reference template whenever you execute any of the following tasks If ST ANALYSIS is ON and there is no technical ECG alarm active like CHECK LEAD Turning on the monitor Connectin...

Page 84: ...position of ISO and ST measuring points before starting ST monitoring and finishing learning procedure NOTE In practice the accurate determination of ISO and ST measuring points requires careful clin...

Page 85: ...or while learning procedure there is no waveform in DEFAULT POINT Window and you can see just ISO and ST lines In this condition ST value will not be measured NOTE A red vertical marker with CHG labe...

Page 86: ...ding to its level Activated ST messages include Alarm level of above messages is set in ST WINDOW By pressing ALARM SILENCE the message background becomes gray and alarm is disabled for 120S Alarm Cau...

Page 87: ...Chapter 8 RESP Monitoring User Manual 8 1 Chapter 8 RESP Monitoring 8 1 GENERAL 2 8 2 RESP WINDOW 3 8 3 RESP Alarm Messages 5 a Physiological alarms 5 b Technical alarms 5...

Page 88: ...RESP electrodes laterally in the right axillary and left lateral chest areas at the maximum point of chest movement to optimize the respiratory waveform NOTE The RESP monitoring is not recommended to...

Page 89: ...P to call up the following menu RESP LEAD Available options for RESP LEAD are RA LA and RA LL RESP GAIN To adjust the size of RESP waveforms select gain value for each channel from 0 25 0 5 1 2 and 4...

Page 90: ...ax 150 APNEA LIMIT To set the standard of judging an apnea case It can be set to 10 40 seconds and OFF and increases decreases by 10s When you select OFF the message APPNEA LIMIT OFF will appear at th...

Page 91: ...blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level Respiration rate violates adjusted low limit RR LOW Activated The alarm indicator flashes...

Page 92: ...EADS The RESP leads are not properly connected Make sure that all electrodes lead are properly connected Alarm level 3 the message is displayed in cyan background By pressing ALARM SILENCE background...

Page 93: ...meters Monitoring User Manual 9 1 Chapter 9 SPO2 and Rainbow Parameters Monitoring 9 1 GENERAL 2 9 2 SPO2 WINDOW 14 9 3 SpO2 and Rainbow Parameters Alarm Messages 18 a Physiological alarms 18 b Techni...

Page 94: ...asurable physiological parameters by Masimo Rainbow module SpO2 Pulse Rate Perfusion Index PI and optional parameters such as SpHb SpOC SpCo SpMet Pleth Variability Index PVI SpO2 Extent of oxygen sat...

Page 95: ...enables you to choose the best position for sensor placement PI x 100 PI definition PI greater than 1 is preferable SpHb SpHb indicates the level of total hemoglobin in the arterial blood The unit of...

Page 96: ...changes in PI during the respiratory cycle which can be extremely associated with intrathoracic pressure changes PVI can be a useful noninvasive monitoring method or an advanced indicator to detect p...

Page 97: ...e and infrared light using spectrophotometry Absorption Spectra 2 The amount of arterial blood in the tissues changes with your pulse photoplethysography Therefore the amount of light absorbed by the...

Page 98: ...ncentration SpHb g dl and pulse rate PR PPM Signal Extraction Technology SET Masimo SET signal processing differs from conventional pulse oximeters Conventional pulse oximeters assume that arterial bl...

Page 99: ...onary information and specifications should be read before use Warning Use only the recommended manufacturer SpO2 sensor for monitoring Other SpO2 sensors may cause monitor malfunction thus operator i...

Page 100: ...able from its socket the screen will display the error message SpO2 NO PROBE Warning Do not repair or modify the pulse co oximeter accessories Injury to user or equipment damage could occur Contact wi...

Page 101: ...es Pulse oximetry may be used only under careful clinical supervision for short time periods to minimize interference with photodynamic therapy Caution If using pulse oximetry during full body irradia...

Page 102: ...sely affect the SpO2 value Measurement range of SpO2 and PR parameters in SpO2 MASIMO module is as follows Measurement range of MASIMO Rainbow set is as follows Materials used in our SpO2 sensors are...

Page 103: ...be eliminated from SpO2 window and displayed instead of HR value in the ECG WINDOW Warning Measurement limitations a The accuracy of all SpO2 parameters measurement can be affected by Improper sensor...

Page 104: ...and SpOC parameters measurement can be affected by Elevated PaO2 levels Low arterial oxygen saturation levels Elevated carboxyhemoglobin levels Elevated methemoglobin levels Hemoglobinopathies and syn...

Page 105: ...cially important to check the sensor placement of neonate and patient of poor perfusion Check per 2 3 hours the sensor placement and move it when the skin deteriorates More frequent examinations may b...

Page 106: ...eters Monitoring User Manual 9 14 9 2 SPO2 WINDOW The following items are displayed in SpO2 parameter window SPO2 PARAMETER WINDOW SpO2 parameter window special page for Rainbow parameters is as follo...

Page 107: ...eter Area SpO2 LIMIT SpO2 alarm is activated when the SpO2 exceeds adjusted ALARM HIGH limit or falls below adjusted ALARM LOW limit min 1 and max 100 by step 1 SpO2 SENSITIVITY MODE It is only applic...

Page 108: ...the screen with yellow colour Warning When using the Maximum Sensitivity setting performance of the Sensor Off detection may be compromised If the instrument is in the setting and the sensor become di...

Page 109: ...0 1 LOW Alarm PVI LOW Alarm 1 to 99 HIGH Alarm PVI 1 to PVI HIGH Alarm 1 LOW Alarm SpCO LOW Alarm 1 to 99 HIGH Alarm SpCO 1 to SpCO HIGH Alarm 1 LOW Alarm SpMet LOW Alarm 0 5 to 99 5 HIGH Alarm SpMet...

Page 110: ...AUDIO SOUND VISUAL PROMPTS SITUATION ALARM Activated SPO2 value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level SPO2 violates adjusted hig...

Page 111: ...ed high alarm limit SpOC value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level Activated SpOC Low SpOC violates adjusted low alarm limit Sp...

Page 112: ...cable is not fully inserted to the patient monitor system Make sure that the SpO2 cable is correctly connected into the monitor Alarm level 3 the message is displayed in cyan background By pressing A...

Page 113: ...attached to the cable connector 2 Restore power to the instrument If this message is displayed again replace sensor Alarm level 2 the message is displayed in yellow background By pressing ALARM SILENC...

Page 114: ...es this fault SPO2 AMBIENT LIGHT This may be caused by excessive ambient light sources such as surgical lights or direct sunlight or other In the case of using rainbow sensor place a Masimo Optical Li...

Page 115: ...measurement does not have confidence due to poor signal quality caused by excessive motion or other signal interference 1 Assess the patient 2 Check the sensor and ensure proper sensor application 3...

Page 116: ...e confidence due to poor signal quality caused by excessive motion or other signal interference 1 Assess the patient 2 Check the sensor and ensure proper sensor application 3 Change the sensor site Al...

Page 117: ...O2 parameter is displayed blank SPO2 SIGNAL WEAK The SPO2 signal amplitude is too weak or undetectable Change the place of the probe In this condition SPO2 parameter is displayed SPO2 DEMO MODE RUN Th...

Page 118: ...Monitoring User Manual 10 1 Chapter 10 NIBP Monitoring 10 1 GENERAL 2 10 2 NIBP WINDOW 8 10 3 NIBP Alarm Messages 12 a Physiological alarms 12 b Technical alarms 13 c Messages 15 10 4 Frequently Aske...

Page 119: ...reduction is done appropriately and pulses detected between systolic and diastolic pressures are collected the profile curve can be obtained using pulses pressure and amplitude The peak oscillation a...

Page 120: ...pressure cuff to the patient s arm or leg following the instructions below Figure 7 2 Ensure that the cuff is completely deflated Apply the appropriate size cuff to the patient Choosing a small cuff s...

Page 121: ...asuring blood pressure the initial pump pressure depends on the previously measured pressure it is best to switch off the monitor to maintain patient comfort and clear the patient s data at the time o...

Page 122: ...onnectors are not used Don t use NIBP cuff with Luer lock connector because if Luer lock connector is used there is a possibility that they might be inadvertently connected to intravascular fluid syst...

Page 123: ...ART STOP button on the front panel 2 To stop a MANUAL measuring repress the START STOP button on the front panel 3 To start AUTO measuring select NIBP WINDOW menu and pick AUTO for measuring interval...

Page 124: ...ke the measurement unreliable or longer In some cases the patient s condition will make a measurement impossible Patient Movement Measurements will be unreliable or may not be possible if the patient...

Page 125: ...NIBP PARAMETER WINDOW In pages which IBP parameter is not displayed RESP mode PR value will also be displayed in this window NIBP PARAMETER WINDOW Pages without IBP Heart rate measured by NIBP module...

Page 126: ...0 Neonate Max 135 Min 30 NIBP DIA LIMIT DIA alarm is activated when the diastolic pressure exceeds adjusted ALARM HIGH limit or falls below adjusted ALARM LOW limit Adult Max 220 Min 15 Pediatric Max...

Page 127: ...ff to 150 mmHg for adult 140 mmHg for pediatric and 85 mmHg for neonate NIBP LIST Patient monitor can store the latest 500 NIBP measurement data Pick NIBP LIST in the NIBP WINDOW to view the result an...

Page 128: ...and 200 mmHg by ball pump separately The difference between the indicated pressure of the reference manometer and the indicated pressure of the monitor should not exceed 3 mmHg NIBP LEAKAGE Wrap the...

Page 129: ...iolates adjusted low limit NIBP SYS LOW Activated DIA value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level DIA violates adjusted high limi...

Page 130: ...pens in air way Alarm level is set in NIBP Window By pressing ALARM SILENCE the message background becomes gray and the alarm is disabled and ignores this fault NIBP AIR LEAK Air leak in cuff tube or...

Page 131: ...re limit 290 mmHg for adult and 150 mmHg for neonate Alarm level is set in NIBP Window By pressing ALARM SILENCE the message background becomes gray and the alarm is disabled and ignores this fault NI...

Page 132: ...ough to measure NIBP Alarm level is set in NIBP ALARM MENU By pressing ALARM SILENCE the message background becomes gray and the alarm is disabled and ignores this fault NIBP MODULE ERROR Some errors...

Page 133: ...aximum 3 times In this condition the measurement may be unreliable or may be impossible and error message NIBP EXCESSIVE MOTION appears Low blood pressures such as those found in patients in shock pro...

Page 134: ...e it Cuff Size If inappropriate cuff size is used for example a cuff larger than correct size the patient s pulses will be weakened and the module may not be able to measure Patient movement During th...

Page 135: ...Chapter 11 TEMP Monitoring User Manual 11 1 Chapter 11 TEMP Monitoring 11 1 GENERAL 2 11 2 TEMP WINDOW 3 11 3 TEMP ALARM MESSAGES 5...

Page 136: ...MP probe directly into the monitor Attach the TEMP probe s properly to the patient Switch on the system Inspection and recalibration Visually inspect the probe for cracks holes crazing etc prior to ea...

Page 137: ...ced by selecting a temperature monitoring point which is remote from the expected RF current path to the ground return pad WARNING Over straining will result in mechanical damage of the probes WARNING...

Page 138: ...a T1 LIMIT T1 alarm is activated when the channel 1 temperature exceeds adjusted ALARM HIGH limit or falls below adjusted ALARM LOW limit min 0 0 and max 50 0 T2 LIMIT T2 alarm is activated when the c...

Page 139: ...ated T2 value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level The temperature T2 violates adjusted high limit T2 HIGH Activated T2 value bl...

Page 140: ...Chapter 12 IBP Monitoring User Manual 12 1 Chapter 12 IBP Monitoring 12 1 GENERAL 2 12 2 IBP WINDOW 4 12 3 IBP Alarm Messages 15 a Physiological alarms 15 b Technical alarms 16 c Messages 17...

Page 141: ...the conductive parts of the system when being applied Warning When using ESU Electrosurgery equipment the transducer and the cables should not contact with the conductive part of ESU to protect patien...

Page 142: ...e pressure tube and transducer by flushing through the tubing system with normal saline solution Ensure that the tubing system is free of air bubbles 3 Connect the patient catheter to the pressure lin...

Page 143: ...al Salin with Heparin 2 Drip Chamber 3 Valve 4 Distal End to Patient 5 3 way Stopcock 6 Pressure Transducer 7 Pressure Transducer Interface Cable 12 2 IBP WINDOW The following items are displayed in I...

Page 144: ...system IBP1 IBP2 IBP3 IBP4 LABEL Suitable label should be selected regarding the place of measurement The available pressure labels are Warning IBP algorithm will vary according to the selected label...

Page 145: ...e using this filter the measuring accuracy might be decreased ADJUST SCALE Pick ADJUST SCALE in IBP WINDOW to adjust the scale automatically The scales are adjusted in a way that IBP signal occupies m...

Page 146: ...IBP3 IBP4 ALARM LEVEL Selectable between 1and 2 Level 1 represents the most serious case IBP ALARM RECORD See the chapter RECORDER SYS ALM SYS alarm is activated when the systolic pressure exceeds ad...

Page 147: ...120 50 PAP 1 100 50 RVP 1 100 50 CVP 1 100 50 LAP 1 100 50 RAP 1 100 40 ICP IBP SCALE Pick IBP SCALE in IBP WINDOW to call up the following menu The waveform and corresponding scale appears in the IB...

Page 148: ...dure for each channel The message PLEASE WAIT will be displayed during the procedure When the procedure finished successfully the message IBP1 IBP2 ZERO OK appears The last zeroing time will be saved...

Page 149: ...0 Make sure that the stopcock is vented to atmosphere or perhaps the tubing system is hit accidentally If the problem persists contact After Sales Service IBP CALIB Pick IBP CALIB in IBP WINDOW to ope...

Page 150: ...Chapter 12 IBP Monitoring User Manual 12 11 1 Hydrargyrum Pressure Meter 2 3 way Connector 3 3 way Stopcock 4 Pressure Transducer 5 Pressure Transducer Interface Cable...

Page 151: ...you adjusted in CALIB WINDOW menu 6 Choose a CAL in the CALIB WINDOW menu 7 Press the rotary knob to start the calibration The message PLEASE WAIT will be displayed during the procedure IBP1 IBP2 CAL...

Page 152: ...borz B9 Select IBP1 2 to observe IBP1 and IBP2 signals and select IBP3 4 to monitor IBP3 and IBP4 signals ART CATH DISCONNECT ALM If catheter is disconnected from the patient during the pressure measu...

Page 153: ...Chapter 12 IBP Monitoring User Manual 12 14 b IBP WINDOW...

Page 154: ...iolates adjusted low limit IBP SYS LOW Activated DIA value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level DIA violates adjusted high limit...

Page 155: ...the catheter tip Check patient and do necessary treatment Turn on the stopcock to patient and turn it off to the atmospheric pressure Follow hospital procedure for dislodging catheter Follow hospital...

Page 156: ...DJUST SCALE IBP1 or IBP2 signal is out of display range for about 5 seconds Press AUTO SCALE in IBP WINDOW IBP1 IBP2 SEARCH IBP signal can t be processed by the software because the signal is weak or...

Page 157: ...13 GAS Monitoring Mainstream User Manual 13 1 Chapter 13 GAS Monitoring Mainstream 13 1 GENERAL 2 13 2 GAS WINDOW 11 13 3 GAS Alarm Messages 20 a Physiological alarms 20 b Technical alarms 23 c Messa...

Page 158: ...ane ISO Sevoflurane SEV and Desflurane DES in different combinations are determined together with derived parameters such as respiratory rate waveform and inspired expired concentrations of all gases...

Page 159: ...t of CO2 N2O and anaesthetic agents in the breathing gas mixture is based on the fact that the different gas components absorb infrared light at specific wavelengths A microprocessor continuously calc...

Page 160: ...pter The IRMA Airway Adapter is inserted between the endotracheal tube and the Y piece of the breathing circuit The respiratory gas measurements are obtained through the XTP windows in the sides of th...

Page 161: ...ed dose inhalers or nebulized medications as this may affect the light transmission of the airway adapter windows Warning Replace the airway adapter if rainout condensation occurs inside the airway ad...

Page 162: ...form zeroing if gas readings does not show 0 or if an unspecified accuracy message is displayed 4 A green LED indicates that the IRMA probe is ready for use b Preparatory Step 4 5 Connect the IRMA air...

Page 163: ...IRMA probe Placing an HME in front of the IRMA probe protects the airway adapter from secretions and effects of water vapour and eliminates the need of changing the adapter It allows free positioning...

Page 164: ...h local regulations for biohazardous waste Placement of IRMA Probe When connecting the IRMA probe to an infant patient circuit it is important to avoid a direct contact between the IRMA probe and the...

Page 165: ...e patient circuit Perform the tightness check of the patient circuit according to the User Manual for the monitor with the IRMA probe snapped on the IRMA airway adapter Perform the tightness check of...

Page 166: ...orms A leak in the airway may result in low parameters measurements Check the monitor to see if it is functioning properly Warning Verify sensor detection before starting GAS monitoring Unplug the sen...

Page 167: ...ows GAS PARAMETER WINDOW NOTE After Masimo Sweden AB capnography probe is connected to the monitor at first sensor type ISA or IRMA is detected by the system and then displayed in front of the CO2 sig...

Page 168: ...CO2 ONLY mode b GAS WINDOW in AX mode Figure 10 5 Capnography window of Mainstream sensor in different modes Co2 UNIT Pick this item to adjust measurement unit Options mmHg KPa V EtCo2 in V is the Co2...

Page 169: ...em is activated the WAVEFORM in the menu is displayed COMPENSATE The presence of oxygen and nitrous oxide can cause some interference in CO2 measurement This is known as spectral broadening and must b...

Page 170: ...e The default is measure mode When gas monitoring is required select measure mode standby mode disables monitoring to decrease the power consumption and extend the life cycles of IR source and IRMA se...

Page 171: ...odule is enabled the CAPNO RESP for this option will be displayed otherwise the GAS RESP will be displayed FILL SIGNAL Pick ON to show the waveform in a filled form CO2 ALARM Pick CO2 ALARM in GAS WIN...

Page 172: ...0 4 13 V step 0 1 V Default for upper limit is 1 3 V AWRR LIMIT Alarm is activated when the AWRR exceeds adjusted ALARM HIGH limit or falls below adjusted ALARM LOW limit Range 1 120BrPM Default for u...

Page 173: ...75 V and for lower limit is 35 V FiN2O LIMIT Alarm is activated when the FiN2O exceeds adjusted ALARM HIGH limit or falls below adjusted ALARM LOW limit Range 1 82 V step1 V Default for upper limit is...

Page 174: ...mmand IRMA AX probes Zeroing should be performed every time the IRMA airway adapter is replaced or whenever an offset in gas values or an unspecified gas accuracy message is displayed CO2 ACCURACY INV...

Page 175: ...re or during the Zeroing procedure The presence of ambient air in the IRMA airway adapter is of crucial importance for a successful Zeroing If a CO2 ZERO REFERENCE CALIB REQUIRED alarm should appear d...

Page 176: ...isual prompt Audio sound AWRR HIGH Respiration rate violates adjusted high limit AWRR value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level...

Page 177: ...h limit FiCo2 value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level Activated CO2 RESP APNEA Non respiration condition overruns adjusted ti...

Page 178: ...lue blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level Activated EtAA LOW End Tidal AA violates adjusted low limit EtAA value blinks The alarm...

Page 179: ...es this fault Zero the sensor if the problem still exists contact after sales service of the manufacturer CO2 outside specified accuracy range CO2 INVALID Alarm level 2 the message is displayed in yel...

Page 180: ...and on and if problem still exists contact after sales service of manufacturer Internal temperature outside operation range CO2 INVALID AMBIENT TEMPERATURE Alarm level 3 the message is displayed in cy...

Page 181: ...al 13 25 Status LED on the IRMA probe Steady green light System OK Blinking green light Zeroing in progress Steady blue light1 Anesthetic agent present Steady red light Sensor error Flashing red light...

Page 182: ...2 14 2 Nomoline Family sampling lines 4 14 3 Nomoline Family sampling line replacement 6 14 4 Preparatory steps for Multi gas monitoring 6 14 5 Pre use check 9 14 6 Zeroing procedure 10 14 7 GAS WINDO...

Page 183: ...ment is the operating suite intensive care unit and patient room ISA CO2 is also intended to be used in road ambulances The intended patient population is adult pediatric and infant patients The Nomol...

Page 184: ...ared spectrometer A microprocessor continuously calculates the CO2 N2O and anesthetic agent concentrations from the infrared light absorption measurements using matrix calculations to identify which a...

Page 185: ...e the sampling line is connected the ISA gas analyzer switches to measuring mode and starts delivering gas data The Nomoline Family sampling lines are available in a wide variety of versions for both...

Page 186: ...ce to the patient circuit Warning Do not apply negative pressure to remove condensed water from the Nomoline Family sampling line Warning Too strong positive or negative pressure in the patient circui...

Page 187: ...shing red or the Monitor displays a Check sampling line message Warning Do not use sampling line if it or its package is damaged and return it to the vendor Warning Use only the recommended ISA sampli...

Page 188: ...Warning Do not operate the ISA sidestream gas analyzer if the enclosure is damaged Warning Do not place the ISA gas analyzer in any position that might cause it to fall on the patient NOTE The ISA ana...

Page 189: ...ide the MIR suite Warning Use of high frequency electrosurgical equipment in the vicinity of the ISA monitor may produce interference and cause incorrect measurements Warning Do not use the Nomoline A...

Page 190: ...with a steady green light 3 For ISA OR Check that the O2 reading on the monitor is correct 21 vol 4 Breathe briefly into the sampling line and check that monitor displays a valid CO2 waveform and val...

Page 191: ...fy ISA sensor detection before starting GAS or CO2 monitoring Unplug the ISA sensor from its connector to verify that the error message CO2 NO SENSOR is displayed Warning Positioning the monitor lower...

Page 192: ...circuit the returned gas level will be different from the gas level at the sampling site Warning Since a successful zeroing requires the presence of ambient air 21 O2 and 0 CO2 ensure that the ISA is...

Page 193: ...er window will be as follows GAS PARAMETER WINDOW NOTE After capnography probe is connected to the monitor at first sensor type ISA or IRMA is detected by the system and then displayed in front of the...

Page 194: ...AX mode GAS WINDOW in OR mode Capnography Window of sidestream sensor in different modes Co2 UNIT Pick this item to adjust CO2 measurement unit Options mmHg KPa V EtCo2 in V is the EtCo2 value in mmH...

Page 195: ...i e when oxygen measurement is performed by the other device like anesthesia machines and ventilators the current oxygen concentration should be transmitted to the sensor When there is not O2 sensor a...

Page 196: ...s the message AGENT MIXTURE is displayed on the screen WORK MODE Available options for WORK MODE are standby and measure The default is measure mode When gas monitoring is required select measure mode...

Page 197: ...meters FILL SIGNAL Pick ON to show the waveform in filled form CO2 ALARM Pick CO2 ALARM in GAS WINDOW to call up the following menu CO2 ALARM Pick ON to enable alarm functions such as parameters blink...

Page 198: ...standard of judging an apnea case It sets to 20 60 seconds and OFF and increases decreases by 5s GAS ALARM Pick GAS ALARM in GAS WINDOW o call up the following menu N2O ALARM AA ALARM and O2 ALARM Pi...

Page 199: ...OTE Alarm range and alarm limit default of different anesthesia agents are mentioned in the table below Anesthesia agent Alarm range Step Alarm limit default HAL 0 1 5 0 1 0 5 1 5 DES 0 1 18 0 1 5 10...

Page 200: ...value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level Activated EtCo2 HIGH End Tidal Co2 violates adjusted high limit EtCo2 value blinks Th...

Page 201: ...sponding to its level Activated FiN2O HIGH FiN2O violates adjusted high limit FiN2O value blinks The alarm indicator flashes The alarm message is displayed in a background corresponding to its level A...

Page 202: ...displayed in a background corresponding to its level Activated EtO2 LOW End Tidal O2 violates adjusted low limit EtO2 value blinks The alarm indicator flashes The alarm message is displayed in a backg...

Page 203: ...ssing ALARM SILENCE background becomes gray and alarm is disabled and ignores this fault Zero the system If the problem still exists contact after sales service of manufacturer CO2 outside specified a...

Page 204: ...operating range CO2 INVALID AMBIENT PRESSURE Alarm level 2 the message is displayed in yellow background By pressing ALARM SILENCE background becomes gray and alarm is disabled for 120 sec Turn the s...

Page 205: ...tor does not detect the sampling line CO2 SENSOR STANDBY MODE After that the zeroing procedure is completed this message and a flat line signal will be displayed The zeroing procedure is being conduct...

Page 206: ...er Manual 15 1 Chapter 15 Depth of Anesthesia Monitoring 15 1 GENERAL 2 15 2 BFA monitoring system 7 15 2 1 BFA module 7 15 2 2 BFA on patient monitor 8 15 3 BFA Alarm Messages 12 a Physiological alar...

Page 207: ...ague picture of what is going on around him This can cause long term emotional consequences and subsequent psychological traumas The most of these patients suffer nightmare during few days after surge...

Page 208: ...l in the 30 47 Hz frequency band 0 100 logarithmic EMG activity is expected to be present when the patient is awake When the patient is asleep EMG activity can increase due to Reflex reactions to pain...

Page 209: ...ings when used on patients with severe neurological disorders and patients under 2 years of age Warning The monitor will not render accurate readings when used on patients weight less than 70 or more...

Page 210: ...be used in conjunction with other patient monitoring parameters and clinical signs This will ensure the optimum balance of the anesthesia sedation administration Warning Do not open the BFA case Ther...

Page 211: ...nsor Placement White electrode 1 middle of forehead Green electrode 2 left side of forehead Black electrode 3 on temple NOTE Make sure no part of the neuro sensors is in contact with any other conduct...

Page 212: ...o sensors loose their quality Correct maintenance of neuro sensors in its package 15 2 BFA monitoring system The monitor can show and record online BFA data on the patient monitor for this reason it n...

Page 213: ...icator If BFA ELECTRODE ALARM occurs resulting from inappropriate connection of neuro sensors this indicator will flash with frequency of 1 Hz Impedance key Impedance measurement is initiated by press...

Page 214: ...les and send it for after sale service Manufacturer does not take responsibility for measurement accuracy of repaired cable 3 After communication is established you can monitor different BFA parameter...

Page 215: ...the fourth left item will change the x axis based on the selected interval Moving the cursor to choose a specific time and pressing trend time interval item the forth left item x axis will be zoomed...

Page 216: ...symbol in the Parameter Area To set the BFI alarm limit Press the 10th left item to set the BFI limit Alarm is activated when the BFI parameter exceeds adjusted ALARM HIGH limit or falls below adjuste...

Page 217: ...UND VISUAL PROMPTS SITUATION ALARM Activated BFI value blinks The alarm indicator flashes The alarm message is displayed in yellow background Cerebral state index violates adjusted high limit BFI HIGH...

Page 218: ...at all neuro sensors and cables are correctly connected Has the use of any mechanical device that could generate high frequency activity e g patient warmer been initiated or is any such device in clos...

Page 219: ...Chapter 15 BFA Monitoring User Manual 15 14 Alarm level 3 is enabled for all above messages By pressing ALARM SILENCE the message background becomes gray and alarm is disabled and ignores this fault...

Page 220: ...Chapter 16 Cardiac Output Monitoring User Manual 16 1 Chapter 16 C O Monitoring 16 1 GENERAL 2 16 2 CARDIAC OUTPUT MENU 6 16 3 C O Alarm Messages 10...

Page 221: ...sing the right heart thermodilution method This method is known as gold standard of C O measurement C O Measurement using the Right Heart Thermodilution Method In the right heart thermodilution method...

Page 222: ...lue is influenced by injection technique As mentioned above the curve should have a steep rise and gradual return to baseline See figure 15 2 Other curves are samples of high cardiac output low cardia...

Page 223: ...heart and place it in proper position Follow your hospital standards to avoid unintentional extraction of C O catheter 2 Connect the other side of the catheter to SAADAT C O cable 3 Connect C O cable...

Page 224: ...at no part of accessories is in contact with any other conductive parts NOTE If the patient condition is unstable the measurement cannot be done or is unreliable Warning Don t use electrosurgical equi...

Page 225: ...f other devices such as electrosurgical unit in the vicinity of the monitor When you see the message Ready For Measurement start measurement by selecting Start key The blood temperature is displayed i...

Page 226: ...C O value The thermodilution curve cardiac output numeric value and measurement time are stored in one of five EDIT windows Press STOP key during measurement to stop it NOTE Sudden variations in pulm...

Page 227: ...ments will be recalculated by the system If you perform more than five measurements without rejecting any the first measurement will automatically be deleted when sixth curve is stored SCROLL Press SC...

Page 228: ...ions are 131HF7 and 139HF75P Edwards catheters and Simulator The last option is intended to use simulator with Comp Con of 0 542 Comp Con The computation constant changes based on catheter type Make s...

Page 229: ...y for measurement appears the measurement will not be started and this message will appear To start measurement wait until Ready for measurement is displayed Inject now Start injection procedure Not i...

Page 230: ...Chapter 17 SIGMA TREND ALARM RECALL User Manual 17 1 Chapter 17 SIGMA TREND ALARM RECALL 17 1 SIGMA 2 17 2 TREND 3 17 3 TREND 6PARAMS 6 17 4 TREND OXY_CRG 8 17 5 ALARM RECALL 9...

Page 231: ...play 10 traces of ECG signal in SIGMA WINDOW The time of displaying ECG signal is 260 sec Pick SIGMA in HOME WINDOW to call up the following window You can view ECG settings including ECG LEAD ECG GAI...

Page 232: ...is enabled FiO2 EtO2 FiN2O EtN2O EtAA and FiAA parameters will be displayed in the trend window To select trend graph of a specific parameter Pick parameter name the most left item and select your int...

Page 233: ...0 100 N2O EtN2O FiN2O 0 50 0 100 AA EtAA FiAA 0 1 0 0 2 0 0 3 0 0 5 0 0 10 0 0 20 0 PVCs 0 20 0 50 0 100 ST 0 2 0 2 0 5 0 5 1 1 2 2 AFIB 0 1 PR 0 60 0 120 0 240 PI 0 20 0 10 0 5 PVI 0 30 0 100 SpOC 0...

Page 234: ...button and turning rotary you can move the cursor line through the graphic trend that points to specific times This time is displayed at the right side of the TREND WINDOW and related numeric value to...

Page 235: ...he first left item of HOME TREND WINDOW to access the following window in which you can monitor TREND graph of six parameters simultaneously NOTE If Multi gas module is enabled FiO2 EtO2 FiN2O EtN2O E...

Page 236: ...4 hours Select RECORD in this window to record all six trend graphs By turning the rotary in this window and clicking it on a parameter you can select your desired parameter and view its trend graph A...

Page 237: ...RESP signals simultaneously OXY_CRG aids clinician to detect and evaluate patient critical conditions e g apnea and breathing disorder especially in neonates To select time interval of displaying the...

Page 238: ...splayed in the yellow color The parameter value of inactive alarm is displayed in the white color Reviewing alarm list Data of 20 alarm events are displayed in HOME ALARM RECALL WINDOW Up to seven ala...

Page 239: ...alarm occurrence is displayed by a vertical dotted line The signals of 5 seconds before and after this time are displayed in the window Alarm selection Click on to scroll through different pages and...

Page 240: ...ALARM RECALL User Manual 17 11 Recording alarm list Click on RECORD in HOME ALARM RECALL WINDOW to record the alarm list...

Page 241: ...er 18 Recording User Manual 18 1 Chapter 18 RECORDER 18 1 General 2 18 2 RECORDER 3 18 3 Recording type 5 18 4 Recorder operation and status messages 6 18 5 Recorder paper 7 18 6 Recorder Alarm Messag...

Page 242: ...bedside monitor optionally Performance of the Recorder Recording speed is adjustable to 6 12 5 25 mm s Up to 3 selectable waveforms recording The real time and freeze recording The automatic recording...

Page 243: ...o choose the second trace of printout record in manual recording Available options are ECG SpO2 IBP1 IBP2 RESP GAS and OFF NOTE You cannot choose same signal for TRACE 1 and TRACE 2 TRACE3 To choose t...

Page 244: ...NTINUOUS PERIODIC TRACE 1 To choose the first channel trace of printout record in automatic recording Available options are ECG SpO2 IBP1 IBP2 RESP GAS and OFF PERIODIC TRACE2 To choose the second cha...

Page 245: ...recording starts from last 5 seconds when you press Rec Stop and it will automatically stop after 10 20 or 30 seconds depending on your setting Automatic Recording The monitor starts the recording fo...

Page 246: ...ARR EVENT LIST Recording The monitor can print out ARR EVENT LIST Select RECORD in ARR EVENT LIST WINDOW to start recording ARR WAVEFORM Recording The monitor can print out stored arrhythmia waveform...

Page 247: ...ed NOTE Do not use grid paper NOTE Do not use paper with edges that are pasted or have turnups at the start of the roll If they need to be used unavoidably replace with new paper roll as soon as possi...

Page 248: ...he sensor Warning While the recorder is working the record paper goes out steadily By pulling the paper the recorder will be damaged NOTE If the paper is jammed open the recorder door and remove the p...

Page 249: ...mp The thermal head is too hot Stop operation for some minutes Print head High Vol Print head voltage is high Turn the system off and then on If the problem persists contact after sales service of man...

Page 250: ...s are automatically calculated and displayed in yellow color Measurement unit of AMOUNT and DOSE can be selected by user Available units for AMOUNT and DOSE are as follows AMOUNT mg mcg DOSE mg min mg...

Page 251: ...their infusion INF RATE for doses 0 5 to 20 according to adjusted unit in HOME DRUG_CALCULATION WINDOW is displayed in this window Adjusted AMOUNT VOLUME and WEIGHT values and DOSE UNIT in HOME DRUG_C...

Page 252: ...this table Adjusted DOSE RATE AMOUNT VOLUME WEIGHT and INF TIME in HOME DRUG_CALCULATION WINDOW are automatically displayed in this window User selection and calculations of HOME DRUG_CALCULATION WIN...

Page 253: ...ed to the central system on target bedside Bed to Bed window Parameter area to display T1 T2 NIBP SYS DIA MAP PR SPO2 ECG RESP and DT parameters Waveform area to display RESP SPO2 and ECG signals Head...

Page 254: ...must be identical to the SELECTED BED No Duration Select time of displaying the window Default setting is 1 min Available options are 2 to 5 min After above settings are performed press STATR to view...

Page 255: ...ernational safety standard requirements for medical electrical equipment This device has floating inputs and is protected against the effects of defibrillation and ESU If the correct electrodes are us...

Page 256: ...igh degree of protection against shock and is usable during defibrillation This symbol indicates that the device is IEC60601 1 Type BF equipment This symbol means that consult user manual of the monit...

Page 257: ...f there is any doubt regarding the completeness of the protective grounding wire the equipment must be operated with internal battery or DC input Equipotential Grounding Protection class I instruments...

Page 258: ...asimo Rainbow Set 4 TEMPERATURE 2 channel 5 RESPIRATION 5 IBP 5 Multi gas Mainstream MASIMO SWEDEN AB 5 Multi gas Sidestream MASIMO SWEDEN AB 8 BFA Brain Function Assesment 10 Cardiac Output 11 Record...

Page 259: ...P RR T1 T2 DT EtCo2 FiCo2 AWRR EtN2O FiN2O EtO2 FiO2 EtAA FiAA BFI BS EMG SQI C O Alarm Limits Operation Method Membrane Keys and rotary knob Touch Screen AC Power 100 240 VAC 50 60 Hz Ip 0 9 0 4 A EC...

Page 260: ...0 samples sec ARRHYTHMIA ANALYSIS Type ASYS VFIB VTAC RUN AIVR COUPLET BIGEMINY TRIGEMINY TACHY BRADY AFIB PAUS FREQUENT PVCs Learning Rapid Learning only 20 seconds required for recognition of domina...

Page 261: ...35 0 ml dL PR 25 240 bpm PI 0 20 0 PVI 0 100 Accuracy Oxygen Saturation No motion conditions Adult Pediatric 2 SpO2 70 100 Neonate 3 SpO2 70 100 Motion conditions Adult Pediatric Neonate 3 SpO2 70 10...

Page 262: ...5 V V mmHg Press Sensor Impedance 300 2500 Ohm Resolution 1 mmHg Accuracy 2 or 2mmHg each one is greater without transducer IBP Auto Scale Pump Page Multi gas Mainstream MASIMO SWEDEN AB IRMA CO2 CO2...

Page 263: ...n Zeroing recommended when changing Airway adapter IRMA AX No span calibration required for the IR bench Warm up time IRMA CO2 10 seconds concentrations reported and full accuracy IRMA AX 20 seconds c...

Page 264: ...eathing gas is saturated with water vapor at body temperature BTPS are 6 2 lower than the corresponding concentrations in the same gas mixture after removal of all water vapor ATPD Interfering gas eff...

Page 265: ...TYPE BF APPLIED PART Data output Breath detection Adaptive threshold minimum 1 vol change in CO2concentration Respiration rate 7 0 to150 1 breaths min or BrPM Fi and ET8 Fi and ET are displayed after...

Page 266: ...reading Accuracy all conditions The following accuracy specifications are valid with no drift for all specified environmental conditions except for interference from water vapor in the below section...

Page 267: ...Note 3 Interference at indicated gas level For example 50 vol Helium typically decreases the CO2 readings by 6 This means that if measuring on a mixture contaning 5 0 vol CO2and 50 vol Helium the actu...

Page 268: ...play Volume Selectable Audio Alarms Light indicator ALARM RECALL Displaying occurred alarms along with ECG SpO2 2IBP RESP GAS waveforms 20 recent alarm BED TO BED Bed to Bed function is intended to di...

Page 269: ...rged Charge time Usage New Full Charged 4 5 hours Approximately 2 hours 4 5 hours Approximately 3 hours Basic monitoring configuration Brightness is automatically set by system ECG Resp SpO2 TEMP meas...

Page 270: ...2 SpO2 MASIMO RAINBOW Accessories 2 23 3 TEMP Accessories 3 23 4 NIBP Accessories 3 23 5 IBP Accessories 3 23 6 GAS Accessories Mainstream 4 23 7 GAS Accessories Sidestream 4 23 8 BFA Accessories 4 2...

Page 271: ...le Sensor 3 Kg or 40 Kg LNCS Neo PART 18047 SpO2 Reusable Y Sensor 1 Kg LNCS PART 18049 SpO2 Extension Cable Red LNC 10 PART 18060 SpO2 Reuseable Sensor Finger Toe Adulat 30 Kg Red DCI dc12 PART 18055...

Page 272: ...Disposable Cuff Neonate 3 5 5cm PRS M5541 1 PART 13085 NIBP Disposable Cuff Neonate 4 8cm PRS M5541 2 PART 13086 NIBP Disposable Cuff Neonate 6 11cm PRS M5541 3 PART 13087 NIBP Disposable Cuff Neonate...

Page 273: ...PART 19145 CO2 Airway Adaptor Disposable Adault Pediatric PART 20092 23 7 GAS Accessories Sidestream GAS Sidestream PART ISA CO2 only probe PART 20046 ISA AX probe PART 20049 ISA OR probe PART 20052 N...

Page 274: ...23 10 Power Cable AC Power Cable PART 03018 NOTE The following accessories are recommended otherwise accessories with CE marking or Biocompatibility test report shall be used 23 11 ECG Electrodes Adu...

Page 275: ...Chapter 24 Care and Cleaning User Manual 24 1 Chapter 24 Care and Cleaning 24 1 System Check 2 24 2 Cleaning and Disinfection 3 24 3 Preventive Maintenance PM 7 Preventive Maintenance PM Checklist 8...

Page 276: ...check should be performed only by qualified personnel All checks which need the monitor to be opened and safety and maintenance checks should be performed by After Sales Service Note It is recommended...

Page 277: ...monitor otherwise indicated in the instructions delivered with accessories or your hospital s servicing schedule 3 If you see any signs of damage or deterioration in the device and its accessories do...

Page 278: ...d soapy water and with Isopropyl alcohol may be used for cleaning and disinfection Note 1 Take extra care when cleaning the screen of the monitor because it is more sensitive to rough cleaning methods...

Page 279: ...ssary using a soft clean cloth soaked in mild soapy water and if necessary Isopropyl alcohol and then wiped with a soft and dry cloth Warning 1 To avoid damaging of the cable probe sensor or connector...

Page 280: ...e disposable electrodes Trolley Wall stand Holders of accessory Extension cables In between patients and as required use Isopropyl alcohol Display screen In between patients and as required Clean and...

Page 281: ...e Thoroughly clean the system before and after the system is not used for a while Weekly check of the following items is recommended Monthly check of the following items is recommended 1 Device cleann...

Page 282: ...according to the user manual Correct function Rotary 2 Correct function Keyboard 3 Correct function Touch 4 Correct display of Waveform area Parameter area and Message area Display screen 5 Unpluggin...

Page 283: ...y Cleaning and disinfection according to the user manual Check NIBP cuff and hose NIBP 13 NIBP window settings Adult Pediatric and Neonate modes measurement unit Automatic mode Cleaning and disinfecti...

Page 284: ...FA device BFA 16 Check expiry date of Neuro sensors Check Link status with the bedside green LED Cleaning and disinfection according to the user manual Appropriate size of the recorder paper Recorder...

Page 285: ...electrodes Short circuit all the leads if the cable is perfect no error message will be displayed Don t use old and faulty electrodes Call for service Noisy ECG waveform Loose connection of electrode...

Page 286: ...e ready for measurement does not appear and the message Noisy baseline remains on the screen The catheter is not placed in proper position There is other noise source for example Electrocautery Make s...

Page 287: ...arm in same level with the patient heart 7 The cuff should be placed on upper arm 8 Place the cuff tight enough so that you can only slip two fingertips under it 9 Position of the cuff and artery on...

Page 288: ...en the module and the monitor If the problem persists contact after sale service of manufacturer BFI is higher than expected range Check anesthetic delivery systems IV lines and status of vaporizers S...

Page 289: ...the system If the problem is not resolved contact after sale services If no connection is made with the central system check proper connection of the cable between the central and bedside monitor If...

Page 290: ...1 2 4 RESP GAIN 6mm s 3 6 12 5 25mm s RESP SWEEP 1 1 2 ALARM LEVEL OFF ON OFF RR ALARM 25Brpm RR LOW ALARM 1 to 150 RR HIGH ALARM 5Brpm 5 to RR HIGH ALARM 1 RR LOW ALARM 10S 10 to 40S OFF APNEA LIMIT...

Page 291: ...to 220 Neonate DIA LOW ALARM 5 to 110 Pediatric DIA LOW ALARM 5 to 220 with step 5 DIA HIGH ALARM Adult 50mmHg Neonate 20mmHg Pediatric 40mmHg Adult 15 to DIA HIGH ALARM 5 Neonate 15 to DIA HIGH ALAR...

Page 292: ...Hg DIA 100 mmHg MEAN 115 mmHg ART LOW ALARM 5 to 300 ART HIGH ALARM SYS 80 mmHg DIA 50 mmHg MEAN 60 mmHg 50to ART HIGH ALARM 5 ART LOW ALARM 150 mmHg SYS DIA 20 mmHg MEAN 80 mmHg LVP LOW ALARM 5 to 30...

Page 293: ...LOW 10 TO 300 with step 10 HIGH ART 40 50 TO HIGH 10 LOW 120 HIGH LOW 2 SIGN 80 LOW 5 TO 300 with step 5 HIGH PAP 10 50 TO HIGH 5 LOW 35 HIGH LOW 2 SIGN 30 LOW 5 TO 300 with step 5 HIGH CVP 10 50 TO...

Page 294: ...119 1 rate VTAC AIVR 120 100 to 200 with step 10 TACHY 50 30 to 105 with step 5 BRADY 5 5 to 12 with step 1 VTAC COUNT 3 step 1 with 1 count VTAC to 3 RUN 3 AIVR 10 1 to 15 with step 5 FREQUENT PVCs S...

Page 295: ...N2O 20 1 2 3 5 10 20 Auto scale AA CO2 CO2 N2O AA WAVEFORM Mainstream CO2 CO2 O2 N2O AA WAVEFORM Sidestream 21 AUTO 1 100 vol OFF O2 COMPENSATE 0 0 100 vol ONLY FOR ISA CO2 IRMA2 CO2 N2O COMPENSATE V...

Page 296: ...EtSEV FiSEV HIGH 0 5 0 1 HIGH 0 1 V EtHAL FiHAL LOW 1 5 LOW 0 1 5 V EtHAL FiHAL HIGH Only for Mainstream ZERO Default selection Menu item The Parameters in BFA WINDOW 100uV 25uV 50 250uV EEG Gain OFF...

Page 297: ...wn Green Red Yellow Cyan Orange Cream Magenta Light Brown Light Green Light Yellow Light Red Light Blue Light Cyan Light Orange Light Magenta Dark Orange Dark Cyan IBP4 COLOR MAGENTA White Blue Brown...

Page 298: ...yan Light Orange Light Magenta Dark Orange Dark Cyan CYAN White Blue Brown Green Red Yellow Cyan Orange Cream Magenta Light Brown Light Green Light Yellow Light Red Light Blue Light Cyan Light Orange...

Page 299: ...etic radiation emitted from such devices may result in strong interference with the monitor performance Guidance and manufacturer s declaration electromagnetic emissions The patient care monitors are...

Page 300: ...of a typical commercial or hospital environment Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode Complies Mains power quality should be that of a typical commercial or hospital environment...

Page 301: ...d separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 17 P d 1 17 P 80 MHz to 800 MHz d 2 33 P 800 MHz to 2 5 GHz Where...

Page 302: ...iated RF disturbances are controlled The customer or the user of the Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communicatio...

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