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Datex-Ohmeda Cardiocap/5 Series, Руководство пользователя

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Datex-Ohmeda Cardiocap/5 Series Скачать руководство пользователя страница 60

 

TROUBLESHOOTING 

What if …

 

Try this …

 

The desired measured values do 

not appear on the screen?  

• 

Check that you have selected the parameter in the digit or waveform field. Press the 

ComWheel to open 

Main Menu

. Select 

Monitor Setup

 and 

Screen Setup

. 

The monitor does not start? 

• 

Connect the power cord to the power supply. The monitor will not start on battery power. 

• 

Check the fuses. Replace if necessary. 

ECG

 signal is noisy, or no QRS is 

detected? 

• 

Ensure that the patient is not shivering.  

• 

Select the correct filter by pressing 

ECG

 and selecting 

ECG Setup 

and 

 

Filter

. 

Monit

 filters artifacts produced by the electrosurgery unit and respiration. 

Diagn

 gives more information about the wave, but is susceptible to high frequency artifacts 

and baseline wander. 

STfilt

 gives more information about the ST segment. Filters the high frequency artifacts but 

catches slow changes in the ST segment. Susceptible to baseline wander. 

• 

Check electrode quality and positioning. Avoid placing over body hair, bones close to skin, 

layers of fat and major muscles. Pre-gelled electrodes are recommended. 

• 

Change lead. 

• 

Enlarge the size from 1.0 mV to 2.0 mV. 

Respiration

 measurement fails? 

• 

Check electrode quality and positioning as above.  

• 

Adjust the detection limits. During ventilator-supported breathing the resp calculation may 

count only ventilator-produced inspirations and expirations. 

Other electrical devices may interfere with the measurement. 

Invasive blood pressure

 readings are 

unreliable? 

• 

Make sure that there are no air bubbles in transducer system. Flush and zero. 

• 

Place transducer on patient’s mid-heart level, and zero. 

SpO

2

 signal is poor? 

• 

Make sure that the patient is not shivering. 

• 

Check sensor placement. 

• 

Be aware of differences caused by skin pigment. 

• 

(Standard pulse oximetry only) Change averaging time from slow to normal. 

– 51 – 

Содержание Cardiocap/5 Series

Страница 1: ...censed medical practitioner Outside the USA check local laws for any restriction that may apply All specifications are subject to change without notice Document no M1031869 01 August 2004 Datex Ohmeda...

Страница 2: ...SpO2 and invasive pressure respiratory CO2 O2 N2O respiration rate anesthetic agent and agent identification ventilatory airway pressure volume and flow and relaxation status NMT of all hospital patie...

Страница 3: ...N XC Airway Gas Option CO2 6050 0005 611 N XCO Airway Gas Option CO2 O2 and N2O 6050 0005 612 N XCAIO Airway Gas Option CO2 O2 N2O and anesthesia agents with automatic identification 6050 0005 613 N X...

Страница 4: ...ator discharge is due in part to the accessories for pulse oximetry SpO2 temperature T and invasive pressure P measurement Single use accessories are not designed to be re used Re use may cause a risk...

Страница 5: ...aking any rear panel connections Vibrations during transport may disturb SpO2 ECG impedance respiration and NIBP measurements Leave space for circulation of air to prevent the monitor from overheating...

Страница 6: ......

Страница 7: ...itoring Basics 7 Temperature 33 Monitor Keys and Menus 9 Airway Gases 35 Display Setup 11 Patient Spirometry 37 Alarms 13 NeuroMuscular Transmission NMT 39 Trends 15 Abbreviations 41 Data Management 1...

Страница 8: ...nual may not be available in your monitor You can use the Cardiocap 5 monitor as a stand alone monitor or connect it to the network See Data Management Parts of the monitor 1 Power On Standby key 2 Ex...

Страница 9: ...printer connector X2 8 Analog digital output connector X1 includes nurse call and defibrillator synchronization signals 9 Mounting attachment 10 Dust filter 11 Potential equalization 12 Fuse and volta...

Страница 10: ...to 30Hz Diagnostic filter 0 05 to 100 Hz The monitor is specified for both of the methods A and B required in ANSI AAMI EC13 4 1 4 2 Pacer pulse rejection of fast ECG signals Waveform display with 60...

Страница 11: ...cuff nominal and cuff indication ranges Minimum level 0 5 mV with duration between 40 and 120 ms fulfils ANSI AAMI EC13 standard Typical measuring time Adult 23 seconds Infant 20 seconds Display reso...

Страница 12: ...igh Off low 90 Pulse rate high 160 low 40 Limits are adjustable Sensor emitter wavelength ranges Red LED 660 nm Infrared LED 920 nm Airway Gases Sampling rate 200 ml minute Sampling delay 2 5 seconds...

Страница 13: ...Resistance at 30 l minute 0 5 cmH2O Principle thermal array Agent identification Print resolution Vertical 8 dots mm 200 dots inch Horizontal 32 dots mm 800 dots inch at speed of 25 mm second and slow...

Страница 14: ...hazard replace only with same type and rating of fuse Disconnect power supply before servicing Do not touch battery operated monitor during defibrillation procedure Type BF IEC 60601 1 defibrillator...

Страница 15: ...the vicinity of equipment marked with the symbol Date of manufacturing ESD warning symbol for electrostatic sensitive devices Pins of connectors identified with the ESD warning symbol should not be to...

Страница 16: ...g solutions are used make sure the monitor s front and back attachment bars fit tightly to the edges of the mounting plate and the locking bolt in the monitor s back locks into place Ending monitoring...

Страница 17: ...9...

Страница 18: ...enable new alarms press the key again 3 Displays numerical or graphical trends and snapshots 4 Displays the Invasive Pressures menu to adjust Invasive Pressure measurement settings NOTE Depending on t...

Страница 19: ...sing the ComWheel Turn and press the ComWheel to make adjustments in menus You can also display a menu by pressing the corresponding direct access key For example to adjust the ECG display Silence Ala...

Страница 20: ...om the options Modifying the display temporarily 1 Press the ComWheel and select Select Mode In the corresponding submenu you can modify waveform and digit field measurements minitrend length and swee...

Страница 21: ...art of it displays spirometry or trend data all the time Modifying waveform fields You can have up to six waveforms on the display at a time 1 Press the ComWheel and select Monitor Setup 1 Press the C...

Страница 22: ...1 Messages appear in order of priority 2 The measurement value and the alarm LED flash The background color signifies the alarm category 3 A message gives more detailed information in some cases An a...

Страница 23: ...n value or OFF New alarms are activated Silenced alarms are active after two minutes Apnea alarm is activated after five breaths Only the last modified source is active Suppressing audible alarms perm...

Страница 24: ...field Symbols Trend bar Gap shows the mean value NIBP trend bar Indicates change such as change of the ECG lead zeroing of the invasive blood pressure channel or change of the anesthetic agent Blue l...

Страница 25: ...with different parameters Viewing snapshots The graphical trend time scale varies from 20 minutes to 24 hours the resolution from 10 seconds to 12 minutes With the 20 minute trend you see data from t...

Страница 26: ...or memory card is in use Data memory card with N XDNET option Up to 48 hours of information depending on the data load can be saved to the Data card Network with N XNET or N XDNET option When the mon...

Страница 27: ...Patient from Card with N XDNET option Loads a case from the Data card The last 24 hours of information is retrievable The N XDNET option lets you load collected patient data from the Data card Saved...

Страница 28: ...d Waveform Stop key To stop recording press Record Waveform Stop again To configure the waveform recording 1 Press the ComWheel to open Main Menu and select Record Print 2 Select Record Waveforms 3 Se...

Страница 29: ...loop or the currently viewed trend data in the corresponding parameter menu 3 To change the resolution select Trend Resolution and choose the time 1 5 10 or 30 minutes To print a loop 4 To select the...

Страница 30: ...ode positioning with a 5 lead set Place the fifth electrode in one of the six places indicated 1 2 3 4 5 6 1 2 3 Red IEC White AAMI Yellow IEC Black AAMI Yellow IEC Black AAMI Red IEC White AAMI Red I...

Страница 31: ...R source The monitor analyses changes in the ST segment when you are monitoring ECG The changes are analyzed from the active leads If the ECG signal is affected by too much noise to produce a reliable...

Страница 32: ...pacemaker pulses as heartbeats In this case asystole and ventricular fibrillation may go undetected Always keep these patients under close surveillance and monitor their vital signs carefully 2 Selec...

Страница 33: ...t Resp Setup 3 Select Detection Limit 2 Turn on the measurement WARNING Respiration movements and impedance variations may continue in obstructive apnea Press the ComWheel and select Parameters Select...

Страница 34: ...le skin if used with foam wrap Ideal for patients with long fingernails acrylic nails or arthritic fingers May be used on fingers and toes and on the fleshy part of hands and feet on patients 3 20 kg...

Страница 35: ...amaged sensor or cable immediately Never repair a damaged sensor or cable never use a sensor or cable repaired by others WARNING Use clean and dry sensors and cables only Moisture and debris on connec...

Страница 36: ...he connector WARNING Patient safety Patient conditions such as reddening blistering skin discoloration ischemic skin necrosis and skin erosion may warrant changing the sensor site frequently or using...

Страница 37: ...gs You can adjust the volume of the beat sound the waveform scaling and response averaging time The pulse oximeter cannot distinguish between oxyhemoglobin and dyshemoglobins for example methemoglobin...

Страница 38: ...3 33 cm Adult Black Long Adult Wine 31 40 cm Adult Black Large Adult Long Wine 31 40 cm Adult Black Thigh Brown 38 50 cm Adult Black Infant Orange 8 13 cm Infant White Neonatal 3 White 6 11 cm Infant...

Страница 39: ...e Child 200 mmHg 60 mmHg 2 minute Adult 280 mmHg 80 mmHg 2 minute Press the NIBP key and select Start Cycling To measure continuously for five minutes Press the NIBP key and select Start STAT During m...

Страница 40: ...her using an area of one normal waveform or both waveforms combined in the same field with the same zero line Disposable 1 Press the ComWheel and select Monitor Setup 2 Select Screen Setup 3 Select Wa...

Страница 41: ...sition the Swan Ganz catheter in pulmonary artery Continuous monitoring of the pressures along the route of the catheter tip will help to identify the location of the tip Use the distal lumen for the...

Страница 42: ...TEMPERATURE You need 1 Temperature probe WARNING Patient safety To prevent patient injury use Datex Ohmeda temperature probes only 33...

Страница 43: ...ture probes only 2 Select Temp Setup Select temperature in a digit field to include the temperature information in the trends and to activate alarms 3 Select T1 Label or T2 Label Changing temperature...

Страница 44: ...dal CO2 inspiratory O2 N2O and anesthetic agents You need 1 Gas sampling line 2 Y piece 3 Airway adapter with sampling line connector 4 Heat and moisture exchanger including filter HMEF CAUTION Do not...

Страница 45: ...operating properly CAUTION Strong scavenging suction may change the operating pressure of the monitor and cause inaccurate readings or internal damage Before you turn on the monitor attach the gas sam...

Страница 46: ...to airway gases you can monitor patient lung mechanics and volumes You need 1 Y piece 2 Spirometry tube 3 D lite sensor 4 Bacterial filter 5 Gas sampling line 1 2 4 5 3 Patient tubes Sampling line con...

Страница 47: ...loop is drawn select Save Loop 5 To recall a saved loop select Reference Loop and select the number of the loop you wish to recall Paw Changing the loop appearance If the flow volume or pressure axis...

Страница 48: ...the illustration Secure the piezoelectric probe with tape Start monitoring after the induction of sleep but before the administration of a muscle relaxant drug WARNING Make sure the lead set clips do...

Страница 49: ...deepens Normally a TOF over 90 indicates adequate clinical recovery You can view the TOF and the number of responses or count 1 Press the NMT key 2 Select Tetanic PTC and select Start After tetanic st...

Страница 50: ...ked potential Bal balance gas bar 1 atmosphere Bigem bigeminy Blad bladder temperature Blood blood temperature C O measurement Body body temperature BP blood pressure Brady bradycardia BSA body surfac...

Страница 51: ...hertz Dyn dynamic Fib fibrillation I E inspiratory expiratory ratio e estimated FiBal fraction of inspired balance gas IABP intra aortic balloon pump ECG electrocardiogram FiCO2 fraction of inspired c...

Страница 52: ...in BTPS conditions P g a CO2 difference between gastrointestinal carbon dioxide and arterial blood carbon dioxide concentration LAP left atrial pressure Lat lateral MVexp STPD expired minute volume i...

Страница 53: ...ressure PEEPe extrinsic positive end expiratory pressure PVC premature ventricular contraction RVP right ventricular pressure PVloop pressure volume loop RVSW right ventricular stroke work PEEPe i tot...

Страница 54: ...0 5 seconds SVR systemic vascular resistance V1 0 volume expired during the first second SVRI systemic vascular resistance index Sys systolic pressure VC vital capacity VCO2 carbon dioxide production...

Страница 55: ...46...

Страница 56: ...ovements shivering deep breathing arrhythmia or irregular beats Calm the patient and start a new measurement Asystole ECG No QRS detected in ECG Back up battery failure Discharged or faulty back up ba...

Страница 57: ...es is too high Possible during defibrillation Measurement off NMT cable is connected but measurement has not started MVexp MVinsp Exhaled volume is markedly smaller than inhaled Check the whole system...

Страница 58: ...ng line inside or outside the monitor is blocked or the water trap is occluded Change sampling line and or water trap Sensor INOP The gas measuring sensor is inoperative or the temperature in the moni...

Страница 59: ...ure is unstable at start of the measurement Calm the patient and retry Weak pulsation NIBP measuring problem Improper cuff position or attachment Weak or abnormal blood circulation Slow heart rate ass...

Страница 60: ...rs the high frequency artifacts but catches slow changes in the ST segment Susceptible to baseline wander Check electrode quality and positioning Avoid placing over body hair bones close to skin layer...

Страница 61: ...cavenging vacuum is not too strong Patient spirometry values are unreliable Check that selected Sensor Type corresponds to the sensor attached to the patient Remove D lite and shake drops away Check t...

Страница 62: ...connect the power cord from the power supply and have the equipment serviced by authorized service personnel Daily and between patients Once a month Every six months Wipe monitor surface Wipe ECG trun...

Страница 63: ...loose end of the sampling line to the regulator on the gas container See the accessory package for cleaning and checking Do not reuse disposable accessories 3 Turn on the monitor Let it warm up for 30...

Страница 64: ...al stimulus current is not found the message Supramaximal not found is displayed If the current is set manually the message Setting reference is displayed directly Always check the electrode quality C...

Страница 65: ...56...

Страница 66: ...onnect ear sensor with DB connector 2 m 6 5 ft 165611 Central temp probe pediatric 2 8 m 9 ft Trunk cables AAMI color coding 545307 3 lead cable 1 2 m 4 ft Cables for integrated reusable sensors Dispo...

Страница 67: ...Infant cuff 5 white 20 pkg Cuff hoses 895732 Adult hose black 1 8 m 6 ft 877235 Adult hose black 3 m 10 ft 879739 Adult hose black 6 m 20 ft 877514 Infant hose white 3 m 10 ft 890639 Infant hose whit...

Страница 68: ...2 m 6 5 ft OXY F DB Airway Gases Anesthesia gas sampling lines Includes ECG cables with AAMI color coding 75553 01 Regulator for 755571 73319 Disposable 3 m 10 ft 10 pkg Gas return and scavenging CO2...

Страница 69: ...for Excel 210 and Modulus I 1001 3482 000Dovetail 38 cm 15 in arm mounting kit 36 kg 80 lb weight kit 1004 3943 000Dovetail 38 cm 15 in arm mounting kit 18 kg 40 lb weight kit Mounting Solution for S...

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