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Dräger VITALERT 2000, Инструкция оператора

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APPENDIX 4: TROUBLESHOOTING GUIDE

PROBLEM

POSSIBLE CAUSE

REMEDY

No ECG trace.

Cable disconnect.

Secure connections.

Lead disconnected from
electrode or cable.

No pressure trace.

Transducer improperly attached
to monitor.

Secure attachment.

Pressure channel not zeroed.

Zero the channel.

Unable to zero
pressure.

Faulty transducer.

Replace the transducer.

Pressure offset too high.

Verify that the catheter tip is as
close as possible to the same
elevation as the transducer
dome.

Verify that the transducer is in
the position of use and attached
to the fluid system.

Check the transducer
manufacturer’s instructions for
use.

Waveform greater than 5 mm
Hg, peak to peak.

Check stopcocks. Prior to
zeroing, be sure the pressure
transducer has been positioned
and connected for at least 5
minutes for stabilization.

Noisy ECG traces.

Loose or dry electrodes.

Apply new electrodes.

Defective electrode wires.

Replace the wires.

Patient cables or leads routed
too close to other electrical
devices.

Reroute other cables.

Electrosurgical
interference.

Inadequate skin prep prior to
electrode application.

Repeat skin prep and electrode
placement procedures.

Wrong cable type.

Replace the cable.

Cable is damaged.

35

RETURN TO CD-ROM TABLE OF CONTENTS

Содержание VITALERT 2000

Страница 1: ...Operator s Instruction Manual VITALERT 2000 2000E Vital Signs Monitoring System RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 2: ...RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 3: ...NG AND STERILIZATION 26 PRECAUTIONS FOR MAINTENANCE AND USE 26 SPARE AND REPLACEMENT PARTS 27 APPENDIX 1 VITALERT 2000 SPECIFICATIONS 28 APPENDIX 2 VITALERT 2000 ALARM MESSAGES 32 APPENDIX 3 VITALERT 2000 DATA MESSAGES 34 APPENDIX 4 TROUBLESHOOTING GUIDE 35 APPENDIX 5 VITALINK COMMANDS 39 APPENDIX 6 VITALINK DATA MESSAGES 40 INDEX 42 RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 4: ...RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 5: ...ating room Therefore the responsibility for choosing the appropriate safety monitoring devices rests with the operator and user of the equipment Patient safety may be achieved through a variety of different means depending on the institutional procedures the preference of the operators and the application of the system These means range from electronic surveillance of equipment performance and pat...

Страница 6: ...r repaired with North American Dräger holding the option North American Dräger is not responsible for deterioration wear or abuse In any case North American Dräger will not be liable beyond the original selling price Application of this warranty is subject to the following conditions 1 North American Dräger or its authorized representative must be promptly notified in writing upon detection of the...

Страница 7: ... for return The following are accepted reasons for return of merchandise 1 Defective goods 2 Customer order error 3 NAD order shipping error Any shortages or errors in shipment of goods must be reported to NAD within two 2 weeks of shipment in order for corrective action to be taken Goods are subject to the terms of any applicable warranty Defective products will be accepted for return at North Am...

Страница 8: ...bject to the following conditions 1 North American Dräger or its authorized representative must be promptly notified in writing upon detection of the defective material or equipment 2 Defective material or equipment must be returned shipping prepaid to North American Dräger or its authorized representative 3 Examination by North American Dräger or its authorized representative must confirm that th...

Страница 9: ...gram ECG invasive blood pressure and temperature A display screen is provided for presentation of waveforms data and structured alarms INVASIVE BLOOD PRESSURE CABLE CONNECTIONS ECG CABLE CONNECTION TEMPERATURE CABLE CONNECTIONS SOFT KEYS STRIP CHART RECORDER SYSTEM POWER KEYS STRIP CHART RECORDER KEYPAD MONITOR KEYPAD DISPLAY SCREEN OP20500 FIGURE 1 VITALERT 2000 FRONT VIEW 1 RETURN TO CD ROM TABL...

Страница 10: ...alization of alarms The VITALERT 2000 features self diagnostics and automatic reserve battery power during AC power failure The VITALERT 2000 also utilizes a built in strip chart recorder to make hard copy records of on screen information OP27002 HANDLE CIRCUIT BREAKERS SERIAL INTERFACE CONNECTOR POWER CONNECTOR HANDLE FIGURE 2 VITALERT 2000 REAR VIEW 2 RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 11: ... the confusion and nuisance caused by simultaneous alarms When interfaced to a host system such as NARKOMED 3 NARKOMED 2B or VITALERT 1000 VITALERT 2000 audio alarms are disabled the alarm condition is annunciated through the host system Monitor Screen The Monitor screen Figure 3 presents graphic and numerical information derived from the ECG lead the invasive blood pressure transducers and the te...

Страница 12: ...g P2 Systolic Pressure P2 Diastolic Pressure P2 Mean Pressure P2 Alarm Limits systolic diastolic or mean OP27003 98 6 T2 WARNING ADVISORY CAUTION HRT RATE LO ART SYS LOW PAPER OUT 99 2 T1 68 105 74 16 100 70 180 110 30 10 86 26 8 0 120 50 30 0 P2CVP P1ART HI LO P1 0 P2 SCALE CONFIG HELP ALARMS OFF BLOOD PRESURE ALARMS HEARTRATE ALARMS HI LO P1 0 SCALE P2 FREEZE LEAD SCALE BASELINE AUTOSCALE P1 BLO...

Страница 13: ... Freeze Screen The Freeze screen allows the operator to examine a 16 second section of the ECG waveform Help Screens The VITALERT 2000 incorporates a Help key to aid in the understanding of VITALERT 2000 operation Strip Chart Recorder The strip chart recorder allows the operator to make hard copy records of the ECG waveform P1 waveform measurement data or trends Back Up Power System In case of an ...

Страница 14: ... 2000 contributes to the total system chassis leakage current of that device This total leakage current should not exceed 100 microamps Connecting the VITALERT 2000 to a Computer To interface the VITALERT 2000 to a computer with RS 232 Serial Port 1 Connect the 9 pin end of the DB9 DB25 30 inch data cable Part 4109882 to the serial port on the rear of the VITALERT 2000 Fig 2 2 Connect the other en...

Страница 15: ...9600 DATA BITS 8 PARITY EVEN STOP BITS 2 RTS CTS OFF PROTOCOL VITALINK Port E of the NARKOMED 3 automatically defaults to the configuration values outlined in Step 4 NOTE In order to ensure the proper operation of Vitalink communications the following firmware versions or later should be present on the Narkomed 3 Trend 1 04 Serial IF ECC 1 02 CCC 1 07 Connecting the VITALERT 2000 to a NARKOMED 2B ...

Страница 16: ...ction in NARKOMED 4 Operator s Manual NOTE There is no RTS CTS setting with the NARKOMED 4 Connecting the VITALERT 2000 to a NARKOMED 2C To interface the VITALERT 2000 to the NARKOMED 2C anesthesia system 1 Connect one end of the DB9 DB9 30 inch data cable Part 4110328 to the serial port on the rear of the VITALERT 2000 Fig 2 2 Connect the other end of the cable to either Port A or Port B on the r...

Страница 17: ...onfigurable VITALERT 2000 functions with the labeled soft keys beneath the display NOTE While in the Configuration mode the VITALERT 2000 continues to monitor alarm conditions The VITALERT 2000 automatically returns to the Monitor screen one minute following the last keystroke in the Configuration mode All settings and selections of the Configuration mode unless otherwise specified are retained in...

Страница 18: ...ale selection See the Operating Instructions section of this manual for more information P2 Scale The P2 Scale option configures the P2 SCALE key for manual or automatic pressure waveform scale selection See the Operating Instructions section of this manual for more information Temperature Units Selecting Temperature Units allows the operator to display the measured temperature in either Fahrenhei...

Страница 19: ...his screen Audio Alarm Volume The first function Audio Alarm Volume selects one of three alarm annunciation levels Low Medium High NOTE When interfaced to a host monitoring system such as the NARKOMED 3 NARKOMED 2B or VITALERT 1000 audible alarms annunciate through the host monitoring system Heart Audio Volume The Heart Audio Volume function allows the operator to enable or disable an audio tone H...

Страница 20: ...n the VITALERT 2000 is turned off The adjustment range for each alarm limit is given in the chart below ALARM LIMIT ADJUSTMENT RANGE Low Heart Rate 30 bpm to high heart rate 1 High Heart Rate low heart rate 1 to 250 bpm Low Arterial Systolic 30 mm Hg to high systolic 1 High Arterial Systolic low systolic 1 to 285 mm Hg Low CVP Mean 0 mm Hg to high mean 1 High CVP Mean low mean 1 to 60 mm Hg Low PA...

Страница 21: ...order when one or more of the following occur Warning alarm Caution alarm Noninvasive blood pressure measurement Preselected time interval every 2 5 5 10 15 or 30 minutes On power up the VITALERT 2000 defaults the Auto Print function to OFF all criteria selections are retained in memory HI LO P1 0 P2 SCALE ALARMS OFF BLOOD PRESURE ALARMS HEART RATE ALARMS HI LO P1 0 SCALE P2 FREEZE OP27008 LEAD SC...

Страница 22: ...igure the serial port for communication with the NARKOMED 3 NARKOMED 2B VITALERT 1000 or other device capable of communications via Vitalink The following serial port configurations are possible BAUD RATE 1200 2400 4800 or 9600 DATA BITS 7 or 8 PARITY ODD EVEN or NONE STOP BITS 1 or 2 RTS CTS ON or OFF HI LO P1 0 P2 SCALE HELP ALARMS OFF BLOOD PRESURE ALARMS HEART RATE ALARMS HI LO P1 0 SCALE P2 F...

Страница 23: ...ed with a NARKOMED 3 NARKOMED 2B or VITALERT 1000 the date and time are automatically set by the host system When used as a stand alone monitor turn the VITALERT 2000 to STANDBY then to ON again after time and date changes This ensures the correct time on trend plots HI LO P1 0 P2 SCALE ALARMS OFF BLOOD PRESURE ALARMS HEART RATE ALARMS HI LO P1 0 SCALE P2 FREEZE OP27010 LEAD SCALE BASELINE AUTOSCA...

Страница 24: ...o 10 mm mV on power up All other configuration settings are retained from the last VITALERT 2000 configuration Refer to the previous chapter to make changes to the VITALERT 2000 configuration Keyboard Operation A description of each key s function is given below ON activates the VITALERT 2000 Monitor The VITALERT 2000 can also be remotely activated through its external communications port When int...

Страница 25: ...blood pressure monitoring to begin To zero the pressure transducer the input pressure must be stable with an offset of less than 150 mm Hg PRESSURE SCALING P1 SCALE P2 SCALE selects the display scale for the respective invasive blood pressure channels Each channel has its own scale to optimize the resolution of the display waveforms If configured the VITALERT 2000 will automatically select the dis...

Страница 26: ...eform CO2 initiates a printed copy of the CO2 waveform on the strip chart recorder the plot will be suspended after 12 seconds of data have been printed the CO2 key is pressed again or Vitalink communications are interrupted If CO2 waveform data is not available the message NO WAVEFORM DATA is printed on the strip chart recorder TREND PLOT initiates a printed copy of each trended measurement of th...

Страница 27: ...or signal If a sensor signal is received at initialization then ceases the VITALERT 2000 registers a disconnect which is indicated as an Advisory message at the bottom of the screen However if the ECG cable is not connected at power up the VITALERT 2000 will also register a disconnect ECG Display The ECG display of the VITALERT 2000 located at the top of the monitor screen includes the ECG wavefor...

Страница 28: ...ute the displayed heart rate The value of the heart rate is displayed in large characters to the right of the ECG waveform The displayed heart rate is based on the rate of the most recent beats with asystole factored in after two seconds Averaging is performed with more weight applied to the interval rate of the most recent beats This method provides quick response to tachycardias bradycardias and...

Страница 29: ...ture is activated ECG Channel Noise During the use of an Electrosurgical Unit or in cases of a lead fault condition the message NOISY SIGNAL CHECK LEADS may appear in place of the ECG waveform The flashing heart indicator is removed from the display and any ECG related alarms that would normally be displayed at the bottom of the screen are also suppressed along with the heart audio tone The Blood ...

Страница 30: ...ntered about the waveform CVP or PA pressures are shown on a scale where the lower boundary is zero and the upper boundary is 5 10 mm Hg above the systolic pressure Blood Pressure Measurements The VITALERT 2000 displays the systolic mean and diastolic values to the right of each pressure waveform Blood Pressure Alarm Limits High and low alarm limits are provided for the P1 systolic pressure and P2...

Страница 31: ...0 invokes the ECG Freeze screen when the FREEZE key is pressed Fig 14 The ECG Freeze screen allows the operator to closely analyze a fixed portion of the ECG waveform The ECG Freeze screen contains a 16 second section of the ECG waveform A portion of the waveform enclosed by a box is expanded for closer examination This portion is displayed on a 5 mm grid The two center soft keys can be used to mo...

Страница 32: ...s and Precautions The operator chooses a specific Help topic by pressing the soft key labeled SELECT to advance the cursor to the corresponding topic label on the menu then pressing the ENTER soft key After a topic is selected the operator can view the various screens within the topic by using the labeled soft keys beneath the display The VITALERT 2000 automatically returns to the Monitor screen o...

Страница 33: ...nd Precautions The Warnings and Precautions topic provides a list of warnings and cautions that must be followed for the safe and effective operation of the VITALERT 2000 monitor HI LO P1 0 P2 SCALE ALARMS OFF BLOOD PRESURE ALARMS HEART RATE ALARMS HI LO P1 0 SCALE P2 FREEZE OP27016 LEAD SCALE BASELINE AUTOSCALE CONFIG HELP MONITOR 100 60 68 0 HELP MENU RECORDER PAPER LOADING INSTRUCTIONS HELP SCR...

Страница 34: ...r close surveillance See disclosure of the pacemaker pulse rejection capability of this instrument Cautions When moving equipment which has a VITALERT 2000 mounted to it remove the VITALERT 2000 and move it separately When plugged into the AC convenience receptacle of another device the VITALERT 2000 contributes approximately 30 A to the total system chassis leakage of that device This total leaka...

Страница 35: ...leads 4112846 Sorenson Research Transpac II Blood Pressure Cable 4110917 Sorenson Research Transpac III IV Invasive Blood Pressure Cable 4112024 Spectromed DTX Blood Pressure Cable 4110916 Utah Medical Deltran II Blood Pressure Cable 4110918 Cobe CDX III Blood Pressure Cable 4110554 Temperature Probes YSI Series 700 2 4107800 Chart Paper 1 roll 4110335 Vitalink Technical Reference Manual 4110117 V...

Страница 36: ...AC 50 Hz VITALERT 2000E Leakage Current 30 µA 60 µA VITALERT 2000E Dielectric withstand 1500 VAC Chassis resistance Chassis to AC ground terminal 0 1 OHM Patient Leakage Current 10 µA Leads Off Sensing Current 0 2 µA Patient Isolation AC mains to patient 4000 VAC Battery charging time 16 hours Battery back up time 10 minutes ECG Specifications Sensor Input Range 10 to 10 mV differential Resolution...

Страница 37: ...Time to alarm for a step change from 80 bpm to 120 bpm NSR with the heart rate high alarm limit set to 100 bpm 3 seconds Time to Alarm for Bradycardia Time to alarm for a step change from 80 bpm to 0 bpm NSR with the heart rate low alarm limit set to 60 bpm 3 seconds Time to alarm for a step change from 80 bpm to 40 bpm NSR with the heart rate low alarm limit set to 60 bpm 5 seconds Heart Rate Met...

Страница 38: ...esponse 0 to 15 Hz Accuracy 5 mm Hg or 5 or reading whichever is greater excluding transducer error Temperature Specifications 2 channels YSI 700 Series Probe Range 15 to 50 C 59 to 122 F Resolution 0 1 C 0 1 F Accuracy 0 2 C 15 to 50 C Serial Port Specifications Type RS 232 Pinout PIN SIGNAL 1 DCD 2 RxD 3 TxD 4 DTR 5 GND 6 DSR 7 RTS 8 CTS 9 RI 30 RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 39: ...rity Odd Even or None Data Bits 7 or 8 bits character Stop Bits 1 or 2 RTS CTS ON or OFF Protocol Vitalink Environmental Storage Temperature 20 to 60 C Humidity 10 to 90 noncondensing Operating Temperature 10 to 30 C Humidity 10 to 90 noncondensing 31 RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 40: ...OW P2 systolic less than lowlimit INT 87H 20 C ART SYS HI Arterial systolic greater than high limit INT 69H 20 C CVP MEAN HI CVP mean greater than high limit INT 80H 20 C PA DIAS HIGH PA diastolic greater than high limit INT 82H 20 C P2 SYS HIGH P2 Systolic greater than high limit INT 88H 20 C ECG PWR FAIL No AC power and battery low INT 9AH 11 A ECG AC FAIL AC power failure disconnect SINGLE TONE...

Страница 41: ...H 2 A ECG CAB DISC ECG cable or lead wire disconnect NONE 8EH 2 A ECG BAT LOW Reserve power supply low NONE 4EH 2 A COMM ERROR Communication error or data cable disconnect NONE 8FH 1 A ECG MON ERROR ECG monitor error NONE 66H 1 A PAPER OUT SCR Strip chart recorder out of paper NONE 71H 1 A P1 ALARM OFF P1 alarm disabled NONE 9CH 1 A P2 ALARM OFF P2 alarm disabled NONE 9DH 1 A HR ALARM OFF Heart ra...

Страница 42: ...XX mm Hg A5H P2 CVP mean measurement CVP DIASTOLIC XXX mm Hg A0H P2 CVP diasolic measurement P2 ART SYSTOLIC XXX mm Hg D4H P2 ART systolic measurement P2 ART MEAN XXX mm Hg D3H P2 ART mean measurement P2 ART DIASTOLIC XXX mm Hg D1H P1 ART diastolic measurement PA SYSTOLIC XXX mm Hg D9H P2 PA systolic measurement PA MEAN XXX mm Hg D8H P2 PA mean measurement PA DIASTOLIC XXX mm Hg D6H P2 PA diastoli...

Страница 43: ...sition of use and attached to the fluid system Check the transducer manufacturer s instructions for use Waveform greater than 5 mm Hg peak to peak Check stopcocks Prior to zeroing be sure the pressure transducer has been positioned and connected for at least 5 minutes for stabilization Noisy ECG traces Loose or dry electrodes Apply new electrodes Defective electrode wires Replace the wires Patient...

Страница 44: ...odes placed over large muscles or bones Choose different site for electrodes Temperature reads low Poor probe body contact Check body surface contact at the probe tip Reposition or apply thermoconductive gel No display Unit is turned off Press the ON key on the front panel Circuit breaker s tripped Check and reset Unit is not plugged into a live AC outlet Plug the AC power cord into a live AC rece...

Страница 45: ...e connections electrode to lead lead to cable or cable to monitor Secure connections Dry electrodes Re prep skin Apply fresh electrodes Damaged cable or lead wires Replace damaged cable or lead wire Excessive alarms heart rate Dry electrodes Re prep skin Apply fresh electrodes High or low alarm limit is set too close to patient s normal heart rate Readjust the alarm limit R wave is too small Selec...

Страница 46: ...e has been depleted Leave the VITALERT 2000 plugged into an active AC receptacle for 16 hours Battery circuit breaker tripped Investigate cause and reset the circuit breaker Serial port not communicating Data cable disconnected Secure all data cables VITALERT 2000 or device improperly configured Reconfigure port see Configuration section Strip chart recorder not plotting Printer out of paper Inser...

Страница 47: ...ata 38H Clear trend data 39H Invoke power on default settings 51H Initialize communications CONFIGURATION COMMANDS Code Command 20H Request data configuration 21H Request low alarm limit configuration 22H Request high alarm limit configuration 23H Request alarm configuration The Vitalert 2000 issues the following Vitalink commands UPDATE REQUEST COMMANDS Code Command 24H Request current data 27H R...

Страница 48: ...FRESH GAS ISOFLURANE X XX F3H INSP HALOTHANE X XX F4H EXP HALOTHANE X XX F5H INSP ENFLURANE X XX F6H EXP ENFLURANE X XX F7H INSP ISOFLURANE X XX F8H EXP ISOFLURANE X XX F9H INSP N20 XXX_ FBH EXP N20 XXX_ FCH PULSE RATE OXIMETER XXX_ min E1H INSP CO2 XX__mm Hg E5H END TIDAL C02 XX__mm Hg R6H INSP AGENT X XX E9H EXP AGENT X XX EAH FRESH GAS AGENT X XX ECH OXYGEN SATURATION XXX_ EBH 40 RETURN TO CD R...

Страница 49: ...X X L B9H TIDAL VOLUME X XX L 82H NIBP SAMPLE AGE XX X min 92H NIBP SMAPLE INTERVAL XX X min 94H NIBP SYSTOLIC XXX_mm Hg 96H NIBP MEAN XXX_mm Hg 91H NIBP DIASTOLIC XXX_mm Hg 8CH NIBP PULSE RATE XXX_ min 87H MEAN BREATHING PRES _XX_cm H20 73H PEEP BREATHING PRES _XX_cm H20 78H 41 RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 50: ...ization 26 Computer interface 6 Configuration 5 9 15 Monitoring Options screen 10 11 Audio Adjustment screen 11 12 Alarm Limits screen 12 Auto Print Auto Plot ECG screen 13 14 Communication Port screen 14 15 Set Time and Date screen 15 Configuration menu 9 D Data messages 40 41 Date and Time configuration see Configuration Display screens 1 19 E ECG display 3 19 ECG freeze screen 5 23 ECG lead 20 ...

Страница 51: ...ing 26 Power cable 6 Precautions 26 Pre use checkout 26 Pulse oximeter 12 20 R R wave detection 10 20 Real time clock 15 S Self diagnostic tests 5 16 Spare and replacement parts 27 Specifications 28 31 Strip chart recorder 2 5 13 operation 18 paper loading instructions 25 Sweep rate 10 20 T Temperature display 5 22 Temperature units 10 Trace speed 10 Trend plots 18 Troubleshooting guide 35 38 V VI...

Страница 52: ...RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 53: ...RETURN TO CD ROM TABLE OF CONTENTS ...

Страница 54: ...ford PA 18969 215 721 5400 215 721 9561 Sales Fax 215 723 5935 Service Fax Part Number 4110145 002 VITALERT 2000 2000E Operator s Instruction Manual Rev A Date June 30 1995 1995 N A D Inc RETURN TO CD ROM TABLE OF CONTENTS ...

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