xx
Microstream
®
EtCO
2
sampling tubes are designed for single patient use, and are not to be reused. Do not
attempt to clean, disinfect, sterilize or flush any part of the sampling tube as this can cause damage to the
monitor or lead to cross-infection.
Dispose of sampling tubes according to standard operating procedures or local regulations for the disposal of
contaminated medical waste.
Before use, carefully read the Directions for Use for the Microstream
®
EtCO
2
sampling tube.
Only use Microstream
®
EtCO
2
sampling lines to ensure the monitor functions properly.
Precautions about the CO
2
Monitoring (HPD-800/HPD-810/HPD-820 Gas Unit I/F)
The disposable airway adapter should be opened just before use.
Do not reuse the disposable airway adapter. If sterilized, it will become unusable.
The airway adapter should be attached with the thicker side facing to the patient. If attached oppositely, it may
damage the CO
2
sensor or airway adapter.
Dispose of calibration gas according to the regulation of each medical institution.
Precautions about the BIS Monitoring (HBX-800 BISx I/F Unit)
The conductive parts of sensors and connectors should not contact other conductive parts, including earth.
To reduce the hazard of burns in the high-frequency surgical neutral electrode connection, the BIS sensor
should not be located between the surgical site and the electrosurgical unit return electrode.
The BIS sensor must not be located between defibrillator pads when a defibrillator is used on a
patient connected to the patient monitor.
Continuous impedance checking may need to be disabled if the 1 nA, 128 Hz impedance check signal
interferes with other equipment (e.g., evoked potential monitors).
Considerations when using Electro-Convulsive Therapy (ECT) equipment during BIS monitoring: Place ECT
electrodes as far as possible from the BIS sensor to minimize the effect of interference. Certain ECT equipment
may interfere with the proper function of the BIS monitoring system.
Precautions about the Alarm
Alarm messages will be displayed according to the priority. (Level S > Level H > Level M > Level L> Level N)
For the same alarm level, the alarm message for the newer alarm will be displayed.
The arrhythmia alarm message other than Tachy, Brady, Ext Tachy, Ext Brady will continue to be displayed
for 30 seconds after the alarm is resolved.
When "LEAD OFF", "Check Electrodes" is displayed, HR alarm or arrhythmia alarm will not function. If this
condition is left unresolved, a sudden change of the patient may not be noticed. Take prompt action when the
lead-off condition is detected.
For the HPD-800/HPD-810/HPD-820 Gas Unit I/F and HCP-800/HCP-810/HCP-820 CO
2
Gas Unit, the upper
EtCO
2
alarm will not generate if the upper limit is set to 100 mmHg/13.4 kPa and above as the measurement
range is 0 to 99 mmHg / 0 to 13.3 kPa.
Whether to use the SpO
2
second alarm function and its threshold selection should be based on the patient's
clinical indication/portent and medical evaluation.
If the SpO
2
alarm and second alarm setup is set to [OFF], the second alarm integral value will be set to 0.
Pay attention not to set the alarm volume too low to avoid missing any important alarms.
On a wired network, the alarm generated on the bedside monitor will be output to the network with a maximum
delay of 1 second, and to the central monitor with a total delay of 2.5 seconds.
If the NIBP alarm is turned OFF under the Oxygenator Mode, NIBP auto mode measurement and NIBP
measurement at alarm occurrence will not be performed.
If the same or similar equipments with different alarm settings are used in the same facility or same department,
pay attention not to misjudge the alarms.
Precautions about the System Setup
When the waveform and numeric data display for each parameter is set to OFF, the alarm and trend input will
be also suspended.
If the HR/PR source is set to [BP], and if BP waveform/numeric data is set to [Disp. OFF], the PR value will
CAUTION
CAUTION
CAUTION
CAUTION
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