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User Manual for Vital Signs Monitor

VI

7.1

 

P

ACKAGING

...........................................................................................................................

 

4

1

7.2

 

A

CCESSORIES

.........................................................................................................................

 

4

1

CHAPTER

 

8

 

MONITORING

 

PARAMETER.....................................................

 

4

2

8.1

 

ECG

 

M

ONITORING

.................................................................................................................4

2

8.1.1

 

How

 

to

 

Obtain

 

High

 

Quality

 

ECG

 

and

 

Accurate

 

Heart

 

Rate

 

Value....................................................

 

4

2

8.1.2

 

Factors

 

affecting

 

ECG

 

signal..............................................................................................................

 

4

3

8.2

 

NIBP

 

M

ONITORING

................................................................................................................4

3

8.2.1

 

Measuring

 

Principle............................................................................................................................

 

4

3

8.2.2

 

Factors

 

affecting

 

NIBP

 

measuring......................................................................................................

 

4

4

8.2.3

 

Clinical

 

Limitations.............................................................................................................................

 

4

5

8.3

 

S

P

O

2

 

M

ONITORING

................................................................................................................

 

4

5

8.3.1

 

Measuring

 

Principle............................................................................................................................

 

4

5

8.3.2

 

SpO

2

 

Measurement

 

Restrictions

 

(interference

 

reason)........................................................................

 46

8.3.3

 

Low

 

SpO

2

 

measuring

 

value

 

caused

 

by

 

pathology

 

reason....................................................................

 46

8.3.4

 

Clinical

 

Limitations.............................................................................................................................

 46

8.3.5

 

Points

 

to

 

be

 

noted

 

in

 

SpO

2

 

and

 

Pulse

 

Measuring................................................................................

 47

8.4

 

T

EMPERATURE

 

M

ONITORING

.................................................................................................

 47

CHAPTER

 

9

 

TROUBLESHOOTING..................................................................

48

9.1

 

N

O

 

D

ISPLAY

 

ON

 

THE

 

S

CREEN

................................................................................................

 48

9.2

 

E

XCESSIVE

 

ECG

 

S

IGNAL

 

I

NTERFERENCE

 

OR

 

T

OO

 

T

HICK

 

B

ASELINE

.....................................

 48

9.3

 

N

O

 

B

LOOD

 

P

RESSURE

 

AND

 

P

ULSE

 

O

XYGEN

 

M

EASURES

.......................................................

48

9.4

 

B

LANK

 

P

RINTING

 

P

APER

........................................................................................................

48

9.5

 

S

YSTEM

 

A

LARM

.....................................................................................................................

 48

CHAPTER

 

10

 

MAINTENANCE...........................................................................

49

10.1

 

S

ERVICE

 

AND

 

E

XAMINATION

...............................................................................................

 49

10.1.1

 

Daily

 

Examination.............................................................................................................................

 49

10.1.2

 

Routine

 

Maintenance.........................................................................................................................

 49

10.1.3

 

Battery

 

Maintenance.........................................................................................................................

  49

10.1.4

 

Service...............................................................................................................................................

 

5

0

10.2

 

C

LEANING

, S

TERILIZATION

 

AND

 

D

ISINFECTION

..................................................................5

0

10.3

 

C

LEANING

, S

TERILIZATION

 

AND

 

D

ISINFECTION

 

OF

 

A

CCESSORIES

......................................5

1

10.4

 

S

TORAGE

......................................................................................................................

.

...

..

....5

1

10.5

 

T

RANSPORTATION

................................................................................................................

 

5

1

CHAPTER

 

11

 

APPENDIX.....................................................................................5

2

Содержание 35120

Страница 1: ...SIGNS MONITOR PC 900 M35120 GB Rev 3 09 21 PROFESSIONAL MEDICAL PRODUCTS Gima S p A Via Marconi 1 20060 Gessate MI Italy gima gimaitaly com export gimaitaly com www gimaitaly com Made in China 0476 3...

Страница 2: ...the safety procedures to protect both the user and equipment Refer to the respective chapters for details The Manual is published in English and we have the ultimate right to explain the Manual No pa...

Страница 3: ...canning Use during MRI could cause burns or adversely affect the MRI image or the monitor s accuracy 0 If you have any doubt to the grounding layout and its performance you must use the built in batte...

Страница 4: ...e who have anaphylaxis 0 All the connecting cables and rubber tubes of the applying parts should be kept away from the patient s cervix to prevent any possible suffocation of the patient 0 All the par...

Страница 5: ...e Package and Check 8 3 2 2 Connecting the Power Supply 8 3 2 3 Starting the Monitor 8 3 3 SENSOR PLACEMENT AND CONNECTION 9 3 3 1 ECG Cable Connection 9 3 3 2 Blood Pressure Cuff Connection 11 3 3 3...

Страница 6: ...System Setup 32 4 7 6 Patient Info 33 4 7 7 Date Time 34 4 7 8 Recover Default Settings 34 4 8 POWER SAVING MODE 34 CHAPTER 5 ALARM 35 5 1 ALARM PRIORITY 35 5 2 ALARM MODES 35 5 3 ALARM SILENCE 36 5 4...

Страница 7: ...aused by pathology reason 46 8 3 4 Clinical Limitations 46 8 3 5 Points to be noted in SpO2 and Pulse Measuring 47 8 4 TEMPERATURE MONITORING 47 CHAPTER 9 TROUBLESHOOTING 48 9 1 NO DISPLAY ON THE SCRE...

Страница 8: ...tal Signs Monitor VII 11 1 PROMPT INFORMATION EXPLANATIONS 52 11 2 DEFAULT ALARMING VALUES AND SETUP RANGE 53 11 3 ABBREVIATION OF ARRHYTHMIA 54 11 4 ACCESSORIES LIST 55 11 5 INSTRUCTIONS FOR SPO2 PRO...

Страница 9: ...nter is optional to print out waveforms and text information 1 2 Product Name and Model Name Vital Signs Monitor Model PC 900 1 3 Intended Use This Monitor is a multi functional instrument designed fo...

Страница 10: ...Pediatric Patient Pulse sync indicator Neonatal Patient Setup Menu NIBP Start Cancel AC Power Alarm Silence DC Power Print Type BF applied part Up Type CF applied part with defibrillator protection OK...

Страница 11: ...oosing necessary modules Therefore your monitor may not have all the monitoring functions and accessories 1 ECG TEMP module measures ECG signal and detects heart rate with ECG lead wires and electrode...

Страница 12: ...Appearance 3 1 1 Front Panel Figure 3 1 Front panel illustration Description 1 Alarm indicator Indicator Alarm Level Alarm Event Red flashing High priority alarm Exceeding the limits low battery volt...

Страница 13: ...ally 7 PR priority indicator if PR indicator is on it indicates that the numerical value beside is pulse rate value Unit bpm beats per minute If SpO2 and NIBP are monitoring at the same time only the...

Страница 14: ...reen this device is using mains power supply ON green ON orange this device is using mains power supply and the battery is being recharged OFF ON green the battery is being used OFF ON orange blinking...

Страница 15: ...an community Manufacturer including address and date Disposal of this device according to WEEE regulations 4 FUSE T3 15 A Fuse holder Fuse specification T3 15AL 250V 5 20mm 5 AC100 240V AC power suppl...

Страница 16: ...ection to the equipotential grounding system Connect one end of the provided ground cable to equipotential grounding port on the rear of the monitor and connect the other end to one point of the equip...

Страница 17: ...zation Using dissimilar metals may also increase recovery time after defibrillation 3 Prepare the electrode sites according to the electrode manufacturer s instructions 4 Skin clean Clean and dry abra...

Страница 18: ...White Yellow C2 Brown Yellow V2 4th IC space at left border of sternum White Green C3 Brown Green V3 Midway between V2 and V4 White Brown blue C4 Brown Blue V4 5th IC space on left midclavicular line...

Страница 19: ...nal check first When removing the ECG cable hold the head of the connector and pull it out When the monitor is inoperable due to an overload or saturation of any part of the amplifier it will prompt L...

Страница 20: ...ssure will increase automatically until it exceeds the limit value specified in table A This pressure limit value depends on the patient type selection as shown in table A Adult 240mmHg Child 200mmHg...

Страница 21: ...ed at the presence of a doctor nurse 0 NIBP monitoring is prohibited to those who have severe hemorrhagic tendency or with sickle cell disease or partial bleeding will appear 0 Pay attention to the co...

Страница 22: ...3 3 3 SpO2 Sensor Connection SpO2 sensor is a very delicate part Please follow the steps and procedures in operating it Failure to operate it correctly can cause damage to the SpO2 sensor Operation pr...

Страница 23: ...steam or ethylene oxide Safety Introductions for SpO2 Monitoring 0 Continuous use of SpO2 sensor may result in discomfort or pain especially for those with microcirculatory problem It is recommended...

Страница 24: ...put the paper roll into the compartment 5 Pull the paper out of paper slot on the shield 6 Move the tab of the rubber roller lock 90 downwards to lock it 7 Put the shield back in position and secure...

Страница 25: ...e button to open the paper cartridge Step 2 Install the paper to the printer properly pull the paper out of the printer for 2 cm as shown in figure 3 10 Step 3 Close the printer cover along the direct...

Страница 26: ...ction as shown in Fig 3 11 to insert the battery into any one of battery compartments Do not insert battery with their polarities reversed 3 Move the battery baffle to secure battery 4 Close the batte...

Страница 27: ...is similar Figure 4 1 ECG SpO2 monitoring screen Lead off Probe off Insert the ECG cable and SpO2 probe cable into the socket labeled ECG and SpO2 then attach the ECG leads to the electrodes placed on...

Страница 28: ...more than one event occurs or more status appears the indication message will be displayed alternately at this segment NIBP C D XXX the counting down timer of NIBP measurement is XXX seconds This pro...

Страница 29: ...off ECG Lead off and SpO2 Probe off manually after alarm lasts for 5 minutes system will resume alarm silence status Figure 4 3 Alarm setup shortcut screen Alarm setup operation description 1 Press ke...

Страница 30: ...play area When ECG leads is attached on the patient and connected to the monitor well ECG waveform will be displayed in the main display area Prompt Info Probe off the SpO2 sensor is disconnected from...

Страница 31: ...Instructions 1 Press key or key to highlight trend length or cursor on selection 2 Press key to confirm 3 Press key or key again to select value of trend length 12 24 96 hours if the selecting box st...

Страница 32: ...the date the second column is NIBP measuring time the third column is NIBP value and the fourth column is pulse rate measured by NIBP module Up to 12000 groups of nonvolatile data can be stored in the...

Страница 33: ...previous next page for view other measurement values If SpO2 measurement is not more than 8 groups the keys or are not effective key short press this key to shift to next display view Long press to e...

Страница 34: ...ff thereafter the ECG data measured will not be stored 4 7 Setup Menu Screen At any display view screen long time press Display key to shift the screen to Setup Menu screen as shown in Figure 4 10 All...

Страница 35: ...CG waveform scale 1 4 Waveform scaled with 1 4 of the base gain 1 2 Waveform scaled with half of the base gain 1 Waveform scaled with base gain 2 Waveform scaled with twice of the base gain 1mV genera...

Страница 36: ...m range 1 100 SpO2 Lo low limit of SpO2 alarm range 0 99 PR pulse rate alarm switch indicates PR alarm is on indicates PR alarm is off PR Hi high limit of PR alarm range 22 250 PR Lo low limit of SpO2...

Страница 37: ...m is on indicates systolic pressure alarm is off DIA Hi high limit of diastolic pressure alarm range 22 230 mmHg DIA Lo low limit of diastolic pressure alarm range 20 228 mmHg MAP mean arterial pressu...

Страница 38: ...monitor will re inflate to maintain the cuff pressure close to the preset pressure value Note the unit of cuff pressure is the same with the NIBP unit in NIBP Setup Duration After presetting the cuff...

Страница 39: ...detection for ten seconds then the blood pressure module will deflate automatically and the screen displays measurements The NIBP calibration and Gas leak detection can only be carried on when the NI...

Страница 40: ...signal will not be sent out Duration two options pulse or continuous output modes are available continuous the continuous mode of output means the nurse call signal will keep until the selected alarm...

Страница 41: ...rom the monitor for demonstration and testing purpose When the mode Demo is selected the user can test whether the visual and audible alarm system runs normally by raising or lowering the alarm limit...

Страница 42: ...ctory default setting value 4 8 Power Saving Mode On the initial display screen you can make the monitor stay in power saving mode for power saving Short time press power button to shift screen to Pow...

Страница 43: ...des When an alarm occurs the monitor responds with visual alarm indications which are shown by two ways alarm indicator and alarm message description and audible alarm indications Visual Alarm Indicat...

Страница 44: ...the monitor alarms press key to suspend the alarm and set the alarm silence time 0 DO NOT silence the audible alarm or decrease its volume if patient safety could be compromised 0 zero value alarm oc...

Страница 45: ...rate alarm delay time 10s 6 Response time to change in heart rate Change from 80 bpm to 120 bpm 8 sec Change from 80 bpm to 40 bpm 8 sec 7 Tall T wave rejection Rejects all T wave less than or equal...

Страница 46: ...8 sec 8 sec 6 2 TEMP Monitoring 1 TEMP measuring range 21 0 50 0 2 TEMP measuring accuracy not greater than 0 2 o C for TEMP measuring range from 25 0o C 45 0 o C 3 TEMP responding time 150s 6 3 NIBP...

Страница 47: ...ate measuring range 30bpm 240bpm 2 Pulse rate measuring accuracy 2bpm or 2 whichever is greater 6 6 Data Recording 1 Sensitivity selection tolerance 5 2 Recording speed 25mm s 3 Recording speed accura...

Страница 48: ...mospheric pressure 50 0kPa 107 4kPa 6 9 Classification Safety standard IEC 60601 1 The type of protection against electric shock Class equipment The degree of protection against electric shock Type BF...

Страница 49: ...nst damage in the shipping and handling process Weight Details see the indication on the outer package Dimension 360 L 320 W 410 H mm 7 2 Accessorie Adult SpO2 probe 15044074 Power cord 2903 0100003 G...

Страница 50: ...re below shows the system of the heart First of all the hospital should be equipped with a 100 240V power supply system with a typical grounding wire If big interference in ECG continues connect one e...

Страница 51: ...an that of human ears the oscillating method uses different definitions for measurement of diastolic pressure mean arterial pressure and systolic pressure from the Korotkoff Sound Method When the osci...

Страница 52: ...se speed and heart rate has little effect on the measurement accuracy 3 Statistics show that when measuring the hypertension the measure taken by the oscillating method is likely to be lower than that...

Страница 53: ...f no less than 1 47kPa 11mmHg Note Some practitioners may report big discreteness or abnormal value of the blood pressure measures when the oscillating method is used As a matter of fact the so called...

Страница 54: ...arterial occlusion exists near sensor Obvious venous pulsations Peripheral arterial pulsation becomes weak Peripheral blood supply is not enough 8 3 4 Clinical Limitations As the measure is taken on t...

Страница 55: ...judgment rather than the monitor readout A functional tester cannot be used to assess the accuracy of the pulse oximeter monitor or a SpO2 sensor However a functional tester such as SpO2 simulator ca...

Страница 56: ...e cuff is properly wrapped around the arm according to the operating instructions if the cuff leaks and if the inlet is closely connected with the NIBP jack on the side panel Check if the indicator of...

Страница 57: ...oroughly inspected by qualified personnel including function and safety examinations The designed life of this monitor is 5 years In order to ensure its long service life please pay attention to the m...

Страница 58: ...y there is still small drain current inside battery so it is suggested that user should press the power button again to cut off the power supply If battery keeps in a state of small drain current batt...

Страница 59: ...luding sensor leads and plugs with a piece of gauze which has been soaked in 75 Alcohol or 70 Ispropanol before use 0 Do not use damaged accessories 0 Accessories can not be entirely immerged into wat...

Страница 60: ...ecause of the cuff or the patient has very weak pulse NIBP error 3 Blood pressure amplifier overflow due to excessive movement NIBP error 4 Leaking during the pneumatic device testing Cuff error Cuff...

Страница 61: ...50bpm TEMP High limit 39 0 39 0 39 0 Low limit 35 0 35 0 35 0 The high and low limits setting range Mode Parameter Adult Pediatric Neonate HR High limit 1 350 bpm 1 350 bpm 1 350 bpm Low limit 0 349...

Страница 62: ...VE COUPLET Ventricular Couplet 8 SVE COUPLET Supra ventricular Couplet 9 VE RUN Ventricular Run 10 SVE RUN Supra ventricular Run 11 VE SHORT RUN Ventricular Short Run 12 SVE SHORT RUN Supra ventricula...

Страница 63: ...uff Optional 15022402 Middle sized Pediatric NIBP cuff Optional 15023402 Large sized Pediatric NIBP cuff Optional 15020400 Neonate NIBP cuff 5 4 9 1cm Optional 15084120 Skin TEMP probe 5101 5236310 Th...

Страница 64: ...ith a solution such as 70 isopropyl alcohol If low level disinfection is required use a 1 10 bleach solution Warnings 1 Some factors may affect the accuracy of saturation measurements Such factors inc...

Страница 65: ...opropyl alcohol If low level disinfection is required use a 1 10 bleach solution Caution Do not sterilize by irradiation steam or ethylene oxide Warnings 1 Some factors may affect the accuracy of satu...

Страница 66: ...cting Surface clean sensor and cable with a soft gauze pad by saturating it with a solution such as 70 isopropyl alcohol If low level disinfection is required use a 1 10 bleach solution Caution Do not...

Страница 67: ...evel disinfection is required use a 1 10 bleach solution Caution Do not sterilize by irradiation steam or ethylene oxide Warnings 1 Some factors may affect the accuracy of saturation measurements Such...

Страница 68: ...e offers a 6 month warranty against manufacturing defects for the SpO2 sensors mentioned above in its undamaged condition If you have any question regarding any of SpO2 sensor instructions please cont...

Страница 69: ...1 Guidance and manufacturer s declaration electromagnetic emission The Vital Signs Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Vital...

Страница 70: ...ower quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC61000 4 11 5 UT 95 dip in UT for 0 5...

Страница 71: ...tions equipment should be used no closer to any part of The Vital Signs Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of th...

Страница 72: ...abnormal performance is observed additional measures may be necessary such as re orienting or relocating The Vital Signs Monitor b Over the frequency range 150 kHz to 80 MHz field strengths should be...

Страница 73: ...s and the Vital Signs Monitor as recommended below according to the maximum output power of the communications equipment Rated maximum output power of transmitter W Watts Separation distance according...

Страница 74: ...proof type CF applied part Medical Device complies with Directive 93 42 EEC Product code Keep away from sunlight Lot number Disposal The product must not be disposed of along with other domestic wast...

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