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Chapter V Alarm

This chapter introduces the information about the alarm and the measures to be

taken when the alarm occurs. You can get the information for the parameter alarm

and prompt in the chapter about parameter setting.

5.1 Overview

The alarm refers to the prompt given by the monitor to the user when the animal

being monitored has a vital sign change or the machine itself is unable to record

patient data.

5.2 Alarm Properties

5.2.1 Alarm Type

The alarm can be divided into two categories:

If the alarm originates from the change of vital signs of the animal.

If the alarm originates from the monitor itself, if there is a technical fault

5-1 Examples of Physiological Alarm and Technical Alarm

Animal or Machine Condition

Type of Alarm

Generated

The heart rate of the animal is 200bpm which is beyond

the alarm range set by the user

Physiological alarm

Ventricular fibrillation was found

Physiological alarm

ECG measurement module found ECG lead falling off

Technical alarm

SpO2 measurement module failure

Technical alarm

5.2.1.1 Physiological Alarm Category

Physiological alarm can be divided into two situations: one is that the physiological

parameters of the monitored animal exceed a specific range and the other is that the

animal has physiological abnormalities that cannot be measured by a single

physiological parameter.

•

ECG signal is too weak

•

Cardiac arrest

•

Ventricular fibrillation / tachycardia

•

No pulse was found

Содержание Vital Signs Plus ECG

Страница 1: ...Monitor Operator s Manual ...

Страница 2: ...13 3 2 Menu Setting 14 3 3 Working Mode 15 3 4 User Setting 16 3 5 Alarm Setting 17 3 6 Blood Pressure Setting 18 3 7 Blood Oxygen Setting 19 3 8 ECG Setting 20 3 9 ETCO2 setting 21 3 10 Temperature 21 3 11 System Setting 22 3 12 Data Review 23 Chapter IV Maintenance and Cleaning 26 4 1 Maintenance and Inspection 26 4 2 Normal Cleaning 26 4 3 Cleaning Solution Guidance 26 4 4 Sterilisation 27 4 5 ...

Страница 3: ...mperature Measurement 40 8 1 Temperature Monitor Instruction 40 8 2 Temperature Alarm Information and Prompt Information 40 8 3 Maintenance and Cleaning 41 Chapter IX NIBP Measurement 42 9 1 NIBP Monitor Instruction 42 9 2 NIBP Monitor Measurement Operation 42 9 3 Operation Tips 43 9 4 NIBP Alarm Information 45 9 5 Maintenance and Cleaning 46 Chapter X Mainstream CO2 Module 47 10 1 Hardware Interf...

Страница 4: ...ered by the built in battery Practical Range This monitor is suitable for monitoring and measuring vital signs including heart rate pulse rate non invasive blood pressure systolic blood pressure diastolic blood pressure mean blood pressure electrocardiogram blood oxygen saturation and temperature Warnings This device is not a treatment device If the device is not secured properly it may fall causi...

Страница 5: ...he placement of power adapters conduits and all cables to avoid the danger of strangling animals or tripping other people This equipment is strictly prohibited to be blocked in order to radiate heat If liquid spills into the cabinet of the device please disconnect the power immediately and contact Woodley Equipment Company ...

Страница 6: ...sed personnel Do not use this instrument where flammable materials such as anaesthetics are placed to prevent explosion Before use the user should check whether the instrument and its accessories are working normally and safely To prevent delays in treatment please make an adequate alarm setting for each animal At the same time please check that the alarm sound can be emitted when the alarm is iss...

Страница 7: ...tude 500 4600 meters 1 600 15 000 feet Transportation and Storage Altitude 500 13 100 meters 1600 43 000 feet Power Adapter Input 100 240 V AC 50 60 Hz Output 5 0 V direct current 2 0 A Built in Lithium Battery 3 7V 2000mAh Warning Do not use the monitor outside the temperature and humidity range specified by the manufacturer otherwise the performance specifications stated in Appendix II will not ...

Страница 8: ...nction 2 Carry out functions as indicated by text showing on the lower right corner of screen Select Choose different options on setting menu Alarm light Red light flashes when alarm sounds Power light Red light flashes when charging or in low power Green light flashes when fully charged No flashing under normal conditions 1 1 2 Power Socket Fig 1 2 Power Socket NOTE Please only use the power adap...

Страница 9: ...ill be reset Warning USB data upload ECG will not appear 1 1 4 Ports NIBP Blood pressure cuff interface TEMP Temperature probe interface S E The interface between the blood oxygen probe and the ECG lead wire or between the blood oxygen probe and EtCO2 part 1 1 5 Cage Clip Fig 1 5 Cage Clip NOTE Device is supplied with cage clip in situ Fig 1 4 Ports ...

Страница 10: ... Blood oxygen saturation EtCO2 End tidal carbon dioxide RR Respiration rate HR Heart rate PR Pulse rate PI Perfusion index PVC Premature ventricular contractions SYS Systolic blood pressure DIA Diastolic blood pressure MAP Mean arterial pressure Monitor Continuous measurement mode Spot Field mode multi user measurement ...

Страница 11: ...e areas as shown in Figure 1 6 1 Information area 2 Waveform area 3 Parameter area 3 Lead ECG Interface 5 Lead ECG Interface Fig 1 6 Main Interface Information Area The information area is located at the top of the screen displaying the status of the monitor and the current user The meaning of the content of the information area is as follows Spot Refers to the current working mode of the instrume...

Страница 12: ... area of the ECG 3 lead interface displays 2 waveforms and the waveform area of the ECG 5 lead interface displays 3 waveforms The display sequence can be adjusted The name of the waveform is displayed on the upper left of each waveform ECG leads can be selected according to requirements Each ECG wave also shows the gain of this channel and the filter method of the ECG wave There is a 1 millivolt r...

Страница 13: ...10 Alarm Lights and Alarm Status In the normal state the warning light does not light up When an alarm occurs the alarm light flashes and lights up in red For details please refer to Section 3 5 ...

Страница 14: ...the power cord provided with the monitor Plug the power cord into the monitor power connector and plug the other end of the power cord into a grounded power socket Warning Connect the power cord to a dedicated socket Warning When there is a battery configuration the battery must be charged after the instrument has been transported or stored Therefore if the instrument is turned on without connecti...

Страница 15: ...ped with a battery the battery must be charged after each use to ensure that there is sufficient power reserve 2 4 Sensor Connection Connect the required sensors to the monitor and the animal Warning Please refer to the relevant chapters for the correct connection methods and related requirements of various sensors ...

Страница 16: ...em enters the main interface The menu is shown in Figure 3 1 3 Lead ECG Interface 5 Lead ECG Interface Fig 3 1 Main Interface According to the lead type of the ECG setting it is determined whether the main interface is a 3 lead or 5 lead interface The 3 lead ECG can only display the waveform of one channel and one blood oxygen waveform while in the 5 lead mode it can display the waveform of three ...

Страница 17: ...rm sound switch status is displayed on the upper left corner of the screen and the alarm sound switch can be set in the system Setting The mute button can mute or unmute The top displays the test mode user ID time alarm symbol Bluetooth and battery symbol Warning The oldest record will be overwritten after the memory is filled 3 2 Menu Setting In the Main interface select the setup button in the u...

Страница 18: ...hen there is no measurement operation power saving mode is turned on Monitor mode does not automatically sleep If you switch from Spot mode to Monitor mode you will be prompted to choose whether to keep the data in Spot mode The drop down box is shown in Figure 3 4 Fig 3 4 Monitor Prompt Box ...

Страница 19: ...nterfaces according to different working modes User Setting User selection add user delete user Up to 100 users 200 records per user can be stored in Spot mode and 48 hours of measurement data can be stored for single user data in monitoring mode When the number of stored users in Spot mode has reached the maximum it will prompt Users are full as shown in Figure 3 6 Only by deleting some users can...

Страница 20: ...ct the alarm setting and press the confirm key to enter the alarm setting interface menu The menu is shown in Figure 3 8 Spot mode Monitor mode Fig 3 8 Alarm Setting The alarm setting interface shows different interfaces according to the type of ECG lead In the 3 lead ECG mode there is no PVC so there is no upper and lower alarm limit Setting This is only available in the 5 lead ECG mode ...

Страница 21: ...bpm 500 bpm 3 6 Blood Pressure Setting Under the setting menu select blood pressure setting and press the confirm key to enter the blood pressure setting interface menu The menu is shown in Figure 3 9 Fig 3 9 Blood Pressure Setting NIBP Setting Measurement Mode manual auto stat continuous 5min measurement Measure systolic mean diastolic blood pressure and pulse rate Cuff Type small large cuff Pres...

Страница 22: ...select the blood oxygen setting and press the confirm key to enter the blood oxygen setting interface menu The menu is shown in Figure 3 10 Fig 3 10 Blood Oxygen Setting SpO2 Setting Pulse Sound on off Average Time 4s 6s 8s 10s 12s 14s 16s 30s 60s 120s ...

Страница 23: ...Selection Three leads I II III Five leads I II III AVR AVL AVF V1 ECG1 I II III AVR AVL AVF V1 ECG2 I II III AVR AVL AVF V1 ECG3 I II III AVR AVL AVF V1 Gain Setting x0 25 x0 5 x1 x2 Filter Setting Diagnosis diagnosis mode Monitor monitoring mode Surgery surgery mode Strong strong wave mode Notch Filter 50Hz 60Hz off Wave Velocity 6 25mm s 12 5mm s 25mm s Storage Time 4s 6s 8s 10s 12s 14s 16s 30s ...

Страница 24: ...O2 Range Choose how high the vertical axis Y Axis of the ETCO2 waveform graph will display ETCO2 Zero Use this when connecting a new adaptor or resetting a current adaptor Pressing OK while ETCO2 zero is highlighted will start the operation 3 10 Temperature Under the setting menu select the Temperature unit and press the confirm key to enter the Temperature unit interface menu The menu is shown in...

Страница 25: ...e When off it will not shut down automatically in SPOT mode Warning The low power mode has no effect on the monitoring mode Bluetooth Bluetooth module switch Warning Bluetooth mode is currently not supported Language Options Chinese English Brightness Options 1 4 levels Alarm volume Options 1 3 levels Time Time adjustment Machine Mainte Maintenance information Machine Info The manufacture date and...

Страница 26: ...igure 3 14 View ID View the list Fig 3 14 Data Review If the current working mode is Spot mode you must select the ID number you want to view before entering the view list If the current working mode is Monitor mode directly enter the selection view list because this mode is single user 3 12 1 List Description Fig 3 15 NIBP Table Fig 3 16 SpO2 Table ...

Страница 27: ... Figure 3 18 3 12 2 Description of Trend Graph Fig 3 19 NIBP Trend Fig 3 20 SpO2 Trend NIBP Trend The trend graph displays systolic blood pressure diastolic blood pressure pulse rate in different colours The vertical axis on the left represents pressure the vertical axis on the right represents pulse rate and the horizontal axis shows time The trend also includes ID page number and the date As sho...

Страница 28: ...e heart rate is displayed in the trend graph the unit of the horizontal axis on the left is bpm and the horizontal axis is the measurement time As shown in Figure 3 21 Temp Trend The trend graph displays temperature the horizontal axis on the left is in Celsius or Fahrenheit and the horizontal axis is the measurement time As shown in Figure 3 22 Warning 11 groups of data are displayed on each page...

Страница 29: ... acetone Be careful not to damage the monitor Most detergents must be diluted before using Dilute according to the manufacturer s instructions and never use abrasive materials such as steel velvet or silver polish or solvents such as acetone Be careful not to damage the monitor Do not allow any liquid to enter the casing Do not immerse any part of the system in liquid Do not leave any cleaning sol...

Страница 30: ...ntration as possible according to the manufacturer s instructions Do not allow fluid to immerse the housing Never soak any part of the system Do not dump liquid on the system during sterilisation Do not let the bactericide remain on any surface of the equipment If there is any residue please wipe it immediately with a wet cloth 4 5 Disinfection In order to avoid long term damage to the device we r...

Страница 31: ...f if there is a technical fault 5 1 Examples of Physiological Alarm and Technical Alarm Animal or Machine Condition Type of Alarm Generated The heart rate of the animal is 200bpm which is beyond the alarm range set by the user Physiological alarm Ventricular fibrillation was found Physiological alarm ECG measurement module found ECG lead falling off Technical alarm SpO2 measurement module failure ...

Страница 32: ... exceeds the alarm limit the monitor will alarm automatically and perform the following processing 1 A prompt appears on the screen in the form described in the alarm prompt 2 If the alarm volume is set the alarm will sound according to the set alarm volume 3 The alarm light flashes 5 6 Measures to be Taken in Case of Alarm Note When an alarm occurs the condition of the animal should be checked fi...

Страница 33: ...ended not to use equipment with electrical radiation near ECG respiratory measurement 6 2 ECG Monitoring Operation Method 6 2 1 Preparation 1 Prepare the skin before placing the electrode If necessary shave the fur at the place where the electrode is placed Wash skin thoroughly with soap and water Do not use pure alcohol as this will increase the skin resistance Dry wipe the skin to increase capil...

Страница 34: ... ECG electrodes ECG Lead Connection Recommended for Surgery Warning When using the electrosurgical ES equipment the ECG electrode should be placed in the middle between the ES grounding plate and the electrosurgical knife to avoid burns The cable for the electrosurgical equipment should not be entangled with the ECG cable The placement of ECG leads depends on the type of operation performed Warnin...

Страница 35: ... ECG waveform Using Five Lead ECG Device Users can arrange the leads on channel 1 channel 2 and channel 3 according to their own needs The lead labels on the three channels are displayed above the corresponding waveforms and can be changed in the ECG menu For channel 1 channel 2 and channel 3 select the appropriate lead from I II III AVR AVL AVF and V Warnings If the electrode is correct and the E...

Страница 36: ...iven on the left side of each ECG waveform The height of a 1 MV scale is proportional to the amplitude of the wave Filter Settings 1 Diagnosis mode Monitor mode Surgery mode Strong mode 2 Only in the diagnosis mode can the system provide the real signal without processing 3 In the monitoring and operation filtering mode ECG waveform will have varying degrees of distortion The system can only provi...

Страница 37: ...area of the monitor while technical alarm is displayed in the information area of the monitor The following classification list describes some alarms that may be generated by this measurement Physiological Alarm Notification Reason HR High HR measured value is higher than the set alarm upper limit HR Low HR measured value is lower than the set alarm lower limit PVC High PVCHR measured value is hig...

Страница 38: ... with a clean dry cloth Sterilisation In order to avoid long term damage to the product we recommend sterilising the product only when it is considered necessary We also suggest that sterilised products should be cleaned first Recommended sterilisation materials for monitor Ethoxyl 70 whey 70 ethyl propyl Acetaldehyde group Disinfection In order to avoid long term damage to the product we recommen...

Страница 39: ...ue etc and reaches the receiver of the other side The wavelength that the sensor can measure is usually 660nm for red LED and 940nm for infrared LED The maximum optional output power of LED is 4MW The amount of light passing through depends on a number of factors most of which are constant But one of these factors arterial blood flow changes over time because it s pulsating By measuring the light ...

Страница 40: ...ressive necrosis especially in small animal tongues or animals with perfusion disorders and altered or immature skin patterns Ensure to check the position of the sensor according to the quality change of the skin and the correct light path alignment and attachment method Regularly check the sensor attachment position and change the attachment position when the skin quality decreases Due to the dif...

Страница 41: ...urns Intravenous dye Active animal External light radiation Improper installation of sensor or improper contact with object Sensor temperature the best temperature should be in the range of 28 42 Placing the sensor on the limb with blood pressure cuff arterial catheter or endovascular tube The concentration of non functional haemoglobin such as carboxyhaemoglobin COHb and MetHb Low oxygen saturati...

Страница 42: ...itor is connected to the cable properly Sensor off Sensor switched off Tips including general warnings Notification Reason No pulse No pulse was found Searching Searching for a pulse 7 5 Maintenance and Cleaning Warning Before cleaning the monitor or sensor turn off the power and disconnect the AC power Warning Do not autoclave the sensor Do not immerse the sensor in liquid If the sensor or cable ...

Страница 43: ...check whether the probe cable is normal Warning The disposable temperature probe can only be used once Warning Handle the temperature probe and cable carefully When not in use the probe and cable should be pulled into a loose ring If the wire inside is too tight it will cause damage to the cable 8 2 Temperature Alarm Information and Prompt Information Physiological alarm technical alarm and prompt...

Страница 44: ...se the probe 3 Only use alcohol detergent to disinfect 4 When using the straight probe it should be possible to cover it with protective tape 5 When cleaning the probe hold the top of the probe in one hand and scrub the probe downward toward the coupling with a wet lint free cloth in the other hand Warning If you are using a disposable temperature probe do not disinfect again or re use Warning In ...

Страница 45: ...connecting the blood pressure cuff and the monitor should be in good condition 1 Turn on the device and insert the inflation tube into the blood pressure cuff and the monitor Measure the circumference of the animal s limbs and choose the appropriate cuff Make sure the cuff is completely deflated Use appropriate size cuff for animals to ensure that the marker is just above the appropriate artery En...

Страница 46: ...time of automatic measurement press the start measurement button to start a manual measurement If the stop button is pressed again at this time manual measurement will be stopped and automatic measurement will continue Caution If liquid spills on the equipment or accessories please stop using it and contact Woodley Equipment Company Limits of Measurement Depending on the condition of the animal th...

Страница 47: ...al pressure pulsation is being analysed to obtain a measurement value and the blood pressure changes rapidly at this time the measurement will be unreliable or even impossible Severe shock If the animal is in severe shock or hypothermia the measurement will be unreliable Because the decrease in blood flow to the periphery will result in a decrease in arterial pulsation Extreme heart rate Blood pre...

Страница 48: ...ig cuff mode Leakage Valve or gas circuit leak PressErr NIBP Valve is not working appropriately Weak Animal s pulse is too weak or cuff is loose OveRange Animal s blood pressure exceeds the measurement range Movement During measurement interruption in signal or too much interference Protect0 Cuff pressure exceeds the range 300mmHg Saturate Large signal amplitude caused by interference TimeOut Big ...

Страница 49: ...leaning the monitor only wipe the case Don t submerge or place in any type of gas or steam sterilizer Disposable NIBP cuff should be used for only one animal it cannot be disinfected or be sterilised under high pressure steam Warning To protect the environment single use blood pressure cuffs must be recycled or properly disposed of according to local regulations ...

Страница 50: ... to zero without having to enter the monitor set up software see section 3 5 4 Check Adapter When check adapter warning appears check to see if the adapter is connected and that the optical analysis window is clean Clean probe with alcohol or install a new probe if needed Fig 10 1 2 Airway Adapter 10 1 2 3 The monitor may report compensation not set after power failure or device reset If this warn...

Страница 51: ...e monitor the red light will always be on which means the module is in a preheated state When the red light goes out the module is preheated and no lights will be on When the probe is in a normal measurement state the green light will turn on when exhalation is detected and will turn off when inhalation is detected If the module has a slow flashing red light it is in a check adapter state The user...

Страница 52: ... instrument settings to allow the user to communicate these operating conditions Please set the correct settings according to your operation environment the first time you use this monitor The settings can be found in the ETCO2 set up menu 10 5 Apnea Alarm The Apnea Time s is the maximum time allowed from the detection of one breath to the next breath Therefore if the time between breaths exceeds ...

Страница 53: ...p 2 SpO2 Accessories Name Specification SpO2 sensor Adopt imported special Nellcor sensor Equipped with a large clip and a small clip Probe tongue or ear 3 TEMP temperature Accessories Name Specification Body cavity probe Plug audio plug Probe 2 25mm Accuracy 30 45 0 1 4 NIBP blood pressure Accessories Disposable NIBP Cuff Cuff size Limb Circumference Inflatable Tube Length 1 3 6cm 1 5m 3m 2 4 8cm...

Страница 54: ...on 20 60 C Operating Humidity 80 Storage Transportation 93 Working Altitude range 500 4 600 meters 1 600 15 000 feet Transportation and storage altitude 500 13 100 meters 1 600 43 000 feet 1 3 Display information Up to 3 waveform displays An alarm indicator red A battery charging status indicator red green 1 4 Power Input 100 240 V AC 50 60 Hz Output DC 5V 2A 3 7V 2000mAh lithium rechargeable batt...

Страница 55: ...dwidth Diagnosis mode 0 05 130Hz Monitoring mode 0 5 40Hz Operation mode 1 20Hz 2 7 Electrode polarization voltage range 300mV 2 8 Pacing pulse detection For pacing pulses that meet the following conditions it can be detected Amplitude 2mV 700mV Width 0 1ms 2ms Rise time 10us 100μs 2 9 Pacing pulse suppression When the pacing analysis switch is turned on the pacing pulses that meet the following c...

Страница 56: ...range SpO2 70 100 PR 30 500bpm PI 0 05 20 3 3 Accuracy SpO2 3 70 100 PR 3bpm under exercise conditions 5bpm 4 TEMP Specifications 4 1 Applicable temperature sensor YSI series CYF series 4 2 Measurement Range 25 45 Resolution 0 1 Accuracy 0 1 not including sensor error 5 NIBP specifications 5 1 Measurement method Pulse wave oscillation 5 2 Working mode Manual automatic continuous measurement ...

Страница 57: ...ure 20 210 mmHg Static pressure range 0 300 mmHg Static pressure accuracy 3 mmHg 5 6 Pulse rate range 40 240 bpm 5 7 Overvoltage protection 300mmHg 6 ETO2 specifications 6 1 Measuring range 0 150mmhg 0 19 7 0 20 kpa 6 2 Accuracy range ETCO2 Concentration Accuracy 0 40mmHg 2 mmHg 41 70 mmHg 5 of reading 71 100mmHg 8 of reading 101 150mmHg 10 of reading 6 3 Accuracy CO2 concentration measurement res...

Страница 58: ...55 Old Station Park Buildings St John Street Horwich Bolton BL6 7NY UK Tel 44 0 1204 669033 Email sales woodleyequipment com Web www woodleyequipment com ...

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