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Overview

740

SELECT

21-22-0335 Rev D

Page 5 of 40

TABLE OF CONTENTS

Overview .............................................................................................................. 2

TRADEMARKS ............................................................................................................ 2

CONTACT ADDRESSES ............................................................................................. 3

CONVENTIONS USED IN THIS MANUAL ................................................................... 4

REVISION HISTORY ................................................................................................... 4

WARRANTY ................................................................................................................ 4

INTENDED USE ................................................................................................... 8

INTENDED USE .......................................................................................................... 8

OVERVIEW OF HEART RATE MONITORING ............................................................ 8

OVERVIEW OF RESPIRATION RATE MONITORING ................................................ 9

PEDIATRIC CONSIDERATIONS ................................................................................. 9

ECG MONITORING ............................................................................................ 10

WARNINGS ............................................................................................................... 10

CAUTIONS ................................................................................................................ 11

NOTES ...................................................................................................................... 11

GETTING STARTED WITH ECG ............................................................................... 12

CHECKING THE ECG SIGNAL ................................................................................. 15

ELECTRODE PLACEMENT ...................................................................................... 16

STANDARD PLACEMENT (AHA) .......................................................................... 16

STANDARD PLACEMENT (IEC) ........................................................................... 16

PLACEMENT FOR PACED PATIENTS (AHA) ....................................................... 17

PLACEMENT FOR PACED PATIENTS (IEC) ........................................................ 17

VERIFYING PROPER PACEMAKER HANDLING ..................................................... 18

FREEZING WAVEFORMS ......................................................................................... 18

ECG SETUP .............................................................................................................. 19

ECG LEAD WAVEFORM ....................................................................................... 19

ECG SIZE .............................................................................................................. 19

SWEEP SPEED ..................................................................................................... 19

ECG CASCADE ..................................................................................................... 20

HR PARAMETER SETUP .......................................................................................... 21

HR ALARM LIMITS: ............................................................................................... 21

HR AUTO (set) ALARM LIMITS ............................................................................. 21

HR SOURCE ......................................................................................................... 22

ANALYZE PACERS ............................................................................................... 23

PULSE TONE ........................................................................................................ 23

ECG LEAD ............................................................................................................. 23

SIZE ....................................................................................................................... 23

ECG FILTER .......................................................................................................... 24

CAL PULSE ........................................................................................................... 24

TESTING HR ALARMS .............................................................................................. 24

ECG AND HEART RATE MONITORING MESSAGES .............................................. 25

RESPIRATION MONITORING ........................................................................... 26

WARNINGS ............................................................................................................... 26

NOTES ...................................................................................................................... 26

ENABLING DISPLAY OF RESPIRATION .................................................................. 27

GETTING STARTED WITH RESPIRATION ............................................................... 27

CHECKING THE RESPIRATION SIGNAL ................................................................. 27

FREEZING WAVEFORMS ......................................................................................... 28

Содержание 740 SELECT

Страница 1: ...1 of 40 740 SELECT Multi Parameter Monitor User Manual Addendum ECG Resp Parameters This User Manual Addendum describes the features and operations of the 740 SELECT Multi Parameter monitor Software...

Страница 2: ...ion of the trademarked name the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using that trademark i...

Страница 3: ...SELECT 21 22 0335 Rev D Page 3 of 40 CONTACT ADDRESSES Zoe Medical Inc 460 Boston Street Topsfield MA 01983 U S A Phone 978 887 4013 Fax 978 887 1406 E Mail customersupport zoemedical com Web www zoe...

Страница 4: ...nual carefully before patient use of the Monitor Zoe Medical reserves the right to make changes to this Manual and improvements to the product it describes at any time without notice or obligation Cop...

Страница 5: ...PLACEMENT AHA 16 STANDARD PLACEMENT IEC 16 PLACEMENT FOR PACED PATIENTS AHA 17 PLACEMENT FOR PACED PATIENTS IEC 17 VERIFYING PROPER PACEMAKER HANDLING 18 FREEZING WAVEFORMS 18 ECG SETUP 19 ECG LEAD W...

Страница 6: ...RR AUTO set ALARM LIMITS 29 TESTING RR ALARMS 30 RESPIRATION RATE MONITORING MESSAGES 31 5 ACCESSORIES 32 ECG AAMI 32 ECG IEC 33 6 DISPOSAL 34 ACCESSORIES 34 MONITOR 34 GUIDANCE 34 7 MAINTENANCE 35 EQ...

Страница 7: ...URES Figure 1 ECG Patient Cable Receptacle on left side of Monitor 12 Figure 2 ECG Patient Cable connected on Monitor 13 Figure 3 ECG Lead Set connected on ECG Patient Cable Yoke 14 Figure 4 ECG Wavef...

Страница 8: ...fessionals in all areas of a healthcare facility OVERVIEW OF HEART RATE MONITORING ECG Monitoring works through the sensing the electrical signals generated by the electrical activity of the heart as...

Страница 9: ...ation Rate RR in respirations per minute Displaying the Respiration waveform continuously The same electrodes are used for both ECG and Respiration monitoring Note A 740 SELECT monitor configured with...

Страница 10: ...may continue to count the pacemaker rate during occurrences of cardiac arrest Keep pacemaker patients under close surveillance and do not rely entirely upon Heart Rate alarms Warning ELECTROSURGERY Th...

Страница 11: ...ipment is less than 10 microamperes uA The monitor applies approximately 2 uA to the patient CAUTIONS Caution Line isolation monitor transients may resemble actual cardiac waveforms and thus inhibit h...

Страница 12: ...r Locate the ECG Patient Cable Receptacle on the side of the Monitor Refer to Figure 1 ECG Patient Receptacle on Monitor Receptacle key Figure 1 ECG Patient Cable Receptacle on left side of Monitor No...

Страница 13: ...ECG Receptacle is keyed so that the ECG Patient Cable can only be inserted into the monitor in one orientation The key on the ECG Patient Cable Receptacle is located towards rear of monitor ECG Patie...

Страница 14: ...3 Select and prepare the electrodes Pregelled Ag AgCl disposable electrodes are recommend Depending on the situation you may want to use either the short term foam backed or long term cloth backed el...

Страница 15: ...en The ECG and Heart Rate Monitoring settings and specifications may be found in the SPECIFICATIONS chapter of this manual Procedures for changing configuration settings such as sourcing pulse rate PR...

Страница 16: ...ow the clavicle 3 Position the left leg LL electrode on the left mid clavicular line 6th and 7th intercostal space STANDARD PLACEMENT IEC For ECG cable lead sets with IEC Europe lead designations posi...

Страница 17: ...le 3 Position the left leg LL electrode on the left mid clavicular line 6th and 5th intercostal space PLACEMENT FOR PACED PATIENTS IEC For ECG cable lead sets with IEC Europe lead designations the opt...

Страница 18: ...his manual FREEZING WAVEFORMS In some clinical environments the user may want to freeze the displayed waveforms Touching the right side of the waveform area under the blue line will cause all displaye...

Страница 19: ...OK and c Touch Home to return to the Main screen Figure 10 ECG Waveform Setup screen ECG SIZE a Touch the left side of the waveform area b Touch the adjacent to the Waveform 1 Size selection c Touch...

Страница 20: ...ECG CASCADE i Touch the left side of the waveform area j Touch the Yes adjacent to the ECG Cascade selection to Enable OR k Touch the No adjacent to the ECG Cascade selection to Disable l Touch Home t...

Страница 21: ...ll not generate any visual or audible indication of an alarm condition for HR 3 Adjust the desired HR Upper or Lower Limit value The HR Upper and Lower Alarm Limits can be adjusted independently 4 Tou...

Страница 22: ...labeled HR Note If during Alarm Pause condition a High Priority alarm occurs Asystole or HR Ventricular Fibrillation the Alarm Pause condition will be exited and the High Priority Alarm shall be annu...

Страница 23: ...s disabled the Heart Rate may continue to count the pacemaker rate during occurrences of cardiac arrest Keep pacemaker patients under close surveillance and do not rely entirely upon Heart Rate alarms...

Страница 24: ...TING HR ALARMS To manually test ECG monitoring alarm functionality on a daily basis you may use the following approach 1 Connect the monitor to an ECG Patient simulator via the 3 leads 2 Set the ECG P...

Страница 25: ...nd provide any necessary clinical care Check the ECG lead being used to calculate the heart rate the top displayed lead make sure that the QRS amplitude on this lead is at least 0 5 mV Change to anoth...

Страница 26: ...artifacts NOTES Note If the Monitor is configured with a capnography module ETCO2 the Monitor will not allow the display of the Respiration Waveform or Numeric from the ECG source Refer to User Manual...

Страница 27: ...creen Note If the Monitor is configured with a capnography module ETCO2 the Monitor will not allow the display of the Respiration Waveform or Numeric from the ECG source GETTING STARTED WITH RESPIRATI...

Страница 28: ...der the blue line will cause all displayed waveforms to be frozen Refer to Figure 9 in FREEZING WAVEFORMS section on page 18 for additional information regarding freezing waveforms RESPIRATION SETUP T...

Страница 29: ...te any visual or audible indication of an alarm condition for RR 3 Adjust the desired RR Upper or Lower Limit value The RR Upper and Lower Alarm Limits can be adjusted independently 4 Touch OK to acce...

Страница 30: ...G Patient simulator for 1 mV ECG amplitude HR of 80 bpm RR of 12 rpm and an impedance baseline of 500 3 Enable the RR alarms 4 Lower the RR upper alarm limit setting below its current value 5 Verify t...

Страница 31: ...make sure electrodes are still securely attached to the patient and reattach if necessary Remember the importance of good skin preparation techniques RR lead off blank Unplugged cable Broken cable Lo...

Страница 32: ...I 3 Lead ECG Patient Cable 2M 01 02 0923 740 SELECT AAMI 3 Lead Snap Set 1M 01 02 0921 740 SELECT AAMI 3 Lead Mini Clip Set 1M 01 02 0891 740 SELECT AAMI 3 Lead ECG Adult Peds Kit 01 02 0920 740 SELEC...

Страница 33: ...5 740 SELECT IEC 3 Lead Mini Clip Set 1M 01 02 0893 740 SELECT IEC 3 Lead ECG Adult Peds Kit 01 02 0929 740 SELECT IEC 3 Lead ECG Patient Cable 2M 01 02 0927 740 SELECT IEC 3 Lead Snap Set 1M 21 03 03...

Страница 34: ...ould be properly disposed of as well In particular the monitor contains a lithium coin battery a lithium ion battery and electronic circuit boards which should not be incinerated or exposed to extreme...

Страница 35: ...erformed by clinicians or qualified service personnel EQUIPMENT The following equipment is needed to perform these procedures ECG Respiration Simulator e g Fluke 1 Biomedical MPS 450 FUNCTIONAL TESTS...

Страница 36: ...o the cautions listed above Part Recommended cleaning method ECG Cables Materials Enzymatic detergent such as ENZOL 1 US or CIDEZYME 2 outside the US Distilled water Disinfectant solution such as CIDE...

Страница 37: ...sec typical IEC 60601 2 27 ECG Complex B2 10 sec 9 sec typical Notch Filter Frequency 50Hz 60 Hz Off Filter Bandwidth Monitor Mode 0 67 Hz to 40 Hz 3 dB Diagnostic Mode 0 05 to 40 Hz 3 dB Dynamic Rang...

Страница 38: ...Current 40 A 28 kHz square wave across Lead II Table 10 Respiration RR Specifications PARAMETER ALARM LIMITS SETTINGS Parameter Units Adult Pediatric Neonatal Alarms On Default Limit Default Limit Ran...

Страница 39: ...uto Auto ECG SpO2 NIBP Pulse Tone Source Off Off Off ECG SpO2 Off ECG Filter Monitor 0 67 40 Hz Monitor 0 67 40 Hz Monitor 0 67 40 Hz Monitor 0 67 40 Hz Diagnostic 0 05 40 Hz Channel 1 3 Waveform II I...

Страница 40: ...SPECIFICATIONS 740 SELECT 21 22 0335 Rev D Page 40 of 40 NOTES...

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