Home

Creative UP-7000 Patient Monitor User Manual

1. 47 AA DAP 47 6 5 Verity Adjustable Alar 48 CHAPTER 7 TECHNICAL 5 2 2 49 BC Cr Montoe 2 52 58 dees ln 49 7 2 RESP iS 50 50 50 DISPO NOOO A E 51 51 mr 51 WSN AU rise UMNO AAA A T 22 7 2 Other Technical m d 32 52 7 11 Guidance and manufacturer s declaration Electromagnetic 53 8 55 1 2 57 9 AC A ee E 21 5 2 ACCESSOS aa ome Cased
2. 74 12 6 Typical Pressures and Readings at 6 0 2 2 2 2 3 00 0000 010 00000 2222220000004 75 12 NCC CSS OMICS VAG ro ace aa a a On 76 12 5 Insttuctions TOE S PO POD ap aca sara sedans 71 User Manual for Patient Monitor Chapter 1 Overview 1 1 Features This monitoring system may be used to monitor patient s 6 physiological parameters ECG respiratory rate body temperature non invasive blood pressure NIBP pulse oxygen saturation SpO and pulse rate lt gt lt gt lt gt lt gt 12 1 high resolution 800 x 600 color LCD to display patients ECG waveform respiratory waveform and SpO waveform Multiple interface monitoring which enables simultaneous monitoring of several ECG waveforms Real time monitoring of battery capacity when the battery power is insufficient low battery voltage alarm indication will display on LCD screen Automatic analysis of 20 arrhythmia waveforms and ARR waveform freezing function and automatic S T segment measurement and manual analysis Up to 480 hours statistic data of HR TEMP SpO RESP and NIBP trends with 6 24 120 480 trend graph analysis function 100 groups of arrhythmia cases data and the corresponding lead gain and filter mode of ECG storage and recall of a list of 800 gr
3. 57 CHAPTER 9 PARAMETERS eese eee 58 APEC MONO ER 58 9 1 1 How to Obtain High Quality ECG and Accurate Heart Rate 58 Ce GIO Ml setulae anita 58 dell 59 92 T1 Mesume o tH a 59 02 2 Factors NIBP AA AAA 60 es PR E O EOI 61 OA A but bt 62 User Manual for Patient Monitor 321 Measurin a ivt Coch 62 9 3 2 5pO5 Measurement Restrictions Interference Teas ON a a 62 PAIRC PT 63 DUE PEBGIDIO 63 2 Factors ateo tas tes pita LON sooo _ _____ ____ Re 63 29 Temperature Monor hacac da pde tesa 63 MOBICOTITID nia
4. MEDICAL Patient Monitor UP 7000 User Manual User Manual for Patient Monitor This Manual is written and compiled in accordance with the IEC 60601 1 Medical electrical equipment Partl General requirements for safety and MDD 93 42 EEC It complies with both international and enterprise standards and is also approved by state Technological Supervision Bureau The Manual is written for the current UP 7000 Patient Monitor The Manual describes in accordance with the UP 7000 Patient Monitor s features and requirements main structure functions specifications correct methods for transportation installation usage operation repair maintenance and storage etc as well as the safety procedures to protect both the user and equipment Refer to the respective chapters for details No part of this manual may be photocopied reproduced or translated into another language without the prior written consent Shenzhen Creative Industry Co Ltd reserves the right to improve and amend it at any time without prior notice Amendments will however be published in a new edition of this manual Version of This Manual Ver 1 1 Revised Date October 9 2011 All rights reserved Marks in the Manual Warning must be followed to avoid endangering the operator and the patient Es Note some important information and tips about operations and application A Attention must be followed to avoid causing damage
5. 2 tA Operating RAvirofhmentans dla 2 1 5 Bnpact om Environment and ROSU 2 MI CI MM M IM M iE 2 CHAPTER 2 WORKING THEORIES OF THE MAIN UNIT 2 ZA Gente NUES a a 3 2 2 Overall Workin Theories Ur dea etum Res UTD a epa duse cL 3 CHAPTER 3 INSTALLATION AND CONNECTION eere eere nennen eese esses osos cesse esee esossss 4 O A A O 4 die Boxand Check E 4 12 Conmectine the AC Power 3 A tan 4 Sls Startino the MOTOR till dada whois eee 4 o 5 Sud ROME Panel eiu odd ue 5 9 22 and E mm AS AAA AA 6 32 Panel RN 7 SSMO ICT T SOL ESE 8 3 32 Blood Pressure Cum Connec UO gt 10 SO OS DOS PODES CONNCCHON ocior mde ere T pet e piel Uses A 12 od TEMP Probe CONNECT A DEA 14 PONINA IR ROO o CU COI A O NA 14
6. 64 PRINCI A A A 64 90 2 AMP al A di dde 64 CHAPTER 10 TROUBLESHOOTING 65 TOM ING Display2Om tlie SCreen 65 10 2 Excessive ECG Signal Interference or too Thick 2 4 4 18442 2 000 66 aiaa 65 I0 5 No Blood Pressure and Pulse Oxygen ieee test 65 IOA SN 65 CHAPTER IL MAINTENANCE satis 66 SEACE dnd ERA dls 66 TELD E e dd e 66 I Routine Maime nan e a 2 66 112 Battery Mate nane soa ooa 66 11 5 Cleaning Sterilization and Disinfection reir dolida 67 11 4 Cleaning Sterilization and Disinfection of Accessories 68 68 LOTO AAA 68 atada oia 69 1 2 dormancia 69 12 2 Default Alarming Values and Setup id da sis 70 123 of ATOM id 72 12 4 Status Error during NIBP 73 12 5 Status Eror dumis
7. tof 190 Baro Zero OFF CO Parameter Settings Switch choosing the mode of It is recommended that the switch is turned on only when there is a need to monitor CO parameter This can not only reduce the power consumption and also extend the life of the CO module In order to maintain the monitor please set CO switch at OFF state in system setup when CO function is not used lt gt lt gt lt gt lt gt Gain CO waveform gain Unit Choosing and the minimum InsCO It can be set up as kPa mmHg and 90 Respiration Rate High Setting the upper alarm limit of CO respiration rate Low Setting the lower alarm limit of CO respiration rate EtCO High Setting the upper alarm limit of Low Setting the lower alarm limit of EtCO InsCO High Setting the upper alarm limit of InsCO Low Setting the lower alarm limit of InsCO Baro Barometric pressure set ambient atmospheric pressure It can be determined by barometer or the ambient altitude Altitude can be used to determine the typical barometric pressure if a barometer is not available refer to Appendix Typical Pressures and CO Readings at Altitudes for details Zero The method to calibrate CO Zero calibration Calibration must be carried out in a drafty place and the CO module must have worked continuously for 5 minutes to ensure an accurate calibration or the calibration will not work Flow CO flo
8. Press it to save the settings and exit the date and time setting screen meanwhile enter into the main screen shown in Figure 4 2 If you press Exit the settings will not be saved The system is initialized and enters into Main Screen where monitoring and system operation are performed as shown in Figure 4 2 15 User Manual for Patient Monitor 4 1 2 Screen Description Alarm ADUL MON 2011 08 06 10 34 54 Freeze Time 10 34 53 HR 6 2 n ala all o I 40 09 mv XI NIBP mmHg 10 34 dies y PR 62 129 87 94 AUTO 00 00 04 Lu PR TEMP1 2 28 06 10 34 129 8 7 94 62 61 15 99 61 36 6 37 6 2 TD 08 06 10 34 123 86 99 62 61 14 100 62 36 6 37 28 06 10 34 123 84 96 63 60 14 99 61 36 713 36 5 37 6 1 1 CREATIVE i 28 06 10 34 1287 8 95 61 36 7 37 08 06 10 33 1207 8 7 93 60 36 5 37 ECG is frozen BD MEDICAL Figure 4 2 Main screen 1 6 d Border area 4 Alarm 229 202 shows the alarm is ON and shows the alarm is in alarm silence status the alarm will be activated automatically after the system finishes counting down Note the screen indicates the alarm mute is a closed state when the system volume sets to 0 ane lights red so the alarm mute setting is invalid lt The type of the monitor subject There are three modes available Adult infant and Neo
9. To clear check airway adapter and clean if Zero Required necessary If this does not correct the error perform Zero Required Zero Error an adapter zero If you must adapter zero more than once a possible hardware error may exist 5 The value being calculated is greater than the upper CO CO2 Out Range limit 150 mmHg 20 0 kPa or 19 7 The maximum If error persists perform a zero value output is the upper limit Usually caused when the airway adapter is removed from the sensor or when there is an optical blockage on the To clear clean airway adapter if mucus or moisture windows of the airway adapter May also be caused by is seen If the adapter 1s clean perform a Capnostat failure to perform sensor zero to when adapter type is Zero changed Check Airway Adapter This is prompted if the CO sensor is not ready for Capnostat Zero If the Zero Required and this massage both prompt message both The Sensor promptone or more of the following conditions may exist not Ready Breaths detected Temperature is not stable Source Current unstable n sleep mode Zero in already progress Normal zero calibration is in already progress Zero Fault and Breaths Detected Zero attempted and breaths have been detected in the last 20 seconds Zero calibration is successful 74 User Manual for Patient Monitor 12 6 Typical Pressures and CO Readings at Altitudes Barometric Pressure mm
10. 1 gt Pressure Accuracy Verification The symbol indicates that the cable and accessories are designed to have special protection against electric shocks and 16 defibrillator proof Pressure Accuracy Verification is a function to inspect the accuracy of pressure measurement by the NIBP module inside the device Technician or equipment manager should do pressure accuracy verification every half year or year in order to check if the pressure measurement still conforms to the requirement of product performance If the deviation is beyond the declared specification it is permitted to return it to factory for repair or calibration Before verification please connect the monitor to a standard pressure meter as the reference equipment like a mercury pressure meter 10 User Manual for Patient Monitor 133901 amssaid MIJITA NIBP cuff with dual air tube Air tube Air vent Manual valve A Increase the pressure manually dule testin sofware NIBP module Inflatable balloon through the inflatable balloon software This belongs to the monitor Figure 3 7 Connection of Pressure calibration fixture Mode 1 The inflation can be activated by Monitor so the pressure will increase automatically untill it exceeds the limit value specified in table A This pressure limit value depends on the patient type selection as shown in table A Child 200mmHg Table A During the inflation the Monito
11. CHAPTER 4 502 85 cares LO AMan SCLC CIs a tun 15 2 Wate Dine Setup onec wd id ao sale oe those lec M ER e hr in 15 2 1 2 SC UCC MSI OSCE LOB A etree iare 16 A DAS PLAY 255 CEC CIN SEA E 19 LO O 19 4222 ECC Waveforms on the Same a 20 4 2 3 DEAN CO A ________ 20 A and S E CES A 21 2 3 SETE DesctIDUODs E 21 2 32 Operatmb InstEUc LODS telde ad al 22 ARI de ese BLU IESUS or 22 SPO Data LAGE ER T TIT 23 ASL Sereen DesctpHOI asa AS 23 PURSUING SOCCI tddi 23 ZOLL is SCL I IO MUA E OE ______________ _6______ 6_ 68 __ 23 o adoro eda LE ALI I AEn AL dd LI E hid ia LO 24 d rapi cele Role eue us ete i nat uiua AM E 24 IV User Manual for Patient Monitor 4 T Sereen LISS CLIP A la elias tele een 24 A 1 2 Oper
12. TEMP1Hi 39 0 TEMP2Hi 39 0 Unit 19 95 0 1060 4 20 Figure 4 29 Temperature settings lt TEMPI Hi High limit of temperature 1 alarm Lo Low limit of temperature 1 alarm lt Hi High limit of temperature 2 alarm Lo Low limit of temperature 2 alarm lt gt Unit Temperature unit The default is C Celsius and it can be set to F Fahrenheit NIBP PARAMETER SETTINGS SYS 180 DIA Hi 120 MAP Hi 160 PR Hi 180 A 60 Unit mmHgMode AUTO cycle 1 Figure 4 30 NIBP settings lt gt The pressure unit and mmHg and kPa be selected The factory default is mmHg Mode The cuff inflation mode manual or automatic The factory default is manual The operator needs to press the NIBP button to perform NIBP measurement If the Auto mode is chosen the operator needs to set an interval cycle as well gt The inflation interval when the NIBP measurement is set to Auto The options are stAT 1 min 2 min 480 min Press NIBP and the system begins to count down It takes blood pressure measurement automatically after finishing counting down If STAT is selected press NIBP to take 5 minutes measurement 29 User Manual for Patient Monitor A WARNING STAT can only be used for Adult Using this mode to Infant Neonatal patient can cause serious injury SYS Hi Lo High and Low limits of systolic pressure alarm DIA Hi Lo High and Low limits of dias
13. 4 10 System Setup Screen 4 10 1 Screen Description In the Mode Selection screen move the cursor to the SETUP and press it to enter system setup screen shown in Figure 4 26 To set up the system parameter rotate the Navigation Knob to move the cursor to the corresponding button and press it to perform corresponding settings At the same time the RESET button returns the settings to the default value but the patient document and the recalled data will not be changed We will cover the functions of each button Press print key to print its corresponding parameter settings on the setup screen Es Limits setup Move the gray cursor to the High or Low limits of the alarm settings and press the Alarm key to turn ON or OFF the alarm for the setting Yellow color shows ON status and gray color shows the OFF status SYSTEM PARAMETER SETTINGS Type Mode Lang ENG Fill Frze Disp2 5 Key Beep 0 NetType NET OFF Figure 4 26 System parameter settings lt gt The object being monitored this can be selected among Adult Infant and Neonate Adult the object is adult Infant the subject is pediatric Neonate the subject is neonate The default is Adult When changing the patient type the system will perform the alarm settings NIBP settings initializations Please pay special attention to the patient type before starting the monitoring It is forbidden to use Adult type
14. 70 OF 30 dip in LT for 25 cycles 5 Ur gt 95 95 dip in L for 5 5 NOTE Uris the a c mains voltage prior to application of the test level Electromagnetic environment Compliance level Floors should be wood concrete or ceramic tile if floors are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If the user of the equipment or system requires continued operation during power mains interruptions it is recommended that the equipment or system be powered from an uninterruptible power supply or a battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment 04 User Manual for Patient Monitor Table 3 Guidance and manufacturer s declaration electromagnetic immunity for EQUIPMENT and SYSTEM that are not LIFE SUPPORTING UP 7000 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of UP 7000 Patient Monitor should assure that it is used in such an electromagnetic environment IMMUNITY test IEC 60601 test level Electromagnetic environ
15. Check all the applicable functions to make sure that the monitor works normally If the built in battery is applied please recharge it after using the monitor to ensure sufficient power storage It will take at least 8 hours to charge battery from depletion to 9096 charge Do not use the monitor to monitor the patient if there are indications of damage or reminders of error Please contact the local dealer or our company Start the monitor again 1 minute later after it is switched off User Manual for Patient Monitor 3 2 Appearance 3 2 1 Front Panel Figure 3 1 Front Panel 1 Power switch Press it to switch on off the monitor 2 AC power indicator When AC indicator is on it means this device is using mains power supply 3 DC power indicator of built in battery When DC indicator is on it means the battery 15 used when both of AC indicator and DC indicator are on it means that this device is using mains power supply and the battery is being recharged 4 ECG lead selection Click it to shift the ECG monitoring circulatory among I and AVL AVE and V 5 Alarm silence Press this key to set or activate the system alarm In the monitoring screen press Alarm to set the alarm timer The time shows up on the upper left corner of the screen When the alarm timer is activated the system begins to count down and alarm when the set time has passed There are four options of alarm
16. Do not apply tape to secure the sensor in place or to tape it shut venous pulsation may lead to inaccurate saturation measurements 5 Do not immerse sensor as it causes short 6 Do not use NIBP or other constructing instruments on same appendage as sensor for blood flow interrupted by NIBP cuff or circulatory patient condition will result in no pulse found or loss of pulse 7 not use the sensor or other oximetry sensors during MRI scanning 8 Carefully route cables to reduce the possibility of patient entanglement or strangulation 9 Do not alter or modify the sensor Alterations or modifications may affect performance or accuracy 10 Do not use the sensor if the sensor or the sensor cable appears damaged 11 User Manual for Patient Monitor Instructions for Adult SpO Finger Rubber Sensor Intended Use When used with a compatible patient monitor or a pulse oximeter device this SpO sensor is intended to be used for continuous non invasive functional arterial oxygen saturation SpO and pulse rate monitoring for patients weighing greater than 50kg Contraindications This sensor is contraindicated for use on active patients or for prolonged use Instructions for Use 1 Hold the sensor with its opening towards the patient s index finger A The sensor should be oriented in such a way that the sensor side with a finger tip sign 15 positioned on the top 2 Insert the patient s index finger into the sensor until the
17. If you have any doubt to the grounding layout and its performance you must use the built in battery to power the monitor combinations of equipment must be in compliance with IEC standard 60601 1 1systems requirement Check SpO2 probe application site periodically every 30 minutes to determine circulation positioning and skin sensitivity The SpO2 measurement of this monitor may not work for all testees If stable readings can not be obtained at any time discontinue to use Do not immerse the monitor or its accessories in liquid to clean Do not use accessories other than those provided recommended by the manufacturer Each time the monitor is used check the alarm limits to ensure that they are appropriate for the patient being monitored The monitor is intended only as an adjunct in patient assessment It must be used in conjunction with clinical signs and symptoms When taking the measure of a pediatric or neonate s less than 10 years old blood pressure do NOT operate in the adult mode The high inflation pressure may cause lesion or even body putrescence The monitor is prohibited from applying to those who have severe hemorrhagic tendency or who are with sickle cell disease for they may develop partial bleeding when this monitor is used to take the blood pressure measurement User Manual for Patient Monitor DO NOT take blood pressure measurement from a limb receiving ongoing transfusion or intubations or s
18. Manual Auto STAT 7 5 SpO Monitoring 1 Probe dual wavelength LED Wavelength Red light 660 nm Infrared light 905 nm Maximal optical output power less than 2mW maximum average 2 SpO measuring range 35 100 3 measuring accuracy not greater than 3 for SpO range from 70 to 100 NOTE accuracy defined as root mean square value of deviation according to ISO 9919 4 Low perfusion performance the declared accuracy is sustained when the pulse amplitude modulation ratio 15 as low as 0 4 7 6 Pulse Monitoring Pulse rate measuring range 30bpm 240bpm 2 Pulse rate measurement accuracy 2bpm or 246 whichever is greater 7 7 CO Monitoring 1 Technology Infrared absorption method 2 Mode of Sampling Sidestream or Mainstream 3 Response Time Sidestream 3seconds including transport time and rise time Mainstream 60ms rise time 4 Warm up Time Not less than two minutes 5 measurement range 0 150mmHg 6 Accuracy 0 40mmHg 2mmHg 41 70mmHg 5 of reading 71 100mmHg 8 of reading 101 150mmHg 10 of reading NOTE Gas temperature at 25 C for Sidestream Gas temperature at 35 C for Mainstream 7 Flow rate 50ml min 10 ml min Sidestream od User Manual for Patient Monitor 7 8 Data Recording Sensitivity selection tolerance 5 Recording speed 25mm s Recording speed accuracy 10 Hysteresis lt 0 5mm A gt Frequency respon
19. meets the requirements of accurate calculation such as sudden limb movement or cuff being hit during the measurement If the answer is negative give up the calculation If the answer is positive proceed with calculation of the blood pressure value As change of the blood pressure is recorded by electric sensor which sensitivity is much higher than 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 oscillating method is used the circuit in the measuring apparatus will separate the amplitude of the cuff pressure from its change with pulsation With the oscillating method the blood pressure at the maximum amplitude of cuff pressure is defined as the mean arterial pressure The blood pressure at amplitude of cuff pressure forward reduced according to proper proportion is defined as systolic pressure while the blood pressure at amplitude of cuff pressure backward reduced according to proper proportion is defined as diastolic pressure The maximum change of pulse pressure occurs at these two points They are equivalent to the point with pulse sound and the point without pulse sound respectively in the Korotkoff Sound Method When the risk of invasive monitoring method outweighs its advantage of accuracy non invasive monitoring method shall be used Comparison between blood pressure measuring methods To ov
20. 0 349bpm High Limit 2 49mV 2 49mV Low Limit 2 49mV 2 49mV 0 05 0 High lini 250 mmti Low limit 0 249 mm Pulse Rate ST Segment Temperature Difference Systolic Arterial High limit 1 250 mmHg 1 250 mmHg 1 250 mmHg Diastolic Pressure High limit 1 250 mmHg 1 250 mmHg 1 250 mmHg ean Low limit 0 249 mmHg 0 249 mmHg 0 249 mmHg Low limit 0 249 mmHg 0 249 mmHg 0 249 mmHg High limit 1 120 mmHg 1 120 mmHg 1 120 mmHg Low limit 0 119 mmHg 0 119 mmHg 0 119 mmHg Systolic Pulmonary Artery Pressure Diastolic 0 High limit 1 120 mmHg 1 120 mmHg 1 120 mmHg Low limit 0 119 mmHg 0 119 mmHg 0 119 mmHg High limit 1 120 mmHg 1 120 mmHg 1 120 mmHg Low limit 0 119 mmHg 0 119 mmHg 0 119 mmHg High limit 9 40 mmHg 9 40 mmHg 9 40 mmHg 9 Systolic Low ini 10 39 mH High iit ID mmHg Low limit 10 39 mmHg 10 39 mmHg SAO mnl g 5 g Central Venous Pressure Diastolic User Manual for Patient Monitor 12 3 Abbreviation of Arrhythmia 1 ee IU ope m RF WN ECG TACHY ECG BRADY ECG VPCEST MISS BEAT VE EARLY SVE EARLY VE COUPLET SVE COUPLET VE RUN SVE RUN VE SHORT RUN SVE SHORT RUN VE BIGEMINY SVE BIGEMINY VE TRIGEMINY SVE TRIGEMINY INSERT SVE INSERT VERONT SVE RONT 12 User Manual for Patient M
21. NOT operate it before its safety and technical indexes have been tested minutely and positive testing results obtained It is recommended to take the blood pressure measurement manually The automatic or continuous mode should be used at the presence of a doctor nurse Reuse disassembly cleaning disinfecting or sterilizing the single patient use CO2 cannula kits and on airway adapters may compromise functionality and system performance leading to a user or patient hazard Performance is not guaranteed if an item labeled as single patient use is reused Electrical Shock Hazard Always disconnect the CO2 Sensor before cleaning Do NOT use if it appears to have been damaged Refer servicing to qualified service personnel Electrical Shock Hazard No user serviceable parts inside the CO2 Sensor After the life cycle of the Sidestream CO2 Sensor and its accessories has been met disposal should be accomplished following national and or local requirements Please peruse the relative content about the clinical restrictions and contraindication When disposing of the monitor and its accessories the local law should be followed User Manual for Patient Monitor Table of Contents orem een MM 1 1 2 ProductName MOdGeL ss ite e 1 1 5 Applications did S idee nins e
22. Speed 25 Mode a Pace OFF im OFF S T Notch 50Hz Cable a Figure 4 28 settings Lead Can choose from I II III AVR AVL AVE V V1 V6 The default is I Gain The ECG gain 5 options x1 2 x1 x2 x4 and Auto Auto is for automatic gain control The factory default is x1 HR Hi High limit of heart rate alarm Lo Low limit of heart rate alarm The adjustable range and the factory default value can be found in chapter 5 10 Speed ECG display speed 3 options 12 5 25 50 mm s The factory default is 25 mm s Mode ECG filter mode Three options MON DIA and OPE MON Monitoring mode Moderate filtering that can filter out interference and present good ECG waves DIA Diagnosis No filtering represent the true ECG without filtering OPE Operation Deep filtering filtering out strong interference The factory default is MON ImV Generating the 1mV signal This signal is used to test the function of the machine It is not used during normal operation Factory default is OFF Pace Cardiac pacemaker detection When Pace is ON a mark will be displayed on the ECG waveform if the patient fitted with a cardiac pacemaker The factory default is OFF Grid The grid on the background Factory default is OFF 50Hz 50 Hz frequency filter The factory default is ON S T Hi The high limit value of S T Segment Lo The low limit value of S T Segment 34 User Manual for Patient Monitor temperature parameter settings
23. and the most accurate measure is taken Other postures may lead to inaccurate measurement Do not speak or move before or during the measurement Care should be taken so that the cuff will not be hit or touched by other objects The measurements should be taken at appropriate intervals Continuous measurement at too short intervals may lead to pressed arm reduced blood flow and lower blood pressure and resulting inaccurate measure of blood pressure It is recommended the measure be taken at intervals of more than two minutes A When an adult subject is monitored the machine may fail in giving the blood pressure measure if the infant mode 15 selected Prior to use of the cuff empty the cuff until there is no residual air inside it to ensure accurate measurement Do NOT twist the cuff tube or put heavy things on it When unplugging the cuff hold the head of the connector and pull it out The symbol indicates that the cable and accessories are designed to have special protection against electric shocks and 16 defibrillator proof 3 3 3 SpO Probe Connection SpO probe is very delicate equipment Please follow the steps and procedures in operating it Failure to operate it correctly can cause damage to the SpO probe Operation procedure 1 Connect the probe to the right panel s jack labeled 5 When unplugging the probe be sure to hold the head of the connector and pull it out 2 Insert on
24. atime atra ARAS A ADA ALEA AA 28 2 5 __ ___ __ _ _______ 28 A A A 30 A 1O Systenr Setup Scree di A A ds 32 2 I0 I Screen Despo dorrearen EA 32 All Color Senos id 37 4 12 Pie Are vex Mana te mento rei 38 CHAPTER COS MONITORING iii italia 39 os Parameter ecards 39 S 2 COs Sensor C ODDO HOD deer dL cde 40 3 2 idesttedm Sensor tesa taii D 40 5 2 2 Maimstreant CO Sensor Connection ee osten at rg eaa rx ote ra co deg et eec der Pe E nu ee dat i ti at e d 42 3 905 Monitore SES A 44 MG EE GIC SNR A LE ____6_ _ 45 CHAPTER O ALARM FUERTE diee UE desire eR TEES 46 o meia abo cubat uma GU odo 46 ENTE 47 PPAR SINC acl
25. blood pressure measure if the infant or neonate mode is selected 9 2 3 Clinical Limitations p 6 Serious angiospasm vasoconstriction or too weak pulse When extremely low or high heart rate or serious arrhythmia of the subject occurs Especially auricular fibrillation will lead to unreliable or impossible measurement Do not take the measurement when the subject is connected with an artificial heart lung machine Do not take the measurement when the subject uses diuresis or vasodilator When the subject is suffering from major hemorrhage hypovolemic shock and other conditions with rapid blood pressure change or when the subject has too low body temperature the reading will not be reliable for reduced peripheral blood flow will lead to reduced arterial pulsation Subject with hyperadiposis In addition statistics show that 37 people report blood pressure difference of no less than 0 80kPa 6mmHg between the left and right arms and 13 people report difference of no less than 1 47kPa 11 mmHg 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 big discreteness must be term in the sense of statistical significance of mass data Abnormal data may be observed in some individual cases It is normal in the scientific experiments It may be caused by an apparent reason or by an unknown fac
26. blood stream of subject is required For a subject with weak pulse due to shock low ambient body temperature major bleeding or use of vascular contracting drug the 5 waveform PLETH will decrease In this case measurement will be more sensitive to interference 2 For those with a substantial amount of staining dilution drug such as methylene blue indigo green and acid indigo blue or carbon monoxide hemoglobin COHb or methionine Me Hb or thiosalicylic hemoglobin and some with icterus problem the SpO determination by this monitor may be inaccurate 3 The drugs such as dopamine procaine prilocaine lidocaine and butacaine may also be a major factor blamed for serious error of SpO measurements 4 As the SpO value serves as a reference value for judgement of anemic anoxia and toxic anoxia the measurement result of some patients with serious anemia may also present as good SpO value 62 User Manual for Patient Monitor 9 4 Respiration Monitoring 9 4 1 Measuring Principle The air will be filled into alveolus or be expelled during respiration and the chest s volume changes with this process Because the conductivity of air is lower than body tissues the chest s impedance will be changed by the inflation With this specialization the respiration can be monitored through putting safe current into body and measuring the change of voltage between the electrodes The product will transmit the high frequency curr
27. bpm to 120 bpm lt 8 sec Change from 80 bpm to 40 bpm lt 8 sec 7 Tall T wave rejection Rejects all T wave less than or equal to 120 of ImV QRS 8 Pacemaker pulse rejection Rejects all pulses of amplitude 2mV to 700mV and duration 0 1 to 2 ms without overshoot Rejects all pulses of amplitude 2mV to 400mV and duration 0 1 to 2 ms with overshoot 9 Sensitivity selection x1 2 5mm mV tolerance 5 xl 10mm mV tolerance 5 x2 20mm mV tolerance 5 10 Sweeping speed 12 5mm s 25mm s 50mm s tolerance 10 11 ECG noise level lt 30uVp p 12 ECG input loop current lt 0 1uA 13 Differential input impedance gt 5 14 Common mode rejection ratio CMRR gt 89dB 15 Time constant Monitoring mode gt 0 3s Diagnostic mode gt 3 2s 49 User Manual for Patient Monitor 16 Frequency response 0 4dB Monitoring mode 0 5 Hz 40 Hz 32 0d B Diagnostic mode 0 05 Hz 75 Hz 0 4d m 2 d BJ Additional declarations to conform the particular standard of IEC 60601 2 27 Medical electrical equipment Part 2 27 Particular requirements for the safety including essential performance of electrocardiographic monitoring equipment Direct current for Applied current less than 0 1 microamperes respiration leads off sensing and active noise suppression Response to irregular A Ventricular bigeminy 80BPM rhythm A2 Slow alternating ventricular bigeminy 60BPM Rapid alternating ventricular bigem
28. damage or aging please replace the lead Tf there is any indication of cable and transducer damage or they deteriorate they are prohibited from any further use The adjustable units in the monitor such as potentiometer are not allowed to adjust without permission to avoid unnecessary failures that affect normal application It is recommended to use the battery once a month to ensure its strong power supply capacity and long service life and recharge it after run out of the power volume 11 2 Battery Maintenance NIZ Please pay attention to the polarity of battery do NOT insert it into battery compartment with reversed polarities Do NOT use the batteries manufactured by other companies if being inserted the device will may be damaged In order to avoid damaging the battery do NOT use other power supply device to charge the battery 66 VS gt 7N User Manual for Patient Monitor After battery ageing phenomenon occurring do NOT throw the battery into fire to avoid explosion risk Do not hit or strike it with force Do not use this battery on other devices Do not use this battery below 10 C or above 40 Dispose of the battery the local law should be followed In order to maintain battery supply time and prolong battery lifetime please charge the battery every one or two months if don t use battery for a long time And do charge battery at least 12 15 hours every
29. flashing rates for the three categories of alarms are shown in the table below Indicator Color Alarm Caregory Flashing Rate Red flashing High priority alarm 2 Hz Yellow flashing Medium priority alarm Yellow light Low priority alarm Constant on non flashing Audible Alarm Indications The audible alarm has different tone pitch and on off beep patterns for each priority category These are summarized in the Table below High priority alarm 500Hz 2 beeps per 7 sec Medium priority alarm 700Hz 4 beeps per 9 sec Low priority alarm 600Hz 20 beeps per 13 sec 300Hz continuous Note Visual alarm indicators can not be suspended or removed Audible alarms may be decreased in volume or silenced 6 3 Alarm Silence Press X key to set or activate the system alarm In the monitoring screen press Alarm to set the alarm timer There are four options of alarm silent time 2 minutes 5 minutes 10 minutes and 20 minutes The time shows up on the upper left corner of the screen When the alarm timer is activated the system begins to count down If alarm occurs during that period the system alarm will be actived automatically and the monitor will give alarm If there is no alarm during that period when the set time has passed the system alarm will be actived as well When the monitor alarms press X key to suspend the alarm and set the alarm silence time DO NOT silence the audible alarm or decrease its volume if patient safet
30. including ECG SpO and Respiration The factory default is ECG Disp2 The display 2 Two options Obsev Observation and 7 ECG 7 ECG lead can be selected The factory default is Observation VOL The sound volume The maximum volume is 7 and minimum 15 0 i e no sound The default is 5 Key If the setting 15 ON the press of the button will generate a keystroke sound The factory default is ON Beep The synchronous heart beat sound The range of setting 1s 0 7 The factory default 1s 5 PRINTER SETTINGS Print Timer ARR Figure 4 27 Printer settings Printer the switch of printer setting the printer can be used 1f you choose ON This parameter does not have default but the choice can be stored Timer 1f Print 15 ON rotate navigation knob to set on the Timer to enable timed print and set the value of printing intervals in the cycle category When the time set 1s reached the system will automatically take the record The interval is 1 2 3 10 240 minutes Wave2 when built in printer is selected you can choose SpO respiration I III AVR AVL AVF or V to be printed with ECG waveform The default is SpO 33 lt gt User Manual for Patient Monitor ARR ARR trigging print ON means the printer will trig once ARR occurs and record the ARR waveform information The initial setting is OFF means close the ARR trigging record ECG PARAMETER SETTINGS Lead Gain HR
31. on the pediatric and neonatal patient or it can cause serious injury lt gt Mode Monitor mode selection The Real Time shows the real time waveform i e normal monitoring state The Demo shows the demo waveforms In the demo state all the signals and data are generated from the patient monitor for demo and testing purpose The default is Real Time 32 lt gt lt gt User Manual for Patient Monitor LANG for setting the display language The patient monitor is equipped with dual language the primary and secondary languages which can be switched alternatively by user The default language configuration is ENG English as the primary language Chinese as the secondary language The available secondary languages can be configured optionally with Chinese ENG English PTG Portuguese CSK Czechish TRK Turkish and FRA French etc For the special configuration without the secondary language the display language is always ENG English and this setting item is gray so that it can not be set Fill When the fill setting is ON the display fills the volume for the SpO and Respiration When it is OFF the system displays the line graph The default is OFF Frze Pressed the key to freeze the selected waveform The options are and ECG When ECG is selected the system only freezes the ECG waveform When is selected the system freezes all the waveforms
32. patient ID choose Exit button and press the knob to exit the text entry The patient ID 1s the unique identifier for the patient When the patient ID changes the system considers the patient has changed Name Enter the patient s name Bed Enter the bed number Sex Choose between M or F for male and female Age Choose the age field and use the Navigation Knob to select an age Save The operator can choose how much of the data that needs to be saved The unit is hour Once the time is chosen the system starts to save data from the current time If OFF is selected 1t means that the data will not be saved The system will determine the time range according to the available disk space If no disk space available SAVE will be displayed as OFF When the user intends to save the current ECG waveform permanently please delete the history files Refer to Chapter 4 8 for deletion methods Press print key to print lead ECG waveform and waveform 2 which be selected in the system menu the Document Management Screen 38 User Manual for Patient Monitor Chapter 5 CO Monitoring If your monitor has monitoring function please follow the instructions in this chapter to perform CO monitoring on patient 5 1 CO Parameter Settings 1 On Main Screen press the knob to enter System Menu Screen Then choose SETUP enter CO Parameter Settings screen Switch Gain RR Hi 40 EtCO2Hi 70 0
33. silent time 2 minutes 5 minutes 10 minutes and 20 minutes DO NOT silence the audible alarm or decrease its volume or patient safety could be compromised 6 Freeze Press the key to freeze ECG waveform or the waveforms of ECG SpO and RESP for the S T segment analysis according to the system setting 7 NIBP Press it to start or stop NIBP measuring 8 2 Print Click it to print out different waveforms under different system states User Manual for Patient Monitor 9 DISP Click it to shift the display modes Press it to shift the main screen list screen viewing screen and the seven leads on the same screen and return to the main screen from other screens 10 Navigation Knob It is the major operating key of the system which can be used to select functions or parameters Press and release it to shift the screen and to confirm the function or other operating tips 11 Alarm indicator Indicator Color Alarm Level Alarm Event Red flashing High priority alarm Exceeding the limits pulse stop or suffocation Orange flashing Medium priority alarm Leads and probe off VE RONT and SVE RONT Orange light Low priority alarm Other arrhythmia phenomenon 3 2 2 Left and Right Panel Figure 3 2 the left panel Figure 3 3 the right panel Different ports are located in different positions of the monitor for operating conveniences The built in printer is at the left panel shown in Figure 3 2 The cable and probe port
34. the data of pulse rate pulse oxygen saturation SpO SpO volume waveform via the SpO probe 3 The NIBP module collects the blood pressure data including the diastolic systolic and mean arterial pressure through the NIBP cuff The cuffs are designed for adult infant and neonate respectively and the NIBP measurement has two modes adult infant and neonate 4 The CO module collects the date of respiration rate ECCO InsCO through the sampling tube 5 The main unit consists of main board multi function board and the keyboard The multi function board performs the data communication among the main board ECG module SpO module NIBP module and CO module User Manual for Patient Monitor Chapter 3 Installation and Connection 3 1 Installation 3 1 1 Opening the Box and Check 1 Open the package take out the monitor accessories from the box carefully and place it in a safe stable and easy to watch position 2 Open the user manual to sort the accessories according to the packing list Inspect the accessories for any mechanical damages Check all the exposed leads and inserted accessories You can customize the module configuration by choosing necessary modules to meet your own needs Therefore your monitor may not have all the monitoring functions and accessories Please contact the local dealer or our company in case of any problems We will offer the best solution for your satisfaction 3 1 2 Connec
35. the problem first If the attempt fails refer to the dealer in your local area or the manufacturer 11 1 Service and Examination 11 1 1 Daily Examination Before using the monitor the checks below should be carried out Check the monitor for any mechanical damage Inspect the exposed parts and the inserted parts of all the leads and the accessories Examine all the functions of the monitor that are likely to be used for patient monitoring and ensure that it is in good working condition Make sure that the monitor is grounded properly Pay close attention to the fluctuation of the local power supply voltage A manostat 1s recommended when necessary In case any indication of damage about the function of the monitor is detected and proven it is not allowed to apply it to the patient for any monitoring Please contact the local dealer or our company and we are to offer the best solution as soon as possible for your satisfaction 11 1 2 Routine Maintenance After each maintenance or the yearly maintenance the monitor can be thoroughly 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 maintenance If the hospital fails to carry a satisfactory maintenance program about the monitor it may get disabled and harm the patient s safety and health In case of ECG leads
36. this apparatus or outlet Remove the fuse from the back cover of this machine and make sure 1t is in good condition 10 2 Excessive ECG Signal Interference or too Thick Baseline 1 2 Check if the plate electrodes are properly located and if valid plate electrodes are used Check whether the lead wires are properly inserted If no ECG curve displayed check if the ECG lead wires are broken Make sure the mains outlet has standard grounding wire Check if the grounding wire of the apparatus properly grounded 10 3 No Blood Pressure and Pulse Oxygen Measures l Check if the blood pressure 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 the pulse oxygen sensor flashes and if the pulse oxygen probe 15 properly connected to the SpO jack on the side panel If the problems still exist please contact the manufacturer 10 4 System Alarm l When the parameter value is higher or lower than the alarm limits the alarm will ring Please check whether the alarm limit value is proper or the condition of the patient Leads off Please check the connection of the leads Probe off Please check the connection of the probes 65 User Manual for Patient Monitor Chapter 11 Maintenance In case of trouble of this machine in the service follow the instructions below to eliminate
37. to enter the screen of NIBP RCALL TREND ARR SETUP COLOR and FILE The following chapter 4 5 will describe each one Press Exit DISP to exit from this screen Es Press print key to print lead ECG waveform and waveform 2 which can be selected the system menu 22 User Manual for Patient Monitor 4 5 SpO Data List Screen Move the gray cursor to SpO in the mode selection screen and press Navigation Knob to enter into SpO data list screen shown in Figure 4 12 Time HR RR TEMPI 5 2 PR 11 29 15 36 60 14 21 2 99 61 11291536 60 14 36 6 37 2 98 62 11 29 15 35 60 14 32 99 61 6 14 oc 7 g lt 1 Sr 9 eE 11 70 15 35 P Ln 11 29 15 35 60 14 36 6 37 0 99 61 11 29 15 35 60 14 35 7 37 0 98 11 29 15 35 60 14 34 99 60 11 29 15 35 60 14 36 5 21 7 60 11 29 15 35 60 14 4 37 98 61 11 29 1535 60 14 36 6 37 0 98 62 11 29 15 35 60 14 37 98 61 11 29 15 34 60 14 4 37 98 60 Figure 4 12 5 Data Listing Screen 4 5 1 Screen Description The SpO data listing screen is similar to the NIBP listing screen The difference is the color of title bar All the parameters in the SpO data listing are corresponding to the time when SpO measurements were taken There is only one record every 4 seconds Press print key to print SpO list on the SpO List Screen 4 6 NIBP Listing Screen 4 6 1 Screen Description Move the gray curso
38. 1 after moving it towards the same direction 5 times the interval becomes 5 and with 5 more steps the interval becomes 10 then 20 and 40 No matter what the interval is as long as you move towards the other direction the interval becomes 1 of the other direction Therefore it is very easy to find the time you are looking for The last option on the right is Exit Move the cursor to the Exit and press the Navigation Knob to return to the previous screen The screen returned to is the Mode Selection screen Please note that the maximum value on the vertical axis of the ECG is 150 not the value of ECG upper limit 300 The graph is scaled down for better view of the waveforms When the ECG value exceeds 150 the vertical axis s maximum value will automatically change to 300 That is to say the vertical axis value 0 75 150 will change to 0 150 300 automatically if the value exceeds 150 When system gets Reset the patient ID is changed the vertical axis will return to its original value of 0 75 and 150 Other changes of vertical axis value in other trend graph are similar to that of ECG The Trend graph shows parameter value of the current time For example in the 12 hours trend graph when the monitoring time exceeds 12 hours the data 12 hours ago will be move out of the graph This ensures the screen always display the current data for review The data moved out of the graph is not deleted but is just hidden temporarily Whe
39. AVL AVF and V as shown in Figure 4 8 Alarm ADUL MON 2011 08 06 10 22 55 NIBP mmHg 10 22 PR 62 1221 821 93 AUTO 00 00 54 TEMP1 2 36 6 37 5 0 CREATIVE Push Display to exit MEDICAL Figure 4 8 7 Leads on the Same Screen In this screen rotate the Navigation Knob to adjust ECG gain The ECG gain includes 3 or 5 options Auto 1 2 X2 X4 Rotate the knob to adjust the gain for all 7 ECG waveforms Press the freeze button to freeze all 7 ECG waveforms 4 2 3 Operating Instructions In the above monitoring screens the operator can perform normal print and the blood pressure measurement but print and blood pressure measurement can not be operated at the same time When pressing the DISP key again on the front panel the system returns to the main screen Es Press print key to print lead ECG waveform and waveform 2 which can be selected the system menu 20 User Manual for Patient Monitor 4 3 Freeze and S T Analysis Screen During the process of monitoring the whole screen or the 3 ECG waveforms can be frozen to perform detailed analysis If necessary the operator can send one of the frozen waveform to the printer In the main screen press the Freeze key to freeze the 3 ECG waveforms or all the waveforms on the screen as shown in Figure 4 9 Alarm MON 2011 08 06 10 34 54 Freeze Time 10 34 53 HR S I 40 09 mv NIBP mmH
40. Hg 19 User Manual for Patient Monitor 12 7 Accessories List Remark 15010531 ECGcdble OOOO SIOLOIOI3IO ECG electrode 1504081 AdutSpO FmgercipSenor Adult SpO Finger rubber Sensor Optional 15024402 Adult NIBP cuff 2s 3sem ____ Optional Optional 1508410 SkinTEMP probe Sampling line kit 2900000000 9009 1 o For more information regarding the accessories please contact your local sales representative or the manufacturer 16 User Manual for Patient Monitor 12 8 Instructions for SpO Probe Instructions for Pediatric SpO Finger Clip Sensor Intended Use When used with a compatible patient monitor or a pulse oximeter device the sensor is intended to be used for continuous non invasive functional arterial oxygen saturation SpO and pulse rate monitoring for pediatric patients weighing between 10 40kg Contraindications This sensor 15 contraindicated for use on active patients or for prolonged use Instructions for Use 1 2 3 4 5 6 1 With the upper and lower jaws open place an index finger evenly on the base of the clip Push the finger tip against the stop so that it 15 over the sensor window A If an index finger cannot be positioned correctly or is not available other fingers can be used Note When selecting a sensor site priority should be given to an extremity free of an arterial catheter blood
41. against electric shocks and 15 defibrillator proof The locations of the electrode are in the following Figure Figure 3 5 Electrode Location Note If skin rash or other unusual symptoms develop remove electrodes from patient 5 After starting the monitor if the electrodes become loose or disconnected during monitoring the system will display LEAD OFF on the screen to alarm the operator It might not display ECG wave with 3 leads 5 leads should be used to have ECG wave User Manual for Patient Monitor 6 The ECG leads and their corresponding locations are as follows Symbol Position RA The intersection between the centerline of the right clavicle and Rib 2 The intersection between the centerline of the left clavicle LA and Rib 2 LE Left part of the upper abdomen RL Right part of the upper abdomen C V C2 V2 V3 The electrodes are placed in different places the different Chest C4 V4 lead forms will display electrode C5 V5 C6 V6 Safety Instructions for ECG Monitoring UP 7000 Patient Monitor only be equipped with ECG leads provided by company using ECG leads supplied by other companies may cause improper performance or poor protection while using defibrillator Electric parts of electrodes leads and cable are forbidden to contact any other conductive parts including ground UP 7000 Patient Monitor can res
42. as well besides Main Screen Note only when the setting item System Menu SETUP CO Switch is set as ON CO monitoring function is available 5 4 Graphic Trend On Graphic Trend screen rotate the knob and move the cursor to then press the knob to enter EtCO2 Graphic Trend Refer to Chapter 4 5 Graphic Trend Screen for detailed instructions and operations Graphic Trend 45 User Manual for Patient Monitor Chapter 6 Alarm 6 1 Alarm Priority High Priority Over FR imit Over RR limit Over TEMPI limit Over 2 limit Over SpO limit Over PR limit Over NIBP SYS limit Over NIBP DIA limit Over NIBP MAP limit Over EtCO limit Over InsCO limit Over TD limit Over ST limit Over NIBP PR limit ECG VPCEST Unable to detect HR Unable to detect SpO The battery capacity will exhaust Medium Priority VE RONT SVE RONT Lead Off Probe Off Sensor Over Temp Sensor Faulty Zero Required CO Out of Range Check Airway Adapter Check Sampling Line The Sensor Off Low Priority Other arrhythmia phenomenon Except ECG VPCEST VE RONT and SVE RONT refer to 12 3 Abbreviation of arrhythmia for details 46 User Manual for Patient Monitor 6 2 Alarm modes 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 Indicators The
43. ccording to the ECG gains All ECG waveforms have their own scale When the third measured waveform change to lead II the first waveform will automatically change to lead I 5 2 Waveform The second waveform is for the ECG waveform of lead When the third measured waveform displays the ECG for the lead this waveform automatically changes to the ECG for lead I lt 4 3 waveform The third waveform is the measurable ECG channel Its lead can be adjusted and will not repeat the 1 and 2 waveforms 4 4 waveform SpO waveform 5 waveform Respiration waveform 6 NIBP list the last 5 NIBP list will be displayed this area Data area Heart Rate Mark Heart Rate Value 6 2 ECG Waveform Gain X1 Value of ST Segment Measuring mV 1 0 014 mV Figure 4 3 Heart rate area lt gt HR The currently displayed heart rate The 62 on the right side is the heart rate measured lt gt The heart rate unit bpm beat per minute p The heart beating symbol Its flashing corresponds to the R wave of the ECG waveform The speed 1s the same with the heart rate lt 5 0 019 The measured mili volts value during S T measurement lt gt XI ECG waveform gain amplification 3 or 5 leadwire options available Auto Automatic waveform gain x1 2 half size of the basic waveform Xl Basic waveform Twice the size of the basic waveform x4 Fo
44. ch as ECG heart rate non invasive blood pressure functional oxygen saturation end tidal concentration respiration rate body temperature and so on it allows comprehensive analysis of patient s physiological conditions This instrument is applicable for use hospitals and clinical institutions The operation should be performed by qualified professionals only 1 4 Operating Environment 1 Ambient temperature range 5 240 C Relative humidity 3090 8090 Atmospheric pressure 70kPa 106kPa Power supply 100 240VAC Power frequency 50 60Hz This apparatus should be situated in a place protected against direct sunlight so as to prevent too high temperature inside it Do not use this apparatus in an environment with toxic or inflammable gas This apparatus should be fixed on a stand so as to prevent possible shock Do not use this apparatus in combination with any equipment other than those expressly permitted in these instructions When using this device with electrosurgical equipment the user doctor or nurse should pay attention to the safety of patient Make sure that the equipotential grounding terminal 1s grounded correctly Do not use mobile phone nearby so as to avoid strong radiant field interference 1 5 Impact on Environment and Resources Low 1 6 Safety a b d Conform to IEC60601 1 certified as Class I with Type BF and CF applied parts This device can resist against the discharg
45. d is deleted The current record cannot be deleted or system will exit Delete screen Exit Press this key to return to the system setup menu gt Press print key to print the recalled data list If a piece of record is chosen press print key to print lead II ECG waveform and the recalled waveform on the Waveform Recall Screen 29 User Manual for Patient Monitor 4 9 ARR Screen Move the gray cursor to ARR and press Navigation Knob to enter ARR screen shown in Figure 4 25 The structure 1s similar to recall screen We will cover each function key below 125 81 98 AUTO 00 00 24 MON 652 Time ARR Type 10 25 57 EARLY 10 26 16 YE_EARLY 10 25 35 YE_EARLY 10 24 54 YE_EARLY 10 24 13 YE_EARLY 2 Y 36 7 37 6 1 1 CREATIVE View arrhythmia detectedgraph D A MEDICAL Figure 4 25 ARR screen start This button is used to start and end the system ARR detection The default is OFF When the ARR is not ON the Learn key is disabled Press this key and the system enters learning mode The start changes to End Press it again to end the learning When Learn key change to yellow from gray it indicates the learning has finished After the ARR detection is begins the system will automatically detect the ARR waveforms If ARR is detected the ARR waveform will be displayed in the 3 ECG channel shown in Figure 4 25 When the system get Reset or the patient has change t
46. e finger into the probe index finger middle finger or ring finger with proper nail length according to the finger mark on the probe shown as below 12 User Manual for Patient Monitor _ gt ie dom AAA 1 Ta fF F y T E gt AS mi qmm A pe j ee n M Fi Ir L Figure 3 7 Demonstration of SpO Probe When selecting a sensor do consider the patient s category adequacy of perfusion availability of probe site and anticipated monitoring duration Use only SpO probes provided by our company with this monitor Read following table for SpO probe information Refer to Chapter 12 8 for the detailed instructions of each SpO probe SpO Probe Patient Category SpO Finger clip Sensor reusable SpO Finger rubber Sensor reusable SpO Finger clip Sensor reusable High ambient light sources such as surgical lights especially those with a xenon light source bilirubin lamps fluorescent lights infrared heating lamps and direct sunlight can interfere with the performance of an SpO sensor To prevent interference from ambient light ensure that the sensor is properly applied and cover the sensor site with opaque material Failure to take this action in high ambient light conditions may result in
47. e of defibrillator and the interference of eletro surgical unit This device can monitor the patients with pace maker DO NOT use this device while the patient is under MRI scanning User Manual for Patient Monitor Chapter 2 Working Theories of the Main Unit 2 1 Composition The monitor consists of the main unit and the corresponding functional components ECG leads amp electrodes non invasive blood pressure cuff SpO probe temperature transducer appendix of invasive blood pressure and side stream 2 2 Overall structure and Working Theories The overall structure of this monitor 15 shown as Fig 2 1 100 240 Fixing Parts Operation Butions Buttons Navigation Printing Output Internal or external CO Module Respiratory rate SIT tube ECO Ineo Electrocardiogram Module vor Pulse Oxygen Saturation ECG RESP TEMP Pressure Milo Module NIBP 5 p02 PR gt pO2 Sensor Picture 2 1 Basic Structure This patient monitor which performs physiological parameter measurement through different modules 15 product of module design It consists of six modules ECG module NIBP module module module optional and the main unit 1 The ECG module collects the heart rate respiration waveforms through the ECG leads amp electrodes and collects the temperature data through the temperature probes as well 2 The SpO module collects
48. eam CO sensors are placed at the airway of an intubated patient allowing the inspired and expired gas to pass directly across the IR light path The major advantages of mainstream sensors are fast response time and elimination of water traps Sidestream sensors are located away from the airway requiring a gas sample to be continuously aspirated from the breathing circuit and transported to the sensor by means of a pump This type of system is needed for non intubated patients When using mainstream sensors check the window for the patient secretions pooled on periodically Because that condition may affect the accuracy of the measurement or even make the sensor not work When using sidestream CO sensors there is a water trap or a part of the sampling tube with dehumidifying function Please periodically check the flow sensor and tubing for excessive moisture or secretion buildup 64 User Manual for Patient Monitor Chapter 10 Troubleshooting Note In case of trouble of this machine in service follow the instructions below to eliminate the problem first If the attempt fails contact the dealer in your local area or the manufacturer Do NOT open the monitor cabinet without permission 10 1 No Display on the Screen Shut down the machine and unplug the power cable Use a universal meter to check 1f the outlet has proper voltage if the power cable is in good condition and if the power cable is properly connected with
49. een Alarm 19 19 ADUL MON 2009 05 19 1 14 32 00 ECG unb HR bpm 5 ST 0 039 mV x1 TEMP 1 2 TD 36 6 37 0 0 4 mmHg 17 28 PR 127 85 98 62 ECG X pru JE 2 3 UL MANU a PR SPOF PM 1 A 62 ES E IBP1 mmHg ARE Ee 162 120 141 b 50 2 2 mmHg 20 100 60 82 RR EtCO2 Ins xi 16 39 0 3 4 wh MONITOR Waveform area lt 5 waveform CO waveform It can be respiration waveform or CO waveform 44 User Manual for Patient Monitor Data area RR ETCO Ins 16 39 0 3 4 RR EtCO and Ins Data Area X lt gt RR Respiration Rate The rpm after that is the unit of the respiration i e respiration per min 39 0 The label and the value will become gray when is turned off lt Ins The label of the minimal inhalational CO the label and the value will become gray when 15 turned off lt gt lt gt 16 Respiration rate It will display the respiration rate of when the switch is turned on lt gt Respiration gain amplification Xx 1 2 half of the basic waveform basic waveform 2 Twice the size of the basic waveform 4 times of the basic waveform Observing Screen 7 Leads on the Same Screen and other display screen will display CO monitoring data
50. emperature add a proper martial to transducer and fix it with adhesive tape to make them contact firmly gt Especially for pediatric patient they like sports pay more attention to the transducer fixing 63 User Manual for Patient Monitor 9 6 CO Monitoring 9 6 1 Measuring Principle The principle is based on the fact that molecules absorb infrared light energy of specific wavelengths with the amount of energy absorbed being directly related to the concentration When IR light beam 15 passed through gas sample containing the electronic signal from a photodetector which measures the remaining light energy can be obtained This signal is then compared to the energy of the IR source and calibrated to accurately reflect CO concentration in the sample To calibrated the photodetector s response to a known concentration of is stored in the monitor s memory The monitor determines CO concentration in the breathing gases by measuring the amount of light absorbed by these gases EtCO is display as a numerical value in millimeters of mercury mmHg percent 90 or kilopascals kPa In addition waveform capnogram may be displayed which is a valuable clinical tool that can be used to assess patient airway integrity and proper endotracheal tube placement Respiration rate is calculated by measuring the time interval between detected breaths 9 6 2 Mainstream vs Sidestream Sampling Mainstr
51. ent whose frequency is much higher than ECG frequency but with the safe current limit to the ECG electrodes placed at the both sides of chest which can be detect ECG signal and chest s impedance at the same time and the respiratory rate will be measured through impedance method by the software So the additional electrodes for respiratory measurement are unnecessary 9 4 2 Factors affecting respiration monitoring lt gt Place the white RA and red LL electrodes on the cross if the line between two electrodes in liver area or heart area the artificial error may occur lt gt Respiration monitoring doesn t support monitoring the patient who do much movement may lead to wrong alarm 9 5 Temperature Monitoring The sensor is thermo resistor type 25 C 69 and is supplied with constant micro current Calculating the temperature of measured part through measuring the voltage There is a period responding time so the accurate temperature value display after a while The temperature monitoring can be divided into two measuring method measure through body surface temperature and through the temperature inside the body cavity placed in mouth or anus Normal value body surface 36 5 C 37 C inside body cavity 36 5 C 37 7 C Notes gt Attach the TEMP transducer to the patient generally if the TEMP transducer and skin doesn t contact closely the measured value becomes lower so for those who have requirement for t
52. ep it clean Only non corrosive cleanser such as clear water is permitted Wipe the surface of the monitor and transducers with an alcohol impregnated wipe and dry it with dry and clean wipe or simply air dry This monitor can be disinfected and sterilized please clear the monitor first Do not let the liquid cleanser flow into the connector jack of the monitor to avoid damage Clean the exterior of the connector only Dilute the cleanser Do not use scrub materials Do not let any liquid flow into the shell or any parts of the monitor Do not let the cleanser and disinfectant stay on its surface Do not perform high pressure sterilization to the monitor Do not put any parts of the monitor or its accessories in the liquid Do not pour the disinfector on its surface while sterilization If the monitor is accidentally wetted it should be thoroughly dried before use The rear cover can be removed by qualified service technician to verify absence of water Never use this machine in an environment with inflammable gas 67 User Manual for Patient Monitor Avoid being hit by lightning The power cable should be plugged into an outlet with grounding wire Do not use an outlet with poor condition If possible use power supply system with regulator It must be used in a clean environment protected against shock Keep it away from corrosive substances explosive substances high temperature and dampness If it is insta
53. eration If the CO Sensor fails to respond as described in this user manual DO NOT use it until approved for use by qualified personnel DO NOT position the sensor cables or tubing any manner that may cause entanglement or strangulation Support the airway adapter to prevent stress on the ET tube Reuse disassembly cleaning disinfecting or sterilizing the single patient use 42 User Manual for Patient Monitor airway adapters may compromise functionality and system performance leading to a user or patient hazard Performance is not guaranteed if an item labeled as single patient use is reused Inspect the sidestream on airway adapters and sidestream sampling kits for damage prior to use DO NOT use the sidestream on airway adapters and sidestream sampling kits if they appear to be damaged or broken f the waveform Capnogram appears abnormal inspect the CO airway adapters and replace if needed Periodically check the sensor and tubing for excessive moisture or secretion buildup Do not use them if there is excessive moisture or exterior condensation Electric Shock Hazard The CO Sensor contains no user serviceable parts Refer service to qualified service personnel Do not open the sensor cabinet at will as electric shock hazard may occur Place the exhaust vent of the CO Sensor in drafty ambient and do not let anything block the exhaust vent Always disconnect the CO Se
54. ercome the effect of human hearing variation and air release speed on measurement accuracy when the conventional Korotkoff Sound Method is used to take measure of blood pressure people have been dedicated to study of automatic measurement of blood pressure By now automatic blood pressure measuring system based on the principle of oscillating method is mature In practice however various problems are encountered such as why the measures taken by the oscillating method is lower or higher than those taken by Korotkoff Sound Method Why the measures are inclined to decline Why in some cases no result is obtained in spite of the inflation actions Why the measure values have big discreteness and even abnormal data in some cases Why the SpO waveforms may disappear suddenly and so on The following explanations are devised to give the answers The Oscillating method vs the Korotkoff Sound Method Blood pressure measurement by the oscillating method and Korotkoff Sound Method has good correlation with the invasive measurement Notwithstanding any of the non invasive blood pressure measurements has its one sidedness when it is compared to the invasive measurement The oscillating method has its advantages over the Korotkoff Sound Method in less error higher reliability and stability Their differences may be reflected in the following aspects 1 The measures by the Korotkoff Sound Method are liable to effect of human factors For example differe
55. fault Es See Appendix for default alarming values and setup range 4 11 Color Settings RESP TEMP BACK Figure 4 33 Color settings Move the gray cursor to Color and press the Navigation Knob to enter the color setting screen shown in Figure 4 33 In this screen rotate the knob to choose the color press and rotate to change the color When the appropriate color is chosen press the knob again to save it Press the Exit to exit this color settings screen Es Press print key to print lead 1 ECG waveform and waveform 2 which can be selected in the system menu on Color Setting Screen 37 User Manual for Patient Monitor 4 12 File Archive Management Screen ID 000001 Name Age Figure 4 34 Document management screen The document archive management screen can be used to manage information about the patient In the screen the operator can enter and modify the patient ID Name Bed number Sex and Age The operator can also choose to save the patient data in the permanent storage The screen 15 shown in Figure 4 34 ID Or Patient ID To enter patient ID choose the patient ID field by using the Navigation Knob Press it to enter the text entry box Rotate the knob to choose the letter and press the knob to enter the letter To delete the letter move the cursor to the letter and rotate the knob to enter spaces after the H Use the spaces to replace the letters After finishing entering the
56. fingernail tip rests against the stop at the end of the sensor Adjust the finger to be placed evenly on the middle base of the sensor Direct the cable along the top of the patient s hand Apply adhesive tape to secure the cable B If an index finger cannot be positioned correctly or is not available other 3 mm I T 3 Plug the sensor into the 5 oximeter and verify 7 gt proper operation as 7 gt gt described in the user manual A 4 Inspect the monitoring site every 1 2 hours for skin integrity Cleaning amp Disinfection Unplug the sensor before cleaning or disinfecting 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 1 10 bleach solution Caution Do not sterilize by irradiation steam or ethylene oxide Warnings 1 This sensor is for use only with compatible patient monitors or pulse oximeter devices Use of this sensor with instruments other than compatibles may result in improper performance 2 Some factors may affect the accuracy of saturation measurements Such factors include excessive patient motion fingernail polish use of intravascular dyes excessive light poorly perfused finger extreme finger sizes or improper placement of the sensor 3 sensor site must be checked for skin integrity at least every 1 2 hours Because individual sk
57. form X4 4 times of the basic waveform 18 User Manual for Patient Monitor TEMP 1 2 TD 36 6 37 1 0 5 Figure 4 6 TEMP data area lt gt TEMP 1 2 Temperature label The value below 36 6 37 1 are the temperature values lt gt C Body temperature unit C is Celsius and F is Fahrenheit lt gt TD the absolute value in temperature between TEMP 1 and TEMP 2 w Print wivehoran dedselected in the system menu 4 2 Display 2 Screen 4 2 1 Viewing Screen Choose Obsev of Disp2 on system setup screen press the DISP key to enter the monitoring screen as shown in Figure 4 7 Alarm x ADUL MON 2009 06 081 12 32 08 HR 5 02 mmHg PR RR 2 1211 89 90 62 14 36 5 37 0 ECG 1 Push Display changing interface k 3 20P Figure 4 7 Viewing screen In this screen press the DISP key to switch the ECG lead or press the Print key to print the ECG waveform and the second waveform The second waveform can be selected in the System menu Es Press print key to print lead ECG waveform and waveform 2 which can be selected in the system menu 19 User Manual for Patient Monitor 4 2 2 Seven ECG Waveforms on the Same Screen Choose 7 ECG of Disp2 on system setup screen press the DISP key the system enters the 7 ECG waveform screen In this screen the operator can simultaneously view the ECG waveform for 7 leads I II III AVR
58. from patient while performing the leakage check Safety Instructions for NIBP Measurement When taking the measure of an infant or neonate s less than 10 years old blood pressure do NOT operate in the adult mode The high inflation pressure may cause lesion or even body putrescence It is recommended to take the blood pressure measurement manually Automatic or continuous measurement should be used at the presence of a doctor nurse NIBP monitoring is prohibited to those who have severe hemorrhagic tendency or with sickle cell disease or partial bleeding will appear Do NOT bind NIBP cuff on limbs with transfusion tube or intubations or skin lesion area otherwise damages may be caused to the limbs Pay attention to the color and sensitivity of the limb when measuring NIBP make sure the blood circulation is not blocked If blocked the limb will discolor please stop measuring or remove the cuff to other positions Doctor should examine this timely The time of the automatic pattern noninvasive blood pressure measurement pull too long then the body connected with the cuff possibly have the purpura lack the blood and the neuralgia When guarding patient must inspect the luster the warmth and the sensitivity of the body far end frequently Once observes any exception please immediately stop the blood pressure measurement The subject should lie on the back so that the cuff and the heart are in a horizontal position
59. g 10 34 A 62 129 87 94 AUTO 00 00 04 SI 0 000 mv Set Base Dirc Hor Pleth Time NIBP PR TEMP1 2 28 06 10 34 129 87 94 61 36 6 37 6 2 08 06 10 34 1237 86 99 62 36 6 37 36 5 37 6 1 1 7 08 06 10 34 123 8 4 96 61 36 7 37 7 28 06 10 34 1287 85 95 61 36 7 37 6 7 7 CREATIVE ECGis frozen MEDICAL 18 06 10 33 120 8 7 93 60 36 5 3 Figure 49 Frozen Screen 4 3 1 Screen Description Freezing S T segment analysis screen is similar with the main screen except the waveforms are frozen For example the Figure 4 10 is a portion of the frozen waveform from the 3 ECG waveforms The symbols on the screen were described briefly on the screen Base Point Onentation e elc Lengthways Difference hetween set the shifted point to be set the direction Base Point and S T Point Base Point or 8 T Point horizontal or vertical gt I Point Orientation Figure 4 10 Frozen waveform When the system setting for the freezing waveform is ALL the Freeze key will freeze all waveforms Zl User Manual for Patient Monitor 4 3 2 Operating Instructions The operator can use the Navigation Knob to analyze the S T segment waveform 1 measuring the difference between the st segment value and the referenced value The value is displayed after the measure on st 0 000 mV The operation is carried out in 4 steps First rotate the Navigat
60. gnetic site survey should be considered If the measured field strength in the location in which UP 7000 Patient Monitor is used exceeds the applicable RF compliance level above UP 7000 Patient Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating UP 7000 Patient Monitor b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3V m 55 User Manual for Patient Monitor Table 4 Recommended separation distances between portable and mobile RF communications equipment and The equipment or system for EQUIPMENT and SYSTEM that are not LIFE SUPPORTING UP 7000 Patient Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the equipment or system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the equipment or system as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum output power of 150kHz to 8UMHz 80MHz to 800MHz 80MHz to 2 5GHz transmitter d 12 JP d 312 JP For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be determined using t
61. he ARR needs to be re learned Learn Because the ARR detection is based on the normal ECG waveform at the same speed and same amplitude when the patient changes or the ARR detection is incorrect the ARR needs re learn To better use the learn function it is recommended to use a good ECG waveform to learn during the monitoring View Press this key and the selected record in the ARR list which is to be reviewed becomes the green Rotate the Navigation Knob to choose the record and display the corresponding waveform in the 3 ECG channel Press the knob again to exit Exit press this key to exit the ARR detection screen and return to the system menu During monitoring if ARR is detected the system will alarm The ARR alarm is system default and does not need setup 30 User Manual for Patient Monitor During ARR detection incorrect detection might occur if the non ECG waveforms e g square wave and triangle wave appear Before start 1mV testing please turn off the ARR detection During ARR detection the ARR module is very important The system requires a group of stable ECG waveforms If the system detects the ARR incorrectly please relearn ARR by pressing Learn button and capture correct template Es Press print key to print the arrhythmia data list If a piece of record is chosen press print key to print lead I ECG waveform and arrhythmia waveform on the ARR Screen 31 User Manual for Patient Monitor
62. he equation applicable to the frequency of the transmitter where p is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 80 MHz and 800 MEZ the separation distance for the higher frequency range applies NOTE2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 56 User Manual for Patient Monitor Chapter 8 Packaging and Accessories 8 1 Packaging The product is packed in high quality corrugated cartons with foam inside to protect the apparatus against damage in the handling process Gross weight Details see the indication on the outer package Dimension 500 L x320 W x460 H mm 8 2 Accessories 1 ECG lead cable 2 NIBP cuff 3 5 probe 4 Body temperature probe 5 Power supply cable 6 Equipotential grounding wire 7 Disposable electrode 8 User Manual 9 Warranty 10 Quality certificate 11 Assembly report 12 Dustproof mantle 13 Printing paper optional 14 accessories optional One set One set One piece One piece One piece One piece Ten pieces One copy One copy One copy Two copies One set Ten rolls For Mainstream For Sidestream Mainstream sensor One set Sidestream Sensor One set CAPNOSTAT 5 LoFlo C5 Airway adapter One piece Sampling Line Kit One set Note The acces
63. in condition affects the ability of the skin to tolerate sensor placement it may be necessary to change the sensor to another finger 4 Do not use NIBP or other constructing instruments on same appendage as sensor for blood flow interrupted by NIBP cuff or circulatory patient condition will result in no pulse found or loss of pulse Do not use the sensor during MRI scanning 5 Carefully route cables to reduce the possibility of patient entanglement or strangulation 6 Do notalter or modify the sensor Alterations or modifications may affect performance or accuracy 7 not use the sensor if the sensor or the sensor cable appears damaged 18 User Manual for Patient Monitor Instructions for Adult SpO Finger Clip Sensor Intended Use When used with a compatible patient monitor or a pulse oximeter device the sensor is intended to be used for continuous non invasive functional arterial oxygen saturation SpO and pulse rate monitoring for patients weighing greater than 40kg Contraindications This sensor is contraindicated for use on active patients or for prolonged use Instructions for Use 1 2 3 4 5 6 1 With the upper and lower jaws open place an index finger evenly on the base of the clip Push the finger tip against the stop so that 1t 1s over the sensor window A If an index finger cannot be positioned correctly or 1s not available other fingers can be used Note When selecting a sensor
64. inaccurate measurements If patient movement presents a problem verify that the sensor is properly and securely applied move the sensor to a less active site use an adhesive sensor that tolerates some patient motion or use a new sensor with fresh adhesive backing For reusable sensors follow the sensor directions for use for cleaning and reuse For single patient use sensors use a new sensor for each patient Do not sterilize any sensor by irradiation steam or ethylene oxide Safety Introductions for SpO2 Monitoring Continuous use of fingertip SpO sensor may result in discomfort or pain especially for those patients with microcirculatory problem It 1s recommended that the sensor should NOT be applied to the same finger for over two hours change the measuring site periodically if necessary SpO measuring position must be examined more carefully for some special patient Do NOT install the SpO sensor on the finger with edema or fragile tissue Do NOT put the SpO sensor and pressure cuff on the same limb otherwise the NIBP measuring will affect SpO2 measuring and cause the alarm error If sterile packaging of SpO sensor is damaged do not use it any more Check SpO gt sensor and cable before use Do NOT use the damaged SpO sensor When the temperature of SpO sensor is abnormal do not use it any more Please do not allow the cable to be twisted or bended p Please do not use nail polishe
65. iny 120BPM A4 Bidirectional systoles 90BPM Time to ALARM for Waveform 1 Amplitude Average Time to Alarm tachycardia 0 5 mV lt 8 sec mV lt 8 sec 2mV lt 8 sec Waveform B2 Amplitude Average Time to Alarm lt 8 sec 2mV lt 8 sec 4mV lt 8 sec 7 2 RESP Monitoring 1 RESP rate measuring range Orpm 120rpm 2 RESP rate accuracy 5 or 2 rpm whichever is greater 3 RESP rate alarm limit range Orpm 1 20rpm 4 Alarm tolerance 5 or 2 rpm whichever is greater 7 3 TEMP Monitoring 1 TEMP measuring range 25 0 45 0 2 TEMP measuring accuracy 0 2 3 TEMP responding time lt 150s 7 4 NIBP Monitoring 1 Measuring method Oscillometric Technique 2 Pneumatic pressure measuring range 0 mmHg 300mmHg 3 Accuracy of pressure measurement 3 mmHg 4 Cuff inflation time 10 seconds typical adult cuff 5 Measurement time on the average 90 seconds 6 Air release time while the measurement is canceled 2 seconds typical adult cuff 7 Initial cuff inflation pressure Adult 180 mmHg Infant 120 mmHg Neonate 90 mmHg 50 User Manual for Patient Monitor 8 Overpressure protection limit Adult 300 mmHg Infan 240mmHg Neonate 150 mmHg 9 NIBP measurement range mmHg 40 255 40 200 40 135 MAP mmHg 20 215 20 165 20 110 DIA mmHg 10 195 10 150 10 95 10 NIBP accuracy Maximum mean difference 5 mmHg Maximum standard deviation 8 mmHg 11 Measurement mode
66. ion Knob to move the base point the red cross horizontally to base line point the base line is between the Q wave and the P wave At this point the frozen screen shows st 0 xxx mV Set Base Dirc Hor Second press the Navigation Knob The screen shows st 0 xxx mV Set Base Dirc Ver Then rotate the knob to move the base point vertically to the base line point Third press the Navigation Knob again The screen shows st 0 xxx mV Set st Dirc Hor Rotate the knob to move the st point the yellow cross horizontally to the point to be measured on the st segment Last press the Navigation Knob again The screen shows st 0 xxx mV Set st Dirc Ver Rotate the knob to move the st point vertically to the point to be measured on the st segment Only the main screen allows pressing the freeze key to enter the st segment analysis screen NOTE The S point is the end point of S wave and the T point is the start point of T wave Es Press print key to print lead ECG waveform and waveform 2 which can be selected in the system menu 4 4 Mode Selection Screen Press the Navigation Knob in the main screen as shown in Figure 4 2 the operating area shows the mode selection screen as shown in Figure 4 11 System Menu TREND RECALL SETUP COLOR Figure 4 11 Mode selection screen In the mode selection screen rotate the knob to move the gray cursor to the corresponding screen Press the knob
67. ist against defibrillator and electrosurgical unit Readings may be inaccurate for a short time after or during using defibrillator or electrosurgical unit Transient caused by cable circuitry blocks while monitoring may be similar to the real heartbeat waveform as a result resistance heart rate alarm rings If you put the electrodes and cable in proper places according to this manual s instructions and the instructions for using electrode the chance of this transient occurring will be decreased To the patient with pacemaker due to that this device has been designed to provide resistance to pacemaker signal interference generally the pacemaker pulse is not counted in heart rate measurement and calculation but when the cycle time of pacemaker pulse is over 2ms it may be counted In order to reduce this possibility observe the ECG waveforms on the screen carefully and do NOT rely entirely on the heart rate display and alarm system of this monitor when monitoring this kind of patients Keep pacemaker patient under close surveillance Besides the improper connection with electrosurgical unit may cause burns the monitor may be damaged or arouse deviations of measurement You can take some steps to avoid this situation such as do NOT use small ECG electrodes choosing the position which is far away from the estimated Hertzian waves route using larger electrosurgical return electrodes and connecting with the patient properly No predictab
68. kin lesion area otherwise damages may be caused to the limb Continuous use of SpO2 sensor may result in discomfort or pain especially for those with microcirculatory problem It is recommended that the sensor should NOT be applied to the same place for over two hours change the measuring site periodically if necessary SpO2 measuring position must be examined more carefully for some special patient Do NOT install the SpO2 sensor on the finger with edema or vulnerable tissue To prevent the risk of the short circuit and to ensure the ECG signal quality the equipment must be properly grounded Although biocompatibility tests have been performed on all the applied parts some exceptional allergic patients may still have anaphylaxis Do NOT apply to those who have anaphylaxis 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 All the parts of the monitor should NOT be replaced at will If necessary please use the components provided by the manufacturer or those that are of the same model and standards as the accessories along with the monitor which are provided by the same factory otherwise negative effects concerning safety and biocompatibility etc may be caused DO NOT stare at the infrared light of SpO2 sensor when switch it on for the infrared may do harm to the eye If the monitor falls off accidentally please do
69. le hazard will be caused by the summation of leakage currents when several item of monitor are interconnected ECG leads may be damaged while using defibrillator If the leads are used again please do the functional check first User Manual for Patient Monitor 3 3 2 Blood Pressure Cuff Connection 1 Connect the cable to the right panel connector marked with the NIBP icon 2 Unveil and wrap the cuff around patient s upper arm Requirements of the cuff 1 Appropriate cuff should be selected according to the age of the subject Its width should be 2 3 of the length of the upper arm The cuff inflation part should be long enough to permit wrapping 50 80 of the limb concerned See the table below for the dimensions Note The size of the cuff selected should suit the subjects while measuring Cuff Model Cuff Width Neonate Cuff 6 0cm 9 5cm Middle sized Pediatric Cuff 10cm 19cm wm Large sized Pediatric Cuff 18cm 26cm 2 When putting on the cuff unveil and wrap it around the upper arm evenly to appropriate tightness 3 Remember to empty the residual air in the cuff before the measurement is commenced 4 Locate the cuff in such a way that the q mark is at a location where the clearest pulsation of brachial artery 1s observed 5 The cuff should be tightened to a degree where insertion of one finger 1s allowed 6 The lower end of the cuff should be 2cm above the elbow joint Figure 3 6 Cuff Position
70. ler anti clockwise and pull the paper out 4 Roll the loading roller clockwise to get the paper rolled and put it into the compartment 5 Pull the paper out of paper slot on the shield Loading roller Unloading Roller lock SX E Loading Lock Unlock e Printing paper Fig 3 8 14 User Manual for Patient Monitor Chapter 4 Monitoring Screen 4 1 Main Screen 4 1 1 Date and Time Setup Instead of entering into monitoring screen it shows the date and time setting screen immediately after the monitor is started shown in Figure 4 1 Time Setup Date 2004 08 Figure 4 1 Date and Time Setup The system will stay on this screen for 10 seconds If you do not rotate the navigation knob within this period the screen will enter into the Main Screen Follow the steps below to set date and time step 1 Rotate Navigation Knob move the gray cursor to Edit step 2 Press the knob and then Edit turns into Save The gray cursor stays on the Year of the date Press the knob again and the gray cursor becomes highlighted Rotate the knob left or right to increase or decrease the year value step 3 When the Year is set press the knob to move the gray cursor to the Month of the date step 4 Repeat step 2 and step3 to adjust the Year Month Date Hour and Minute step 5 If you have finished adjusting the date and time press the knob and rotate the knob to move the cursor to Save
71. lled in a cabinet make sure the installation allows for good ventilation and easy maintenance observation and operation 11 4 Cleaning Sterilization and Disinfection of Accessories It is recommended to clean the accessories including sensor leads and plugs with a piece of gauze which has been soaked in 75 Alcohol or 70 Ispropanol before use Do not use damaged accessories Accessories can not be entirely immerged into water liquor or cleanser Do not use radial steam or epoxyethane to disinfect accessories Do wipe off the remained alcohol or ispropanol on the accessories after disinfection for good maintanance can extend the life of accessories 11 5 Storage If the equipment will not be used for long period of time wipe it clean and keep it in the packaging which shall be kept in a dry and good ventilation place free from dust and corrosive gases Storage environment ambient temperature 20 60 C relative humidity 10 95 atmosphere 53kPa 106kPa 11 6 Transportation This monitor should be transported by land vehicle or railway or air in accordance with the contractual terms Do not hit or drop it with force 68 User Manual for Patient Monitor Chapter 12 Appendix 12 1 Alarm Information The related parameter value exceeds the preset high low Over NIBP PR limit Unable to detect HR ECG cable and leads are connected to monitor and patient well but HR is unable to be detected It may cau
72. ment guidance Portable and mobile RF communications equipment should be used no closer to any part of UP 7000 Patient Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Conducted RF Recommended separation distance IEC 61000 4 6 3 Vrms 150 kHz to 80 MHz 12 Radiated RF 4 12 JP MHzw 800 MHz IEC 61000 4 3 3 V m 80 MHz to 2 5 GHz 234P 800 MHzt0 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and 1s the recommended separation distance in metres m i Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range P Interference may occur in the vicinity of equipment marked with the following symbol 4 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters and electroma
73. n the time frame changes from 12 hours to 24 hours while the monitoring time 1s less than 24 hours the complete set of data will display Other trend graph follows the same rule The respiration rate body temperature and other trend graph are similar to that of ECG s and we will not cover them in detail again Please note that for those trend graphs the horizontal axis is the number of times the blood pressure measured instead of time NIBP graphic trend 15 a little different from the other graphic trends Rotate the knob to move the cursor to gt then press the knob for activing this item Next rotate the knob towards left or right for viewing another 400 groups graphic trend 29 User Manual for Patient Monitor Cursor Timo HR RR 6 02 S T E T o ase sre Foar Figure 4 16 5 Graphic Trend T EMP35 n 25 0 10 15 11 45 13 15 14 45 16 15 HR RR SpO2 S T 62 15 99 367 87 7 Figure 4 17 Body Temperature Graphic Trend 180 NIBP 90 0 0 100 200 300 400 Time SYS DIA L oe 129 99 98 92 Figure 4 18 NIBP Graphic Trend 26 User Manual for Patient Monitor Cursor Time HR RR S T 000 Figure 4 19 5 Trend graph Time __ Figu
74. nate ECG Filter type There are Diagnosis Monitor and Operation three types The option can be set in the system menu battery power indicator When the indicator is yellow and displays only one grid it means there is a little battery power left When the indicator turns red and blinks as well as less than one grid displays the system alarm will be on to remind the battery shortage Please connect the device to the mains power supply in time to ensure the normal use of monitor and the battery will be recharged When the battery power is full battery power indicator displays full grid During recharging the grids in the battery indicator are rolling circularly Note This function is optional and needs hardware support 16 User Manual for Patient Monitor lt 2011 08 06 10 34 54 System current time and date The system time and date can be set during the system start up when the screen displays the time and data setups The current figure shows the time and date is August 6 10 34 54 2011 lt Display is unfrozen System prompt or description for the current status lt gt ID The patient ID The patient ID can be entered or changed in the archive management window Waveform area lt gt 1 Waveform The first waveform is ECG waveform for lead II The left side of the ECG shows the sign I which indicates the ECG scale The scale sign changes its length a
75. nsor before cleaning Do NOT use if it appears to have been damaged Refer servicing to qualified service personnel DO NOT sterilize or immerse the CO Sensor in liquids Replace the sidestream on airway adapters and sidestream sampling kits if excessive secretions are observed Do not operate the CO Sensor when it is wet or has exterior condensation Monitor the CO waveform Capnogram If you see changes or abnormal appearance check the patient and the sampling line Replace line if needed DO NOT use device on patients that can not tolerate the withdrawal of 50 ml min 10 ml min from the airway or patients that can not tolerate the added dead space to the airway Do not apply excessive tension to any sensor cable or pneumatic tubing Explosion Hazard DO NOT use in the presence of flammable anesthetics or other flammable gasses Use of the CO Sensor in such environment may present an explosion hazard The power voltage over monitor working voltage may cause damage to CO sensor Likewise too low power voltage may affect the CO measuring accuracy or even make the CO sensor not work When changing sampling tube it is suggested to choose the default sampling tube with dehumidifying function The sampling tube without dehumidifying function may be easily blocked by excessive moisture Use life ordinary sampling tube 6 12 hours the sampling tube with dehumidifying function about 120 hours If the measu
76. nt people may have different sound judging ability or different reactivity when listening to heart sound and reading mercury meter The air release speed and subjectivity may also affect the judgment By the 09 User Manual for Patient Monitor oscillating method the computation is accomplished by the computer thus relieving the possibility of effect due to human factor 2 With the Korotkoff Sound Method the measure is taken on the basis of appearance and disappearance of heart sound The air release speed and heart rate may have direct effect on the measurement accuracy It also has the disadvantages of rapid air release and poor accuracy In the contrast with the oscillating method the determination is calculated on the basis of cuff pressure oscillatory waveform envelope and the air release 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 taken by the Korotkoff Sound Method When measuring the hypotension the measure taken by the oscillating method is likely to be higher than that by the Korotkoff Sound Method But it doesn t mean the advantages or disadvantages between the oscillating method and the Korotkoff Sound Method Comparison with the results taken by more accurate method let s say comparison of the invasive pressure result with the output value by the blood pressure mea
77. nu Screen This 1s the graphic trend selection screen 1 e Trend Menu screen If you want to enter one of the trend graphs the procedures are rotate the Navigation Knob move the cursor to one of the parameter For example from the left to right we are entering ECG st Temperature NIBP Pulse rate and SpO trend graphs Their screens are described in the following figures 150 HH 75 10 15 11 45 13 15 14 45 16 15 Time HR RR SpO2 S T Figure 4 15 Graphic Trend 24 User Manual for Patient Monitor Figure 4 15 15 the ECG trend graph There are 3 options on the right of the graph as described below The 6 on the top shows the trend graph time Move the cursor to the trend time press the knob and rotate it and the trend graph time will change to 6 24 120 or 480 which changes the horizontal coordinates to be 24 hours 120 hours or 480hours The corresponding trend graph also changes to 24 hour trend 120 hour trend or 480 hour trend After choosing Cursor the trend graph display a triangle and a vertical line a moving ruler mark that can be moved by rotating the knob As shown in the figure when you move the mark to a specific point the data area below the graph will display the time and its corresponding heart rate respiration rate SpO temperature 1 temperature II When The rule is that the initial step is
78. omestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Voltage fluctuations flicker M Complies emissions IEC61000 3 3 Do User Manual for Patient Monitor Table 2 Guidance and manufacturer s declaration electromagnetic immunity for all EQUIPMENT AND SYSTEMS UP 7000 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the equipment or system should assure that it is used such an environment Immunity test Electrostatic discharge ESD IEC61000 4 2 Electrical fast transient burst IEC61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC61000 4 11 Power frequency 50Hz 60Hz magnetic field IEC61000 4 8 IEC60601 test level 6 kV contact 8kV air 2kV for power Supply lines 1 kV for input output lines line s to line s 2kV line s to earth lt 5 Ur gt 95 dip in C for 0 5 cycle 40 Ur BO dip in for 5 cycles Ur 30 dip in LT for 25 cycles lt 5 Ur gt 95 dip in LT for 5 s 6 kV contact 8kV air 2kV for power Supply lines 1 kV for input output lines 1kV differential mode 2kV common mode lt 5 Ur gt 95 dip in Ur for 0 5 cycle 40 Ur 60 dip in for 5 cycles
79. onitor 12 4 Status Error during NIBP Monitoring Cuff error leak Pressure error Signal weak Over extent Over motion Signal overflow Leak in gas run System error Adult Infant PROBE OFF LEADS OFF LEARNING DEMO cuff is not wrapped correctly or is not connected Air moving part tube or the cuff leak air Unstable cuff pressure or tangled cuff tubing Very weak signal because of the cuff or the patient has very weak pulse The measurement range exceeds 255 mmHg Infant patient over 135 mmHg The repeated measurement due to moving excessive noise during the stepping inflation and measuring pressure and pulse e g during patient shaking motion Blood pressure amplifier overflow due to excessive movement Leaking during the pneumatic device testing Abnormal condition of CPU such as register overflow divided by zero The blood pressure measuring now is in adult mode In this case it is not allowed to monitoring infant or neonatal patient Otherwise there may be serious danger to the infant monitored The blood pressure module is now worked infant measuring mode 5 probe fell off The ECG electrodes or cable fell off Learning arrhythmia for 15 seconds The monitor 15 displaying the demo waveforms which are generated by the monitor itself 13 User Manual for Patient Moni
80. ording to WEEE regulations a User Manual for Patient Monitor 3 3 Connection 3 3 1 ECG Connection ECG measurement is to collect the ECG signal via the ECG electrodes Electrode connects the patient and the lead The lead connects the monitor The locations of the electrodes are very important for obtaining accurate ECG signals 1 Connect the cable to the right panel connector marked with the ECG icon 2 Select electrodes to be used Use only one type of electrode on the same patient to avoid variations in electrical resistance For ECG monitoring it is strongly recommended to use silver silver chloride electrodes When dissimilar metals are used for different electrodes the electrodes may be subject to large offset potentials due to polarization Using dissimilar metals may also increase recovery time after defibrillation 3 Prepare the electrode sites according to the electrode manufacture s instructions 4 Skin clean Clean dry abrade skin to ensure low sensor impedance Mild soap and Water is recommended as a skin cleanser Note Alcohol is not recommended as a skin cleanser for it leaves a film layer that may cause high sensor impedance If alcohol is used ensure 30 second dry time Dry abrading the skin gently with a dry wash cloth gauze for skin preparation is helpful to remove the non conductive skin layer The symbol indicates that the cable and accessories are designed to have special protection
81. orizontal position and the most accurate measure 15 taken Other postures may lead to inaccurate measurement 3 Do not speak or move before or during the measurement Care should be taken so that the cuff will not be hit or touched by other objects 4 The measures should be taken at appropriate intervals Continuous measurement at too short intervals may lead to pressed arm reduced blood flow and lower blood pressure and resulting inaccurate measure of blood pressure It is recommended the measure be taken at intervals of more than two minutes 5 With the oscillating method when blood pressure is measured the inflation pressure of the cuff will be automatically adjusted according to the previous measure Generally the initial inflation pressure 15 180mmHg for the adult mode or 100mmHg for the infant mode or 80 mmHg for the neonate mode when it is powered on Following that 5 0mmHg for the adult mode or 30mmHg for infant mode 10mmHg for the neonate mode will be added on the basis of the last measurement of systolic pressure In this way when the blood pressure rises or the subject is changed the blood pressure meter may fail in 60 User Manual for Patient Monitor giving the result after the first time inflation This monitor will automatically adjust the inflation pressure until the measure is taken after that up to four measures will be allowed When an adult subject is monitored the machine may fail in giving the
82. oups of NIBP measurement data as well as heart rate body temperature respiratory rate and SpO pulse rate when the measure of blood pressure is taken 24 hours of ECG data storage and recall High precision NIBP measuring module Special SpOz measuring device which ensures the accuracy of SpO and pulse rate measures Visual and audible alarm recall of alarm events Flexible high and low alarm limits setting function Easy to color code and change the color of the font background and waveforms if need to be Resistance against defibrillator and electrosurgical knife interference detects and filters the pacemaker generated signals and high safety level Able to be used along with cardiac pacemaker Built in battery supports up to 2 hours of continuous operation Blood pressure may be measured in the mode of adult infant neonate which may be selected via the menu to better suit the adult infant and neonatal patient Built in printer optional to output waveforms and text Dual and are optional Networking with the central station as a part of the central network 1 2 Product Name and Model Name Patient Monitor Model UP 7000 User Manual for Patient Monitor 1 3 Applications and Scope This Patient Monitor is a multi functional instrument designed for monitoring the vital physiological signs of adult and pediatric patients With the functions of real time recording and displaying parameters su
83. pressure cuff or intravascular infusion line Spread open the rear tabs of the sensor to provide even force over the length of the pads The sensor should be oriented in such a way that the cable 15 positioned along the top of the hand Plug the sensor into the pen oximeter and verify proper E operation as described in aoe ia om d A the user manual Inspect the monitoring site C every 1 2 hours for skin integrity Before each use 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 sterilize by irradiation steam or ethylene oxide Warnings 1 Some factors may affect the accuracy of saturation measurements Such factors include excessive patient motion fingernail polish use of intravascular dyes excessive light poor blood perfusion in the finger extreme finger sizes or improper placement of the sensor 2 Using the sensor in the presence of bright lights may result in inaccurate measurements such cases cover the sensor site with an opaque material 3 The sensor must be moved to a new site at least every 3 hours Because individual skin condition affects the ability of the skin to tolerate sensor placement it may be necessary to change the sensor site more frequently with some patients If skin integrity changes move the sensor to another site 4
84. r or other cosmetic product on the nail 13 User Manual for Patient Monitor The fingernail should be of normal length sensor can not be immerged into water liquor or cleanser completely because the sensor has no capability of waterproofness 3 3 4 TEMP Probe Connection Patient Monitor has two TEMP probes to measure different body temperature Connecting methods 1 Attach the probes to the patient firmly 2 Connect them to TEMP on the right panel Note When unplugging the probe be sure to hold the head of the connector and pull it out 3 3 5 Loading Printing Paper This description 15 for loading paper for the built in printer Operation procedures 1 Press both OPEN notches with force on printer shield with two thumbs to open it 2 Move the tab of rubber roller lock at the left 90 upwards to unlock it 3 Cut one end of the paper into triangle and load the paper from the underside of the rubber roller 4 Turn the roller clockwise to get the paper rolled and 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 it Unloading printing paper 1 Press both OPEN notches vertically with force on printer shield with two fingers to open it 2 Move the tab of roller lock at the left 90 upwards to unlock it 3 Roll the loading rol
85. r to NIBP on the mode selection screen and press Navigation Knob to enter into NIBP data list screen shown in Figure 4 13 The time shows the time when the measurement was taken As shown in Figure 4 13 one blood pressure listing screen can list up to 13 groups of blood pressure data When the measured data exceeds 13 groups we can use the Navigation Knob to scroll up and down to show the complete list RR TEMPI TEMPII I2U85 93 62 60 14 36 5 37 0 128 87 90 60 60 14 366 37 1 120 86 94 3 60 14 36 5 37 0 122 86 92 61 60 365 374 124 80 94 61 60 14 36 6 37 c 1 5 a E 1 th O1 3 4 121 89 90 14 36 5 37 2 Figure 4 13 NIBP listing screen 29 User Manual for Patient Monitor 4 6 2 Operating Instructions The operation on the data listing is simple Using the Navigation Knob allows the user to scroll the list up and down When rotating the knob anti clockwise the list scrolls upward When rotating knob clockwise the list scrolls down Please note that when the groups of data are less than 6 the Navigation Knob can not be used to scroll up or down the listing Press print key to print NIBP list on the NIBP List Screen 4 7 Graphic Trend Screen 4 7 1 Screen Description Move the gray cursor to the TREND button press the knob and you will get the screen as shown in Figure 4 14 Cursor Time RR SpO2 S T Figure 4 14 Trend Me
86. r will close the deflating valve and the pressure value will be shown during the process If there is no manual deflation operation the pressure will persist untill deflation by manual operation so it is necessary to use a manual valve for doing adequate deflation in several steps to verify the pressure accuracy in the full scale of measurement range Mode 2 No automatic inflation by Monitor during the pressure accuracy verification Increase the pressure manually by the pumping balloon and the verification can be done by applying different pressure value manually If the increased pressure exceeds the given limit as shown in table B the Monitor will deflate automatically because of over pressure protection Child 240mmHg Table B After the verification do press the button again to return to normal working mode then continue other operation or the NIBP key will be invalid Pressure accuracy verification must be operated by technician or equipment manager Doctor or nurse is not allowed to do the verification it is very dangerous especially when the pressure cuff is still on patients gt Air Leakage Check In order to avoid significant error of blood pressure measurement or even no measurement result caused by air leakage in the pneumatic system including the cuff during measuring it is recommended to check if there 11 User Manual for Patient Monitor is leak in the pneumatic system as well Please remove the cuff
87. re 4 20 Graphic Trend 30 RR 15 10 15 11 45 13 15 14 45 16 15 Time HR SpO2 TEMPITEMPII S T Le PAE 2011 08 06 gt rimum Figure 421 Respiration Graphic Trend 21 User Manual for Patient Monitor 4 7 2 Operating Instructions Rotate the knob choose the parameter and press the knob to review the trend graph and move the cursor to the Exit to exit the trend graph In the temperature trend graph the Temperature 1 is dotted in white and Temperature 2 is dotted in green Press print key to print the trend graph on its corresponding Trend Graph Screen 4 8 Recall Screen Move the gray cursor to RECALL in mode selection screen and press the Navigation Knob to enter waveform Recall Screen shown in Figure 4 22 In most cases one hour will store one record If the storing time of the record is less than one hour or change the patients within one hour this record will be stored as a single one The ECG lead gain and other parameters will not change during recall Alarm i mmHg PR 4 427 Recall PR Spo Name Start Time End Time 1 0 0 NoName 08 06 10 15 58 10 26 21 60 lew recall data in the 3rd channel ME EET Figure 4 22 Waveform Recall Screen 28 User Manual for Patient Monitor Shown in Figure 4 23 it is different from the main screen in its 3 waveform area and
88. rement appears abnormity caused by sampling tube block please replace it The total length of the sampling tube and extending airway tube shouldn t be longer than 3 meters too long may cause measurement abnormity If using T 43 User Manual for Patient Monitor connector sampling cannula kits please insert the sampling tube with the tubes upward to avoid the affects of excessive moisture gt Altitudes are different in different area so set the Barometric Pressure setting value as the ambient barometric pressure 5 Use only our company approved accessories 5 While using CO sensor a system leak that may be caused by an uncuffed endotracheal tube or a damaged sensor may significantly effect flow related readings These include flow volume pressure and other respiratory parameters When stopping CO monitor please disconnected the CO sensor from the patient monitor Disposal of the Sensor and its accessories should comply with national and or local requirements In the presence of electromagnetic devices i e electrocautery patient monitoring may be interrupted due to electromagnetic interference Electromagnetic fields up to 20 V m will not adversely affect system performance Nitrous oxide elevated levels of oxygen helium and halogenated hydrocarbons can influence the CO measurement Excessive moisture in the CO2 may affect the accuracy of the flow measurement 5 3 CO Monitoring Scr
89. s are at the right panel shown in Figure 3 3 1 2 3 4 5 TEMP2 TEMP probe connector NIBP NIBP hose connector SpO SpO probe connector ECG RESP ECG cable connector Cable connector of CO sensor module 6 cover of battery compartment open it to replace or insert battery The provided standard battery is a piece of 12V and 2 3Ah rechargeable battery The back up rechargeable battery is optional and the detailed type of the battery you can see the surface of it Note Only the battery of same model with the standard battery can be used Insert battery properly or else the improper insertion may damage the monitor i A ITN LA With type BF applied parts With type CF applied part and applicable during the defibrillator is used Caution Please read the manual for details User Manual for Patient Monitor 3 2 3 Rear Panel Figure 34 Rear panel The following ports are at the rear panel of the monitor 1 Monitor External display port 2 NET Serial communication port which is used to network with central monitoring system 3 Y Equipotential grounding port 4 Fuse 2X T3 15A Fuse holders fuse specification T3 15AL 250V 5 x 20mm 5 100 240VA C Power supply socket 6 S N Serial Number 7 Nameplate 5 N CIS EC Authorised representative in the European community o Manufacturer including address Disposal of this device acc
90. sampling sample adapter tubing tubing filter Cell B T eso boa 2 5 Adapter and Sampling tube Single patient use 40 User Manual for Patient Monitor Extending airway tube for connecting to sampling tube Single patient use _ Wye Connector 4 Optional sampling cannula kits 1 T connector sampling cannula kits 41 User Manual for Patient Monitor 5 2 2 Mainstream CO Sensor Connection Sensor cable Demonstration for Mainstream CO Sensor Connection 1 Take out the Sensor and insert the Sensor Cable into the connector labeled CO on the connector panel of the monitor 2 Snap the sensor onto the airway adapter as shown in Figure 6 9 A click will be heard when the airway adapter is properly inserted 3 Position the airway adapter in the patient s respiratory circuit as close to the patient as possible between the endotracheal tube and the ventilator circuit Next turn on the switch at CO Setup Screen and then wait 2 minutes for the sensor warm up Sensor Cable Mainstream CO Sensor lt SS JE Ventilator Wye muli _ py Airway Adapter Safety Introductions for CO Monitoring Sensor is a precision measuring part please use it correctly and store it properly Precautions for electrostatic discharge ESD and electromagnetic interference EMI to and from other equipment Failure of Op
91. se Monitoring mode 0 5 40Hz Diagnostic mode 0 05 75Hz 6 Time constant Monitoring mode gt 0 3s Diagnostic mode gt 3 2s 7 9 Other Technical Specifications 1 Power supply 100 240VAC 50 60Hz 2 Power consumption see the nameplate on the monitor 3 Display mode 12 1 inches TFT color LCD 4 Alarming mode Audible amp visible alarm 5 Communication Net port 7 10 Classification Safety standard IEC 60601 1 The type of protection against electric shock Class equipment The degree of protection against electric shock Type CF applied parts Electro Magnetic Compatibility Group Class 92 User Manual for Patient Monitor 7 11 Guidance and manufacturer s declaration Electromagnetic compatibility Table 1 Guidance and manufacturer s declaration electromagnetic emission for all EQUIPMENT AND SYSTEMS UP 7000 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the equipment or system should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions UP 7000 Patient Monitor uses RF energy only for its internal CISPR 11 function Therefore its RF emissions are very low and are Group not likely to cause any interference in nearby electronic equipment RF emissions UP 7000 Patient Monitor is suitable for use in all CISPR 11 Class A establishments other than d
92. sed by inconformity HR signal Unable to detect SpO SpO probe is connected to monitor and patient well but SpO is unable to be detected It may be caused by inconformity SpO signal The battery capacity will exhaust Low battery voltage Lead Off The ECG electrodes or cable fell off Probe Off SpO probe fell off 69 User Manual for Patient Monitor 12 2 Default Alarming Values and Setup Range The default alarming value Parameter High mit 180bpm 30bpm 220bpm 180 bpm 200 bpm 220 bpm 40 bpm 50 bpm 50 bpm High limit Respiration ue e mig NENE O AA ST Segment yc Arterial pra m Xn ue pod EUR wm m Central Respiration Rate or User Manual for Patient Monitor The high and low limits setting range Parameter High limit 1 300bpm 1 350bpm 1 350bpm Heart Rate E Low limit 0 299bpm 0 349bpm 0 349bpm High limit 1 120rpm 1 150rpm 1 150 Low limit 119rpm 149rpm 0 149rpm Respiration 0 0 High limit 0 1 509 0 1 509 0 1 509 Temperature Low limit 0 49 9 C 0 49 9 0 49 9 High limit 31 270 mmHg 31 200 mmHg 31 135 mmHg Low limit 30 269 mmHg 30 199 mmHg 30 134 mmHg Systolic High limit 11 232 mmHg 11 150 mmHg 11 100 mmHg Low limit 10 231 mmHg 10 149 mmHg 10 99 mmHg Diastolic High imi 21 110 mmHg Low limi 20 109 mm High limi 1 100 Low limit 0 99 High limit 1 350bpm Low limit
93. site priority should be given to an extremity free of an arterial catheter blood pressure cuff or intravascular infusion line Spread open the rear tabs of the sensor to provide even force over the length of the pads B AD ED The sensor should be oriented in such a way that the cable is positioned along the top of the hand C E 53 Feo Plug sensor into oximeter and verify proper operation as described user manual Inspect the monitoring site every 1 2 hours for skin integrity Before each use 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 sterilize by irradiation steam or ethylene oxide Warnings 1 Some factors may affect the accuracy of saturation measurements Such factors include excessive patient motion fingernail polish use of intravascular dyes excessive light poorly perfused finger extreme finger sizes or improper placement of the sensor 2 Using the sensor in the presence of bright lights may result in inaccurate measurements such cases cover the sensor site with an opaque material 3 The sensor must be moved to a new site at least every 3 hours Because individual skin condition affects the ability of the skin to tolerate sensor placement it may be necessary to change the sensor site more freq
94. sories are subject to change Detailed items and quantity see the Packing List of User Manual for Patient Monitor Chapter 9 Parameters Monitoring 9 1 ECG Monitoring 9 1 1 How to Obtain High Quality ECG and Accurate Heart Rate Value The electrocardiogram ECG or EKG is primarily a tool for evaluating the electrical events within the heart The action potentials of cardiac muscle cells can be viewed as batteries that cause charge to move throughout the body fluids These currents represent the sum of the action potentials occurring simultaneously in many individual cells and can be detected by recording electrodes at the surface of the skin The figure below shows the system of the heart Sinoatrial Node nn Left Atrium SAN HIS Bundle Right Atrium UE DAS Left Bundle 1 P I Branch LBB Atrioventricular Node Bg Y y E Left Posterior AVN _ Fascicle LPS Right Bundle Branch RBB Left Ventricle Left Anterior _ Fascicle LAF VS Right Ventricle POS Purkinje Fibers PF First of all the hospital should be equipped with a 100 250V power supply system with a typical grounding wire If big interference in ECG continues connect one end of the grounding wire provided with this equipment to the grounding wire on the back panel of this monitor and the other end to the special grounding wire water pipe or radiator common ECG plate electrode used
95. suring simulator will show which method has more accurate results In addition higher or lower value should be a statistical concept It is recommended those used to adopt the Korotkoff Sound Method use different physiological calibration for values determined by the oscillating method 4 The studies have shown that the Korotkoff Sound Method has the worst accuracy when it comes to measurement of hypotension while the oscillating method has worse accuracy when it comes to measurement of controlled hypertension relief 9 2 2 Factors affecting NIBP measuring Like common non invasive blood pressure measurement improper operation may cause inaccurate or blank result or misunderstanding of the measuring information when the oscillating method is used to take the measure of blood pressure This point needs particular attention of the operators 1 Requirements of the cuff 1 Appropriate cuff should be selected according to the age of the subject For more information see Chapter 3 2 Remember to empty the residual air in the cuff before the measurement is commenced 66 99 3 Locate the cuff in such a way that the q mark is at a location where the clearest pulsation of brachial artery 15 observed 4 The cuff should be tightened to a degree where insertion of one finger is allowed 5 The lower end of the cuff should be 2cm above the elbow joint 2 The subject should lie on the back so that the cuff and the heart are in a h
96. the operation area We will explain them in detail below Start Time End Time 05 06 10 15 58 10 26 21 Figure 4 23 Recall listing Rotate the Navigation Knob and choose Recall Delete or Exit We explain the functions of each button below Recall Press the Recall and the first record in recall list becomes green Rotate the knob to choose a record and press the knob to recall 1t The recalled waveform 15 displayed on the 3 channel of the waveform area as shown Figure 4 24 Recall 61 10 17 05 gt Figure 424 Recalled Waveform Rotate the Navigation Knob to move forward or backward to review the waveform Press the Navigation Knob to exit the waveform recall and return to the initial waveform recall screen During waveform recall the system not only displays the current recalled waveform but also displays the lead status gain and filter type of the waveform and time HIst Press the key to shift between the History key and Current key Press HIst and the recall list on the left displays the history data list Press the Current the recall list on the left side displays the current one When entering the recall screen the system defaults the current one Delete Press this key and the selected record in the recall list becomes green Rotate the Navigation Knob to choose the reviewed record that is to be detected press it release it 2 seconds later and then the recor
97. time Before connect to AC do start monitor with battery s power supply until battery power is used up and monitor turn off automatically then connect monitor to AC and have it charged for 12 15 hours continuously The speed of charge will be the same no matter whether the monitor is working or not The reason why discharge the battery before charge is to avoid the decrease of capacity caused by battery s memory effect If the monitor won t be used for a long time do have it charged fully before conservation A When starting the monitor by battery power only which is short of supply monitor will turn off automatically In order to avoid the damage to battery caused by excessive discharge please pay attention to following After monitor turns off automatically 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 battery will be damaged and can t be repaired because of excessive discharged If battery is damaged please replace with same type and specification battery marked by or in time or contact the company directly 11 3 Cleaning Sterilization and Disinfection Dobooooonoee m Switch off the monitor and disconnect the power cable before cleaning Kept the monitor from dust It is recommended to clean the outer shell and screen of the monitor to ke
98. ting the AC Power Cable 1 When powered by AC mains power supply Make sure that the AC power supply is 100 240VAC 50 60Hz Use the power cable prepared by the manufacturer Insert one end of it to the power port of the monitor and the other end to the grounded three phase power jack To eliminate potential differences the monitor has a separate connection 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 equipotential grounding system Caution ensure that the monitor is grounded correctly After the supply mains has been interrupted when power switch remains in the on position and is restored after a period of time that 1s longer than 30 seconds the monitor will run by the last settings when restarting the monitor 2 When powered by built in battery Caution it s better to recharge the battery after it is used up and the charging time should be 13 15 hours long The provided battery of the monitor must be recharged after transportation or storage So if the monitor is switch on without being connected to the AC power socket it may not work properly due to insufficient power supply 3 1 3 Starting the Monitor The system performs self test and enters initial display after switch on the monitor and the alarm rings to inform that the user can begin operating it
99. to the monitor 3502 2510001 User Manual for Patient Monitor Instructions to User Dear Users Thank you very much for purchasing our product Please read the following information very carefully before using this equipment Read these instructions carefully before using this monitor These instructions describe the operating procedures to be followed strictly Failure to follow these instructions can cause monitoring abnormity equipment damage and personal injury The manufacturer is NOT responsible for the safety reliability and performance issues and any monitoring abnormality personal injury and equipment damage due to user s negligence of the operation instructions The manufacturer s warranty service does not cover such faults WARNING PACEMA KER PATIENTS Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter ALARMS Keep pacemaker patients under close surveillance See this manual for disclosure of the pacemaker pulse rejection capability of this instrument Monitoring a single person at a time The monitor is defibrillator proof Verify that the accessories can function safely and normally and the monitor is grounded properly before conducting defibrillation Disconnect the monitor and sensors before MRI cursorning Use during MRI could cause burns or adversely affect the MRI image or the monitor s accuracy
100. together with this monitor has short shelf life Generally the shelf is only one month after the package is opened When outdated plate electrode is used due to skin s contact impedance and big electrode potential the chance of interference will be increased and the ECG baseline will have an unstable inclination Therefore always use valid plate electrodes 9 1 2 Factors affecting ECG signal Interference from Electrosurgical Unit Doesn t filter the interference waveform Poor grounding Electrodes are not placed properly Use expired electrode or use disposable electrode repeatly The skin placed electrode is uncleaned or poor contract caused by scurf and hair 9599425 Electrode long time used 58 User Manual for Patient Monitor 9 2 NIBP Monitoring 9 2 1 Measuring Principle Blood pressure may be measured in an invasive way whereby the sensor will be inserted into blood vessel directly or a non invasive way The non invasive way includes several methodologies such as the Korotkoff Sound Method and oscillating method The Korotkoff Sound Method is used as a conventional way whereby stethoscope is used to measure the blood pressure By the oscillating method an inflation pump will fill the air and release it slowly A computer will record change of the cuff pressure when the air is released With this record the blood pressure value will be determined First of all make sure the signal quality judgment by computer
101. tolic pressure alarm MAP Hi Lo High and Low limits of MAP alarm NIBP Cali The NIBP Cali has three options NIBP Cali Mode 1 NIBP Cali Mode 2 and OFF Make sure the key is off with manual after the NIBP calibration or the user could not do other operations The factory default is OFF lt gt Gas Leak For professional person to test gas leak on blood pressure gt gt SPO PARAMETER SETTINGS SpO2 100 PR 180 to 40 Figure 4 31 5 settings lt gt 8 Hi Lo High and Low limits of SpO alarm lt gt Pulse Hi Lo High and Low limits of pulse rate alarm RESPIRATION PARAMETER SETTINGS Gain RR 40 Speed 12 5 Figure 4 32 Respiration settings lt gt Gain Respiration amplification gain 4 options 1 2 x1 x2 and x4 The default 15 x2 36 User Manual for Patient Monitor lt gt Speed Respiration display speed 2 options 6 25mm s and 12 5 mm s The default is 12 5 mm s lt gt Apnea The apnea alarm time in second When the patient stop breathing for the time longer than the set period the Respiration display channel display warning Apnea xxx second lt gt Respiration impedance lt gt High limit of respiratory rate alarm Lo Low limit of respiratory rate alarm RESUME DEFAULT the screen as shown in Figure 4 32 rotate knob to choose Reset and then press the knob all the value of parameters will resume de
102. tor 12 5 Status Error during CO Monitoring Sensor Over Temp The sensor temperature is greater than 40 C Make sure sensor is not exposed to extreme heat heat lamp etc If error persists return sensor to factory for servicing Sensor Faulty One of the following conditions exist Source Current Failure EEPROM Checksum Faulty Hardware Error Check that the sensor is properly plugged in Reinsert or reset the sensor if necessary If error persists return sensor to factory for servicing No Parameter Message Barometric Pressure and or gas compensations have not been set since power on For to be calculated with the stated accuracy these values should be set whenever the sensor is plugged in The host must set the Barometric Pressure and compensations to clear this error no user intervention should be required Module in Sleep Mode This bit is set when sensor has been placed in sleep mode Zero In Progress A Module Zero is currently in progress One of the following conditions exist Sensor Warm Up Sensor under temperature This error condition is normal at startup This error Temperature not stable should clear when the warm up is complete P Source Current unstable Check Sampling Line This error occurs whenever the pneumatic pressure is Check that the sampling line is not occluded or outside the expected range kinked Zero Required One of the following conditions exist
103. tor in some cases Such individual doubtful experimental data may be identified and eliminated using the special statistical technique It is not a part of this manual The practitioner may eliminate the apparently unreasonable data according to the experience Operation Introduction Take a measurement in manual mode 2 Enter into the screen of NIBP setting select Mode option and set it as MANU and then press the NIBP key on the front panel to start measure If press the NIBP key again the measurement will be stopped During the automatic measurement interval when no NIBP measurement is taken press the NIBP key a measurement in manual mode will be taken If at this time press the NIBP key again the manual mode will be stopped and continue the automatic mode Take a measurement in automatic mode Enter into the screen of NIBP setting select Cycle option and select time interval according needs then press the NIBP key on the front panel to start the automatic measurement at a certain interval Stop automatic measurement In the procedure of automatic measurement press the NIBP key at any time the measurement will be stopped STAT measurement Enter into the screen of NIBP settings select Cycle option and set as STAT the STAT measurement will be taken This procedure will last for 5 minutes Stop STAT measurement on the halfway In the procedure of STAT measurement press the NIBP key at an
104. uently with some patients If skin integrity changes move the sensor to another site 4 Do not apply tape to secure the sensor in place or to tape it shut venous pulsation may lead to inaccurate saturation measurements 5 Do not immerse sensor as it causes short 6 Do not use NIBP or other constructing instruments on same appendage as sensor for blood flow interrupted by NIBP cuff or circulatory patient condition will result in no pulse found or loss of pulse 7 not use the sensor or other oximetry sensors during MRI scanning 8 Carefully route cables to reduce the possibility of patient entanglement or strangulation 79 User Manual for Patient Monitor 9 Do not alter or modify the sensor Alterations or modifications may affect performance or accuracy 10 Do not use the sensor if the sensor or the sensor cable appears damaged Creative offers a 6 momth warranty against manufacturing defects for the SpO sensors mentioned above in its undamaged condition If you have any question regarding any of 5 sensor instructions please contact info creative sz com or your local dealer 2 1141 Budapest Fogarasi ut 77 1095 Budapest Mester u 34 Tel 220 7940 220 8881 220 7959 Tel 218 5542 215 9771 215 7550 220 7814 364 3428 Fax 220 7940 216 7017 216 7018 Fax 218 5542 Mobil 30 531 5454 30 939 9989 Mobil 30 940 1970 20 949 2688 E mail delton delton hu Web www delton hu www medipek hu
105. uff or receiving intravenous injection 4 Do not fix the SpO sensor with adhesive tape or else 1 may result in venous pulsation and consequential inaccurate measurement result of SpO 5 Make sure the optical path is free from any optical obstacles like adhesive tape Excessive ambient light may affect the measuring result It includes fluorescent lamp dual ruby light infrared heater and direct sunlight etc Strenuous action of the subject or extreme electrosurgical interference may also affect the accuracy 8 Please do not use the SpO sensor when having the MRI or burn may be caused by faradism Always observe the plethysmogram waveform which is auto scaled within the range of 100 SpO reading may be unlikely true when the waveform is not smooth or irregular If in doubt rely on your clinical judgment rather than the monitor readout 10 A functional tester can not be used to assess the accuracy of the pulse oximeter monitor or a SpO sensor However a functional tester such as SpO simulator can be used to check how accurately a particular pulse oximeter is reproducing the given calibration curve Before testing the oximeter by a functional tester please firstly ask the manufacturer which calibration curve is used if necessary request the manufacturer for its dedicated calibration curve and download it into the tester Clinical Limit 1 As the measure is taken on the basis of arteriole pulse substantial pulsating
106. ur times the size of the basic waveform 17 User Manual for Patient Monitor Time of NIBP Measuring Value of Systolic Pressure Value of Diastolic Pressure Value of MAP NIBP Measuring Style PR Value Mode of NIGP Figure 44 Blood pressure data area NIBP The blood pressure type labels and the measured value mmHg NIBP unit 14 20 The time of NIBP measuring ADUL NIBP measurement mode The object is adult The 3 values from left to right are the blood pressure Systolic diastolic and MAP lt gt AUTO NIBP measurement mode 00 00 36 counting down time the system will take NIBP measurement automatically when the system finishes counting down Mark and Value of SpO Mark and Value of PR Histogram of SpO Indensity Respiration Rate Mark Respiratory Sync Mark Value of RR RESP Waveform Gain 2 Figure 45 SpQ pulse rate and respiration data area SpO SpO label The 98 on the right side is the current SpO value measured PR Pulse rate label The value 62 on the lower left shows the pulse rate value B B SpO strength bar RR Respiration Rate The bpm after that is the unit of the respiration 1 e beat per min 17 Respiration rate X2 Respiration gain Camplification 1 2 Half of the basic waveform Basic waveform 2 Twice the size of the basic wave
107. w It is flow rate of the CO sampling Its value is 50ml min The information promoted for Zero calibration is as follows 39 User Manual for Patient Monitor Do you want to do zero calibration Apply reference air with 0 75 CO Please apply the reference air with 0 the air in the drafty room usually can be regarded as the air with 0 CO Press OK and the result will be displayed on the screen several seconds later 2 To set the color of CO parameters on Color Settings screen 5 2 CO Sensor Connection 5 2 1 Sidestream CO Sensor Connection PAL a ven eon 2 2 Sample cell COP Sensor Cable Receptacle Sidestream CO Sensor sample cell Demonstration for Sidestream CO Sensor Connection 1 Take out the CO Sensor and insert the Sensor Cable into the connector labeled CO on the connector panel of the monitor 2 The sample cell of the sampling cannula must be inserted into the sample cell receptacle of the CO Sensor A click will be heard when the sample cell is properly inserted Then connect to airway tube After finishing sensor connection and make sure that the air input end is exposed to room air and away from all sources of CO including the ventilator the patient s breath and your own Next turn on the switch at CO Setup Screen and then wait 2 minutes for the sensor warm up 3 Default Tubing Configuration sampling dehumidification
108. y could be compromised 6 4 Alarm Setting In the Mode Selection screen move the cursor to the SETUP and press it to enter system setup screen Es Limits setup Move the gray cursor to the High or Low limits of the alarm settings and press the Alarm key to turn ON or OFF the alarm for the setting Yellow color shows ON status and gray color shows the OFF status Refer to Chapter 12 2 for detailed Default Alarming Values of All Parameters and Setup Range Whenever the monitor is used check the alarm limits to ensure that they are appropriate for the patient being monitored 4T User Manual for Patient Monitor 6 5 Verify Adjustable Alarm Function To verify adjustable alarm function select Demo for the item of Mode in system parameter settings menu and adjust alarm limits or change alarm setting then pay a close attention to the alarm If the alarm is sent out according to your setting it means the alarm function 1s effective 48 User Manual for Patient Monitor Chapter 7 Technical Specifications 7 1 ECG Monitoring 1 Input signals range in amplitude 0 5 mVp 5 mVp 2 Heart rate display range 15 bpm 350 bpm 3 Heart rate display accuracy 1 or 2 bpm whichever is greater 4 Heart rate averaging Averages the recent eight beats having RR intervals falling within the acceptable limits 5 Heart rate alarm delay time lt 10s 6 Response time to change in heart rate Change from 80
109. y time the measurement will be stopped 61 User Manual for Patient Monitor 9 3 SpO Monitoring 9 3 1 Measuring Principle Based on Lamber Beer law the light absorbance of a given substance is directly proportional with its density or concentration When the light with certain wavelength emits on human tissue the measured intensity of light after absorption reflecting and attenuation in tissue can reflect the structure character of the tissue by which the light passes Due to that oxygenated hemoglobin and deoxygenated hemoglobin Hb have different absorption character in the spectrum range from red to infrared light 600nm 1000nm wavelength by using these characteristics SpO can be determined SpO 2 measured by this monitor is the functional oxygen saturation a percentage of the hemoglobin that can transport oxygen In contrast hemoximeters report fractional oxygen saturation a percentage of all measured hemoglobin including dysfunctional hemoglobin such as carboxyhemoglobin or metahemoglobin 9 3 2 SpO Measurement Restrictions interference reason 1 The fingers should be properly placed see the attached illustration of this instruction manual or else it may cause inaccurate measurement result Make sure that capillary arterial vessel beneath the finger is penetrated through by red and infrared lights 3 sensor should not be used at a location or limb tied with arterial or blood pressure c

Creative UP-7000 Patient Monitor User Manual

Contents

Download Pdf Manuals

Related Search

Related Contents