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1. item has been set the icon SILENCE button has been pressed again the system will immediately restore the normal status and the icon showss WARNING DO NOT set the alarm sound off when the patient s safety may be compromised If the alarm is off the icon A appears on the screen all the alarms will not be effective will appear on the left top of the screen That indicates all kinds of alarms sound have been closed until the 19 Monitor Series Portable Patient Monitor Manual CHAPTER 8 SpO MONITORING 8 1 What is SpO Monitoring SpO plethysmogram measurement is used to determine the oxygen saturation of hemoglobin in the arterial blood If for example 97 hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen then the blood has a SpOz oxygen saturation of 97 The SpO numeric on the monitor will read 97 The SpO2 numeric shows the percentage of hemoglobin molecules which have combined with oxygen molecules to form oxyhemoglobin The SpO2 PLETH parameter can also provide a pulse rate signal and a plethysmogram wave How the SpO PLETH Parameter Works Arterial oxygen saturation is measured by a method called pulse oximter It is a continuous non invasive method based on the different absorption spectra of reduced hemoglobin and oxyhemoglobin It measures how much light sent from light sources on one side of the sensor is transmitted through patient tissue such as a finger or an ear
2. USB status icon Printer status icon CE This item is compliant with Medical Device Directive 93 42 EEC of 14 June 1993 a directive of the European Economic Community 1 4 Description of Abbreviation SpO2 Arterial oxygen saturation PR Pulse rate SpO Plethysmogram NIBP Non invasive blood pressure S Systolic M Mean blood pressure D Diastolic TEMP Temperature Monitor Series Portable Patient Monitor Manual CHAPTER 2 OVERVIEW OF MONITOR 2 1 General Information This device is a portable patient monitor that has abundant monitoring functions and is used for the clinical monitoring of adult pediatric and neonate In addition the user could select the different parameter configuration according to different requirements This monitor can be connected to the central monitoring system via our company network so as to form a network monitoring system 2 2 Special Feature Portable and compact LED and LCD AC power and internal rechargeable Ni MH battery New design of integrating NIBP SpO and TEMP functions Maximum 96 hour SpOz PR and TEMP records and around 5760 strips of NIBP records Micro SD card supports more data storage Audible and visible alarms with the prompt information and alarm lamp Inner printer recorder Realize printing records at various modes including real time mode alarm triggered and manual mode Support Ethernet LAN and could b
3. MENU 1 Submenu Options NIBP Mode Manual Auto STAT Auto Mode Cycle 1 2 3 5 10 15 30 60 90 120 180 240 480 minute NIBP Setup Patient Type Adult Infant Initial Pressure Adult 140150160 180 Infant 70 100 120 mmHg Pressure Unit mmHg Kpa SpOz Alarm ON OFF High limit Low limit PR Alarm ON OFF High limit Low limit SYS Alarm ON OFF High limit Low limit Alarm Setup DIA Alarm ON OFF High limit Low limit MAP Alarm ON OFF High limit Low limit Temp Alarm ON OFF High limit Low limit SpO2 amp PR amp Temp Record SpO2 amp PR Trend Temp Trend NIBP Record NIBP Trend Patient info setup User ID MENU 2 Submenu Options Export SpO2 amp Temp Data OK Cancel Sata Monegan Export NIBP Data OK Cancel Erase NIBP Data OK Cancel Erase SpOz Data OK Cancel Print Duration 1 10 Item Start Print Stop Print Realtime Print Setup Print Cycle Alarm print SpOz PR Temp SYS DIA MAP Bed No 1 255 Network Setup Net connection OFF ON Year 2009 2028 Month 1 12 7 Year Month Day Day 1 31 Date And Time Hour Minute Second Hour 0 23 Minute 0 59 Second 0 59 System Setup Brightness 1 2 3 4 5 6 7 8 USB Mode To Udisk To PC OFF Alarm Volume 1 2 3 4 5 6 7 8 14 Monitor Series Portable Patient Monitor Manual Beep Volume OFF 1 2 3 4 5 6 7 Fan NO OFF Temp Unit CIE NIBP Operation Start Calibration Start leakage Detection System Configuration Restore Factory Default Restore U
4. no papers present do not press RECORD function button 4 6 Date Time and User ID Settings The display format of date is Year Month Day and that of time is Hour Minute Press the MENU button twice to enter the MENU screen select the Date and Time setup menu adjust the values of the Year Mouth Day and Hour Minute Second correctly Year 2009 2028 Month 1 12 Day 1 31 Hour 0 23 Minute 0 59 Second 0 59 In the MENU 1 screen select the Patient info menu press up or down button to adjust ID number Or press PATIENT button to set the ID number NOTE Always set the Date and time correctly before use and set different ID numbers for different users 13 Monitor Series Portable Patient Monitor Manual CHAPTER 5 MENU TREE OF OPERATION In order to give operators a succinct direction about operations the following MENU TREE shows the overview of all the settings which can guide you to operate the system simply To get more information for each setting you can refer to each Chapter For the monitor working properly you should pay attention to the following NOTE NOTE NIBP mode if the inflating pressure is selected between 70 120mmHg the monitored patient should be neonate if the inflating pressure is selected between 140 180mmHg the monitored patient is adult
5. SpO2 amp PR Trend PR Too High PR bpm e SpO2 5 5 Fig 6 2 In this menu press the OK button the SpO and PR trends which are the same ID number will be displayed by inputting an ID number And pressing the up or down button can display trends of the next or the previous page 6 3 Temp Trend Pick Temp Trend in the MENU 1 to call up the following chart as Fig 6 3 5 Temp Trend 5 5 Fig 6 3 16 Monitor Series Portable Patient Monitor Manual In this menu press the OK button the Temp trend will be displayed by inputting an ID number And pressing the up or down button can display trends of the next or the previous page 6 4 NIBP Record Pick NIBP Record in the MENU 1 to call up the following chart as Fig 6 4 6 NIBP Record PR Too High MAI WERT 07 12 10 12 100 70 85 25 07 10 22 22 100 70 85 25 07 10 2212 100 70 85 25 07 10 12 22 100 70 85 25 07 10 12 12 100 70 85 25 07 10 10 22 100 70 85 25 07 10 10 12 100 70 85 25 mmHg 10 1024 Fig 6 4 In this menu press the OK button the NIBP records which are the same ID will be displayed by inputting an ID number And pressing the up or down button can display records of the next or the previous page 6 5 NIBP Trend Pick NIBP Trend in the MENU 1 to call up the following chart as Fig 6 5 7 NIBP Trend PR Too High Item 5 5 ID 25 Fig 6 5 In this menu press the OK button the Temp trend will be displayed by inputting an ID number And pressi
6. and guarantee the requests of power and environment 12 3 4 Non warranty and Non replacement Policy O The work environment is not eligible For example if the relative humidity exceeds 70 circuit boards of the instrument may be damaged due to condensate If voltage of power supply is fluctuant and exceeds 240VAC the power adapter may be damaged There is smear or marks that are not belong to the instrument and cannot be removed from the outside surface of the instrument The instrument or its fittings are mechanically damaged The circuit is short and damaged due to liquor or other stuff flow in the instrument or its fittings All probes and accessories are not free replacement Leakage of air cell of blood pressure sleeve due to improper storage or operation is not free replacement The malfunction with result form improper repair by anyone other than our company authorized service personnel The malfunction with result from improper use 12 3 5 Customer special warranty period Due to our warranty period according to the relevant electronic regulation of country which we stipulate is one year on this product other than its accesories and the warranty is made for a period of three months on accessories When customer requires to extending the warranty period you should consider whether it is reasonable Because electronic product quickly replace as to the warranty period over three years purchased accessories may be out of stoc
7. as carboxyhemoglobin and methemoglobin External illumination more than 5 000 lumens square meter typical office lighting Venous pulsations It is recommended to use SpO sensor provided by our company 20 Monitor Series Portable Patient Monitor Manual 8 4 SpO2 Displaying Area 1 SpO waveform display area The SpO waveform displays on the LCD screen as shown in Fig 8 2 There will be information shown on the Measuring status bar when certain condition in measuring Fig 8 2 2 SpO numeric display area SPO Measured value of SpO2 the value is 71 here PULSE Rate numeric display are and Pulse amplitude bar Fig 8 4 PR SOUND In System Setup Menu of MENU 2 pick Beep to set the volume of the pulse sound OFF 1 2 3 4 5 6 7 8 8 5 Maintenance and Cleaning WARNING o Cut off and disconnect the AC power before cleaning the monitor or sensor o Do not immerse sensor completely in water solvents or cleaning solutions because the sensor and connector are not waterproof o Do not sterilize SpO sensors by irradiation steam or ethylene oxide e Do not soak the sensor in the detergent liquid if any abnormity of the sensor or cable is detected stop using it immediately Cleaning Moisten the soft cloth or gauze with alcohol and use it to wipe the surface of sensor and then use the clean cloth to dry it The same method can be used to clean the light source and photo detector Ca
8. mmHg mmHg CC bpm mmHg FS 20 300 25 290 25 280 0 5 55 60 220 30 180 30 200 77 112 1 13 11 Default Alarm Setup Parameter Systolic Diastolic kPa Mean Arterial kPa mmHg kPa mmHg Upper Limit Lower Limit 90 NOTE The specifications are subject to changes without prior notice The circuit diagrams the list of components the illustration of diagrams and the detailed rules of calibration are provided exclusively to professional personnel authorized by our company Appendix List of Accessories The accessories list below is specified to be used in this device The user can order the various accessories according to the hospital requirements The standard accessories No Accessories Type Quantity 1 SpO finger clip probe and extension cable for adult CS6 644 1286 1 piece 2 NIBP cuff and extension tube for adult RNC0001A 013B 1 piece 3 TEMP probe Skin or rectal Integrative Type 1 piece 4 Power cable YFC SF 1 piece 5 Grounding wire 6x3500 1 piece 6 Operator s manual 1 piece 32 Monitor Series Appendix Il Prompt information definition Portable Patient Monitor Manual No Prompt info Level Definition 1 SpOz COM Error Medium The SpOz Module is error 2 SpO Probe Off Medium The SpO Probe is off 3 SpOz Finger Out Medium The fin
9. of the instrument and cause damage to the modules and circuits Allow at least 2 inches 5cm space around the instrument for proper air circulation 3 2 Condensation Make sure that during operation the instrument is free of condensation Condensation can form when equipment is moved from one building to another thus being exposed to moisture and differences in temperature 3 3 Grounding To protect the patient and hospital personnel the cabinet of Portable Patient Monitor must be grounded Accordingly the Portable Patient Monitor is equipped with a detachable 3 wire cable which grounds the instrument to the power line ground protective earth when plugged into an appropriate 3 wire receptacle If the 3 wire receptacle is not available consult the hospital electrician If the capacity of the protective grounding wires is in doubt the equipment must be operated with internal power supply 11 Monitor Series Portable Patient Monitor Manual CHAPTER 4 GETTING STARTED NOTE To ensure that the monitor works properly please read Chapter 3 and follow the steps before using the monitor 4 1 Unpacking and Inspection Open the package and take out the monitor and accessories carefully Keep the package for possible future transportation or storage Check the components according to the packing list o Check the monitor for any mechanical damage o Check out all the cables modules and accessories If there is any problem contact the
10. the product in package if the product would not work for a long time 0 Do not make the product contact with chemical medicine and reagent 0 Battery Maintenance If the monitor has not been used for a long period of time you should charge the battery fully before storage To charge the battery connect the monitor to an AC outlet Usually a complete battery recharge requires 8 hours After completion of charging take out the battery and store it properly The battery should be stored in the temperature of 25 C Note Storing the battery for a long period more than one year without charging the battery may degrade the battery capacity The remaining capacity reaches 65 at most after 12 months self discharge Please use the battery in temperature range from 15 C to 50 C from 5F to 122 Note If the monitor equipped with the battery is always operated beyond normal temperature range the useful life of the battery may be shortened If there is any abnormity stop working It can be reused after inspecting and repairing by technician Notes O Specifications may be changed without prior notice The circuit diagrams the list of components the illustration of diagrams and the detailed rules of calibration are provided exclusively to professional personnel authorized by our company 21 Monitor Series Portable Patient Monitor Manual Dispose of this product and used batteries in accordance with the local ordinances and regul
11. 4 0kPa 180 mmHg AUTO 24kPa 180 mmHg Step 1min 1 10min 10min 30min 45min 60min 90min 120min 180min 240min 480min Adult 30 255mmHg 20 235mmHg 15 220mmHg Infant 30 135mmHg 20 125mmHg 15 110mmHg 1mmHg Cuff Pressure Range 0 to 275mmHg Pressure Span Accuracy 3mmHg Mean difference 5mmHg Standard deviation 8mmHg Typically 25seconds Varies with patient s pulse rate pulse pressure and amount of artifact present Automatically releases cuff pressure if inflation pressure exceeds 280mmHg 150mmHg Stop determinates if the measurement time exceeds 120s 90s Pressure high and low limits alarm delay lt 7s Resistance T1 F Or C Resistive recta and skin reusable and disposable YSI 400 Series types 0 60 C 15 C 60 C 0 1 C 25 C 45 C 0 1 C 46 C 60 C 0 2 C Body temperature high and low limits alarm delay lt 7s 13 8 Power Requirements Power Supply Internal Battery Operating Time fully charged battery 100 240VAC 47 63Hz 2 0A max Type Ni MH Rechargeable battery Rated Voltage 12V 2 4Ah 8 hours typical at 25 C no printing one NIBP measurement per 15 min 13 9 Dimension and Weight Dimension 242mmX212mmX155mm LengthXWidthXHight Weight 2 73 kg including battery 13 10 SD Card Type Micro SD Card Storage Space 1GB 31 Monitor Series Portable Patient Monitor Manual 13 10 Alarm Range Systolic Diastolic kPa Mean Arterial e TEMP kPa
12. MMED6000DP Copyright Our company owns all rights to this unpublished work and intends to maintain this work as confidential Our company may also seek to maintain this work as an unpublished copyright This publication is to be used solely for the purpose of reference operation maintenance or repair of our equipment No part of this can be disseminated for other purposes In the event of inadvertent or deliberate publication Our Company intends to enforce its right to this work under copyright laws as a published work Those having access to this work may not copy use or disclose the information in this work unless expressly authorized by our company to do so All information contained in this publication is believed to be correct We shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing performance or use of this material This publication may refer to information and protected by copyrights or patents and does not convey any license under the patent rights of Our Company nor the rights of others Our company does not assume any liability arising out of any infringements of patents or other rights of third parties Content of the manual is subject to changes without prior notice ALL RIGHTS RESERVED Monitor Series Portable Patient Monitor Manual CONTENTS CHAPTER 1 INTRODUCTION eccccconcccccconcnncnnanannnnnncnnnononnnncanonnnnnnoncnrnnncn nera nnnnnener
13. PRA Temp Record A 16 6 2 SpO28PR Trend iii AA eee 16 6 3 Temp Trend estela teta sti 16 6 4 NIBP Record ui a ae a A ee Ai 17 6 0 NIBP Trend Soen A A ias 17 6 6 Printing Setup cis csi lead Hae ia 17 6 6 1 Realtime Print Set 17 66 2 TIET D 17 Monitor Series Portable Patient Monitor Manual 6 6 3 Printing paper installation 18 CHAPTER 7 ALARM wisisscscstsccisssecscscesenscsevesscscusesascevsssccceverssvevecsecsessaveaseosiss coseneesesvasesnens 19 TI Alarm Modest lid 19 EEN E TI EE it bis 19 TI SIMON Curia A a E ld 19 CHAPTER 8 SpO2 MONITORING 0 c cccccecseeceeeeeeeceeeseeeeeenseeeeeeseeneeesenssneeseneneeeeess 20 8 1 What is SpO2 Monitoring 20 8 2 Precautions during SpO2 Pulse Monitoring 20 8 3 Monitoring Ale E UTC 20 8 4 Sp02 Displaying Area iia aa 21 8 5 Maintenance and Cleaning coooccconocccnoccccoccconcnononcnoncconnncnonn cnn nn cnn nc corn nn nn nc ronca nc 21 CHAPTER 9 NIBP MONITORING ooooocccccccccnnccconccnoncnconanannncnonnnnnnnnnna nc ncnnenennrnnananannnnnos 22 91 Introduction ico dc a Sek 22 9 2 Preparation for Cliff iio a Di Dad 22 9 3 NIBP Displaying Areas sens tee A et eee 23 gA NIBP Setup o rei es eo Sets es e o 23 94 1 NIBP MOde tirantes let edo rd Led led ed e in eo dd ed dae dl cl Cb 9 4 2 Auto Mode Cycle 9 4 3 Patient Type and Initial Pressure ooo eee nan ene cnn crono narnia 24 9 5 Pressure Safety Protection 24 9 6 Maintenance and Cleaning 0cooccccnccnnoconnoccconccononc
14. The cuff can also be machine washed or hand washed and the latter method may prolong the service life of the cuff Before washing remove the latex rubber bag and for machine washing close the Velcro fastening Allow the cuff to dry thoroughly after washing and then reinsert the rubber bag 24 Monitor Series Portable Patient Monitor Manual CHAPTER 10 TEMP MONITORING 10 1 Procedure of TEMP Measurement Q Plug a reusable TEMP probe into monitor directly 2 Apply the TEMP probe securely to the patient 3 Switch on the system 10 2 TEMP Displaying Area TEMP measured result is displayed as follows in the displaying area as Fi Fig 13 1 10 3 Operation of TEMP Monitoring NOTE It can only set TEMP alarm individually the alarms of other parameters are not affected UNIT Pick this item to set measurement unit Centigrade CC or Fahrenheit F 10 4 Maintenance and Cleaning WARNING Before cleaning the monitor or the probe make sure that the equipment has already been switched off and disconnected from the power line Cleaning 1 The TEMP probe should not be heated above 100 C 212 F It should only be subjected briefly to temperatures between 80 C 176 F and 100 C 212 F 2 The probe must not be sterilized in steam 3 Only detergents containing no alcohol can be used for disaffection 4 The rectal probes should be used if possible in conjunction with a protective rubber cover 5 To clean th
15. anannnnnns 5 11 ADOUE The Manlal geesde Reech SES 5 1 2 Safety Information pon v 5 1 3 Explanation ot Symbols c comoicioniii ee een A tac 6 1 4 Description of Abbreviatlon wiii nata ais 6 CHAPTER 2 OVERVIEW OF MONITOR c cccccseseceeeseeseeeeeeeseeeseeeeeeeeeeeeeeeeeeensneneeees 7 2 1 General Information illo adie ei talado it 2 2 Special Feature ii eb 7 2 3 General INtroductioW o coiii cion NEESS ENEE eee 7 E NO 7 2 3 2 Side Pana 9 CEET 9 E E TEE 9 235 Display Introduction ege 10 CHAPTER 3 PATIENT SAFETY cc c ecccesceeeceeeseeeceeeseeeeeenseeeeeeseeneesensseeeeenseeneeees 11 3T ENViIronM entira e ee oe en A ee el 11 3 2 To aona To s DEEE Eed 11 323 Grounding uscar aaa is 11 CHAPTER 4 GETTING STARTED ccocoomocvorainorocraiiono nen ranaocanancanar rasca ns coivanannartanao nena 12 4 1 Unpacking and Inspection 12 4 2 Install the Battery 8 Connect the Power Cable ooooooocooncconococincccnoccconcccnncnnonnncnnnnnnnncnannns 12 4 3 Power on the Monitor ononnniinnninonncnnanicionannanacnn rc narco rana rra rr rana 13 4 4 Connecting Patient Sensors 13 4 5 Check the Printet oia ea ev er ee nd 13 4 6 Date Time and User ID Gettings conc cnn cc rnnnn rn c cnn canina 13 CHAPTER 5 MENU TREE OF OPERATION 0 cccceeccceseeeeeeeseeeeeeeseeneeeeeeseneeeneeeeeeas 14 CHAPTER 6 RECORDS AND TRENDS 0 c cccceeeeeeeseeeeeeeseeeeeeeseeeeeeeseseaeeeeeseeneeees 16 6 1 SpO028
16. ations for the disposal of electronic products 12 2 Troubleshooting No display after power on Check the power connections or the power adapter ECG wave is not correct when monitoring the patient Check the LEAD wires and the electrodes position No SpO wave and pulse rate display when monitoring Check the probe connection and the finger temperature Cuff inflation lacked when measuring blood pressure Cuff too loose or leak Check the connections of tube No ECG analysis function Check whether this function open or not in ECG menu Can not printing Check the print cable print power printer setup and the printer type 12 3 Warranty and Repair 12 3 1 Warranty and repair content DRepair response time AM9 00 to PM17 30 on Monday to Friday except legal holiday Repair time AM9 00 to PM17 30 on Monday to Friday except legal holiday 2 Repair service Including telephone support field inspecting fittings replacement o Telephone support we can give guidance to customer s engineer to inspecting the instrument when you dial our service line Professional repair engineer online provides technical support o Field inspecting we will send engineers to repair the instrument if necessary Certified engineers of our company or local repair team trained by our company provide this service o Fittings replacement if necessary we will replace the damaged fittings according to contract The damaged fittings should be returned to us e
17. bles can be disinfected by 3 of hydrogen peroxide or 7 of isopropyl alcohol Do not immerse the connector into the liquid 21 Monitor Series Portable Patient Monitor Manual CHAPTER 9 NIBP MONITORING 9 1 Introduction a 2 3 The Non invasive Blood Pressure NIBP module measures the blood pressure using the oscillometric method It is applicable for adult infant to use There are three modes of measurement available Manual Auto and STAT Not stop Each mode displays the diastolic systolic and mean blood pressure WARNING You must not perform NIBP measurements on patients with sickle cell disease or under any condition which the skin is damaged or expected to be damaged For a thrombasthemia patient it is important to determine whether measurement of the blood pressure shall be done automatically The determination should base on the clinical evaluation Ensure that the correct setting is selected when performing measurements on children It may be dangerous for children to use an over pressure level 9 2 Preparation for Cuff WARNING o Before starting a measurement verify that you have selected a setting appropriate for your patient adult or infant o Do not apply the cuff to a limb that has an intravenous infusion or catheter in place This could cause tissue damage around the catheter when infusion is slowed or blocked during cuff inflation o Make sure that the air conduit which connects the blood pressure c
18. different If it is placed lower than the heart level deduct 0 9 mmHg 0 10kPa for each inch of different 4 Select a measurement mode in the NIBP Setup menu refer to the section 9 4 1 5 Check whether the patient mode is appropriately selected refer to the section 9 4 3 6 Press the NIBP button on the front panel to start a measurement 22 Monitor Series Portable Patient Monitor Manual 9 3 NIBP Displaying Area NIBP measurement result is displayed as follows Fig 9 1 including SYS DIA MAP SYS Systolic 112 DIA Diastolic 72 MAP Mean arterial 82 Two units are available mmHg and KPa Here is mmHg 9 4 NIBP Setup Four items are available for the user to set up which are NIBP Mode Auto Mode Cycle Patient Type Initial Pressure Pressure Unit NOTE Be sure to set all the settings according to a patient before NIBP measuring 9 4 1 NIBP Mode Pick NIBP Setup menu in MENU 1 there are three modes Manual Auto and STAT Not stop for optional Manual Mode Press NIBP button on the front panel to start a NIBP measurement repressing the button will stop measuring Auto Mode Before measurement select Auto in the NIBP Mode in MENU1 and then set the Auto Mode Cycle for example 1 min 2 min 3 min 5 min 10 min 15 min 30 min 60 min 90 min 120 min 180 min 240 min 480 min refer to section 9 4 2 Auto Mode Cycle After setting pressing NIBP button will start measuring The monito
19. distributor immediately 4 2 Install the Battery 8 Connect the Power Cable Install the battery Front Panel Arrow Mark 8 Fig 4 1 1 Open the battery cover with nail 2 Keep the battery side with the arrow mark upward and poke the baffle from one side with the battery coner near to the arrow mark refer to the direction indicated by the arrow line in Fig 4 1 then plug the battery into the battery box until the baffle return to original position 3 Close the battery cover Caution If you want to take out the battery first poke the baffle and push the rear of the battery to flick out the battery Connecting the AC power cable Make sure the AC power supply complies with following specification 100 240 VAC 50 60 Hz 1 Apply the power cable provided with the monitor Plug the power cable into the power socket on the rear panel 2 Connect the other end of the power cable to a grounded 3 phase power output NOTES o Connect the power line to the jack special for hospital usage o Check the voltage of the battery if the voltage is not 9 15V do not use it and connect with the service center o The battery needs to be charged after transportation or storage If the power supply is not properly connected before turning on the monitor it may not work properly because of insufficient power Connect the power supply to charge the battery o Make sure remove the battery if the monitor will not be used for a long ti
20. e Out Medium prescriptive time adult 200mmHg 120s 90s infant 90s 27 NIBP Calibrate The system is calibrating NIBP module 28 NIBP Leak Detecting Mer is detecting whether the NIBP module 29 NIBP COM Error Medium 30 SpO DataSpace Expired Medium The space for saving SpOz records is full 31 NIBP DataSpace Expired Medium The space for saving NIBP records is full 32 Temp Too High High The detected temperature is too high 33 Temp Too Low High The detected temperature is too low Beijing Choice Electronic Technology Co Ltd BailangyuanB1127 1128 F uxing R A36 Release time 100039 Beijing CHINA 18 June 2010 33
21. e connected with Central monitoring system 2 3 General Introduction 2 3 1 Front Panel Buttons and indicators 1 power Button Press the POWER button for about 3s to turn the monitor on and about 4s to turn it off 2 The indicator green Working status indicator It is always on when the monitor is working normally 3 The E indicator yellow When the battery is in charging status the indicator will flash It is always on when the charge has been complete or the current power supply is AC ZB Monitor Series Portable Patient Monitor Manual 4 LE bent Pressing this button will motivate the printer to output the results if the monitor is equipped with a printer eats d 5 K INTERVAL It is the shortcut button of entering the NIBP Setup menu 6 Ay ALARM It is the shortcut button of entering the Alarm Setup menu O 7 Keswitcu It is the shortcut button of entering the SpO2 amp PR amp Temp Record menu 8 menu Pressing this button switches between the three screens MENU 1 MENU 2 and the main measurement screen 9 Sonr Start Cancel NIBP measuring button Pressing the button will inflate the cuff to start a new NIBP measurement During a measurement press this button to cancel the measurement and deflate the cuff including the Auto and STAT measuring mode 10 Plieno Alarm inhibit butto
22. e probe hold the tip with one hand and the other hand rubbing the probe down in the direction of the connector with a moist line free cloth 25 Monitor Series Portable Patient Monitor Manual CHAPTER 11 SYSTEM MENU 2 Press the Menu button twice and the MENU 2 screen will appear In the MENU 2 the parameters can be set are Data Management Realtime Print Setup Network Setup Date and Time System Setup NIBP Operation System Configuration and System Info NOTE Always set the date and time before take a measurement according to the accurate time 11 1 Data Management There are functions including Export SpOz8 Temp Data Export NIBP Data Erase NIBP Data and Erase SpO Data Press OK button will select the option which you want 11 2 Realtime Print Setup Refer to Section 6 3 Print Setup 11 3 Network Setup The monitor can be connected with NET by wire the user can set the NET connection ON or OFF also Bed No which range is 1 255 11 4 Date and Time Refer to the section 4 6 Date Time and User ID Settings 11 5 System Setup Brightness 1 2 3 4 5 6 7 8 USB Mode To Udisk To PC OFF Alarm Volume 1 2 3 4 5 6 7 8 Beep Volume OFF 2 3 4 5 6 7 Fan NO OFF Temp Unit CIE NOTE Do not silence the audible alarm function or decrease the audible alarm volume if patient safety could be compromised 11 6 NIBP Operation Start Calibration Start leaka
23. e to the product before cleaning and inspecting 3 Periodic cleaning accordance with the policy of local infection control department or health institution Dampen a cloth with a commercial nonabrasive cleaner and wipe the tip bottom and front surfaces lightly The following admissive liquor can be used O Ammonia diluted Glutaraldehyde Sodium hypochlorite bleacher diluted O Mildness suds diluted Please abide by the following rules to prevent from damaging the product O Always using diluted liquor recommend by the manufacture Always wipe up cleaning liquor after cleaning Never use cleaning matter containing wax Never spray water or cleaning liquor over the product neither allows any liquid to flow into power switcher connector or other intake Never use the following cleanser any kinds of abrasive cleaner and menstruum acetone ketone spirituous cleanser lycine 6 00000 In order to clean the display screen please use clean flexible cloth and make it wet with cleanser in the glass Never spray cleanser in the glass on the screen neither use alcohol nor medical disinfector such as glutaraldehyde or lycine 0 Please use warm wet cloth and mildness suds to clean cables and lead wires Other cleaning ways may reduce the life of cables and lead wires Recommendation 0 Do not power on off frequently 0 Take down and safekeeping probes lead wires gluey tube after using product J Please keep
24. ectly The optional Patient Types are Adult and Infant Adult Mode The initial pressure are 140mmHg 150mmHg 160mmHg and 180mmHog Infant Mode The intitial pressure are 70mmHg 100mmHg and 120mmHg Pick this item to set measurement unit Selection mmHg or KPa 9 5 Pressure Safety Protection o Automatic deflation will be activated when the cuff pressure exceed 280 mmHg under the adult mode and exceed 150 mmHg under the infant mode o Automatic deflation will be activated when the continuous inflation last more than 30 seconds o If there is no value when measurement time exceeds 120 seconds under the adult mode and 90 seconds under the infant mode the measurement will be canceled H Patient can press the NIBP button to start cancel whenever it is necessary 9 6 Maintenance and Cleaning WARNING o Do not squeeze the hose of cuff o Do not allow liquid to enter the connector socket when cleaning the monitor o Do not wipe the inner part of the connector socket when cleaning the monitor o When the reusable cuff is not connected with the monitor or being cleaned always place the cover on the rubber tube to avoid liquid permeation NIBP cuff disinfection The cuff can be sterilized by means of conventional autoclaving gas or radiation sterilization in hot air ovens or disinfected by immersion in decontamination solutions but remember to remove the rubber bag if you use this method The cuff should not be dry cleaned
25. entral monitoring system through the standard RJ 45 5 USB socket This is reserved function 6 SD Card socket Insert a SD Card via this socket 2 3 5 Display Introduction The screen display of the portable patient monitor is shown as the following picture Measuring Display 2010 04 07 13 03 30 4 4 MM D SpO2 Measuring Adult 140 mmHg Manual O June Sens FR Temp Time sys DIA MAP 6 SC 82 35 5 13 03 101 65 35 5 13 02 101 i hores 63 35511301 100 Fig 2 5 Description of the LCD Display Measuring status bar In this area prompt information will display in measuring such as SpOz Too Low PR Too High SpO Probe Off or Measuring SpOz Waveform Display the SpO2 plethysmogram 8 Records list Display the last three measurements result records The measurement data is saved every 60 seconds NIBP settings Display the settings in the NIBP Setup menu System status icons Include Network USB Printer Bed No ID icons The icon will be crossed when the corresponding function is off or ineffective System status bar Display the date time alarm sound icon beep icon and battery power status icon Remaining Battery Power Indicator Battery Status con BB The icon is dynamic It is in the form of a gauge providing a graphic indication of remaining battery power There are four shapes of the indicator the centre with 4 bars full 3 bars 2 bar 1 ba
26. f of the monitoring o Do not use the patient monitor during Magnetic Resonance Imaging MRI scanning Induced current could potentially cause burns The monitor may affect the MRI image and the MRI unit may affect the accuracy of monitor measurements o Do not place the monitor in any position that might cause it to fall on the patient Do not lift the monitor by the power supply cord or patient connections o The monitor can monitor only one patient synchronously o ONLY use the approved accessories such as sensors cuffs battery etc o Please carefully read the relevant chapter in this instruction for more attention CR Monitor Series Portable Patient Monitor Manual 1 3 Explanation of Symbols Symbols Explanation Symbols Explanation Attention AN Refer to the relevant the prompt I Class I Equipment BF type equipment de cada IR Prevent from the effect of defibrillation IPX1 Resistant to liquid ingress Power on off Ix SILENCE button AT Alarm Setup button Printer eh NIBP Setup button mu Menu RY e Switch button 9 Patient ID NIBP Measure Stop Enter OK button UP Button Down button Alarm on Alarm off Beep Sound on Beep Sound off Charging status indicator terminal Equipotential grounding AC 50 60 HZ or DC Remaining battery power indicator battery status icon Battery Power is low Net connection icon NON Battery icon power supply
27. ge Detection 11 7 System Configuration Factory Default settings include the following items Brightness 4 SUB Mode OFF Alarm Volume 4 Beep Volume 4 Fan OFF Temp Unit C NIBP Mode Manual Patient Type Adult Initial Pressure 140mmHg Unit mmHg Net Work IP 250 Status OFF Bed 250 Alarm SpOz high 100 low 85 Pulse rate high 120 low 50 SYS high 160 low 90 MAP high 85 low 60 DIA high 110 low 60 Temp high 39 5 low 36 0 Print cycle 1min PrintDuration 4 Restore User Saved Restore the last saved configuration by selecting this item Be sure that there are settings have saved before restoring user saved Save Current Configure Save the current configuration in the system 11 8 System Info Hardware version Software Version SpO SpareSpace NIBP SpareSpace 26 Monitor Series Portable Patient Monitor Manual CHAPTER 12 MAINTENANCE AND TROUBLESHOOTING 12 1 Maintenance Customers should responsible for periodic maintaining of the product and its accessories It is very important for our company to warrant the service and repairs We reserve the rights to change the time limit of warranty and replacement if the following steps are non implemented Q An effective maintenance plan should be designed for the product and its reusable accessories It includes periodic inspections and cleaning It should accord with the policy of local infection control department or health institution 2 Be sure to disconnect power lin
28. ger is out of the SpOz sensor 4 Searching for pulse The system is searching for pulse signal 5 SpOz Measuring The monitor is in normal measuring status 6 SpO Too High High The SpOz value is higher the SpOs High limit 7 SpOz Too Low High The SpO value is lower than the SpOz Low limit 8 PR Too High High The PR value is higher the PR High limit 9 PR Too Low High The PR value is lower than the PR Low limit 10 SYS Too High High The SYS value is higher the SYS High limit 11 SYS Too Low High The SYS value is lower than the SYS Low limit 12 DIA Too High High The DIA value is higher the DIA High limit 13 DIA Too Low High The DIA value is lower than the DIA Low limit 14 MAP Too High High The MAP value is higher the MAP High limit 15 MAP Too Low High The MAP value is lower than the MAP Low limit 16 NIBP Selftest Failed Medium The NIBP self test is failed 17 NIBP Loose Cuff Medium ee wrapped loosely or not connected with 18 NIBP Air Leak Medium The cuff is aleak 19 NIBP Air Pressure Error Medium The valve can not be opened normally 20 NIBP Weak Signal Medium The patient s signal is too weak 21 NIBP Range Exceeded Medium e value may exceed the 22 NIBP Excessive Motion Medium The patient may move excessively 23 NIBP Over Pressure Medium MEA Ee value limits adult 290mmHg 24 NIBP Signal Saturated Medium E a EE 25 NIBP System Failure Medium The NIBP system fails The time of a measurement exceeds the 26 NIBP Tim
29. itor Series Portable Patient Monitor Manual CHAPTER 1 INTRODUCTION 1 1 About the Manual This manual explains how to set up and use the patient monitor Important safety information relating to general use of the monitor appears before this manual Other important safety information is located throughout the text where appropriate In order to operate the patient monitor properly and make it reach the specific safety standard and performance index please read this manual carefully before using the patient monitor Note The illustration used in this manual may differ slightly from the appearance of the actual product 1 2 Safety Information o This patient monitor only can be operated by qualified personnel Before use carefully read this manual directions for use of any accessories all precautions and all specifications And then check out that the equipment functions are safe and ensure that the monitor is in proper working condition o This monitor is intended to be used only as an adjunct in patient assessment lt must be used in conjunction with clinical signs and symptoms o To avoid an electrical hazard never immerse the unit in any fluid or attempt to clean it with liquid cleaning agents Always disconnect monitor from AC Main Power before performing cleaning of maintenance o If monitor becomes accidentally wet during use discontinue operation of the monitor until all affected components have been cleaned and permitted to d
30. k In this case we will adopt to entirely upgrade or replace the old you should pay the minimum acceptable cost of renewed device 12 4 Storage and Transportation Storage Temperature 20 C 55 C Humidity lt 93 Transportation Transportation via road rail or aviation after properly insured and packaged 29 Monitor Series CHAPTER 13 Specifications 13 1 Environment The operation environment should comply with the following conditions Portable Patient Monitor Manual Operating Temperature Relative Humidity Atmosphere 5 C 40 C 0 80 non condensing 86 106 kPa The transport and storage environment should comply with the following conditions Storage Temperature Relative Humidity Atmosphere 13 2 Display Type Screen Size 20 C 55 C 0 to 93 non condensing 50 106 kPa LCD amp LED LCD 3 2 inch 13 3 Displayed Parameters Date amp Time Alarms NIBP Pulse Oximeter Trends Temperature 13 4 SpO02 Display range Measurement Accuracy LED Specifications Alarm delay Display Update Resolution 13 5 Pulse Rate Display Range Measurement Range Measurement Accuracy Alarm delay Resolution 13 6 NIBP Technique Patient Types Cuff Inflation Time Cuff Inflation Pressure Measurement Modes 30 Battery backed quartz crystal clock High and low limits selectable on patient parameters Pressure systolic mean and diastolic Pulse Rate SpO2 wa
31. me power status icon prompt icons INBP status monitor status information and system menus SpO Display LED displays the value of measured SpO PULSE LED displays the value of detected pulse rate Pulse bar graph It indicates the intensity of the pulse SYS Display LED displays the value of detected systolic pressure DIA Display LED displays the value of detected diastolic pressure MAP Display LED displays the value of detected Mean pressure P E 20 JS zm Jo TEMP Display LED displays the value of detected temperature Monitor Series Portable Patient Monitor Manual 2 3 2 Side Panel Fig 2 2 1 NIBP socket Connect the NIBP cuff with the extension tube 2 TEMP1 socket Connect the TEMP probe 3 SpO socket Connect the SpOz2 sensor with extension cable Refer to the corresponding sections in this manual for detail 2 3 3 Printer SPRT se ERROR POVAR e Fig 2 3 A thermal printer with standard 50 mm 1 1 wide printout paper is used for the portable patient monitor NOTE The thermal recorder should be installed by the technician authorized by our company 2 3 4 Rear Panel NEUE A E a Fig 2 4 1 Power socket AC 100 240 V 50 60 Hz Fuse 1 6A 2 DC power supply reserved 3 Equivalent electric ground terminal access for connecting with the hospital s grounding system Monitor Series Portable Patient Monitor Manual 4 NET access point connecting with the c
32. me about two months o It is recommended that charge the battery for about two months as the self discharge of the battery 12 Monitor Series Portable Patient Monitor Manual 4 3 Power on the Monitor Press the POWER button on the front panel for about 3 seconds to turn on the monitor The verification procedure Power On Self Test POST takes approximately 4 seconds to complete The system enters monitoring status after POST completion Press the POWER button for about 4 seconds to turn off the monitor after use NOTE o Check all the functions that may be used to monitor and make sure that the monitor is in good status o The battery must be recharged to the full electricity after each use of monitoring so as to reserve sufficient power in battery o The interval between twice presses of POWER switch should be more than 1 minute WARNING If any sign of damage is detected or any system failure occurs e g some error messages or an unexplained continuous audible alarm remove the monitor from use and contact the biomedical engineer in the hospital or the distributor immediately 4 4 Connecting Patient Sensors Connect all the necessary patient sensors between the monitor and the patient About the detailed information please refer to corresponding chapters 4 5 Check the Printer If your monitor is equipped with a printer open the door of the printer to check out whether the paper is properly installed in the output slot If
33. ment every 2 3 hours and move it if the skin deteriorates More frequent examinations may be required for different patient NOTE o Do not perform SpO measuring and NIBP measuring in the same limb because obstruction of blood flow during NIBP measuring may adversely affect the reading of SpO value Make sure the nail covers the light window The wire should be on the backside of the hand 8 3 Monitoring Procedure 1 Switch on the monitor 2 Plug the connector of sensor into SpO socket on the side panel of the monitor 3 Attach the sensor to the appropriate site of the patient finger NOTE Ensure the finger insert the sensor completely the finger has touched the bottom of the sensor Limitation for measurement In operation the accuracy of oximetry readings can be affected by o High frequency electrical noise including noise created by the host system or noise from external source such as electrosurgical apparatus which is admitted by the host system Do not use oximeters and oximetry sensors during magnetic resonance imaging MRI scanning Induced current could potentially cause burns Intravascular dye injections Excessive patient movement Improper sensor application Sensor temperature maintain between 28 C and 42 Cfor the best operation Placement of the sensor on an extremity that has a blood pressure cuff arterial catheter or intravascular line Significant concentration of dysfunctional hemoglobin such
34. n When pressing the SILENCE button a prompt window will appear to let the user choose YES or NO manually The prompt information is Close Alarm Are you sure If the YES item is selected the alarm status icon is crossed asik NOTE When the gt mark appears the system can not give an alarm prompt including audible and visible prompts Therefore the operator should use this function carefully Do not silence the audible alarm function or decrease the audible alarm volume if patient safety could be compromised 11 Weanenr It is the shortcut button of entering the Patient Info Setup menu 12 Aur button Press the button to move the cursor up or increase the setting value 13 OK button Press the OK button to enter the next menu or confirm the settings 14 Woown button Press the button to move the cursor down or decrease the setting value 15 ALARM Indicator The ALARM Indicator is on the top of the monitor lf there is an alarm happened the indicator will be flash or on There are three alarm levels in all for selection High level when alarm occurs the color of the indicator becomes red and starts flashing once every one second Mid level when alarm occurs the color of the indicator becomes orange and starts flashing once every one second Low level when alarm occurs the color of the indicator becomes orange and always on Display Areas 1 LCD Display Display SpO plethysmogram Date and ti
35. ng the up or down button can display trends of the next or the previous page 6 6 Printing Setup 6 6 1 Realtime Print Setup Press MENU button twice to access MENU 2 screen and select 2 Realtime Print Setup Print Duration 1 10 Item Auto Print Start Print Selecting this button can start to print And press RECORD button on the front panel of the monitor Print Cycle the cycle of auto printing 1 60 minute Alarm Print Select one or more parameters among SpOz PR Temp SYS DIA and MAP as trigger for printing 6 6 2 Printing mode There are three printing modes Auto Alarm or manual according to the triggering methods A The contents in Auto mode include 1 Auto print 17 Monitor Series Portable Patient Monitor Manual 2 Current date and time 3 Measurement values of all parameters SpO SYS DIA MAP TEMP PR B The contents in Alarm mode include 1 Alarm print 2 Current date and time 3 Measurement values of all parameters SpO2 SYS DIA MAP TEMP PR at the time of alarm C The contents in Manual mode include 1 Manual print 2 Current date and time 3 Measurement values of all parameters SpO2 SYS DIA MAP TEMP PR Settings for manual printing In records or trends screen including 3 SpOz8PR8 Temp Record 4 Sp02 amp PR Trend 5 Temp Trend 6 NIBP Record or 7 NIBP Trend users can set printing manually as follows Select ID Adju
36. noncconnanonn cnn cnn crono rara 24 CHAPTER 10 TEMP MONITORING cccocconococonccncnccnonananonnononnnncnnnnnanncncnnnnnnnnnnanaaaannnnos 25 10 1 Procedure of TEMP Measurement A 25 10 2 TEMP Displaying A eA ee e a e aar a e aa aA raa E Taoa Eo SEAE aean pina FE 25 10 3 Operation of TEMP Monitoring oooonncconoccnnnccnnocinonccononanancnnnnnc nano n nana nan cn ran nnnnnrranncrannnin 25 10 4 Maintenance and Cleaning cooocccccococcccccnocononccononcnancnnoncn rancio ronca ron c oran na rnn cnn rra nn nnnnnan 25 CHAPTER 11 SYSTEM MENU L ooooocccccononanicionoccconononananncnnnnnnncnnnnna nac ncnn cren nrnnanaanannnnes 26 CHAPTER 12 MAINTENANCE AND TROUBLESHOOTING eccconccccccncccnnnccncnccnnnnnss 27 KS WEIEN 27 12 2 Troubleshootind sci tee a lada 28 12 3 Warranty and Repalr cooossosc iaa liar Eege 28 12 3 1 Warranty and repair content EEN 28 12 32 Exemption and restriciiON ici ii aaepe NE O Ia 28 12 33 CustOMmer guarantee EE 12 3 4 Non warranty and Non replacement Policy 12 3 5 Customer special warranty period 12 4 St rag and Transportation ao 29 Monitor Series Portable Patient Monitor Manual CHAPTER 13 Specifications vscicciccccciceiiesscscecsacveensssanssanccaasusasdsnndacrsdeustesansdetteansasutidacs 30 o RR da dacddadinaneciaianacddiaeveaaeccssaadadesduvadadasstaddcdessaadcaiaseduceuessabasactavvenns 32 LISTOFACCESSOMOS eege Edge Eed EES E 32 2 PR A II EE 33 Prompt information definition AAA 33 Mon
37. nual technical alarms are displayed in the displaying areas of the relative parameters Alarm level and prompts The high medium low level alarms are designed in different audio ways High Level is the most serious warning Medium Level is the serious warning and Low Level is the general warning Alarm level Audio prompt Visual prompt High Mode is Di Di Di Di Di the audible alarm is sent out The Measuring prompt bar displays the alarm information in continuously which is triggered once every 8 seconds red The alarm indicator light flashes in red Medium Mode is Di Di Di which is triggered once every 20 The Measuring prompt bar displays the alarm information in seconds yellow The alarm indicator light flashes in yellow Low NEE Di which is triggered once every 5 The alarm indicator light flashes in green 7 2 Alarm Setup Pick Alarm Setup in the MENU 1 to call up the following window as Fig 7 1 WARNING If set the SpOz PR SYS DIA MAP Temp to OFF the alarm will be ineffective So the user should take a serious attitude to set the alarm off 2 Alarm Setup SpO2 Alarm PR Alarm DIA Alarm MAP Alarm Fig 7 1 It should be serious to set the alarm limits according to professional medical knowledge 7 3 Silence Press the SILENCE button on the front panel of the monitor the prompt information Are you sure close alarm will bounce out If the YES
38. or infant and neonate wrong selection of patient mode may be dangerous to them o Inaccurate measurements may result from such causes a Limb s twitch and tremble will cause inaccuracy or prolonged the cycling of a measurement serious tremble will lead to the failure of measure b Placing the cuff too loosely or tightly on the patient c Leaky cuff or hose d Insure the NIBP and pulse rate within the range of this monitor e Excessive patient motion will cause the inaccuracy patient should be relax and avoid movement How to stop the NIBP Measurement If a measurement is in process press the NIBP button whenever that you wish to cancel the current measurement If an automatic measurement is underway the interval time will be reset The measurement values will be displayed after normally measurement Alarm will be activated if those values out of limit Only visible alarm can be seen when the audible alarm be disabled Refer to the ALARM chapter for information 23 Monitor Series Portable Patient Monitor Manual 9 4 2 Auto Mode Cycle In the Auto Mode the cycle time can be set among 1 min 2 min 3 min 5 min 10 min 15 min 30 min 60 min 90 min 120 min 180 min 240 min and 480 min Only if the cycle time is 1 min it is the interval of measurements NOTE Set the Auto Mode Cycle appropriately according to the actual situation 9 4 3 Patient Type and Initial Pressure Before measuring choose Patient Type corr
39. r empty and the frame in red The frame of indicator turns red when low battery power is detected by the monitor At this time you should immediately plug the AC power supply cable into the socket Or else the indicator displays with a red frame constantly when battery capacity reaches critical condition at which time the monitor shuts down 10 Monitor Series Portable Patient Monitor Manual CHAPTER 3 PATIENT SAFETY The portable patient monitor is designed to comply with the International Safety requirements for medical electrical equipment This device has floating inputs and is protected against the effects of defibrillation and electrosurgery If the correct electrodes and ECG cable are used and applied in accordance with the manufacturer instructions the screen display will recover within 10 seconds after defibrillation 3 1 Environment Follow the instructions below to ensure a completely sage electrical installation The environment where the Portable Patient Monitor will be used should be reasonably free from vibration dust corrosive or explosive gases extremes of temperature humidity and so on For a cabinet mounted installation allow sufficient room at the front for operation and sufficient room at the rear for servicing with the cabinet access door open The Patient Monitor must be operated within specifications at ambient temperature between BC and 40 C Ambient temperatures that exceed these limits could affect the accuracy
40. r will measure automatically with the set Auto Mode Cycle Repressing the NIBP button will stop measuring STAT Mode In the STAT Mode the measurement will perform every 5s until the NIBP button has been pressed again NOTE Ensure that the correct setting is selected when performing measurements on children It may be dangerous for the children to use an over pressure level WARNING o This monitor displays results of the last blood pressure measurement until another measurement is completed If a patient s condition changes during the time interval between measurements it will not detect the change or indicate an alarm condition o Prolonged non invasive blood pressure measurement in AUTO mode may be associated with purpuric ischemia and neuropathy in the limb wearing the cuff When monitoring a patient examine the extremities of the limb frequently for normal color warmth and sensitivity If any abnormality is observed stop the blood pressure measurements o The blood pressure cuff should not be applied to the limb attaching the SpO sensor since cuff inflation will disrupt SpO monitoring o Do not place the cuff on an extremity being used for intravenous infusion or any area where circulation is compromised or has the potential to be compromised o When the measurement be performed on infant and neonate Make sure that correct mode setting has been selected refer to NIBP menu setting section For higher adult NIBP doesn t fit f
41. ry completely o Connect the monitor to a three wire grounded hospital grade receptacle o By replacing the fuse please use the safety device of the same type and rated fuse o Before using the equipment check out whether all the cables are in good condition the damaged cables and connectors must be replaced Operator should examine whether the system is in correct working state and operating condition As with all medical equipment carefully route patient cabling to reduce the possibility of patient entanglement or strangulation o To avoid monitor fall secure monitor on the shelf or bracket prior to use o Be sure to use defi protected electrodes and ECG cable if the monitor is used with defibrillation equipment If any parameter displayed on monitor and working station are not accurate adopt the other methods to diagnosis patient The medical equipment must be manipulated by professional personnel who have already got relative training of operation o For safe and accurate operation use only recommended patient cable lead wires cuffs hose sensors tubing etc Request for the special children or infant accessories when monitor infant o Single use devices should never be reused Do not use the monitor in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide The system may not conform to all performance specifications if stored or used outside the environmental specification identified in specifica
42. ser Saved Save Current Configure System Info Hardware version Software Version SpO SpareSpace NIBP SpareSpace 15 Monitor Series Portable Patient Monitor Manual CHAPTER 6 RECORDS AND TRENDS Trend data in graphical or tabular format can be presented on the screen 96 hours trend data in tabular format and 96 hours trend data in graphical format can be srored in a CF card A date time annotation is included at the start of each new record so that the record can be correlated with the patient whose signs are monitored Print function is effective in the SpO28 PR8 Temp Record or NIBP Record screen NOTE When the storage space is full the monitor will prompt SpO DataSpace Expired or NIBP DataSpace Expired the new records cannot be saved until the records have been deleted It is recommended that copy the records to a SD Card or transmit them to a computer 6 1 SpO2 amp PR amp Temp Record Current Menu 028PR8Tren PR Too High Previous minute gt WER E 100 100 100 Previous Records gt y 100 100 100 100 Current time ID 22 Fig 6 1 In this menu press the OK button the records which are the same ID number will be displayed by inputting an ID number And pressing the up or down button can display records of the next or the previous page 6 2 SpO2 amp PR Trend Pick SpO2 amp PR Trend in the MENU 1 to call up the following chart as Fig 6 2 4
43. st the value of the desired printing patient ID Start Print Time Users can set the start time and time of continuous printing 6 6 3 Printing paper installation 1 Recordpaper requirement Only standard 50 0 1 mm thermosensitive record paper can be used otherwise the recorder may not function the recording quality may be poor and the thermosensitive printhead may be damaged NOTE When the recorder is working the record paper goes out steadily Do not pull the paper or the recorder will be damaged e Do not operate the recorder without record paper 2 Paper replacement From the position with Open Mark pull the paper cassette door towards you until it is completely open Refer to Fig 6 6 2 Remove the spent paper core Place a new roll of paper into the paper cassette with a few inches of paper being unrolled Ensure proper orientation of paper roll Close the paper cassette door with a few inches of paper being kept outside of the door No Paper Indicator Power Indicator D Paper Roll EI E Es We A oe Fig 6 6 18 Monitor Series CHAPTER 7 ALARM This chapter gives the general information about alarm function and silence function Alarm setup and prompt messages are provided in respective parameter setup sections 7 1 Alarm Modes When alarm occurs the monitor may draw the user s attention in two ways which are audible prompt and visual prompt Physiological and Portable Patient Monitor Ma
44. tion o If you are uncertain about the accuracy of any measurement first check the patient s vital signs by alternate means and then make sure the monitor is functioning correctly o Alarm must be set up according to different situation of individual patient Make sure that audio sound can be activated when alarm occurs o When an X appears in the Alarm Bell symbol the audible alarm tone will not sound for any reason o Do not only depend on the alarm system the doctor and nurse should draw more attention when an alarm turn down or turn off When connecting the monitor to any instrument verify proper operation before clinical use Refer to the other device s manual for full instructions Accessory equipment connected to the monitors data interface must be certified according to IEC Standard 60601 1 for electromedical equipment All combinations of equipment must be in compliance with IEC Standard 61601 1 1 systems requirements To avoid potentially hazardous leakage currents always check the summation of leakage currents when several items of equipment are interconnected o For proper equipment maintenance perform the service procedures at the recommended intervals as described in the manual o If the patient monitor needs to be used continuously long term please note to connect the patient monitor with the main power supply by the alarm of battery otherwise the patient monitor will automatically shut down which leads to the break of
45. to a receiver on the other side 2 The amount of light transmitted depends on many factors most of which are constant However one of these factors the blood flow in the arteries varies with time because it is pulsating By measuring the light absorption during a pulsation it is possible to derive the oxygen saturation of the arterial blood Detecting the pulsation gives a PLETH waveform and pulse rate signal 8 2 Precautions during SpO2 Pulse Monitoring WARNING o ES Electrosurgery equipment wire and SpO cable must not be tangled up o Do not put the sensor on extremities with arterial catheter or venous syringe Verify sensor cable fault detection before beginning of monitoring phase Unplug the SpO sensor cable from the socket the screen will display the error message SENSOR OFF and the alarm is activated If PLETH ERROR message displays on the displaying area which means the SpO board with trouble o Do not use the sterile supplied SpO sensor if the packaging or the sensor is damaged and return them to the vendor o Prolonged and continuous monitoring may increase jeopardy of unexpected change of dermal condition such as abnormal sensitivity rubescence vesicle repressive putrescence and so on It is especially important to check the sensor placement of neonate and patient of poor perfusion or immature dermogram by light collimation and proper attaching strictly according to changes of the skin Check the sensor place
46. uff with the monitor is neither blocked nor tangled 1 Plug in the air hose and switch on the system 2 Apply the blood pressure cuff to the patient s arm o Ensure that the cuff is completely deflated o Apply the appropriate size cuff to the patient and make sure that the symbol is over the appropriate artery Ensure that the cuff is not wrapped too tightly around the limb Excessive tightness may cause discoloration and eventual ischemia of the extremities NOTE The width of the cuff should be either 40 of the limb circumference 50 for neonates or 2 3 of the upper arm length The inflatable part of the cuff should be long enough to encircle 50 80 of the limb The wrong size of cuff can cause erroneous readings If the cuff size is in question then use a larger cuff Size of reusable cuff for neonate children adult Patient Type Cuff Width Hose Neonate 6 11cm Infant 10 19cm 1 5m Pediatric 18 26cm Adult 25 35cm Outsize 33 47cm Make sure that the cuff edge falls within the range of mark lt gt If it does not use a larger or smaller cuff that fits better 3 Connect the cuff to the air hose The limb chosen for taking the measurement should be placed at the same level as the patient s heart If this is not possible you should apply the following corrections to the measured values If the cuff is placed higher than the heart level add 0 9 mmHg 0 10kPa for each inch of
47. veform and percent saturation SpOz2 Pulse rate NIBP systolic mean diastolic and Temperatures One channel 0 100 80 100 2 digits 70 79 3digits 0 69 Unspecified Wavelength Radiant Power RED 660 2nm 1 8mW IR 905 10nm 2 0mW SpO high and low limits alarm delay lt 7s lt 5s 1 Obpm 254bpm 30bpm 235bpm 30bpm 100bpm 2bpm 101bpm 235bpm 2 Pulse rate high and low limits alarm delay lt 7s 1bpm Oscillometric method with inflatable cuff Determines systolic diastolic and mean arterial pressures Adult Pediatric 3 15 seconds depending on cuff size Initially 180mmHg for Adult Pediatric Subsequent inflation pressures determined by last measured systolic pressure Manual Immediate upon operator command AUTO Determinations automatically made with selectable intervals STAT Determinations continues in 5 minutes Monitor Series First Inflation Measurement Measurement Interval Time Measurement Range Systolic Mean Arterial Diastolic Systolic Mean Arterial Diastolic Pressure Resolution Accuracy Determination Time Overpressure Valve Adult Neonate Overtime Protection Adult Neonate Alarm delay 13 7 TEMP Technique Channel Scales Probes Display Range Measurement Range Revolution Accuracy Alarm delay Portable Patient Monitor Manual Manual 9 3kPa 70 mmHg 13 3kPa 100 mmHg 16 0kPa 120 mmHg 18 6kPa 140 mmHg 20 0kPa 150 mmHg 21 3kPa 160 mmHg 2
48. xcept for special reason 3 Spare machine for repair it is used to replace the damaged machine for customer and customer should send the damaged machine to us to repair 4 Repair for sponsoring and contributing machine customer should send the machine back to us to repair 5 Updating software is free 12 3 2 Exemption and restriction 1 Warranty does not apply to the damage or loss sustained due to force majeure such as fire earthquake flood thunder cyclone hail electrical storm blast building collapse commotion etc 2 Non service items CO The cost and insurance of dismantling and testing overhauling reinstall transfer moving the instrument or parts Damage or loss sustained due to inspected or repaired by other institute that is not certified Damage or alteration by anyone else who is not our company authorized service personnel 3 The damage or lose sustained due to connection to peripheral equipment such as printer computer etc that are not provided by our company are not covered by the warranty 4 Obligation restriction In the duration of warranty if operators use other fittings that are not provided by us we reserve the right to cancel warranty 28 Monitor Series Portable Patient Monitor Manual 12 3 3 Customer guarantees Q Itis required that every operator read this manual completely before attempting to operate the monitor 2 Operation and maintenance according to the user manual

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