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1. HR TOO HIGH is the expression of medium alarm Physical alarm has 2 kind of alarm mode LATCH or Unlatch LATCH means that once alarm occurs the system will give alarm all the time until manual intervention such as push the SILENCE button on the panel UNLATCH means that the system will stop giving alarm once the alarm condition does not exist Veterinary Monitor Operation Manual 17 Chapte 2 Alarms There are three levels of the alarm high midium low by using the different light and the sound The following table shows in order Alarm level alarm light sound characteristic of the alarm High alarm light glitters red the flicker The pattern as honk honk honk honk frequency is quick honk honk honk honk honk honk each 8 seconds occur once medium alarm light glitters yellow the The pattern as honk honk honk each 25 flicker frequency is slow seconds emit sound once alarm light is bright and always The pattern as honk each 25 seconds emit show yellow sound once E Alarms pausing Presses PAUSE key on the control panel all alarm sound and light and the alarm message are closed Then the system enters alarm suspend state The suspension countdown time is displayed in the area of the technical alarm Three options can be set about the alarm suspension time minute 2 minute and 3 minutes The user must enter the window of the alarm setting chooses correspondingl
2. Biocare Veterinary Monitor Operation Manual Model M7 About the User s Manual The User s Manual serves for operating this instrument only Our company shall not be responsible for any consequences and liabilities caused by using this user s manual for other purposes The User s Manual containing special information is under copyright protection All rights reserved Copy duplication or translation of the whole or any part of the User s Manual is prohibited in case of no prior written consent from our company Based on the need of product technical improvement or the file updates we reserve the right to modify the contents contained in this manual if the change do not involve safety issues the contents are subject to amend without notification Due to technical upgrade or special requirements from users and with the precondition that the performance of the instrument will not be lowered some components may vary from the description of configuration in the User s Manual Contents CONTENTS Chapter 1 A A E II A eS l E A E A E tance ee eee l ES A a E E cen creat tans l 13 Dvice LD A Ad ES 4 GS AAA A O A O 4 1 5 Sereendayonts Introducci n sd id it ii at 5 EO Men ia a cicines 7 A AA AN 10 Ts NS SOG SOO Ca corres E E AE O A E E EE EO E A ieee E E bela E ce 13 ND NWO PP E E E E E A E A E EE 15 KIO Recnarecablebullizin Daley e dlo toledo 15 Lee A E A A A A NE 15 BIZ POW Ct Oli Me Montoro adl stella heard
3. 5 respiration Resp Breath rate breath waveform 1 2 Safety information A CAUTION A Points to be noted to avoid damage to the equipment A WARNING A Points to be noted to avoid injury to the Veterinary and the operator A WARNING e Do not rely only on audible alarm system to monitor animals When monitoring adjusting the volume to very low or completely muting the sound may result in the disaster to the animals The most reliable way of monitoring the animals is at the same time of using monitoring equipment correctly manual monitoring should be carried out e This multi parameter Veterinary monitor is intended for use only by medical professionals in health care institutions e To avoid electrical shock you shall not open any cover by yourself Service must be carried out by qualified personnel Use of this device may affect ultrasonic imaging system in the presence of the interfering signal on the screen of ultrasonic imaging system Keep the distance between the monitor and the ultrasonic imaging system as far as possible O itis dangerous to expose electrical contact or applicant coupler to normal saline other liquid or conductive adhesive Electrical contact and coupler such as cable connector power supply and parameter module socket inlet and frame must be kept clean and dry Once being polluted by liquid they must be thoroughly dried If to further remove the pollution please contact your biomedical department o
4. 18 Veterinary Monitor Operation Manual Chapte 2 Alarms 5 Alarm Record If On is selected the recorder will record the alarm event when physical alarm occurs otherwise it will not record 6 Voice Alarm If On is selected and alarm event occurs a human voice alarm will continuously notify the user otherwise it will not notify by human voice Alarm Setting 4 Alarm volume 5 i Suspend Time min Flash Ott Para larm Non Latch Alarm Record Ott di voice Alarm 0tt ll Ok Lancel alarm setting 2 2 Limits of the alarms Physiology alarm is triggered according to the settings limits Various parameters limits are showed by the dark color in the parameter area of the upper corner on the left side If the parameter exceeds the limits then triggers the physiology alarm at this parameter by the bright color For example the low limit of the heart rate is 80 if at this time the heart rate is 60 pieces then triggers HR TOO LOW the low limit of the heart rate 80 will be a bright color the following chart will show Alarm Limit Veterinary Monitor Operation Manual 19 Chapte 2 Alarms W ECG Alarm Limit Choosing ECG Alarm Limit may enter ECG Alarm Limit window Ecg Alarm Limit Alarm High LimitLow Limit HF o gt 120 5 so ST On 20m Lo zom E PYES on to gt Ok Lancel Ecg Alarm Limit Following is the adjustment scope of the heart
5. In the process of extended and continuous monitoring you should periodically check the position of the sensor In case that the position of the sensor moves during monitoring the measurement accuracy may be affected 34 Veterinary Monitor Operation Manual Chapter 5 Resp Monitoring E Measurement restrictions In the operating process following factors may affect the accuracy of the oxygen saturation measurement 1 High frequency electrical jam such as the disturbance which is produced by monitor system oneself or comes from such as the electricity surgery instrument disturbance which connected with the system 2 In magnetic resonance image formation scanning MRI period do not use the blood oxymeter and the blood oxygen sensor the induced current possibly can cause the burn 3 In vein dye 4 animal too frequently migration 5 Outside ray radiation 6 Sensor installment inappropriate or contact the improper position with the object 7 Body temperature best body temperature should in 28 C 42 C 8 Lay aside the sensor in the body has the blood pressure cuff in the ductus 9 arteriosus or the cavity on the pipeline body 10 The density of the non function hemoglobin like carbon oxygen hemoglobin COHb and blood and iron hemoglobin MetHb and so on 11 Oxygen saturation lowly To be circular poured is not good at the test part Shock anemia the low temperature and applies the vasoconstriction medicine and so on all possi
6. receptacle is not available a qualified electrician must install one in accordance with the governing electrical code Do not under any circumstances remove the grounding conductor from the power plug Do not use extension cords or adapters of any type The power cord and plug must be intact and undamaged If there is any doubt about the integrity of the protective earth conductor arrangement operate the monitor on internal battery power until the AC power supply protective conductor is fully functional AN Warning AR For continued safe use of this equipment it is necessary that the listed instructions be followed However instructions listed in this manual in no way supersede established medical practices concerning animal care A Warning AN It is important for the hospital or organization that employs this equipment to carry out a reasonable maintenance schedule Neglect of this may result in machine breakdown or injury of human health AN Caution AN If you have any doubt to the grounding layout and its performance you must use the built in battery to power the monitor Veterinary Monitor Operation Manual 3 Chapter 1 Overview 1 3 Device Label This symbol means BE CAREFUL Refer to the manual Caution alert users 1f you do not follow the instructions may cause damage to equipment or to affect the test results Note to illustrate the procedure for important information is also used to describe some spec
7. unit times minute NIBP From right to left 1s systolic pressure diastolic pressure mean pressure unit millimeter mercury column mmHg or kilopascal kPa SpO oxygen saturation SpO unit Pulse rate unit pulses minute Respiration rate respiration rate unit Breaths Minute BrPM Temperature body temperature unit centigrade C or Fahrenheit F The user may change the settings of above monitored parameters which will be introduced in later chapters in detail Waveform section The waveform section displays 7 waveforms in standard screen layout which from top to bottom respectively are ECG1 waveform ECG2 waveform pulse wave respiration waveform Total 8 waveforms can be displayed if in ECG Full Lead screen layout The name appears in upper left side of each waveform The ECG waveform gain and filter mode will be also displayed besides the ECG wave name On the right side of the ECG waveform stands a mark with the unit of 1 mV The gain of breathing waveform is displayed on the right side of the name of breathing wave When user push the keys of monitor a window may pop up in the waveform section The waveform section will restore demo after the window is retreated E Menu section On the bottom of the screen there are 5 menu item Animal Review Setting Alarm Limit and Service When no window displays on the screen the user may visit these menus by rotating the knobs Whe
8. 0 136 0 las 0 Allas or Uk Lancel Channel 1 Channel 2 Temp Alarm Limit The Temp alarm limit adjustment scope is 0 50 C 32 122 F E Load Default Alarm Limit Choosing Load Default Alarm Limit can enter load default Alarm limit window Load Default Alarm Limit AN Current alarm limit setting will lost Are you sure to do this Load default Alarm Limit If chooses Yes then the current alarm limit settings will be able to substituted by the default alarm limit settings 22 Veterinary Monitor Operation Manual Chapte 2 Alarms 2 3 Physiology alarm information Below is all physiologies alarm tabulates Alarm Information Trigger Condition ASYSTOLE APNEA NO PULSE HR TOO HIGH HR TOO LOW ST I TO HIGH Over 4 seconds non palpitations signals In a setting time without breath signal Over 15 seconds without pulse signals The heart rate exceeds the alarm high limit The heart rate is lower than the alarm low limit the ST value correlate with I surpass the upper alarm limit ST I TOO LOW the ST value correlate with I surpass the lower alarm limit ST II TO HIGH the ST value correlate with II surpass the upper alarm limit ST TOO LOW the ST value correlate with II surpass the lower alarm limit ST TO HIGH the ST value correlate with III surpass the upper alarm limit ST TOO LOW the ST value correlate with II surpass the
9. A 1 2 3 4 5 6 7 8 9 326 2 If it has the carbon oxygen hemoglobin metahemoglobin or dye dilution chemicals then the oxygen saturation value can have the deviation Electricity surgical department equipment electric cable cannot twine with the sensor cable in the same place Do not place the sensor at the body has the ductus arteriosus or the vein syringe Guarantees the nail to block the lights Sensor should at the back of hand Do not place SpO or the blood pressure oversleeve blood pressure measurement on the same body because in the blood pressure measurement process the blood stream unenlightened can affect the oxygen saturation reading Continually the excessively long time monitor possibly can increase do not hope danger that the skin characteristic change occurs for example exceptionally sensitive changes red bubbles or pressure necrosis specially in the small animal or has pour barrier as well as the change or juvenility skin kind sickness person In the long time continuous monitoring process about every 2 hours inspects the measurement SpO the end circulation situation and the skin situation if discovered changes not good should change the measurement SpO promptly simultaneously should periodical inspection the sensor fastness situation avoids the sensor fastness situation change caused by the moving and so on the factors affect the accuracy of the measurement If the test SpO and th
10. TOO HIGH NIBP diastolic pressure is lower than the alarm low limit RR TOO HIGH The Breath rate exceeds the alarm high limit RR TOO LOW The Breath rate is lower than the alarm low limit TEMP TOO HIGH The body temperature channel 1 exceeds the alarm high limit TEMP TOO LOW The body temperature channel 1 is lower than the alarm low limit TEMP2 TOO HIGH The body temperature channel 2 exceeds the alarm high limit TEMP2 TOO LOW The body temperature channel 2 is lower than the alarm low limit 24 Veterinary Monitor Operation Manual Chapte 2 Alarms 2 4 Technical alarm information Below is all technical alarm tabulates Alarm Information Trigger Condition Process Method ECG LEAD OFF RL or more than 2 ECG leads check the ECG lead connection falls off MODULE INIT ERR Module self checking mistake Restart the machine if error still existed contact the factory service MODULE COMM STOP The module and the main engine Restart the machine 1f error still communication have the problem existed contact the factory service MODULE COMM ERR The module and the main engine Restart the machine 1f error still communication have the problem existed contact the factory service PARA ALARM LMT ERR The parameter of the alarm limit contact the factory service is modified by the accident RANGE EXEED The parameter observed value contact the factory service has exceed the m
11. The cuff has not connected The cuff has not connected good or the air course leaks air When blood pressure measurement deflates has the problem When blood pressure measurement the pulse signal too weak is unable to calculate the blood pressure When blood pressure measurement the blood pressure or the pulse signal exceeds the normal range is unable to carry on the measurement existed related the factory to carry on the service Restart the machine if error still existed contact the factory service Restart the machine if error still existed contact the factory service Restart the machine if error still existed contact the factory service Restart the machine if error still existed contact the factory service Restart the machine if error still existed contact the factory service Meets the alternating current to carry on the charge immediately to the battery Reconnects the blood pressure cuff check the connection pipe situation or replace cuff if the breakdown still existed please contact the factory service check the tube connection or replace cuff if the error still existed please contact the factory service Examined the animal type set whether correctly check the tube connection or replace cuff if the error still existed please contact the factory service check he tube connection or replace cuff if the error still existed please contact th
12. You shall calibrate NIBP measurement once every two years or as required in your hospital s maintenance regulation You shall check the performance according to following information NW leakage examination When the cuff is connected may use this function to start air course charge process thus to discover whether the air way s airtight condition is good or not If the test passes the system will not make any prompt If do not passed then in the noninvasive blood pressure parameter area will have the corresponding wrong prompt 40 Veterinary Monitor Operation Manual Chapter 5 Resp Monitoring The air leakage examination process 1 Connect the cuff and the blood pressure socket on the monitor 2 Wrap the cuff around a suitable cylinder 3 Choose NIBP Pneumatic Test in Service menu the noninvasive blood pressure parameter area diplays Pneumatic test indicated the system starting to carry out leak air examination 4 After about 20 seconds the system will turn on the valve automatically marking leaks air examination is completed 5 If in the noninvasive blood pressure parameter area does not prompt the information indicate the system does not leak air If Pneumatic leak is displayed indicate the air course possibly leaks air The operator should check loose conditions and carry on the leaks air examination again after confirming all connections are ok A Warning AN 1 Can t carry on the
13. according to the time the recent measurement data is displayed on the topside 10 measurement data can be displayed on the screen each time The buttons 4 and gt can display the pre or the next measurement data With the buttons 4 and the operator may move the time of trend graph a page forward or backward By selecting the button H gt the operator may see the earliest measurement data and M the most recent 46 Veterinary Monitor Operation Manual Chapter 6 History Review 6 5 Wave review The monitor can display 1 hour waveform data in the waveform review Choosing the wave review in the history review menu will display the recent measurement waveform just as the following chart shows HR 60 So02 98 WBP RR 20 PR 6 Templ 36 0 Temp2 36 5 al Limi Ec 14 06 50 14 06 54 w Le Havel Ecg1 gt Waves Ecg2 gt Return waveform review Above the waveform shows the interrelated information waveform scanning velocity current review time the currently reviewed parameter measurement tabulate m Select waveform By selecting waveform 1 and waveform 2 with cursor the operator may choose the waveform that he wants to observe ECG1 ECG2 pulse wave and resp wave m Adjust observing time With the buttons A and the operator may move the waveform a page forward or backward With the cH 66 and 66 Pb 66
14. and the display screen regularly Only use non caustic detergents such as soap and water to clean the monitor enclosure AN Caution A Pay special attention to avoid damaging monitor Avoid using ammonia based or acetone based cleaners such as acetone 2 Most cleaning agents must be diluted before use Dilute the cleaning agent as per the manufacturer s direction 3 Do not use the grinding material such as steel wool etc 50 Veterinary Monitor Operation Manual Chapter 8 Maintenance and Cleaning 4 Do not let the cleaning agent enter the monitor Do not immerse any part of the system into liquid 5 Do not leave the cleaning agents at any part of the equipment W Cleaning Agents Except the solutions specified in the above Caution you can use any of the solutions listed below as the cleaning agent e Diluted Ammonia Water eo Diluted Sodium Hyoichlo Bleaching agent AN Note AN The diluted sodium hyoichlo from 500ppm 1 100 diluted bleaching agent to 5000ppm 1 10 bleaching agents is very effective The concentration of the diluted sodium hyocihlo depends on how many organisms blood mucus are left on the surface of the enclosure Diluted Formaldehyde 35 37 e Hydrogen Peroxide 3 e Alcohol eo isopropanol AN Note AN You can use hospital grade ethanol to clean monitor and its sensor probe and leave it to dry naturally or use clean cloth to dry it A Note A BIOCARE has no responsibility for the
15. as chart 1 1 shows BED 1 gt 20Kg 2010 01 21 17 23 38 70D 60 98 20 Temp t 36 0 SE Review Z gt setting hi Pt TE Limit S service monitor demo interface E Information section The information section is on top of the screen displays current conditions of monitor and animal The information in turn from left to right on the top is Animal information technical alarm information physiological alarm information date and time network state and battery state 1 Animal information Bed number refers to the hospital bed number of animal monitored Type of animal gt 20kg 10 20kg or lt 10kg Name of animal if operator doesn t input animal name this position will displays NO NAME 2 Technical alarm information Reporting current condition of monitor or sensors this section will display alarm information 3 Physiological alarm information If animal s physiological parameters exceed the alarm limit this section will display alarm information 4 Date and time Updating current date and time every second 5 Network connection state 6 Battery state current battery capacity or its condition Veterinary Monitor Operation Manual 5 Chapter 1 Overview E Parameters section Heart rate heart rate unit beats per minute bpm ST ST segment unit millivolt mV PVCs times of premature ventricular constriction
16. buttons the operator may move the waveform one minute forward or backward By selecting the q Me button M lt lt the operator may move the waveform time one hour backward an the current time AN Attention AN The trend data can be preserved for 720 hours after the turning off of the monitor If the monitor is turned on after 720 hours power off the trend data would be eliminated The waveform review data can be preserved for 2 hour after the turning off of the monitor If the monitor is turned on after 2 hour s power off the waveform review data would be deleted Veterinary Monitor Operation Manual 47 Chapter 7 Drug Calculation Chapter 7 Drug Calculation This monitor provides the function of computation for 21 kinds of medicines and the titration table 7 1 Drug Calculation The kinds of medicine that can be computed include AMINOPHYLLIN DOBUTAMINE DOPAMINE EPINEPHRINE HEPARIN ISUPREL INOCOR INSULIN INSUPREL LIDOCAINE NIPRIDE NITROGLY CERIN NOREPINEPHRINE PITOCIN PROCAINAMIDE VASOPRESIN DRUG A DRUG B DRUG C DRUG D DRUG E have been provided in addition to replace any kind of the medicine nimbly Selecting the Drug Calculate in the menu will spring out window as the following chart shows Dose Calculation Crug Name Weight 2 00 xe Amount 500 00 me Volume 250 00 5 ml Dose min 3333 33 i mcgtug Dose hr 200 00 me Dose ke min 1666 66 moet ue Dose kg hr 399
17. cp all 74210 6 0 Lega anny TE 51 SF DIS CHOU ei heehee ered estas E EEE EA eotils E E dt 52 Appendix A Product Specifications ooooocinocononocanononanononanononanonnnnanononanononanononnnonnnnnnonnanononanonnnos 53 ENG ES AAA O A Wes A aE 53 De NOMIC SUD A A A A A A A 53 E Ee a AEE EET O 53 Json A A 53 LOT A scratched rita bc ator re i toh ct ale A E T E un diol aceite E 53 Oa EDOD Ne ee coe eee E ean enacasaeenadeasceaccentctades 54 A Cie EEIT E E stu nears N E E A E ce Bt ee tal cs hat E genset ace 54 A O 55 Us NUDE trata tada 56 TOs PO a tc testa Deedee O EN 57 IJ Veterinary Monitor Operation Manual Chapte 1 Overview Chapter 1 Overview 1 1 Overview This monitor is suitable for felines canines and other animals may monitor the physical parameters such as electrocardiograph ECG noninvasive blood pressure NIBP oxygen saturation SpO2 respiration rate Resp body temperature Temp and so on can display maximum 8 waveforms and all information of the parameters monitored in the same screen Below shows the monitoring functions of this monitor 1 electrocardiograph ECG including heart rate 6 channels ECG waveforms ST segment analysis arrhythmia analysis 2 oxygen saturation SpO including oxygen saturation pulse rate pulse wave 3 noninvasive blood pressure NIBP including Systolic pressure diastolic pressure mean pressure 4 body temperature Temp 1 channels body temperature data
18. on the monitor Then the company logo will show on the screen After 15 seconds or so the system will enter monitoring screen after self test and you can perform normal monitoring now During self test the Model Code will display A Note A If the monitor finds any fatal error during self test it will alarm AN Note AN Check all the functions that may be used to monitor and make sure that the monitor is in good status A Note AN The battery must be recharged to the full electricity after each use to ensure adequate electricity reserve A Warning A If any sign of damage is detected or the monitor displays some error messages do not use it on any animal Contact biomedical engineer in the hospital or BIOCARE Customer Service Center immediately AN Note A The interval between twice press of POWER should be more than 1 minute W Connect Sensors Connect all the necessary sensors between the monitor and the animal AN Note AN For information on correct connection refer to related chapter W Check the Recorder If your monitor 1s equipped with a recorder open the recorder door to check if paper is properly installed in the output slot If no paper present refer to Chapter Recording for details 16 Veterinary Monitor Operation Manual Chapte 2 Alarms Chapter 2 Alarms 2 1 Alarms overview Types of the alarms The alarms can be divided into two types physiology alarms and technical alarms Physiology alar
19. shall check 1 Check if there is any mechanical damage 2 Check if all the outer cables inserted modules and accessories are in good condition 3 Check if all the monitoring functions of the monitor can work normally so as to make sure that the monitor is in good condition If you find any damage on the monitor stop using the monitor on animal and contact the biomedical engineer of the hospital or BIOCARE Customer Service Department immediately The overall check of the monitor including the functional safety check must be performed by qualified personnel once every 6 to 12 month or each time after fix up All checks that need to open the monitor enclosure must be performed by qualified service personnel Safety and maintenance check may also be conducted by persons from BIOCARE You can obtain the material about the customer service contract from the local BIOCARE office BIOCARE provides all Monitor circuit diagrams parts lists and standard instructions A Warning A If the hospital or agency that is responding to using the monitor does not follow a satisfactory maintenance schedule the monitor may become invalid and the human health may be endangered 8 2 General Cleaning A Warning AN Turn off the power and disconnect the line power before cleaning the monitor or the sensor probe The Multi Parameter animal Monitor must be kept dust free It is recommended that you should clean the outside surface of the monitor enclosure
20. the PCVs parameter is not shown Veterinary Monitor Operation Manual 31 Chapter 4 ECG Monitoring AN Attention AN When the Pace analysis is turned on the arrhythmia which is related to PVC Premature Ventricular Contractions including the PVCs computation will not be detected simultaneously the ST section analysis is not carried on Bee io AA A Warning A 1 Don t touch the animal or the monitor in the period of defibrillating 2 In order to ensure the animal safety all leads must be connected to the animal 3 When the electricity surgical ES equipment is used lay the ECG lead in the middle of both the ES ground plate and ES to avoid burning The cable of the electricity surgical equipment cannot twist with the ECG cable 4 When the electricity surgical ES equipment is used don t place the electrode on the ground plate near the electricity surgical equipment Otherwise the ECG signal will be disturbed 5 If monitoring a animal with the pacemaker set PACE to On If monitoring a animal without pacemaker set PACE to Off 6 Regarding the pacemaker animal the pacing switch must be On otherwise it is possibly to consider the pacing pulse as the normal QRS Veterinary Monitor Operation Manual Chapter 5 Resp Monitoring Chapter 5 Resp Monitoring 5 1 Principles of Respiration measurement When the human body breathes the chest impedance will change along with the breath the m
21. the oscillometric method of measurement Blood pressure determined with this device are equivalent to those obtained by a trained observer using the cuff stethoscope auscultation method and an intra arterial blood pressure measurement device within the limits prescribed by the ANSI AAMI SP10 AN Notes AN This equipment is suitable for use in the presence of electro surgery 1 Insert the gas tube into the blood pressure socket of the monitor 2 Tie the blood pressure cuff on the animal upper arm or the thigh 3 Use the suitable size cuff for the animal guaranteed the symbol is located above to the suitable artery Guarantee the cuff to twine the body is not too tight otherwise possibly causes the body far end to change color even lacks the blood 4 Inspects the edge of the cuff to fall in the range signed lt gt If it is not this exchange a more appropriate cuff 5 Confirm the cuff deflated completely Veterinary Monitor Operation Manual 37 Chapter 5 Resp Monitoring 6 Cuff and gaseous tube coupling The body which will be measured should put in the same horizontal position with the animal heart If it is unable to achieve must use the following adjustment method to make the revision to the measurement result If the cuff is higher than the heart horizontal position each centimeter disparity should add 0 75mmHg 0 10kPa in the value If the cuff is lower than the heart horizontal position each centimeter disparity s
22. then the current settings will be replaced with default settings 10 Veterinary Monitor Operation Manual Chapte 1 Overview E Alarm limit By selecting the limits of alarm button the user may choose to enter the windows of ECG Alarm Limit SpO2 Alarm Limit NIBP Alarm Limit Resp Alarm Limit Temp Alarm Limit or Load default Alarm Limit the detailed introductions refer to chapter2 alarms ECG Alarm Limit Sods Alarm Limit NIGP Alarm Limit Resp Alarm Limit Temp Alarm Limit Load Default Alarm Limit Alarm Limit E Maintenance By selecting the Service button the user may choose to enter the windows of ECG calibration Temp Sensor Type NIBP Pneumatic Test NIBP calibration NIBP Reset Demo mode Version info User 29 66 setting Factory Service and so on Ece Calibrate Temp Sensor Type NIGP Pneumatic Test NIBP Calibration NIGP reset Demo Mode version Into User Setting Factory Service Service E ECG calibration Entering the ECG calibration window the user may turning on or turning off of the ECG calibration signal as the following chart shows Calibrate o Return ECG calibration Veterinary Monitor Operation Manual 11 Chapter 1 Overview Temp Sensor Type Entering the Temp Sensor Type window the user may initialize the type of body temperature sensor 10K or 2 25K as t
23. this is specially important to the animal Veterinary Monitor Operation Manual 33 Chapter 5 Resp Monitoring 5 3 SpO Monitoring The Oxygen Saturation SpO 2 parameter measurement the artery blood oxygen saturation it is the percentage of the oxygen gathers hemoglobin For example if in the artery blood red blood cell 97 hemoglobin combine with the oxygen then this blood has 97 oxygen saturation the value reading on the monitor should be 97 this value demonstrated the percent of the carry oxygen hemoglobin molecule which forms the oxygen gathers hemoglobin E Monitoring Procedure 1 Switch on the monitor 2 Attach the sensor to the appropriate site of the animal finger 3 Plug the connector of the sensor extension cable into the SpO socket AN Note A If the sensor cannot be positioned accurately to the part to be measured it may result in inaccurate SpO2 reading or even that the SpO2 cannot be measured because no pulse is detected If this is true you must position the sensor again The excessive animal movement may result in inaccurate reading In this situation you must keep the animal quiet or change the part for monitoring to reduce the adverse influence of excessive movement A Warning A In the process of extended and continuous monitoring you should check the peripheral circulation and the skin every 2 hours If any unfavorable changes take place you should change the measured position in time
24. 0mm mV 20mm mV Heart rate Measure range 15 350 bpm accuracy 1 resolution 1 bpm Sensitivity gt 200 u V P P Differential Input Impedance gt 5 M ohm Bandwidth Surgery 20 Hz Monitor 0 5 40 Hz Diagnostic 0 05 130 Hz CMRR Diagnostic Mode gt 90 dB Monitor Mode gt 110 dB Surgery Mode gt 110 dB Electrode offset potential 300Mv Veterinary Monitor Operation Manual 8 PACE pulse detect range 4 700mV width 0 1 2ms rise time 10 100us PACE pulse rejection range 2 700mV width 0 1 2ms rise time 10 100us Baseline Recovery lt 3s After defibrillation Signal Range 8 mV p p Calibration Signal l mV p p 5 accuracy Respiration Method Impedance between RA LL Respiration Impedance Range 0 3 3 Q Base Impedance Range 200 Q 4000 Q Bandwidth 0 3 2 5 Hz Gain x0 25 x0 500 x1 x2 x4 Respiration Rate Measurement Range 0 150 BrPM Resolution 1 BrPM Accuracy 0 6 BrPM unspecified 7 150 BrPM 2 BrPM Appendix A Product Specifications Veterinary Monitor Operation Manual 55 Appendix A Product Specifications E Apnea Alarm 10 40 s 9 NIBP a Method Oscillometry E Measure mode Manual Auto STAT E Measure Interval in AUTO Mode 1 2 3 4 5 10 15 30 60 90 120 180 240 480 min E Measure Period in STAT Mode 5 min E Pulse Rate Range 40 240 bpm E Measure and Alarm Range SYS 40 280 mmHg DIA 10 220 mmHg ME
25. 9 99 mcg ug inf Rate 1100 00 Sma Drip Rate 33 33 ETT min Drop Size 20 00 lt ETT mil Inf Time 2 50 hr Titration Table Return Drug Calculate The drug calculation can apply the following formulas Concentrate Amount volume Inf rate Dose Concentrate Durate Amount Dose Dose Inf rate x Concentrate 7 2 Operating procedures In the Drug Calculate window first the operator should choose the name of the drug that is to be computed then confirm the animal s weight and input other values that s already known Rotate the knob move the cursor to each calculated item in the formula separately Press down and rotate the knob select the calculated values After the selection value of the calculated item will be displayed in the corresponding place Drug name selection move the cursor to the drug name rotate the knob may choose among the 21 kinds of medicines AMINOPHYLLIN DOBUTAMINE DOPAMINE EPINEPHRINE HEPARIN ISUPREL INOCOR INSULIN INSUPREL LIDOCAINE NIPRIDE NITROGLYCERIN NOREPINEPHRINE PITOCIN PROCAINAMIDE VASOPRESIN DRUG A DRUG B DRUG C DRUG D DRUG E Only one type of medicine can be computed each time 48 Veterinary Monitor Operation Manual Chapter 7 Drug Calculation 7 3 Titration table 1 2 3 4 5 6 Select the Titration Table in the Drug Calculate menu to turn into the interface of titration table The following chart shows the i
26. AN 20 240 mmHg E Static pressure accuracy 3mmHg W Resolution ImmHg m Accuracy Maximum Mean error S5mmHg Maximum Standard deviation 8mmHg W Overpressure Protection 300 mmHg 56 Veterinary Monitor Operation Manual 10 SpO2 Measurement Range 0 100 Resolution 1 Accuracy 70 100 lt 69 Pulse Rate Measure and Alarm Range Resolution Accuracy Temperature Channel Measure and Alarm Range Resolution Accuracy no sensor 2 unspecified 20 250bpm lbpm 3bpm 1 0 50 C 0 1 C 0 1 C 0CT 50C Appendix A Product Specifications Veterinary Monitor Operation Manual 57
27. E Alarm Type There are 6 types of alarm event All ECG NIBP SpO RESP TEMP All means all parameters User can select the parameter s alarm event to view E Choose Alarm User may use button M lt lt ana lt lt to choose alarm event By selecting E button the previous event will be displayed selecting K button the next event will be displayed E Select waveform With the buttons 4 and lt the operator may move the alarm waveform a page forward or backward al Record The recorder will output current alarm event 1f the user pressed button Record 6 4 NIBP Review The monitor may display the recent 1000 pieces of noninvasive blood pressure measurement data in the NIBP review Choosing the NIBP Review in the Review menu will display the results and time of the recent 10 pieces of noninvasive blood pressure measurement just as the following window shows Nbp Review x sus ean pia Time a so sa 60 eoo7 o1 27 18 01 07 120 ss 80 2007 01 27 18 05 37 a 120 ss 80 2007 01 24 17 43 50 a 120 93 80 l2007 01 24 17 43 14 120 53 s0 2007 01 24 17 42 18 Ef 120 53 80 f2007 01 24 17 39 12 Co teo 93 80 2007 01 24 17 39 08 LE teo ea 2007 01 24 17 39 03 3 teo 93 ea 2007 01 24 17 38 59 10 120 sa so 2007 01 24 17 38 55 e lt gt fren Return NIBP measurement review The data is arranged in order
28. Monitor Operation Manual Chapter 6 History Review E Adjust observing time With the buttons 4 and gt the operator may move the time of trend graph a step length forward or backward current period With the buttons Mo ond A the operator may move the time of trend graph a page forward or backward By selecting the button M gt the operator may move the time of trend graph 72 hours forward and H gt the current time 6 3 Alarm Review When physical alarm occurs the monitor will save all the parameters and 16 seconds waveforms in the alarm event database the monitor can display 200 alarm event in the alarm review Choosing the Alarm Review in the Review menu will display recent alarm event information just as the following chart shows O Sequence number format is I N which I means the index of alarm event and N means the total alarm event number in the database as chart 12 4 shown new alarm has smaller number eg No 1 means the closest alarm O Alarm event s time O Alarm event s type O Parameters when alarm occurs O 2 channels of waveform 16 seconds for both channels Alarm Review x 1412 HR TOO LOW6O lt 61 2006 07 10 HR 60 5p02 398 NIBP 12050 99 RR 20 PR 60 Tempi 36 0 Tempe 36 5 ECh1 Ami ECGe Amv 10 54 50 10 54 54 Type fll M H 3 4 Record Return NIBP measurement review Veterinary Monitor Operation Manual 45 Chapter 6 History Review
29. Overview W External interface AX This symbol means BE CAREFUL Refer to the manual ed DC 16 8V Power input NET RJ45 network socket USB socket M Warning Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g IEC 60950 for data processing equipment and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the system standard IEC 60601 1 1 Everybody who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC 60601 1 1 If in doubt consult the technical service department or your local representative ZN This symbol means BE CAREFUL Refer to the manual VGA VGA output can connect to VGA monitor NET RJ45 net socket y Equipotential grounding system M Warning Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g IEC 60950 for data processing equipment and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the system standard IEC 60601 1 1 Everybody who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore r
30. a would be save in the preceding animal s data The monitor can not distinguish the new animal data from the old one 28 Veterinary Monitor Operation Manual Chapter 4 ECG Monitoring Chapter 4 ECG Monitoring The ECG monitors the heat electricity activity of the body and shows the heart electricity waveform and the heart rate on the monitor 4 1 Connecting ECG electrodes 1 make the animal s skin preparation at first before place the electrode A good signal at the electrode provides the monitor with valid information for ECG data processing Clean the skin with the soap and the water don t use aether and pure alcohol because this can increase skin impedance or scratches the skin dry to increase the blood stream capillary of the organization and remove skin filings and fat If necessary shave the hairs in which the electrode 1s placed 2 place the electrode on the animal s body 3 Connect the ECG lead with the animal cable 4 2 ECG electrode placement The position of the ECG electrode is as follows The RA right arm electrode place under the subclavian approaching the right shoulder The LA left arm electrode places under the subclavian approaching the left shoulder The LL left leg electrode places under the left abdomen The RL right leg electrode places under the right abdomen The V chest electrode places on the chest The position of electrode A Warning A When
31. achine if the error still existed please contact the factory service AN Attention AN 1 When different level of alarm simultaneously exists the sound of the alarm is the highest level alarm 2 In alarm suspend condition Monitoring will not process any alarm information Veterinary Monitor Operation Manual 27 Chapter 3 Admit Discharge Veterinary Chapter 3 Admit Discharge Animal 3 1 Admit Veterinary The step of receiving new Veterinary 1s as follows enter Veterinary info window by choosing the Admit new Animal menu and input the animal information the following chart to show Animal Into FA h Bed Number 1 Ok Animal Type lt 0Kg Cancel Name Gender MALE Birth Year 1970 Month Date Height Height COT FEE MRN admit new Veterinary choose the OK button the animal s information is accepted 3 2 Discharge animal Enter the Discharge animal window by choosing Discharge animal menu as the following chart to show Discharge patient All patient history data Will lost Are you sure to do this Discharge Veterinary Carry on the following operations to relieve the Veterinary 1 Discharge all animal information 2 Discharge all historical data including trend graph trend table blood pressure review waveform review data A Attention A If do not relieve the animal firstly before receive new animal new animal s measurement dat
32. area of the forelimb is most convenient In situations where this 1s not possible place the cuff around the metatarsus just proximal to the tarsal pad or around the hind leg next to the hock For conscious patients measurements from the coccygeal artery can be used over the tail site 38 Veterinary Monitor Operation Manual Chapter 5 Resp Monitoring Canine cuff placement For larger animals It is preferable for a large animal such as a horse and a cow to be in a stock standing still Measurments from the coccygeal artery on the ventral surface may be used by placing the cuff around the base of the tail E NIBP measurement limits This machine NIBP measuring technique is the vibration mothod this kind of measuring technique basis has the certain limit according to difference metrical object The user should realize at following several situations the observed value changes unreliable or the time measured press increases or the measurement is unable to carry on 1 animal movement If the animal is moving trembles or the convulsion 2 Arrhythmia the irregular heart beat caused by the arrhythmia 3 Heart lung machine such as the animal uses the heart lung machine connection 4 Pressure variation such as while in blood pressure measurement the animal blood pressure rapid change 5 Serious shock such as the animal is being in the serious shock or the hypothermia 6 The heart rate exorbitant or lower The heart rate is l
33. ble The automatic sampling interval time can be chosen in 1 minute 2 minutes 3 minutes 4 minutes 5 minutes 10 minutes 15 minutes 30 minutes 60 minutes 90 minutes 2 hours 3 hours 4 hours 8 hours After choose the time interval presses down the blood pressure measurement button will start the first automatic measurement charge in order to finish the automatic measurement should choose the manually returns to the manual pattern while in sampling interval period Blood pressure calibrations Using the precision of the pressure gauge or mercury sphygmomanometer is higher than 1 mmHg after the calibration carries to carry on the calibration choose noninvasive blood pressure calibration in the the maintenance menu to start to carry on the calibration if presses down the blood pressure measurement button while calibrating then the system will stop calibrating Connect the pressure gauge the cuff through a 3 way tube to the blood pressure trachea jack on the monitor setting the monitor as the calibration pattern then charge the cuff using a air pump first make the pressure to 250 mmHg then slowly deflates when the monitor display 200 150 and 50 mmHg the disparity between the standard pressure gauge value and the monitor pressure value should in 3 mmHg If the value exceeds 3 mmHg please contact our company s attendant Attention The cuff must entangle in the suitable big and small pillars A Warning A
34. bly cause the artery blood stream to be reduced to the level which was unable to measurement 12 Measurement is also decided on the oxygen gathers hemoglobin and the absorption situation of the return oxygen gathers hemoglobin to the special wave length light If other substances which absorb the same wave length light exist they can cause the measurement to appear pseudo or the low oxygen saturation value For example Carbonizes the hemoglobin the blood and iron hemoglobin the methylene blue indigo carmine E SpO setting Chooses SpO settings menu and enters SpO setting window SpUz Setting Pulse Volume 5 Sensitivity Low x Have Speed 25 mm s Fulse Fate Off ll i Have Mode Line DE Lancel SpO settings Veterinary Monitor Operation Manual 35 Chapter 5 Resp Monitoring 1 Pulse volume the volume choice scope is the 0 10 0 denotes closure pulse sound 10 denotes maximum volumes 2 Sensitivity the sensitivity for computing oxygen saturation value has high medium low three options 3 Wave speed the waveform scanning velocity has 12 5 and 25mm s two levels may choose 4 Pulse rate setting as On in parameter area will show Pulse rate otherwise the Pulse rate will not be displayed 5 Wave Mode when Line is selected will use line mode to draw pleth wave when Fill is selected will use fill mode to draw pleth wave AN Warning
35. connecting the cables and electrodes make sure no conductive part is in contact with the ground Verify that all ECG electrodes including neutral electrodes are securely attached to the animal Veterinary Monitor Operation Manual 29 Chapter 4 ECG Monitoring A Warning A Verify lead fault detection before start of monitoring Unplug the ECG cable from the socket the screen will display the error message ECG LEAD OFF and the audible alarm is activated 4 3 Connecting ECG leads recommended for surgery The position of ECG electrode is decided by the type of the operation For example regarding the chest operation the electrode may be put on the chest side or the back Sometimes in the operating room because of using surgical equipment the artifact possibly can affect the ECG waveform In order to reduce the artifact place the electrode on the left or right shoulder approaching the left or right side of the abdomen however the chest leads can be placed on the center of the chest left side Avoid to place the electrode on the upper arm otherwise ECG signal can be very weak A good characteristic of the ECG waveform the QRS wave height is great and narrow with no notchs The R wave height is big and located completely above the baseline or under The amplitude of the P wave and the T wave is smaller than 0 2mV i R standard ECG waveform A Warning A Do not touch the animal table nearby or the equipment during
36. defibrillation AN Warning AN When apply the ECG cable with no resistances to animal monitor or other animal monitors which themselves with no current limit resistance it can t be applied to defibrillation A Note A Interference from a non grounded instrument near the animal and ESU interference can cause inaccuracy of the waveform AN Warning AN When using ESU equipment leads should be placed in a position in equal distance from ESU electrotome and the grounding plate to avoid cautery ESU equipment wire and ECG cable must not be tangled up 30 Veterinary Monitor Operation Manual Chapter 4 ECG Monitoring 4 4 ECG setting enter the ECG setting window by choosing the ECG setting menu as can be seen from the following chart Ecg Setting Pace Pte Monitor Chi Lead II Heart Volume 5 E Chi Size xI Have Speed 25 mms gt Che Lead 1 HR Source Auto Che Size m ST Switch Of gt Motch On ARR Switch Ott Ok Cancel ECG settings menu 1 Pacemaker When it is turned on the pacing signal which is considered as the pacing symbol is shown as a vertical line above the ECG waveform 1 When it is turned off the pace maker will not be detected 2 channel 1 lead channel 2 lead There are 7 leads I H IHI AVR AVL AVF V 3 channel 1 gain channel 2 gain There are four gains X0 25 X0 5 X1 X2 1 millivolt ruler mark is displayed on the right of the ECG wav
37. dica 16 Chapter 2 AMAT Sat dida dotadas 17 2 ALAS ON ELY E A AAA A AAA A dE 17 242 AMAS OL ne dlani iia los eased aa sed ii ia 19 2 5 Physiology alarm MIOMA Gist sects Set cet ected E is Valores eecheses 23 ZA TechmicalbalarititO RMS CON sic4 bed dint a a e ae nad awe ted 25 Chapter 3 ACMA DISC are Attias ida cda 28 Blk AGI ELE dida 28 Sa AAA Cite att Gite all Cite Ac atdemetn een cene tuted 28 Chapter 4 EGG MOMITOMIAG asas ada as 29 Al COMME CINE FCG AOS cat aiiseseeasiedpehigestuaseedeeaesteas T oe 29 AD EC A O A 29 4 3 Connecting ECG leads recommended for Surgery oocccccccccccncnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnninenns 30 Des A O O 31 Chapter 5 Resp Monito osas 33 3 1 Principles Of Respiration Measurement estorci nteciontoci creci tocino lid s 33 T A Renee ene meen Te ene Renee Te Lene Reena ee ene meen ee ee ee One ee 33 5 2 PO MONOS science ee elec eee ec ee E ee eee eee 34 A A A ecco tenotane 37 Jo Semper ure MONO dde A 42 Chapter 6 EUSTO VAS VAC Wiona Tara an EA EA TOS 43 6L AA TAS 43 02 Trenditable a A E 44 Co MADRES acti 45 NS A RN 46 69 E A A e tant iaeae seat htheastenorenuneie 47 Veterinary Monitor Operation Manual I Contents Chapter Drug caula OR dio 48 lb Dio Calcula Oaa a te arde at EEEE me mr OE 48 h2 OPTA PEO CCU ES deca 48 Pe TAO TANS aa 49 Chapters Maintenance and Cleaning uns 50 SA Coo E aol E oaa ne O ane ee AS 50 E AA AAA A SRE Oe SOP DT OU I OP II II ee enn ae 50 So
38. e factory service NIBP MOVEMENT NIBP OVER PRESSURE NIBP SATURATE NIBP PNEUMATIC FAIL NIBP SYSTEM ERR NIBP TIME OUT NIBP MEASURE FAIL NIBP RESET ERR animal arm move The pressure value exceeds the measurement scope When blood pressure measurement the pulse signal exceeds the normal range is unable to carry on the measurement The cuff has not connected good or the air course leaks air Blood pressure system self check defeat Blood pressure measurement overtime This blood pressure measurement has not been able to calculate the blood pressure When blood pressure measurement exceptionally reset Chapte 2 Alarms Check the animal situation or replace cuff if the error still existed please contact the factory service check the pipe connection situation or replace cuff if the error still existed please contact the factory service Check the animal situation or replace cuff if the error still existed please contact the factory service check the pipe connection situation or replace cuff if the error still existed please contact the factory service Restart the machine if the error still existed please contact the factory service Restart the machine if the error still existed please contact the factory service Check the animal situation or replace cuff if the error still existed please contact the factory service Restart the m
39. e sensor cannot locate accurately possibly causes the oxygen saturation reading inaccurate even unable to search the pulse wave result in unable to carry on the blood oxygen monitor this time should relocate Measurement SpO move excessively possibly creates measurements inaccurate this time should cause the animal peaceful or the replacement measurement SpO reduces the influence of moves excessively to the measurement Veterinary Monitor Operation Manual Chapter 5 Resp Monitoring 5 4 NIBP monitoring E NIBP measurement procedure A Warning Use accessories specified by Biocare only otherwise the device may not function normally A Warning A 1 Before starting a measurement verify that you have selected a setting appropriate for your animal gt 20kg 10 20kg or lt 10kg 2 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 AN Warning A Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor tangled A Notes A The blood pressure of the animal as the basis for establishing therapy may be obtained by using other method such as the cuff stethoscope auscultation method Accordingly the clinical doctor must note that the values obtained by using other method and Monitor may be different AN Notes AN NIBP monitoring uses
40. e the wrong reading If the cuff size has the question should use the bigger cuff to reduce the mistake Veterinary Monitor Operation Manual 41 Chapter 5 Resp Monitoring 5 5 Temperature Monitoring E Steps of temperature measurement 1 Insert temperature sensor directly into the socket 2 Power on animal monitor Temperatures settings menu Chooses Temperature setting menu and enters Temp setting window Temp Setting Unit DENN Uk Cancel Temperature settings Temperature unit Choose C or F A Warning A Before start to use the temperature measuring please examine whether the sensor cable is normal Unplug the temperature sensor cable from the socket the screen will display the error message Temp sensor off and sends out the sound alarm 42 Veterinary Monitor Operation Manual Chapter 6 History Review Chapter 6 History Review The monitor can storage 72 hours trend data of the whole monitored parameters and 1000 noninvasive blood pressure measurement data The monitor collects data of parameter every minute and preserves it in trend data the operator may choose trend graph or trend table to examine the trend data Every time the noninvasive blood pressure measurement data is obtained it will be stored in the noninvasive trend data the operator may choose the noninvasive blood pressure review to look over the noninvasive blood pressure trend data 6 1 Trend Graph The tre
41. e this causes the blood pressure module to reset the blood pressure module may commit self recovery when the abnormity of work is caused by accidental reasons E Demo mode The user input the correct password the monitor will enter demo mode and in the centre of the screen a big DEMO label will be shown The demo mode is a particular state just for demonstrating performance of the machine helping user carry out trainings In the actual clinical use this function is forbidden because it can possibly cause the medical staffs to take demo waveforms as the waveforms and parameters by mistake to affect animal monitoring 12 Veterinary Monitor Operation Manual Chapte 1 Overview Version information Choosing the version information the user may look over the version information of the software installed in the monitor E User settings The user may carry out user maintenance in the user settings menu by inputting the password This item is merely open to the serviceman appointed by the factory E Factory service The user cannot implement functions of maintenance This item is merely open to the serviceman appointed by the factory 1 8 Sensor socket sensor socket The following shows sensor socket TEMP temperature sensor socket SpO2 Oxygen saturation sensor socket NIBP non invasive blood pressure cuff socket ECG cable socket ECG Veterinary Monitor Operation Manual 13 Chapter 1
42. easurement scope which the system can carry on SpO2 SENSOR OFF SpO 2 sensor does not connected Check SpO sensor connection SpO2 FINGER OFF The finger fall off from SpO Check SpO 2 sensor connect sensor with the finger SEARCHING PULSE SpO2 sensor connect bad or the Check SpO sensor connection animal move the arm situation and animal current condition Templ SENSOR OFF The body temperature channel 1 Check temperature sensor sensor do not connect connection Temp2 SENSOR OFF The body temperature channel 2 Check temperature sensor sensor do not connect connection WATCHDOG ERR Main engine watch dog Restart the machine if wrong self checking defeat still existed contact the factory service SYSTEM TIME LOST The system clock has not set Change the system time as the current time if error still Veterinary Monitor Operation Manual 25 Chapte 2 Alarms ON NIBP LOOSE CUFF NIBP AIR LEAK NIBP DEFLATE ERR NIBP WEAK SIGNAL NIBP OUT OF RANGE Dis Veterinary Monitor Operation Manual The 12V voltage examination exceeds the normal voltage scope The 12V voltage examination is lower than the normal voltage scope The 3 3V voltage examination exceeds the normal voltage scope The 3 3V voltage examination 1s lower than the normal voltage scope The battery voltage examination exceeds the normal voltage scope The battery capacity is insufficient
43. effectiveness of controlling infectious disease using these chemical agents Please contact infectious disease experts in your hospital for details 3 3 Sterilization To avoid extended damage to the equipment sterilization is only recommended when stipulated as necessary in the Hospital Maintenance Schedule Sterilization facilities must be cleaned first Recommended sterilization materials Ethylate and Acetaldehyde Appropriate sterilization materials for ECG lead and blood pressure cuff are introduced Chapter ECG RESP Monitoring and Chapter NIBP Monitoring respectively AN Caution AN m Follow the manufacturer s instruction to dilute the solution or adopt the lowest possible concentration Do not let liquid enter the monitor Do not immerse any part of the monitor into liquid Do not pour liquid onto the monitor during sterilization Use a moistened cloth to wipe off any agent remained on the monitor Veterinary Monitor Operation Manual 51 Chapter 8 Maintenance and Cleaning 8 4 Disinfection To avoid extended damage to the equipment disinfection is only recommended when stipulated as necessary in the Hospital Maintenance Schedule Disinfection facilities should be cleaned first Appropriate disinfection materials for ECG lead SpO2 sensor blood pressure cuff and TEMP probe are introduced in relevant chapters AN Caution A Do not use EtO gas or formaldehyde to disinfect the monitor 52 Veterinary Monitor Ope
44. eform the height of which make a direct ratio with the wave amplitude 4 Notch work frequency suppression switch when it is On will filter the AC disturbance of ECG signal 5 filter mode There are 3 filter modes diagnostic monitor and surgery In diagnostic mode The ECG wave without filtering is displayed In monitor mode the artifact which causes the false alarm is filtered out In surgery mode the artifact and the disturbance caused by the electricity surgical equipment can be reduced The filter modes can be displayed above the heart electricity waveform 6 heart volume the range is from 0 to10 0 means that the sound of heartbeat is shuted 10 means it is on the maximum volume 7 wave speed There are three levels of the ECG waveform tracing speed to be chosen 12 5 25 0 and 50 0 mm s 8 HR source there are Auto Ecg SpO 2 When Ecg is selected HR and heart sound are from ECG when SpO2 is selected HR and heart sound are from SpOz when Auto is selected animal monitor will auto detect the ECG and SpO signal HR will from ECG when ECG signal exist otherwise is from SpO 9 ST switch When it is On the ST analysis is carried on otherwise it isn t 10 arrhythmia switch When it is On the arrhythmia analysis is carried on which shows the PVCs parameter in the parameter area Otherwise the arrhythmia analysis isn t carried on and
45. esponsible that the system complies with the requirements of the valid version of the system standard IEC 60601 1 1 If in doubt consult the technical service department or your local representative 14 Veterinary Monitor Operation Manual Chapte 1 Overview 1 9 Networks The network port of the monitor is the standard RJ45 network interface may communicate with the central station through the ethernet cable to achieve the function of remote monitoring In the top right corner of the screen there 1s a network icon representing current network status If the network electric cable is disconnected the network condition icon shows as ES After the monitor has established connection with the central station the icon shows as l If the monitor communicates normally with the central monitoring system the icon shows as RED 1 10 Rechargeable built in battery The monitor is equipped with a rechargeable built in battery In the top right corner of the screen exists one symbol CHA indicating the state of the battery capacity of which the green part denoting electric quantity of the battery When the battery is charged the charging condition is expressed with animation After the battery is full charged the symbol will show as D When this monitor has not been installed the built in battery the symbol shows as de indicating no battery When running with power supply from battery the monitor detects the volume of t
46. ff with gas and to measure the blood pressure Pressing down the key once again can cancel the measurement 6 Record Stop key If the monitor has a recorder pressing down this key will start recording the real time waveforms Pressing the key again may stop recording 7 Main menu key press this key to returning to the main menu 8 Knob key With this key the user may enter the menus and windows and change the monitor settings 1 6 Menu animal management By pushing the Animal button the user may choose to enter the window of Admit new Animal Discharge Current Animal or Dose Calculation the detailed introductions may refer to chapter4 Admit and Discharge Veterinary Admit New Animal Discharge Current Animal Dose Calculation Return i Animal bi Animal management History review By selecting the Review button the user may choose to enter the window of Trend Graph Trend Table Alarm Review NIBP review or Wave review The detailed introductions may refer to chapter12 History Review Trend Graph Trend Table Alarm Review NIBP Review Have Review E Review 3 history review Veterinary Monitor Operation Manual 7 Chapter 1 Overview E Setting By selecting the Setting button the user may choose to enter the window of Alarm setting Screen layout Adjust time Miscellaneous ECG setting ST set
47. he battery and alarms when the battery is insufficient and prompts in the information section BAT LOW At this time the AC power should be plug in and immediately charge battery in time If battery is still used for power supply the monitor will power off automatically when the battery exhausted A WarningA lf you have any doubt to the grounding layout and its performance you must use the built in battery to power the monitor 1 11 Installation E Open the Package and Check 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 1 Check for any mechanical damage 2 Check all the cables modules and accessories If there 1s any problem contact the distributor immediately Connect the Power Cables Connection procedure of the AC power line Make sure the AC power supply complies with following specification 100 240 VAC 50 60 Hz Apply the power line provided with the monitor Plug the power line to INPUT interface of the monitor Connect the other end of the power line to a grounded 3 phase power output Veterinary Monitor Operation Manual 15 Chapter 1 Overview AN Note A Connect the power line to the jack special for hospital usage Connect to the ground line if necessary Refer to Chapter Animal Safety for details 1 12 Power on the Monitor Press power switch to power
48. he following chart shows Temp sensor Type Sensor Type Uk Lancel Temp Sensor Type E NIBP Pneumatic test Selecting the NIBP Pneumatic test the user may examine whether the entire air way of blood pressure measurement leaks air or not When the blood pressure cuff is connected the user may start the air leakage test with this key thus discover whether the airtight condition of gas route is good or not The examination result is If air leakage examination is passed the system will not make any prompt If isn t the corresponding failure prompts will be displayed in the noninvasive blood pressure information section The detailed introductions refer to 10 5 the air leakage examination E NIBP calibration After selecting the noninvasive blood pressure calibration the user enters the calibration mode and at this time the user may calibrate using a pressure gauge or mercury sphygmomanometer with a calibration precision higher than 1 mmHg after calibrated If the measure blood pressure key is presses down during the calibration the system will stop calibrating The detailed introductions refer to 10 4 the blood pressure calibrations E NIBP reset After choosing the noninvasive blood pressure reset the user may restore the blood pressure module to the initial settings When the blood pressure measurement is abnormal yet the monitor cannot prompt reasons of the problem using this key is suggested Becaus
49. hould reduce 0 75mmHg 0 10kPa in the value 7 Confirm the animal type whether correct animal type shows in the block of information on the monitor the right side of bed number if needs to change the animal type please enter the animal information window change the animal type 8 Press down the blood pressure measurement button on the front panel start to measures the blood pressure The details about the cuff sites on different animals are as below For a FELINE For conscious patients measurements from the coccygeal artery can be taken by wrapping the cuff around the base of the tail For anesthetized patients measurements from the median artery on the foreleg can be used by wrapping the cuff around the forelimb between the elbow and carpus For felines less than five pounds when measurements are difficult to obtain place the cuff around the leg above the elbow to obtain measurements from the brachial artery Hair need not be clipped except when heavily matted Feline cuff placement For a CANINE For measurements in canines it 1s preferable to use the right lateral stemal or dorsal recumbent position If the canine is in a sitting position place the front paw on the operator s knee and take measurements from the metacarpus The metacarpus metatarsus and anterior tibial are recommended for the cuff placement For anesthetized patients most surgeries are done on the posterior part of the body so the metacarpal
50. ial techniques Warning warned user attention of potential danger if you do not follow the instructions may result in personal injury Power On Off DC power input Network socket USB socket This symbol indicates that the instrument is IEC 60601 1 Type CF equipment The unit displaying this symbol contains an F Type isolated floating applied part providing a high degree of protection against shock and is suitable for use during defibrillation This symbol indicates that the instrument is IEC 60601 1 Type CF equipment The unit displaying this symbol contains an F Type isolated floating patient applied part providing a high degree of protection against shock and is suitable for use during defibrillation This symbol indicates that the instrument is IEC 60601 1 Type BF equipment 1 4 Intended Usage The monitor is intended to be used for monitoring recording and alarming of multiple physiological parameters of animal in health care facilities The devices are to be used in health care facilities by trained health care professionals They are not intended for home use This device is restricted to be used by or on the order of a physician Not a therapeutic device 4 Veterinary Monitor Operation Manual Chapte 1 Overview 1 5 Screen layouts introduction a i i t d d The screen is divided into four sections 1 information section 2 waveform section 3 parameters section 4 menu section
51. ime Format YY MEY DE Year 2008 4 Month 7 4 Day E 4 Hour 1 4 Minute 24 second 28 0k Cancel adjust time Veterinary Monitor Operation Manual 9 Chapter 1 Overview 1 7 Miscellaneous By entering the miscellaneous windows the user may change the key volume and the screen brightness The adjusting scope of key volume is 0 10 0 means volume closure The adjusting scope of screen brightness 1s 1 10 10 means the highest brightness If Wave Smooth switch is On the wave will be displayed as smooth mode Miscellaneous Brightness 10 4 Key Yolume S 4 Have Smooth Ott Ok Lancel miscellaneous setting E ECG setting Detailed introductions of ECG settings can refer to Chapter4 ECG monitoring m Resp setting Detailed introductions of RESP settings can refer to Chapter5 RESP monitoring E SpO setting Detailed introductions of oxygen saturation settings can refer to Chapter6 SpO monitoring E NIBP setting Detailed introductions of noninvasive blood pressure settings can refer to Chapter7 NIBP monitoring Temperature setting Detailed introductions of body temperature settings can refer to chapter8 temperature monitoring E Load default setting The following chart shows the window of Apply default settings Load Default ES Current contiguration data Will lost Are you sure to do this Load default settings If Yes is chosen
52. lower alarm limit ST AVR TOO HIGH the ST value correlate with AVR surpass the upper alarm limit ST AVR TOO LOW the ST value correlate with AVR surpass the lower alarm limit ST AVL TOO HIGH the ST value correlate with AVL surpass the upper alarm limit ST AVL TOO LOW the ST value correlate with AVL surpass lower alarm limit ST AVF TOO HIGH the ST value correlate with AVF surpass upper alarm limit ST AVF TOO LOW the ST value correlate with AVF surpass lower alarm limit ST V TOO HIGH the ST value correlate with V surpass the upper alarm limit ST V TOO LOW the ST value correlate with V surpass the lower alarm limit PVCs TOO HIGH The PVCs value exceeds the alarm high limit SPO TOO HIGH The oxygen saturation exceeds the alarm high limit Veterinary Monitor Operation Manual 23 Chapte 2 Alarms SPO TOO LOW The oxygen saturation is lower than the alarm low limit Pulse rate TOO HIGH The Pulse rate surpass the alarm high limit Pulse rate TOO LOW The Pulse rate are lower than the alarm low limit NIBP SYS TOO HIGH NIBP systolic pressure exceeds the alarm high limit NIBP SYS TOO LOW NIBP systolic pressure is lower than the lower alarm limit NIBP MEAN TOO HIGH NIBP mean pressure exceeds the alarm high limit NIBP MEAN TOO LOW NIBP mean pressure is lower than the alarm low limit NIBP DIA TOO HIGH NIBP diastolic pressure exceeds the alarm high limit NIBP DIA
53. ms triggered by some of animal physiological parameters exceed the limits taking the body temperature exceeding temperature alarm limit as an example Technical alarms triggered by the abnormality of certain monitoring function or distortion of monitoring results caused by failure of system or sensors taking ECG lead off as an example E Level of alarms The alarms have three levels high medium and low The monitor has set levels for technical alarms and physiology alarms E Modes of the alarms When alarming the monitor gives alarm prompts by three ways sound alarm light alarm and alarm message description The prompts of sound and light come from the speaker the alarm indicator light and alarm message description The alarm message description is displayed on the screen The physiology alarm is displayed in the animal alarm information section while the technical alarm displayed in the monitor alarm information section When the physiology alarm occurs which is caused by the measurement parameters exceeding the alarm limit the color of high limit and low limit would change from dark to bright besides the three means of alarm prompting mentioned above When there is before technical or the physiology information section it means low level alarm means medium level alarm and the information bottom color will turn yellow means high level alarm and information bottom color will turn red For example The
54. n the cursor chooses anyone of the items sublevel menus will popup When the user presses down the knob once again the corresponding dialog will pop up and the user can change the settings in the dialog E Alarm When the alarm occurs the warning light will glitter or bright the color represents certain level of the alarm The detailed contents please refer to chapter2 Alarm Control panel The control panel is on the front panel The total keys from left to right are listed below 1 Power key key to turning on and turning off of the power 2 Alarm silence key With this key pressed down sound of the alarm will shut down also the ALARM SILENCE will be displayed in the information section and other sounds key sound palpitation sound and so on will not be affected Pressing down the key again will restore all the alarms 3 Alarm pausing key With this key pressed down the alarm may hang up for 2 minutes 1 minute 2 minutes and 3 minutes are optional and the ALARM PAUSE will be displayed in the information section All the alarm will be restored after this key is pressed again 6 Veterinary Monitor Operation Manual Chapte 1 Overview 4 Freezing key In the normal mode all the waveforms on the screen will be frozen with this key pressed down Pressing down this key once again will release the frozen waveforms 5 Blood pressure key Pressing down this key will start to charge the cu
55. nd graph permits operator observing the stored trend data in graph mode The recent 72 hours trend data is displayed as a trend curve with a resolution of 1 second 5 second 1 minute 2 minutes 3 minutes 4 minutes or 5 minutes Choosing the Trend Graph in the Review menu will spring out the following window Trend Graph bpm 2007 03 27 HR 100 BERR Pt TT tT Tt eT EE EE EE EE ET Parameter HR ll Period imin Return Trend Graph In trend graph window time shows underneath the X axis recent time 1s displayed on the nearest right side scope value of parameters is displayed on left side of the Y axis E Select parameters By selecting the parameter list box with cursor the operator may choose the parameter trend that is to be displayed After the anticipant parameter appears its trend graph will show in the window by pressing down the revolving button m Set period By selecting the period option the operator may choose a period of 1 second 5 seconds 1 minute 2 minutes 3 minutes 4 minutes or 5 minutes Veterinary Monitor Operation Manual 43 Chapter 6 History Review m Adjust observing time With the button 4 and the operator may move the time of trend graph a second length forward or backward current period With the button Mo ang A the operator may move the time of trend graph a page p forward or backward By selecting the button HM the ope
56. noninvasive blood pressure on the animal who have the sickle cell anemia or have the skin disrepair or will have damage 2 To the animal who has the serious hemoglutination machine made barrier must according to the clinically appraise decided whether carries on the automatic blood pressure measurement because the place where the body and the cuff friction will has have the haematoma danger 3 Before start the measurement you must confirm the animal type is correct 4 Do not enwind the cuff to the body have the venous transfusion or inserted the drive pipe while cuff charging period when the transfusion reduces speed or stops up possibly causes damage around the drive pipe 5 If 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 animal 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 6 The calibration of the noninvasive blood pressure measurement is supposed to be carried on one time every year Or according to the maintenance regulation of your hospital 7 The cuff width should be 40 size of the body perimeter or the 2 3 of the upper arm length The length of the cuff charging part should long enough surround 50 80 of the body the inappropriate size cuff can hav
57. nterface of the titration table Titration Table Height 71 ke Doseshr 200 00me mount500 00meg Int Rate 100 00m1hr Volume 250 00ml Drip Rate 20 00 GTT min Dose Inf Rate Dose Fall 11 00 DoseType Dose hr Item Dose gt stepli Record Return titration table Move the cursor to the DoseType option press down the knob to choose dosage unit Move the cursor to the Item option then press down the knob to choose Dose Inf Rate The selection of Dose will calculate the infusion rate taking the dose as the basis of calculation otherwise the dose taking infusion rate as the basis of calculation Move the cursor to the step option press down the knob to choose length of step The optional scope 1s 1 10 With the buttons 4 and the operator may move the titration table a step backward or forward With the buttons 4 and lt P the operator may move the table a page forward or backward By selecting the button M gt the operator may display the minimum titration table data and H gt the maximum The recorder will output current titration table if Record button is pressed Move the cursor to the Return button press down the knob to get back to the Drug Calculate menu Veterinary Monitor Operation Manual 49 Chapter 8 Maintenance and Cleaning Chapter8 Maintenance and Cleaning 8 1 System Check Before using the monitor you
58. onitor gets the breath signal through the chest impedance value from the RA and the LL electrodes at the chest After amplify the signal of the impedance between the electrodes as a result of the thorax activity the breath wave will be displayed on the screen 5 2 Resp settings Choose the Resp settings menu and enters Resp setting window Resp Setting pnea Time Have Size we gt Have Speed 25 mm S gt RR Source co IE gt 0K Cancel RESP settings 1 Apnea alarm Setting the judgment time while the animal is asphyxiating between 10 seconds and 40 seconds if switch the settings off indicate the asphyxiation alarm is closed 2 Waveform speed you can choose the waveform speed at 6 25mm s 12 5mm s 25 0 mm s 3 Amplitude The user may setting the amplitudes enlargement factor has x0 25 x0 5 x1 x2 x4 altogether 5 levels 4 RR Source when Ecg is selected RR is from ECG leads when CO is selected RR is from CO2 module and AwRR 1s displayed on parameter area AN Attention AN Resp monitoring is not recommended on animal who moves a lot because this possibly causes wrong alarm AN Attention AN Place the RA and the LL electrode in the animal opposite angle of the body in order to obtain the best breath wave Should avoid the liver area and the ventricle at the breath electrode s lines this may avoid the false difference to be caused by the heart beat or pulsing blood stream
59. ower than 40bpm heart beat minute and is higher than 240bpm heart beat minute cannot carry on the blood pressure measurement 7 Obese animal The excessively thick fat stratum can reduce the accuracy of the measurement because the fat can cause the artery pulse signal cannot arrive the cuff E 8 NIBP settings Nbp Setting unit Mode Manual gt Peroid Uk Lancel NIBP settings Veterinary Monitor Operation Manual 39 Chapter 5 Resp Monitoring 1 Pressure unit mmHg or kPa is optional 2 measurements mode have 3 kinds of mode manual automatic STAT Under the manual measurement way presses down the blood pressure measurement button on the control panel then starts the manual measurement once Under the automatic measurement way presses down the blood pressure measurement button on the control panel then starts the automatic measurement once afterwards the monitor can automatic start blood pressure measurement defer to the period Under the STAT measurement way presses down the blood pressure measurement button on the control panel then starts to continuously measure for 5 minutes While the blood pressure measuring the user presses down the blood pressure measurement button on the control panel anytime can stop the current blood pressure measurement 3 The automatic sampling interval If the measurement pattern setting as automatically then the automatic sampling interval button will be availa
60. r Factory Veterinary Monitor Operation Manual 1 Chapter 1 Overview AN Warning A Monitor can only monitoring one animal at a time A Warning AN There could be hazard of electrical shock by opening the monitor casing All servicing and future upgrading to this equipment must be carried out by personnel trained and authorized by Factory A Warning A You must verify if the device and accessories can function safely and normally before use A Warning A Possible explosion hazard if used in the presence of flammable anesthetics or other flammable substance in combination with air oxygen enriched environments or nitrous oxide A Warning A You must customize the alarm setups according to individual animal situation and make sure that alarm sound can be activated when alarm occurs A Warning A Do not touch the animal table or the device during defibrillation A Warning A Do not use cellular phone in the vicinity of this device High level electromagnetic radiation emitted from such devices may greatly affect the monitor performance A Warning A Devices connected to the monitor shall form an equipotential system protectively earthed Connect the grounding wire to the equipotential grounding terminal on the main system If it is not evident from the instrument specifications whether a particular instrument ombination is hazardous or not for example due to summation of leakage currents the user should consult
61. rate gt 20kg 10 20kg lt 10kg HR high limit 300 350 350 adjustment scope of the ST 2 00mV 2 00mV adjustment scope of the PVCs 0 10 E SpO Alarm Limit Choosing SpOz Alarm limit may enter SpO2 Alarm Limit window Sp0z Alarm Limit Alarm High LimitLow Limit al fon 100 30 4 Pulse Rate Un z120 g So Ok Cancel SpO2 Alarm Limit The SpO limit adjustment scope is 0 100 The Pulse rate alarm limit adjustment scope are 20 300 20 Veterinary Monitor Operation Manual Chapte 2 Alarms E NIBP Alarm Limit Choosing NIBP Alarm Limit may enter NIBP Alarm Limit window NIGP Alarm Limit Alarm High LimitLow Limit Systolic fon al soma Somme Mean un f L0mmhg E some Diastolic On some Somme Ok Lancel NIBP Alarm Limit The NIBP Alarm Limit adjustment scope as follows EI E owing AO Diao pest BO Ta A TOTO mean pressure high limit 240 170 mean pressure low limit E Resp Alarm Limit Choosing Resp Alarm Limit may enter Resp Alarm Limit window Resp Alarm Limit Alarm High LimitLow Limit CM lso Se Ok Cancel RR Resp Alarm Limit The Resp rate alarm limit adjustment scope 1s 7 120 7 Veterinary Monitor Operation Manual 21 Chapte 2 Alarms Temp Alarm Limit Choosing Temp Alarm Limit may enter Temp Alarm Limit window Temp Alarm Limit Alarm High LimitLow Limit las
62. ration Manual Appendix A Product Specifications Appendix A Product Specifications AN Warning A The animal monitor may not meet its performance specification if stored or used outside the manufacturer s specified temperature and humidity range 1 Classification Item Specification classification Class IIb Anti electroshock degree Class I equipment with internal power supply TEMP SpO NIBP BF Anti electroshock degree ECG RESP CF Explosion proof level Ordinary equipment without explosion proof Harmful liquid proof degree Ordinary equipment without liquid proof Working system Continuous running equipment 2 Power Supply DC 16 8V 1A 3 Battery 2000 mAh 14 8V rechargeable lithium battery Operating time after full charge is more than 4 hours Operating time after the first alarm of low battery will be about 5 minutes Maximum charging time is less than 5 hours 4 Signal Interface Network interface standard RJ45 Socket 5 Storage Trend 720 hours NIBP review 1000 NIBP events Wave review 2 hours Alarm review 200 alarm events All storage data are non volatile Veterinary Monitor Operation Manual 53 Appendix A Product Specifications 6 Environment Temperature Working 0 40 C Storage 20 50 C Humidity Working 15 90 Storage 15 90 no coagulation 7 ECG 54 Lead mode 5 Leads RA LA LL RL V lead mode I II I AVR AVL AVF V Gain x2 5mm mV 5 0mm mV 1
63. rator may move the time of trend graph 72 hours dM forward an to current time 6 2 Trend table The trend graph permits operator observing the trend data in tabulate mode The recent 72 hours trend data is displayed as a trend curve with a resolution of 1 minute 2 minutes 3 minutes 4 minutes 5 minutes 10 minutes 15 minutes 30 minutes or 60 minutes Choosing the Trend Graph in the Review menu will spring out the following window Trend Table HR bpm gt gt 60 60 60 EEE ES o O e gt ES PR bpm Tempi 36 0 36 0 36 0 Temp2 36 5 36 5 36 5 Sus mmHg Mean mmHg _ DiatmmHg EN AAA i in Period imin Return trend table menu In the window of trend table the time shows underneath the parameter tabulates the recent time is displayed on the nearest right side the parameter name and the unit are displayed in the first column The alarm events may also be observed in the trend table The alarm time of parameter is saved in the trend data if the parameter alarm the trend data in the correspond alarm time period would be displayed with a yellow background color m Set period By selecting the period option with cursor the operator may choose a period of 1 minute 2 minutes 3 minutes 4 minutes 5 minutes 10 minutes 15 minutes 30 minutes or 60 minutes 44 Veterinary
64. the manufacturers concerned or else an expert in the field to ensure that the necessary safety of all instruments concerned will not be impaired by the proposed combination A Warning A When used with Electro surgery equipment you doctor or nurse must give top priority to the animal safety A Warning A Do not place the monitor or external power supply in any position that might cause it to fall on the animal Do not lift the monitor by the power supply cord or cable use only the handle on the monitor 2 Veterinary Monitor Operation Manual Chapte 1 Overview A Warning AN Consult IEC 601 1 1 for system interconnection guidance The specific requirements for system interconnection are dependent upon the device connected to the monitor and the relative locations of each device from the animal and the relative location of the connected device to the medically used room containing the monitor In all circumstance the monitor must be connected to a grounded AC power supply The monitor is referred to as an IEC 601 F device in the summary of situations table contained in IEC 601 1 1 AN Warning AR Dispose of the packaging material observing the applicable waste control regulations and keeping it out of children s reach AN Warning AN Grounding Connect the monitor only to a three wire grounded hospital grade receptacle The three conductor plug must be inserted into a properly wired three wire receptacle if a three wire
65. ting SpOz setting NIBP setting Resp 29 66 setting Temp setting or Load Default Alarm Setting screen Layout Adjust Time Miscellaneous ECG Setting Sp0 setting NIGP Setting Resp Setting Temp Setting Load Default Setting E Alarm setting Detailed introductions can refer to Chapter2 Alarm E Screens layout After entering the screen layouts window the user may change the current display interface by selecting the interfaces of 6 types of Standard ECG Full Lead Big Font OxyCRG NIBP Trend Trend Table and choose to turn on or turn off parameter or waveform in the parameter switch and waveform switch The user can change trend resolution from 1 min to 60 min by setting Trend Time if the screen layout is set to Trend Table The following chart shows the menu of screen layouts screen Layout screen Layout Parameter Swit Wave Switch I HR Y ECG1 W spo2 W ECG2 RE E i Temp E M KBP W Pleth W Resp Uk Lancel screen layouts 8 Veterinary Monitor Operation Manual Chapte 1 Overview E Screen layout 360 36 5 I TARI Ce a biert Big font Standard ECG Full Lead Trend table NIBP trrend E Adjust Time By entering the adjust time window the user may choose the date format and adjust the current date and time as the following chart shows Adjust T
66. y the suspension time After presses down of PAUSE key again the system may restore to the normal state E Alarms SILENCE Presses SILENCE key on the control panel then may close the sound and the light alarm when presses down SILENCE key again will quit from alarm silence condition and reactivated correspondingly sound alarm returns to normal alarm condition If the alarm still exists under the condition of the silence state then the information section display this alarm information If there is no alarm exists under the condition of the silence state then all the alarm will be eliminated AN Attention A When the system is under the SILENCE condition any newly triggered alarm will terminate the silence condition and then makes the system to restore to the normal alarm condition E Alarm Setting Enter the alarm setting window the options below may be set 1 Alarm Volume The scope is 1 10 10 1s the highest volume 2 Suspend Time 1 minute 2 minutes 3 minutes 3 Flash if On is selected and there 1s physical alarm corresponding parameter digit will flash to indicate that the parameter has alarm 4 Para Alarm 2 items LATCH or Unlatch LATCH means that once alarm occurs the system will give alarm all the time until manual intervention such as push the SILENCE button on the panel UNLATCH means that the system will stop giving alarm once the alarm condition does not exist

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