Patient Monitor Manual Contents
Contents
1. Data Setting Abnormal Information Daily Information Trend Information i i i I i i l l i I i i I i I a 0 OAD NDnHDBRo DWBA RA ULU amp SO S AA NOR FON ORONO SON NNR NNR ORSON ORR ONIN KY N EAN eee eee 17 SEEE 17 E E 20 SEEE EEEE 20 aastane 22 SOANE 24 PEREA EE 24 PEE E 24 PESAS 25 EEEE E 26 AAEE 30 PEENEST 32 ETIE EESE EEE G33 EEEE see 34 Soest E 34 PE EEE 34 Herea 35 Pagel of 43 Patient Monitor Manual Section7 Error Messages and Troubleshooting Section8 Maintenance Section9 Package Transportation and Storage Page 2 of 43 Patient Monitor Manual Section 1 Preface Your accepting of our production is greatly appreciate and it is important before you turning on the monitor that we recommend you strongly to read the security clauses and cautions clauses Please pay attention to the clause where marked e a Working Environment This patient monitor can work in following environment Temperature 10 C 40 C Relative Humidity 30 75 Atmospheric Pressure 70kPa 106kP2. 8 2 1 Inspection before after Use Please check the following items before turning on the power of the equipment Check the probe lead and sensor whether they are lost or the NIBP cuff and air hose are leaking air Check the electrical outlet and Power cord whether they are in good condition Keep all the keys switches and sockets in good condition Check the settings whether is correct Please check the following items after every use Clean and disinfect the probe and lead after every use Position the equipment to the place where is dry and clean 8 2 2 Yearly Inspection Please check the following items every year periodically Monitor is not dirty damaged or rusty No key or switch is broken No damage to the socket of the monitor Power cord is not damaged Screen is clean Screen display is correct Clock is correct Settings are correct The specified electrodes sensors and probes are used Printer module operates properly when used The recorded data are correct No current leakage Supplied voltage is correct Page41 of 43 41 Page 42 of 43 Patient Monitor Manual Section 9 Package Transportation and Storage 9 1 1 Monitor is packed with paper made container plastic foam and plastic bag 9 1 2 Your can find the certification of checkout user manual and list in container 9 1 3 Conditions for transportation and storage Environment Temperature 10 C 40 C Range of Relative Humidity lt 95 Range o
3. n a 1 Hole of Adapter Pic 2 B Pic 3 A 3 1 4 Instructions of Back Side Panel In the position of hanging operator can operate as follow Step1 Rotate the shelf to 135 degree Step2 Push the shelf and rotate the shelf to 180 degree Then the shelf is in the Page9 of 43 9 Page 10 of 43 Patient Monitor Manual position of hanging As Pic 3 B shows Step3 Push the shelf again operator can rotate the shelf to other position ok T T TaN e AAN W Pic3 B On the Back Side Panel there are also some appendent interface sockets used for some client with specific demand so most of the client do not need and may not use these interface sockets self determinedly 3 1 5 On line Printer Optional can work with portable printer with the connection cable F ray ay Ty jy At ar 7 Pic 4 A The processing of setup printer paper is as follow Pagell of 43 Patient Monitor Manual B C Pic 4 B A Following the direction of the arrowhead move the wedged bulge to unlock the cover of the box of Printer Paper See the details in Pic No 4 B A B Following the Picture position 1 roll of the Print Paper in the box Please be cautions that the heat sensitived side of the Print Paper must face to up See the details in Pic No 4 B B C Pull several centimeters of the Print Paper then close the box Please notice the lock of the box and make sure it is locked See the details in Pic No 4 B C Specific
4. For Baby Width 8cm All the Blood pressure NIBP cuff NIBP cuff should be replaced after one year S For Child Width 10cm operation For Adult Width 15cm SpO2 Probe Type BCI Length 2 5m The Probe should be replaced after one year usage or more than 6000 hours operation Temperature Heat Sensibility Length 2m Probe Resistance os Lead a rE Adapter AC AC Adapter 12V2A 2A Battery Li battery 7 4V 2 2 A EE battery should be replaced after one year operation or more than 200 periods of recharge Printer Portable Printer With the printer Length 1m connection cable Table 2 Page 6 of 43 Patient Monitor Manual Classification of Consume Material Attaching Ag Agci LiTu medical equipment Could work with Disposable Co Ltd ShangHai de trembling Electrode Heat sensitived 50 20m Medical printer paper White colour Print Paper Co Ltd TianJin Table 3 Specification of Attaching Disposable Electrode AC resistance lt 3KQ De trembling abnormal voltage lt 100mV Simulated de trembling reset capability 5 sec alt spark voltage between probes lt 100mV Average change rate in 10 sec lt Imv s AC resistance after simulated de trembling lt 3KQ Bias current allowance lt 100mV Page7 of 43 Patient Monitor Manual Section 3 j i Operation Instructions of Setup 3 1 1 Instructions of Front Panel a A D ag 9 E a 19 Jal Mt hey I x10 A EAKA SAA A
5. If the wave of ECG is disturbed please check whether the stickiness side of the electrode is still stickiness or the electrode exceed the time limit 4 1 3 Selection of ECG Wave This equipment uses the No l Lead waveform from the I Electrode Lead to monitor to display ECG signal So the first Lead is set to Il Electrode Lead automatically when monitor the ECG Other Lead can use to display other waveform form Electrode Leads The No 4 No 5 and No 6 Lead can be set to display the waveform of Blood SpO2 and Respiration The detail setting step is shown on 5 1 4 Please select the times of amplifying signal appropriately The times of ECG signal amplifying is 0 5 3 0 you can set to 0 75 1 0 in normal situation The detail setting step is shown on 5 1 5 4 1 4 Working with Electrosurgical Unit This equipment can eliminate the disturbance of electrosurgical unit It can recover to the normal state after 10 seconds when the High Frequency disturbance and magnetic field is eliminated and the data stored is reserved completely Please possibly position the equipment far away from the electrosurgical unit when work with electrosurgical unit Please put the equipment to the opposite side of the Pagel7 of 43 17 Patient Monitor Manual operation table if it is possible Please insert the connector plugs of adapter to the different AC sockets when the equipment works with electrosurgical unit and try to separate the two AC socket
6. again Time between two measurements should longer than 40 seconds to make sure the air in the NIBP cuff have been exhausted completely 4 3 3 Automatic NIBP Monitoring Please set the interval of the two measurements ranged Iminute to 240 minute if in the mode of automatic NIBP Monitoring The detail setting method is shown on 5 2 3 Startup Automatic NIBP Monitoring You can press the BP AUTO key on Front Panel or the BP Timing in the bottom of screen to startup Automatic NIBP Monitoring Then the message BP Timing and the countdown time will be displayed on the top of the screen When the countdown time shows zero the Automatic NIBP Monitoring will start automatically Stop Automatic NIBP Monitoring You can press the BP AUTO key on Front Panel or the BP Timing in the bottom of screen again to terminate Automatic NIBP Monitoring Please check the function of automatic NIBP monitoring whether it is on or the automatic timing is zero if the NIBP cuff is not colligated Measuring with the not well colligated NIBP cuff will damage the monitor 4 4 SpO2 Monitoring SpO2 is monitored by attaching a probe to the patient and using the SpO2 socket on the monitor Page 20 of 43 Patient Monitor Manual 4 4 1 Step of SpO2 Monitoring A Connect the probe to the SpO2 Socket of the equipment Please confirm the SpO2 Probe is connected correctly and firmly You can hear a sound of Ka if you con
7. mmHg f KPa J Temperature Data Set Daily Data Trend Sound Off Filter BP Timing Main NIBP mmHg NIBP Kpa Pic 5 Window of Alarm Q red colour shows alarm nes shows dismiss alarm Window of ECG Shows the Heart Rate and VPC Window of ST Shows the real time ST Segment measurement Window of NIBP Shows the Blood pressure SYS DIA and MEAN in two forms Kpa and mmHg Window of SpO2 Shows the SpO2 and Pulse Rate Window of RESP Shows the rate of respiration Window of TEMP Shows the measurement of temperature The functions of menus such as Data Setting Abnormal Information Daily Information Trend Information Alarm Function Filters Function Timing interval NIBP Monitoring and Help showed in the bottom of the screen will be instructed in Section 5 Operation Instructions Page 14 of 43 Patient Monitor Manual Section 4 Monitoring Functions Instructions 84 1 ECG Monitoring 4 1 1 Selection of Electrode Lead The common method to monitor ECG is using 5 Electrodes Lead which can obtain 7 Lead signals The analogous Electrode Lead imitating the person Electrode Lead has the following signals Standard Electrode Lead I II IHD limbs Electrode Lead aVR aVL aVF and bosom Electrode Lead V There is slight difference of the waveform of ECG between bosom Electrode Lead and limbs Electrode Lead The main difference is the amplitude of the ECG waveform Changing the
8. 24 of 43 Patient Monitor Manual press the confirm key again when the data is desirable Then the option will stop glittering C Selecting the return option showed in the main menu in the bottom of screen can return to the monitoring state 5 1 2 Setting Bed Number and Date Setting the date and bed number 5 1 3 Setting the timing of automatic NIBP monitoring The timing of NIBP monitoring ranged from 1 minute to 240 minute and operator can terminate automatic NIBP monitoring by setting timing of 00 minute 5 1 4 Select the ECG waveform and other waveform in each Lead Operator can set each Lead for displaying different waveform Except Lead No 1 must display the ECG Electrode Lead II other Lead can choose the I H II aVR aVL aVF V Electrode Lead of ECG or the waveform of Blood pressure SpO2 and Respiration Operator can choose the colour and painting of each Lead 5 1 5 Setting the scale of amplifying Each ECG Electrode Lead can be amplified to 0 5 0 75 1 0 1 5 2 0 and auto operator should select a proper scale to ensure the waveform of ECG is suitable 5 1 6 Setting the speed of scanning Operator can set the ECG scanning speed to 12 5 mm s 25 mm s or 50 mm s 5 1 7 Alarm Setting There are 3 level of alarm setting Level 1 Alarm for the abnormity of Heart Rate Tachycardia and Bradycardia and NIBP Level 2 Alarm for the abnormity of Heart Rate Tachycardia and Bradycardia NIBP SpO2 and ST Segmen
9. C 4 5 Heart Pulse Rate Monitoring Heart Rate monitoring is according to the waveform of ECG and is displayed in the ECG window Pulse Rate monitored is according to the waveform of SpO2 measurement and is displayed in the SpO2 window marked PR ae ST Segment ST Segment monitoring is displayed in the ST Segment window with 3 Leads of ST Segment measurement The alarm of ST segment is controlled according to the data measured in The No l Lead ECG waveform The colours of the ECG Lead are corresponded to those showed in the ST segment window 4 7 Temperature Monitoring Temperature is monitored by attaching temperature probe to the skin of the patient Please connect the probe to the temp socket on the equipment and wrap the probe by adhesive tape to make sure it attach the patient firmly The temperature measurement is displayed in the TEMP window Page 22 of 43 Patient Monitor Manual Section 5 Operation Instructions There are several menus on the menu showed in the bottom of screen and 4 keys on the front panel Operator can use four direction key and confirm key to enter each secondary menu and setup the detail setting The functions of menus are described as follow A Data Setting Showed Data Set for short in screen Operator can modify the date setting selection of waveform and colour showed in each Lead times of amplifying speed of scanning automatic NIBP timing and alarm setting B Abnormal Inform
10. de trembling Using other electrode may cause negative influence to the ECG waveform and slow down the baseline reset even cumber some of the monitoring function after using de trembling When work with electrosurgical unit please position the equipment as section 4 1 4 described Otherwise the electrosurgical unit may produce disturbance and disorder ECG monitoring causing inaccurate analysis and arrhythmia report In the situation when the ECG signal is overflow or the electrode lead break off the equipment will show electrode lead break off at the moment the ECG data displayed is already inaccurate When patient with heart pacemaker is monitored asynchronous signal may cause inaccurate ECG data SpO2 Monitoring All the situation followed may disturb the measure When the patient is in the situation of shock or cardiac muscle anabiosis the SpO2 measure may be inaccurate because of movement of the patient The data may be inaccurate when HbCo MetHb raise abnormally The data may be inaccurate when the equipment works with electrosurgical unit The data may be inaccurate when the blood is mixed with pigmented material The data may be inaccurate when the pulse waveform is too feeble The data may be inaccurate when the probe is damaged NIBP Monitoring In case of timing interval NIBP Monitoring or consecutive NIBP Monitoring please check the hands feet and blood vessel of the patient and make sure the circ
11. position of the Electrode Lead or adopting the method of limbs Electrode Lead can get more desirable waveform You can also put the Electrode Lead as following table if you want to get one Lead waveform specially Definition of the Electrode Lead Mark of Mark of Position of Mark I and Position of MarkIII and Electrode Electrode aVR aVF Lead Lead Europe International L A Yellow LA Black Left anterior axillary line Left supraclavicular fossa R A Red RA White Right anterior axillary Right anterior axillary line line Space between seventh and eighth rib on the left LL Green LL Red Space between seventh and eighth rib on the left anterior axillary line C1 White V1 Brown Fourth intercostal space on the fringe of the right breastbone C2 White V2 Brown Fourth intercostal space Somo peo on the fringe of the left anterior axillary line Fourth intercostal space on the fringe of the right breastbone Fourth intercostal space on the fringe of the left Pagel5 of 43 15 Patient Monitor Manual O eoe O o C3 White C4 White V4 Brown C5 White V5 Brown C6 White V6 Brown RL Black RL Green V3 Brown Position of 5 Electrode Leads Midpoint of the line between V2 and V4 Fifth intercostal space on the left mide tremblinglavicular line Space between left anterior axillary line and fifth rib Fifth intercostal space on the left mide tremblinglavicular li
12. waveforms occurred equipment will store the similar waveform by every 10 minute This monitor can distinguish Arrhythmia Alarms of Tachycardia Bradycardia VPB SVPB VTAC RonT Escape beat Sinus arrest bigeminy and trigeminy Memory can store 64 waveforms of ECG abnormity Each waveform of ECG abnormity marks the happening time cause and the waveforms of ECG abnormity is showed by index of table convenient for reviewing If the memory is full filled the new coming waveform of ECG abnormity will replace the earliest one Equipment will store each waveform of ECG abnormity for 10 seconds and only the Lead No 1 waveform can be stored The abnormity normally occur in the 7th second of each stored waveform Operator can review each waveform by selecting the option showed in the bottom of screen Equipment also store the data of Heart Rate VPC ST Segment SpO2 Pulse Rate Blood pressure and the Temperature when the abnormal ECG waveform stored Page 28 of 43 Patient Monitor Manual Operator can also print the abnormal waveform by press print key 5 2 1 Menu of Abnormal Information In the state of Abnormal Information operator can see several keys in the bottom of the screen as showed in Pic No 9 The functions of the keys are described as follow Page Up and Page Down keys are used to let operator scan the Abnormal Data Up and Down keys are used to let operator select the option Display Waveform and Next Waveform keys are used to sho
13. AAA N ef o T oneaD a0 onenan 2 47 gt O af Shot f E 4 O E iow NIBP NIBP WT i z mmHg KPa N 376 Data Set Abnormal Daity Data Trend Sound Off Filter BP Timing Main O i So Pic PRINT Waveform is printed after pressing this key FREEZE Waveform is frozen after pressing this key Pressing again free the frozen waveform STORE Waveform is stored on the screen after pressing this key PRESS Blood pressure is measured manually after pressing this key Pressing again stops this measurement Four Pressing four direction key to move the cursor to the menu Direction Key Confirm Key Pressing the medial key of the four direction key to confirm the selection Power Key Pressing this key to On Off the monitor Indicator Indicate the state of power supply Ligh Page 8 of 43 Patient Monitor Manual Patient Monitor Manual 3 1 2 Instructions of Right Side Panel NIBP Socket SpO2 Socket Temperature Socket ECG Respiration Socket Pic 2 A 3 1 3 Instructions of Left Side Panel Transformation Shelf Hole of Printer Connection Cable The transformation shelf in the back of the monitor is designed for setting of the if lh position of shelves and hanging A In the position of shelves operator can rotate the shelf to 30 degree and the shelf is ff automaticly fixed As Pic 3 A shows
14. D The Power cord and all kinds of probes are in good condition 1 8 Necessary back check after monitoring oa U9 Some settings for temporary situation should be changed to the ordinary setting The Probe and other accessories should be cleaned disinfected and well stored Clean the dirt on the equipment The battery is in full state After turn off the equipment please cut off the connection of Power 7 moO w gt The equipment should be stored in the dry environment 3 2 Turn On the Monitor After turning on the monitor please check the indicator light which means different state of the equipment Green Colour Retaining Using Power Orange Colour Retaining Using battery power Orange Colour Glittering Recharging the battery Red Colour Glittering Low power in the battery If the indicator light do not work please check if the Adapter is connected appropriately Pagel3 of 43 Patient Monitor Manual If there is any other trouble please cope with it following Section7 Error Messages and Troubleshooting The initial displayed information showed on the screen is in Pic No 5 tl Pe Bed Num Time Filter AutomaticNIBP Timing baits Alarm Level Alarm On Off S65 EEE B x ECG Waveform d ECG Waveform 2 I xio W neg med nin oe nh rr ST Segment3 ECG Waveform 3 V 1 0 ECG Waveform 4 Bae j MS j yy F N olor 65 Pulse Rate NIBP NIBP Ir 97 6
15. P cuff pressure as the NIBP cuff pressure is reduced from above systolic to below Page 18 of 43 Patient Monitor Manual diastolic pressure The occlusive oscillometry method uses this to determine the systolic diastolic and mean arterial pressure The systolic pressure is the pressure at which the pulsatile oscillation suddenly increases and the diastolic pressure is the pressure at which the pulsatile oscillation suddenly decreases The mean arterial pressure is the point where maximum pulsatile oscillation occur The measure of NIBP of this equipment adopt more advanced method which is one step method According to this method the precision of the measure can be enhanced and the measure time can be reduced to two thirds 4 3 1 Step of NIBP Monitoring A Connect the air hose to the socket of NIBP on the equipment Please make sure that the connection of the air hose and the socket is firm You can heard a sound of Ka if you insert the air hose correctly Otherwise the NIBP cuff may not work properly the leaking air may lead to incorrect data or the failure of measurement B The position of the NIBP cuff is that the bottom of the NIBP cuff should above the elbow more than lcm 2cm and the sign of the NIBP cuff should be in the artery of the inside arm Please take off the overclothes and the sweater to make sure the accuracy of the NIBP measure C The NIBP cuff should keep close to the arm and the interspace between them
16. Patient Monitor Manual Patient Monitor Manual Contents Sectionl Preface Working Environment Security Notice Section2 General Optional Device ACCE SSOMICS Section3 Setup Preparations Instructions Turn On the Monitor Section4 Monitoring Functions Instructions ECG Monitoring Respiration Monitoring NIBP Monitoring SpO2 Monitoring Heart Pulse Rate Monitoring ST Segment Monitoring Temperature Monitoring SectionS Operation Instructions
17. a Build in Battery Li battery 7 4V 2 2A Input Power 15VA Adapter Input Power AC220V 422V 50Hz Keep the equipment off the flammable gas and oxygen pot Otherwise some undesirable results may come out such as exploding Avoid using the equipment in the circumstances such as strong magnetic field coagulable environment too many dust surroundings and shaking condition Do not put the equipment in the circumstances where may be sprinkled by water or too wet atmosphere If the equipment is sprinkled by liquid it is imperative that cut off the power immediately and check out the equipment to make sure it is not damaged Make sure the electrodes and temperature probe is insulated with other conductor and earth It is noteworthy that some other equipments may cause disturbance and the disturbance could influence the security of the patient through the electrode leads when heart pacemaker is inspected Page3 of 43 3 Patient Monitor Manual 1 3 Avoid any collision to the equipment because the LCD screen may be heavy damaged Avoid curving the electrode leads or probes in an acute angle or pressing them by rigid material or dragging them All the action above may cause the electrode leads or probes inside broken or desquamation ECG Monitoring All the situation followed may disturb the measure Make sure the disposable Ag Agci snap on skin electrodes are adopted when the equipment work in the same time with
18. anually Page23 of 43 23 Patient Monitor Manual D PRESS Operator can start the Manual NIBP Monitoring by pressing this key and one more press will terminate the NIBP monitoring immediately Operator can select each menu by pressing four direction key Operator can also confirm the selection by pressing confirm key a Data Setting Selecting the secondary menu Data Setting in the Main menu can enter the menu showed as follow Operator can modify the date setting selection of waveform and colour showed in each Lead times of amplifying speed of scaning automatic NIBP timing and alarm setting The manufacturer default setting of parameters is showed as follow Data Setting fOr vw U2 mM OS p lH M Bed Ea BP Time 20 Min Alarm l Amplifying 1 0 Scan speed 25 mm s Fill OFF 1 Lead lI 2 Lead 3 Lead io B iea ar B 5 Lead SOP 6 Lead Co 2 HR High 120 BPM HR Low BQ BPM NIBPHigh 140 mmHg NIBP Low T mmHg SPO2 Low 95 m TEMP High 30 5 E ST High 20 my ST Low 10 mY PB High 2 BPM VIAC High 5 BPM CO High 40 mmHg coz Low 10 mmHg Contirm Pic 8 5 1 1 Steps of Data Setting A Pressing four direction key to make the cursor to the option and press confirm key to confirm the selection Then the option will turn glittering which means this option is in the state of setup B Pressing four direction key again to increase or decrease the data of this option and Page
19. ation Showed Abnormal for short in screen Operator can review the abnormal data waveform and record of ECG C Daily Information Showed Daily Data for short in screen Operator can review the daily data by index D Trend Information Showed Trend for short in screen Operator can check the data of ECG NIBP SpO2 Temperature and Respiration by chart E Sound Off Operator can start terminate the function of alarm F Filter Operator can start terminate the function of filter G Automatic NIBP Showed BP Timing for short in screen Operator can start terminate the function of automatic NIBP H Help Operator can read the E document of helping stored in the equipment I Volume The volume menu on screen can control the volume Operator can press four direction key to move the cursor until the colour of iG is changed The Volume cursor is just on the right of BP Timing cursor or on left of Help cursor Then press confirm key entering the state of changing volume Operator can press four direction key to change the volume Pressing confirm key again to exit The functions of 4 keys on the front panel are described as follow A PRINT Operator can print the waveform of real time abnormal and the Trend Information by pressing this key B FREEZE Operator can freeze the real time waveform by pressing this key and can also dissolve the freezing waveform by pressing again C STORE Operator can store the real time waveform to memory m
20. ation of the Print Paper is 5 0mmx20m The heat sensitived side must face to the inside of the box Please clean the surface of the nozzle of the Printer before changing the Printer Paper The width of the Print Paper should not wider than the sawtooth of the printer 3 1 6 Power The Power or de trembling Power from the battery is applicable to the equipment The equipment will use AC Power first the battery in the equipment can be recharged automatically When the battery with enough power the battery will work automatically when the AC Power cut off This course has no influence to the measure The battery can only be recharged by this equipment and do not cut off the Power Page 12 of 43 Patient Monitor Manual during the course of recharging The whole course of recharging will cost approximately 8 hours Before the situation of storing the battery or first using the battery please recharge the battery to the full state and after more than 1 month of storing please recharge the battery again before using it The process of disposing battery If the battery can only hold less than 0 5 hours please replace it The used battery should be disposed appropriately according to the rule of some relevant law 3 1 7 Necessary preparations before monitoring A Ifthe battery is needed please check if the power of the battery is full B The key and the switch is in good condition C The environment of the equipment is dry
21. cket of NIBP cuff Battery SMSEN minute or no result connecting to the equipment Indicator light not Wrong usage of A Please check the NIBP cuff and work or NIBP cuff colligate it again every 8 hours extinguished B The NIBP cuff should at the same after 10s level with heart Wrong Size of A Check the NIBP cuff whether it is NIBP cuff suit for adult child or baby Page37 of 43 37 Page 38 of 43 Printer Patient Monitor Manual No display no power in Indicator electrical outlet light not work or extinguished after 10s Locking paper or no paper Not work Table 5 A Check the electrical outlet whether it is with 220V Power A Rip the printed paper upward to avoid locking paper B Close the cover of printer in right step C Replace the print paper and make sure the side of hot sensitive face to up Page39 of 43 39 Patient Monitor Manual Section 8 WYO 8 1 Cleaning and Disinfecting A Clean equipment after use Please turn off the equipment and cut off the Power before cleaning Then clean the surface of the monitor with a soft cloth moistened with neutral soap water or alcohol gt 70 and wipe with a dry cloth or gauze Operator should notice that only dry cloth or gauze can be used to wipe the screen Remove dust from the vent holes on the panels with a cotton swab B Clean and disinfect accessories Electrode Lead and Probe Clean the accessories after use eve
22. e33 of 43 33 Patient Monitor Manual Measure Method Advanced One step Method with Automatic Manual Measurement Measure Unit mmHg and kPa Measure parameter SYST systolic pressure DIAS diastolic pressure MEAN mean arterial pressure Measure Range 1 OmmHg 280mmHg 1 3kPa 37kPa Precision of NIBP 5mmHg 0 7kPa Protection of Over Pressure lt 330mmHg lt 44 0kPa Alarm SYST DIAS MEAN 86 3 Spo2 Range of SpO2 Measurement 40 99 Precision of SpO2 Within 85 99 2 Within 60 85 4 Alarm Range 0 99 Measure Pulse Rate Range 30 Times min 200 Times min Precision of Pulse Measurement 5 6 4 Temperature Measure Range 32 C 43 C Precision of Temperature Measurement 0 3 C 30 0 Respiration Measure Range 4 Times min 120 Times min Precision of Respiration Measurement 2 Times min 6 6 Waveform Display Waveform Display Display 4 Waveform in screen Page 34 of 43 Patient Monitor Manual Trend Information Store 96 hours chart of data of Heart Rate NIBP SpO2 Temperature Respiration VPC and ST Segment Store ECG Waveform Store 64 waveforms of ECG by every 10 seconds Can freeze the waveform Message for the abnormal system alarm of lost lead or too much noise Message for the abnormal data alarm of Heart Rate Tachycardia and Bradycardia NIBP Temperature SpO2 ST Segment ST Elevation and ST Depression VPC Bigeminal rhythm Tirgeminal rhythm RonT VTAC Escape Beat a
23. easuring disturbance disturbance Operator could use of nail of forefinger is just facing the cotton made towel or gauze to position of the clamp where is emitting separate the skin and clothes if the red light necessary B Please do not put SpO2 probe to the B In summer sweat may cause the limb where is used for NIBP electrode floating Please check and Ror ween monitoring press the electrode to avoid or no result Patient movement A The patient should be quiet during disturbance the course of measuring C If the situation continues please J T Too strong light A Avoid the light irradiate the probe replace the electrode directly A Operator should take some steps to Haemoglobin A Take steps to avoid haemoglobin Electromagnetism restrain or keep away from the source i function defect function defect field disturbance of electromagnetism field Lost of the probe A Check the probe B Open filter function Wrong place of A Check the selection of electrode C Do not use one electrical outlet with Respiration electrode or lead and the place of electrode this equipment and electrosurgical No result wrong selection unit a fe of electrode lead Leaking air A Check the NIBP cuff whether it is in good condition or replace the NIBP White Battery A Connect the equipment to AC cuff display in is exhausted Power and recharge the battery for 10 Error result B Check the so
24. ed operator can press the PRINT key and print the relevant chart If the printer does not work after Operator presses the PRINT key some situation should be considered whether the print paper is used out whether the cover of printer is closed correctly Please rip the printed paper upward to avoid locking paper Page 32 of 43 Patient Monitor Manual Section 6 Dani AWM LALA AN Zan TACIT Safety Accord with Standard GB9706 25 and GB9706 1 Resist electric shock Class I Class CF Apply to Adult Child Baby Size of Screen 6 TFT Colour LCD Resolution 640 480 Display Waveform 4 Leads Display waveforms of ECG Respiration NIBP and SpO2 Colours of Waveform 15 Kinds Freeze Waveform Available Monitor Functions Heart Rate VPC Three Level ST Segment NIBP SpO2 Pulse Rate Respiration Rate and Temperature 86 1 ECG Input 5 Electrode Leads RA LA RL LL C V1 V6 Electrode Lead Standard 1 II I Body Electrode Lead aVR aVL aVF Bosom Electrode Lead V1 V6 Time of Signal Amplifying 0 5 0 75 1 0 1 5 2 0 Range of ECG Measurement 30 times min 250 times min Precision of ECG 5 Scan Speed 12 5mm s 25mm s 50mm s Real Time ECG Analyse and Review Available Range of Alarm 30 times min 250times min Mode of Alarm Sound and Screen Remind Alarm can review Work with electrosurgical unit Available Work with de trembling Class CF Sustain 4000VAC 50Hz electric shock 30H NIBP Pag
25. f Atmospheric Pressure 50 0 Kpa 106 0 Kpa 9 1 4 Indication on package for transportation and storage Upwards Should not inverse the package v1 ww Keep Dry Please store the package in dry environment js sBe Careful Please carefully transport the package 9 1 5 Size and weight of package Size 260x210x200 Weight 2Kg 9 2 Transportation Carefully transport the package by truck train or airplane and avoid rain pouring and sun irradiation Store the packed monitor in clean dry and well ventilated room Page43 of 43 43
26. n start the Automatic NIBP function and press again terminate the function Selecting this option is the same as pressing the BP AUTO key on the front panel When the timing is 0 the NIBP measurement will start automatically The detail setup of Automatic NIBP is described in 5 1 3 and 4 3 3 Page31 of 43 31 Patient Monitor Manual o Operator can read the E document of Help stored in the equipment by selecting this option The E document shows the detail instruction of all the operation which convenient for the operator Operator can read the instruction by page chapter or Auto Scan Select return key to return monitoring state Real Time Print The displaying waveform in the Lead No 1 and No 3 is printed by press the PRINT key on the front panel Abnormal waveform Print The abnormal waveform in the Lead No 1 and No 3 stored in memory is printed by press the PRINT key on the front panel Operator should enter the Abnormal Information menu first then select the option of Display Waveform After the abnormal waveform is showed operator can press the PRINT key and print the abnormal waveform Chart of Daily Date Print The Chart of Daily Date Print is printed by press the PRINT key on the front panel Operator should enter the Chart of Daily Date menu first then select the different option such as Heart Rate NIBP SpO2 Temperature ST Segment VPC and Respiration Rate After the chart is show
27. nd Sinus arrest Ways of Alarm Sound and message in the screen Alarm Level 3 levels 36 8 Print Optional Real Time Print 2 Leads ECG waveform and the data of Heart Rate NIBP SpO2 Temperature Respiration Pulse Rate and ST Segment is real time printed Abnormal Print 2 Leads abnormal ECG waveform and he data of Heart Rate NIBP SpO2 Temperature Respiration Pulse Rate and ST Segment is printed Trend Information Print The Chart of Heart Rate NIBP SpO2 Temperature Respiration VPC and ST Segment is printed Page35 of 43 Section 7 Patient Monitor Manual Error Messages and Troubleshooting Cautions Operator should not open the equipment except manufacturer No ECG Waveform Only one line 35 Page 36 of 43 Electrode is not positioned correctly Electrode is not positioned correctly Patient s skin is not cleaned completely Check the position of electrodes especially check the place of electrode lead II The detail position and colour of electrode lead is shown in 84 1 1 Selection of Electrode Lead A See the instruction of positioning the electrode B Check whether the electrode is dry C Check whether the alcohol react with the mucus on the electrode Patient Monitor Manual Patient Monitor Manual Waveform A If patient wear chemical fibre Patient movement A The patient should be silent during is disorder underclothes in dry weather please the course of m
28. ne Above the right side of the abdomen Pic 6 Midpoint of the line between V2 and V4 Fifth intercostal space on the left mide tremblinglavicular line Space between left anterior axillary line and fifth rib Fifth intercostal space on the left mide tremblinglavicular line Above the right side of the abdomen Position of 3 Electrode Leads Three Electrode Lead is used in operating room but the result of Respiration monitoring could be inaccurate The Electrode Lead can also be moved to the back side or the buttocks when the position of the Electrode Lead would be in operating Page 16 of 43 Patient Monitor Manual 4 1 2 Position the Electrode Lead The measure of ECG adopts Attaching Disposable Electrode the position of the electrode would influence the signal of the ECG Before the electrode is put in right position please keep the skin as clean as necessary The step is as following A Use the rubber rub the skin softly B Ifthe patient is lipid skin please use alcohol to rub the skin first after the alcohol is evaporated then execute step A C Please warm the position where put the electrode by warm towel in the winter then execute step A D Connect the electrode lead and the electrode Uncover the insulation paper on the electrode from the edge Stick the stickiness side of the electrode to the skin where be rubbed firmly Do not stick the electrode to the skin where is not flat aa 7 W
29. nect correctly B Wait for the red light twinkling several times about several second Then open the clamp liked probe clamp the forefinger Please make sure the root segment of nail of forefinger is just facing the position of the clamp where is emitting the red light See in Pic No 7 A Other finger could be used to monitor SpO2 if the forefinger is unsuitable Please do not put SpO2 probe to the limb where is used for NIBP monitoring C Please press the flank of the clamp liked probe to make it attach to the patient firmly The wire of the probe should follow the direction of arm See in Pic No 7 B D The probe and wire can be wrapped by adhesive tape to reduce the disturbance See in Pic No 7 C Please check the skin clamped by the probe every 4 hours and change other finger to monitor SpO2 Measurement may be incorrect in the following case When the patient s carboxyhemoglobin or methemoglobin increases abnormally When using an electrosurgical unit When dye is injected in the blood When there is body movement When there is vibration When measuring at a side with venous pulse When the pulse wave is small insufficient peripheral circulation When using an ABP intra aortic balloon pump In the situation of strong light please cover the probe with a opaque paper or fabric to ensure the correct measurement Page21 of 43 21 Patient Monitor Manual fo aa ap r kz he e EA ey E lt Coe A B
30. ormation The demo chart of NIBP is showed in the Pic No 11 The ordinate means the value of blood pressure the abscissa means the time The Chart can present daily data by ways of 6 hours 24 hours and 96 hours Page29 of 43 Page 30 of 43 Patient Monitor Manual Pic 11 5 4 1 Menu of Trend Information In the state of Chart of Daily Data operator can see several keys in the bottom of the screen as showed in Pic No 11 The functions of the keys are described as follow A Heart Rate NIBP SpO2 Temperature ST Segment VPC and Respiration Rate keys are used to display relevant chart B 6 hours 24 hours and 96 hours keys are used to show chart by different interval C Return key is used to return the monitoring state When this option is selected the alarm function of sound reminding is terminated and when the key is pressed again the function is restarted When the alarm is mute the mark of BR will show on the top right of screen When the alarm sound is available the mark of Jar will show on the top right of screen The classification of alarm is described in 5 1 7 and 5 1 8 When this option is selected the filter function is available and when the key is pressed again the function is terminated Filter function is used to reduce the disturbance of AC signal which hinder the ECG signal The mark of Filter will show on the top of the screen when the function is open Pi Automatic NIBP Select this optio
31. ry time with a soft cloth moistened with neutral soap water or alcohol gt 70 and wipe with a dry cloth or gauze Disinfect the accessories with a non abrasive cloth moistened with disinfectant and use appropriate concentration C Clean and disinfect accessories NIBP cuff Please take out rubber in the NIBP cuff carefully Then clean the cloth coat with neutral soap Please clean the surface of rubber in the NIBP cuff and the air hose with a soft cloth moistened with alcohol gt 70 Then dry them sufficiently Avoid use ultraviolet radiation ozone or high pressure disinfection to the rubber and air hose Avoid water flow into the inside of the air hose Operator should avoid the air hose dipping in the water otherwise the remain water may cause inaccuracy of NIBP measurement seriously D Disposing of used accessories Please dispose the used accessories follow the rule of disposing medical castoff made by the local government E Disinfecting of the equipment Monitor could be disinfected by ultraviolet radiation disinfection by 30 minutes Page 40 of 43 Patient Monitor Manual Patient Monitor Manual 8 2 Maintenance Please maintain the equipment periodically to keep your monitor in optimum Please check and verify the monitor every year by professional operator to make sure Measurement accuracy is within the specified range 8 2 3 Period Inspection condition the safety and accuracy of measurement of the equipment
32. s as far as possible Please make sure the electrode is stick to the patient firmly when the equipment is working with electrosurgical unit Otherwise the improper connection will harm the skin of the patient Please use the three Electrode Leads measurement to avoid the disturbance Please protect the spare metal part and the temperature probe connected the equipment by some insulation method and make sure the metal part and the temperature probe is insulated to other metal or ground Otherwise the patient and the operator may be harmed by lightning 4 1 5 Work with de trembling function When work with de trembling the operator should not attach to the patient the bed and the equipment connected to the patient to avoid to be injured 4 2 Respiration Monitoring The electrode to monitor respiration and ECG is same Please put the Black Electrode Lead Marked N in the position where the fluctuation of the abdomen is maximum to enhance the sensitivity of the measure The rate of respiration is displayed on the screen the data stored can be reviewed in Daily Information and the wave of respiration can also be displayed on the screen The monitoring may be inaccurate due the patient s obesity because the fluctuation of the abdomen is insensitive or there are only three Electrode Leads used to measure the respiration ee NIBP Monitoring The NIBP is measured from the change in amplitude pattern of pulsatile oscillation in NIB
33. should not be more than one finger space Do not tight the NIBP cuff too tight or too loose Too tight may cause the patient uncomfortable and lead the data measured low than the normal dare too loose may cause longer measure time and lead the data measured high than the normal data Please keep the air hose away from patient and bed to avoid inaccurate measure The air hose should not be folded or twisted Please check the NIBP cuff and colligate it again every 8 hours to make sure the blood can flow fluently D The patient s arm should lay on the table and palm face to up the NIBP cuff should at the same level with heart if the patient is in the situation of sitting Operator can revise the measured data as following method If the NIBP cuff higher Pagel9 of 43 19 Patient Monitor Manual than heart the result of NIBP can add 2mmHg by each inch or 0 1kPa each centimeter if the NIBP cuff lower than heart the result of NIBP can reduce 2mmHg by each inch or 0 1kPa each centimeter The measured data could be influenced by some kinds of medicine The result of NIBP may be inaccurate to the patient who is in the situation of hyperkinesia 4 3 2 Manual NIBP Monitoring Pressing key of PRESS manual measure NIBP would work on The equipment can complete task of charging air measuring blood pressure and exhausting The time of measuring is about 15 40 seconds All the process can be terminated by pressing key of PRESS
34. t Description of Sinus arrest Longer than 2 seconds with no QRS complex K Alarm for the lost lead Description of lost lead After 10 seconds of electrode lead loose or too much noise preventing analysis the alarm will sound The alarm will work when one or more problems happen Message will be displayed in the screen to indicate the kind of alarm and sound will remind the operator Sound alarm will end after 1 minute but the message will still hold on If the alarm problem continues the sound alarm will work again after 10 minutes The next alarm problem will replace the message of previous one displayed in screen The sound and message alarm could be terminated only when all the alarm problem is resolved 35 2 Abnormal Information During the monitoring equipment can automatically store abnormal data Page27 of 43 27 Patient Monitor Manual The menu of Abnormal Information is showed as Pic No 9 Abnormal Information Ue Us Content HR VPC ST SpO2 PR SYST RR TEMP CO2 Teea PE eG E en Tiina lecaveeic ie UT BUS se er pt NS to tees isecardechnctte ne MW A ciel Siisee sy tae 0 ee Nei ene ele leaner Page Down Page Up Up Down Display switch Reset Pic 9 This equipment can detect 10 kinds of abnormal ECG signal The limit of each abnormal ECG signal can be modified in 5 2 Data Setting Monitor will automatically store abnormal data according to the limit setted in the Data Setting If there are sequent abnormal
35. t ST Elevation and ST Depression Level 3 Alarm for the abnormity of Heart Rate Tachycardia and Bradycardia NIBP Temperature SpO2 ST Segment ST Elevation and ST Depression VPC Bigeminal Page25 of 43 25 Patient Monitor Manual rhythm Tirgeminal rhythm RonT VTAC Escape Beat Sinus arrest and Lost lead 5 1 8 Range of Alarm Setting Operator can set the upper limit and lower limit of normal parameter as follows Upper limit and lower limit of Heart Rate Upper limit and lower limit of NIBP Upper limit of Temperature Lower limit of SpO2 Upper limit and lower limit of ST Segment Upper limit of VPC Upper limit of RonT Upper limit of VTAC a ee Se eS Operator could change settings for different patient The detail description of each Alarm Setting is as follows A Alarm for the overstepping of the upper limit and lower limit of Heart Rate The workable range of Heart Rate measure and alarm is 30 250 times min The initial alarm setting is upper limit as 120 times min lower limit as 30 times min B Alarm for the overstepping of the upper limit and lower limit of NIBP The workable range of NIBP measure is 10OmmHg 280mmHg The workable range of NIBP alarm is 50mmHg 250mmHg and the alarm is available according to the systolic pressure s change The initial alarm setting is upper limit as 140mmHg lower limit as 75mmHg C Alarm for the overstepping of the upper limit of Temperature The workable range of Temperat
36. ulation of blood is in good condition Page 4 of 43 Patient Monitor Manual Section 2 se Usage Patient monitor is competent for the monitoring of the Echocardiograph Heart Rate Temperature Blood pressure Respiration and SpO2 2 2 General Information This equipment include Main Unit Electrode Lead Blood pressure NIBP cuff SpO2 Probe Temperature Probe etc This equipment is I Class CF Normal Unit it can resist the disturbance of High Frequency E knife This equipment accord with Chinese National Criterion GB9706 25 and GB9706 1 23 Accessories When you open the package of patient monitor besides the main unit you can find some accessories as follow o 1 Copy of Patient Monitor Manual o An Accessories Package which contains accessories as follow 1 set of 5 Electrodes Lead 1 set of Blood pressure NIBP cuff used for adult 1 set of SpO2 Probe 1 set of Temperature Probe with a range of 0 50 C l of 12V 2A AC Adapter 30 sets of Attaching Disposable Electrode 1 set of portable printer If optional module Printer selected 1 set of printer connection cable If optional module Printer selected 1 roll of printer paper If optional module Printer selected Pages of 43 5 Patient Monitor Manual All the accessories should use the original accessories from our company otherwise the performance of the monitor may be reduced Classification of the Accessories Bloodpressure
37. ure measure is 32 C 43 C and the result of temperature measurement may be changed according to the position of temperature probe in different part of body The workable range of Temperature alarm is 32 C 43 C The initial alarm setting is upper limit as 38 C D Alarm for the overstepping of the lower limit of SpO2 The workable range of SpO2 measure is 40 99 The workable range of SpO2 alarm is 50 99 The initial alarm setting is lower limit as 95 Page 26 of 43 Patient Monitor Manual E Alarm for the overstepping of the upper limit and lower limit of ST Segment The unit of ST Segment is mv and 0 1mv correspond to 1mm The workable range of ST Segment alarm is 0 5mv The initial alarm setting is upper limit as 0 2mv lower limit as 0 1mv F Alarm for the overstepping of the upper limit of VPC The unit of VPC is times min The workable range of VPC alarm is 1 50 times min The initial alarm setting is upper limit as 1 time min G Alarm for the overstepping of the upper limit of RonT The workable range of RonT alarm is 1 5times The initial alarm setting is upper limit as 1 time H Alarm for the overstepping of the upper limit of VTAC Description of VTAC 3 VPB sequently happen The workable range of RonT alarm is 3 50times The initial alarm setting is upper limit as 3 times I Alarm for the Escape Beat Description of Escape Beat No QRS complex in 2 normal R R interval J Alarm for the Sinus arres
38. w stored waveform GO gt Reset key used to clean the stored data if the equipment monitor a new patient Please be cautions that if operator select this key all the Abnormal Data Daily Data Trend Information and Range of Alarm Setting are recovered to the initial state E Switch key used to switch the ECG Waveform No 1 and ECG Waveform No 3 F Return key used to return to the monitoring state ais Daily Information Monitor can display 96 hours Daily Data by every minute The Daily Data contain the Date Time HR Heart Rate VPC ST Segment SpO2 PR Pulse Rate SYST systolic pressure DIAS diastolic pressure MEAN mean arterial pressure RR Respiration Rate and TEMP Temperature They are showed in Pic No 10 Patient Monitor Manual Pic 10 Operator can print the daily information by press print key 5 3 1 Menu of Daily Information In the state of Daily Information operator can see several keys in the bottom of the screen as showed in Pic No 10 The functions of the keys are described as follow A Page Up and Page Down Keys are used to scan the Daily Data B 1Min 5Min 15Min Keys are used to fast scan the Daily Data C Demo Key is used to display Demo Waveform Press this key again can terminate the Demo State D Return Key is used to return the monitoring state Seven kinds of monitoring data Heart Rate NIBP SpO2 Temperature ST Segment VPC and Respiration Rate can be showed in the state of Trend Inf
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