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User Manual - Mennen Medical

1. Zero Range 200 mmHg Unit kPa mmHg Measuring range Art 0 to 300 mmHg PA 6 to 120mmHg CVP RAP LAP ICP 10 to 40 mmHg P1 P2 50 to 300 mmHg Resolution 1 mmHg Accuracy without sensor 2 or 1 mmHg whichever is greater A 10 CO MENNEN MEDICAL LTD Module Intended patient Adult pediatric neonatal Measurement P f ekod Non dispersive infrared gas analysis NDIR Unit mmHg kPa CO 0 mmHg 150 mmHg 0 20 Measuring Range AwRR 2 rpm 150 rpm EtCO 0 2mmHg 0 mmHg 70mmHg 0 5mmHg 70 100mmHg Resolution FiCO 0 2mmHg AwRR Irpm 2 mmHg OmmHg 40 Typical conditions mmHg Ambient temperature 25 3 C 5 of reading 41 mmHg Barometric pressure 760 10 70 mmHg mmHg Balance gas N2 Kins EtCO 8 of reading 71 mmHg Respiratory rate not exceed 10 of reading 101 mmHg Sample gas flowrate 150 mmHg 100ml min 12 He or rene OP conditions reading whichever is greater AwRR 1 rpm Sampl e ES 70ml min or 100ml min optional 15ml min Flowrate 176 Patient Monitor User Manual Product Specification Short term drift drift over 4 hours lt 0 8 mmHg Stability Long term drift 120 hours Display reading within 20s reach to the designed accuracy within 2 Warm up time minutes Rise time 400ms typical value using water trap sample gas flow
2. O Range SetO Range 0 30 vol 21 30 70 vol 50 70 100 vol 85 N20 Range Set N20 Range 0 30 vol 0 30 70 vol 50 18 10 Effects of humidity The partial pressure and the volume percentage of CO N20 O and anesthetic agents depend on the amount of water vapor in the measured gas The O measurement will be calibrated to show 20 8 vol at actual ambient temperature and humidity level instead of showing actual partial pressure 20 8 vol O corresponds to the actual O2 concentration in room air with 0 7 vol H20 concentration at 1013 hPa this equals for example 25 C and 23 RH The measurement of CO N20 and anesthetic agents e g all gases measured by the IR bench will always show the actual partial pressure at the current humidity level In the alveoli of the patient the breathing gas 1s saturated with water vapor at body temperature BTPS When the breathing gas flows through the sampling line the gas temperature will adapt to ambient before reaching the gas analyzer As the NOMO section removes all condensed water no water will reach the ISA gas analyzer The relative humidity of the sampled gas will be about 95 If CO values at BTPS are required the following equation can be used EtCO2 BTPS EtCO2 1 D where EtCO EtCO value sent from ISA vol Pamb Ambient pressure sent from ISA kPa 3 8 Typical partial pressure of water vapor condensed between patient ci
3. Monitor Use this mode under normal measurement conditions Surgery The filter reduces interference to the signal It should be used if the signal is distorted by high frequency or low frequency interference High frequency interference usually results in large amplitude spikes making the ECG signal look irregular Low frequency interference usually leads to a wandering or rough baseline In the operating room the Filter reduces artifacts and interference from electro surgical units Under normal measurement conditions selecting Surgery may suppress the QRS complexes too much and thus interfere with the clinical evaluation of the ECG displayed on the monitor Diagnos Use when diagnostic quality is required The unfiltered ECG wave is displayed so that changes such as R wave notching or discrete elevation or depression of the ST segments are visible 8 4 Using ECG Alarms ECG alarms can be switched on and off and the changes to high and low alarm limits are just like other measurement alarms which are described in the Alarms section Special alarm features applying only to ECG are described here 8 5 Selecting Calculation Lead On the Normal interface the users can select either 3 LEADS or 5 LEADS for this item Normal QRS complex should be B The normal QRS should be either completely above or below the baseline and it should not be biphasic For paced patients the QRS complexes should be at least twice the height of
4. 7 2 Selecting Display Parameters The user can select the display parameters based on the monitoring and measurement requirements To select the parameter please 1 Select Menu gt System Setup gt Module Switch 2 Select the required parameters from the popup interface 3 Press Exit to exit the menu and the screen will adjust the parameters automatically 7 3 Changing Waveform Position The user can exchange the waveform positions of parameter A and parameter B please refer to the following steps to do so 1 Select waveform A and open the setup menu of waveform A 2 Select Change from the popup menu and select the desired label name of waveform B from the pull down list 7 4 Changing Interface Layout To change the interface layout please refer to the following steps 1 Select Menu gt Display Setting 2 Select one interface from the popup menu 3 The user can implement one kind of function screen based on the requirements If the user selects the Large Font option there is no function screen to be selected 7 5 Viewing Trend Screen To view the short trend screen the user can press the Trend Screen key on the screen directly or select Menu gt Display Setting gt View Selection gt TrendScreen 57 Patient Monitor User Manual User Interface 7 6 Viewing Oxygen Screen To view the oxygen screen the user can press the oxyCRG key on the screen or select Menu gt Display Setting gt View Selection gt
5. ECG trunk cable 5 lead 6pin ESU AHA IEC 2 7m reusable 01 57 471231 ECG trunk cable 5 lead 6pin ESU AHA IEC 5 0m reusable 01 57 471232 ECG trunk cable 5 lead 6pin defibrillator proof AHA IEC 2 7m reusable 01 57 471233 ECG trunk cable 5 lead 6pin defibrillator proof AHA IEC 5 0m reusable 01 13 036620 ECG limb wires 5 lead clip AHA 1 0m amp 1 6m reusable 01 13 036621 ECG limb wires 5 lead clip AHA 1 0m reusable 01 13 036622 ECG limb wires 5 lead snap AHA 1 0 amp 1 6m reusable 01 13 036623 ECG limb wires 5 lead snap AHA 1 0m reusable 01 13 036624 ECG limb wires 5 lead clip IEC 1 0m amp 1 6m reusable 01 13 036625 ECG limb wires 5 lead clip IEC 1 0m reusable 01 13 036626 ECG limb wires 5 lead snap IEC 1 0 amp 1 6m reusable 153 Accessories Patient Monitor User Manual Part Number Accessories Accessories 01 13 036627 ECG limb wires 5 lead snap IEC 1 0m reusable 01 57 471024 3 lead ECG trunk cable Defibrillator proof AHA IEC 01 57 471025 3 lead clip ECG limb wires IEC 01 57 471165 3 lead clip ECG limb cable AHA 01 57 471095 ECG Cable 3 lead snap defibrillator proof AHA 3 5m reusable 01 57 471087 ECG Cable 3 lead clip defibrillator proof AHA 3 5m reusable 01 57 471096 ECG Cable 5 lead snap defibrillator proof AHA
6. EtDES measuring value is above upper alarm limit User selectable EtDES Low EtDES measuring value is below lower alarm limit User selectable FiDES High FiDES measuring value is above upper alarm limit User selectable FiDES Low FiDES measuring value is below lower alarm limit User selectable AG FiO Low FiO measure value is extremely low High AG APNEA In the set apnea alarm delay time interval no RESP can be detected using AG module High TB High TB measuring value is above upper alarm User selectable TB Low TB measuring value is below lower alarm User selectable 34 Patient Monitor User Manual 5 2 Technical Alarm Information NOTE Alarm Information The ECG alarm information listed in the below table describes the lead names in America For the corresponding lead names in Europe please refer to Section nstalling Electrodes Message Cause Alarm Level Action Taken 1 The drive lead or more than one ECG limb ECG Lead Off electrode falls off the skin Low 2 ECG cables fall off the monitor ECG electrode V falls off ECG V Lead Off the skin or the ECG cable Low V falls off the monitor Make sure that all electrodes leads and patient cables are properly connected ECG electrode LL falls off ECG LL Lead Off the skin or the ECG cable Low LL falls off the monitor ECG electrode LA falls off ECG
7. 4 VGA output 5 USB interface this port is used to connect the USB device 6 RS232 interface 14 Patient Monitor User Manual Basic Operation 7 Network interface this port is used to connect to the central monitoring system through the standard network wire 8 Anti theft lock interface 9 Heat emission hole 10 Security lock used to prevent the power supply cord from falling 11 Equipotential grounding terminal if the monitor or other processing unit are used in internal examinations on the heart ensure that the room incorporates an equipotential grounding system to which the monitor and other processing unit have separate connection 12 Speaker 13 Fan 15 Patient Monitor User Manual Basic Operation 3 1 3 Side View 3 2 4 MennMove 50 1 Sensor interface 2 CO module holder 3 Recorder door 4 Battery door 1 3 2 4 MennMove 70 16 Patient Monitor User Manual Basic Operation 1 Sensor port 2 CO module holder 3 Recorder door 4 Battery door S47 Patient Monitor User Manual 3 1 4 Configuration Basic Operation Model Size LxWxH Function Configuration v ECG RESP SpO NIBP pu Y 261 mm L x 198 mm W x 215 mm H IBP TEMP Quick TEMP E CO Vis ECG RESP SpO NIBP 3 m OV 328mm L x 158mm W x 285mm H TEMP IBP C O CO AG 3 2 Operating and Navigati
8. a failure engineer or Manufacturer s service staff Stop measuring function of AG AG Comm Fail AG module failure or High module and notify communication failure biomedical engineer or Manufacturer s service staff Please perform AG Zero Required AG module requires zero Low zeroing AG Self Testing AG module is self testing Low idi Mies e s testing finishing AG Replace O O2 sensor needs to be Hish Please replace the O2 Sensor replaced E sensor Pl it check AG Check Adapter AG module checks adapter Low MS finishing O2 Cali Required O2 needs to be calibrated Low Please calibrate O ACHSE Brat AG module software Bist Please replace abnormal software revision Please check whether A le has h AG Hardware Error E Ena handang High the hardware work failure properly Please check whether AG Motor Error 2 EE Eo High the motor works abnormal properly Pl librate th AG Uncalibrated AG module uncalibrated Low sepe a ee AG module A l t Pl l th AG ReglaceviAdapior G module needs to High ease replace the change adapter adapter 42 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken Please make Oy O2 Out Of Range O is out of range High range resume normal AG TEMP Out Of AG module temperature Due quise He High temperature resume Range out of range normal Pl ke th AG Baro Press Out
9. 23 3 3 Selecting a Removable Devi ais 142 23 3 4 Reviewing Data Stored in a Removable Device oooooconocccioccnoccconccconaconcconnccnnnonnno 142 23 3 5 Deleting Data Stored in a Removable Device sse 142 23 3 6 Ejecting a Removable Device iaa 143 Chapter 24 Using Battery ec 144 24 1 Battery POW er dic AU este Du Nt m o beoe qoe iR o tede al 144 242 Battery Status on the Main Screen et c eee o aee tute ode cernes ida beu v dns 144 24 3 Checking Battery Performance Lucero ctp delete ii diiniita 144 244 Replacing the Babteby ooo veo seat enhn A 145 245 Recycling th Battery Loose iet teet pe m o oto tata me utens 146 24 6 Maintaining the Batter yc uie east tatoo 146 Chapter 25 Care and Cleaning src er PRORA RE PM ORE PER IEEE DNDVRRSPEVNEBEEPUPE PME sosoo sssi siss 147 25 1 General POS ds 147 25 0 TS HH S ennea ootosa desee E tM s pdt a seeds ho Ea eu cel quoa euE 147 252 sl Clear StS LOE aceto res t Qu o a ec RUNE roit dpa td nies eu etr Pata 147 25 2 2 Cleaning The ACCESSOS tote titius ue eec e eiie tet os alent ed 148 235 3 A trac Me Md E M MM CM Ed 149 Chapter 20 Maintenance cp 150 O eked taku hit als baat snes tons acht tabe o cc cael a d 150 26 2 Maintenance Task and Test Schedule eiii tenen ee Tienen tienes 150 Chapter 27 Warranty aud ico 152 214 Warranty rr ea 152 O e Ld 152 Chapter AA O O pad E 153
10. 28 1 ECG ACCESSOMES ts 153 29 2 SC ACCESS A A uidi Eo cab esu se Musas M UN a UE 154 28 3 NIBP ACCESSO ES sect board gaps hd dn rael ntm ut Nue E Saas 156 28 4 Tenp JNCGCSSOPIGB oie i tube tH E a e Sa O LED ELE 157 28 5 Quick Temp Accessories ose ve o da bi redeo sivi lsd PRO e ERI AEA 158 258 b BP ACCOSSODIES oU Sede Mete ndi ins ard tne a aeo ede does 158 28 7 COS ACCESSOLICS da 158 ZO Nd ACCOSSONES io 160 28 ACIACOCSSULOST Aoc o ge Ateste dad tasti Neg diee Sook 160 28 10 Other ACCESSOT ES T tan 161 A Prod ct Specification c c P 163 A O aac iis cs amps dui LUN Rt mae 163 A2 Physical Specifications ede ts ibo e as el n USE 163 ACZ A Size and Welght etii e tereti E dt eh AA A ed dues dede eu en 163 A2 Environment Specification 5 esee ef errem hr aoc e ed m e cr het damus 163 A2 SUD US OLA aae nd t Ge ite vede e d tes au Col uode 164 ALA Battery perra idad seri epa s etd nist 164 AS So O O 165 A216 Data Storage ics D 165 ANECO DE 166 hr dut T 171 A det asd Eam E Le enr te s 172 AO SD S die a c e hu LL e M M at LM M UM Ed 174 A T TEMP A a o ael gant 175 A9 TBP a A odes ova oie tabi sea A AA a 175 BP AD CO oc S Mai ade Mestre dune sd n i 176 WEN C E AA 179 AL IZ S St eae o M CM M im ae EM 180 A2 1 Phasein Sidestteatu ss eee o req e ba vote iere a e tiu 180 412 2 Phasein Mamstream asse e p dt o bere e ied cd e viu 182 B EMC A is 186 B 1 Electromagnetic Emissions for a
11. AG module baro pressure tence Pe High pressure value Of Range out of pressure resume normal AG AA Id Unreliable AG module can t identify Medium Reduce gas agent the AG agent type A lib I i eBay a E AG module is calibrating Low ee iu in Progress calibration finishing Wwe Please check whether AG Calibration Fail M moduler CaHDISHOR Medium the module works failure properly Please check whether l A l sE Unable To Calibrate i four cane Ve Medium the module works calibrated properly AG Zero In Progress AG module is zeroing Low Please wait zeroing Th li li i Repl AG Occlusion e samping Me Ul Medium ae me clogged sampling line AG Init Fail AG module has a failure High oe odie wor improperly AG Data Limit Error AG module has a failure High s Deer NOE improperly AG Usa Error AG module has a failure High 2 nodule NOS improperly AG Cal Fail AG module fails to High AG module works calibrate improperly AG Zref Fail AG module fails to zero High AO module NOS improperly AG Change Oxygen Replace oxygen sensor of L Please wait changing Sensor AG module TA finishing AG No Oxygen The oxygen sensor falls off Hich Connect the sensor Sensor from the AG module E again 43 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken m t AG Mixed Agents G module detects mixture Medium Close the subsidiary gas agent gas agent
12. Display screen 12 1 inch color TFT A maximum of 11 waveforms 70 supporting touch screen One power LED Resolution 800x600 Two alarm LED One charge LED A 2 4 Battery Specification Operating Time MennMove 2 1Ah 180 min or longer 50 4 2Ah 420 min or longer MennMove 2 1Ah 150 min or longer ki 4 2Ah 300 min or longer Condition At 25 C with a new fully charged battery batteries continuous SpO measurement and NIBP automatic measurement mode at interval of 15 minutes ECG TEMP module connected recording at interval of 10 minutes brightness set to 1 164 Patient Monitor User Manual Product Specification Charge Time MennMove 2 1Ah 200 min or shorter 1 4 2Ah 380 min or shorter MennMove 2 1Ah 200 min or shorter a 4 2Ah 360 min or shorter Condition Monitor is on or in standby mode A 2 5 Recorder Record Width 48 mm Paper Speed 25 mm s 50 mm s Trace 3 Recording types Continuous real time recording 8 seconds real time recording Time recording Alarm recording Trend graph recording Trend table recording NIBP review recording Arrhythmia review recording Alarm review recording Drug calculation titration recording Hemodynamic Calculation result recording 12 lead analysis recording C O measurement recording A 2 6 Data Storage Trend graph trend table review 1 hour at 1 Second Resolution by
13. Menu gt Review gt Trend Table and an interface is displayed Choose Resolution on the interface to open the list and select an appropriate interval among 1 sec 5 sec 1 min 5 min 10 min 30 min and 60 min 20 2 2 Scrolling the Screen All trend tables can t be displayed on the current screen due to the screen limitation The user can scroll left right up and down the screen manually to see measurement trend tables that do not fit 128 Patient Monitor User Manual Review in the current view by selecting and pressing the symbol Y D Y and displayed on the trend graph 20 2 3 Switching to Trend Graph The user can switch to the trend graph on the Trend Table interface To do so please select Menu gt Review gt Trend Table and select the Trend Graph option from the popup interface 20 2 4 Recording The monitor can make a tabular trend recording of the data in the current trend graph window The report will use the current trend interval settings For the detailed information about recording the trend table please refer to Chapter Recording 20 3 NIBP Review To review the NIBP measurement data select the NIBP Review key on the screen or select Menu gt Review gt NIBP Review then the NIBP Review window is displayed 20 3 1 Scrolling the Screen All measurement data can t be displayed on the current screen due to the screen limitation The user can scroll up and down the screen manually to see measurement
14. RVS SV1 amplitude QRS Duration RV5 SV1 Amp RV5 SV1 amplitude QT QTC Interval and Diagnosis code More information about diagnosis review please refer to Section 2 lead Diagnosis Review 8 12 2 Measurement and Interpretation The measurement function provides the automatic measurement of these common parameters such as heart rate PR interval QRS complex duration QT interval P QRS T axis RV5 SV1 amplitude etc The interpretation function provides the automatic diagnosis of hundreds of abnormal cases such as Arrhythmia AV block ventricular conduction block myocardial infarction ventricular hypertrophy and atria enlargement ST T abnormality and electrical axes deviation 76 Patient Monitor User Manual Monitoring RESP Chapter 9 Monitoring RESP 9 1 Overview The monitor measures respiration from the amount of thoracic impMennen Medical Ltd ce between two ECG electrodes The change of impMennen Medical Ltd ce between the two electrodes due to the thoracic movement produces a respiratory waveform on the screen 9 2 RESP Safety Information WARNING If you do not set the detection level for the respiration correctly in manual detection mode it may not be possible for the monitor to detect apnea If you set the detection level too low the monitor is more likely to detect cardiac activity and to falsely interpret cardiac activity as respiratory activity in the case of apnea The respiration measurement d
15. User selectable the average R R interval the next R wave advances onto the previous T wave PVC Single PVC detected in normal heartbeats User selectable Adult 5 consecutive QRS complex RR interval lt 0 5s HR range 120 300bpm TACHY M User selectable Pediatric neonatal 5 consecutive QRS complex RR interval lt 0 375s HR range 160 350bpm Adult 5 consecutive QRS complex RR interval gt 1 5s HR range 15 40bpm BRADY User selectable Pediatric neonatal 5 consecutive QRS complex RR interval gt 1s HR range 15 60bpm 30 Patient Monitor User Manual Alarm Information Message Cause Alarm level When HR is less than 120 beats min no heart beat is tested during the period 1 75 times of the average RR MISSED BEATS interval or User selectable When HR is gt 120 beats min no beat is tested within 1 second IRREGULAR RHYTHM The patient has irregular IRR User selectable heart rate PACE NOT CAPTURE After the pacemaker is PNC paced QRS complex can not be detected during User selectable 300ms PNP PACER NOT PACED After the QRS complex no U lectabl pace is detected during 1 75 times of RR interval sce cee VENTRICULAR BRADYCARDIA The interval of 5 VBRADY User selectable consecutive ventricular wave is more than 1000 ms VENTRICULAR RHYTHM The interval of 5 VENT consecutive ventricular wave ranges from 600 ms to User selec
16. oxyCRG This interface is always used in NICU because the SpO HR and Resp of the neonate are different from those of adults 7 7 Viewing Large Font Screen To open the large font screen please refer to the following steps 1 Select the Large Font key on the screen directly or 2 Select Menu gt Display Setting gt View Selection gt Large Font to open this interface To view the large font interface of specific parameter please select the parameter pull down dialog on the interface the red circle shown in the following figure icu EZ9 g2 Eric ECTS ro Eces v POW EX 2013 01 17 13 17 26 Admission Trend Graph Trend Table AlarmReview N 58 Patient Monitor User Manual User Interface 7 8 Viewing the Bed View Window The Bed View window allows you to view one waveform numeric information of all parameters and alarm information from another bed on the same network The monitor enables a maximum of eight beds to be viewed NOTE 1 The IP addresses of the monitors configured with bed view function should share the same network segment The IP addresses of the monitors on the same LAN should be unique from each other you cannot use the bed view function in the monitors in which an IP address conflict exits 2 To use the bed view function smoothly make sure the network connection is in good condition 3 n the Bed View window you cannot view the over limit alarms of physiological parameters occurring on
17. pulmonary artery The blood temperature alarm function will not work during the C O measurement When the measurement ends the function will automatically resume The current blood temperature is displayed in the C O parameter area 112 Patient Monitor User Manual Monitoring C O Flotation catheter Right atriume Right ventricle Thermodilution Catheter Site 17 8 Setting the Computation Constant The computation constant is associated with catheter and injective volume When the catheter is changed please adjust Constant in the C O Settings menu based on product description provided by the manufacturer 17 9 Recording C O Measurements C O measurement can be recorded by the recorder To record the C O measurement please select Record in the C O Measure menu 17 10 Setting INJ TEMP Source To change the INJ Temp Source please 1 Select Inj Temp Source in the C O Settings menu 2 Select Auto or Manual from the list Manual directly displaying the injective temperature from INJ TEMP e Auto indicating the system obtains the injective temperature through sampling 113 Patient Monitor User Manual Monitoring AG Chapter 18 Monitoring AG 18 1 Overview The monitor uses ISA sidestreasm gas analyzer hereinafter called ISA analyzer and IRMA mainstream module hereinafter called IRMA module to monitor the anesthetic gas which can be used to measure the gases of adult pediatric and neonat
18. 2 rpm 0 to 5 rpm not specified Apnea Alarm delay 10s 15s 20s 25s 30s 35s 40s The default value is 20s 171 Patient Monitor User Manual A 5 NIBP Product Specification MENNEN MEDICAL LTD Module Measurement Method Oscillometric Mode Manual Auto Continuous Measuring interval in AUTO 1 2 3 4 5 10 15 30 60 90 120 240 480 min Mode Continuous 5min interval is 5s Measuring type SYS DIA MAP PR Measurement Range Adult mode SYS 40 mmHg 270 mmHg DIA 10 mmHg 215 mmHg MAP 20 mmHg 235 mmHg Pediatric mode SYS 40 mmHg 200 mmHg DIA 10 mmHg 150 mmHg MAP 20 mmHg 165 mmHg Neonatal mode SYS 40 mmHg 135 mmHg DIA 10 mmHg 100 mmHg MAP 20 mmHg 110 mmHg Cuff pressure measuring range 0 mmHg 300 mmHg Accuracy Maximum mean error 5mmHg Maximum standard deviation 8mmHg Pressure resolution ImmHg Maximum measuring period Adult Pediatric 120s Neonate 90s Typical measuring period 30s 45s depend on HR motion disturbance Overpressure protection Adult 297 3mmHg Pediatric 240 3mmHg Neonatal 147 3mmHg 172 Patient Monitor User Manual Product Specification PR Measurement range 40 bpm 240bpm Accuracy 3bpm or 3 5 whichever is greater Omron Module Method Oscillometric Mode Manual Auto Continuous Measuring Interva
19. 3 2 1 1 Permanent Keys A permanent key is a graphical key that remains on the screen all the time to give you fast access to functions E Menu enter the main setup menu ES Mute key close the audio alarm to switch off the alarm 3 2 1 2 Shortcut Keys A shortcut key is a configurable graphical key located at the bottom of the main screen It gives you fast access to functions The selection of shortcut keys available on your monitor depends on your monitor configuration and on the options purchased y i ZR RM 4 amp Perform a 12 lead analysis Switch to the standard screen Exit from 12 lead analysis Switch to the OxyCRG screen Access the 12 lead review Am A Switch to the large font screen Perform 12 lead record Set the module switch 1 Admit a patient Change the key volume Review the trend graph Adjust the screen brightness 20 Patient Monitor User Manual Basic Operation Review the trend table gt Zero the IBP sensor x Review the alarm event Al Alarm setup ny Access the NIBP review all Change the beat volume Al ra Access the ARR review Enter standby mode Switch to the trend screen Enter night mode x Select this item by the trim knob to enable the touch screen operation 3 2 1 3 Hardkeys A hardkey is a physical key on a monitoring device such as the recording key on the front panel 3 2 1 4 Pop up keys Pop up keys are task related graphical keys that appear automaticall
20. 63 Patient Monitor User Manual Monitoring ECG pace pulses B The QRS should be tall and narrow B The P waves and the T waves should be less than 0 2 mV 8 6 Monitoring Procedure 8 6 1 Preparation The skin is a poor conductor of electricity therefore preparation of the patient s skin is important to facilitate good electrode contact to skin Wi Select sites with intact skin without impairment of any kind B Shave hair from sites if necessary B Wash sites thoroughly with soap and water Never use ether or pure alcohol because this increases skin impMennen Medical Ltd ce E Rub the skin briskly to increase capillary blood flow in the tissues and remove skin scurf and grease 8 6 2 Connecting ECG Cables 1 Attach clip or snap to electrodes prior to placement 2 Put the electrodes on the patient Before attaching apply some conductive jelly on the electrodes if the electrodes are not electrolyte self supplied 3 Connect the electrode lead to the patient s cable CAUTION To protect the monitor from damage during defibrillation for accurate ECG information and to protect against noise and other interference use only ECG electrodes and cables specified by MENNEN MEDICAL LTD 8 7 Selecting Lead Type To change the lead type please 1 Select the ECG parameter area open the ECG Setup menu 2 Set Lead Type to 3 Leads 5 Leads or 12 Leads based on the lead used 8 8 Installing Electrodes NOTE The follo
21. 89 Patient Monitor User Manual Monitoring NIBP air leaks In this case the user should check for loose connection After confirming secure connections the user should re perform the pneumatic test If the failure prompt still appears please contact the manufacturer for repair Diagram of NIBP Air Leakage Test 90 Patient Monitor User Manual Monitoring TEMP Chapter 13 Monitoring TEMP 13 1 Overview Body temperature is measured by means of a thermistor probe a semiconductor whose resistance changes with temperature that is inserted in the rectum Two TEMP probes can be used simultaneously to measure two TEMP values and get the temperature difference The standard configuration is axilla sensor for adult 13 2 TEMP Safety Information WARNING 1 Verify probe cables fault detection before the beginning of monitoring phase Unplug the temperature probe cable of the channe1 from the socket and then the screen will display the error message TEMP T1 Sensor Off and the audible alarm is activated It is the same to the other channel 2 Take the TEMP probe and cable carefully When they are not in use you should coil up the probe and cable into a loose circle If the wire inside the cable is tensely pulled it may cause mechanical damage to the probe and the cable 13 3 TEMP Monitoring Setup With a reusable TEMP probe you can plug the probe directly into the monitor Apply the TEMP probes securely to the patient Swit
22. 9 Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC EN standards e g IEC EN 60950 for data processing equipment and IEC EN 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the standard IEC EN 60601 1 1 Therefore anybody who connects additional equipment to the signal input or output connector to configure a medical system must make sure that it complies with the requirements of the valid version of the system standard IEC EN60601 1 1 If in doubt consult our technical service department or your local distributor 10 Only patient cable and other accessories supplied by MENNEN MEDICAL LTD can be used Or else the performance and electric shock protection cannot be guaranteed and the patient may be injured Patient Monitor User Manual Intended Use and Safety Guidance WARNING 11 Do not rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level or off during patient monitoring may result in a hazard to the patient Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment 12 When interfacing with other equipment a test for leakage current must be performed by qualified biomedical engineering personnel before using with patients 13 During monitoring if the power supply is off and there i
23. C 55 C 182 Patient Monitor User Manual Humidity Working 25 80 non condensing Transport and Storage 25 93 non condensing Altitude Working 860hPa 1060hPa Transport and Storage 700hPa 1060hPa Module Type IRMA AX Displaying the concentration of CO N20 and two anaesthesia agent and indentifying two anaesthesia agent Measurement CO N20 HAL Isoflurane ISO Enflurane ENF Sevoflurane SEV P Desflurane DES awRR MAC arameters Measurement CO N2O anaesthesia agent infra red absorption characteristic Principle Warm up Time Concentrations are reported and the automatic agent indentification is running within 10 seconds 20 seconds for IRMA AX Rise Time CO x 90ms N20 x 300ms HAL ISO ENF SEV DES x 300ms Primary Agent 0 15 vol Threshold Secondary Agent 0 2 vol 10 of total agent concentration Threshold Agent lt 20 seconds typically less than 10 seconds Identificaiton Time Response Time lt 1 second Data Update 1 second Time Accuracy Standard Conditions Gas Range Accuracy CO 0 10 vol 10 15 vol 15 25 vol 0 2 vol 2 of reading 0 3 vol 2 of reading Unspecified 183 Product Specification Patient Monitor User Manual Product Specification N20 0 to 100 vol 2 vol 2 of re
24. LA Lead Off the skin or the ECG cable Low LA falls off the monitor ECG electrode RA falls off ECG RA Lead Off the skin or the ECG cable Low RA falls off the monitor Check lead E i l i ECG Signal Exceed E oai M High connection and beyond measuring range T patient condition The amplitude of ECG Please modify the PCS SEE signal is too wide BOW ECG gain 2353 Patient Monitor User Manual Alarm Information communication failure Message Cause Alarm Level Action Taken Stop measuring function of ECG ECG Comm Fail ECG module failure or High module and notify communication failure biomedical engineer or manufacturer s service staff Check lead f E i ignal i ECG Noise jn V DNE Signa IS Tow connection and greatly interrupted patient condition ECG electrode V1 falls off ECG V1 Lead Off the skin or the ECG cable Low V1 falls off ECG electrode V2 falls off ECG V2 Lead Off the skin or the ECG cable Low V2 falls off ECG electrode V3 falls off ECG V3 Lead Off ies EOS ECG cable Low Mate cine dir A MOM electrodes leads and ECG electrode V4 falls off et canles hg ECG V4 Lead Off the skin or the ECG cable Low PROPS Conners V4 falls off ECG electrode V5 falls off ECG V5 Lead Off the skin or the ECG cable Low V5 falls off ECG electrode V6 falls off ECG V6 Lead Off the skin or the ECG cable Low V6 falls off Stop measuring function of RES
25. NOTE The width of the cuff should be either approximately 4096 of the limb circumference 5096 for neonates or 2 3 of the upper arm length The inflatable part of the cuff should be long enough to encircle 50 8096 of the limb The wrong size of cuff can cause erroneous readings If the cuff size is in question use a larger cuff es me T Cuff Usage 87 Patient Monitor User Manual Monitoring NIBP 3 Connect the cuff to the air tubing 4 Check whether the patient mode is appropriately selected Access the Patient Setup menu from Menu Turn the knob to select the required patient Type in the Patient Info menu 5 Select a measurement mode in the NIBP Setup menu Refer to section Operation Prompts for details 6 Press the ey button on the front panel to start a measurement 12 7 Operation Prompts 1 Manual Measuring Access the NIBP Setup menu and set the Measure Mode item to Manual Then press the a button on the front panel to start a manual measurement During the idle period of measurement process press the e button on the front panel at any time to start a manual measurement Then press the ey button on the front panel to stop manual measurement and the system continues to execute auto measurement program according to the selected time interval 2 Automatical Measurement Access the NIBP Setup menu and set the Measure Mode item to Auto then press the a button on the front panel to start the automatica
26. Water trap of SideStream is Make sure the gas I ane occluded uen exhaust works well The CO concentration Reduce CO CO Out Of Range exceeds the accuracy range High esu of CO2 module i Stop measuring CO Sensor Faulty CO module failure High TA S es module notify biomedical engineer Stop measuring CO l d CO Sensor Over laa KA ga C Maa function of CO the measure range of the High a Temp i module notify monitor gt biomedical engineer CO le fail heck if th t CO Comm Failed a Pe eee eto ee vee communication failure tray has been fixed Disconnect the sampling cannula or adapter from the airway initiate the CO Zero Required Zero calibration failure Low Zeroing before making sure that no expired air is inside the sampling cannula and adapter 44 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken 1 For the Respironics CO 1 For the Respironics CO module Check module The cannula is off whether the adapter or disconnected is properly connected CO Check Adapter 2 Or MES MENNEN Low ee ihe MEDICAL LTD CO adapter module The water trap is 2 For the MENNEN disconnected Or not MEDICAL LTD properly connected CO module Properly connect the water trap The AA concentration pues AUR AA Out Range exceeds the accuracy range High f concentration of AG module Stop measuring of The oxygen sensor of the ii moans
27. When the alarm is set to OFF the monitor won t give an alarm prompt even if an alarm occurs In order to avoid endangering the patient s life the user should use this function cautiously 2 Prior to monitoring make sure that the alarm limit settings are appropriate for your patient 3 Setting alarm limits to extreme values may cause the alarm system to become ineffective 4 3 2 Temporary Alarm Mute The monitor will give an audible alarm when there is an alarm during the audio alarm pause and the alarm indicator and screen flash indicating there is an alarm The top of monitor displays the following 1 Alarm pause symbol EX 2 The remaining pause time is displayed in text and the word background is red The user can set the audio alarm pause to 60 s 120 s or 180 s based on the requirement 4 3 3 Alarm Mute To mute the alarm please select Menu gt Maintenance gt User Maintain gt Alarm Setup and set Mute to On then press the key on the front panel for more than three seconds or press the Silence shortcut key on the screen directly And alarm reminder tone DO is heard every three minutes 28 Patient Monitor User Manual Alarms 4 3 4 Controlling Alarm Volume The monitor provides five levels of alarm volume 1 2 3 4 and 5 For adjusting the alarm volume please refer to Section Adjusting Alarm Volume 4 4 Latching Alarms To set the alarm latch function please select Menu gt Maintenance gt User Maintain
28. a well ventilated place Avoid breathing near the ISA side stream gas analyzer before or during the zeroing procedure 114 Patient Monitor User Manual Monitoring AG WARNING 13 The Nomoline sampling line and its interfaces are non sterile devices To avoid damage do not autoclave any part of the sampling line 14 Never sterilize or immerse the ISA analyzer in liquid 15 Measurements can be affected by mobile and RF communications equipment Make sure that the ISA analyzer is used in the electromagnetic environment specified in this manual 16 ISA analyzer is intended only as an adjunct in patient assessment It must be used in conjunction with other assessments of clinical signs and symptoms 17 Replace the sampling line if the sampling line input connector starts flashing red or a Nomoline occlusion message is displayed on the host 18 No modification of this equipment is allowed without authorization of the manufacturer If this equipment is modified appropriate inspection and testing must be conducted to ensure continued safe operation 19 ISA analyzers are not designed for MRI environments 20 During MRI scanning the monitor must be placed outside the MRI suite 21 Use of high frequency electrosurgical equipment in the vicinity of the monitor may produce interference and cause incorrect measurements 22 Do not use external ambient cooling of the ISA device 23 Do not apply negative pressure to the Nomoline to remove c
29. at the same time but only one is operative You can select a removable device as a working one among the plugging devices by selecting Menu gt Removable Device and choosing the device name from the list By default the first plugged removable device is the working one CAUTION 1 Not all the removable devices are compatible with the monitor Use the removable devices recommended by MENNEN MEDICAL LTD 2 Do not set the read only switch on the removable device to on when the removable device is inserted in the monitor 23 3 4 Reviewing Data Stored in a Removable Device To review data stored in a removable device select Menu gt Review gt External Data and choose a patient from the list to review the data including patient information trend graph trend table NIBP measurements arrhythmia event alarm event 12 lead diagnosis and waveform NOTE 23 3 5 Deleting Data Stored in a Removable Device To delete data of one patient choose the patient from the list after selecting Menu gt Review gt External Data and then click Delete Data on the Review menu Further confirmation of deletion is required To delete data of all patients select Menu gt Review gt External Data and click Delete all data on the External Data Review menu Further confirmation is required 142 Patient Monitor User Manual Other Functions 23 3 6 Ejecting a Removable Device Before unplugging a removable device from the monitor you need to select Men
30. can make the highlighted item shift up down left or right to choose the desired item Remember when using the knob rotate this button to highlight and press it to select the item 3 1 2 Rear View 2 MennMove 50 1 Equipotential grounding terminal if the monitor or other processing unit are used in internal examinations on the heart ensure that the room incorporates an equipotential grounding system to which the monitor and other processing unit have separate connection 2 Fan 12 Patient Monitor User Manual Basic Operation 3 Anti theft lock interface 4 Security lock used to prevent the power supply cord from falling 5 Power Supply Inlet 6 USB interface this port is used to connect the USB device 7 VGA Interface 8 Network interface this port is used to connect to the central monitoring system through the standard network wire 9 Defibrillator synchronization analog output When the user selects Analog Output the monitor outputs the waveform through the auxiliary output port When the user selects Defibrillation the monitor outputs the defibrillator synchronization signal through the auxiliary output port 10 Speaker 11 SD Card 2 8 3 9 10 11 MennMove 70 13 Patient Monitor User Manual Basic Operation 1 SD Card 2 USB interface this port is used to connect the USB device 3 Network interface this port is used to co
31. can scroll up and down the screen manually to see the analysis results or waveforms that do not fit in the current view by selecting and pressing the symbol Wut displayed on the 12 lead analysis review interface 20 6 2 Deleting Diagnosis Results The user can delete the analysis results displayed on the current screen by selecting Delete on the interface 20 6 3 Switching Between Waveforms and Results The user can review the analysis waveforms on the analysis result interface by selecting the Wave option and review the analysis results on the analysis waveform interface by selecting the Results option 20 6 4 Recording The monitor can record the 12 lead diagnosis waveforms or results displayed on the current screen To do so press Record on the interface For the detailed information about recording the diagnosis waveforms or results please refer to Chapter Recording 131 Patient Monitor User Manual Calculation and Titration Table Chapter 21 Calculation and Titration Table The monitor provides calculation function and titration table Calculations are patient data that are not directly measured but calculated by the monitor The monitor can perform drug calculation and hemodynamic calculation NOTE The drug calculation function acts only as a calculator The patient weights in Drug Calculation menu and in Patient Information menu are independent of each other Therefore changing the Weight in Drug Calculation menu will
32. cat O Sensor Error sidestream AG module has Medium nd SO a failure pd a Manufacturer s service staff Stop measuring function of TEMP QuickTemp Comm TEMP module failure or Hie module and notify Fail communication failure biomedical engineer or manufacturer s service staff The TEMP value is beyond Pte ne peden nto Temp exceed limit the range of 25 C Med me rie packer take it out and 45 C measure again TEMP sensor is not Connect the sensor No Temp Sensor connected to the TEMP Low and the monitor well module and measure again Put the sensor into the sensor bracket Ambient temp too The Sensor temperature is Low measure again after high higher than 40 C the ambient temperature reaches normal value 45 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken Ambient temp too low The Sensor temperature is lower than 10 C Low Put the sensor into the sensor bracket measure again after the ambient temperature reaches normal value Probe data error Offline NTC resistance gt R 0 9C Short NTC resistance lt R 100 C Med Put the sensor into the sensor bracket take it and measure again If the problem persists stop using measuring function of TEMP module and notify biomedical engineer or manufacturer s service staff out Probe heater error Single failure Med Put the sensor into the se
33. default 120 hrs at 1 min Resolution by default Alarm Monitoring Event data Up to 60 sets NIBP Measurement Review 1200 sets Arrhythmia events Up to 60 sets 12 lead Diagnosis Review Up to 50 sets 165 Patient Monitor User Manual A 3 ECG Product Specification 3 Lead I II III Lead Mode 5 Lead I II HI aVR aVL aVF V 12 Lead I II HI aVR aVL aVF V1 V2 V3 V4 V5 V6 Waveform 3 Lead 1 channel waveform 5 Lead 2 channel waveform max seven waveforms 12 Lead 2 channel waveforms waveform a maximum of 13 Lead naming style AHA IEC Display Sensitivity 1 25mm mV x0 125 2 5mm mV x0 25 S5Smm mV x0 5 10mm mV x1 20mm mV x2 40mm mV x4 AUTO gain Waveform Speed 6 25mm s 12 5mm s 25mm s 50mm s Bandwidth 3dB Diagnosis 0 05Hz to 150Hz Monitor 0 5Hz to 40Hz Surgery 1Hz to 20Hz Diagnosis gt 95dB the Notch filter is off ER E Mods Monitor gt 105dB the Notch filter is on Rejection Ratio Surgery gt 105dB the Notch filter is on Notch In diagnosis monitoring surgery mode 50Hz 60Hz Notch filter can be turned on or off manually Differential Input Impendance gt SMQ Input Signal Range 10mV peak to peak value Accuracy of Input Signal The total error and frequency response comply with Reconstruction ANSI AAMI EC13 2002 Sect 4 2 9 8 Electrode Offset Potentia
34. gt Alarm Setup and set Alarm Latch from the pull down list If it is set to On when an alarm occurs the monitor will display the alarm message of the parameter in the alarm status area If the parameter resumes to normal the alarm information of this parameter still displays in the alarm display area and the alarm time is also displayed If many parameters appear to be latching alarms the alarm messages are displayed in the physiological alarm message area in turn To deselect the alarm latch please set Alarm Latch to Off When Alarm Latch is set to Off the latch function is invalid 4 5 Disabling Sensor Off Alarms To set sensor off alarm please select Menu gt Maintenance gt User Maintain and enter the required password ABC Then select Alarm Setup and set Sensor Off Alm from the pull down list If it is set to On and a sensor off alarm occurs the user can press the Mute key on the front panel to disable the alarm signal Then the alarm indicator stops flashing and the monitor is in temporary mute alarm status If the user presses the Mute key again or the temporary mute time ends no audible alarm for sensor off status will be resumed Instead sensor off status will be announced with a prompt message 4 6 Testing Alarms When you switch the monitor on a self test is started You must check that the alarm indicator lights and that you hear a single tone This indicates that the visible and audible alarm indicators are functioning
35. inserted directly into the circulatory system A pressure transducer connected to the catheter converts the mechanical force exerted by the blood into an electrical signal which is displayed graphically as pressure versus time on a monitor screen or numerically on digital display The monitor measures direct blood pressure of one selected blood vessel through two channels or four channels and displays waveforms and pressure of measured direct blood pressure SYS DIA and MAP 15 2 IBP Safety Information WARNING 1 The operator should avoid contact with the conductive parts of the appurtenance when it is connected or applied 2 When the monitor is used with HF surgical equipment the transducer and the cables must be avoided from conductive connection to the HF equipment This is to protect against burns to the patient Disposable IBP transducer or domes should not be reused 4 Ifany kind of liquid other than solution to be infused in pressure line or transducer is splashed on the equipment or its accessories or enters the transducer or the monitor contact the Hospital Service Center immediately NOTE 1 Use only the pressure transducer listed in the IBP Accessories 2 Calibrate the instrument either whenever a new transducer is used or as frequently as dictated by your Hospital Procedures Policy 15 3 Monitoring Procedures Preparatory steps for IBP measurement 1 Plug the pressure cable into the corresponding socket and switc
36. more than 1000 ms VENT VENTRICULAR RHYTHM The interval of 5 consecutive ventricular wave ranges from 600 ms to 1000 ms Eu Patient Monitor User Manual Monitoring ECG 8 11 2 ARR Analysis Menu 8 11 2 1 Switching ARR Analysis On and Off To switch ARR Analysis on or off in the ECG Setup menu select ARR Analysis to toggle between On and Off from the popup interface 8 11 2 2 PVCs Alarm Select On in the menu to enable prompt message when an alarm occurs select Off to disable the alarm function and there will be a symbol ES beside PVCs WARNING When the PVCs Alarm is set to OFF the monitor won t give an alarm prompt even if an alarm occurs In order to avoid endangering the patient s life the user should use this function cautiously 8 11 2 3 ARR Relearning Pick this item to start a learning procedure and ECG ARR LEARNING is displayed on the screen The ECG ARR LEARNING will start automatically in the following status Changing lead type Connection leads Updating the patients Starting ARR learning manually After the ARR analysis is switched on The module is set to on Calibration mode is changed to normal measurement mode Exiting the Demo mode Exiting the standby mode 8 11 2 4 ARR Alarm The users can switch on or off all arrhythmia alarms by selecting ECG Setup gt ARR Analysis gt ARR Alarm And some arrhythmia alarms can be individually switched on or off They are ASYSTOLE VFIB VTA
37. of Heart Rate Meter and Response to Irregular Rhythm Complies with ANSI AAMI EC13 2002 Sect 4 1 2 1 e The HR value displays after a stable period of 20s Ventricular bigeminy 80bpm 1bpm Slow alternating ventricular bigeminy 60bpm 1bpm Rapid alternating ventricular bigeminy 120bpm 1bpm Bidirectional systoles 91bpm 1bpm 16 different arrhythmia analysis classification applicable to adult and pediatric ASYSTOLE VFIB VTAC COUPLET VT gt 2 BIGEMINY TRIGEMINY VENT Ron T PVC TACHY BRADY MISSED BEATS IRR VBRADY PNC PNP 169 Patient Monitor User Manual Product Specification 12 lead ECG Synchronization Analysis Average parameters of heart beat Heart rate bpm Time limit of P wave ms PR interval ms QRS interval ms frequency 10Hz QT QTC ms P QRS T AXIS ECG Analog Output Diagnosis 0 05Hz 100Hz Bandwidth 3dB reference Monitor 0 5Hz 40Hz Surgery 1Hz 20Hz Maximum transmission delay 500ms in diagnostic mode and with notch off Sensitivity 1V mV 10 PACE rejection enhancement Without Pace enhancement or pace rejection Waveform Display Consistent with the calculation leads Compliant with Standard and Directive Complies with the requirements in terms of short circuit protection and leakage current in EN60601 1 Defib Sync Pulse Output wave Square pulse Outp
38. of the IRMA probe protects the airway adapter from secretions and effects of water vapor and eliminates the need of changing the adapter It allows free positioning of the IRMA probe as well ER ano ise uc lc uet M 07 i 6 Unless the IRMA probe is protected with an HME always position the IRMA probe with the status LED pointing upwards 120 Patient Monitor User Manual Monitoring AG 18 3 2 1 Placement of IRMA Probe When connecting IRMA probe to an infant patient circuit it is important to avoid a direct contact between the IRMA probe and the infant s body If for whatever the reason the IRMA probe is in direct contact with any parts of the infant s body an insulation material shall be placed between the IRMA probe and the body WARNING The IRMA probe is not intended to be in long term skin contact 18 3 2 2 Performing a Pre use Check Prior to connecting the IRMA airway adapter to the breathing circuit verify the O calibration by checking that the O reading on the monitor is correct 21 See the following section on how to perform air calibration Always verify gas readings and waveforms on the monitor before connecting the airway adapter to the patient circuit Perform the tightness check of the patient circuit with the IRMA probe snapped on the IRMA airway adapter 18 3 2 3 Zeroing WARNING Incorrect probe zeroing will result in false gas readings In order to secure high preci
39. or artifacts from pulsating blood flow This is particularly important for neonates 9 8 Selecting Resp Lead To change Resp lead in the Resp Setup menu select Resp Lead to pick up the appropriate lead from the pop up list 9 9 Changing Hold Type To change the calculation mode in the Resp Setup menu set Hold Type to Manual or Auto When it is set to the AUTO mode Hold High and Hold Low are unavailable and the monitor can calculate the respiration rate automatically When it is set to the Manual mode you can adjust the broken lines in RESP area by the Hold High and Hold Low items 9 10 Changing the Size of the Respiration Wave Select the Resp waveform area to open the Resp Wave Setup menu Select AMP then choose an appropriate value The value is bigger the waveform amplitude is higher Select Sweep select an appropriate setting from the pop up list 9 11 Using Resp Alarms Resp alarms can be switched on and off and the high and low alarm limits can be changed just like other measurement alarms as described in the Alarms chapter 9 12 Changing the Apnea Time The apnea alarm is a high priority red alarm used to detect apneas The apnea alarm delay time defines the time period between the point where the monitor cannot detect any respiration activity and the indication of the apnea alarm 1 Inthe Resp Setup menu select Apnea Alm 2 Select the appropriate setting from the popup list 79 Patient Monito
40. other beds Besides arrhythmia alarms and vital alarms will be indicated only by alarm icons 7 8 1 Opening the Bed View Window Before opening the Bed View window make sure the bed view function is configured on your monitor To open the Bed View window select Menu gt Display Setup and choose Bed View in the View Selection list 7 8 2 Settings of the Bed View Window Click on the Bed View window to open the ViewBed Setup menu on which you can Assigna bed to be viewed by selecting the bed No in the Bed No list Select the waveform to be displayed on the window in the Wave Type list Use the buttons 4 and PP to view more numeric information of parameters in the window 7 9 Changing Parameter and Waveform Colors The user can set the display colors of parameter and waveform as desire To change the display color please select Menu gt Maintenance gt User Maintain enter the required password ABC Then select Color Select to make color changes on parameter and color 7 10 User Configuration Users can save the current monitor s configuration delete the saved user configuration and rename it Three pieces of user configuration can be saved in the monitor 59 Patient Monitor User Manual User Interface To save the user configuration 1 Select Menu gt Maintenance gt User Maintain enter the required password ABC and then select User Configure 2 Click on Save enter a file name for the configurati
41. pressure measurement Quick TEMP Is Warming Up Quick TEMP Is Warming Up Place Probe On Measure Place Probe isn t placed on the measurement site CO Standby Turn from measuring mode to standby mode making the module in energy saving status CO Sensor Warm Up The CO module is in warm up state Zeroing The CO module is performing the zero calibration Excessive C O Temp TB measuring value is beyond measuring range Excessive Temp C O Measurement Fail C O measuring needs parameters C O measure need param HEMOD calculation needs parameters Insufficient factors for Hemod Dynamics HEMO Dynamics calculation needs parameters No Sensor C O measurement fail No Sensor C O measurement fail Measuring The C O module is performing measuring Ready for new measurement C O module is ready for new measurement Invalid C O result C O measurement result is invalid C O Measurement Complete C O Measurement is completed C O Measurement Abort C O Measurement is aborted Warm up over The monitor displays this message after taking the sensor out of the bracket and warm up is over 48 Patient Monitor User Manual Alarm Information Message Cause Measure over After the Predict measuring is over the data and message display on the interface Measure time out No measu
42. training in the use of such equipment and who are capable of applying it properly 3 EXPLOSION HAZARD Do not use the device in a flammable atmosphere where concentrations of flammable anesthetics or other materials may occur 4 SHOCK HAZARD The power receptacle must be a three wire grounded outlet A hospital grade outlet is required Never adapt the three prong plug from the monitor to fit a two slot outlet 5 Extreme care must be exercised when applying medical electrical equipment Many parts of the human machine circuit are conductive such as the patient connectors electrodes transducers It is very important that these conductive parts do not come into contact with other grounded conductive parts when connected to the isolated patient input of the device Such contact would bridge the patient s isolation and cancel the protection provided by the isolated input In particular there must be no contact of the neutral electrode and ground 6 Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements X ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation 7 Route all cables away from patient s throat to avoid possible strangulation 8 Devices connecting with monitor should be equipotential
43. 078142 Adult Nasal CO2 with O2 delivery sampling cannula 11 57 078143 Pediatric Nasal CO2 with O2 delivery sampling cannula 11 57 078144 Infant Nasal CO2 with O2 delivery sampling cannula 159 Patient Monitor User Manual Accessories Part Number Accessories 11 57 101019 Adult Nasal Oral CO2 sampling cannula 11 57 101020 Pediatric Nasal Oral CO2 sampling cannula 11 57 101021 Adult Nasal Oral CO2 with O2 delivery sampling cannula 01 12 031598 Adult Pediatric Airway adapter kit 11 57 078140 Disposable CO2 Nasal Cannula Pediatric Respironics 3468PED 00 11 57 078141 Disposable CO2 Nasal Cannula Infant Respironics 3468INF 00 11 57 078152 Pediatric Infant Airway adapter kit with dehumidification tubing 11 57 078158 Pediatric mask mainstream 9960PED 00 11 57 078159 Adult standard mask mainstream 9960STD 00 11 57 078160 Adult large mask mainstream 9960S TD 00 11 57 078161 Band mainstream 8751 00 11 12 078162 bayonet socket 28 8 C O Accessories Part Number Accessories 01 57 471012 Cardiac output cable 11 13 40119 In line Injection temperature probe BD 684056 SP4042 11 57 40120 In line Injection temperature probe housing BD 680006 SP5045 11 57 100175 Control Syringe Medex MA387 Not applicable to MennMove 50 28 9 AG Accessories Par
44. 125 X0 25 X0 5 X1 X2 X4 and Auto If you want to change it please refer to section Changing the size of the ECG Wave The symbol indicates Filter setting there are three options monitoring surgery diagnosis If you want to change it please refer to section Changing the ECG Filter Setting 8 3 1 Changing the Size of the ECG Wave If any of the displayed ECG waveform is too small or clipped you can change the size of it on the screen First select ECG Wave Setup gt ECG Gain then select an appropriate factor from 62 Patient Monitor User Manual Monitoring ECG the pop up box to adjust the ECG waveform X0 125 to make strength of ECG signal waveform of 1mV become 1 25mm X0 25 to make strength of ECG signal waveform of 1mV become 2 5mm X0 5 to make strength of ECG signal waveform of ImV become 5mm X1 to make strength of ECG signal waveform of ImV become 10mm X2 to make strength of ECG signal waveform of ImV become 20mm XA to make strength of ECG signal waveform of ImV become 40mm Auto let the monitor choose the optimal adjustment factor for all the ECG waves 8 3 2 Changing the ECG Filter Settings The ECG filter setting defines how ECG waves are smoothed An abbreviation indicating the filter type is shown underneath the lead label on the monitor display Filter settings do not affect ST measurement To change the filter setting in the ECG Setup menu select Filter and then select the appropriate setting
45. 2 Alternative non specific pressure labels 15 5 Zeroing the Pressure Transducer To avoid inaccurate pressure readings the monitor requires a valid zero Zero the transducer in accordance with your hospital policy at least once per day You must perform a zero When you use a new transducer or tubing Every time you reconnect the transducer cable to the monitor If you think the monitor s pressure readings are not correct When using a pressure module the zero information is stored in the module 97 Patient Monitor User Manual Monitoring IBP 15 6 Zeroing a Pressure Measurement The zeroing procedure is listed as below 1 Turn off the stopcock to the patient 2 Vent the transducer to atmospheric pressure to compensate for the static and atmospheric pressure exerted on the transducer 3 Inthe setup menu for the pressure select Zero 4 When you see the message Zero Ok please close the stopcock to atmospheric pressure and open the stopcock to the patient 15 7 Troubleshooting the Pressure Zeroing Taking Art for Example The status message lists the probable cause of an unsuccessful calibration Message Corrective Action Art ZERO FAIL Make sure that the transducer is not attached to the patient Art SENSOR OFF FAIL Make sure that transducer is not off and then proceed zeroing IN DEMO FAIL Make sure that the monitor is not in DEMO mode Contact service technician if necessar
46. 3 5m reusable 01 57 471097 ECG Cable 5 lead clip defibrillator proof AHA 3 5m reusable 01 57 471098 ECG Cable 3 lead snap defibrillator proof IEC 3 5m reusable 01 57 471099 ECG Cable 3 lead clip defibrillator proof IEC 3 5m reusable 01 57 471089 ECG Cable 5 lead snap defibrillator proof IEC 3 5m reusable 01 57 471088 ECG Cable 5 lead clip defibrillator proof IEC 3 5m reusable 01 57 471196 ECG limb cable 3 lead snap AHA 0 63m DIN reusable 01 57 471198 ECG limb cable 3 lead clip AHA 0 63m DIN reusable 01 57 471195 ECG limb cable 3 lead snap IEC 0 63m DIN reusable 01 57 471197 ECG limb cable 3 lead clip IEC 0 63m DIN reusable 01 57 471193 ECG trunk cable 3 lead 6pin defibrillator proof AHA IEC 2 9m DIN reusable 01 57 471276 ECG conductive adhesive electrodes TYCO KENKALL MEDI TRACE 210 10PCS package 11 57 471056 Adult disposable adhesive electrodes TYCO H99SG 30PCS package CE 11 57 471057 Adult disposable adhesive electrodes TYCO Medi Trace 200 ENT 2TN0O TOOPCS packagcs FDA Children Neonatal disposable adhesive electrodes TYCO H124SG 50PCS package CE 28 2 SpO Accessories Part Number Accessories 154 Patient Monitor User Manual Accessories Part Number Accessories For MENNEN MEDICAL LTD Module 02 01 210119 MEN
47. 4 Tissue damage may be caused by incorrect application or prolonged measurement duration using the sensor more than 4 hours Inspect the sensor periodically according to the sensor user manual 5 Use only MENNEN MEDICAL LTD permitted sensors and extension cables with the monitor Other sensors or extension cables may cause improper monitor performance and or minor personal injury NOTE 1 Make sure the nail covers the light window The wire should be on the backside of the hand 2 SpO waveform is not proportional to the pulse volume 3 Avoid placing the sensor on extremities with an arterial catheter or intravascular venous infusion line 80 Patient Monitor User Manual Monitoring SpO 4 Don t use the functional tester to access the SpO accuracy The device is calibrated to display functional oxygen saturation The materials with which the patient or any other person can come into contact conform with the standard of EN ISO 10993 1 2003 10 3 Measuring SpO 1 Select the correct patient category setting adult pediatric and neonatal as this is used to optimize the calculation of the SpO and pulse numeric 2 During measurement ensure that the application site has a pulsatile flow ideally with a good circulation perfusion has not changed in its thickness causing an improper fit of the sensor 10 4 Measurement Procedure 1 Switch on the monitor 2 Attach the sensor to the appropriate site of the
48. 49 ANSI AAMI SP10 AAMI ANSI EC13 EN12470 4 EN1060 1 EN1060 3 EN1060 4 A 2 Physical Specifications A 2 1 Size and Weight Product Size Weight standard configuration without battery MennMove 50 261 mm L x 198 mm W x 215 mm H lt 3 6 kg MennMove 70 328mm L x 158mm W x 285mm H 5 5 kg A 2 2 Environment Specification The monitor may not meet the performance specifications given here if stored or used outside the specified temperature and humidity ranges When the monitor and related products have differing environmental specifications the effective range for the combined products is that range which is common to the specifications for all products Temperature Working 5 C 40 C Transport and Storage 20 C 55 C 163 Patient Monitor User Manual Product Specification Humidity Working 25 80 non condensing Transport and Storage 25 93 non condensing Altitude Working 860hPa 1060hPa Transport and Storage 700hPa 1060hPa Power Supply 100V 240V 50Hz 60Hz MennMove Current 1 0A 0 5A Fuse T 1 6AL 250V 50 MennMove Current 1 4A 0 7A Fuse T3 15AH 250V 70 A 2 3 Display Product Display Messages MennMove Display screen 8 4 inch color TFT A maximum of 11 waveforms 50 supporting touch screen One power LED Resolution 800x600 Two alarm LED One charge LED MennMove
49. 4Hz Mode is DO DO DO 0 8Hz The alarm Medium which is triggered once message flashes with every 25 seconds yellow background and the symbol is displayed at the alarm area The alarm indicator The alarm indicator flashes in yellow The flashes in blue The alarm Mode is DO which alarm message flashes message flashes with Low is triggered once every with yellow background yellow background and 30 seconds and the symbol is the symbol is displayed displayed at the alarm at the alarm area area The sound pressure range for audible alarm signals is from 45 dB to 84 dB 4 3 Controlling Alarm 4 3 1 Setting Parameter Alarm Parameter alarm settings including alarm switch alarm record alarm level and alarm limit are available on the respective alarm setup menu for each parameter To access the menu for j Y parameter alarm settings use the shortcut key A or select Menu gt Alarm Setup and then click Alarm Options to open the menu shown below for alarm settings of each parameter Also you can access this menu via the respective parameter setup menu 27 Patient Monitor User Manual Alarms HR Alarm Setup x Upper arrow or lower arrow to increase or decrease the High alarm limit Alarm Limit Switch on Setting value of X Record Off v high alarm limit n Level Med v Setting value of Low low alarm limit Alarm Limit WARNING 1
50. 6 PR PR Settings ADU PED NEO PR Source SpO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit 120 160 200 Alarm Low Limit 50 75 100 193 Patient Monitor User Manual Default Settings Pulse Volume 3 Alarm Source Auto C 7 NIBP NIBP Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit SYS 160 120 90 Alarm Low Limit SYS 90 70 40 Alarm High Limit Map 110 90 70 Alarm Low Limit Map 60 50 30 Alarm High Limit Dia 90 70 60 Alarm Low Limit Dia 50 40 20 MENNEN MEDICAL LTD Module Inflation value 160 140 100 Omron Module Inflation value 180 180 120 Unit mmHg Interval Manual C 8 TEMP TEMP Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit T1 39 0 39 0 39 0 Alarm Low Limit T1 36 0 36 0 36 0 Alarm High Limit T2 39 0 39 0 39 0 Alarm Low Limit T2 36 0 36 0 36 0 Alarm High Limit TD 2 0 2 0 2 0 194 Patient Monitor User Manual Default Settings Unit C C 9 Quick TEMP Quick TEMP Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit T1 39 0 39 0 Alarm Low Limit T1 36 0 36 0 Unit 2C C 10 IBP I
51. 9 12 12 T Procedure of Leak VCS oos ctetu e e dta d a eum 89 Chapter 13 Monitoring TEMD eerie retro toti eoo sexes epi e eouis eese bends Use pbec Se yy ed Eee RENTE ER ENS eau 91 IM ME VST VIC TT ans 9 13 2 TEMP Safety Information ia 9 133 TEMP Monitoring Setup usce dere tart bec Seo rt een en a e oc id t dat oc kt pda ve erc ben a 9 13 4 Calculating Temp Difference osos beso da quet c addi e 9 Chapter 14 Monitoring Quick TEMP eese eere eerte eee eene eren esee en sae ta seen sesta seta se tens se tona 92 ol i Df 92 14 2 Quick TEMP Safety InformatiOD uoriceecee etr ti eere eee cun 92 T4 3 Me s rine PROCS ES oen eot ertt dsd 93 14 3 1 Measurement for Oral Temperature ida didas 93 14 3 2 Measurements for Rectal Tempetatures seiii etti ett en biben abeo an 94 14 3 3 Measurements for Axillary Temperatures s ee eee e e teens 94 14 4 Changme Temp Unitas Dco ete nie Fede da viaa ibo e Fi fa qe M d 95 Chapter 15 Monitoring IBP ii 96 A A E ETE 96 I3 22IBP Safety O O e ear dl 96 15 3 Monitoring PS o de e Bde 96 15 4 Selecting a Pressure for Monitoring ii ts da dad 97 15 5 Zeroing the Pressure TEansdueet o ssepe eu ld 97 15 6 Zeroing a Pressure Measurement ute tere ld tier idas dune des 98 15 7 Troubleshooting the Pressure Zeroing Taking Art for Example sssss 98 15 8 IBP Pressure Calibration susana das 98 15 9 Troubleshooting the Press
52. BP Settings ADU PED NEO Alarm Switch On Alarm Record off Alarm Level Medium Unit mmHg Filter 12 5Hz SYS DIA MAP SYS DIA MAP SYS DIA MAP Alarm High Limit ART 160 90 110 160 90 110 160 90 110 P1 P2 Alarm Low Limit ART 90 50 70 90 50 70 90 50 70 P1 P2 Alarm High Limit PA 35 16 20 35 16 20 35 16 20 Alarm Low Limit PA 10 0 0 10 0 0 10 0 0 MAP MAP MAP Alarm High Limit CVP 10 10 10 RAP LAP ICP Alarm Low Limit CVP 0 0 0 RAP LAP ICP 195 Patient Monitor User Manual C 11 CO Default Settings CO2 Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Work Mode Standby Unit mmHg Apnea Time 20s O Compensate 16 Anes Agent 0 Alarm High Limit EtCO2 50 50 45 Alarm Low Limit EtCO 15 20 30 Alarm High Limit FiCO2 4 4 4 Alarm High Limit AWRR 30 30 100 Alarm Low Limit AWRR 8 8 30 Sweep 12 5mm s Amplitude Low C 12 C O C O Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit TB 43 0 43 0 43 0 Alarm Low Limit TB 23 0 23 0 23 0 Injective Temperature Auto Source Temperature Unit C Interval 30 Constant 0 542 196 Patient Monitor User Manual Default Settings C 13 AG AG Settings A
53. C R ON T VT gt 2 COUPLET PVC BIGEMINY TRIGEMINY TACHY BRADY MISSED BEATS IRR PNC PNP VBRADY and VENT To switch individual alarm on or off select ECG Setup gt ARR Analysis gt ARR Alarm The user can set the individual ARR alarm from the popup interface 74 Patient Monitor User Manual Monitoring ECG 8 12 12 Lead ECG Monitoring 8 12 1 Diagnosis Function To perform this function please 1 Set Lead Type in the ECG Setup menu to 12 Leads and set Display in the ECG Setup menu to 12 Leads 2 Select the ECG Analysis shortcut key on the screen 3 The Diagnosis Review interface is displayed shown in figure a And the diagnosis result is displayed on the interface after approximately 10 seconds shown in figure b Diagnosis Review E Analysis Time a HR P QRS T Axis PR Interval RV5 SV1 Amp QRS Duration RVS SV1 Amp QT QTC Interval Calculating Diag Code Diag Result 4 w Waveform L E Delete Record Print Figure a Diagnosis Review E Analysis Time 2013 01 11 14 05 41 1 1 HR 60bpm P QRS T Axis 54 44 499 PR Interval 176ms RV5 SV1 Amp 1 09 0 55mv QRS Duration 72ms RV5 SV1 Amp 1 64mv QT QTC Interval 339 339ms Diag Code Diag Result i 800 Sinus Rhythm y Waveform lt y Delete Record Print Figure b Figure b shows analysis time HR heart rate P QRS T Axis RR Interval RVS SV1 Amp 75 Patient Monitor User Manual Monitoring ECG
54. DICAL LTD Infant Single Patient SpO2 sensor SHD I big toe for patients between 3kg to 20kg 01 57 471238 MENNEN MEDICAL LTD Neonate Single Patient SpO2 sensor SHD N foot for patients less than 3kg For Nellcor Module 11 15 30043 Nellcor Reusable Adult SpO2 Sensor DS 100A OxiMax forefinger for patient over 30kg 11 15 40096 Nellcor Reusable Adult Neonate SpO2 Sensor OXI A N OxiMax forefinger or foot 155 Patient Monitor User Manual Accessories Part Number Accessories Nellcor SpO2 Extension cable Compatible with Nellcor OXI Max SpO2 11 13 0131 module and Nellcor sensor 28 3 NIBP Accessories Part Accessories Number For MENNEN MEDICAL LTD Module 01 57 471326 MENNEN MEDICAL LTD Reusable Blood Pressure Cuff Infant E5 01 57 471327 MENNEN MEDICAL LTD Reusable Blood Pressure Cuff Small Child E6 01 57 471328 MENNEN MEDICAL LTD Reusable Blood Pressure Cuff Child E7 01 57 471329 MENNEN MEDICAL LTD Reusable Blood Pressure Cuff Small Adult E8 01 57 471330 MENNEN MEDICAL LTD Reusable Blood Pressure Cuff Adult E9 01 57 471331 MENNEN MEDICAL LTD Reusable Blood Pressure Cuff Large Adult E10 01 57 471005 NIBP Tube 3m with connector 01 57 40020 Infant blood pressure cuff 10 19cm CM1201 01 57 40018 Pediatrics blood pressure cuff 18 26cm CM1202 01 57 40029 Adult bl
55. DU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Work Mode Measure Apnea Time 20s Unit O Compensate OFF Anes Agent HAL Alarm High Limit EtAA 8 0 8 0 8 0 Alarm Low Limit EtAA 0 0 0 0 0 0 Alarm High Limit FiAA 6 0 6 0 6 0 Alarm Low Limit FiAA 0 0 0 0 0 0 Alarm High Limit EtN20 55 55 55 Alarm Low Limit EtN20 0 0 0 Alarm High Limit FiN2O 53 92 53 Alarm Low Limit FiN2O 0 0 0 Alarm High Limit EtO2 90 0 90 0 90 0 Alarm Low Limit EtO 18 0 18 0 18 0 Alarm High Limit FiO2 88 0 88 0 88 0 Alarm Low Limit FiO2 18 0 18 0 18 0 Sweep 12 5mm s Amplitude 2 197 Patient Monitor User Manual D Abbreviations Abbreviation Abbr English Full Name Description AC Alternating current Adu Adult AG Anaesthesia gas Art Arterial aVF Left foot augmented lead aVL Left arm augmented lead aVR Right arm augmented lead awRR Airway respiration rate BP Blood pressure BTPS Body temperature and pressure saturated CI Cardiac index C O Cardiac output CISPR International Special Committee on Radio Interference CMS Central monitoring system CO Carbon dioxide COHb Carboxyhemoglobin CVP Central venous pressure DC Direct current Des Desflurane Dia Diastolic ECG Electrocardiogram EEC European Economic Community EMC Electromagnetic compatibility EMI Electromagnetic interference Enf Enflu
56. Delay 10s 15s 20s 25s 30s 35s 40s default value is 20s Zero Support O2 Compensation Support N5O Compensation Support Interfering gas and vapor effects Gas or vapour Gas level CO Agents ISA CO ISA AX N20 181 Patient Monitor User Manual Product Specification N20 60vol D D D HAL 4 vol D D D D ENF ISO SEV 5 vol 8 of T D reading gt DES 15 vol 12 of D D y reading gt Xe Xenon 80 vol 10 of D D reading gt He Helium 50 vol 69 of D D reading gt Metered dose Not for use with metered dose inhaler propellants inhaler propellants CoHsOH Ethanol 0 3 vol D D D D 4 C5H OH 0 5 vol 1 D D D Isopropanol CH3COCH3 1 vol y D D D Acetone CH Methane 3 vol B D D 1 CO Carbon 1 vol D D D D monoxide NO Nitrogen 0 02 vol D D D D monoxide 07 100 vol gt 2 D D Note 1 Interference at indicated gas level For example 50 vol Helium typically decreases the CO readings by 6 This means that if measuring on a mixture containing 5 0 vol CO and 50 vol Helium the actual measured CO concentration will typically be 1 0 06 5 0 vol 4 7 vol CO Note 2 In addition to the EN ISO 21647 standard A 12 2 Phasein Mainstream Temperature Working 10 C 40 C Transport and Storage 20
57. E DOPAMINE EPINEPHRINE ISUPREL LIDOCAINE NIPRIDE NITROGLYCERIN DRUG D PITOCIN HEPARIN Ku mu Unit DRUG E mEq When defining a drug select Drug A Drug B Drug C Drug D and Drug E based on the unit series NOTE 1 The drug calculation is displayed as invalid value before the user edits the drug name and patient weight and the user can t enter any value 2 Drip Rate and Drop Size are invalid in the neonatal mode 21 2 Titration Table After completing the drug calculation the user can open the Titration on the Drug Dose interface The user can change the following items in the titration table Basic O Step Dose Type The data in the trend table will vary with the changes above And the user can perform the following Scroll up and down the screen by selecting and pressing the symbol Y and displayed on the trend graph Record the data displayed in the current window by selecting Record 133 Patient Monitor User Manual 21 3 Hemodynamic Calculation 21 3 1 Calculation Procedure 1 The hemodynamic calculation interface is displayed by selecting Menu gt Common Function gt Hemodynamic 2 The user must input parameter value manually on this interface 3 Select Calculate to output parameter value 4 Select Confirm or Cancel to exit this menu 21 3 2 Input Parameters Abbreviation English Full Name Description PAWP Pulmo
58. ECG Menu Setup 8 9 1 Setting Alarm Source To change the alarm source please select ECG Setup gt Alarm Source then a pop up box is displayed HR the monitor considers the HR as HR PR alarm source PR the monitor considers the PR as HR PR alarm source AUTO If the Alarm Source is set to Auto the monitor will use the heart rate from the ECG measurement as the alarm source whenever the ECG measurement is switched on and at least one ECG lead can be measured without a technical condition The monitor will automatically switch to Pulse as the alarm source if a valid ECG lead can no longer be measured and a pulse source is switched on and available The monitor then uses the pulse rate from the measurement currently active as system pulse While Pulse is the alarm source all arrhythmia and ECG HR alarms are switched off If an ECG lead becomes available again the monitor automatically uses HR as alarm source 8 9 2 Smart Lead Off In 5 LEADS 12 LEADS mode if CH1 and CH2 cannot be measured because of the lead off or other reasons it can shift to other modes to collect an ECG waveform To change smart lead off setting please select ECG Setup gt Smart Leadoff then a pop up menu is displayed 8 9 3 Setting Beat Volume Beat volume is from HR or PR depending on your HR alarm setting Five selections are available 0 1 2 3 4 5 5 indicates the maximum volume 0 indicates the minimum volume To change the beat volum
59. ECG measurement is switched on and at least one ECG lead can be measured without a technical alarm condition The monitor will automatically switch to Pulse as the alarm source 84 Patient Monitor User Manual Monitoring NIBP Chapter 12 Monitoring NIBP 12 1 Overview This monitor uses the oscillometric method for measuring NIBP It can be used for adult pediatric and neonatal patients Oscillometric devices measure the amplitude of pressure changes in the occluding cuff as the cuff deflates from above systolic pressure The amplitude suddenly increases as the pulse breaks through the occlusion in the artery As the cuff pressure decreases further the pulsations increase in amplitude reach a maximum which approximates to the mean pressure and then diminish In adult and pediatric mode the blood pressure measurements determined with this device comply with the American National Standard for Electronic or Automated Sphygmomanometers ANSI AAMI SP10 1992 in relation to mean error and standard deviation when compared to auscultatory measurements in a representative patient population For the auscultatory reference the fifth Korotkoff sound was used to determine the diastolic pressure In neonatal mode the blood pressure measurements determined with this device comply with the American National Standard for Electronic or Automated Sphygmomanometers ANSI AAMI SP10 1992 in relation to mean error and standard deviation when compared t
60. ED NEO 191 Patient Monitor User Manual Default Settings ST Analysis Off Alarm Switch Off Alarm Level Medium Alarm Record Off Alarm High Limit 0 2 ST X Alarm Low Limit 0 2 ST X X stands for I II III aVR aVL aVF V V1 V2 V3 V4 V5 or V6 ARR Analysis ARR Analysis On PVCs Alarm Level Medium PVCs Alarm Switch Off PVCs Alarm Record Off ARR Alarm Settings Alarm Switch Alarm Level Alarm Record ASYSTOLE On High Off VFIB VTAC On High Off RONT On Medium Off VT gt 2 On Medium Off COUPLET On Medium Off PVC On Medium Off BIGEMINY On Medium Off TRIGEMINY On Medium Off TACHY On Medium Off BRADY On Medium Off MISSEDBEATS On Medium Off IRR On Medium Off PNC On Medium Off PNP On Medium Off VBRADY On Medium Off VENT On Medium Off 192 Patient Monitor User Manual Default Settings C 4 RESP RESP Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit 30 30 100 Alarm Low Limit 8 8 30 Apnea Time 20s Calculation Type Auto Resp Type II Sweep 12 5mm s Amplitude 1 C 5 SpOz SpO Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit 100 100 95 Alarm Low Limit 90 90 88 Pitch Tone On Sweep 12 5mm s C
61. EtHAL High EtHAL measuring value is above upper alarm limit User selectable EtHAL Low EtHAL measuring value is below lower alarm limit User selectable FiHAL High FiHAL measuring value is above upper alarm limit User selectable FiHAL Low FiHAL measuring value is below lower alarm limit User selectable 33 Patient Monitor User Manual Alarm Information Message Cause Alarm level EtENF High EtENF measuring value is above upper alarm limit User selectable EtENF Low EtENF measuring value is below lower alarm limit User selectable FiENF High FiENF measuring value is above upper alarm limit User selectable FiENF Low FiENF measuring value is below lower alarm limit User selectable EtISO High EtISO measuring value is above upper alarm limit User selectable EtISO Low EtISO measuring value is below lower alarm limit User selectable FiISO High FIISO measuring value is above upper alarm limit User selectable FilSO Low FIISO measuring value is below lower alarm limit User selectable EtSEV High EtSEV measuring value is above upper alarm limit User selectable EtSEV Low EtSEV measuring value is below lower alarm limit User selectable FiSEV High FiSEV measuring value is above upper alarm limit User selectable FiSEV Low FiSEV measuring value is below lower alarm limit User selectable EtDES High
62. IN manufactured IRMA airway adapters CAUTION 1 Do not apply tension to the probe cable 2 Do not operate the IRMA probe outside the specified operating temperature environment 3 Do not leave depleted oxygen sensors mounted in the IRMA probe even if the probe is not in use 18 3 Monitoring Steps 18 3 1 Monitoring Steps for ISA Analyzer 18 3 1 1 Performing a Pre use Check Before connecting the Nomoline sampling line to the breathing circuit do the following 1 Connect the sampling line to the ISA gas inlet connector LEGI 2 Check that the LEGI shows a steady green light indicating that the system is OK 3 For ISA OR and ISA AX module with O option fitted Check that the O reading on the monitor is correct 21 4 Breathe into the sampling line and check that valid CO2 waveforms and values are displayed on the monitor 5 Occlude the sampling line with a fingertip and wait for 10 seconds 6 Check that an occlusion alarm is displayed and that the LEGI shows a flashing red light 117 Patient Monitor User Manual Monitoring AG 7 If applicable Perform a tightness check of the patient circuit with the sampling line attached 18 3 1 2 System Setup for Analyzer If your system is using the plug in and measure ISA analyzer please follow the setup instructions below 1 Connect the ISA analyzer interface cable to the monitor 2 Connect a Nomoline sampling line to the ISA analyzer input connector 3 Conne
63. ING 1 Make sure that appurtenance applied is in conformity with relevant Medical Device Safety Requirements 2 Appurtenance should be avoided from contact with conductive metal body when being connected or applied NOTE To replace the catheter thermistor please enter the catheter computation coefficient into the Constant item according to the instruction 17 3 C O Monitoring Procedures 1 Plug the C O interface cable into the C O socket and turn on the monitor 2 Attach the injective probe connector and catheter thermistor connector to the appropriate parts of the cardiac output interface cable And open the patient information window to confirm the patients height and weight 3 Pick the C O Measure item in the C O Option menu 4 You can perform more than one measurement as required 5 After the completion of the measurement access the C O Measure window for Review to edit the measured data 108 Patient Monitor User Manual Monitoring C O e N YA 1 1 Monitor 2 Thermodilution Catheter 3 Cardiac Output Cable 4 Injectate Sensor Housing 5 Injectate 6 Delivery System 7 In line injectate Temperature probe C O Sensor Connection WARNING Make sure that the computational constant for the measurement is appropriate to the catheter used NOTE The blood temperature alarm will not function during C O measurement It will resume automatically when the measurement is over 17 4 C O Measurem
64. LA NIODITOEIEIES e E a e qd AE CMM ae C 72 8 11 1 Arrhythimia Analysis ee tasti eret via p ql deca i aes 72 S TT 2 ARR Analysis MO a eros E ENSE RS ts paste dedere epa Nequi aatuseed 74 8 12 12 Lead ECG Monitoring EA AAA a V NOS Dea teda 75 8 12 1 Diagnosis BHOC OTIEG d acu e re e Ce ER A e a o dl 75 8 12 2 Nieasurement andIBterpretatlofi ede oae e o dl 76 Chapter 9 Monitoring RESD iiinucee eere teta Pe eee oxvpo y eo Antara 77 O SOV ERVICW aut a o bene bebes senectute oae c i e eevee T1 92 RESP Safety Informati n dede tero ast See Tei teet ben Hai Gea edt ha redeo de eas 77 DPS SES IIS UAV eo eo eoe e actos sb eh sce te ali st dese aes pA suse acte 78 9 4 Electrode Placement for Monitoring Resp d n erbe ttt et haic Prts A Feb etia ber cdd 78 9 5 Cardiac OVErlayc cuc on pst tuc Ru bates NS Ne UR Ee t 78 96 Chest Ex pat SIMs os oap caer eb tle eee os ates venait lc icta aos 78 9 7 Abdominal BESA 79 9 8 Selecting Resp Ber 10 oto A O ESO unus a a 79 9 9 Changing Hold T VD me eee Pe pananta ia e E Mad r E 79 9 10 Changing the Size of the Respiration Wave esce is 79 9 14 Using Kesp AMAS ees teer ae deo evades Uv eer edet oa i dude va etra dera dr 79 9 12 Changing A s 79 Chapter 10 Monitoring PO roster corrido inner 80 IN M over NT X mae 80 10 2 SpO Safety INformations etus con eter Os 80 LO INEA Sp S scd iecore ort eec A dents Ite debt ate a 81 10 4 Measurement TOC COMES cae tese Sentier teni it
65. Limit to adjust the alarm limit 18 6 Setting Apnea Alarm Time This determines the time limit after which the monitor gives an alarm if the patient stops breathing 1 Select the AG Setup menu to open it 2 Select Apnea Alarm from the menu 3 Choose the apnea alarm time from the pop up list 18 7 Working Status of ISA analyzer Working status of the ISA analyzer can be indicated by the indicator For the detailed information please refer to the following table Indication Status Steady green light System OK Blinking green light Zeroing in progress Steady blue light Anesthetic agent present Steady red light Sensor error Blinking red light Check sampling line 18 8 Working Status of IRMA Module The working status of the IRMA module can be transmitted by the IRMA probe For the detailed information please refer to the following table Indication Status Steady green light System OK Blinking green light Zeroing in progress Steady blue light Anesthetic agent present Steady red light Sensor error Blinking red light Check adapter 123 Patient Monitor User Manual Monitoring AG 18 9 N20 and O2 Compensations The following models need O2 compensation IRMA AX IRMA CO ISA AX ISA CO The following models need N20 compensation IRMA CO and ISA CO For the compensation details please refer to the following table
66. NE D tpe e Eh ti Sal tenia Be 63 8 6 Monitoring Procedur LA seeds de pv en deus Mia iv d as d AU UE dee qu 64 SoU As Preparation esso coo a a cole alae eiue hof tust cc eh ales ae este 64 8 0 2 Connecting ECO Cables ne petii dis eo cote A ids Wasco te nee ces 64 O G 64 8 8 Installing Blecttodes uie da d rta mtd Ce abl v iab pus la C etta boc Av EO bid ded 64 8 8 l Electrode Placement Tor 3 ledd a eve on e geht ieu at in as 65 8 8 2 Electrode Placement for 5 lead iii 66 8 8 3 Electrode Placement for 12 lead iii 67 8 8 4 Recommended ECG Lead Placement for Surgical Patients sssse 68 5 9 ECG Men SEU eos ae ot eu Nd DD ius tU diae tit scm A LEM 69 SOAs Setting Alarm SOBECB esee te teo ads 69 5 92 Smart Lead Offi same d sacs eens nr etus tede erdum rod a Aca av otek eg eds 69 8 9 3 Setting Beat A AA 69 8 94 BUG DIS play eie pk t ERR det tea OR educ rH C O Res 70 85 9 5 Settitie Pace Stats unas a ERR e is 70 8 9 60 ECG Calibration c5 oot iege p SD brio asma n E 70 8 9 7 ECG Waveform Settings eere tht eoe rag nete a dete oie eii rerba edes 70 EE NINE A a a a r aE E e aaa aae aeaa i 71 810 ST Segment MONO assit ian en E Ad E 71 O Setting A a A E etd 71 8 10 2 ST DIA AA A et a eda dete leas 71 8 10 3 ST Analysis Alarm Setting S sers edet t e ra Socr vereint orte eoe diste 71 8 10 4 About ST Measurement Pr isa re ote ieee es 72 8 10 5 Adjusting ST and ISO Measurement Points esses 72 SA
67. NEN MEDICAL LTD SH1 Adult Reusable SpO2 Sensor Lemo Only compatible with MENNEN MEDICAL LTD SpO2 module 2 5 m finger type for patients more than 40kg 02 01 210120 MENNEN MEDICAL LTD SH1 Adult Reusable SpO2 Sensor DB9 Only compatible with MENNEN MEDICAL LTD SpO2 module and MENNEN MEDICAL LTD SpO2 Extension cable 1m finger type for patients more than 40kg 12 01 110492 MENNEN MEDICAL LTD SH3 Neonate Warp SpO2 Sensor DB9 Only compatible with MENNEN MEDICAL LTD SpO2 module and MENNEN MEDICAL LTD SpO2 Extension cable 1m hand or foot for patients less than 3kg 02 01 210122 MENNEN MEDICAL LTD SH4 Adult Silicone Soft tip SpO2 Sensor DB9 Immersion Disinfection Only compatible with MENNEN MEDICAL LTD SpO2 module and MENNEN MEDICAL LTD SpO2 Extension cable 1m finger type for patients more than 50kg 02 01 210121 MENNEN MEDICAL LTD SHS pediatric Silicone Soft tip SpO2 Sensor DB9 Only compatible with MENNEN MEDICAL LTD SpO2 module and MENNEN MEDICAL LTD SpO2 Extension cable 1m finger type for patients between 10kg to 50kg 01 13 210001 MENNEN MEDICAL LTD SpO2 Extension cable DB9 to Lemo 2m TPU 01 57 471235 MENNEN MEDICAL LTD Adult Single Patient SpO2 sensor SHD A forefinger for patients over 30kg 01 57 471236 MENNEN MEDICAL LTD Pediatrics Single Patient SpO2 sensor SHD P forefinger for patients between 10kg to 50kg 01 57 471237 MENNEN ME
68. NT and SYSTEMS Guidance and manufacture s declaration electromagnetic immuni g The monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Immunity test IEC EN 60601 test level Electromagnetic environment guidance Compliance level Electrostatic discharge ESD IEC EN 61000 4 2 6 kV contact 8 kV air Floors should be wood concrete or ceramic tile If floor are covered with synthetic material the relative humidity should be at least 30 6 kV contact 8 kV air 186 Patient Monitor User Manual EMC Information Electrical fast transient burst IEC EN 61000 4 4 2 kV for power supply lines 1 kV for input output signal 2kV for power supply lines 1 kV for input output signal Mains power quality should be that of a typical commercial or hospital environment Surge 1 kV for line to line 1 kV for line to Mains power quality i hould be that of IEC EN 61000 4 5 2 kV for line to ground porn d CU O atg hospital environment ground Power frequency 3A m 3A m Power frequency 50 60Hz magnetic fields should be at levels magnetic field characteristic of a IEC EN 61000 4 8 typical location in a typical commercial or hospital environment Voltage dips short lt 5 Ur lt 5 Ur Mains power quality int
69. ON CUFF CUFF NO 3 arm23 33cm applicable to MennMove 70 width12cm LATEX CE Only 01 57 471080 OMRON CUFF CUFF NO 4 arm30 40cm applicable to MennMove 70 widthl4cm LATEX CE Only 01 57 471081 OMRON Neonatal disposable cuff CUFF NO 10 arm3 5 6cm width2 5cm CE Only applicable to MennMove 70 01 57 471082 OMRON Neonatal disposable cuff CUFF NO 11 arm5 7 5cm width3cm CE Only applicable to MennMove 70 01 57 471083 OMRON Neonatal disposable cuff CUFF NO 12 width4cm CE Only applicable to MennMove 70 arm7 5 10 5cm 01 57 471084 OMRON Neonatal disposable cuff CUFF NO 13 arm8 5 13cm width5cm CE Only applicable to MennMove 70 01 59 473003 Connecting Tube for Neonatal Cuff Only compatible with Neonatal Disposable and NIBP Tube CUFF HOSE NO 3 length3 5m CE Only applicable to MennMove 70 28 4 Temp Accessories Part Number Accessories 01 15 040257 Neonatal pediatric Skin Temperature Probe 2 252K 157 Patient Monitor User Manual Accessories 01 15 040258 Neonatal pediatric Intracavitary Temperature Probe 2 252K 01 15 040259 Neonatal pediatric Skin Temperature Probe 10K 01 15 040260 Neonatal pediatric Intracavitary Temperature Probe 10K 01 15 040265 Skin Temperature Probe 2 252K 01 15 040266 Intracavitary Temperature Probe 2 252K 01 15 040267 Skin Temperatur
70. P RESP Comm Fail RESP module failure or High module and notify biomedical engineer or the manufacturer s service staff 36 Alarm Information Patient Monitor User Manual Message Cause Alarm Level Action Taken Check whether interference to the respiratory signal RR measuring value is out exists And check RR Exceed of the measure range less Medium whether the patient is than 6rpm or greater than breathing normally 150rpm breathing too rapidly or too slowly may endanger _patient s life Check whether the patient is breathing normally Take measures to help the patient breathe No RESP waveform can normally yem be detected due to apnea or Da c M Ane RESP Cardiac Artifact High patient is breathing shallow breathing of the patient normally try to adjust the electrode position on the patient in order to reduce the interference of cardiogenic artifact Check whether the RESP leads are well RESP Noise im d pe Meuse Low connected Keep the due to patient movement patient calm for better monitoring Make sure the sensor BOUE NRI A is well connected to SpO gt Sensor Off disconnected from the Low MEME patient or the monitor ie penents QUES or other parts Malfunction in the SpO Replace the SpO SpO Sensor Err sensor or in the extension Low sensor Or the cable extension cable SpO2 sensor was not Make sure the nO NU Sensor connected well QE en monitor and sensor
71. Quick Temp measurement isn t suitable for use during defibrillation 14 3 Measuring Procedure 14 3 1 Measurement for Oral Temperature 1 Ensure the oral probe white probe and probe well are installed 2 Remove the probe from the probe well 3 Observe the oral mode indicator on the screen flashing head icon If this icon is not flashing press the Measure Pos button and set it to Oral until the head icon appears 4 Load the probe cover 5 Place the probe tip deep into the patient s sublingual pocket as shown in the following figure Sublingual Pocket Measuring Position in Mouth 6 Do not hand the probe to the patient to place in his or her own mouth 7 Always hold the probe in place maintaining tissue contact until temperature is complete If necessary repeat the measurement procedure shown above 93 Patient Monitor User Manual Monitoring Quick TEMP NOTE 1 After one measurement the user should put the sensor well to the sensor bracket and then take it out for starting a new measurement 2 To ensure optimal accuracy always confirm that the correct measurement position is selected 14 3 2 Measurements for Rectal Temperatures 1 Ensure that the rectal probe red probe and probe well are installed 2 Remove the red probe from the probe well 3 Observe the Rectal Mode indicator on the display flashing lower body icon 4 Load a probe cover Apply lubricant if desired 5 Separate the butto
72. RR Relearning and so on And this character is called prompts About the detailed alarm information please refer to Section Prompts 4 2 Alarm Levels In terms of severity the device s alarm levels can be classified into three categories high level alarms medium level alarms and low level alarms 1 High level alarms Indicating that the patient is in a life threatening situation and an emergency treatment is demanded 2 Medium level alarms The patient s vital signs appear abnormally or the device system status is abnormal indicating that prompt operator response is required 26 Patient Monitor User Manual 3 Low level alarms Alarms The patient s vital signs appear abnormal or the device system status appears abnormally indicating that operator awareness is required The high medium low level alarms are indicated by the system in following different ways Alarm Physiological alarms Technical alarms Prompt level The alarm indicator The alarm indicator Mode is flashes in red with a flashes in red The alarm DO DO DO DO frequency of 1 4Hz Message flashes with red High DO 2 8Hz The alarm biu d au e DO DO DO DO D message flashes with red Sobal dan O which is triggered pack d d th the alarm area ground an e once every 10 seconds symbol is displayed at the alarm area The alarm indicator No definition flashes in yellow with a frequency of 0
73. Rt m A emma 132 21 1 1 C lc l tion fyi actuate a as ah ra ot oh tasa ce ed tpe bo 132 211 2 Calculation Unit esie serotonin enr rerit iei dea Re dede cna 133 23 2 Tutation E 10 sese em O 133 21 3 Hemodynamic C aleulation cus reo dec ye e Efe c tate co euet eios 134 21 3 1 Calculation Proc Ut 134 21 32 Input Parameters eee e E YR ea e tice ee tdt edi 134 21 3 3 Output Parameltets ur dece n rt IR ER es e I ER shesnctech seen eaue eects sean 134 Chapter 22 eng pomo m 136 22L General Taforratlon Saluda AS 136 22 2 Pertormauoe or the kr e do a a e a M Ed 136 22 3 Recording Ps ts os e da le M el o o um oe 137 22 4 Starting and Stopping Recording 000 A ee ds 137 22 5 Recorder Operations and Status Messages ii 138 22 5 1 Record Paper Requirements pci A tere eir oda to tede a iia 138 23952 Proper Pe Feat hea coe eee oet eset yaoi t api set ydo S Rte ih ssa aa es 138 22 5 3 Paper Dit 139 22 9 4 Replacmp dd od cia tund 139 2233 Removing Paper Jam osi vto recie te vali eto into vd edi ans 140 Chapter 23 Other Ql p DOI M 141 23N N tSE Call Meer TE TREE 141 23 2 Analog Output and Defibrillator Synchronization sess 141 23 3 Storing Data in a Removable Device 4 ec ce Shays dni im pu dasa tetas 141 23 3 1 Data Stored in the Removable Device ooooooccinccnnccconccconoconnconnnconcccono conc cono ccon conos 141 23 3 2 Activating Deactivating Data Storing essen 142
74. Signal cut d Ho Moose OI patient Low failure persists use pulse is too weak other methods to measure blood pressure Maybe the patient blood Use other methods NIBP Range Exceeded pressure value is beyond Low to measure blood the measurement range pressure Cuff is not properly Properly wrap the NIBP Loose Cuff wrapped or no cuff is Low culi connected Make sure that the Signal noise is too large or patient under NIBP Interference Low MT pulse rate is not regular monitoring 1S motionless Notify biomedical HW Excessive Hardware excessive Hich engineer or Pressure pressure protection E manufacturer s service staff Measuring time has Measure again or NIBP Time Out exceeded the specified Low use other measuring time methods T t l f RF Make sure tha d TEMP T1 Sensor Off d Low cable is properly disconnected from the connected monitor 40 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken Temperature cable of TEMP channel 2 may be Make sure that the TEMP T2 ff L i Sensor O A O ame e N cable is properly connected monitor h TEMPI measuring value is f chee Dee Excessive TI High connection and beyond measuring range i sss patient condition Check TEMP2 measuring value is eo ss Excessive T2 High connection and beyond measuring range T patient condition Stop me
75. TY mennen M medical since 1963 MennMove 50 70 Patient Monitor USER MANUAL MennMove 70 MennMove 50 DDM 000 014 Rev A April 2014 About this Manual P N DDM 000 014 REV A Release Date April 2014 Copyright MENNEN MEDICAL LTD 2012 2013 All rights reserved Statement This manual will help you understand the operation and maintenance of the product better It is reminded that the product shall be used strictly complying with this manual User s operation failing to comply with this manual may result in malfunction or accident for which MENNEN MEDICAL LTD hereinafter called MENNEN MEDICAL LTD cannot be held liable MENNEN MEDICAL LTD owns the copyrights of this manual Without prior written consent of MENNEN MEDICAL LTD any materials contained in this manual shall not be photocopied reproduced or translated into other languages Materials protected by the copyright law including but not limited to confidential information such as technical information and patent information are contained in this manual the user shall not disclose such information to any irrelevant third party The user shall understand that nothing in this manual grants him expressly or implicitly any right or license to use any of the intellectual properties of MENNEN MEDICAL LTD MENNEN MEDICAL LTD holds the rights to modify update and ultimately explain this manual Responsibility of the Manufacturer MENNEN MEDICAL LTD o
76. ading HAL 0 to 8 vol 0 15 vol 5 of reading ISO 8 to 25 vol Unspecified ENF SEV 0 to 10 vol 0 15 vol 5 of reading 10 to 25 vol Unspecified DES 0 to 22 vol 0 15 vol 5 of reading 22 to 25 vol Unspecified AwRR accuracy lrpm Real time gas Support concentration monitoring Zero Support Work Mode Measurement Apnea Alarm 10s 15s 20s 25s 30s 35s 40s default value is 20s Delay Interfering gas and vapour effects Gas or vapour Gas level CO Agents NO IRMA CO IRMA AX HAL 4 vol D y 1 D ENF ISO SEV 5 vol 8 of B 9 D reading DES 15 vol 12 of 2 9 D reading Xe Xenon 80 vol 10 of 1 D reading He Helium 50 vol 6 of 1 D reading Metered dose Not for use with metered dose inhaler propellants inhaler propellants C H sOH Ethanol 0 3 vol D D D E 4 C3H OH 0 5 vol a D D D Isopropanol 184 Patient Monitor User Manual Product Specification CH3COCH vol D D D 1 Acetone 4 CH Methane 3 vol D Y 0 T CO Carbon 1 vol E zu zu 1 monoxide 2 NO 0 02 vol zi D D 0 100 vol uro 24 39 Note 1 For probes not measuring N O and or O the concentrations shall be set from monitor IRMA CO measures neither N20 nor O2 IRMA AX does not measure O Note 2 Interference at indicated ga
77. al patients during anesthesia recovery and respiratory care And the anesthetic gas includes Halothane HAL Isoflurane ISO Enflurane ENF Sevoflurane SEV Desflurane DES CO and N20 18 2 Safety Information 18 2 1 Safety Information for ISA Analyzer WARNING 1 The ISA analyzer is intended for use by authorized and trained medical personnel only 2 Use only Nomoline sampling lines manufactured by PHASEIN The ISA analyzer must not be used with flammable anesthetic agents Carefully route the sampling line to reduce the risk of patient entanglement or strangulation Do not re use disposable sampling line Do not lift the monitor by the sampling line as it could disconnect from the monitor causing the monitor to fall on the patient 7 Used disposable sampling lines shall be disposed of in accordance with local regulations for medical waste 8 Do not use adult pediatric type sampling line configurations with infants as this may add dead space to the patient circuit 9 Do not use infant type sampling line configurations with adults as this may cause excessive flow resistance 10 Do not use the ISA analyzer with metered dose inhalers or nebulized medications as this may clog the bacteria filter 11 Check that the gas sample flow is not too high for the present patient category 12 Since a successful zeroing requires the presence of ambient air 21 Oz and 0 CO in the gas analyzer ensure that the ISA is placed in
78. asuring function of TEMP TEMP Comm Fail TEMP module failure Or High module and notify communication failure biomedical engineer or Manufacturer s service staff YY Sensor Off YY Check the sensor stands for the IBP IBP sensor falls off Low connection and label name reconnect the sensor Stop measuring YY Comm Fail YY in ue ee IBP module failure or l module and notify stands for the label ae High communication failure biomedical engineer name or Manufacturer s service staff Stop measuring of C O module or O le fail ti i i C O Comm Fail C O modu e failure or High no ity biomedical communication failure engineer or Manufacturer s service staff C O TI t I t injecti C O TI No Sensor sensor mot ow nser injective connected temperature sensor C O TB t C O TB No Sensor SERUT ree REOS Insert TB sensor connected TB i l i Pl heck TB TEMP Out Of Range measuring value is High ease chec above measuring range sensor A Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken O i Pl i t patient C O Lack Param C O measuring needs High ease inpu pa ient s parameters height and weight The AA concentration R AA AA Out Of Range exceeds the accuracy range High ae concentration of AG module Stop measuring of The oxygen sensor of the f aus Pon O Sensor Error sidestream AG module has Medium B
79. at connection to patient is off 4 catheter 5 Open the port of the 3 way stopcock to the sphygmomanometer 6 is to be adjusted 7 Inflate to make the mercury bar rise to the setup pressure value 8 mercury calibration 9 Press the Start button the device will begin calibrating 10 information LI After calibration disassemble the blood pressure tubing and the attached 3 way valve s e o I 2 U 5 i e mn 1 Hydrargyrum pressure meter 2 3 way connector 3 3 way stopcock 4 Pressure transducer 5 Pressure transducer interface cable 6 Monitor IBP Calibration 15 9 Troubleshooting the Pressure Calibration The status line lists the probable reasons of an unsuccessful calibration Causes Corrective Action Sensor Off Fail Make sure that sensor is not off and then start the calibration Contact service technician if necessary Unable to calibrate in Demo Mode Make sure that the monitor is not in DEMO mode Contact service technician if necessary 99 Patient Monitor User Manual Monitoring IBP Pressure out of normal range Make sure that you have selected transducer value in IBP fail CAL and then start the calibration Contact service technician if necessary Pulsate Pressure Calibration Fail Make sure that pressure value shown by hydrargyrum pressure meter is cha
80. ation RESP temperature TEMP oxygen saturation of arterial blood SpO non invasive blood pressure NIBP invasive blood pressure IBP carbon dioxide CO 2 and quick temperature Quick TEMP This monitor is suitable for use in intra hospital transport and hospital environments including clinic emergency department wards PACU and NICU The MennMove 70 patient monitor is intended to be used for monitoring storing reviewing recording and generating alarms for multiple physiological parameters of adults pediatrics and neonates in hospital environments The monitored physiological parameters include ECG respiration RESP temperature TEMP oxygen saturation of arterial blood SpO non invasive blood pressure NIBP invasive blood pressure IBP carbon dioxide CO cardiac output C O and anesthetic gas AG This monitor is suitable for use in hospital environments including OR ICU NICU PACU and wards The arrhythmia detection and ST Segment analysis are not intended for neonatal patients Patient Monitor User Manual Intended Use and Safety Guidance 1 2 Safety Guidance WARNING 1 Before using the device the equipment patient cable and electrodes etc should be checked Replacement should be taken if there is any evident defect or signs of aging which may impair the safety or performance 2 Medical technical equipment such as these monitor monitoring system must only be used by persons who have received adequate
81. ation pulse can be output You should activate the function following the steps below 4 Select Maintenance gt User Maintain input the password ABC 5 Select Other Setups gt Aux Output 6 Choose Analog Output or Defibrillation in the Aux Output list 23 3 Storing Data in a Removable Device 23 3 1 Data Stored in the Removable Device A single piece of patient data maximally contains the following information Patient information MRN name date of birth date of admission gender type height weight blood type pace doctor bed No department Trend graph and trend table a maximum of 10 days NIBP measurement review 1200 sets Alarm review 60 sets Arrhythmia event 60 sets 12 lead diagnosis review 50 sets Waveforms 48 hours 141 Patient Monitor User Manual Other Functions 23 3 2 Activating Deactivating Data Storing To activate deactivate the data storing function select Menu gt Maintenance gt User Maintain gt Other Setups and set Data Store to On Off The monitor will stop storing data in the removable device under the following circumstances The removable device is unplugged There is no enough space in the removable device for storing data The removable device is read only The data storing function is deactivated The monitor is switched off The power supply is off 23 3 3 Selecting a Removable Device You may plug several removable devices into the monitor
82. attery maintenance as recommended here can help to slow down this process 1 Disconnect the patient from the monitor and stop all monitoring and measurement 2 Switch the monitor power on and charge the battery for more than 6 hours continuously 3 Disconnect monitor from mains power and let the monitor run until there is no battery power left and the monitor shuts off 4 The running time of the battery reflects the battery performance If the running time is obviously less than the specified time in the specification please change the battery or contact the service personnel WARNING 1 Before using the rechargeable lithium ion battery hereinafter called battery be sure to read the user manual and safety precautions thoroughly 2 Do not connect the positive and negative terminals with metal objects and do not put the battery together with metal object which can result in short circuit 144 9 Patient Monitor User Manual Using Battery WARNING Do not unplug the battery when monitoring Do not heat or throw battery into a fire Do not use leave battery close to fire or other places where temperature may be above 60 C Do not immerse throw or wet battery in water seawater Do not destroy the battery do not pierce battery with a sharp object such as a needle Do not hit with a hammer step on or throw or drop to cause strong shock Do not disassemble or modify the battery Use the battery only in the mo
83. ayed 4 Enter the patient information Serial No Enter the patient s medical record number MRN for example 12345678 Last name Enter the patient s last name family name for example Smith First name Enter the patient s first name for example Joseph Gender Male Female and N A Type Choose the patient type either Adult Pediat or Neonat BloodType N A A B AB and O Pace Choose On or Off You must select On if your patient has a pacemaker Date of Birth Enter the patient s date of birth Date of Admission Enter the patient s date of admission Height Enter the patient s height Weight Enter the patient s weight Doctor Enter any extra information about the patient or treatment 5 Select Exit 6 1 1 Patient Category and Paced Status The patient category setting determines the algorithm the monitor uses to process and calculate some measurements the safety limits that are applied for some measurements and the alarm limit ranges The paced setting determines whether the monitor shows pacemaker pulses or not When Pace is set to Off pace pulses are filtered and therefore do not show in the ECG wave 54 Patient Monitor User Manual Managing Patients WARNING 1 Changing the patient category may change the arrhythmia and NIBP alarm limits Always check alarm limits to make sure that they are appropriate for your patient 2 For paced patients you must set Paced to On If it is incor
84. ble DIA High DIA measuring value is above upper alarm limit User selectable DIA Low DIA measuring value is below lower alarm limit User selectable MAP High MAP measuring value is above upper alarm limit User selectable MAP Low MAP measuring value is below lower alarm limit User selectable Art SYS High Art SYS measuring value is above upper alarm limit User selectable Art SYS Low Art SYS measuring value is below lower alarm limit User selectable Art DIA High Art DIA measuring value is above upper alarm limit User selectable Art DIA Low Art DIA measuring value is below lower alarm limit User selectable Art MAP High Art MAP measuring value is above upper alarm limit User selectable Art MAP Low Art MAP measuring value is below lower alarm limit User selectable PA SYS High PA SYS measuring value is above upper alarm limit User selectable PA SYS Low PA SYS measuring value is below lower alarm limit User selectable PA DIA High PA DIA measuring value is above upper alarm limit User selectable PA DIA Low PA DIA measuring value is below lower alarm limit User selectable PA MAP High PA MAP measuring value is above upper alarm limit User selectable PA MAP Low PA MAP measuring value is below lower alarm limit User selectable CVP MAP High CVP MAP measuring value is above upper alarm limit User selectable CVP MAP Low CVP MAP measuring value is below lower alarm limit User selectable ICP MAP High ICP MAP measuring value is above upper alarm l
85. bles NOTE 1 Keep the cable free of dust and dirt 2 Never immerse or soak the cable 3 Inspect the cables after cleaning Recommended cleaning agents are m Ethanol 75 m Isopropanol 70 148 Patient Monitor User Manual Care and Cleaning 25 2 2 5 Cleaning TEMP Quick TEMP Sensor Recommended cleaning agents are m Ethanol 75 m Isopropanol 70 25 2 2 6 Other Accessories For cleaning disinfecting other accessories please contact the manufactures for details 25 3 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 Recommended types of disinfecting agents are m Ethanol 75 isopropanol 70 m Acetaldehyde up to 3 6 WARNING Disinfect the monitor and reusable accessories regularly to avoid patient cross infection 149 Patient Monitor User Manual Maintenance Chapter 26 Maintenance WARNING 1 Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards 2 If you discover a problem with any of the equipment contact your service personnel or your authorized supplier 26 1 Inspecting The overall check of the monitor including the safety check should be performed only by qualified perso
86. can be connected to the central monitoring system Through the network 1 The monitor sends patient information real time monitoring or measurement data to the central monitoring system 2 The real time monitoring information is displayed on the central monitoring system as the 55 Patient Monitor User Manual Managing Patients same to the monitor and the central monitoring system can perform some bilateral control For example changing patient information alarm limit and so forth For detailed information please refer to MFM CMS Central Monitoring System User Manual and CNS Central Monitoring System User Manual And the monitor supports HL 7 protocol NOTE 1 Make sure the network connection between the monitor and the central monitoring system is in good condition when the time synchronization function on the monitor is active 2 The time synchronization function might not be available to all software versions of MFM CMS Consult our technical service department or your local distributor for more information 56 Patient Monitor User Manual User Interface Chapter 7 User Interface 7 1 Setting Interface Style The user can set the interface based on the requirement and the set options include the following Sweep of the waveform Parameters needing to be monitored Change to some settings may have the risk so only the authorized person can change them After changing the settings please notify the operator
87. ccuracy specification will be maintained over a 120 hour period O Compensation Range 0 100 Resolution 196 Default 16 GAS Compensation Range 0 20 Resolution 0 1 Default 0 0 Zero Support Work Mode Standby Measurement Barometric pressure User setup compensation Balance gas compensation Including Helium N20 and room air Apnea Alarm Delay 10s 15s 20s 25s 30s 35s 40s default value is 20s Interfering Gas Effect on EtCO2 Measurement Values Gas or vapor Gas level Quantitative effect Comments Nitrous oxide 60 Dry and Saturated Gas 178 Patient Monitor User Manual Product Specification Halothane Enflurane Isoflurane Sevoflurane Xenon Helium Desflurane 4 5 5 5 80 50 15 0 40 mmHg 1 mmHg additional error 41 70 mmHg 2 5 additional error 71 100 mmHg 4 additional error 101 150 mmHg 5 additional error Additional worst case error when compensation for Pp O2 N20 anesthetic agents or helium is correctly selected for the actual fractional gas constituents present Desflurane The presence of desflurane in the exhaled breath at concentrations greater than 5 will positively bias Carbon Dioxide values by up to an additional 3 mmHg at 38mmHg Xenon The presence of Xenon in the exhaled breath will negatively bias Carbon Dioxide values by up t
88. ch on the monitor It takes 2 min 3 min for the body temperature to stabilize 13 4 Calculating Temp Difference The monitor can calculate and display the difference between two temperature values by subtracting T2 from T1 The difference is labeled TD 9 Patient Monitor User Manual Monitoring Quick TEMP Chapter 14 Monitoring Quick TEMP not available in the U S A Canada UK and Germany 14 1 Overview Quick temperature measurement is to establish thermal balance between probe and human body When the probe is placed on the measurement site until a steady reading is available after approximately three minutes for oral and rectal measurements and five minutes for axillary measurements And the measurement temperature is the monitoring temperature The temperature curve in this process has a certain discipline The approximatively actual temperature curve can be simulated by temperature data sampled earlier The temperature at thermal balance is calculated through the specific algorithm based on the curve The monitor can only measure temperature of adult and pediatric patients If the user measures temperature of neonatal patient the monitor will not display data The oral axillary sensor and rectal sensor are of standard configuration 14 2 Quick TEMP Safety Information WARNING 1 To ensure optimal accuracy always confirm that the correct mode and alarm limit are selected Changing the measure position may lead to the chan
89. cks and gently insert the probe only 1 5cm 5 8 inch less for infants and children Measuring Position in Rectal WARNING Incorrect insertion can cause bowel perforation 14 3 3 Measurements for Axillary Temperatures 1 Ensure that the white probe and probe well are installed 2 Remove the probe from the probe well 3 Press Quick TEMP Setup gt Measure Pos and select the Axillary mode 4 Observe the axillary mode indicator on the display flashing axillary icon 5 Load a probe cover 6 Adjust clothing to visualize the axilla 7 Avoid folds in the axilla and place the probe tip vertically as high as you can as shown 8 Place the arm at the patient s side Hold in this position without movement of the arm or probe during the measurement cycle 94 Patient Monitor User Manual Monitoring Quick TEMP Measuring Position in Axillary NOTE Do not take an axilliary temperature through the patient s clothing Direct contact between the patient s skin and the probe is required To obtain accurate rectal temperature use the white temperature probe 14 4 Changing Temp Unit To change Temp Unit please 1 Select the Quick Temp Setup menu to open it and select Unit on the interface 2 Select the appropriate unit from the popup list 95 Patient Monitor User Manual Monitoring IBP Chapter 15 Monitoring IBP 15 1 Overview IBP is measured by means of a catheter
90. connected to the monitor or the connection is loose is well connected reconnect the sensor 289 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken Stop using measuring function f of SpO module and SpO Comm Fail Spo duode enr OF nah a biomedical communication failure A engineer or manufacturer s service staff Reconnect the SpO sensor and change The pulse signal is too the measurement SpO Low Perfusion weak or the perfusion of om site If problem the measurement site is exists please notify too low biomedical engineer or manufacturer s service staff Check the condition There is interference with of patient and avoid SHO Nohy Signal SpO measurement signals tow patient movement and the waveform is make sure the cable abnormal is well connected Reduce interference f of the ambient light SpO Light Ambient light around the Low e Haid E Interference sensor is too strong exposure to strong light Stop using measuring function of NIBP module and NIBP Comm Fail NIBE modue mes ES High notify biomedical communication failure engineer Or manufacturer s service staff 38 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken NIBP Leak NIBP pump valve cuff or tube has a leakage Low Properly wrap the cuff and connect the tube Measure again if failure
91. correctly For further testing of individual measurement alarms perform the measurement on yourself or use a simulator Adjust alarm limits and check that appropriate alarm behavior is observed 29 Patient Monitor User Manual Chapter 5 Alarm Information 5 1 Physiological Alarm Information Alarm Information Message Cause Alarm level HR High HR measuring value is above the upper alarm limit User selectable HR Low HR measuring value is below the lower alarm limit User selectable ST measuring value is above the upper alarm limit X ST X High stands for I IL HI aVR aVL aVF V V1 V2 V3 User selectable V4 V5 or V6 ST measuring value is below the lower alarm limit X ST X Low stands for I IL HI aVR aVL aVF V V1 V2 V3 User selectable V4 V5 or V6 PVCs High PVCs measuring value is above the upper alarm limit User selectable ASYSTOLE No QRS is detected for 4 consecutive seconds High Ventricular tachycardia The RR interval of 4 second VFIB VTAC fibrillation wave or 5 consecutive ventricular beats is High less than 600 ms VT gt 2 3 lt the number of cluster PVCs lt 5 User selectable COUPLET 2 consecutive PVCs User selectable BIGEMINY Vent Bigeminy User selectable TRIGEMINY Vent Trigeminy User selectable A type of single PVC under the condition that HR lt 100 R R interval is less than 1 3 the average RONT interval followed by a compensating pause of 1 25X
92. ct the gas sample exhaust port to a scavenging system or return the gas to the patient circuit 4 Power up the monitor 5 A green LED indicates that the ISA analyzer is ready for use 6 Perform a pre use check as described in section Perform a pre use Check 18 3 1 3 Zeroing The infrared module needs to establish a zero reference level for the CO N2O and anesthetic agent gas measurement This zero calibration is here referred to as zeroing ISA analyzer performs zeroing automatically by switching the gas sampling from the respiratory circuit to ambient air The automatic zeroing is performed every 24 hours and takes less than 3 seconds for ISA CO module and less than 10 seconds for ISA analyzer If the ISA analyzer is fitted with an oxygen sensor the automatic zeroing will also include room air calibration of the oxygen sensor WARNING 1 Since a successful zeroing requires the presence of ambient air 21 O2 and 0 CO in the ISA analyzer ensure that the ISA analyzer is placed in a well ventilated place Avoid breathing near the ISA analyzer before or during the zeroing procedure 2 The sampling line should be replaced every two weeks otherwise it is clogged 18 3 1 4 Maintenance GAS readings should be verified by conducting the recommended maintenance checks For details please refer to Chapter Maintenance WARNING 1 The Nomoline sampling lines are non sterile devices To avoid damage do not autoclave any par
93. d be considered If the measured field strength in the location in which the Patient Monitor is used exceeds the applicable RF compliance level above the Patient Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Patient Monitor gt Over the frequency range 150kHz to 80MHz field strengths should be less than 3V m B 4 Recommended Separation Distances Recommended separation distances between portable and mobile RF communications equipment and the monitor The monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the monitor as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency of transmitter m output power of 50 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz transmitter W d EE d EX d i n V E E 0 01 0 12 0 12 0 23 0 1 0 36 0 37 0 74 1 1 16 1 17 2 33 10 3 69 3 69 7 38 100 11 67 11 67 23 33 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be e
94. data of all parameters storage of 1200 NIBP measurement results and 60 alarm events This chapter gives detailed instruction for review of all data 20 1 Trend Graph Review m The latest 1 hour trend is displayed every 1 or 5 seconds m The latest 120 hour trend is displayed every 1 5 or 10 minutes To review Trend Graph please press the Trend Graph key on the screen or select Menu gt Review gt Trend Graph then the trend graph interface is displayed In the trend graph the y axis stands for the measurement value and x axis stands for the time Trend Graph E E vj Zoom v Spo Jv Zoom E Zoom Resolution 1 s Cursor al Trend Table Record 20 1 1 Selecting Trend Graph of Specific Parameter The monitor can review trend graph of different parameters To change the existing trend graph please select Menu gt Review gt Trend Graph and select a required parameter name from the popup list as shown in red text in the above figure 20 1 2 Adjusting Trend Scale You can use Zoom on the trend graph review interface to adjust the trend scale Once you adjust the trend scale on the trend graph review interface you also change the trend scale of the related parameters for the screen trend displayed on the main screen 127 Patient Monitor User Manual Review 20 1 3 Setting Resolution The monitor can support five kinds of resolutions To set an appropriate resolution please select M
95. data that doesn t fit in the current view by selecting and pressing the symbol Y and displayed on the NIBP Review interface 20 3 2 Recording The monitor can record the measurement data in the NIBP review window For the detailed information about recording the NIBP review please refer to Chapter Recording 20 4 Alarm Review The monitor can display up to 10 technical alarm events in the current screen To review the alarm event select the Alarm Review key on the screen or select Menu gt Review gt Alarm Review then the Alarm Review Window is displayed 20 4 1 Scrolling the Screen All alarm events can t be displayed on the current screen due to the screen limitation The user can scroll up and down the screen manually to see alarm events that don t fit in the current view by selecting and pressing the symbol Y and displayed on the Alarm Review interface 129 Patient Monitor User Manual Review 20 4 2 Selecting Alarm Event of Specific Parameter The monitor can review alarm event of the specific parameters To view the alarm event of the specific parameter please select Menu gt Review gt Alarm Event and choose Event Type to select the required parameter name from the popup list 20 4 3 Setting Time Index The user can set end time of alarm review by selecting the Time Index option displayed on the alarm review interface If the user selects Current Time on the popup interface the alarm events occurr
96. e first select ECG Setup gt Beat Volume and then select an appropriate volume from the pop up list 69 Patient Monitor User Manual Monitoring ECG 8 9 4 ECG Display It varies with Lead Type When Lead Type is set to 3 Leads Display can be set to Normal and it can display one ECG waveform on the main screen When Lead Type is set to 5 Leads Display can be set to Normal Full Scr and Half Scr Select Normal to display two ECG waveforms on the main screen select Full Ser to display seven ECG waveforms which occupy the area of seven waveforms on the main screen Select Half Ser to display seven ECG waveforms on the screen occupying the area of four waveforms NOTE If 3 Leads is selected in the ECG Setup menu only Normal can be selected for Display in the sub menu 8 9 5 Setting Pace Status It is important to set the paced status correctly when you start monitoring ECG To change the paced status in the ECG Setup menu select Pace to toggle between On or Off When Pace is set to On Pace Pulse Rejection is switched on This means that pacemaker pulses are not counted as extra QRS complexes Paced symbol is displayed as on the main screen NOTE 1 When monitoring a patient with a pacemaker set Pace to On If monitoring a patient without a pacemaker set Pace to Off 2 If Pace is set to On the system will not perform some types of ARR analysis WARNING Some pace pulses can be difficult to reject When thi
97. e Probe 10K 01 15 040268 Intracavitary Temperature Probe 10K 28 5 Quick Temp Accessories Part Number Accessories 02 04 110140 Oral Auxiliary Probe 02 04 110139 Rectal Probe 11 57 110159 Probe Covers Only applicable to MennMove 50 Not available in the U S A Canada UK and Germany 28 6 IBP Accessories Part Number Accessories 01 57 471280 6Pin ICP Transducer Interface cable compatible with Gaeltec ICT B Intracranial Pressure Transducer 01 57 471014 Pressure transducer interface cable BD 01 57 471013 Pressure transducer interface cable EDWARD 01 57 471027 Pressure transducer interface cable HOSPIRA 01 57 471028 Pressure transducer interface cable UTAH 11 57 40121 Disposable pressure transducer kit BD DTX TM Plus DT 4812 682000 28 7 CO Accessories Part Number Accessories For MENNEN MEDICAL LTD Module 158 Accessories Patient Monitor User Manual Part Number Accessories 02 01 210520 Dewatering Cup Single Patient Use Adult Pediatric 10ml Only applicable to MennMove 70 01 57 471275 CO2 Sampling Line with Male Luer Lock 2 0m Only applicable to MennMove 70 01 57 471282 All Purpose Sampling Cannula without filter Non Sterile Size Adult Only applicable to MennMove 70 01 57 471283 All Purpose Sampling Cannula without filter No
98. e in the environment with flammable anesthetic gas 2 The device should be used by trained and qualified medical personnel authorized by MENNEN MEDICAL LTD 3 Nitrous oxide elevated levels of oxygen helium xenon halogenated hydrocarbons and barometric pressure can influence the CO2 measurement 4 The monitor will be damaged if any pipeline from the CO2 module is disconnected or the air tube the air inlet the air outlet are plugged by water or other materials 5 The accuracy of the CO measurement will be affected by the following reasons the airway was highly obstructed the leakage of air way connection or quick variation of environment temperature 6 Follow precautions for electrostatic discharge ESD and electromagnetic interference EMI to and from other equipment 7 In the presence of electromagnetic devices i e electrocautery patient monitoring may be interrupted due to electromagnetic interference Electromagnetic fields up to 20V m will not adversely affect module performance 8 Do not place the sensor cables or tubing in any manner that may cause entanglement or strangulation 9 Do not store the CO2 Module at temperatures less than 40 F 40 C or greater than 158 F 70 C Do not operate the CO Module at temperatures less than 32 F 0 C or greater than 104 F 40 C 101 Patient Monitor User Manual Monitoring CO NOTE After the low battery alarm appears please do not start the CO2 mea
99. e is Ct OI ss kaise IN sh Pole Na eed ui id tad auda ipao 24 3 12 Using th BareodecS canela eau at ttem edat eia dd td ay 25 3 13 Resolving IBP Label Conflicts A re dd Qe e Qu uda tr ca doe d a 25 Chapter 4 ATISEBIS oca ege t pr Ri eos tronn e poda na pe da 26 AA lat Eire a ETE TR 26 4 T T Phystological al artis a i rd c Rr is 26 A Alarms ooo ooo dee too eite oto obses 26 4 1 3 PrOMptS TER 26 4 2 Alarm Levels S edd aquo mE tuae md tta dtusea iis pu M eiu eds spe ada 26 4 3 Controlling ATE AA a 21 4 3 1 Setting Parameter Alaris A o dence tea eee e inde 27 4 3 2 Tempotary Alarm MUS oco eel tra Perte aude deter bep de nd 28 23 9238 IIIS Seg ade crc e o stus vnb dee iut nda a use ame M 28 4 3 4 Controlling Alarm Volume soe re f e cereo est ie etc 29 AA Eatching Alarms restado 29 4 5 Disabling Sensor Off Alarms A D RDA te Nh AAS 29 4 6 Testing Ala eti pen c dure deis en on Matas Baas dase di fu qe M DE 29 Chapter 5 Alarm Informatloni usi eese etesk a 30 5 1 Physiological Alarm Information o co oce ea eripe oig mean e he ene ea uu is EAST 30 52 Techmeal Alari A appe o CD ecu td 35 2 SUPTOBIDIS S ecoute asc aA at MIT E MED f 47 5 4 Adjustable Range of Alarm Limits eiiis aee A t see a rel eri aea aes 49 Chapter 6 Managing Patients ssiscssccccioretssceccccsaccececsscoradescocscsseubesecsssaoedssecsobedonsedosedsscouesoenbectesnesedutes 54 Gal Admiithins A Tet EMI ed Oa Seas Meh ea eo edt An ea lei e HIR 54 6 1 1 Patient Cat
100. e sensor is used to neotate as recommendation the specified accuracy range of the neotate is always higher 1 than adult Pulse Rate Measuring Range 20bpm 300bpm Resolution Ibpm Accuracy 3bpm 20bpm 250bpm Sensor Wave length approximately 660 and 900nm Emitted light energy 15mW 2194 Patient Monitor User Manual A 7 TEMP Product Specification Measurement method Thermal resistance Channel 2 Sensor type YSI 10K and YSI 2 252K Measuring Range 0 C 50 C Resolution 0 1 C Accuracy Without sensor 0 1 C Unit C F Refresh Time ls 2s A 8 Quick TEMP Measuring Range 25 C 45 C monitoring mode 35 5 C 42 C prediction mode Operating Temp 10 C 40 C Sensor Type Oral Axillary sensor Rectal sensor Resolution 0 1 C Accuracy without sensor 0 1 C 25 C 45 C monitoring mode Response time lt 60s Update time ls 2s Warm up time Less than 10 seconds Prediction time Less than 30 seconds A 9 IBP Measurement method Direct invasive measurement Channel MennMove 50 MennMove 70 2 channels Pressure sensor Sensitivity 5 uV V mmHg ImpMennen Medical Ltd ce range 300 to 3000 Q Frequency response d c to 12 5 or 40 Hz 175 Patient Monitor User Manual Product Specification
101. e with Wall Mount MS3R 30164 11 18 078205 Security lock 02 01 101985 MT206 trolley assembly for MennMove 50 no plug board 02 04 101978 Trolley plug board assembly kit 11 13 01950 Three flat power cable length 3 m 01 13 36014 Power cable length 1 8 m VDE 11 13 36015 Power cable length 1 8 m American standard 01 13 036106 Power cable length 1 8 m American standard medical grade 11 13 114214 Ground Cable 161 Patient Monitor User Manual Accessories Part Number Accessories 02 01 210633 Recorder 01 18 052307 Sandisk SD Card CLASS 4 8G 162 Patient Monitor User Manual Product Specification A Product Specification A 1 Classification Anti electroshock type Class I equipment and internal powered equipment Anti electroshock degree ECG RESP TEMP IBP C O Quick Temp CF SpO gt NIBP CO AG BF Ingress Protection IPX1 No protection against ingress of water if configured with Quick TEMP module Disinfection sterilization method Refer to Chapter Care and Cleaning for details Working system Continuous operation equipment Compliant with Standards IEC 60601 1 1988 A1 1991 A2 1995 EN 60601 1 1990 A1 1993 A2 1995 IEC 60601 1 2 2001 A1 2004 EN 60601 1 2 2001 A1 2006 ISO 9919 ISO 21647 IEC EN 60601 2 27 IEC EN 60601 2 30 IEC EN 60601 2 34 IEC EN 60601 2
102. ected for 4 consecutive seconds VFIB VTAC Ventricular tachycardia The RR interval of 4 second fibrillation wave or 5 consecutive ventricular beats is less than 600 ms VT22 3 the number of cluster PVCs 5 COUPLET 2 consecutive PVCs BIGEMINY Vent Bigeminy TRIGEMINY yent Trigeminy A type of single PVC under the condition that HR lt 100 R R RONT interval is less than 1 3 the average interval followed by a compensating pause of 1 25X the average R R interval the next R wave advances onto the previous T wave PVC Single PVC detected in normal heartbeats Adult 5 consecutive QRS complex RR interval 0 5s HR TACHY range 120 300bpm Pediatric neonatal 5 consecutive QRS complex RR interval 0 375s HR range 160 350bpm Adult 5 consecutive QRS complex RR interval gt 1 5s HR BRADY range 15 40bpm Pediatric neonatal 5 consecutive QRS complex RR interval gt 1s HR range 15 60bpm MISSED When HR is less than 120 beats min no heart beat is tested BEATS during the period 1 75 times of the average RR interval or When HR is gt 120 beats min no beat is tested within second IRR IRREGULAR RHYTHM The patient has irregular heart rate PNC PACE NOT CAPTURE After the pacemaker is paced QRS complex can not be detected during 300ms PNP PACER NOT PACED After the QRS complex no pace is detected during 1 75 times of RR interval VBRADY VENTRICULAR BRADYCARDIA The interval of 5 consecutive ventricular wave is
103. ed on a yearly interval by a qualified service professional See the Service Manual for details 12 12 Leak Test This item is used for leak test Turn the knob to pick the Leak Test item in the User Maintain gt NIBP Maintain menu to start the air leakage test When the item is selected it will change into Stop If this item is selected again the system will stop air leakage test And the item returns to Leak Test WARNING This pneumatic test other than being specified in the EN 1060 1 standard is to be used by the user to simply determine whether there are air leaks in the NIBP airway If at the end of the test the system gives the prompt that the NIBP airway has air leaks please contact the manufacturer for repair 12 12 1 Procedure of Leak Test Connect the cuff securely with the socket for NIBP air hole Wrap the cuff around the cylinder of an appropriate size Access User Maintain gt NIBP Maintain Tur the knob to the Leak Test item and press the item Then the prompt of Leak Testing will appear indicating that the system has started performing leak test For MennMove 50 MennMove 70 with the MENNEN MEDICAL LTD module The system will automatically inflate the pneumatic system to about 180 mmHg After 20 seconds the system will automatically open the deflating valve which marks the completion of a pneumatic measurement Ifthe alarm information of NIBP Leak appears it indicates that the airway may have
104. egory and Paced Status ee neret rhet nto spain adi eec n 54 52 Ote RN OTHO ense its Uta Eat id b tH iai da ea tubes ae cs aite eeu Irc ae e adl 55 b 3 Editing Patient Information od diio tee du aed ut Raus ote a ees 55 6 4 Updating a PA 55 6 5 Central Monitoring SM ii 55 Chapter 7 User brorum a 57 Tek Setting Interface AA Ni 57 7 2 Selecting Display Pat anne er Sys cic ote dee as Fa o ea e 57 7 3 Changing Waveform Position o ee e rettet A ee dax exe Up rep eie 57 7 4 Changing Interface Esa VOU e a ee reus 57 To VIE WINS Trend SOS oii iiber tee ti adas 57 TO VIEWING Oxygen SELON aci exte rare ee ausa tovs tct a re VO RED pu eeu ON RA PUR 58 EI Niewng Earee Font Serec dcos eee ia 58 7 8 Viewing the Bed View Window use ite dio 59 7 8 1 Opening the Bed View Window eese ener enne nente 59 7 8 2 Settings of the Bed View Window secuit pos ds vin sr rode rod 59 7 9 Changing Parameter and Waveform Color 59 FAQ User Configuration 1o A etre ter det ba east e decedere dui AA dt ve Roda 59 PAA Default Config rati n A oos heo er S O 60 Chapter 8 Monitoring EG ires copre A ias 61 Sl OVETVIEW E T aai 61 8 2 ECG Safety Informiatiofi uos cen en Fa kt a e EORR ter ed a qu es e uet 61 8 3 BCG Display uincula iris 62 8 3 1 Changing the Size of the BCCI Wayeas seniores a 62 8 3 2 Changing the ECG Filter Sette etii A Ud i naqx dd 63 e ES EIE TIE Selo ME DEUM 63 8 5 S lecting Calculation Dead sotto
105. electable P2 MAP Low P2 MAP measuring value is below lower alarm limit User selectable EtCO High EtCO measuring value is above upper alarm limit User selectable EtCO Low EtCO measuring value is below lower alarm limit User selectable FiCO High FiCO measuring value is above alarm limits User selectable COLAPNEA canbe detected using COsmodule High AwRR High AwRR measuring value is above upper alarm limit User selectable AwRR Low AwRR measuring value is below lower alarm limit User selectable EtCO AG High ond AG measuring value is above upper alarm ale EtCO AG Low Lt AG measuring value is below lower alarm ta ecible FiCO AG High FiCO AG measuring value is above alarm limits User selectable AwRR AG High icd AG measuring value is above upper alarm Deiseal AwRR AG Low ea AG measuring value is below lower alarm ME EtO High EtO measuring value is above upper alarm limit User selectable EtO Low EtO measuring value is below lower alarm limit User selectable FiO High FiO measuring value is above upper alarm limit User selectable FiO Low FiO measuring value is below lower alarm limit User selectable EtN20 High EtN20 measuring value is above upper alarm limit User selectable EtN20 Low EtN20 measuring value is below lower alarm limit User selectable FiN2O High FiN2O measuring value is above upper alarm limit User selectable FiN2O Low FiN2O measuring value is below lower alarm limit User selectable
106. enarios such as OR adult or ICU neonatal A screen defines the overall selection size and position of waves numeric and shortcut keys on the monitor screen when you switch on the monitor You can easily switch between different screens during monitoring Screens do NOT affect alarm settings patient category and so forth When you switch from a complex to a less complex screen layout some measurements may not be visible but are still monitored in the background For detailed information please refer to Chapter User Interface 3 10 Calibrating Screens To calibrate the screen please refer to the following steps 1 Select Menu gt Maintenance gt User Maintain then input maintenance password ABC then select TouchScr Calibration from the popup interface 2 The symbol appears on the screen 3 Click on the central point of the symbol E 4 After successful calibration the message of Screen Calibration Completed appears on the screen Then select Exit to finish the calibration 3 11 Disabling the Touch Screen The user can disable touch screen operation by pressing and holding the Menu shortcut key for 3 seconds A message of Screen Locked and the symbol B are displayed at the bottom of screen if the touch screen is disabled To enable the touch screen operation turn the knob to select the symbol BS and press it 24 Patient Monitor User Manual Basic Operation 3 12 Using the Barcode Scanner To enter the barcode setup menu
107. ensure that the monitor works properly please read the user manual and follow the steps before using the monitor 2 1 Initial Inspection Before unpacking check the packaging and ensure that there are no signs of mishandling or damage If the shipping cartons are damaged contact the carrier for compensation and package them again Open the package carefully and remove the monitor and accessories Check that the contents are complete and that the correct options and accessories have been delivered If you have any question please contact your local supplier 2 2 Mounting the Monitor If all situations are normal please place the monitor on a flat level surface hung on the bed rail or mounted on a wall About how to install the wall mount for the monitor please refer to the following content 2 2 1 Installing Wall Mount for the Monitor For how to install wall mount for the monitor please refer to Wall Mounting Bracket Assembly Instruction 2 3 Connecting the Power Cable Connection procedure of the AC power line is listed below 1 Make sure the AC power supply complies with the following specifications 100V 240V 50Hz 60Hz 2 Apply the power line provided with the monitor Plug the power line to inlet interface of the monitor Connect the other end of the power line to a grounded 3 phase power output NOTE Connect the power line to the jack special for hospital usage 2 4 Checking Out the Monitor Make sure there i
108. ent Window Select the C O Option menu to enter the C O Measure window and start C O measurement If C O transducer is not connected the monitor will display No Sensor on the screen 109 Patient Monitor User Manual Monitoring C O CO Measure x CO 2 50 l min 1 CL 1 3 l min m2 BSA 1 874 m TB 36 8 C TI 0 0 C E Measure Time O 14 03 30 CO Measurement Completed X axis 60 sec y Y axis 2 0 C v Cancel Review Record C O Measure Window Measurement curve Prompt message area Cardiac Output Cardiac Index Body Surface Area Blood Temperature Injectate Temperature Start time of the measurement 9 eG S Function keys The functional keys on the C O measure window are explained in the following table Start Start a measurement Stop If the blood temperature cannot resume in a considerably long time the measurement could not stop automatically Use this button to stop the measurement and display the C O CI calculation result Cancel Cancel the processing measurement or cancel the result after measurement Record Print out the curve 110 Patient Monitor User Manual Monitoring C O Y axis Change the scale Y temperature value Three models are available 0 0 5 C 0 1 C 0 2 0 C Adjust the scale by the temperature differences A sma
109. enu gt Review gt Trend Graph and an interface is displayed Choose Resolution on the interface to open the list and select an appropriate resolution among 1 sec 5 sec 1 min 5 min and 10 min 20 1 4 Scrolling Left and Right the Screen All trend graphs can t be displayed on the current screen due to the screen limitation The user can scroll left and right the screen manually to see measurement trends that do not fit in the current view by selecting and pressing the symbol and displayed on the trend graph 20 1 5 Switching to the Trend Table The user can switch to the trend table interface on the Trend Graph interface To do so please select Menu gt Review gt Trend Graph and select the Trend Table option from the popup interface 20 1 6 Record The monitor can make a tabular trend recording of the data in the current trend graph window The report will use the current trend interval settings For the detailed information about recording the trend graph please refer to Chapter Recording 20 2 Trend Table Review To review the trend table please press the Trend Table key on the screen or select Menu gt Review gt Trend Table then the trend table is displayed NOTE The CO module and AG module cannot be measured at the same time so their trend graph cannot be displayed at the same time 20 2 1 Setting Resolution The monitor can support seven kinds of interval To set an appropriate resolution please select
110. er cassette printing side facing upwards 3 Ensure proper position and tidy margin 139 Patient Monitor User Manual Recording 4 Pull about 2cm of the paper out and close the recorder casing NOTE Be careful when inserting papers Avoid damaging the thermo sensitive print head Unless when inserting papers or shooting troubles do not leave the recorder catch open 22 5 5 Removing Paper Jam When the recorder functions or sounds improperly you should open the recorder casing to check for a paper jam Remove the paper jam in the following way m Cut the record paper from the feeding edge m Open the recorder casing m Re insert the paper NOTE If the monitor is not installed with a recorder it will indicate RECORDER SETUP NEEDED after pressing the Record button 140 Patient Monitor User Manual Other Functions Chapter 23 Other Functions 23 1 Nurse Call The monitor provides dedicated nurse call port which is connected to nurse call system through the nurse call cable to perform the nurse call function You should activate the function following the steps below 1 Select Maintenance gt User Maintain input the password ABC 2 Select Other Setups gt Aux Output 3 Choose On in the Nurse Call list 23 2 Analog Output and Defibrillator Synchronization The monitor provides analog output signals to accessory equipment Also if a defibrillator is connected to the monitor a defibrillator synchroniz
111. erruptions and 295 dip in Uy gt 95 dip in Uy should be that of a voltage variations on power supply input lines IEC EN 61000 4 11 for 0 5 cycle 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip in Ur for 25 cycles lt 5 Ur gt 95 dip in Ux for 5 sec for 0 5 cycle 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip in Ur for 25 cycles lt 5 Ur gt 95 dip in Ur for 5 sec typical commercial or hospital environment If the user of the Patient Monitor requires continued operation during power mains interruptions it is recommended that the Patient Monitor be powered from an uninterruptible power supply or a battery NOTE Uris the a c mains voltage prior to application of the test level 187 Patient Monitor User Manual EMC Information B 3 Electromagnetic Immunity for EQUIPMENT and SYSTEMS that are not LIFE SUPPORTING Guidance and manufacture s declaration electromagnetic immunity The Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of Patient Monitor should assure that it is used in such an environment IEC EN 60601 test Compliance Electromagnetic environment Immunity test level level guidance Portable and mobile RF communications equipment should be used no closer to any part of the Patient Monitor including cables than the recomme
112. ery two years or as specified by local laws NIBP Pressure Calibration At least once every two years or as specified by local laws NIBP Calibration At least once every two years or as specified by local laws CO Calibration and Performance At least once every two years or if you suspect the Test measurement values are incorrect AG Calibration If you suspect the measurement values are incorrect and need to calibrate please contact the manufacturer 151 Patient Monitor User Manual Warranty and Service Chapter 27 Warranty and Service 27 1 Warranty MENNEN MEDICAL LTD warrants that MENNEN MEDICAL LTD s products meet the labeled specifications of the products and will be free from defects in materials and workmanship that occur within warranty period The warranty is void in cases of a damage caused by mishandling during shipping b subsequent damage caused by improper use or maintenance c damage caused by alteration or repair by anyone not authorized by MENNEN MEDICAL LTD d damage caused by accidents e replacement or removal of serial number label and manufacture label If a product covered by this warranty is determined to be defective because of defective materials components or workmanship and the warranty claim is made within the warranty period MENNEN MEDICAL LTD will at its discretion repair or replace the defective part s free of charge MENNEN MEDICAL LTD will not pr
113. ge of alarm limit 2 Verify probe cables fault detection before the beginning of monitoring phase Unplug the temperature probe cable from the socket and then the screen will display the error message TEMP SENSOR OFF and the audible alarm is activated 3 Take the TEMP probe and cable carefully When they are not in use you should coil up the probe and cable into a loose circle If the wire inside the cable is tensely pulled it may cause mechanical damage to the probe and the cable 4 The calibration of the temperature module is necessary every two years or as frequently as dictated by your Hospital Procedures Policy When you need to calibrate the temperature measurement please contact the manufacturer 5 Patient actions may interfere with accurate oral temperature readings Ingesting hot or cold liquids eating food chewing gum or mints brushing teeth smoking or performing strenuous activity may affect temperature readings for up to 20min after activity has ended 6 Do not take an axillary temperature through patient s clothing Direct probe cover to skin contact is required 7 Biting the sensor tip while taking a temperature may result in damage to the sensor 92 Patient Monitor User Manual Monitoring Quick TEMP WARNING 8 Make sure disposable TEMP sensor covers are used to limit patient cross contamination The use of any other probe cover may produce temperature measurement errors or result in inaccurate readings 9
114. h on the monitor 2 Flushing through the system with normal saline solution Ensure that the system is free of air bubbles 3 Connect the patient catheter to the pressure line making sure that there is no air present in the catheter or pressure line 96 Patient Monitor User Manual Monitoring IBP 4 Position the transducer so that it is at the same level with the patient s heart approximately mid axillary line 5 For the label name selection please refer to Selecting a Pressure for Monitoring 6 To zero the transducer please refer to Zeroing the Pressure Transducer WARNING If there are air bubbles in the pressure line or the transducer you should flush the system with the solution to be infused 15 4 Selecting a Pressure for Monitoring Tell the monitor which pressure you want to monitor by selecting its pressure label The label is a unique identifier for each type of pressure When you choose a label the monitor uses that label s stored settings for example color wave scale and alarm settings The label also determines which algorithm is used to process the pressure signal so an incorrect label can lead to incorrect pressure values To select the label please refer to the following table Label Description ART Arterial blood pressure PA Pulmonary artery pressure CVP Central venous pressure ICP Intracranial pressure LAP Left atrial pressure RAP Right atrial pressure P1 P
115. hapter on Monitoring ECG The Resp signal is always measured between two of the ECG electrodes There are two standard ECG leads for selection I lead RA and LA and II lead RA and LL Electrodes Placement for 5 lead 9 5 Cardiac Overlay Cardiac activity that affects the Resp waveform is called cardiac overlay It happens when the Resp electrodes pick up impMennen Medical Ltd ce changes caused by the rhythmic blood flow Correct electrode placement can help to reduce cardiac overlay avoid the liver area and the ventricles of the heart in the line between the respiratory electrodes This is particularly important for neonates 9 6 Chest Expansion Some patients especially neonates expand their chests laterally In these cases it is best to place the two respiratory electrodes in the right mid axillary and left lateral chest areas at the patient s maximum point of breathing movement to optimize the respiratory wave 78 Patient Monitor User Manual Monitoring RESP 9 7 Abdominal Breathing Some patients with restricted chest movement breathe mainly abdominally In these cases you may need to place the left leg electrode on the left abdomen at the point of maximum abdominal expansion to optimize the respiratory wave NOTE Place the red and green electrodes diagonally to optimize the respiration waveform Avoid the liver area and the ventricles of the heart in the line between the RESP electrodes so as to avoid cardiac overlay
116. houlder RL placement on the right hypogastrium LL placement on the left hypogastrium V placement on the chest the position depends on your required lead selection NOTE To ensure the patient safety all leads must be attached to the patient Electrode Placement for 5 lead For 5 lead attach the V electrode to one of the indicated positions as below VI V2 V3 V4 V5 V6 V3R V6R VE V7 V7R On the 4th intercostal space at the right sterna margin On the 4th intercostal space at the left sterna margin Midway between V2 and V4 electrodes On the 5th intercostal space at the left clavicular line On the left anterior axillary line horizontal with V4 electrode On the left middle axillary line horizontal with V4 electrode On the right side of the chest in positions corresponding to those on the left Over the xiphoid position On the 5th intercostal space at the left posterior axillary line of back On the 5th intercostal space at the right posterior axillary line of back 66 Patient Monitor User Manual Monitoring ECG V Electrode Placement for 5 lead 8 8 3 Electrode Placement for 12 lead Take the American standard for example The 12 lead electrodes should be placed on extremities and chest The electrodes for extremities should be placed on the skin of legs or arms the electrodes placed on chest should follow the doctor s advice Please see the following figure 67 Patient Mon
117. i 8 2 2 1 Installing Wall Mount for the MonNitOT ooooconocccocccoocccooncnonoconocono nono non no cono cnnn corn cconncnos 8 2 3 Connecting Tis Power Cab y A A AAA 8 2 A RN A RO 8 2 5 Checking the Recorder talar i 9 2 6 Setting the Date and We NR 9 2 7 Handing Over the Monitor a as de i reete Gelder detalle de pie Ed ated 9 Chapter 3 BasiC O pera tio e as 10 DOWEL WCW TER RN DETENER 10 SM ror E e a 10 LR AC me ERR RE 12 SER VI eR 16 3s d Con murder A aaa Mad ue 18 32 Operating and Navigating i easet Ert res Pte av RU MIS Rp Sex Ia a apud Us 18 32L USME ROVS oto tachi ae teal sae oo e e nei at citet 20 3 3 Operating Modeste pero A ean A Eb a 21 9 5 Demo A A a anes 21 Lando y Mode saepta tl A tete iei ioa Deque 22 E A O isa DR uda 22 3 4 Changing Monitor O ts oe b S dq ao alana sy 22 3 4 1 Adjusting Screen Brightness id in t tnn na edu en ic ean 22 347 Changing Date and TIe A A dais 23 3 9 Adj sting VOM ses nienia aaa a a a a a a a aaa 23 AUS Key Volume xoc ec a adan cta le da a oc un a cite 23 3 5 2 Adjusting Alarm Volume s s eoe tetti eerte A ert eden e ha e dera HR 23 3 5 3 Adjusting Beat WOVE eR RR PD C e m 23 3 6 Checking Your Monitor Versiones 23 3 1 NetWorked MOnitoring 5 oie e utet ectetur seem s Nb ei E EA 23 3 8 Setting LANAS ere erbe ree E vetere ie sylva 24 3 9 Understanding DET e iie en poet u vitu teted eter ales cy ta 24 3 TU Calibratinte Screens ood est eate tas 24 3A T Disab Hine the O
118. iles do et ollo coles a acto 114 18 2 1 Safety Information for ISA Analyzer 114 18 2 2 Safety Information for IRMA Module sse 116 18 3 Monitoring SEG eise st a tanto Ci a tete nsa b o act e ada i uus teat iu pax fala SEES oi 117 18 3 1 Monitoring Steps for ISA Andlyzet e erepto ete aree peine ep eed veas 117 18 3 2 Monitoring Steps for IRMA Module sese 119 18 4 Settina Work Mod n ie toto p quld update ata prid Ne Eb on ai va 122 LS SS SULIT OXTATIDESES caeco stes qos peas tae atid ances are utum puto duse rum a bep Md an es 123 18 6 Setting Apnea Alarm Time asso e A eec dca a 123 18 7 Working Status of ISA atialVzeE tcu ASA 123 18 8 Working Status of IRMA Module ssssssssseseeeeeee eene nennen enne entren 123 18 9 N20 and O2 Compensations c uo ec eise E aet esee rS FER oss cinco este ed pr cci sad 124 IS 10 BTlectsof MUNITY o cuoio do AR IE NO MATH US 124 Chapter 19 Freeze em R 125 DO 125 19 2 Entering Exiting Freeze Mall ds 125 19 21 Ent ring Breeze Sat Sct das 125 19 2 2 EXitin o Freeze Status aee ta 125 19 3 Reviewing Frozen Waveotm s oce ias 126 Chapter 20 Revie MR Rp 127 20 1 Trend Graph REVIEW on soa ce i oe hide tse ecto echoes ducatu ae Ld te sae Naeem hese 127 20 1 1 Selecting Trend Graph of Specific Parameter eene 127 20 1 2 Adjustime Trend Seale zucca rios 127 20 1 3 Setting ReSOlUCIOD n ee EA 128 20 1 4 Scrolling Left and Right the Scree
119. imit User selectable ICP MAP Low ICP MAP measuring value is below lower alarm limit User selectable LAP MAP High LAP MAP measuring value is above upper alarm limit User selectable LAP MAP Low LAP MAP measuring value is below lower alarm limit User selectable RAP MAP High RAP MAP measuring value is above upper alarm limit User selectable RAP MAP Low RAP MAP measuring value is below lower alarm limit User selectable P1 SYS High P1 SYS measuring value is above upper alarm limit User selectable P1 SYS Low P1 SYS measuring value is below lower alarm limit User selectable P1 DIA High P1 DIA measuring value is above upper alarm limit User selectable P1 DIA Low P1 DIA measuring value is below lower alarm limit User selectable P1 MAP High P1 MAP measuring value is above upper alarm limit User selectable P1 MAP Low P1 MAP measuring value is below lower alarm limit User selectable 32 Patient Monitor User Manual Alarm Information Message Cause Alarm level P2 SYS High P2 SYS measuring value is above upper alarm limit User selectable P2 SYS Low P2 SYS measuring value is below lower alarm limit User selectable P2 DIA High P2 DIA measuring value is above upper alarm limit User selectable P2 DIA Low P2 DIA measuring value is below lower alarm limit User selectable P2 MAP High P2 MAP measuring value is above upper alarm limit User s
120. in the CO Other Setup menu 106 Patient Monitor User Manual Monitoring CO 16 6 Changing CO Alarms This refers to CO specific alarms See the Alarms section for general alarm information To change the alarm please refer to the following steps 1 Select the CO Setup menu 2 Select EtCO Alarm Setup FiCO Alarm Setup or AwRR Alarm Setup to adjust the alarm limit About how to adjust the alarm limit please refer to section Setting alarm limits 16 7 Changing the Apnea Alarm Delay This determines the time limit after which the monitor gives an alarm if the patient stops breathing 1 Select the CO Setup menu to open it 2 Select Apnea Alm from the menu 3 Choose the apnea alarm time from the pop up list WARNING Safety and effectiveness of the respiration measurement method in the detection of apnea particularly the apnea of prematurity and apnea of infancy has not been established 107 Patient Monitor User Manual Monitoring C O Chapter 17 Monitoring C O 17 1 Overview The Cardiac Output C O measurement is performed by using thermodilution method The monitor can determine blood temperature measure cardiac output You can have iced injecta using either the flow through system or individual syringes of injecta You can perform up to 6 measurements before editing the average Cardiac Output The prompt message on the screen will tell you when to inject 17 2 C O Safety Information WARN
121. inflation can block the infusion potentially causing harm to patient NOTE 1 Itis suggested that the user should not start NIBP measuring when the low battery displays or the monitor may be turned off automatically 2 If you spill liquid onto the equipment or accessories particularly if there is a chance that it can get inside the tubing or the measurement device contact your service personnel 3 Continuous use of the automatic measuring mode for short intervals may lead to the discomfort of patient 12 3 Introducing the Oscillometric NIBP Measurement Oscillometric devices measure the amplitude of pressure changes in the occluding cuff as the cuff deflates from above systolic pressure The amplitude suddenly increases as the pulse breaks through the occlusion in the artery As the cuff pressure decreases further the pulsations increase in amplitude reach a maximum which approximates to the mean pressure and then diminish 12 4 Measurement Limitations Measurements are impossible with heart rate extremes of less than 40 bpm or greater than 240 bpm or if the patient is on a heart lung machine The measurement may be inaccurate or impossible in the following situations A regular arterial pressure pulse is hard to detect Patients with cardiac arrhythmias Patients with excessive and continuous movement such as shivering or convulsions Patients with rapid blood pressure changes Patients with severe shock or hypo
122. ing before the current time are displayed on the alarm event review interface If the user selects User Define he can define the review time by setting time box displayed on the interface The alarm events occurring before the User Define option are displayed on the alarm event review interface 20 5 Arr Review Select ECG Setup gt Arr Analysis gt Arr Review or Menu gt Review gt Arr Review to open the Arr review interface The interface displays the latest arrhythmia events 20 5 1 Scrolling the Screen All arrhythmia events can t be displayed on the current screen due to the screen limitation The user can scroll up and down the screen manually to see the other arrhythmia events that do not fit in the current view by selecting and pressing the symbol Y and tk displayed on the Arrhythmia Review interface 130 Patient Monitor User Manual Review 20 6 12 lead Diagnosis Review Select Menu gt Review gt Analysis Review to open the 12 lead analysis review interface Diagnosis Review E Analysis Time 2013 01 11 14 05 41 1 1 HR 60bpm P QRS T Axis 54 44 499 PR Interval 176ms RV5 SV1 Amp 1 09 0 55mv QRS Duration 72ms RV54SV1 Amp 1 64mv QT QTC Interval 339 339ms Diag Code Diag Result a 800 Sinus Rhythm 2177 Waveform 2 y Delete Record Print 20 6 1 Scrolling the Screen All analysis results or waveforms can t be displayed on the current screen due to the screen limitation The user
123. ion Keep it far away from corrosive medicine dust area high temperature and humid environment 3 Do not immerse transducers in liquid When using solutions use sterile wipes to avoid pouring fluids directly on the transducer Do not use autoclave or gas to sterilize the monitor recorder or any accessories The device and reusable accessories could be sent back to the manufacturer for recycling or proper disposal after their useful lives 6 Disposable devices are intended for single use only They should not be reused as performance could degrade or contamination could occur Patient Monitor User Manual Intended Use and Safety Guidance CAUTION Remove a battery whose life cycle has expired from the monitor immediately Avoid liquid splash on the device The temperature must be kept between 5 C and 40 C while working And it should be kept between 20 C and 55 C during transportation and storage To ensure patient safety use only parts and accessories manufactured or recommended by MENNEN MEDICAL LTD 10 Federal U S law restricts this device to sale by or on the order of a physician NOTE 1 Position the device in a location where the operator can easily see the screen and access the operating controls The monitor can only be used on one patient at a time If the monitor gets damp or liquid pours on the monitor please contact the service personnel of MENNEN MEDICAL LTD This monitor is not a device for treat
124. iquid contact your service personnel or MENNEN MEDICAL LTD service engineer 25 2 Cleaning WARNING Before cleaning the monitor or the sensor make sure that the equipment is switched off and disconnected from the power line 25 2 1 Cleaning the Monitor To surface clean the monitor Recommended cleaning agents are Diluted Ammonia Water lt 3 Ethanol 75 isopropanol 70 147 Patient Monitor User Manual Care and Cleaning 25 2 2 Cleaning the Accessories 25 2 2 1 Cleaning the ECG Cables and Lead Wires NOTE 1 Use only recommended cleaning substances and disinfectants listed in this document Others may cause damage not covered by warranty reduce product lifetime or cause safety hazards 2 Keep the cable and lead wires free of dust and dirt 3 Never immerse or soak the ECG cable 4 Inspect the cables after cleaning Recommended cleaning agents are m Ethanol 75 m Isopropanol 70 25 2 2 2 Cleaning the Blood Pressure Cuff If the cover requires more rigorous cleaning remove the air bladder first Allow the cover to thoroughly air dry before use Cuffs have been tested to withstand the following recommended cleaning agents isopropyl 70 ethanol 75 25 2 2 3 Cleaning the SpO Sensor These reusable sensors should be cleaned and disinfected The validated cleaning agents are listed below Recommended cleaning agents are m Ethanol 75 m Isopropanol 70 25 2 2 4 Cleaning the IBP C O Ca
125. itor User Manual Monitoring ECG Electrode Placement for 12 lead 8 8 4 Recommended ECG Lead Placement for Surgical Patients WARNING When using Electrosurgery ES equipment leads should be placed in a position in equal distance from Electrosurgery electrotome and the ES grounding plate to avoid cautery Electrosurgery equipment wire and ECG cable must not be tangled up Monitoring ECG leads are mainly used for monitoring the patient s vital signs When using the patient monitor with other electrosurgery equipment it is advised to use the counteracting defibrillation ECG lead The placement of the ECG leads will depend on the type of surgery that is being performed For example in an open chest surgery the electrodes may be placed laterally on the chest or on the back In the operating room artifacts may affect the ECG waveform due to the use of ES Electrosurgery equipment To help reduce this you can place the electrodes on the right and left shoulders the right and left sides near the abdomen and the chest lead on the left side at mid chest Avoid placing the electrodes on the upper arms Otherwise the ECG waveform will be too small 68 Patient Monitor User Manual Monitoring ECG NOTE 1 If an ECG waveform is not accurate while the electrodes are tightly attached try to change the lead 2 Interference from a non grounded instrument near the patient and ESU interference can cause inaccuracy of the waveform 8 9
126. ity before using them again 61 Patient Monitor User Manual Monitoring ECG NOTE 1 Interference from a non grounded instrument near the patient and ESU interference can cause inaccuracy of the waveform 2 I EC EN60601 1 2 protection against radiation is 3v m specifies that the electrical field density exceeding 1v m may cause measurement error in various frequencies It is accordingly suggested that do not use equipment generating electrical radiation near ECG RESP monitoring devices 3 The simultaneous use of cardiac pacemaker and other patient connected equipment may cause safety hazard 4 f the pacemaker signals are beyond the claimed range the heart rate may be calculated incorrectly 5 Inthe default settings of the monitor the ECG waveforms are the first two waveforms from top in the waveform area 6 For measurements in or near the heart we recommend connecting the monitor to the potential equalization system 7 For protecting environment the used electrodes must be recycled or disposed of properly 8 3 ECG Display The figure below is for reference only s II X1 Dido _ a N SN LL PEN POREN Deere D The symbol indicates lead name of display waveform there are other leads for selection such as I II III aVR aVF aVL V If you want to change the lead please refer to section Selecting Calculation Lead The symbol indicates waveform gain there are several options such as X0
127. l 4500mV Tolerance Auxiliary Current Leads off detection Active electrode 100nA Reference electrode lt 900nA Recovery time after T Defibrillation Leakage current of patient lt 10uA 166 Patient Monitor User Manual Product Specification Scale signal 1mV peak to peak value accuracy is 5 System noise lt 30u VPP ESU Protection Recovery time lt 10s Pace Pulse Pulse indicator Pulse is marked if the requirements of ANSI AAMI EC13 2002 Sect 4 1 4 1 are met Amplitude 2 mV 700 mV Width 0 1 ms 2 ms Ascending time 10 us 100 us Pulse Rejection Pulse is rejected if the requirements of ANSI AAMI EC13 2002 Sect 4 1 4 1 are met Amplitude 2 mV 700 mV Width 0 1 ms 2 ms Ascending time 10 us 100 us Minimum input slew rate gt 2 5V S Heart rate Measurement Range ADU 15 bpm 300 bpm PED NEO 15 bpm 350 bpm Accuracy 1 or 1 bpm whichever is greater Resolution 1 bpm PVC Measurement Range ADU 0 300 PVCs min PED NEO 0 350 PVCs min Resolution 1 PVCs min ST value only applicable to adult Measurement Range 2 0 mV 2 0 mV Accuracy 0 8 mV 0 8 mV 0 02 mV or 10 whichever is greater Beyond this range undefined Resolution 0 01 mV HR averaging method 167 Patient Monitor User Manual Product Specification Me
128. l in AUTO Mode 1 2 3 4 5 10 15 30 60 90 min 2 4 8h Continuous 5min interval is 5s Maximum measurement period Adult Pediatric 160s Neonatal 80s PR Measurement Range Adult Pediatric mode 40bpm 200bpm Neonatal mode 40 bpm 240bpm PR Accuracy t 2 bpm or 2 of the readings Measurement Range Adult Pediatric Mode SYS 60 mmHg 250 mmHg DIA 40 mmHg 200 mmHg MAP 45 mmHg 235 mmHg Neonatal Mode SYS 40 mmHg 120 mmHg DIA 20 mmHg 90 mmHg MAP 30 mmHg 100 mmHg Cuff pressure measuring range 0 mmHg 300 mmHg Pressure Resolution ImmHg Accuracy Maximum Mean Error 5mmHg Maximum Standard Deviation 8mmHg 173 Patient Monitor User Manual Product Specification A 6 SpO MENNEN MEDICAL LTD Module Measurement Range 0 100 Resolution 1 Accuracy Adult including Pediatric 2 70 100 SpO Undefined 0 69 SpO Neonate 3 70 100 SpO Undefined 0 69 SpO gt Pulse Rate Measuring Range 25bpm 300bpm Resolution Ibpm Accuracy 2bpm Data update period Is Sensor Wave length Red light 660 3 nm Infrared light 905 5 nm Emitted light energy lt 15mW Nellcor Module Measuring Range 1 100 Resolution 1 Data update period Is Sensor Type Accuracy Accuracy DS 100A OXI A N 3 70 100 SpO When th
129. l measurement according to the selected time interval 3 Continuous measurement Access the NIBP Setup menu and pick the Continual item to start a continuous measurement The continuous measurement will last 5 minutes 4 Stopping continuous measurement During continuous measurement press the e button on the front panel at any time to stop continuous measurement 12 8 Correcting the Measurement if Limb is not at Heart Level To correct the measurement if the limb is not at heart level to the displayed value Add 0 75mmHg 0 10kPa for each centimeter Deduct 0 75mmHg 0 10kPa for each higher or centimeter lower or Add 1 9mmHg 0 25kPa for each inch higher Deduct 1 9mmHg 0 25kPa for each inch lower 88 Patient Monitor User Manual Monitoring NIBP 12 9 NIBP Alarm When NIBP Alarm is set to On the physiology alarm occurs if any measurement value of Systolic pressure Mean pressure Diastolic pressure exceeds alarm limit The users can adjust the alarm limit by accessing NIBP Setup gt Alarm Setup gt Sys Alarm Map Alarm Dia Alarm 12 10 Resetting NIBP When the pressure does not work properly and the system fails to give a message for the problem pick Reset in the User Maintain gt NIBP Maintain menu to activate self test procedure and thus restore the system from abnormal performance 12 11 Calibrating NIBP NIBP is not user calibrated Cuff pressure transducers must be verified and calibrat
130. lease press the shortcut key on the screen directly To resume monitoring select anything on the screen or press any key 3 3 3 Night Mode To switch to night mode you may Y Select the shortcut key on the main screen or Select Menu Common Function gt Night Mode NOTE In night mode the sound of key heart beat and pulse is muted the alarm volume and screen brightness are down to their minimum the settings including key volume beat volume PR volume alarm volume and screen brightness are unavailable 3 4 Changing Monitor Settings 3 4 1 Adjusting Screen Brightness To change the screen brightness please 1 Press the Brightness key on the screen directly or 2 Select Menu gt Common Function gt Brightness and select the appropriate setting for the screen brightness 10 is the brightest 1 is the least bright Your monitor may be configured with lower brightness in standby mode and also for transport to conserve battery power 2994 Patient Monitor User Manual Basic Operation 3 4 2 Changing Date and Time To change the date and time please refer to Section Setting Date and Time WARNING Change to date and time will influence the storage of trend data 3 5 Adjusting Volume 3 5 1 Adjusting Key Volume The key volume is the volume you hear when you select any field on the monitor screen or when you turn the knob To adjust the key volume please 1 Select the Key Volume key on the screen directly
131. lict on the screen and open the Options menu 2 Choose another label among the options from the Alias pull down list to resolve the label conflict 25 Patient Monitor User Manual Alarms Chapter 4 Alarms The alarm information here applies to all measurements Measurement specific alarm information is discussed in the sections of individual measurements WARNING A potential hazard can exist if different alarm presets are used for the same or similar equipment in any single area e g an intensive care unit or cardiac operating room 4 1 Alarm Category The monitor provides two types of alarms physiological alarms and technical alarms 4 1 1 Physiological alarms If one or several physiological parameters of the currently monitored patient exceed the predefined alarm limit for example SpO values exceed the alarm limit the monitor will give an alarm and this type of alarm is called physiological alarms About the detailed alarm information please refer to the Section physiological alarm information 4 1 2 Technical Alarms If one or several technical status of the device is in abnormal status such as lead off or low battery and so on the monitor will give an alarm And this type of alarm is called technical alarms About the detailed alarm information please refer to Section technical alarm information 4 1 3 Prompts The monitor can give the character indication of monitoring process or other functions such as A
132. ll EQUIPMENT and SYSTEMS sss 186 B 2 Electromagnetic Immunity for all EQUIPMENT and SYSTEMS sss 186 B 3 Electromagnetic Immunity for EQUIPMENT and SYSTEMS that are not LIFE SUPPORTING eec tceeceesiy es teen be dns niens dene p Ne thc ole EA p deret dean 188 BA Recommended Separation Distances ceo ect rtt ener eec e on cedes eoe 189 C Default iari peer eco ce vaavoabupiesbedss sorso esssS ooo SSeS tSS Soo 191 C 1 Patient Information Default Settings baie bI ra soe ais 191 C 2 Alam Default Settpsu secas ru diee dub teca des 191 C3 ECG Default Sen nai 191 ARA E Jod c E O oie dcr oct aera ana naac an a eases etn aute E eeeeenae 193 oO sina tates EDU 193 COPR de BS a al eu e chet Fa cas tcd MM UM Ed 193 C7 NEB au Aig sec decent adores toed Maa evita eate pA d rat A A ies 194 CS HD 194 CO Quick TEMPI osc EF Secu EYE Sah sty ce E ee nU e eue 195 CAOS AE 195 A E oa athe eng 196 A om 196 A E AE E T S AE A AE N S EE 197 DADO scii RAE 198 XIV Patient Monitor User Manual Intended Use and Safety Guidance Chapter 1 Intended Use and Safety Guidance 1 1 Intended Use The MennMove 50 patient monitor is intended to be used for monitoring storing reviewing recording and generating alarms for multiple physiological parameters of adults pediatrics and neonates in hospital environments The monitored physiological parameters include ECG respir
133. ller scale results in a larger curve X axis Change the Scale X time value Two modes are available 0 30s 0 60s If you start measurement in the 0 30s mode it will be switched to 0 60s mode automatically if the measurement cannot finish within 30 seconds After the switch no further adjustment can be made to the Scale X Review Enter the Review window Exit Press the item to exit C O Measure 17 5 Measurement Process Measurement should be taken when the message Ready for new measurement appears on the screen Press the Start button and then start injection The thermodilution curve current blood temperature and the injective temperature are displayed during the measurement Curve drawing will stop automatically when the measurement finishes and the C O and CI and in the above figure will be calculated and displayed on the screen The monitor will display C O in the parameter area and the start measurement time in the above figure To ensure the accuracy of the measurement it is suggested that a reasonable interval should take place between two consecutive measurements The length of the interval can be set in the C O Setup menu Time unit second The interval time counter is displayed on the screen The next measurement cannot be performed until the time reduces to zero and a message Ready for new measurement appears NOTE 1 It is strongly recommended that the user must push the i
134. me you use a new airway adapter Respironics Mainstream CO Module 16 3 3 1 Measurement Steps Attach the sensor connector to the CO connector on the monitor 2 Wait two minutes allowing the sensor to reach its operating temperature and a stable thermal condition 3 Choose the appropriate airway adapter and connect it to the sensor head The airway adapter clicks into place when seated correctly 104 Patient Monitor User Manual Monitoring CO Connecting Sensor 4 To zero the sensor please refer to zeroing the sensor 5 Install the airway adapter at the proximal end of the circuit between the elbow and the ventilator Y section Connecting Airway Adapter WARNING 1 No routine user calibration required 2 Accuracy is affected by temperature and barometric pressure 3 Itis forbidden to insert or draw out the module when the monitor is working for it can cause instability of the system If you do it inadvertently please turn off the module in menu immediately The module enters STANDBY mode if you reconnect it to monitor which it is powered on If the readings are inaccurate you should do calibration 105 Patient Monitor User Manual Monitoring CO NOTE 1 Replace the airway adapter if excessive moisture or secretions are observed in the tubing or if the CO waveform changes unexpectedly without a change in patient status 2 To avoid infection use only sterilized disinfected or disposable airway adap
135. ment purposes The pictures and interfaces in this manual are for reference only Regular preventive maintenance should be carried out every two years You are responsible for any requirements specific to your country The monitor may not be compatible with all models of USB flash drives Use the USB flash drives that are recommended by MENNEN MEDICAL LTD It is recommended to format the USB flash drive to the FAT file type via PC prior to use 1 3 Explanation of Symbols on the Monitor This symbol indicates that the equipment is IEC EN60601 1 Type CF g equipment The unit displaying this symbol contains an F Type 1 F 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 EN 60601 1 Type BF 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 N Symbol for Caution Patient Monitor User Manual Intended Use and Safety Guidance Equipotential grounding terminal Alternating Current Power Supply switch Serial number Network port USB Universal Serial Bus Connection Audio alarm is off NIBP measurement Trend graph Freeze Record Menu POM G t t x He z s o
136. n ooocnionccnonononannononancnnn nono ncnnon anna nonoconnconan nnss 128 20 1 5 Switching to the Trend Table 2s acacencasunscasmmdelcecaaergescuitedceedadisactanseleemuasinteneueecoes x 128 20 1 0 4 COL sette mos A 128 202 TE ALG REVIEW ack Bc Sash e ds a ad e E NEM EE 128 20 2 1 Ri A tti e tel od us Sauk ep t Sal od lene eon 128 20 2 2 Scrolling A e enne deer d a eas p eb ists 128 20 2 3 Switching to Trend Grapbi coo oot i 129 ZO LIRA sic REA 129 DU SITES PR CVC Wee deti t aere ety tombe t E aia teas eee eee uu 129 20 31 Scrolling the Seren rl 129 203 2 Recordin tssirini t ie un Rus tet ue tie e a ee A d 129 20 4 Alatm Reviews divine e use i Re a ta eei e i pec ue ias 129 20 4 T Serollinpg The SCheet ws cca oe dei eta be ec i vete iod du er abis A 129 20 4 2 Selecting Alarm Event of Specific Parameter eese 130 20 4 SS Time IL obs edu iq date d qid Pa ens 130 DEP dac Pe e P M EM ELE 130 20 3 T Serolling The SCLOODE a sese eerte ade dro eei de a PR d id ae pia ets 130 20 6 12 lead Diagnosis Review cecidere eei teer ite mda ese re Ee s 131 20 6 L Serolling the Screen Soi oa arit Ree dn ts 131 20 6 2 Deleting Diagnosis Results e i ERG Fia a dE IU S FR HEU ER Red 131 20 6 3 Switching Between Waveforms and Results 131 20 6 AR ECO A ino Creed eed tds 131 Chapter 21 Calculation and Titration Table eese sees eres eerte ee eren ener tanen seta seno 132 Ma Dia Galeon uentos hope ied
137. n Sterile Size Infant Only applicable to MennMove 70 01 57 471284 All Purpose Sampling Cannula without filter Non Sterile Size Neonate Only applicable to MennMove 70 01 57 471285 Duo Flow 02 CO2 Sampling Cannula Non Sterile Size applicable to MennMove 70 Adult Only 01 57 471286 Duo Flow O24CO2 Sampling Cannula Non Sterile Size Child Only applicable to MennMove 70 01 57 471287 Capnomask O2 C02 Sampling Cannula Non Sterile Size Adult Only applicable to MennMove 70 01 57 471288 Capnomask O24CO2 Sampling Cannula Non Sterile Size Child Only applicable to MennMove 70 For Respironics Module 12 08 078137 Respironics EtCO2 module Side stream 1022054 11 15 040143 Respironics CAPNOSTAT 5 EtCO2 Main stream Module 1015928 12 08 078166 LoFloTM Module Mounting Bracket Respironics 1027730 11 57 078139 Disposable CO2 Nasal Cannula Adult Respironics 3468ADU 00 11 57 078151 Adult Pediatric Airway adapter kit with dehumidification tubing 11 57 078154 Disposable Sampling Line Kit with Dehumidification Tubing Respironics 3475 00 11 57 471019 Reuseable Adult Pediatric Airway Adapter 7007 01 11 57 471020 Reuseable Neonate Infant Airway Adapter 7053 01 11 59 078155 Disposable Adult Airway Adapter 6063 00 11 59 078156 Disposable Neonatal infant pediatric Airway Adapter 6312 00 11 57
138. n and after changing the IRMA airway adapter before proceeding with the Zeroing Procedure The green LED on the probe will be blinking for approximately 5 seconds while zeroing is in progress 18 3 2 4 Cleaning The IRMA probe can be cleaned using a cloth moistened with maximum 70 ethanol or maximum 70 isopropyl alcohol Remove the disposable IRMA airway adapter prior to cleaning the IRMA probe CAUTION 1 The IRMA oxygen sensor cell and IRMA airway adapters are non sterile devices Do not autoclave the devices as this will damage them 2 Never sterilize or immerse the IRMA probe in liquid 18 3 2 5 MAC Calculation The MAC value may be calculated and displayed by using end tidal ET gas concentrations according to the following formula MAC 4ET AA1 X AA 96ET AA3 X AA3 96ET N2O 100 X AA HAL 0 75 ENF 1 7 ISO 1 15 SEV 2 05 DES 6 0 18 4 Setting Work Mode There are two woke modes Measure and Standby To change the work mode please refer to the following steps 1 Select the AG Setup menu 2 Select Work Mode on the interface and select Measure or Standby from the popup list 122 Patient Monitor User Manual Monitoring AG 18 5 Setting Alarms Here we take CO alarm for example This refers to CO specific alarms See the Alarms Chapter for general alarm information To change the alarm please refer to the following steps 1 Select the CO Setup menu 2 Select EtCO Alarm High Limit or EtCO Alarm Low
139. nary artery wedge pressure CVP Central venous pressure HR Heart rate AP MAP Mean Artery Pressure LV D Left Ventricular Diameter PA MAP Pulmonary artery mean pressure HT Height WT Weight 21 3 3 Output Parameters Abbreviation English Full Name Description BSA Body surface area SV Stroke volume SVI Stroke volume index SVR Systemic vascular resistance SVRI Systemic vascular resistance index PVR Pulmonary vascular resistance PVRI Pulmonary vascular resistance index LCW Left cardiac work LCWI Left cardiac work index RCW Right cardiac work RCWI Right cardiac work index LVSW Left ventricular stroke work 134 Calculation and Titration Table Patient Monitor User Manual Calculation and Titration Table LVSWI Left ventricular stroke work index RVSW Right ventricular stroke work RVSWI Right ventricular stroke work index EF Ejection fraction 135 Patient Monitor User Manual Recording Chapter 22 Recording 22 1 General Information A thermal dot matrix recorder is used for the monitor and can support many recording types and output patient information measurement data review data waveform and so forth 1 2 3 4 1 Recording indicator 2 Paper feeding key press this key to start or stop feeding recording paper without outputting anything on the paper 3 Paper outlet 4 Recorder door 22 2 Performance of
140. nde The QRS template building required for Arr Analysis is in process SpO module is analyzing the patient signal and searching SpO Search Pulse for the pulse to compute the saturation when sensor is connected with patient Manual Measuring In manual measuring mode Continual Measuring In continuous measuring mode Auto Measuring In automatic measuring mode Measure Abort Measurement over Calibrating During calibrating Calibrate Abort Calibration over Leak Testing During pneumatic test Leak Test Ok NIBP module has passed leak test Leak Test Abort Pneumatic test over 47 Patient Monitor User Manual Alarm Information Message Cause Resetting NIBP module in resetting Please Start NIBP module is in idle status Done NIBP measurement successfully done Continual Measuring NIBP module performs continual measuring Stat Measuring NIBP module performs STAT function Please Switch To Maintain Mode NIBP module is in normal mode the user can t start leak test and pressure calibration Please enter User Maintain gt NIBP Maintain and switch to Maintain Mode to perform leak test or pressure calibration Please Switch To Normal Mode NIBP module is in maintaining mode the user can t start blood pressure measurement Please enter User Maintain gt NIBP Maintain and switch to Normal Mode to perform blood
141. nded separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vms 3 Vims 3 5 d WP IEC EN 150 kHz to 80 MHz L 61000 4 6 d VP 80 MHz to 800 MHz Lesia Radiated RF 3 V m 3 V m 2 IEC EN 80 MHz to 2 5 GHz d E JP 800 MHz to 2 5 GHz 61000 4 3 E Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol 188 Patient Monitor User Manual EMC Information Co NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey shoul
142. ne to the sensor It will click into place when seated correctly 102 Patient Monitor User Manual Monitoring CO Connecting Respironics Sidestream Module 3 To zero the sensor please refer to zeroing the sensor 4 For intubated patients an airway adapter is required Air adapter For non intubated patients Place the nasal cannula onto the patient Place the nasal cannula NOTE 1 You must perform a zero calibration as described in this procedure each time the ambient temperature changes more than 10 C for example during transport 103 Patient Monitor User Manual Monitoring CO 2 Always connect the airway adapter to the sensor before inserting the airway adapter into the breathing circuit In reverse always remove the airway adapter from the breathing circuit before removing the sensor 3 Always disconnect the cannula airway adapter or sample line from the sensor when the sensor is not in use 16 3 2 2 Removing Exhaust Gases from the System WARNING Anesthetics When using the sidestream CO measurement on patients who are receiving or have recently received anesthetics connect the outlet to a scavenging system to avoid exposing medical staff to anesthetics Use an exhaust tube to remove the sample gas to a scavenging system Attach it to the sidestream sensor at the outlet connector 16 3 3 Mainstream CO Module NOTE You must perform a zero calibration as described in this procedure each ti
143. ng Everything you need to operate the monitor is contained on its screen Almost every element on the screen is interactive Screen elements include measurement data waveforms screen keys information fields alarms fields and menus The configurability of the monitor means that often you can access the same element in different ways For example you might be able to access an item through its on screen setup menu via a hard key or via a shortcut key The User Manual always describes how to access items via an on screen menu You may use whichever way you find most convenient 18 Patient Monitor User Manual Basic Operation 1 2 3 4 5 A E a Z ICU S 82 Eric adit Y HR Low lanual PR ALTA Please Start Cuff S REEL 01 17 13 18 44 RZ N A E Review EJ TrendScreen b Department Bed number Patient name Patient type Alarm status area Alarm off Measurement value Menu Oo CO A DB tan A WY N Date and time Scroll right to display more shortcut keys Networking symbol N Battery status symbol Ww AC power supply symbol 19 Patient Monitor User Manual Basic Operation 14 Shortcut key area 15 Scroll left to display more shortcut keys 16 Mute key 17 Parameter waveform 3 2 1 Using Keys The monitor has four different types of keys
144. ngeless Contact service technician if necessary 15 10 IBP Alarm When Alarm Switch is set to On the physiology alarm occurs if any measurement value of Systolic pressure Mean pressure or Diastolic pressure exceeds alarm limit Users can adjust the alarm limit by accessing XX Options XX stands for the label name gt Setup gt SYS Alarm MAP Alarm DIA Alarm 100 Patient Monitor User Manual Monitoring CO Chapter 16 Monitoring CO 16 1 Overview The monitor provides the sidestream and mainstream methods for CO monitoring MENNEN MEDICAL LTD module and Respironics Sidestream CO module are used for sidestream measuring and Respironics Mainstream CO module is used for mainstream measuring The principle of CO measurement is primarily based on the fact that CO molecule can absorb 4 3um infrared ray Absorption intensity is proportional to CO concentration of patient sample the CO concentration will compute according to the detecting CO absorption intensity of patient sample Sidestream measurement takes a sample of the respiratory gas with a constant sample flow from the patient s airway and analyzes it with a remote CO sensor You can measure Sidestream CO using the monitor s built in CO measurement Mainstream measurement uses a CO sensor attached to an airway adapter directly inserted into the patient s breathing system 16 2 CO Safety Information WARNING 1 Do not use the devic
145. nitor Do not connect battery directly to an electric outlet or cigarette lighter charger Do not solder the leading wire and the battery terminal directly 10 If liquid leaking from the battery gets into your eyes do not rub your eyes Wash them well with clean water and go to see a doctor immediately If liquid leaks of the battery splash onto your skin or clothes wash well with fresh water immediately 11 Keep away from fire immediately when leakage or foul odor is detected 12 Stop using the battery if abnormal heat odor discoloration deformation or abnormal condition is detected during use charge or storage Keep it away from the monitor 13 Do not use a battery with serious scar or deformation 24 4 Replacing the Battery To install or replace the battery please follow the procedure l 2 Battery Door Pull the battery door according to indication on it to open it Pull the plastic retainer until the battery can be removed 145 Patient Monitor User Manual Using Battery 3 Insert the new battery into the battery compartment 4 Pull the metal retainer downward to fix the battery and close the battery door 24 5 Recycling the Battery When the battery no longer holds a charge it should be replaced Remove the old battery from the monitor and recycle it properly NOTE To prolong the life of rechargeable battery it is recommended to charge it at least once every month and it must be done af
146. njector within four seconds after pressing the Start button 2 Itis strongly recommended that you wait at least 1 minute or longer depending on the patient s clinical condition before starting the next measurement Repeat this procedure until you have completed the measurements you want You can perform a maximum of six measurement editing If you perform additional measurements the earliest measurement each time will be deleted If any of the curves in the editing window is not selected for calculation excluded from the averaging calculations the place will be taken by the new measurement 111 Patient Monitor User Manual Monitoring C O 17 6 Editing C O Pick the Review button on the C O Measure menu to access the Review as shown below co COResultreview sd Review CO 2 50 l min ICO 2 50 l min O LHAvernge co 2 Sb 6 E Window For C O Edit Contents displayed in the window Six curves of the six measurements and C O value Average value of C O Average value of CI Values of selected measurements can be averaged and stored in the C O item in the HEMOD menu as the basis for Hemodynamic calculations 17 7 Blood Temperature Monitoring Blood temperature monitoring can function when C O measurement is not taken The blood temperature is measured by the thermistor situated in the distal end of the flotation catheter in the
147. nly considers itself responsible for any effect on safety reliability and performance of the equipment if Assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by MENNEN MEDICAL LTD and The electrical installation of the relevant room complies with national standards and The instrument is used in accordance with the instructions for use Upon request MENNEN MEDICAL LTD may provide with compensation necessary circuit diagrams and other information to help qualified technician to maintain and repair some parts which MENNEN MEDICAL LTD may define as user serviceable Terms Used in this Manual This guide is designed to give key concepts on safety precautions WARNING A WARNING label advises against certain actions or situations that could result in personal injury or death CAUTION A CAUTION label advises against actions or situations that could damage equipment produce inaccurate data or invalidate a procedure NOTE A NOTE provides useful information regarding a function or a procedure II Table of Contents Chapter 1 Intended Use and Safety Guidance e ssesssoossoossoossssesssesssoossoosssossssosesoeessossoossssesssesssese 1 1 1 Intended USE acd esteso AE On dais Pa E A AEA EEE A eg CU RR KAEA AALER SE RR IR ERIS 1 LAMA o aaa ac siio 2 1 3 Explanation of Symbols on the Monitor eene ener 4 Chapter2 Installation 8 ZA PEC A A A A AAA 8 22 MOI MO a
148. nnect to the central monitoring system through the standard network wire 4 VGA output 5 Defibrillator synchronization analog output nurse call port When the user selects Analog Output the monitor outputs the waveform through the auxiliary output port When the user selects Defibrillation the monitor outputs the defibrillator synchronization signal through the auxiliary output port When the port is used as nurse call port it is connected to the call system When there is an alarm the monitor outputs nurse call signal to notify the nurse 6 Anti theft lock interface 7 Heat sink 8 Speaker 9 Equipotential grounding terminal if the monitor or other processing unit are used in internal examinations on the heart ensure that the room incorporates an equipotential grounding system to which the monitor and other processing unit have separate connection 10 Power Supply Inlet 11 Security lock used to prevent the power supply cord from falling 1 SD Card 2 Nurse call port this port is connected to the call system When there is an alarm the monitor outputs nurse call signal to notify the nurse 3 Defibrillator synchronization analog output When the user selects Analog Output the monitor outputs the waveform through the auxiliary output port When the user selects Defibrillation the monitor outputs the defibrillator synchronization signal through the auxiliary output port
149. nnel every 24 months and each time after fix up The following items should be checked Ifthe environment condition and power supply meet requirement If the power supply cord has damage and insulativity meets requirement If the device and accessories have damage Specified accessories If the alarm system can work properly If the recorder can work properly and the paper meets the requirement Battery performance If all monitoring functions are in good conditions Ifthe grounding resistance and leakage current meet requirement If any damage or abnormality is found please don t use the monitor and contact local Customer Service Center 26 2 Maintenance Task and Test Schedule The following tasks are for MENNEN MEDICAL LTD qualified service professionals only Contact an MENNEN MEDICAL LTD qualified service provider if your monitor needs a safety or performance test Clean and disinfect equipment to decontaminate it before testing or maintaining it Maintenance and Test Schedule Frequency Safety checks Selected tests on At least once every two years or as needed after any the basis of IEC60601 1 repairs where the power supply is removed or replaced or if the monitor has been dropped Check ECG synchronization of the At least once every two years or as needed monitor and defibrillator 150 Patient Monitor User Manual Maintenance NIBP Leakage Inspection At least once ev
150. not change the weight in the Patient Information menu 21 1 Drug Calculation 21 1 1 Calculation Procedures The drug calculation window is displayed by selecting Menu gt Common Function gt Drug Dose Select the right pull down box of the Drug option and select the required drug name among the 15 drugs which are listed as follows And the drug name of Drug A Drug B Drug C Drug D and Drug E can be defined by the user Drug A Drug B Drug C Drug D and Drug E AMINOPHYLLINE DOBUTAMINE DOPAMINE EPINEPHRINE HEPARIN ISUPREL LIDOCAINE NIPRIDE NITROGLYCERIN PITOCIN The system generates values that can t be treated the calculation results The user must enter the correct parameter value based on the doctor s instruction Enter the patient s weight Enter the correct parameter value Confirm whether the calculation result is correct The following formulas are applied to dose calculation Concentrate Amount Volume 132 Patient Monitor User Manual Calculation and Titration Table INF Rate DOSE Concentrate Duration Amount Dose Dose Rate x Concentrate DRIP Rate INF Rate 60 x DROP Size 21 1 2 Calculation Unit Each drug has the fixed unit or unit series to calculate Among the same unit series the unit binary varies with the entered parameter value The calculation units of the drugs are listed as follows Drug Unit DRUG A DRUG B DRUG C AMINOPHYLLINE g mg mcg DOBUTAMIN
151. nsor bracket take it and measure again If the problem persists stop using measuring function of TEMP module or notify biomedical engineer or J manufacturer s service staff out Probe temp too high The original temperature of sensor 2433 C amp lt 40 SES Low Put the sensor into the sensor bracket measure again after the sensor temperature reaches normal value Temp Sensor Off After the temperature reaches Predict value it descends to the value lower than Predict value Sensor Med Reconnect the sensor and make sure that the cable is properly connected 46 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken Battery Low Battery Low High Please change the battery or charging Recorder Out Of Please install the Paper Recorder Out Of Paper Low paper The user presses the Notify the Recorder setup RECORD button when the manufacturer s Low needed monitor is not installed service staff to install with a recorder and set the recorder Delete some data in Removable device is Less than 10M space is left the removable device Low full in the removable device or use another removable device Repair the removable Removable dev The removable device is Low device or replace it read only read only with a new one 5 3 Prompts Message Cause HOC Abe
152. nt Abnormal QRS complex is not considered in ST segment analysis 8 10 5 Adjusting ST and ISO Measurement Points Depending on your monitor s configuration the ST point can be positioned too These two points can be adjusted by turning the knob When adjusting ST measurement point the system will show the ST Measurement Point Window The system displays the QRS complex template in the window It is adjustable for the highlight bar in the window You may select ISO or ST switch the knob left or right to move the cursor line When the cursor is at the required position you may select the base point or the measurement point 8 11 Arr Monitoring 8 11 1 Arrhythmia Analysis The arrhythmia algorithm is used to monitor ECG of patients in clinics and detect the changes of heart rate and ventricular rhythm and also save arrhythmia events and generate alarming information Arrhythmia algorithm can monitor paced and non paced patients Qualified personnel can use arrhythmia analysis to evaluate patient s condition such as heart rate PVCs frequency rhythm and ectopic beat and decide the treatment Besides detecting change of ECG arrhythmia algorithm can also monitor patients and give proper alarm for arrhythmia 72 Patient Monitor User Manual Monitoring ECG The monitor can support up to 16 different arrhythmia analyses ARR Types Occurring Condition ASYSTOLE No QRS is det
153. o an additional 5 mmHg at 38mmHg Barometric Pressure on EtCO Measurement Values Quantitative effect Ambient Barometric Operational 0 40 mmHg 1 mmHg additional error 4 70 mmHg 2 5 additional error 71 100 mmHg 4 additional error 101 150 mmHg 5 additional error Additional worst case error when compensation for Pg O2 N20 anesthetic agents or helium is correctly selected for the actual fractional gas constituents present A 11 C O Intended patient Adult Measurement method Thermodilution Technique Measuring range C O 0 1 L min 20L min TB 23 C 43 C TI 1 C 27 C Resolution C O 0 1L min 179 Patient Monitor User Manual Product Specification TB TI 0 1 C Accuracy C O 5 or 0 2 L min whichever is greater TB 0 1 C without sensor TI 0 1 C without sensor A 12 AG A 12 1 Phasein Sidestream Temperature Working 5 C 40 C Transport and Storage 20 C 55 C Humidity Working 25 80 non condensing Transport and Storage 25 93 non condensing Altitude Working 860hPa 1060hPa Transport and Storage 700hPa 1060hPa Module Type ISA AX Analyzer Displaying the concentration of CO N20 and two anaesthesia agent and identifying the anaesthesia agent automatically por
154. o intra arterial measurements in a representative patient population 12 2 NIBP Safety Information WARNING 1 Do not measure NIBP on patients with sickle cell disease or any condition where skin damage has occurred or is expected 2 Use clinical judgement to decide whether to perform frequent unattended blood pressure measurements on patients with severe blood clotting disorders because of the risk of hematoma in the limb fitted with the cuff 3 Ensure that the correct setting is selected when performing measurements It may be dangerous for the children to use an over pressure level 4 The equipment is suitable for use in the presence of electrosurgery 5 The equipment can provide protective means to prevent the patient from being burned when used with HF SURGICAL EQUIPMENT The equipment can protect against the effects of the discharge of a defibrillator 6 Before starting a measurement verify that you have selected a setting appropriate for your patient adult pediatric or neonatal 7 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 85 Patient Monitor User Manual Monitoring NIBP WARNING 8 Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor tangled 9 Do not attach the cuff to a limb being used for IV infusions as the cuff
155. oes not recognize obstructive and mixed apneas it only indicates an alarm when a pre adjusted time has elapsed since the last detected breath If operating under conditions according to the EMC Standard EN 60601 1 2 Radiated Immunity 3V m field strengths above 1V m may cause erroneous measurements at various frequencies Therefore it is recommended to avoid the use of electrically radiating equipment in close proximity to the respiration measurement unit Cardiogenic artifact in impMennen Medical Ltd ce respiration monitoring may make it difficult to detect breaths or may otherwise be counted as breaths In some instances the breath rate may also correspond to the heart rate making it difficult to determine if the signal is due to breathing or the cardiac cycle Do not rely on RESP monitoring as the sole method for detecting cessation of breathing Follow hospital guidelines and best clinical practices for apnea detection including monitoring additional parameters that indicate the patient s oxygenation status such as etCO and SpoO NOTE The RESP monitoring is not recommended to be used on patients who are very active as this can cause false alarms Pe Patient Monitor User Manual Monitoring RESP 9 3 Resp Display Resp 30 14 9 4 Electrode Placement for Monitoring Resp Correct patient skin preparation techniques for electrode placement are important for Resp measurement you will find this information in the c
156. on and confirm it A message will display after the operation To delete the user configuration 1 Select Menu gt Maintenance gt User Maintain enter the required password ABC and then select User Configure 2 Select the configuration file needed to delete from the list click on Delete and confirm the operation A message will display after the operation To rename the user configuration 1 Select Menu gt Maintenance gt User Maintain enter the required password ABC and then select User Configure 2 Select a configuration file needed to rename from the list and click on Rename 3 Enter a name for the configuration file and confirm it 7 11 Default Configuration To set default configuration please select Menu gt Default and choose a configuration adult pediatric or neonate based on your patient category This configuration is factory configuration 60 Patient Monitor User Manual Monitoring ECG Chapter 8 Monitoring ECG 8 1 Overview The electrocardiogram ECG measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric This chapter also tells you about arrhythmia monitoring and ST monitoring 8 2 ECG Safety Information WARNING 1 Do not come into contact with the patient table or the monitor during defibrillation 2 Only use the ECG leads supplied by the manufacturer when using the monitor for ECG monitoring 3 When connecting the cables and elect
157. ondensed water 24 Too strong positive or negative pressure in the patient circuit might affect the sample flow 25 Exhaust gases should be returned to the patient circuit or a scavenging system 26 Always use a bacteria filter on the evac side if sampled gas is intended to be re breathed 27 Do not place the ISA analyzer in any position that might cause it to fall on the patient CAUTION 1 The ISA analyzers should be securely mounted in order to avoid the risk of damage to the ISA 2 Do not apply tension to the ISA analyzer cable 3 Do not operate the ISA analyzer outside the specified operating temperature environment 115 Patient Monitor User Manual Monitoring AG 18 2 2 Safety Information for IRMA Module WARNING 1 The IRMA probe is intended for use by authorized and trained medical personnel only 2 The IRMA probe must not be used with flammable anesthetic agents 3 Disposable IRMA airway adapters shall not be reused Used disposable airway adapters shall be disposed of in accordance with local regulations for medical wastes 4 Use only PHASEIN manufactured oxygen sensor cells Depleted oxygen sensors shall be disposed of in accordance with local regulations for batteries 5 Do not use the IRMA Adult Pediatric adapter with infants as the adapter adds 6 ml dead space to the patient circuit 6 Do not use the IRMA airway adapter with adults as this may cause excessive flow resistance 7 Measurements can be affec
158. ood pressure cuff 25 35cm CM1203 01 57 40074 Lager adult blood pressure cuff 33 47cm CM1204 01 57 471323 NIBP Cuff Neonate 10cm 15cm reusable 01 57 471324 NIBP Cuff Neonate 6cm 11cm reusable 11 57 40097 Neonatal Cuff 5102 About 6 9cm for single patient use 11 57 40098 Neonatal Cuff 5104 About 9 14cm for single patient use 01 57 471157 NIBP Cuff neonatal 1 3 6cm for single patient use 01 57 471158 NIBP Cuff neonatal 2 4 8cm for single patient use 01 57 471159 NIBP Cuff neonatal 3 6 11cm for single patient use 01 57 471160 NIBP Cuff neonatal 4 7 13cm for single patient use 156 Patient Monitor User Manual Accessories Part Number Accessories 01 57 471161 NIBP Cuff neonatal 5 8 15cm for single patient use 01 57 471021 Connecting Tube for Neonatal Cuff Only compatible with Neonatal Disposable and NIBP Tube 01 57 471303 NIBP spiral Tube with connector 01 57471291 NIBP Tube 3m with RECTUS quick connector For Omron Module 01 59 102099 OMRON NIBP Tube 3 5m CUFF HOSE NO 1 length3 5m CE Only applicable to MennMove 70 01 57 471078 OMRON CUFF CUFF NO 1 arm12 18cm applicable to MennMove 70 width7cm LATEX CE Only 01 57 471079 OMRON CUFF CUFF NO 2 arm17 23cm applicable to MennMove 70 width9cm LATEX CE Only 01 57 102100 OMR
159. or 2 Select Menu gt System Setup gt Key Volume then select the appropriate setting for the key volume Five is the loudest and Zero is the quietest 3 5 2 Adjusting Alarm Volume To change the alarm volume please 1 Press the Alarm Volume key on the screen directly or 2 Select Menu gt Alarm Setup gt Alarm Volume and select the desired setting from the popup interface For detailed information please refer to Section Controlling Alarm Volume 3 5 3 Adjusting Beat Volume To change the beat volume please press the Beat Volume key on the screen directly or refer to Section Setting Beat Volume 3 6 Checking Your Monitor Version To check the monitor version please select Menu gt Common Function gt About to check the monitor software revision 3 7 Networked Monitoring Your monitor can be connected to the wired network If the monitor is networked a network symbol is displayed on the screen 23 Patient Monitor User Manual Basic Operation 3 8 Setting Languages To change the language please 1 Select Menu gt Maintenance gt User Maintain then type the correct password ABC into the displayed interface 2 Select the Language option on the popup interface to open the language list 3 Select the desired language from the list To make the change validate please restart the monitor 3 9 Understanding Screens Your monitor comes with a set of preconfigured screens optimized for common monitoring sc
160. or User Manual Alarm Information EtSev 8 0 0 FiSev 8 0 0 EtEnf 5 0 0 FiEnf 5 0 0 awRR 150 rpm 0 rpm Apnea Time 40s 20s NEO FiCO 25 0 0 0 EtCO 25 0 0 0 FiO 88 0 18 0 EtO 90 0 18 0 FiN O 100 096 0 0 EtN O 100 096 0 0 EtDes 18 0 0 FiDes 18 0 0 EtIso 5 0 0 Filso 5 0 0 EtHal 5 0 0 FiHal 5 0 0 EtSev 8 0 0 FiSev 8 0 0 EtEnf 5 0 0 FiEnf 5 0 0 awRR 150 rpm 0 rpm Apnea Time 40s 20s 53 Patient Monitor User Manual Managing Patients Chapter 6 Managing Patients 6 1 Admitting a Patient The monitor displays physiological data and stores it in the trends as soon as a patient is connected This allows you monitor a patient who is not yet admitted It is however important to admit patients properly so that you can identify your patient on recordings reports and networked devices During admission you enter data that the monitor needs for safe and accurate operation For example the patient category setting determines the algorithm the monitor uses to process and calculate some measurements the safety limits that are applied for some measurements and the alarm limit ranges To admit a patient please 1 Select the Admission key on the screen or 2 Select Menu gt Patient Setup gt New Patient then a message is displayed to ask the user to confirm to update patient 3 Click on No to cancel this operation click on Yes the Patient Info window is displ
161. ovide a substitute product for use when the defective product is being repaired 27 2 Contact information If you have any question about maintenance technical specifications or malfunctions of devices contact your local distributor Alternatively you can send an email to MENNEN MEDICAL LTD service department at support Mennen Medical Ltd com cn 152 Patient Monitor User Manual Chapter 28 Accessories You can order accessories from MENNEN MEDICAL LTD supplies at www Mennen Medical Ltd com cn or consult your local MENNEN MEDICAL LTD representative for details 1 Never reuse disposable transducers sensors accessories and so forth that are intended for single use or single patient use only Reuse may compromise device WARNING functionality and system performance and cause a potential hazard 2 Use only MENNEN MEDICAL LTD approved accessories Using non MENNEN MEDICAL LTD approved accessories may compromise device functionality and system performance and cause a potential hazard 3 Do not use a sterilized accessory if its packaging is damaged NOTE Transducers and sensors have a limited shelf life Refer to the package labeling The following cables may not all be available in all countries Please check availability with your local MENNEN MEDICAL LTD supplier 28 1 ECG Accessories The following table lists the optional configuration for the monitor Part Number Accessories 01 57 471230
162. patient finger 3 Plug the connector of the sensor extension cable into the SpO socket on the SpO module Mounting of the Sensor WARNING Inspect the application site every two to three hours to ensure skin quality and correct optical alignment If the skin quality changes move the sensor to another site Change the application site at least every four hours NOTE Injected dyes such as methylene blue or intravascular dyshemoglobins such as methemoglobin and carboxyhemoglobin may lead to inaccurate measurements Interference can be caused by High levels of ambient light or strobe lights or flashing lights such as fire alarm lamps Hint cover application site with opaque material High frequency electrical noise including electro surgical apparatus and defibrillators 81 Patient Monitor User Manual Monitoring SpO Intravascular dye injections Significant concentrations of dysfunctional hemoglobin such as carboxyhemoglobin and methemoglobin Excessive patient movement and vibration Improper sensor application Low perfusion or high signal attenuation Venous pulsation Placement of the sensor on an extremity that has a blood pressure cuff arterial catheter or intravascular line 10 5 Understanding SpO Alarms This refers to SpO specific alarms See the Alarms section for general alarm information SpO offers high and low limit alarms and the users can adjust them 10 6 Adjusting Alarm Limi
163. peration that may trigger the adjustment of the screen or the display of a new menu After exiting Freeze status the system will clear screen waveforms and resume displaying real time waveforms In the Screen Refresh mode the system will sweep the waveforms from left to right in the Waveform Area Press the button on the control panel and the Freeze menu will appear on the bottom part of the screen At the same time the system freezes the waveforms B REC WAVE it can be set to any waveform of 8s such as IBP1 CO and PLETH etc It can also be set to OFF Review Used to review frozen waveforms Exit The system closes the Freeze menu and exits the Freeze status 125 Patient Monitor User Manual Freeze NOTE Pressing the button repeatedly over a short period of time may result in discontinuous waveforms on the screen 19 3 Reviewing Frozen Waveform By moving the waveform you may review a waveform of 120 seconds before it is frozen For a waveform of less than 60 seconds the remaining part is displayed as a straight line Use the rotary snob on the control panel to move the cursor to the Review option in the Freeze menu Press the knob By turning the knob left or right frozen waveforms on the screen will move left or right correspondingly There is an arrow indicating upward on the right side of the last waveform 126 Patient Monitor User Manual Review Chapter 20 Review The monitor provides 120 hour trend
164. persists stop measuring function of NIBP module and notify biomedical engineer or manufacturer s service staff NIBP Pressure Excessive Pressure has exceeded the specified upper safety limit Low Measure again if failure persists stop measuring function of NIBP module and notify biomedical engineer or manufacturer s service staff NIBP Init Pressure High The initial pressure is too high during measuring Low Measure again if failure persists stop measuring function of NIBP module and notify biomedical engineer or manufacturer s service staff NIBP Self Test Error Sensor or other hardware errors High If failure persists stop using measuring function of NIBP module and notify biomedical engineer or manufacturer s service staff NIBP Error Cuff Type The cuff type used isn t consistent with the patient type Low Confirm the patient type and change the cuff 39 Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken Check whether the airway is occluded E Malfunction in pressure MM pc ee Air Pressure Error Low works properly If sensor or valve the problem still exists contact your service personnel BA i Contact your service NIBP System Failure Malfunction in hardware High personnel Check the connection of the j cuff and try again If NIBP Weak
165. please select Menu gt Maintenance gt User Maintain after entering the required password ABC select Other Setup gt BarCode Setup Then the user can set serial No last Name first Name and so on If Auto Update is set to On the patient information is updated automatically by using a bar code scanner If Auto Update is set to Off the user needs to update the patient information manually 3 13 Resolving IBP Label Conflicts Each label must be unique and can only be assigned once The measurement labels are stored in the measurement modules If you try to use two IBP channels that have identical labels this causes a label conflict in the monitor For example an IBP channel channel A has already been loaded and the label Art is used for channel A Then another IBP channel channel B is loaded and the label Art is also used for channel B In this case a label conflict will be triggered A prompt indicating IBP label conflict will appear on the left of the screen Additionally at the corresponding measurements area a label flickers to indicate a label conflict The flickering label is the default one assigned by the system The IBP channel with a label conflict will not provide any measurement data besides the functions of setup zeroing and calibrating are unavailable To resolve the label conflict you have to change the conflicting label into a non conflicting one via the following method 1 Select the IBP channel with a label conf
166. r User Manual Monitoring SpO Chapter 10 Monitoring SpO 10 1 Overview SpO gt is based on the absorption of pulse blood oxygen to red and infrared light by means of finger sensor and SpO measuring unit SpO Plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the arterial blood If for example 9796 of the hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen then the blood has a SpO oxygen saturation of 97 The SpO numeric on the monitor will read 97 The SpO numeric shows the percentage of hemoglobin molecules which have combined with oxygen molecules to form oxyhemoglobin The SpO2 PLETH parameter can also provide a pulse rate signal and a plethysmogram wave 10 2 SpO Safety Information WARNING 1 If the SpO sensor cannot work properly please reconnect the sensor or change a new one 2 Do not use the sterile supplied SpO sensors if the packaging or the sensor is damaged and return them to the vendor 3 Prolonged and continuous monitoring may increase the risk of unexpected change of dermal condition such as abnormal sensitivity rubescence vesicle repressive putrescence and so on It is especially important to check the sensor placement of neonate and patient of poor perfusion or immature dermogram by light collimation and proper attaching strictly according to changes of the skin More frequent examinations may be required for different patients
167. rane ESU Electrosurgical unit Et End tidal EtCO End tidal carbon dioxide EtN O End tidal nitrous oxide 198 Abbreviation Patient Monitor User Manual Eto Ethylene oxide EtO End tidal oxygen FDA Food and Drug Administration Fi Fraction of inspired FiCO Fraction of inspired carbon dioxide FiN O Fraction of inspired nitrous oxide FiO Fraction of inspired oxygen Hal Halothane Hb Hemoglobin Hb CO Carbon mono xide hemoglobin HR Heart rate IBP Invasive blood pressure ICP Intracranial pressure ICU Intensive care unit ID Identification IEC International Electrotechnical Commission IEEE Institute of Electrical and Electronic Engineers Iso Isoflurane LA Left arm LAP Left atrial pressure LCD Liquid crystal display LED Light emitting diode LL Left leg MAP Mean arterial pressure MDD Medical Device Directive MetHb Methemoglobin MRI Magnetic resonance imaging N A Not applied N2 Nitrogen N20 Nitrous oxide Neo Neonate NIBP Non invasive blood pressure 199 Patient Monitor User Manual Abbreviation O Oxygen oxyCRG Oxygen cardio respirogram PA Pulmonary artery PAWP Pulmonary artery wedge pressure Ped Pediatric Pleth Plethysmogram PR Pulse rate PVC Premature ventricular complex R Right RA Right arm RAP Right atrial pres
168. rate 100ml min ei lt 4s water trap with 2m gas sampling tube sample gas flowrate 100ml min Work mode Standby measure default measure Respirat Mini ud The value of concentration change is greater than 1 vol Inspection Range 0 100 O compensation Resolution 1 Default 16 Range 0 100 s DE es Resolution 1 p Default 0 Range 0 20 AG nd es Resolution 0 196 E Default 0 Humidity compensation ATPD BTPS default method Calibration Support Alarm EtCO FICO AWRR Apnea alarm 10s 15s 20s 25s 30s 35s 40s default value is 20s delay Respironics Module Intended patient Adult pediatric neonatal Measurement method Infra red Absorption Technique Unit mmHg Kpa Measuring Range EtCO 0 mmHg 150 mmHg FiCO 3 mmHg 50 mmHg AwRR 2 rpm 150 rpm sidestream 0 rpm 150 rpm mainstream Resolution EtCO ImmHg 177 Patient Monitor User Manual Product Specification FiCO ImmHg AwRR 1 rpm EtCO Accuracy t2 mmHg 0 to 40 mmHg t 5 of reading 41 to 70 mmHg 8 of reading 71 to 100 mmHg t 10 96 of reading 101 to 150 mmHg t 12 of reading RESP measurement value exceeds 80rpm sidestream AwRR Accuracy tlrpm Sample Gas Flowrate 50 10m1 min sidestream Stability Short Term Drift Less than 0 8 mmHg over four hours Long Term Drift A
169. rcuit and ISA kPa EtCO BTPS EtCO gas concentration at BTPS vol O is assumed to be room air calibrated at a humidity level of 0 7 vol H20 124 Patient Monitor User Manual Freeze Chapter 19 Freeze 19 1 Overview When monitoring a patient the user may freeze the waveforms and examine them Generally the user can review a frozen waveform of a maximum of 120 seconds The freeze function of this monitor has the following features E Freeze status can be activated on any operating screen NH Once entering the Freeze status the system exits all other operating menus Besides the system freezes all waveforms in the Waveform area of the Basic Screen and also freezes Full Lead ECG waveforms and extra waveforms on the Full Lead ECG interface if any Nevertheless the Parameter area refreshes normally B The frozen waveforms can be reviewed and recorded 19 2 Entering Exiting Freeze Status 19 2 1 Entering Freeze Status In the Non Freeze status press the button on the control panel of the monitor to exit the current menu Freeze status is entered and the popup Freeze menu is displayed In Freeze status all waveforms are frozen and will no longer be refreshed 19 2 2 Exiting Freeze Status In the Freeze status executing any of the following operations will command the system to exit the Freeze status Select the Exit option in from the Freeze menu Press the button on the control panel again Execute any o
170. rectly set to Off the monitor could mistake a pace pulse for a QRS and fail to give an alarm during asystole 6 2 Quick Admit If you do not have the time or information to fully admit a patient Complete the rest of the patient information later To quickly admit a patient please 1 Select Menu gt Patient Setup gt Quick Admit then a message is displayed to ask the user to confirm to update patient 2 Click on No to cancel this operation click on Yes to continue and the Patient Info window is displayed choose Type and Pace and set them to the correct mode 3 Select Exit 6 3 Editing Patient Information To edit the patient information after a patient has been admitted select Menu gt Patient Setup gt Patient Info and make the required changes on the popup interface 6 4 Updating a Patient You should always perform an update before starting monitoring for a new patient When you select Menu gt Patient Setup gt Quick Admit or Menu gt Patient Setup gt New Patient a message of Press Yes to create new patient profile by clearing all current patient data is displayed Ifthe user selects Yes the monitor will update the patient information If the user selects No the monitor won t update the patient information and returns to patient setup interface NOTE Discharging patient will clear the history data in the monitor associated with the patient 6 5 Central Monitoring System The monitor
171. ring result after the module entering Predict state for 30s AG Standby AG module is operating in the standby status 5 4 Adjustable Range of Alarm Limits ECG alarm limits are listed as follows unit bpm Patient Type ALM HI ALM LO HR ADU 300 15 PED 350 15 NEO 350 15 ST analysis alarm limits are listed as follows unit mV ALM HI ALM LO ST 2 0 2 0 PVCs alarm upper limits are listed as follows ALM HI ALM LO PVCs 10 49 Patient Monitor User Manual Alarm Information RESP alarm limits are listed as follows unit rpm Patient Type ALM HI ALM LO ADU 120 6 PED 150 6 NEO 150 6 SpO alarm limits are listed as follows unit 96 ALM HI ALM LO SpO 100 0 PR alarm limits is listed as follows unit bpm ALM HI ALM LO PR 300 30 NIBP alarm limits are listed as follows MENNEN MEDICAL LTD module unit mmHg Patient Type ALM HI ALM LO ADU SYS 270 40 DIA 215 10 MAP 235 20 PED SYS 200 40 DIA 150 10 MAP 165 20 NEO SYS 135 40 DIA 100 10 MAP 110 20 NIBP alarm limits are listed as follows Omron module unit mmHg Patient Type ALM HI ALM LO SYS 250 60 ADU PED DIA 200 40 MAP 235 45 SYS 120 40 NEO DIA 90 20 MAP 100 30 50 Patient Monitor User Manual TEMP alarm limits are li
172. rodes make sure no conductive part is in contact with the ground Verify that all ECG electrodes including neutral electrodes are securely attached to the patient but not the conductive part or ground 4 Check every day whether there is skin irritation resulted from the ECG electrodes If yes replace electrodes every 24 hours or change their sites Place the electrode carefully and ensure a good contact Check if the lead connection is correct before monitoring If you unplug the ECG cable from the socket the screen will display the error message ECG LEAD OFF and the audible alarm is activated 7 When using the monitor with the defibrillator or other high frequency equipment please use defibrillator proof ECG lead to avoid burn 8 In order to avoid being burnt please keep the electrodes far away from the radio knife while using electrosurgical equipment 9 When using Electrosurgery ES equipment do not place an electrode near the grounding plate of the Electrosurgery device otherwise there will be a great deal of interference with the ECG signal 10 For patients with pacemakers the pacing impulse analysis function must be switched ON Otherwise the pacing impulse may be counted as normal QRS complex which results in failure of ECG LOST error detection 11 The electrodes should be made of the same metal materials 12 ECG cables can be damaged when connected to a patient during defibrillation Check cables for functional
173. s happens the pulses are counted as a QRS complex and could result in an incorrect HR and failure to detect cardiac arrest or some arrhythmias Keep pacemaker patients under close observation 8 9 6 ECG Calibration This item is used to calibrate ECG waveform When you select this item from ECG Setup menu again the ECG waveform calibration ends NOTE The device can t be monitored during ECG calibration 8 9 7 ECG Waveform Settings To change this speed select ECG Wave Setup gt Sweep then select an appropriate setting from 70 Patient Monitor User Manual Monitoring ECG the pop up list The bigger the value is the wider the waveform is 8 9 8 12 Leads ECG When the monitor is installed with 12 lead it can provide 3 lead 5 lead and 12 lead ECG monitoring functions 8 10 ST Segment Monitoring The monitor performs ST segment analysis on normal and atrially paced beats and calculates ST segment elevations and depressions This information can be displayed in the form of ST numeric and snippets on the monitor ST segment monitoring function is shut off by default You can switch it to On when necessary When using the ST analysis function the ST analysis results will be displayed on the right of the main screen please refer to the following figure NOTE The ST algorithm has been tested for accuracy of the ST segment data The significance of the ST segment changes need to be determined by a clinician 8 10 1 Se
174. s level For example 50 vol Helium typically decreases the CO readings by 6 This means that if measuring on a mixture containing 5 0 vol CO and 50 vol Helium the measured CO concentration will typically be 1 0 06 5 0 vol 4 7 vol CO Note 3 In addition to the EN ISO 21647 standard 185 Patient Monitor User Manual B EMC Information Guidance and Manufacture s Declaration B 1 Electromagnetic Emissions for all EQUIPMENT and SYSTEMS EMC Information Guidance and manufacture s declaration electromagnetic emission g The monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Emission test Compliance Electromagnetic environment guidance RF emissions The monitor uses RF energy only for its internal CISPR 11 Gigubd function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emission The monitor is suitable for use in all CISPR 11 Class A establishments other than domestic establishments and those directly connected to Harmonic emissions Class A the public low voltage power supply network IEC EN 61000 3 2 that supplies buildings used for domestic purposes Voltage fluctuations flicker emissions Complies IEC EN 61000 3 3 B 2 Electromagnetic Immunity for all EQUIPME
175. s no battery for standby the monitor will be off and only the patient information and alarm settings can be saved After reconnecting the power supply the user should turn on the monitor for monitoring 14 Keep away from fire immediately when leakage or foul odor is detected 15 The device and accessories are to be disposed of according to local regulations after their useful lives Alternatively they can be returned to the dealer or the manufacturer for recycling or proper disposal Batteries are hazardous waste Do NOT dispose them together with house hold garbage At the end of their life hand the batteries over to the applicable collection points for the recycling of waste batteries For more detailed information about recycling of this product or battery please contact your local Civic Office or the shop where you purchased the product 16 Dispose of the package material observing the waste control regulations and keeping it out of children s reach 17 After defibrillation the screen display recovers within 10 seconds if the correct electrodes are used and applied based on the manufacturers instructions 18 This equipment is not intended for family usage CAUTION 1 Electromagnetic Interference Ensure that the environment in which the patient monitor is installed is not subject to any sources of strong electromagnetic interference such as radio transmitters mobile telephones etc 2 Keep the environment clean Avoid vibrat
176. s no damage on the measurement accessories and cables Then turn on the monitor check whether the monitor can start normally Make sure all alarm lamps light up and the alarm sound is heard when turning on the monitor Patient Monitor User Manual Installation WARNING If any sign of damage is detected or the monitor displays some error messages do not use it on any patient Contact Customer Service Center immediately NOTE 1 Check all the functions of the monitor and make sure that the monitor is in good status 2 If rechargeable batteries are provided charge them after using the device every time to ensure the electric power is enough 3 The interval between double pressing of POWER switch should be longer than 1 minute 4 After continuous 360 hour runtime please restart the monitor to ensure the monitor s steady performance and long lifespan 2 5 Checking the Recorder If your monitor is equipped with a recorder open the recorder s door to check if paper is properly installed in the slot If no paper exists refer to Chapter Recording for details 2 6 Setting the Date and Time To set the date and time 1 Select Menu gt Maintenance gt User Maintain gt Date Time Setup 2 Adjust the date display format based on the user s habit 3 Set the correct time of year month day hour min and sec 2 7 Handing Over the Monitor If you are handing over the monitor to the end users directly after configuration make
177. sion of the IRMA probe measurements the following zeroing recommendations should be followed Zeroing is performed by snapping a new IRMA airway adapter onto the IRMA probe without connecting the airway adapter to the patient circuit and then using the host instrument to transmit a zero reference command to the IRMA probe Special care should be taken to avoid breathing near the airway adapter before or during the zeroing procedure The presence of ambient air 21 O2 and 0 CO2 in the IRMA airway adapter is of crucial importance for a successful zeroing If a ZERO REQ alarm should appear 121 Patient Monitor User Manual Monitoring AG directly after a zeroing procedure the procedure has to be repeated Always perform a pre use check after zeroing the probe Zeroing for IRMA CO probes Zeroing needs to be performed ONLY when an offset in gas values is observed or when an unspecified accuracy message is displayed Allow 10 seconds for warm up of the IRMA CO probe after power on and after changing the IRMA airway adapter before proceeding with the Zeroing Procedure The green LED on the probe will be blinking for approximately 5 seconds while zeroing is in progress Zeroing for IRMA AX probes Zeroing should be performed every time the IRMA airway adapter is replaced or whenever an offset in gas values or an unspecified gas accuracy message is displayed Allow 30 seconds for warm up of the IRMA AX probes after power o
178. source options You can select SpO or arterial pressure labels as the PR source in the PR Source list on the PR Setup menu NOTE In the PR Source list an arterial pressure label accompanied with a label with brackets indicates this label is in conflict Do not select a conflicting label as the PR source 11 3 Setting PR Volume Six selections are available 0 1 2 3 4 and 5 5 indicates the maximum volume 0 indicates no sound You can change PR Volume in the PR Setup menu 11 4 Using Pulse Alarms You can change pulse rate alarm limits in the PR Setup menu by selecting Alarm Setup Pulse alarms are only generated when the active alarm source is set to PR a pulse source is set as system pulse and pulse alarms are switched on 11 5 Selecting the Active Alarm Source In most cases the HR and Pulse numerics are identical In order to avoid simultaneous alarms on HR and Pulse the monitor uses either HR or Pulse as its active alarm source To change the alarm source select Alarm Source in the HR Pulse Alarms menu then select HR ifyou want HR to be the alarm source for HR Pulse PR if you select Pulse as the active alarm source the monitor will prompt you to confirm your choice Be aware that if you select Pulse as the alarm source all arrhythmia and ECG HR alarms are switched off AUTO if the Alarm Source is set to Auto the monitor will use the heart rate from the ECG measurement as the alarm source whenever the
179. start recording Press the Record button on the front panel to stop recording Trend table recording Enter the Menu gt Review gt Trend Table menu and press the Record button to start recording Press the Record button on the front panel to stop recording NIBP review recording Enter the Menu gt Review gt NIBP Review menu then press the Record button to start recording Press the Record button on the front panel to stop recording Arrhythmia review recording Enter the Menu gt Review gt ARR Review menu and select one arrhythmia alarm then press the Record button to start recording Press the Record button on the front panel to stop recording 137 Patient Monitor User Manual Recording Alarm review recording Enter the Menu gt Review gt Alarm Review menu and select one alarm then press the Record button to start recording Press the Record button on the front panel to stop recording Drug calculation titration Enter the Menu gt Common Function gt Drug Dose gt recording Titration menu then press the Record button to start recording Press the Record button on the front panel to stop recording Hemodynamic Calculation Enter the Menu gt Common Function gt Hemod Dynamics result recording menu then press the Record button to start recording Press the Record button on the front panel to stop recording 12 lead diagnosis recording Enter the ECG Setup gt 12 L Review men
180. sted as follows Alarm Information ALM HI ALM LO Tl 50 C 122 F 0 C 32 F T2 50 C 122 F 0 C 32 F TD 50 C 90 F 0 C 0 F IBP alarm limits are listed as follows unit mmHg Art RAP LAP CVP PA ICP P1 P2 CO alarm limits are listed as follows ALM HI ALM LO EtCO 150 mmHg 0 FiCO 50 mmHg 3 AwRR 150 rpm 2 rpm C O alarm limits are listed as follows ALM HI ALM LO TB 43 C 109 411 23 C 73 40 Quick Temp alarm limits are listed as follows Patient Type ALM HI ALM LO ADU 42 C 107 611 35 5 C 95 911 PED 42 C 107 601 35 5 C 95 911 51 Patient Monitor User Manual AG alarm limits are listed as follows Alarm Information Patient Type ALM HI ALM LO ADU FiCO gt 25 0 0 0 EtCO 25 0 0 0 FiO 88 0 18 0 EtO 90 0 18 0 FiN2O 100 0 0 0 EtN20 100 0 0 0 EtDes 18 0 0 FiDes 18 0 0 EtIso 5 0 0 Filso 5 0 0 EtHal 5 0 0 FiHal 5 0 0 EtSev 8 0 0 FiSev 8 0 0 EtEnf 5 0 0 FiEnf 5 0 0 awRR 150 rpm 0 rpm Apnea Time 40s 20s PED FiCO2 25 0 0 0 EtCO 25 096 0 0 FiO 88 0 18 0 EtO 90 0 18 0 FiN O 100 0 0 0 EtN O 100 0 0 0 EtDes 18 0 0 FiDes 18 0 0 EtIso 5 0 0 Filso 5 0 0 EtHal 5 0 0 FiHal 5 0 0 52 Patient Monit
181. stimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer 189 Patient Monitor User Manual EMC Information NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 190 Patient Monitor User Manual Default Settings C Default Settings This appendix documents the most important default settings of your monitor as it is delivered from the factory Note If your monitor has been ordered preconfigured to your requirements the settings at delivery will be different from those listed here C 1 Patient Information Default Settings Patient Information Settings Patient Type Adult Pace Off C 2 Alarm Default Settings Alarm Settings Pause Time 120s Mute On Sensor Off Alarm On Alarm Latch Unlatch C 3 ECG Default Settings ECG Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit 120 160 200 Alarm Low Limit 50 75 100 Pace Off Lead Type 5 Leads Display Normal Filter Monitor Smart Lead Off Off Heart Volume 2 ST Analysis ADU P
182. sure Resp Respiration RHb Reduced hemoglobin RL Right leg RR Respiration Rate Sev Sevoflurane SYS Systolic pressure TB Blood Temperature TD Temperature difference TEMP Temperature USB Universal serial bus 200
183. sure that it is in the monitoring mode The users must be adequately trained to use the monitor before monitoring a patient To achieve this they should have access to and read the following documentation delivered with the monitor User Manual this book for full operating instructions Quick Reference Card for quick reminders during use Patient Monitor User Manual Basic Operation Chapter 3 Basic Operation This manual is for clinical professionals using the MennMove 50 MennMove 70 patient monitors Unless otherwise specified the information here is valid for all the above products This user manual describes all features and options Your monitor may not have all of them they are not all available in all geographies Your monitor is highly configurable What you see on the screen how the menus appear and so forth depend on the way it has been tailored for your hospital and may not be exactly as shown here 3 1 Overview 3 1 1 Front View EDAN i 3 4 5 67 89 MennMove 50 10 Patient Monitor User Manual Basic Operation MennMove 70 1 Alarm indicator when an alarm occurs the alarm indicator will light or flash The color of light represents the alarm level 2 Power supply switch when the monitor is connected to the AC power supply press the key to turn the monitor on When the monitor is turned on press the key to turn the monitor off 3 Batter
184. surement or the monitor may turn off for the low battery 16 3 Monitoring Procedures 16 3 1 Zeroing the sensor You must perform zeroing following the steps when using the new airway adapter 1 Expose the sensor to room air and keep it away from all sources of CO including the ventilator the patient s breath and the operator s 2 Inthe CO Setup menu please set the Work Mode to Measure 3 For MENNEN MEDICAL LTD module select User Maintain gt CO Maintain and click Zero For Respironics modules click Zero in the CO Setup menu 4 If the system briefly displays Zero In Progress the process is successful After the zeroing calibration is finished you can start CO Monitoring If the system displays Breath detected or Zero required zeroing has failed Zero calibration must be performed again 16 3 2 Sidestream CO Module 16 3 2 1 Measurement Steps MENNEN MEDICAL LTD Module 1 Appropriately connect the cannula airway adapter or sample line to the sensor 2 Set Work Mode to Measure 3 Forintubated patients an airway adapter is required For non intubated patients place the nasal cannula onto the patient NOTE Disconnect the water trap from the holder or set Work Mode to Standby when the module is not in use Respironics Sidestream Module 1 Plug the sensor cable into the monitor s CO input connector Allow the sensor two minutes for warm up 2 Appropriately connect the cannula airway adapter or sample li
185. t VGA output External Monitor Patient Monitor User Manual Intended Use and Safety Guidance e RS 232 port Nurse call port 5 gt SD Card port 4 le Signal output port gt Signal output C The symbol indicates that the device complies with the European 0123 Council Directive 93 42 EEC concerning medical devices Authorized representative in the European community ml Date of manufacture til Manufacturer P N Part Number Recycle agencies according to local regulations for separate collection after its useful life i Consult Instructions For Use K The symbol indicates that the device should be sent to the special Patient Monitor User Manual Intended Use and Safety Guidance fa Locked position lt Gas inlet gt Gas outlet evac ISA equipped to measure CO only C0 J ISA equipped to measure multiple gases Federal U S Law restricts this device to sale by or on the order of a Rx only U S s physician oS Only applicable to MennMove 50 With respect to electrical shock fire and mechanical hazards only in accordance with UL 60601 1and C US CAN CSA C22 2 No 601 1 IEC 60601 2 27 IEC 60601 2 30 IEC 3XM9 60601 2 34 IEC 60601 2 49 Patient Monitor User Manual Installation Chapter 2 Installation NOTE 1 The monitor settings must be specified by the authorized hospital personnel 2 To
186. t Number Accessories 11 57 471043 Nomoline with Luer Lock connector Box of 25CAT NO 108210 11 57 471042 IRMA Airway AdapterAdult Pediatric Box of 25CAT NO 106220 01 57 471189 Nomoline Adapter Cat no 108220 Sampling line with female luer lock connector Adult Pediatric Infant 0 15 m 01 57 471190 Nomoline Airway Adapter Set Cat no 108230 Sampling line with straight airway adapter single patient use Adult Pediatric 2 0 m 160 Accessories Patient Monitor User Manual Part Number Accessories 01 57 471191 Nomo Extension Cat no 108240 Sampling line with male luer lock connector 2 0 m 01 57 471192 T adapter Cat no 108250 Airway adapter with female luer lock connector Adult Pediatric Only applicable to MennMove 70 28 10 Other Accessories Part Number Accessories 11 21 064143 Rechargeable Lithium Ion Battery 14 8V 4 2Ah 02 01 210217 EPRT 48mm recorder Serial parallel port 12 01 19084 Thermal printer 02 01 109592 Pole clamp 1 set package 02 01 109636 Pole clamp 4 sets package 01 57 78035 Recorder paper 11 21 64056 Vehicle carried Inverter 01 18 052268 Netac USB Flash Drive U208 8G 11 23 068003 USB barcode scanner 02 01 210080 Wall mounting assembly 02 01 210173 Wall mounting assembly no basket 02 01 101043 Basket Only compatibl
187. table 1000 ms RESP APNEA RESP can not be measured within the set apnea alarm High delay time RR High RR measuring value is above upper alarm limit User selectable RR Low RR measuring value is below lower alarm limit User selectable SpO2 High SpO measuring value is above upper alarm limit User selectable SpO Low SpO measuring value is below lower alarm limit User selectable SpO No Pulse The signal of the measurement site is too weak so the High monitor can t detect the pulse signal PR High PR measuring value is above upper alarm limit User selectable PR Low PR measuring value is below lower alarm limit User selectable M i lue of T1 ch li l T1 High Measuring value o channel is above upper alarm Uscisesfsctsble limit M i lue of T1 ch l is below 1 l Ti Low Measuring value o channel is below lower alarm eeek limit M i lue of T2 ch li l T2 High Measuring value o channel is above upper alarm User selectable limit M i lue of T2 ch l is below 1 l T2 Low Measuring value o channel is below lower alarm Danai limit TD High Measuring value of TD channel is above upper alarm Tersak limit xad Patient Monitor User Manual Alarm Information Message Cause Alarm level SYS High SYS measuring value is above upper alarm limit User selectable SYS Low SYS measuring value is below lower alarm limit User selecta
188. table module ISA OR Analyzer Displaying the concentration of CO O N20 and two anaesthesia agent and identifying the anaesthesia agent automatically portable module Measurement CO N20 O Halothane HAL Isoflurane ISO Enflurane ENF P Sevoflurane SEV Desflurane DES awRR MAC arameters Measurement CO N20 Anaesthesia Agent infra red absorption characteristic Principle O Paramagnetic method Sampling Flow 50 10ml min Rate Work Mode Measurement Warm up Time lt 20s 180 Patient Monitor User Manual Product Specification Typical Rise Time CO x 200ms HAL ISO ENF SEV DES lt 350ms N20 x 350ms O2 lt 450ms Primary lt 0 15 vol Anaesthesia Agent Threshold Second Anaesthesia 0 2 vol 10 Agent Threshold Agent lt 20 seconds typically lt 10 seconds Identificaiton Time Total System lt 3 seconds Response Time Data Update Time 1 second Accuracy Standard Conditions GAS Measurement Range Accuracy CO 0 to 15 vol 0 2 vol 2 of reading 15 to 25 vol Unspecified N20 0 to 100 vol 2 vol 2 of reading HAL ENF ISO 0 to 8 vol 0 15 vol 5 of reading 8 to 25 vol Unspecified SEV 0 to 10 vol 0 15 vol 5 of reading 10 to 25 vol Unspecified DES 0 to 22 vol 96 0 15 vol 5 of reading 22 to 25 vol Unspecified O 0 to 100 vol 1 vol 2 of reading Apnea Alarm
189. ted by mobile and RF communications equipment It should be assured that the IRMA probe is used in the electromagnetic environment specified in this manual 8 Do not place the IRMA airway adapter between the endotracheal tube and an elbow as this may allow patient secretions to block the adapter windows and result in incorrect operation 9 To keep secretions and moisture from pooling on the windows or oxygen sensor port always position the IRMA probe in a vertical position with the LED pointing upwards 116 Patient Monitor User Manual Monitoring AG WARNING 10 Do not use the IRMA airway adapter with metered dose inhalsers or nebulized medications as this may affect the light transmission of the airway adapter windows 11 Do not try to open the oxygen sensor assembly The oxygen sensor is a disposable product and contains a caustic electrolyte and lead 12 The IRMA probe is intended only as an adjunct in patient assessment It must be used in conjunction with other assessment of clinical signs and symptoms 13 Incorrect probe zeroing will result in false gas readings 14 Incorrect agent selection by the user for IRMA AX no automatic agent identification will result in false agent readings 15 Using IRMA AX no automatic identification with gas mixtures containing more than one agent will result in false agent readings 16 Replace the adapter if rainout condensation occurs inside the airway adapter 17 Use only PHASE
190. ter the electric energy runs out 24 6 Maintaining the Battery Batteries should be conditioned regularly to maintain their useful life Remove the batteries from the monitor if they are not used for a longer period of time And recharge the batteries at a minimum of every 6 months when they are stored Discharge the battery completely once every month 146 Patient Monitor User Manual Care and Cleaning Chapter 25 Care and Cleaning Use only the MENNEN MEDICAL LTD approved substances and methods listed in this chapter to clean or disinfect your equipment Warranty does not cover damage caused by using unapproved substances or methods MENNEN MEDICAL LTD makes no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection Consult your hospital s Infection Control Officer or Epidemiologist for control infection 25 1 General Points Keep your monitor cables and accessories free of dust and dirt To prevent the device from damage please follow the procedure Always dilute according to the manufacturer s instructions or use lowest possible concentration Do not immerse any part of the equipment or any accessories in liquid Do not pour liquid onto the system Do not allow liquid to enter the case Never use abrasive material such as steel wool or silver polish CAUTION If you spill liquid on the equipment battery or accessories or they are accidentally immersed in l
191. ters 3 Inspect the airway adapters prior to use Do not use it if airway adapter appears damaged or broken Observe airway adapter color coding for patient population 4 Periodically check the flow sensor and tubing for excessive moisture or secretion buildup 16 3 3 2 Removing Exhaust Gases from the System WARNING Anesthetics when using the mainstream CO measurement on patients who are receiving or have recently received anesthetics connect the outlet to a scavenging system to avoid exposing medical staff to anesthetics Use an exhaust tube to remove the sample gas to a scavenging system Attach it to the mainstream sensor at the outlet connector 16 4 Setting CO Waveform Setup Select the CO waveform area to open the CO waveform menu Set Mode to Curve or Filled as your desire Set Sweep to an appropriate value from the pop up list The bigger the value is the quicker the speed is 16 5 Setting CO Corrections Temperature water vapor in the patient s breath barometric pressure and the proportions of O N50 and Helium in the mixture all influence CO absorption If values seem inaccurately high or low check that the monitor is using the appropriate corrections For MENNEN MEDICAL LTD module the following items are available in the CO Other Setup menu N O Compen O Compens Anest Agent Vapor Compen and Pump Rate For Respironics module there are Baro Press O Compens Anes Agent and Balance Gas
192. the Recorder E Waveform record is printed at the rate of 25 mm s or 50 mm s 48mm wide printout paper It can record up to three waveforms User selectable real time recording time and waveform Auto recording interval is set by the user and the waveform is in accordance with the real time recording NOTE It is suggested that the user should not use the recorder when the low battery displays or the monitor may be turned off automatically 136 Patient Monitor User Manual Recording 22 3 Recording Type The monitor provides several types of stripe recording Continuous real time recording 8 seconds real time recording Time recording Alarm recording Trend graph recording Trend table recording NIBP review recording Arrhythmia review recording Alarm review recording Titration recording Hemodynamic Calculation result recording 12 lead analysis recording C O measurement recording 22 4 Starting and Stopping Recording You can start and stop the recording in the following ways Continuous real time recording Press the Record button on the front panel to start the recording and repress it to stop the recording 8 seconds real time recording Record three waveforms selected in Recorder Setup menu according to the setup time interval in Recorder Setup menu It will automatically stop in 8 seconds Trend graph recording Enter the Menu gt Review gt Trend Graph menu and press the Record button to
193. thermia that reduces blood flow to the peripheries Patients with obesity where a thick layer of fat surrounding a limb dampens the oscillations coming from the artery Patients on an edematous extremity 86 Patient Monitor User Manual Monitoring NIBP 12 5 Measurement Methods There are three methods of measuring NIBP Manual measurement on demand Auto continually repeated measurements between 1 and 480 minute adjustable interval Sequence the measurement will run consecutively in five minutes then the monitor enters manual mode WARNING Prolonged non invasive blood pressure measurements in Auto mode may be associated with purport ischemia and neuropathy in the limb wearing the cuff When monitoring a patient examine the extremities of the limb frequently for normal color warmth and sensitivity If any abnormality is observed stop the blood pressure measurements 12 6 Measurement Procedures 1 Connect the air hose and switch on the monitor 2 Apply the blood pressure cuff to the patient s arm or leg and follow the instructions below Ensure that the cuff is completely deflated Apply the appropriate size cuff to the patient About the cuff size selection please refer to Section NIBP accessories and make sure that the symbol is over the artery Ensure that the cuff is not wrapped too tightly around the limb Excessive tightness may cause discoloration and eventual ischemia of the extremity
194. thod 1 Heart rate is computed by excluding the minimum and maximum values from the 12 most recent RR intervals and averaging the residual 10 RR intervals Method 2 If each of three consecutive RR intervals is greater than 1200ms then the four most recent RR intervals are averaged to compute the HR Range of Sinus and SV Rhythm Tachy ADU 120 bpm 300 bpm PED NEO 160 bpm 350 bpm Normal ADU 41 bpm 119 bpm PED NEO 61 bpm 159 bpm Brady ADU 15 bpm 40 bpm PED NEO 15 bpm 60 bpm Range of Ventricular Rhythm Ventricular Tachycardia The interval of 5 consecutive ventricular beats is less than 600 ms Ventricular Rhythm The interval of 5 consecutive ventricular beats ranges from 600 ms to 1000 ms Ventricular Bradycardia The interval of 5 consecutive ventricular beats is more than 1000 ms Maximum Start up alarm time for Tachycardia Ventricular Tachycardia Gain 1 0 10 s 1 mV 206bpm Gain 0 5 10 s Gain 2 0 10 s Ventricular Tachycardia Gain 1 0 10 s 2 mV 195bpm Gain 0 5 10 s Gain 2 0 10 s Response time of Heart Rate Meter to Change in HR HR range 80 bpm 120 bpm Range 7s 8s average is 7 5s HR range 80bpm 40bpm Range 7s 8s average is 7 5s Tall T wave Rejection Complies with ANSI AAMI ECI3 2002 Sect 4 1 2 1 C minimum recommended 1 2mV T Wave amplitude 168 Patient Monitor User Manual Product Specification Accuracy
195. ts In the SpO Setup menu select Alarm Setup Set the SpO High Alarm Limit to an appropriate value from the popup interface Set the SpO Low Alarm Limit to an appropriate value from the popup interface WARNING High oxygen levels may predispose a premature infant to retrolental fibroplasia If this is a consideration do NOT set the high alarm limit to 10096 which is equivalent to switching the alarm off 10 7 Setting SpO as Pulse Source 1 Inthe PR Setup menu select PR Source 2 Select SpO from the pop up list 10 8 Setting Pitch Tone If tone modulation is on the PR sound lowers when the SpO level drops In the SpO Setup menu select pitch tone to toggle between On and Off 82 Patient Monitor User Manual Monitoring SpO 10 9 Setting Sensitivity The different sensitivity indicates different refresh frequency High indicates the refresh frequency of SpO value is the most frequent To change the sensitivity please follow the steps 1 Select the SpO Setup menu 2 Select Sensitivity on the interface and select the desired sensitivity from the popup list 83 Patient Monitor User Manual Monitoring PR Chapter 11 Monitoring PR 11 1 Overview The pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart in beats per minute bpm You can display a pulse from any measured SpO signal or any arterial pressure 11 2 Setting PR Source The monitor provides PR
196. ts of the sampling line 2 Never sterilize or immerse the ISA analyzer in liquid 118 Patient Monitor User Manual Monitoring AG 18 3 1 5 MAC Calculation The MAC value may be calculated and displayed by using end tidal Et gas concentrations according to the following formula _ Et AAl WEt AA2 Et N20 X AAl X AA2 100 MAC X AA HAL 0 75 ENF 1 7 ISO 1 15 SEV 2 05 DES 6 0 NOTE Altitude patient age and other individual factors are not considered in the formula above 18 3 2 Monitoring Steps for IRMA Module 1 Plug the IRMA connector into the IRMA input and switch the power on 2 Snap the IRMA sensor head on the top of the IRMA airway adapter It will click into place when properly seated AP fee Ay be 7 eS Lo s ky O PY SC S THA mM M T Pj NAR RIAL y US ALL PAN 7 om f ow C SEX WSS lt y le SN MY i Pa w 1 J J J n f WIL 3 A green LED indicates that the IRMA probe is ready for use 4 Connect IRMA airway adapter 15mm male connector to the breathing circuit Y piece 119 Patient Monitor User Manual Monitoring AG Jj 1 OLK J lt _ P NC 5 Connect the IRMA airway adapter 15mm female connector to the patient s endotracheal tube d VVS Y amp I Y ANS EC AX Lt A A 1 T A SIN N N Alternatively connect an HME Heat Moisture Exchanger between the patient s endotracheal tube and the IPMA probe Placing an HME in front
197. tting ST Analysis To change ST analysis please select ECG Setup gt ST Analysis then select On or Off from the pop up list 8 10 2 ST Display Your monitor screen may be configured to look slightly different from the illustrations ST 1 008 aVR 0 09 V 0 04 H 0 10 aVL 0 03 III 0 02 aVF 0 06 NOTE 1 When setting ST Analysis to on the monitor should be in Diagnos mode 2 ECG monitoring should be in Diagnos mode 8 10 3 ST Analysis Alarm Setting The user can select ECG Setup gt ST Analysis gt Alarm Setup to set the upper alarm limit and lower alarm limit ALM HI can be set to 0 2 mV 2 0 mV and ALM LO can be set to 2 0 mV 0 2 mV ALM HI should be higher than ALM LO EIN Patient Monitor User Manual Monitoring ECG 8 10 4 About ST Measurement Points The ST value for each beat complex is the vertical difference between the ISO point and the ST point as shown in the diagram below The isoelectric ISO point provides the baseline and the ST point is at the midpoint of the ST segment The J point is where the QRS complex changes its slope as it is a fixed distance away from the ST point it can be useful to help you position the ST point correctly In 8 oT ms 18 me DEF POINT The ST and ISO measurement points need to be adjusted when you start monitoring and if the patient s heart rate or ECG morphology changes significantly Always ensure that ST measurement points are appropriate for your patie
198. u then press the Record button to start recording Press the Record button on the front panel to stop recording C O measurement recording Enter the C O Option gt C O Measure menu then press the Record button to start recording Press the Record button on the front panel to stop recording The recorder will stop recording in the following situations The recording task is finished No paper in the recorder Malfunction stops the recorder from running properly NOTE You can press the S button on the front panel to stop the currently recording process 22 5 Recorder Operations and Status Messages 22 5 1 Record Paper Requirement Only standard thermosensitive record paper can be used otherwise the recorder may not function the recording quality may be poor and the thermosensitive printhead may be damaged 22 5 2 Proper Operation m When the recorder is working the record paper goes out steadily Do not pull the paper outward with force otherwise the recorder may be damaged m Do not operate the recorder without record paper 138 Patient Monitor User Manual Recording 22 5 3 Paper Out When the Recorder Out OF Paper alarm is displayed the recorder cannot start Please insert record paper properly 22 5 4 Replacing Paper 1 Pull outwards the upper arc part of the recorder casing to release the casing shown in the following figure 2 Insert a new roll of paper into the pap
199. u gt Removable Device and click Eject to uninstall the removable device CAUTION Do not remove the removable device without ejecting it during data storing or the removable device might be damaged 143 Patient Monitor User Manual Using Battery Chapter 24 Using Battery 24 1 Battery Power Indicator The indicator labeled Battery on the front panel of the monitor illuminates in green when the monitor is battery powered and illuminates in yellow when battery is being charged The indicator is not illuminated when the monitor is not powered or when AC power is applied 24 2 Battery Status on the Main Screen Battery status shows the status of each battery detected and the combined battery power remaining with an estimate of the monitoring time this represents There is a sign Lel in the lower left corner of screen to show the charging status and the yellow part is the electric energy of battery When the monitor is not equipped with battery the i x battery status will be shown as the sign Which means no battery When the monitor is powered by the battery the monitor will switch off automatically if there is no electric energy in the battery When there isn t enough electric energy a sign L is displayed on the screen When the monitor is battery powered the monitor switches off automatically if there is no power 24 3 Checking Battery Performance The performance of rechargeable batteries may deteriorate over time B
200. um epe d ud e eti aspe ee 81 T0 5 Gnderstanding SpOz Alaris aie due ree ab eee tes dE orden quei ud ad s 82 10 6 Adjusting A rm EITHITS is 82 10 7 Setting SpO as Pulse Souri A Render oed edle ad 82 10 8 Sett nub Pitch Tone S eb eA Rees vete Pt eie med ye mae n diy eds 82 NOS DSTA Sensitivity o uc a ni uet sedeo afe ict tuve dung ees 83 Chapter 11 Monitoring PR terreri t ge adoos eet er EY QHA eI p S eb Y NOV S ped Ove EU FO PIPER EVEN REN Tee PE see rou 84 IHESU ER 84 11 2 Setting PR SOUC orit eto ete beta bea duse rec e aee id od Eder 84 SA PESOS Letonia be REP Pu SUE Dee Nep pau sui etuD epu ipe dle datus 84 IAs sine Pulse Alanis NAAA EAT TEN 84 11 5 Selecting the Active Alarm Sources soe e id 84 Chapter 12 Monitoring NIBP socias oca 85 pM n URP A A M 85 12 2 NIBP Safety Information e ls ut las ac da ote s matu o O 85 12 3 Introducing the Oscillometric NIBP Measurement cooooonccnnococonoconnnonnnonnnoconocano cono ccon cnica nonnnos 86 12 4 Measurement Limitations a ime e 86 12 5 Measurement MGI OS uen bise qua teet e a iio HR 87 12 6 Measurement PrOCedures oso obitu enu rect mn SE ED 87 12 Opetation Prompts ues precio de ote rale ec Ub ted vea euro ls e val venuta 88 12 8 Correcting the Measurement if Limb is not at Heart Level eee 88 TZO NIBPNISCHE o tec deett bauen EE E A ME Qu MM M CM 89 12 10 Res tn NIBP INN AAA NE 89 12 11 GE Gl a O 89 pA AE Ti 8
201. ure Calibration a 99 13 LO TBPATAEITDRS SA 100 Chapter 16 Monitoring CO cT 101 16 AYN CI NAC Wy onnenn pue SAND r ELMO RC DON PET CEDE 101 16 2 05 Safety Information scade o e AAA i he aa raped o I audi aha Paredes 101 16 3 M mtoring PrOGSOU Tes o a o aloe ecc efte ue d 102 16 3 Zeroing the SENSOR eie dde aveo nie ta Bate deus A debe Ra ud Pr eds 102 16 3 2 Sidestream CO3 MOGUIE seca ies roy ect O duas 102 16 33 Mamstreami C Os Moda 104 16 4 Setting COS Waveform Setpro li tra 106 16 5 setting Or CORB GODS ois edet dp E E A E E a EE e etes 106 16 6 Change COs A PARIS ts 107 16 7 Changing the Apnea Alarm Delay as 107 Chapter 17 Monitoring CoO IM MR sdousestudescuctssbonspevccosessedvssurcacces 108 D ACE VNC W a ots o S ate C e D 108 172 CoO Safety Information A here edt od emeret a e boi aero ected 108 17 3 C O Monitoring Procedures e sd eset irte i moie dece eod sse o sudes es 108 17 4 C O Measurement WIBOOW s A Dated f a tte 109 7 5 Neasuremernt Process s iei taste Luoghi bees it 111 TESTA COSSA eS rea eaa a M Ie Gk Sad 112 17 7 Blood Temperature Monitoring ici a 112 17 8 Setting the Computation Constant 113 17 9 Recording O Measurements RR E n reda 113 Ta Sie terre INJ TEMP So a du E A ed as 113 Chapter I8 Monitoring AQ iere re eee ere omae e eve uH Ae nona U Yen CR eR EN VERE O dure arl pr du EUN EXER NER eS TEE 114 ESA ie ae oder RN 114 182 Safety Informations sn aean kete cte utes W
202. ut impMennen Medical Ltd ce lt 500 Q Maximum Time Delay 35mS R wave peak to leading edge of pulse High level 3 5 to 5 V providing a maximum of 1 mA output current Amplitude Low level lt 0 5V receiving a maximum of 5 mA input current Mini R inimum required wave o mV amplitude Pulse width 100ms 10 Limited current 15 mA rating Rising and falling time ms 170 Patient Monitor User Manual A 4 RESP Product Specification Measurement method Trans thoracic impMennen Medical Ltd ce Measurement lead Lead Options are lead I and II The default lead is lead II Waveform amplitude X0 25 x0 5 x1 x2 x3 x4 x5 Waveform speed 6 25mm s 12 5mm s 25 0mm s 50mm s Respiration excitation waveform 300 A sinusoid 62 8 kHz 10 Measuring sensitivity 0 3 Q base impMennen Medical Ltd ce 200 to 4500 Q Base impMennen Medical Ltd ce range 200 to 2500 Q cable resistance 0 K 2200 to 4500 Q leads cables 1KQ resistance Maximum dynamic range 500 Q base impMennen Medical Ltd ce 3 Q variable impMennen Medical Ltd ce Waveform bandwidth 0 2 to 2 5 Hz 3 dB Differential input impMennen gt 5 MQ Medical Ltd ce RR measuring range Adult 0 to 120 rpm Neo Ped 0 to 150 rpm Resolution rpm Accuracy Adult 6 to 120 rpm 2 rpm 0 to 5 rpm not specified Neo Ped 6 to 150 rpm
203. wing table gives the corresponding lead names used in Europe and America respectively Lead names are represented by R L F N C C1 C6 in Europe whose 64 Patient Monitor User Manual Monitoring ECG corresponding lead names in America are RA LA LL RL V V1 V6 AHA American Standard IEC Europe Standard Electrode Labels Color Electrode Labels Color RA White R Red LA Black L Yellow LL Red F Green RL Green N Black V Brown C White VI Brown Red Cl White Red V2 Brown Yellow C2 White Yellow V3 Brown Green C3 White Green V4 Brown Blue C4 White Brown V5 Brown Orange C5 White Black V6 Brown Purple C6 White Purple 8 8 1 Take the American standard for example see the following figure Electrode Placement for 3 lead m RA placement directly below the clavicle and near the right shoulder m LA placement directly below the clavicle and near the left shoulder m LL placement on the left hypogastrium IA NW S e Lewis RA i O e 777 p f Pa E c iJ d Electrode Placement for 3 lead 65 LA LL Patient Monitor User Manual Monitoring ECG 8 8 2 Electrode Placement for 5 lead Take the American standard for example see the following figure RA placement directly below the clavicle and near the right shoulder LA placement directly below the clavicle and near the left s
204. y PRESSURE OVER RANGE Make sure that the stopcock is vented to atmosphere If the FAIL problem persists please contact service technician PULSATILE PRESSURE Make sure that the transducer is vented to air not connected ZERO FAIL to a patient and try again 15 8 IBP Pressure Calibration 1 Mercury calibration should be performed by the biomedical engineering department either whenever a new transducer is used or as frequently as dictated by your Hospital Procedures Policy 2 The purpose of the calibration is to ensure that the system gives you accurate measurements 3 Before starting a mercury calibration a zero procedure must be performed If you need to perform this procedure yourself you will need the following equipment Standard sphygmomanometer 3 way stopcock and Tubing approximately 25 cm long The calibration procedure is listed below 1 Close the stopcock that was open to atmospheric pressure for the zero calibration 2 Attach the tubing to the sphygmomanometer 98 Patient Monitor User Manual Monitoring IBP Connect the 3 way connector to the 3 way stopcock that is not connected to the patient Select the channel to be calibrated in the menu and select the pressure value to which the IBP Adjust repeatedly until the value in the menu is equal to the pressure value shown by the Wait for the calibrated result You should take corresponding measures based on the prompt 3 Ensure th
205. y indicator refer to Section Battery Indicator for details 4 Mute Press this button to pause the alarm All the audio alarm will be closed At the same time the message of Temporary Alarm Mute s and the symbol EX will be displayed in the information area When you repress it or the pause time is over the system will resume the normal monitoring status and the message of Temporary Alarm Mute s and icon will vanish Symbol EX is shown in the information area Pressing or holding the button again can resume the alarm Further Alarm Mute information can be found in the chapter Alarm Mute 5 Start Stop NIBP measurement Press this button to inflate the cuff and start blood pressure measurement During the measurement press the button to stop the measurement 11 Patient Monitor User Manual Basic Operation 6 Trend Key Press this button to enter trend table review interface 7 Freeze Unfreeze In normal mode press this button to freeze all the waveforms on the screen In Freeze mode press this button to restore the waveform refreshing 8 Start Stop Recording Press this button to start a real time recording During the recording press this button again to stop recording 9 Menu Press this button to return to the main interface when there is no menu open 10 Rotary Knob hereinafter called knob The user can rotate the knob clockwise or anticlockwise This operation
206. y on the screen when required For example the confirmation pop up key appears only when you need to confirm a change 3 3 Operating Mode 3 3 1 Demo Mode To change the operating mode into the demo mode please refer to the following procedure Select Menu gt Common Function then choose Demo Mode from the popup interface and input password 3045 After entering Demo Mode the monitor will perform the followings Storing no data of new patient Pausing to give all types of alarm Pausing to transmit patient data to CMS and other network devices Pausing to store the currently recorded data and clearing the memory used to store recording and printing data 21 Patient Monitor User Manual Basic Operation Real data the parameter measurement value and real waveform displayed on the screen are from the predefined analog data not the truly monitoring patients data History data the monitor will store the analog real time data in Demo mode including trend data patient information alarm event waveform and setting To exit Demo Mode select Menu gt Common Function gt Demo Mode to exit WARNING This is for demonstration purposes only You must not change into Demo Mode during monitoring In Demo Mode all stored trend information is deleted from the monitors memory 3 3 2 Standby Mode Standby mode can be used when you want to temporarily interrupt monitoring To enter standby E mode p

User Manual - Mennen Medical

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