PC – 3000
Contents
1. With type CF applied part and applicable during the defibrillator is used A Caution Please read the manual for details The power supply socket and ports are at the left panel shown in Figure 1 3 OC 1 HV L5A Power supply socket DC input 2 Serial communication port which is used to network with central monitoring system 3 USB port reserved for future use 1 2 3 Rear Panel Figure 1 4 Rear panel The following are at the rear panel of the monitor 1 S N Serial Number 2 Power supply socket 100 240VAC 3 Nameplate 4 battery lid Remove the battery lid to install or change the rechargeable battery Battery specifications Li ion 14 8V 2200mAh rechargeable battery pack A To avoid battery damage do remove battery s before shipping or storage Caution Burn hazard the built in battery Do not disassemble incinerate or expose to high temperature 60 C 140 F Refer to instruction manual Chapter 2 Screen Display 2 1 Default Screen Display 2 1 1 Date and Time Setup Instead of entering into the default screen display it shows the date and time setting screen immediately after the monitor is powered up at the first time since battery installation shown in Figure 2 1 Time Setup Date 2004 02 127 22 Time 08 1 12 21 Figure 2 1 Time Setup The monitor will stay on this screen for 10 seconds If you do2. Respiration Rate The rpm after that is the unit of the respiration i e respiration per min EtCO 39 0 The label and the value will become gray when CO is turned off Ins The label of the minimal inhalational CO the label and the value will become gray when CO is turned off 16 Respiration rate It will display the respiration rate of CO when the switch is turned on XI Respiration gain Camplification x1 2 Waveform scaled with half of the base gain xI Waveform scaled with base gain ive Waveform scaled with twice of the base gain x4 VVaveform scaled vvith four times of the base gain Observing Screen 7 Leads on the Same Screen and other display screen will display CO monitoring data as well besides Main Screen 36 Note only when the setting item System Menu 2SETUP CO Switch is set as ON CO monitoring function 1s available 4 3 CO Graphic Trend On Graphic Trend screen rotate the knob and move the cursor to COz then press the knob to enter EtCO2 Graphic Trend Refer to Chapter 2 4 Graphic Trend Screen for detailed instructions and operations Cursor LN ili hsec min 3 min HR RR SpO2 PR 5 etco2 1 Ime F COZ trend ID Figure 4 4 EtCO Graphic Trend 37
3. the patient data in the permanent storage The screen 1s shown in Figure 3 24 ID Or Patient ID To enter patient ID choose the patient ID field by using the Navigation Knob Press it to 29 enter the text entry box Rotate the knob to choose the letter and press the knob to enter the letter To delete the letter move the cursor to the letter and rotate the knob to enter spaces after the H Use the spaces to replace the letters After finishing entering the patient ID choose Exit button and press the knob to exit the text entry The patient ID is the unique identifier for the patient When the patient ID changes the system considers the patient has changed Name Enter the patient s name Bed Enter the bed number Sex Choose between M or F for male and female Age Choose the age field and use the Navigation Knob to select an age Save The operator can choose how much of the data that needs to be saved The unit is hour Once the time is chosen the system starts to save data from the current time If OFF is selected it means that the data will not be saved The system will determine the time range according to the available disk space If no disk space available SAVE will be displayed as OFF When the user intends to save the current ECG waveform permanently please delete the history files Refer to Chapter 3 1 1 for deletion methods Exit Press this key to return to the System Menu screen 3 10 oxyCRG Screen
4. 1 Screen Description The manual S T segment measurement can be done at the frozen screen display For example the Figure 2 13 1s a portion of the frozen waveform The symbols on the screen were described briefly on the screen Base Pomt Orientation S T 0 000 V Set Base DIRC HC HOR Wace a all set the shifted point to he set the direction Base Point or 5 1 Point horizontal or vertical gt Point Orientation Figure 2 13 Frozen waveform 15 2 4 2 Operating Instructions The operator can use the Navigation Knob to do the S T segment measurement 1 e measuring the voltage difference between the S T segment and the base line The value is displayed after the measurement with S T 0 000 mV The operation is carried out in 4 steps Step 1 rotate the Navigation Knob to move the base point the red cross horizontally to base line point the base line is between the Q wave and the P wave At this point the frozen screen shows S T 0 xxx mV Set Base Dirc Hor Step 2 press the Navigation Knob The screen shows S T 0 xxx mV Set Base Dirc Ver Then rotate the knob to move the base point vertically to the base line point Step 3 press the Navigation Knob again The screen shows S T 0 xxx mV Set S T Dirc Hor Rotate the knob to move the S T point the yellow cross horizontally to the point to be measured on the ST segment Step 4 press the Navigation Knob again The sc
5. 2 2 the default screen display Heading area T Alarm LE Audible alarm status green LE indicates the audible alarm is enabled yellow Es Oe indicates the alarm sound is silent The audible alarm will be activated again automatically after the end of given counting down or when a new type of alarm event occurs Red C M indicates the audible alarm is disabled that means the alarm sound is off this is also normal situation when the alarm sound volume is set to 0 in system parameter settings ADUL The patient type There are two types available Adult and Pediatric MON ECG Filter type There are three types Diagnosis Monitor and Operation The option can be set in the setting menu battery voltage indicator When the indicator is yellow and displays only one grid it means there is a little battery power left When the indicator turns red and blinks as well as less than one grid displays the system alarm will be on to remind the low battery voltage Please connect the device to the mains power supply in time to ensure the normal use of monitor and the battery will be recharged When the battery is fully charged battery voltage indicator displays full grid During recharging the grids in the battery indicator are rolling circularly 2011 03 02 13 57 25 the current calendar time and date The system time and date can be set during the
6. Data List Screen press this key to print NIBP data list In the Observing Screen press this key to print Lead II ECG waveform and Waveform 2 In the 7 leads on the Same Screen press this key to print Lead II ECG waveform and Waveform 2 In the SpO Data List Screen press this key to print SpO data list In the Graphic Trend Screen press this key to print trend graph In the System Parameter Setting Screen press this key to print the system parameter setup In the Recall Screen press this key to print recalled data list or current ECG waveform and arrhythmia waveform In the Arrhythmia Screen press this key to print arrhythmia list or current ECG waveform and arrhythmia waveform Ji Alarm silence Press A key to set or activate the system alarm In the monitoring screen press Alarm to set the alarm timer There are four options of alarm silent time 2 minutes 5 minutes 10 minutes and 20 minutes The time shows up on the upper left corner of the screen When the alarm timer is activated the system begins to count down If alarm occurs during that period the system alarm will be activated automatically and the monitor will give alarm If there is no alarm during that period when the set time has passed the system alarm will be activated as well When the monitor alarms press A key to suspend the alarm and set the alarm silence time DO NOT silence the audible alarm or decrease its volume or patient safety co
7. RR SpO2 PR S TTEMP 1 Ime S I trend ID Figure3 5 5 Segment Trend Graph Cursor psec min 3 min sr o I TEMP 1 ID Figure 3 6 Body Temperature Trend Graph Cursor Omin 3S min 9sec xs opo s o I ALEA 1 ID Figure 3 7 ETCO Graphic Trend Cursor uu bsec min 30min Eus Spe r o I TEMP 1 Figure 3 8 Trend graph 75 Cursor p i 20min 3 min osec Tina ER H HR Eus apie 1 LEMA 1 PR trend ID Figure 3 9 PR Trend Graph 20 min 30min Time o ID H ERA aplis sr S I TEMP 1 RESP rate trend ID Figure 3 10 Respiration Trend Graph 3 4 2 Operation Instructions Rotate the Navigation Knob to choose the parameter and press the knob to review the trend graph Pressing Cn key to return to the Main Screen 3 5 Screen Display for Waveform Recall Alarm ADUL MON 2011 03 02 13 56 51 T T HR bpm A A L 60 ST 0 09 mV xi ECC TT NIBP mmHg 13 58 b Ar 125 81 90 PR Que sz R Manu 61 Recall HR 61 x MON OTime 13 56 33 TEMP EN S A V YSI 36 5 PH oapO2 ID Name start time end time 000001 No Name I5 i 1 4 1 5 61 RH Recall HIST Delete Exil 4 gt View recall data in 3rd channel ID X z x Figure 3 11 Waveform Recall Screen It shows the monitoring can recall the history data continuously If you change the patients ID or the moni
8. and mmHg and kPa can be selected The factory default is mmHg Mode The measuring mode manual or automatic The factory default is manual The operator needs to press the NIBP button to perform blood pressure measurement If the Auto mode is chosen the operator needs to set an cycle interval as well Cycle The time interval between measurements when the measuring mode is set to Auto The options are STAT 1 min 2 min 480 min Press NIBP to start measurement and the monitor begins to count down as well It will take blood pressure measurement automatically after finishing counting down If STAT 1s selected press NIBP to take the blood pressure measurement as many times as possible but it will sustain this state not longer than 5 minutes A WARNING STAT can only be used for Adult Using this mode to Pediatric patient can cause serious injury 2 lt NIBP Cali It is used to check the accuracy of pressure measuring system within NIBP module which should be conducted by technicians in test house or service department There are three options Mode 1 Mode 2 and OFF available After the verification it is necessary to make sure it is in OFF status again or other operations can t be carried out and NIBP key will be inactivated Factory default status is OFF Gas Leak it is used by technicians to perform a leakage inspection for NIBP pneumatic system SYS Hi Lo High and Low alarm limits for systoli
9. not rotate the navigation knob within this period the screen will enter into the default screen display Follow the steps below to set date and time Step 1 Rotate Navigation Knob move the gray cursor to Edit Step 2 Press the knob and then Edit turns into Save The gray cursor stays on the Year of the date Press the knob again and the gray cursor becomes highlighted Rotate the knob left or right to increase or decrease the year value Step 3 When the Year is set press the knob to move the gray cursor to the Month of the date Step 4 Repeat Step 2 and Step3 to adjust the Year Month Date Hour and Minute Step 5 If you have finished adjusting the date and time press the knob and rotate the knob to move the cursor to Save Press it to save the settings and exit the date and Time Setup screen meanwhile enter into the Main Screen shown in Figure 2 2 If you press Exit the settings will not be saved The monitor then does the initialization and enters into the default screen display for monitoring and operation as shown in Figure 2 2 2 1 2 Screen Description Alarm ADUI MON 2011 02 02 13 57 25 ECG HR bpm m 7 i i PU A A 4 E Rm k iaa i 6 1 ST 109 mV X 1 ECG T NIEP mmHg 13 55 94 PR ECG a e TEMP C AN AL NL hal E n1 Tal 36 7 PR Spo Plath Fx f f P X PI i 3 X du E 5 6 e E HA ARA Push knob for system menu Figure
10. oxyCardio_Respirogram Figure 3 25 oxyCRG Screen This screen displays the value or waveform of HR SpO and RESP waveform or Respiration Rate in selected time 3 10 1 Operation Instructions Step 1 rotate the knob to move the gray cursor to the button or gt and press the knob to confirm your selection Step 2 rotate the knob to choose the setting The time can be set as 1 minute 2 minutes or 4 minutes The third channel waveform display can be set as RWAVE Respiration waveform or RR Respiration Rate Step 3 press the knob to confirm your setting Pressing C key to return to the Main Screen 3 11 Event List Screen 30 Time Event Type Value Limit 16 03 05 Over HH limit 80 180 1 61 ili 16 03 03 Over SpO2 limit 100 08 30 16 02 57 Over TEMP1 limit 36 6 39 07 36 7 16 02 57 Over HH limit 60 180 61 16 02 54 Over SpO 2 limit 09 98 90 i Figure 3 26 Event List 3 11 1 Screen Description The Event List displays the time event type the value detected and high and low alarm limits The time shows the time when the event occurred Up to 5 groups of event data can be displayed on one screen 3 11 2 Operating Instructions Up to 2000 groups of event data can be memorized Using the Navigation Knob allows the user to scroll the list up and down to view event data When rotating the knob anti clockwise the list scrolls upward When rotating knob clockwise the list scrolls down Please note
11. 0 00mcg Dh 600mg D ka m 1 43mcg 85 71mcg TS 3 0 0ml sh DS 1 00GTT m Drop 20 00G TT mi Duration 83 33h Figure 3 28 MC Analysis Screen Rotate the Navigation knob to move the cursor to the option which needs to be calculated press the knob and rotate it to obtain calculating value When the calculating value is selected the calculated value will be displayed in corresponding position Each calculating option has limit range if the result exceeds range it will display A A 29 On analysis screen other menu options can not enter value unless entering patient s weight and medicine name again in default status it is no effective The values in system is a group of stochastic initial values the operator should not consider it as calculating standard please according to doctor s device enter a group values which are suitable for patient The unit of every medicine is settled unit or unit series The operator must select the appropriate unit according to doctor s device In a unit series unit carry performs automatic adjustment along with the current entering value When exceeding the range of this unit expression the system will display 66 29 s e When the operator finishes one option entering the system will give visible indication in menu to remind operator to check the correctness of entering value For every new entering value please perform confirming The operator should take it se
12. 2 11 11 01 SYS mmHg 11 10 5 2 27 99 88 o 61 Manual 9 6 1 03 press Display Key to shift screen Patient ID Figure 2 8 NIBP Screen display DIA Press the DISP key to shift the Main Screen to NIBP screen as shown in Figure when setting Disp 2 as NIBP in system menu system setup Disp2 In NIBP screen PR from SpO2 is shown prior to PR from NIBP Operation Instructions 4 EGG lead No action When the printer is on it serves as the printing key Alarm silence Press it to enable disable alarm silence Freeze No action NIBP Press it to start NIBP measurement and press it again to cancel measuring NIBP Shift Press it to shift the display to the Main Screen Navigation knob No action 11 2 3 3 Screen Display with ECG Waveforms only Press the DISP key to shift screen to 7 ECG Waveform Screen when setting Disp2 as 7 ECG in System Setup screen In this screen the operator can view 7 traces of ECG waveforms simultaneously for lead I II III AVR AVL AVF and V as shown in Figure 2 9 Alarm Q ADUL MON 2011 03 02 14 11 02 ECG ESI YA mea m pn 4 x1 beu p mi Ai Y MB m mmHg 14 10 ECG I n AA akka 129 ho f wA idi m i wv a 61 II TEMP ECG JAVI ANN i PM m 36 7 U Spo AA 4 V MAU A a 99 AA 44 Push 2 to exit iD X Figure 2 9 7 traces of the ECG vvaveforms display only Ope
13. 99 39 0 Push Display changing interface Figure 3 3 NIBP Data List screen 3 3 1 Screen Description When monitoring the newest data will be displayed on the top of list including Time NIBP PR HR RR TEMP The time shows the time when the NIBP measurement was taken Up to 6 groups of NIBP data can be displayed on one screen There 1s only one record every 4 seconds 3 3 2 Operating Instructions Up to 12000 groups of NIBP data can be memorized Using the Navigation Knob allows the user to scroll the list up and down to view NIBP data When rotating the knob anti clockwise the list scrolls upward When rotating knob clockwise the list scrolls down Please note that when the groups of data are less than 6 the Navigation Knob can not be used to scroll up or down the listing Pressing T key to return to the Main Screen 18 3 4 Screen Display for Graphic Trend Cursor tt i a bsec min 30min HR RR SpO PR 5 TEMP 1 ID Figure3 4 HR Trend Graph 3 4 1 How to View the Graphic Trend Figure 3 4 is the HR trend graph There are 3 options on the right of the graph as described below HR indicates the current trend graph is HR trend graph If you want to enter other trend graphs the procedures are move cursor to HR and rotate the Navigation Knob to choose the trend graph from HR S T Temperature NIBP PR RR and SpOz trend graphs ne
14. N 18 3 9 ranne PS PIC LIONS eoi teretes tele aset e S b b 18 Screen Display for Graphic ester a ba a Al Sects fuit imul 19 34 TL Howto View the Graphie Trend to o ouo aaa aaa 19 342 Operation InstEuctofls xou Dd DD ane rasta MM UM MI I IE 21 3 9 Screen Display tor Wavetotim Recalde 21 2 om Tris EO b s baba ob Ib abes oritur 22 3 6 Screen Display for Arrhythmia Event listo oec EH ri bes Bios cune 23 3 Os De Fat OU Ins iCii016 eb bis 23 3 Screen Display TOR Sy SIBI oli a aa 24 3 1 1 How to Select the System Setup teta euo ade 24 QUAE OE CES HE A ERR ROE M C MM MEE M PE 24 30 Display Color ua ta aen au 29 3 5 1 How to Change the Parameter Colo ii ee to D A a ma 29 II 3 9 File Management Sereen ssec coqui tet laya a aa futt sun tese DD EDU Medes 29 2 LT00710A409 NevFatieneocese di 29 500 1 donc c E IE MEE o ii EE 30 AO o S M 30 SAT Event ist eee que taie d CDI EMI n RM a 30 A ST m EE PES 30 3 LL 2 Opetatie ASTUCIA SA A ada sed 30 12 MC Calla A E 31 212 Medic me Dosare Ca td eo 31 2 19 POUIMIGUEL Elie OBS bo bab 32 3 13 Operation Instruccion ooo alama 33 Chapter CO Monitoring Opio al 34 4210010 AA ER 34 AO O aes IA 35 ASC Oo Gehan Trend A 37 MI Chapter 1 Overview 1 1 Features Th
15. Patient Monitor User Manual Part II This Manual is written and compiled in accordance with the IEC 60601 1 Medical electrical equipment Part1 General requirements for safety and MDD 93 42 EEC It complies with both international and enterprise standards and is also approved by State Technological Supervision Bureau The Manual is written for the current Patient Monitor In case of modifications and software upgrades you will be advised in due time with a Modification Notice The Manual describes in accordance with this Patient Monitor s features and appearance as well as the instructions to operate the equipment Refer to the respective chapters for details This manual consists of two parts the part II this part only includes the operation instructions for the user interface while the part I covers almost all other necessary contents in a separate document The Manual is published in English and we have the ultimate right to explain the Manual No part of this manual may be photocopied reproduced or translated into another language without the prior written consent We reserve the right to improve and amend it at any time without prior notice Amendments will however be published in a new edition of this manual All rights reserved Version of This Manual V1 3 Issue Date February 119 2014 Marks m the Manual 6 VVarning must be follovved to avoid endangering the operator and the patient F Note contains some importan
16. al of 5 seconds Once the monitor is out of power the data can be stored automatically and you can scan the history record when turning on the monitor next time This ensures the screen always display the current data continuously Other trend graph follows the same rule Please note that the maximum value on the vertical axis of the HR 1s 150 not the value of HR upper limit 300 The graph is scaled down for better view of the trend curve When the HR value exceeds 150 the vertical axis s maximum value will automatically change to 300 That is to say the vertical axis value 0 75 150 will change to 0 150 300 automatically if the ECG value exceeds 150 When the monitor gets reset or the patient ID 1s changed the vertical axis will return to its original value of 0 75 and 150 Other changes of vertical axis value in other trend graph are similar to that of HR The respiration rate body temperature and other trend graph are similar to that of HR s and we will not cover them in detail again Please note that for NIBP trend graphs the horizontal axis 1s the sequence number of times the blood pressure measurement instead of timestamp NIBP graphic trend is a little different from the other graphic trends Rotate the knob to move the cursor to then press the knob for activating this item Next rotate the knob towards left or right for viewing 19 another 400 groups graphic trend 1 0 i min min 30min ossec ID HR
17. and Current key Press HIST and the recall list on the left displays the history data list Press the Current the recall list on the left side displays the current one When entering the recall screen display the monitor defaults the current one Delete Press this key and the selected record in the recall list becomes green Rotate the Navigation Knob to choose the reviewed record that is to be detected press it longer than 2 seconds and release it then the record will be deleted The current record cannot be deleted or the monitor will exit Delete screen Exit Press this key to return to the System Menu screen 22 3 6 Screen Display for Arrhythmia Event List Alarm f ADUI MON 2011 03 02 14 10 10 ECG T HR bpm E j FA n j A A n A EL H iu 6 1 ST L mv X ECG ill NIEP mmHg 14 10 99 PR Manu 62 o I HR 51 TEMP T _ E P il A L N A Al N di J f Yal 36 7 PR Spo Time arrhythmia type 14 09 42 VE EARL 60 o o HH End earn View Exit 1 4 View arrhythmia detected graph ID AE Figure 3 14 Arrhythmia Event List Screen 3 6 1 Operation Instructions The structure 1s similar to recall screen We will cover each function key below Start This button is used to start and end the system Arrhythmia detection The default is OFF When the Arrhythmia is not ON the Learn key 1s disabled Press this key and the monitor enters learning stage at b
18. ating symbol Its flashing corresponds to a QRS complex in the ECG waveform The flashing speed is the same with the heart rate ST 0 09mv the measured mili volts value for S T segment level X1 ECG waveform gain amplification available options are Auto Automatic waveform scale x1 4 1 4 scale size of the base gain x1 2 Half scale size of the base gain x Waveform scale with the base gain x2 Twice scale size of the base gain X4 Four times scale size of the base gain Time of NIBP NIBP mmHg 12 56 Measuring Value of Systolic Pressure 4 20 36 Value of Diastolic Pressure lt gt Value of MAP Mode of HIBP PH Value Figure 2 4 Blood pressure data area NIBP The blood pressure labels and the measured value mmHg Blood Pressure unit 12 56 The time of NIBP measuring lt gt Manu The NIBP measurement mode Temperature value TEMP ys 36 7 Temperature sensor type Figure 2 5 TEMP data area Mark and unit of temperature TEMP Temperature label The value below 36 7 15 the temperature value C Body temperature unit C is Celsius and F is Fahrenheit YSI Temperature sensor type Details see Temperature related setting in Section 3 7 2 Parameter settings Hark and Value of Sp 02 SpO2 Mark and Value of PR 6 2 Histogram of Sp02 Indensity Mark and Value Respiration Ra
19. c pressure DIA Hi Lo High and Low alarm limits for diastolic pressure MAP Hi Lo High and Low alarm limits for MAP PR Hi Lo High and Low alarm limits for PR o gt gt gt gt Initial inflation pressure setting Cuff pressure to be inflated initially its options are different depending on patient type for neonate initial inflation pressure can 60 70 80mmHg default setting 70 mmHg for Pediatric initial inflation pressure can be 80 100 120 140 mmHg default setting 100 mmHg for adult initial inflation pressure can be 80 100 120 140 160 180 200mmHg default setting 150 mmHg Exit return to the System Setup screen SpO related settings opO Setup opO2Hi 100 PR Hi 180 Lo Figure 3 21 SpO related settings SpO gt Hi Lo High and Low alarm limits for SpO Pulse Hi Lo High and Low alarm limits for pulse rate Exit return to the System Setup screen Respiration related settings RESP Setup 3ain X2 RR Hi 40 Speed 12 5 Apnea OFF Lo 10 Lead I Exit Figure 3 22 Respiration related settings lt gt Gain Respiration amplification gain 4 options x1 2 x1 x2 and x4 The default is x2 lt gt Speed Respiration waveform sweeping speed 2 options 6 25mm s and 12 5 mm s The default is 12 5 mm s lt gt Apnea timeout setting for apnea alarm Options OFF and any number from 5 to 120 The step is 1 and its unit is second When the breath
20. e Patient type can be selected among Adult Pediatric and Neonate in setup menu Oz measuring function is optional Optional built in printer can output waveforms and texts Networking capability for connecting to the central workstation 1 2 Introduction to Panels 1 2 1 Front Panel Figure 1 1 Front Panel Note The appearance described in this manual may be a little different with the monitor you purchased for example the operation keys may be located at the right side of the front panel But the operating procedure is the same Therefore please refer to the monitor in your hand for details 1 Power switch Press it for 3 seconds to start the monitor or turn off the monitor 2 AC power indicator When it is light it means that AC power supply is being used yi 3 Built in DC power indicator When both AC and DC indicators are on it means that AC power supply is applicable and the battery is being recharged If only DC indicator is on it means that the battery is being used 4 CA ECG lead Click it to shift the ECG monitoring circulatory among 1 l AVR AVL AVF and V When the option of Print in the System Menu is ON the ECG lead Key will be changed into Print Press this key to print different waveform on different screen In the Initial Screen press this key to print Lead II ECG waveform and Waveform 2 which can be selected in the System Menu In the
21. e also used as a tourniquet which is convenient and practical in use as an additional function and different cuff pressure can be set according to patient s condition Automatic analysis of 20 types of arrhythmia manual measurement of S T segment while ECG waveform frozen or automatic measurement while monitoring Up to 1000 hours trend data storage for parameter of ECG S T TEMP CO SpO RESP and NIBP Up to 2000 groups of arrhythmia events can be stored as well as the corresponding HR TEMP CO SpO and RR Up to 12000 groups of NIBP measurement can be stored as well as the corresponding HR CO TEMP RR SpO and PR while the blood pressure measurement is taken it can be recalled by list table or graphic trend Up to 60 hours of ECG waveform storage non volatile and can be reviewed Accurate NIBP measurement with over pressure protection Unique pulse oximetry technique achieves accurate SpO and PR measurement Visual and audible alarm recall of alarm events Flexible high and low alarm limits setting operation Real time monitoring of battery capacity when the battery power is insufficient low battery voltage alarm indication will display on LCD screen Easy to configure the display color font and waveforms layout for user customization Protection against defibrillator discharge and resistance against the interference from electrosurgical unit Pacemaker pulse detection and inhibition functions are availabl
22. eal time waveforms and trend graph can be viewed on this screen Alarm ADUL MON 2011 03 02 14 10 20 po 1 l HR bpm a L 10 4 mm mk 6 4 amp T 0 22 mV 1 ECG P 14 a NIEP mmHg 14 10 A 1 29 87 V 10 t ECG r FE TEMP t B A BN s YSI 36 7 PR SpO2 Bn Pleth A r x 3 PET fW _ 61 RESP l m RR 2 Zi l Push Display changing interface ID X2 Figure 2 10 Five Channel Real time Waveforms and Two Hours Trends On this screen the first channel waveform is ECG waveform of Lead TI the second one one is ECG waveform of Lead III the third one is ECG waveform of Lead 1 the fourth one is SpO waveform the last channel is respiration waveform On the right of waveform area from the top down respectively is heart rate temperature SpO RR trend graph the abscissa of trend graph 2h 0 means various trend of every parameter value from now on to two hours before waveform in trend graph shifts from right to left Operation Instructions 13 Ch ECG lead press it to shift the ECG monitoring circulatory among 1 and AVR AVL AVF and V Alarm silence press 1t to set or activate the system alarm Freeze press it to freeze ECG waveform or the waveforms of ECG SpO and RESP according to the system setting Double press this key within 2 seconds to lock or unlock the operation of all other buttons except power switch on the
23. ed with filled curves When it is OFF the monitor displays the line graph The default is OFF Frze Pressed the key to freeze the selected waveforms The options are All and ECG When ECG is selected the monitor only freezes the ECG waveform When All is selected the monitor freezes all the waveforms including ECG plethysmogram and respiration waveform The factory default is ECG Disp2 The alternative screen display to be viewed Options Obsev Remote Observation 7 ECG 7 traces of ECG waveforms NIBP Parameter and Trend can be selected The factory default is Observ AlmVol The alarm sound volume The maximum volume is 7 and minimum 15 i e no sound When the setting is 0 the icon E will be displayed on screen to remind user that the alarm sound 1s off and Alarm Silence function is disabled The default is 5 lt gt Beep If the setting is ON the press of the button will generate a keystroke sound The factory is ON lt gt DefView when the monitor is powered up and 3 seconds later the monitor will shift into default monitoring view screen specified by DefView automatically Two options Main and Disp 2 Main means the main screen as default screen and Disp 2 means the default display screen will be set as alternative screen Disp 2 while power up Exit return to the System Setup screen PRINTER SETUP Print Setup Pr
24. efore detecting arrhythmia The Start changes to End Press 1t again to end the learning When Learn key change to yellow from gray 1t indicates the learning has finished When the ARR detection begins after learning the monitor will automatically detect the ARR event If an ARR event is detected the ECG waveform with corresponding ARR event will be displayed in the 3 trace of waveform shown in Figure 3 14 When the monitor get Reset or the patient ID has been changed the ARR detection needs to be re learned Learn Because the Arrhythmia detection 1s based on the pattern of normal ECG waveform which 1s built up during learning stage When the patient changes the ARR detection could be incorrect so that re learning is needed To get better result of the learning function it is recommended to start learning while a segment of good quality ECG waveform appears during the ECG monitoring View Press this key and the selected record in the Arrhythmia event list which is to be reviewed becomes the green Rotate the Navigation Knob to choose the record and display the corresponding waveform in the 3 trace of waveform Press the knob again to exit Exit press this key to exit the Arrhythmia detection screen and return to the System Menu screen During monitoring if an ARR event is detected the monitor will alarm The ARR alarm is system default and does not need setup During ARR detection incorrect detection migh
25. ep 3 press the knob again to change and repress it to save the setting Pressing Cn key to return to the Main Screen SYSTEM PARAMETER SETTINGS oystem Setup Type ABDUL Mode Demo LANG ENG Fill OFF Frze ECG Disp2 Trend Alm ol 5 Key ON Beep 5 DefView Main Exit Figure 3 16 System Setup lt gt Type The category of patient being monitored this can be selected from Adult Pediatric and Neonate Adult the patient 1s adult Pediatric the patient is pediatric Neonate the patient is neonate The default is Adult When changing the patient type the monitor will change the default alarm settings and initialize the NIBP and SpO measuring module accordingly Please pay special attention to the patient type before 24 starting the monitoring It is forbidden to use Adult type on the Pediatric patient or it may cause serious injury Mode Monitor working mode selection The Real Time shows the normal working mode with real time waveform and data The Demo shows the demo working mode with demo waveform and data In the demo mode all the signals and data are generated by the device for demonstrating and testing purpose The default is Real Time LANG The current language used which can be selected by the user There is no default for this setting However the setting can be saved Fill When the fill setting is ON the plethysmogram and respiration waveform will be display
26. front panel NIBP press it to start or stop NIBP measure DISP press it to shift the display to the Main Screen Navigation Knob no action Note when 3 lead wires are chosen in Cable setting of ECG Setup then the display view of 2 hours trends screen will not be available 2 3 5 Parameter Screen Press the DISP key to shift screen to Parameter Screen when setting Disp2 as Parameter in System Setup screen as shown in Figure 2 11 SpO 2 60 100 ECO PR 16 60 NIBP mmHg Manu PR 10 14 120 84 98 60 Push Display changinq interface Figure 2 11 Parameter screen Operation Instructions 4 ECG lead when the printer 15 on it serves as the printing key Alarm silence press it to set or activate the system alarm Freeze no action Double press this key within 2 seconds to lock or unlock the operation of all other buttons except power switch on the front panel NIBP press it to start or stop NIBP measurement DISP press it to shift the display to the Initial Screen Navigation Knob no action 14 2 4 ECG Waveform Freezing and S T Segment Measurement During the process of monitoring the ECG waveform can be frozen to perform detailed analysis in the observing screen as shown in Figure 2 12 Alarm 25 ADUL MON 2010 10 29 13 49 40 HR Y Spo 61 100 NIBP mmHg NBP mmg PR R TEM 122 96 t 93 61 36 5 freezetime 13 49 33 Figure 2 12 Frozen and S T Analysis Screen 2 4
27. function After deflation it will change to Start again 3 13 1 Operation Instructions Step 1 rotate the knob to move the gray cursor to the setting item and press the knob to confirm your selection Step 2 rotate the knob to change the setting or modify the setting value Step 3 press the knob again to change and repress it to save the setting Pressing Cm key to return to the Main Screen or Exit button to return to the System Menu screen 33 Chapter 4 CO Monitoring optional If your monitor has CO2 monitoring function please follow the instructions in this chapter to perform CO2 monitoring on patient The parameter setting menu and monitoring menu differ from different models please refer to the monitor on hand 4 1 CO2 Related Settings 1 On the default screen display press the knob to enter System Menu Screen Then choose SETUP gt C z to enter CO related settings screen CO Setup witch OFF Gain AX Unt m mHq Zero FF RR Hi 40 E C ZH 70 0 Ins Hi 10 0 Flow 8 Lo 100 amp Lo Figure 4 1 CO Related Settings 1 CO2 Setup Baro 760 Apnea 20 Period 10s TEMP 35 0 02 Compen 16 Balance lr Agent 0 0 oystem exits this status ID CO Related Settings 2 NOTE CO parameter setting screen will be displayed in two pages Focus the gray cursor on 2 2 then press the navigation knob to enter the second page where the operator can set some other parameters of CO A
28. hythmia Screen System Setup Screen Color Settings File Archive Management Screen oxyCRG Screen Event List Screen MC Calculator Screen or Cuff Tourniquet Function Screen The following chapters will describe each one respectively Pressing Cn key to return to the Main Screen 17 3 2 SpOz Trend Data List Screen Time HR RR TEMP 5 02 ks 10 1115 57 61 14 36 7 99 62 10 1115 57 60 15 36 6 98 61 10 1115 57 61 15 36 7 98 60 10 1115 57 60 15 36 6 100 61 10 1115 57 60 15 36 7 99 61 10 1115 56 60 16 36 5 100 61 Figure 3 2 SpO Trend Data Listing Screen 3 2 1 Screen Description When monitoring the newest data will be displayed on the top of list including Time HR RR TEMP SpO PR The time shows the time when the SpO measurement was taken Up to 6 groups of SpO data can be displayed on one screen There is only one record every 4 seconds 3 2 2 Operating Instructions Up to 400 groups of SpO data can be memorized Using the Navigation Knob allows the user to scroll the list up and down to view SpO data When rotating the knob anti clockwise the list scrolls upward When rotating knob clockwise the list scrolls down Please note that when the groups of data are less than 6 the Navigation Knob can not be used to scroll up or down the listing Pressing Cn key to return to the Main Screen 3 3 NIBP Data List Screen AD Time NIBP PR HR SpO2 EtcO2f 000001 10 08 10 23 126 8197 51 b
29. ing action 1s not detected after the time longer than this set period 28 the trace for respiration waveform will display warning Apnea xxx second The default is OFF Type Respiration impedance Lead Signal source selection for respiration measurement 3 options ECG electrode Lead I and II RR Hi High limit of respiratory rate alarm Lo Low limit of respiratory rate alarm return to the System Setup screen Restoring to Factory Default Settings In the System setup screen as shown in Figure 3 15 rotate knob to choose RESET and then press the knob all the value of parameters will resume default setting 3 8 Display Color Settings Figure 3 23 Display Color Settings 3 8 1 How to Change the Parameter Color Step 1 rotate the knob to move the gray cursor to the setting item and press the knob to confirm your selection Step 2 rotate the knob to choose the color Step 3 press the knob again to confirm the chosen color Pressing Cn key to return to the Main Screen or Exit button to return to the System Menu screen 3 9 File Management Screen ID 000001 Name No Name Bed Saye OFF Figure 3 24 Document management screen 3 9 1 How to Add a New Patient The document archive management screen can be used to manage information about the patient In the screen the operator can enter and modify the patient ID Name Bed number Sex and Age The operator can also choose to save
30. inter CON Timer OFF Wav2 Pleth ARR OFF Exit Printer For svvitch on or off the printer Timer If printer is ON rotate navigation knob to set on the Timer to enable timed print and set the value of printing intervals in the cycle category When the time is reached the system will automatically take the record The interval 1s 1 2 3 to 240 minutes gt Wav2 When printer is selected you can choose SpO respiration I III AVR AVL AVF or V to be printed with II lead ECG waveform The default is SpO ARR Arrhythmia trigging print ON means the printer will trig once arrhythmia occurs and record the arrhythmia waveform information The initial setting is OFF means closing the arrhythmia trigging record 25 Exit return to the System Setup screen Printer is optional function If the purchased machine has printer please refer to above Printer Setup ECG related settings etup ead Gain x HR H 180 S T Hi 41 60 Speed 25 Mode MON amp 40 8 1 00 mv OFF Notch 50Hz Pace OFF Grid Cable n System exits this status Figure 3 17 ECG related settings lt P Lead Can be chosen among Lead I II III AVR AVL AVF and V V1 V6 The default is I lt gt Gain The ECG gain 6 options x1 4 x1 2 x1 x2 x4 and Auto Auto is for automatic gain control The factory default is x1 HR Hi High limit alarm for heart rate Lo Low limit alarm for heart rate The adjustab
31. is flow rate of the CO sampling Its value is 50ml min The information promoted for Zero calibration 1s as follows Dio you want to do zero calibration Apply reference air with 75 CO Please apply the reference air with 0 CO the air in the drafty room usually can be regarded as the air with 0 CO Press OK and the result will be displayed on the screen several seconds later lt gt Apnea display timeout setting for the respiration rate measurement when the previous respiration has been detected while the next one is not meanwhile the device will prompt apnea information The setting range is 10s 60s the default is 20s For example if 20 seconds is set here it means the respiration rate value will disappear after it has been shown for 20 seconds if on respiration is detected during this period lt Period setting the calculation cycle of EtCO value there are three selectable options 1b 10s and 20s 1b means the EtCO value will be calculated once every respiration cycle 10s means the EtCO value will be calculated once every 10s and the maximum EtCO value measured during this 10s will be displayed on data area 20s means the EtCO value will be calculated once every 20s and the maximum EtCO value measured during this 20s will be displayed on data area lt TEMP setting the temperature value of the current measured air flow For instance the temperature is us
32. is patient monitor can be used for monitoring multiple physiological parameters such as ECG non invasive blood pressure NIBP oxygen saturation SpO respiration rate RR pulse rate PR and body temperature Note If CO module is added the monitoring will not have these two functions central networking and body temperature temperature connector doesn t exist lt gt lt gt lt gt 99592252 4 gt It is lightweight easy to carry and operate 7 high resolution 800 x 480 pixel color TFT refer to the monitor you purchased to display multiple traces of signal waveforms for ECG plethysmogram and respiratory waveform User friendly and intuitive display interface multiple configuration of ECG waveform display Main monitoring screen view displays the information of all the waveforms and parameters visually Observing screen view heart rate value and SpOz value display in big fonts and displays one channel ECG waveform Seven lead waveforms on one screen view displays the information of 7 ECG lead waveforms and different monitoring parameters on one screen Five channel real time waveforms and two hours trends screen view intuitionistic knowing the physiological status of patient oxyCRG screen displays heart rate trend SpO trend respiration trend or waveform simultaneously on oxyCRG screen to know the instantaneous the change of physiological parameters of respiration The cuff can b
33. le range and the factory default value can be found in chapter 12 2 Speed ECG waveform sweeping speed 4 options 6 25 12 5 25 50 mm s The factory default is 25 mm s lt P Mode ECG filtering mode Three options MON DIA and OPE MON Monitoring mode Moderate filtering 1t can filter out interference and present good ECG waveforms DIA Diagnosis mode No filtering represent the true ECG siganl without filtering OPE Operation mode Deep filtering 1t can filter out strong interference The factory default is MON lt gt ImV Generating the 1mV calibrating signal This signal is used to test the ECG function of the device It 1s not used during normal operation Factory default is OFF lt gt Notch frequency filter Different hardware configuration may make its options various One 15 ON OFF The factory default is ON and it means turn on or turn off the 50Hz frequency filter The other option is OFF 50 Hz 60 Hz please choose 50 HZ or 60 Hz frequency filter according to your power supply frequency The factory default is 50 Hz Pace Cardiac pacemaker pulse detection When Pace is ON the function of pacemaker pulse detection will be effective A mark will be displayed on the ECG waveform if the pacemaker generates a pacing pulse when the patient wears a cardiac pacemaker The factory default is OFF Grid The grid on the background for Observing Screen and Fr
34. ozen amp S T Analysis Screen Factory default is OFF lt Cable Choose the number of lead wires for ECG cable 3 and 5 for optional 26 Exit return to the System Setup screen r Limits setup Move the gray cursor to the High or Low limits of the alarm settings and press the Alarm silence key to turn ON or OFF the alarm for the setting Yellow color shows ON status and gray color shows the OFF status Temperature related settings TEMP Setup TEMP H 39 0 Unit cC a Lol 35 0 Sensor Figure 3 18 Temperature related settings TEMP Hi High alarm limit for temperature Lo Low alarm limit for temperature Unit the temperature unit and C Celsius and F Fahrenheit can be selected the factory default is T E w Sensor temperature sensor type KRK and YSI can be selected KRK and YSI temperature sensors are different type of thermistors with different R T characteristic Please set the sensor type according to the actual used sensor Fxit exit from system settings Note For KRK temperature sensor its resistance at 25 0 C is10Kohms while for YSI temperature sensor its resistance at 25 0 C is 2 252K ohms NIBP related settings NIBP Setup Hi 180 Hi 120 Mode Manu Cycle Lo 60 amp Lo 50 Unit mmHg Ner cali OFF Hi 160 PR Hi 180 qas leak Lol 50 Lo 40 IntiP 150 Svstem exits this status ID Figure 3 20 NIBP related settings Unit The pressure unit
35. pO and RESP according to the system setting NIBP press it to start or stop NIBP measure DISP press it to shift the display to Display 2 Screen Navigation Knob 1 Press the navigation knob about 3 seconds enter system menu screen 2 Rotate the knob to move the gray cursor to the corresponding item and press it for 1 second to enter 2 3 Screen Display for Remote Observation 2 3 1 Screen Description Press the DISP key to shift screen to Observing Screen when setting Disp2 as Obsev in System Setup screen as shown in Figure 2 7 Alarm E ADUL MON 2011 03 02 14 10 44 HR Spo2 RR C NIBP mmHg PR TEMP 1 126 7 87 92 62 16 36 6 Push Display changing interface ID 1 00P Figure 2 7 Screen display for remote observation Operation Instructions ECG lead press it to shift the ECG monitoring circulatory among I II and III AVR AVL AVF and V Alarm silence press 1t to set or activate the system alarm Freeze press it to freeze the ECG waveform and perform manual S T segment analysis Double press this key within 2 seconds to lock or unlock the operation of all other buttons except power switch on the front panel 10 NIBP press it to start or stop NIBP measure DISP press it to shift the display to the Main Screen Navigation Knob No action When pressing the Freeze key this key is used for S T segment analysis 2 3 2 NIBP Screen Display Alarm 7 Ad vlomtornng 2011 08 2
36. r 10mmHg compared with the preset value due to little air leakage in the pneumatic system when time passes by the monitor will re inflate to maintain the cuff pressure close to the preset pressure value Note the unit of cuff pressure is the same as the NIBP unit in NIBP Setup lt Duration After presetting the cuff pressure you need to set the time period for maintaining the preset pressure after inflation 5 6 7 120 minutes adjustable The default value is 40 minutes If the set value is xx minutes the monitor will count down from xx minutes automatically when starting cuff inflation When time is up it will deflate automatically lt gt Alarm the alert time is for reminding user that the preset operation of tourniquet is going to end It can be chosen from 1 to 60 minutes and the default value is 5 minutes If the set value is xx minutes and when counting down time reaches xx minutes the monitor will give off alarm sound until deflation ends The alarm type is high priority alarm For example if the duration is 40 minutes and the alert time is 5 minutes the alarm will ring to prompt when the duration counts down to 5 minutes The Prompt Info area starts to prompt TOUR C D 300 seconds Start shift cursor to Start and press IM key Start becomes Stop and meanwhile the blood cuff starts being inflated Pressing Stop button can stop using this
37. ration nstructions 4 ECG lead No action When the printer 15 on it serves as the printing key A Alarm silence press it to set or activate the system alarm ES Freeze press it to freeze all 7 ECG waveforms Double press this key within 2 seconds to lock or unlock the operation of all other buttons except power switch on the front panel NIBP press it to start or stop NIBP measure DISP press it to shift the display to the Main Screen Navigation Knob rotate the knob to adjust the gain for all 7 trace of ECG waveforms The ECG gain includes 6 options Auto X1 4 X1 2 X1 X2 X4 Note when 3 lead wires are chosen in Cable setting of ECG Setup then the display view of 7 traces of ECG waveforms will not be available When 3 lead wires are chosen in Cable setting of ECG Setup the screen changes to the below figure 12 Alarm 14 A DUL MON 010 10 11 15 56 23 ECG HR bpm v 61 du aly N Ly T 0 09 my x1 NIBP mmHg 15 56 GAS Time 09 41 53 1 23 80 88 PR AL PN TEMP C 86 7 leth da N PI e E INS 28 9 9 DADA Push knob for system menu Pir ox 2 3 4 Five Channels Real time Waveforms and Trends on the Same Screen When the Disp2 option is Trend on System Menu screen press the DISP key on the Main Screen the system will enter the trend screen as shown in Figure 2 10 Five channel r
38. reen shows S T 0 xxx mV Set S T Dirc Ver Rotate the knob to move the S T point vertically to the point to be measured on the S T segment Only the default screen display allows pressing the freeze key to do the S T segment measurement NOTE The S T segment starts from the end point of S wave and ends at the start point of T wave the st point to be measured 1s a point within the S T segment Operation Instructions Ch ECG lead press it to shift the ECG monitoring circulatory among 1 II and AVR AVL AVF and V Alarm silence press 1t to set or activate the system alarm Freeze press 1t to unfreeze ECG waveform NIBP press it to start or stop NIBP measure DISP press it to shift the display to the Main Screen Navigation Knob analyze the S T segment waveform 16 Chapter 3 Screen Display for System Menu 3 1 System Menu Screen Longtime press the Navigation Knob in the default screen display as shown in Figure 2 2 the System Menu screen will display in the lower left area on the screen as shown in Figure 3 1 System Menu Spo NIBP TREND RCALI ARR SETUP COLOR FILE oxyCRG EVENT MC CUFF System settin ID Figure 3 1 System Menu Screen 3 1 1 How to Select the Menu Item Step 1 rotate the knob to move the gray cursor to the corresponding item Step 2 press the knob to enter the corresponding screen SpO Data List Screen NIBP Data List Screen Graphic Trend Screen Recall Screen Arr
39. riously only the entering is correct the calculating result is believable and reliable Select Medicine Type Move the cursor to Medicine rotate Navigation knob to perform selection Ten options AMINOPHYLLINE DOBUTAMINE DOPAMINE EPINEPHRINE HEPARIN ISUPREL LIDOCAINE NIPRIDE NITROGLYCERIN and PITOCIN The default medicine is AMINOPHYLLINE Weight when entering into medicine calculating window the operator should enter patient s weight the weight 1s used for MC calculation only weight 0 5Kg to 300Kg selectable step 0 5Kg default 70 Kg for adult 20Kg for Pediatric A Medicine calculation function just supplies a medicine calculator function The values in table can have no relation with the monitored patient so the weight in this menu and the weight in system are two different values When update a patient in system operation the value in this menu will not be affected 3 13 Tourniquet Function CUFF Pressure 140 Duration 40 Alarm F Start Figure 3 29 Cuff 32 Pressure when you use Tourniquet function you need to preset a cuff pressure for hemostasia The pressure is adjustable and its adjusting limit 1s different depending on patient type for neonate preset range 70 100 mmHg default value 90 mmHg for Pediatric preset range 80 130 mmHg default value 110 mmHg for adult preset range 80 180mmHg default value 140 mmHg r Ifthe pressure drops down slowly unde
40. s shown in above figures Switch enable or disable the CO function It is recommended that the switch is turned on only when there is a need to monitor CO parameter This can not only reduce the power consumption and also extend the life of the CO measurement module In order to maintain the monitor please set CO switch at OFF state in system setup when CO function is not used Gain the CO waveform gain Unit Choosing the EtCO and the minimum InsCO It can be set up as kPa mmHg and 96 Respiration Rate High Setting the upper alarm limit of CO respiration rate Low Setting the lower alarm limit of CO respiration rate EtCO High Setting the upper alarm limit of EtCO Low Setting the lower alarm limit of EtCO 0lnsCO High Setting the upper alarm limit of InsCO 34 Low Setting the lower alarm limit of InsCO Baro Barometric pressure set ambient atmospheric pressure It can be determined by barometer or the ambient altitude Altitude can be used to determine the typical barometric pressure if a barometer is not available refer to Appendix Typical Pressures and CO Readings at Altitudes for details Zero The method to calibrate CO Zero calibration Calibration must be carried out in a drafty place and the CO module must have worked continuously for 5 minutes to ensure an accurate calibration or the calibration will not work Flow CO flow It
41. system start up when the screen displays the time and data setups The current figure shows the time and date is March 274 13 57 25 2011 Push knob for System Menu System prompt or description for the current status ID The patient ID The patient ID be entered or changed in the archive management window Waveform area lt P 1 trace The first trace is ECG waveform for lead II The left side of the ECG waveform shows the scale bar looking like IP which indicates the ECG scale This scale bar will change its height lt gt lt gt Data area lt gt Value of ST Segment Measuring m ST 0 09 my according to the ECG gain setting All ECG waveforms have their own scale When the third trace of ECG waveform changes to lead II the first trace will automatically change to ECG waveform for lead I 2 trace The second trace is for the ECG waveform of lead III When the third trace displays the ECG for the lead III this trace automatically changes to the ECG for lead I 3 trace Its lead can be adjusted and will not repeat the 1 and 2 traces 49 trace Plethysmogram for SpO measurement 5 trace Respiration waveform Heart Hate Mark Heart Rate Value 5 j ECG Waveform Gain X1 x Figure 2 3 Heart rate area HR The currently displayed heart rate The 61 on the right side is the heart rate measured bpm The heart rate unit bpm beat per minute e The heart be
42. t information and tips about operations and application A Attention must be follovved to avoid causing damage to the monitor 3502 2560005 Table of Contents Chapter OYEryvevo son a RUE O L 1 106 m b cae ca soteardeusea E ante ene tee l 1 2 lntodu ucionmto Fanel EE 2 M UE 2 12 2 ce Lean RIsht Paneles 4 Z Rear Pape ti aa A test Lo adeb cun ud 3 Chapter 2 Screen Display Re eade 6 2 T1 Derultereen Display tst Cen bte bo OE om een o d f sca 6 DW DD aera A A 6 2 1 2 Screen Description ee DL 7 2 5 Screen Display for Remote Observa 10 2 Sod BI Don ab T 3 10 2 3 2 NIBP SCteemDISDIay caius Dao la la b 11 Zoo Soreen Display wate ECN LOA don 12 2 3 4 Five Channels Real time Waveforms and Trends on the Same 13 Po PPP O dne 14 2 4 ECG Waveform Freezing and S T Segment Measurement s s ASAS a 15 251 iL b bl 15 16 Chapter 3 Screen Display for System 17 Dak ystermMeM SCEO c a s a b d 17 SI H0 to elece he lehu licemeaa a a a iii 17 32 559 pO Trend Data 18 DeScEIDLUODL d ecelesie s ns ub s b Dn ab q 18 A 0 EEG LORS Goode tono ic bb b ni 18 So NSE Data LISSE efie tenen o ba b Da n n 18 2 9 l Sercen DOSCrIDUODOG ce cheer EE sio O
43. t occur if the large interference signal e g square pulse or triangle pulse appear Before starting 1mV calibrating signal selection please turn off the ARR detection During ARR detection the learning template is very important The monitor requires a segment of stable and clean ECG waveform If the monitor detects the ARR event incorrectly please do re leam by pressing Learn button again for capturing good template 23 3 7 Screen Display for System Setting oystem Setup Print ECG TEMP NIBP RESP CO2 RESET ystem exits this status ID Figure 3 15 System Setup 3 7 1 How to Select the System Setup Item Step 1 rotate the knob to move the gray cursor to the corresponding item Step 2 press the knob to enter the corresponding setting screen System Setup Printer Setup ECG Setup TEMP setup CO Setup NIBP Setup SpO Setup RESP Setup or resuming Default setting The following contents will be described each one respectively Pressing Cn key to return to the Main Screen or Exit button to return to the System Menu screen Note If you disabled Hi and Lo limit alarm function of parameter monitoring all the alarms related to its parameter monitoring will be disabled as well 3 7 2 Parameter Settings Step 1 rotate the knob to move the gray cursor to the setting item and press the knob to confirm your selection Step 2 rotate the knob to change the setting or modify the setting value St
44. te Mark RR af PI Respiratory Sync Mark BN Value of RR RESP Waveform Gain lt 2 2 Figure 2 6 SpO pulse rate and respiration data area SpOz SpO label The 98 on the right side is the current SpO value measured PR Pulse rate label The value 62 on the lower left shows the pulse rate value PI Perfusion Index label 5 6 is the perfusion index value This function is optional please refer to the monitor in your hand Note If the monitor is configured with Nellcor SpO module then PI display is always not available The note will not be repeated in the later section Pulse bar graph The height of this bar graph varies along with the arterial pulsation RR Respiration Rate label if there is no breath detected then message Searching will be displayed on RR data area 16 Respiration rate The rpm is the unit of the respiration X2 Respiration gain amplification X1 2 Half scale size of the base gain X1 Waveform scale with base gain X2 Twice scale size of the base gain X4 4 times scale size of the base gain Operation Instructions 4 ECG lead press it to shift the ECG monitoring circulatory among I II AVR AVL AVF and V Alarm silence press it to set or activate the system alarm Freeze press it to freeze ECG waveform or the waveforms of ECG S
45. that when the groups of data are less than 5 the Navigation Knob can not be used to scroll up or down the listing Pressing Cm key to return to the Main Screen 3 12 MC Calculator This monitor supplies 10 kinds of medicine calculation and titration display function Medicin Weight 70 00kg ross Cubage MC Dm Dh D kg m D kg h TS DS Drop Duration Choose medicine Figure 3 27 Medicine Dosage Calculator Screen 3 12 1 Medicine Dosage Calculator Medicine types which can be perform drug dosage calculation AMINOPHYLLINE DOBUTAMINE DOPAMINE EPINEPHRINE HEPARIN ISUPREL LIDOCAINE NIPRIDE NITROGLYCERIN and PITOCIN Drug Dosage Calculation adopts the following formula Medicine Consistency MC Medicine Gross Cubage Dose minute Dose hour 60 Dose Kg m Dose m Weight Dose Kg h Dose h Weight Transfusion Speed TS Dose h MC Drop Speed TS Cubage drop Duration Medicine Gross Dose h Formula Introduction Dose m Dose per minute Dose h Dose per hour Dose Kg m Dose per Kg per minute Dose Kg h Dose per Kg per hour 3l On medicine calculation screen at first the operator should move the gray cursor to Medicine to select the calculated medicine name and then move the cursor to Weight to select and confirm patient weight at this time MC analysis screen is shown as Figure 3 28 Medicine DOBUTAMINE Ye ioht 7000ko Gross 500 00mg Cubage 250 00m MC 2 00mg ml fm 10
46. tor is out of power the measuring data will not being a new single record but connect to the last record you have measured It is a continuous record The ECG lead gain and other parameters will not change during recall Shown in Figure 3 12 it is different from the Main Screen in its 3 waveform area and the operation area We will explain them in detail below 21 ID Name start time end time 000001 No Name 15 56 29 13 58 48 d Fecall HIST Delete Exit Figure 3 12 Recall Listing 3 5 1 Operation Instructions Rotate the Navigation Knob and choose Recall HIST Delete or Exit We explain the functions of each button below Recall Press the Recall and the first record in recall list becomes green Rotate the knob to choose a record and press the knob to recall it The recalled waveform is displayed on the 3 trace of the waveform area as shown in Figure 3 13 Recall HR l AX MON Time 13 56 33 gt gt Figure 3 13 Recalled ECG VVaveform Rotate the Navigation Knob to move forward or backward to review the ECG waveform Press the Navigation Knob to exit the ECG waveform recall and return to the initial ECG waveform recall screen During ECG waveform recall the monitor not only displays the current recalled waveform but also displays the setting of ECG lead gain and filter type for the recalled waveform and timestamp HIST Press the key to shift between the History key
47. ually set as 37 C while measuring the patient s respiration by air flow However if the air flow to be measured is the reference gas the temperature is set as 25 C The setting range 0 50 Unit C Default value 35 0 O2 Compen adjusting the concentration of compensating gas in patient s respiration air flow Generally the compensating gas is oxygen so it can be called oxygen compensation concentration The unit 9o Setting range 0 100 Default value 16 Balance setting the balance gas in patient s respiration air flow There are three kinds of selectable balance gas Air N2O and He namely air nitrous oxide and helium If on specific balance gas is given the balance gas can be set as Air lt gt Agent setting whether adding the anesthetic gas to patient s respiration air flow and the concentration of anesthetic gas The setting range is 0 0 20 0 the default status 15 not adding anesthetic gas that s to say the concentration 1s 0 096 2 To set the color of CO parameters on Color Settings screen 4 2 CO2 Monitoring Screen 23 Pleth Waveform area IURE I I HR bpm 61 NIBP mmHg 10 21 125 85 2 Manu TEMP t YSI 36 5 PR Spo 99 RH 38 55 Figure 4 2 CO Monitoring Screen 15 s 3 0 x2 50 trace CO waveform It can be respiration waveform or CO waveform Data area Figure 4 3 RR EtCO and Ins Data Area RR
48. uld be compromised 6 Freeze Press the key to freeze unfreeze ECG waveform or the waveforms of ECG SpO and RESP according to the device setting and enter into ST segment measurement screen for analysis on Observing Screen 7 NIBP Press it to start or stop NIBP measurement 8 DISP Click it to shift the display modes or return to the Main Screen from other screens Press it to shift between Main Screen and Display 2 Screen which can be set in System Menu screen 9 Navigation Knob It is the major operating key of the system which can be used to select functions or parameters Press and release it to shift the screen and to confirm the function or other operating tips 10 Alarm indicator Indicator Color Alarm Level Alarm Event Red flashing High priority alarm Parameter exceeding the limits asystole or apnea Yellow flashing Middle priority alarm Leads and probe off VE RONT and SVE RONT Yellow light Low priority alarm Other arrhythmia events 1 2 2 Left and Right Panel Figure 1 2 the left panel Figure 1 3 the right panel Different ports are located in different positions of the monitor for operating convenience The cable and transducer ports are at the left panel shown in Figure 1 2 1 SpO SpO probe connector 2 NIBP NIBP hose connector 3 TEMP TEMP probe connector CO CO probe connector 4 ECG RESP ECG cable connector 5 Symbol definition With type BF applied parts 490
49. xt press the knob to confirm Their screens are described in the following figures After choosing Cursor the trend graph display a triangle and a vertical line a moving ruler mark that can be moved by rotating the knob As shown in the figure when you move the cursor to a specific point the data area below the graph will display the timestamp and its corresponding heart rate respiration rate SpO temperature When rotating Navigation Knob key to move the cursor the moving step is a variable value depending on the dialing speed The rule is that the initial step is 5sec after moving it towards the same direction 1 time the step becomes 30 sec and with more steps the step becomes Imin 10min and 30min Therefore it is very easy to find the time point you are looking for The 5 sec on the top shows the interval time Move the focus to the trend time press the knob and rotate it and the trend graph time will change to 30 sec 1 min 10 min 30 min which changes the horizontal axis to be 30 min 3 hour 6 hours 60 hours 180 hours For example the monitoring can record 360 times data continuously when setting to 5 sec within 30 minutes Changing the interval time of 30 seconds it can record 360 times data within 3 hours Other changes are similar to that situation The Trend graph shows parameter value of the current time For example in the 5 sec trend graph the monitoring can record the current data with the interv
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