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1. cuff is not wrapped correctly or is not connected Air moving part tube or the cuff leak air Unstable cuff pressure or tangled cuff tubing Very weak signal because of the cuff or the patient has very weak pulse The measurement range exceeds 255 mmHg Infant patient over 135 mmHg The repeated measurement due to moving excessive noise during the stepping inflation and measuring pressure and pulse e g during patient shaking motion Blood pressure amplifier overflow due to excessive movement Leaking during the pneumatic device testing Abnormal condition of CPU such as register overflow divided by zero The blood pressure measuring now is in adult mode In this case it is not allowed to monitoring infant patient Otherwise there may be serious danger to the infant monitored The blood pressure module is now worked in infant measuring mode S pO probe fell off The ECG electrodes or cable fell off Learning arrhythmia for 15 seconds The monitor is displaying the demo waveforms which are generated by the monitor itself 83 User s Manual for UP 6000 multi parameter patient monitor 13 5 Status Error during CO Monitoring Suggested Message Response Sensor Over Temp Make sure sensor is not exposed to extreme heat heat lamp etc If error persists return sensor to factory for servicing Sensor Faulty Check that the sensor is properly plugged in Reinsert
2. Do NOT use the batteries manufactured by other companies if being inserted the device will may be damaged In order to avoid damaging the battery do NOT use other power supply device to charge the battery After battery ageing phenomenon occurring do NOT throw the battery into fire to avoid explosion risk Do not hit or strike it with force 16 User s Manual for UP 6000 multi parameter patient monitor Do not use this battery on other devices Do not use this battery below 20 C or above 60 C In order to maintain battery supply time and prolong battery lifetime please charge the battery periodically Generally charge the battery every 3 6 months and 2 5hours each time When the battery power is full battery power indicator displays full grid Before storage please discharge the battery until it remains 80 power Do not use the AC power adapter and power code not purchased from the manufacture Whether the monitor is on or off the built in battery will be charged as long as the monitor is connected to an AC outlet When the battery is full it will stop charging for protecting from damage If the monitor is connected to an AC outlet and turned on it will use AC power but when AC power is cut off the DC power will be used Priority of using AC power and power shift between AC and DC are automatically and uninterrupted If the battery is damaged please change it The model and specifications of the new battery should b
3. Especially for pediatric patient they like sports pay more attention to the transducer fixing 9 5 CO Monitoring 9 5 1 Measuring Principle The principle is based on the fact that CO molecules absorb infrared light energy of specific wavelengths with the amount of energy absorbed being directly related to the CO concentration When an IR light beam is passed through a gas sample containing CO the electronic signal from a photodetector which measures the remaining light energy can be obtained This signal is then compared to the energy of the IR source and calibrated to accurately reflect CO concentration in the sample To calibrated the photodetector s response to a known concentration of CO is stored in the monitor s memory The monitor determines CO concentration in the breathing gases by measuring the amount of light absorbed by these gases EtCO is display as a numerical value in millimeters of mercury mmHg percent or kilopascals kPa In addition a CO waveform capnogram may be displayed which is a valuable clinical tool that can be used to assess patient airway integrity and proper endotracheal tube placement Respiration rate 1s calculated by measuring the time interval between detected breaths 9 5 2 Mainstream vs Sidestream Sampling Mainstream CO sensors are placed at the airway of an intubated patient allowing the inspired and expired gas to pass directly across the IR light path The major advantages
4. This device can monitor the patients with pace maker DO NOT use this device while the patient is under MRI scanning User s Manual for UP 6000 multi parameter patient monitor Chapter 2 Working Theories of the Main Unit 2 1 Overall Structure and Working Theories The overall structure of this monitor is shown as Fig 2 1 IS 00 240 Operation buttons Spogen Power Supply rincludina Buttons LCD Display eee ion battery supports each aa i 7 i part s power Sch Central Processing aos Mon T Blood Pulse Chen CO Module Module Pressure Module EL pects Respiratory rate ECG RESP TEMP MIEP Spo EtCO2 natoz amp Electrodes probe Figure 2 1 This patient monitor is a product of modular design It performs its measurement of the physiological parameter through different modules There are five functional modules for the monitor ECG RESP TRMP module NIBP module SpO module CO module and Central Processing Unit CPU module 1 ECG RESP TRMP module collects heart rate respiration waveforms through the ECG leads and electrodes It also collects temperature data from the temperature probes 2 SpO module collects data for pulse rate pulse oxygen saturation SpO and SpO volume waveform via the SpO probe 3 NIBP module collects blood pressure data including the diastolic systolic and mean arterial pressure through the NIBP cuff The cuffs are sized for adult pediatric and neonate NIBP measure has t
5. DO NOT use device on patients that can not tolerate the withdrawal of 50 ml min 10 ml min from the airway or patients that can not tolerate the added dead 35 User s Manual for UP 6000 multi parameter patient monitor space to the airway Do not apply excessive tension to any sensor cable or pneumatic tubing Explosion Hazard DO NOT use in the presence of flammable anesthetics or other flammable gasses Use of the CO Sensor in such environment may present an explosion hazard The power voltage over monitor working voltage may cause damage to CO sensor Likewise too low power voltage may affect the CO measuring accuracy or even make the CO sensor not work When changing sampling tube it is suggested to choose the default sampling tube with dehumidifying function The sampling tube without dehumidifying function may be easily blocked by excessive moisture Use life ordinary sampling tube 6 12 hours the sampling tube with dehumidifying function about 120 hours If the measurement appears abnormity caused by sampling tube block please replace it The total length of the sampling tube and extending airway tube shouldn t be longer than 3 meters too long may cause measurement abnormity If using T connector sampling cannula kits please insert the sampling tube with the tubes upward to avoid the affects of excessive moisture Altitudes are different in different area so set the Barometric Pressure setting v
6. EH EE E SU NUN NE O A sl LenginaysDifeenc eres set the shifted point to he set the direction Base Point or T Point horizontal or vertical gt I Point Orientation Figure 4 13 Frozen waveform 29 User s Manual for UP 6000 multi parameter patient monitor 4 4 2 How to Analyze the S T Segment on ECG Waveform The operator can use the Navigation Knob to analyze the S T segment waveform i e measuring the difference between the S T segment value and the referenced value The value 1s displayed after the measure on 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 1s 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 ST 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 screen shows S T 0 xxx mV Set ST 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 observing screen allows pressing the
7. O 150440 AduNIBPeufBs B5em 2507170000 Handle subassembly 1 2301008085 AC Power Adapter P 2900000000 Powercord o d 9009 J Netwe CO Sidestream sensor For more information regarding the accessories please contact your local sales representative or the manufacturer 85 User s Manual for UP 6000 multi parameter patient monitor 13 8 Instructions for SpO Probe Instructions for Pediatric SpO Finger Clip Sensor Intended Use When used with a compatible patient monitor or a pulse oximeter device the sensor is intended to be used for continuous non invasive functional arterial oxygen saturation SpO and pulse rate monitoring for pediatric patients weighing between 10 40kg Contraindications This sensor 1s contraindicated for use on active patients or for prolonged use Instructions for Use 1 2 3 4 5 6 7 With the upper and lower jaws open place an index finger evenly on the base of the clip Push the finger tip against the stop so that it is over the sensor window A If an index finger cannot be positioned correctly or is not available other fingers can be used Note When selecting a sensor site priority should be given to an extremity free of an arterial catheter blood pressure cuff or intravascular infusion line Spread open the rear tabs of the sensor to provide even force over the length of the pads B The sensor should be oriented in such a w
8. User s Manual for UP 6000 multi parameter patient monitor TEMPERATURE PARAMETER SETTINGS TEMP Setup TEMP Hi 39 0 Unit D Lo 35 0 Exit Figure 6 18 Temperature Setup lt gt TEMP Hi High limit of temperature alarm Lo Low limit of temperature alarm NIBP PARAMETER SETTINGS NIBP Setup Hi 180 Hi 120 Mode Manu Cycle Lo 60 A Lo 50 Unit mmHg v r cali OFF Hi 160 PR Hi 180 gas leak Loi 50 Lo 40 Inti P 150 System exits this status Figure 6 20 NIBP Setup lt gt Unit The pressure unit and mmHg and kPa can be selected The factory default is mmHg lt gt Mode The cuff inflation mode manual or automatic The factory default is manual The operator needs to press the NIBP button to perform NIBP measurement If the Auto mode is chosen the operator needs to set an interval cycle as well MA Cycle The inflation interval when the NIBP measurement is set to Auto The options are STAT 1 min 2 min 240 min Press NIBP and the system begins to count down It takes blood pressure measurement automatically after finishing counting down If STAT is selected press NIBP to take 5 minutes measurement A WARNING STAT can only be used for Adult Using this mode to Infant patient can cause serious injury ze 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 Mo
9. 5 Measurement time on the average 90 seconds 6 Air release time while the measurement is canceled 2 seconds typical adult cuff 7 Initial cuff inflation pressure Adult 175 mmHg Pediatric 135 mmHg Neonate 65 mmHg 60 User s Manual for UP 6000 multi parameter patient monitor 8 Overpressure protection limit Adult lt 300 mmHg Pediatric lt 240mmHg Neonate lt 150 mm 9 NIBP measurement range mmHg 40 275 40 200 40 135 MAP mmHg 20 230 20 165 20 110 DIA mmHg 10 210 10 150 10 95 10 NIBP accuracy Maximal mean deviation 5 mmHg Maximal standard deviation 8 mmHg 11 Measurement mode Manual Auto STAT 8 5 SpO Monitoring Transducer dual wavelength LED Wavelength Red light 660 nm Infrared light 905 nm Maximal optical output power less than 2mW maximum average 19 SpO measuring range 35 100 LA Low perfusion capability 0 4 5 4 SpO gt measuring accuracy not greater than 3 for SpO gt range from 70 to 100 NOTE accuracy defined as root mean square value of deviation according to ISO 9919 CA Low perfusion performance the declared accuracy is attained when the pulse amplitude modulation ratio is as low as 0 4 8 6 Pulse Rate Monitoring 1 Pulse rate measuring range 30bpm 240bpm 2 Pulse rate measuring accuracy 2bpm or 2 whichever is greater 8 7 CO Monitoring 1 Technology Infrared absorption method 2 Mode of Sampling Sidestream o
10. CHAPTERS CO MONHFORING spe 31 EES 31 ENEE 32 IV User s Manual for UP 6000 multi parameter patient monitor 5 2 1 pldestreain CO Sensor A e age ceca da a de o a e he 33 TEE Seflisor CONNEC A e 34 5 9 CO MONITORING SCREEN ld dt 37 AOS RAPTO TRE ND mossos rl Dres patas poco dls peu epale plas e oe tenes eee CELL AE 38 CHAPTER 6 OPERATING INSTRUCTIONS FOR SYSTEM MENU eee eee eee eoe ooue 39 6 1 SYSTEM MENU SCREEN spe 39 TT NENNE 39 VES PO DATA AS EO NR eegene 40 EE Eeer 40 6 2 2 OPA AO e a tees 40 6 9 NIBP DATA LISTE SCREEN isis ias 40 AE DES EE 40 APA ia A A E ee ERU 40 64 GRAPHIC TREND SCREEN ic 4 64 1 How fo View the eGraphic Trend ME 41 o AA o EE RE EE NR TUI ERES PEOR er 43 0 5 RECALL SCREEN RT Tc T n 43 55 Operation TAS CUCU OMS oio terio o ote ont e on dt eH on eH ond fec on e etiam ero 44 07 URBTINCDEMTA SCREEN NTS EG 45 661 Operation e ee ient accion demit amt emeret e e ls neis 45 OL HN E E EE 46 6 7 1 How to Select the System Setup Hen 2 46 EP 46 OS COLOR SETTIN eie 51 681 Howto Chanee the Parameter Crus 51 6 9 TILE NNN SEN sne 51 6 9 HOW TO Ada NeW Pal ia 51 O EE 52 610 LOPE eo AAA A 22 DEN EE 52 TSN cpdn e DD ee 52 Ol A Ee e 52 6 12 ME CAIRN 53 6121 Medicine Dosage sv 53 TN TN 54 HJT Operation sn ur 55 CHAPTEKTALAR Messina aa 56 FN EV OH PRIOR Y sa 56 NER 57 Vo REAR NE Te EE 57 E IB RES ETNIA A ena 58 1 5 VERIFY ADJUSTABLE ALARM FUNCTION vern AGS bd dvi dato aae asked
11. Check if the indicator of the pulse oxygen sensor flashes and if the pulse oxygen probe is properly connected to the SpO jack on the side panel 2 If the problems still exist please contact the manufacturer 11 4 System Alarm 1 When the parameter value is higher or lower than the alarm limits the alarm will ring Please check whether the alarm limit value is proper or the condition of the patient 2 Leads off Please check the connection of the leads 3 Probe off Please check the connection of the probes 19 User s Manual for UP 6000 multi parameter patient monitor Chapter 12 Maintenance and Service PC 3000 Patient Monitor should be properly maintained to ensure its maximum performance and long service life In addition to the warranty period of one year the company also offers long term service for each customer It is important that the users read and follow the operating instructions important information and maintenance measures 12 1 Technical Maintenances 12 1 1 Daily Examination Before using the monitor the checks below should be carried out Check the monitor for any mechanical damage Inspect the exposed parts and the inserted parts of all the leads and the accessories Examine all the functions of the monitor that are likely to be used for patient monitoring and ensure that it is in good working condition Pay close attention to the fluctuation of the local power supply voltage A manostat is reco
12. Mainstream sensor One set Sidestream Sensor One set CAPNOSTAT 5 LoFlo C5 Airway adapter One piece Sampling Line Kit One set Note The accessories are subject to change Detailed items and quantity see the Packing List 74 User s Manual for UP 6000 multi parameter patient monitor Chapter 11 Troubleshooting Note In case of trouble of this machine in service follow the instructions below to eliminate the problem first If the attempt fails contact the dealer in your local area or the manufacturer A DO NOT open the monitor without permission 11 1 No Display on the Screen Shut down the machine and unplug the power code Use a universal meter to check if the outlet has proper voltage if the power code is in good condition and if the power code is properly connected with this apparatus or outlet Remove the fuse from the back cover of this machine and make sure it is in good condition 11 2 Excessive ECG Signal Interference or Too Thick Baseline 1 Check if the plate electrodes are properly located and if valid plate electrodes are used 2 Check whether the lead wires are properly inserted If no ECG curve displayed check if the ECG lead wires are broken 11 3 No Blood Pressure and Pulse Oxygen Measures 1 Check if the blood pressure cuff is properly wrapped around the arm according to the operating instructions if the cuff leaks and if the inlet is closely connected with the NIBP jack on the side panel
13. Spread open the rear tabs of the sensor to provide even force over the length of the pads B 4 The sensor should be E oriented in such a way e 7 ge AEE that the cable is gt i q aed ET E ESE A L E positioned along the top of the hand C CH 5 Plug the sensor into the oximeter and verify proper operation as described in the user manual 6 Inspect the monitoring site every 1 2 hours for skin integrity 7 Before each use surface clean sensor and cable with a soft gauze pad by saturating it with a solution such as 70 1sopropyl alcohol If low level disinfection 1s required use a 1 10 bleach solution Caution Do not sterilize by irradiation steam or ethylene oxide Warnings 1 Some factors may affect the accuracy of saturation measurements Such factors include excessive patient motion fingernail polish use of intravascular dyes excessive light poorly perfused finger extreme finger sizes or improper placement of the sensor 2 Using the sensor in the presence of bright lights may result in inaccurate measurements In such cases cover the sensor site with an opaque material 3 The sensor must be moved to a new site at least every 3 hours Because individual skin condition affects the ability of the skin to tolerate sensor placement it may be necessary to change the sensor site more frequently with some patients If skin integrity changes move the sensor to another site 4 Do not apply tape to secure the
14. it means that the battery is being used 4 ECG lead Click it to shift the ECG monitoring circulatory among IT 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 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 gt 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 User s Manual for UP 6000 multi parameter patient monitor 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 5 Alarm silence Press D 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 upp
15. lt gt Data area User s Manual for UP 6000 multi parameter patient monitor waveforms have their own scale When the third trace change to lead II the first trace will automatically change to 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 4 trace SpO plethysmograph 5 trace Respiration waveform Value of ST Segment MeasuringimV 0 09 mV Heart Hate Mark Heart Rate Value 6 j ECG Waveform Gain X1 x Figure 4 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 Me The heart beating symbol Its flashing corresponds to the R wave of the ECG waveform The speed is the same as the heart rate S T 4 0 09mv the measured mili volts value of automatic ST measurement X1 ECG waveform gain amplification 6 options available Auto Automatic scaled waveform x1 4 Waveform scaled with 1 4 of the base gain x1 2 Waveform scaled with half of the base gain xl Waveform scaled with base gain ET Waveform scaled with twice of the base gain x4 Waveform scaled with four times of the base gain Time of HIBP NIBP mmHg 12 56 Measuring Value of Systolic Pr
16. 58 CHAPTER 8 TECHNICAL SPECIFICATIONS eee ee eee s eee nore teneo eee o eee ee e etes tete eset esesese 59 EE ee eier KK E SENORI RO ca EE 60 SS TEMP MONITORING He 60 User s Manual for UP 6000 multi parameter patient monitor EE 60 ls ON AA O Ser 61 OPE RENN NT RNET 61 EON 61 5 0 T ATAJSECORIDEING SN 62 5 0 OTHER TECHNICAT SPECIFICATIONS 32 55 tedio ES dd dla 62 BIO C DASSIBICATION vu 62 8 11 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC COMPATIBILITY eene 63 CHAPTER 9 MONITORING PARAMETER e eee eee eee nee eo eene nte e o eee e eee EE EEREEE KEE RKE Ee 67 JN OGNI NC T 67 9 1 1 How to Obtain High Quality ECG and Accurate Heart Rate Value seen 67 PEZ actors eel Dill ECO KE tue pM M M ees seasear 67 EREECHEN 68 921 Measuring Principle AAA SR 68 92 2 Factors affecting respiration OOS 68 DS Oo NON ORIN EE 68 AMES Principle ecient a ELLE NELLE IN nasa 68 9 3 2 SpO Measurement Restrictions interference reason occcccccnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnss 68 9 3 3 Low SpO measuring value caused by pathology reason seen 69 EE i ak e E 69 9 3 5 Points to be noted in SpO gt and Pulse Measurng cccnnnnonocooononnnnnnnnnnncnnnnnnnnnanonononnnnnnnnnnnnccnnnnnnnannnn non nnns 69 94 TEMPERATURE MONITORING ee 70 DIOC Co MONITORING a E 70 SPIN P 70 0 32 EE ANYS ES SPS je 70 NNN 71 2 61 M easurmeo Prin
17. Connection ECG measurement is to collect the ECG signal via the ECG electrodes Electrode connects the patient and the lead The lead connects the monitor The locations of the electrodes are very important for obtaining accurate ECG signals 1 Connect the cable to the right panel connector marked with the ECG icon 2 Select electrodes to be used Use only one type of electrode on the same patient to avoid variations in electrical resistance For ECG monitoring it is strongly recommended to use silver silver chloride electrodes When dissimilar metals are used for different electrodes the electrodes may be subject to large offset potentials due to polarization Using dissimilar metals may also increase recovery time after defibrillation 3 Prepare the electrode sites according to the electrode manufacturer s instructions 4 Skin clean Clean and dry abrade skin to ensure low sensor impedance Mild soap and Water is recommended as a skin cleanser Note Alcohol is not recommended as a skin cleanser it leaves a film layer that may cause high sensor impedance If alcohol is used ensure 30 second dry time Dry abrading the skin gently with a dry wash cloth gauze or skin preparation product is helpful to remove iei The locations of the electrode are in the following Figure the non conductive skin layer The symbol indicates that the cable and accessories are designed to have special protection against electric shocks a
18. If the user of the equipment or system requires continued operation during power mains interruptions it is recommended that the equipment or system be powered from an uninterruptible power supply or a battery Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment User s Manual for UP 6000 multi parameter patient monitor Table 3 Guidance and manufacturer s declaration electromagnetic immunity for EQUIPMENT and SYSTEM that are not LIFE SUPPORTING PC 3000 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of PC 3000 Patient Monitor should assure that it is used in such an electromagnetic environment IMMUNITY test IEC 60601 test level vr Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of PC 3000 Patient Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Conducted RF Recommended separation distance IEC 61000 4 6 3 Vrms e 150 kHz to 80 MHz d 12 P Radiated RF d 12 JP 8 MHzto 800 MHz IEC 61000 4 3 3 V m 30 MHz to 2 5 GHz d 23vP 300 MHzto 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended
19. 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 6 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 Step 3 press the knob again to change and repress it to save the setting Pressing key to return to the Main Screen SYSTEM PARAMETER SETTINGS System Setup Type ADUE Mode Demo LANG ENG Fill OFF Frze ECG Disp2 Trend AlmYol 5 Key ON Beep 5 Exit Figure 6 16 System Setup lt gt Type The object being monitored this can be selected between Adult and Infant Adult the subject 1s adult Infant the subject 1s pediatric The default is Adult When changing the patient type the system will perform the alarm settings NIBP settings initializations Please pay special attention to the patient type before starting the monitoring It 1s forbidden to use Adult type on the pediatric patient or it can cause serious injury 46 User s Manual for UP 6000 multi parameter patient monitor lt gt Mode Monitor System Menu The Real Time shows the real time waveform i e normal monitoring state The Demo shows the demo waveforms In the demo state all the signals and data are generated from the patient monitor for demo and testing purpose The default
20. Screen Navigation Knob No action When pressing the Freeze key this key is used for S T segment analysis 24 User s Manual for UP 6000 multi parameter patient monitor 4 3 2 NIBP screen Alarm A SYS mmHg 11 10 Vonitoring SpO2 2011 08 22 11 11 01 99 61 96 PR press Display Key to shitt screen Patient ID Figure 4 8 NIBP Screen 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 EGG lead No action When the printer 1s on 1t 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 25 User s Manual for UP 6000 multi parameter patient monitor 4 3 3 Seven ECG Waveforms on the Same Screen 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 simultaneously view the ECG waveform for 7 leads I II III AVR AVL AVF and V as shown in Figure 4 9 Alarm Ik m 2011 03 02 14 11 02 ECG HR bpm ene 61 EE d cl aer mm gen nn gene e 8 14 Push display to exit F
21. Trend 6 4 2 Operation Instructions Rotate the Navigation Knob to choose the parameter and press the knob to review the trend graph Pressing key to return to the Main Screen 6 5 Recall Screen Alarm It E 2011 03 02 13 58 51 NI IHR bpm 1 0 09 mV K ECG I NIBP mmHg 13 58 90 Ph Manu 61 Recall HR 61 x1 MON Time 13 56 33 gt gt 36 5 99 Recall HIST Delete Exit 4 G View recall data in 3rd channel ID X2 Figure 6 11 Waveform Recall Screen SpO2 ID Name start time end time L 000001 No Name 13 56 29 13 58 48 J M It shows the monitoring can recall the history data continuously If you change the patients ID or the monitor 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 6 12 it is different from the Main Screen in its 3 waveform area and the operation area We will explain them in detail below 43 User s Manual for UP 6000 multi parameter patient monitor ID Name start time end time 000001 No Name 13 56 29 13 58 48 Recall HIST Delete Exit Figure 6 12 Recall Listing 6 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
22. When the Year 1s 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 1t to save the settings and exit the date and Time Setup screen meanwhile enter into the Main Screen shown in Figure 4 2 If you press Exit the settings will not be saved The system is initialized and enters into Main Screen where monitoring and system operation are performed as shown in Figure 4 2 20 User s Manual for UP 6000 multi parameter patient monitor 4 2 Main Screen Alarm Q ADUL MON 2011 03 02 13 57 25 ECG T HR bpm ST 0 09 mv x1 ECG dl NIBP mmHg 13 55 120 86 94 e ECG Manu Push knob for system menu ID X2 Border area lt gt lt gt lt gt l _ 36 7 98 Figure 4 2 Main screen Alarm LE Audible alarm status green LE indicates the audible alarm is enabled yellow eee 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 14 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 type of the
23. do pressure accuracy verification every half year or year in order to check if the pressure measurement still conforms to the requirement of product performance If the deviation is beyond the declared specification it is permitted to return it to factory for repair or calibration Before verification please connect the monitor to a standard pressure meter as the reference equipment like a mercury pressure meter 133901 aumssaid poog Amara NIBP cuff with dual air tube Air tube Air vent Manual valve d Increase the pressure manually dule testin EM 3 sofware Z NIBP module Inflatable balloon through the inflatable balloon software This belongs to the monitor Figure 3 7 Connection of Pressure calibration fixture 14 User s Manual for UP 6000 multi parameter patient monitor Mode 1 The inflation can be activated by Monitor so the pressure will increase automatically untill it exceeds the limit value specified in table A This pressure limit value depends on the patient type selection as shown in table A Child 200mmHg Table A During the inflation the Monitor will close the deflating valve and the pressure value will be shown during the process If there is no manual deflation operation the pressure will persist until deflation by manual operation so it is necessary to use a manual valve for doing adequate deflation in several steps to verify the pressure accuracy in the full scal
24. end frequently Once observes any exception please immediately stop the blood pressure measurement The subject should lie on the back so that the cuff and the heart are in a horizontal position and the most accurate measure 1s taken Other postures may lead to inaccurate measurement Do not speak or move before or during the measurement Care should be taken so that the cuff will not be hit or touched by other objects A The measurements should be taken at appropriate intervals Continuous measurement at too short intervals may lead to pressed arm reduced blood flow and lower blood pressure and resulting inaccurate measure of blood pressure It is recommended the measure be taken at intervals of more than two minutes A When an adult subject is monitored the machine may fail in giving the blood pressure measure if the infant mode is selected Prior to use of the cuff empty the cuff until there is no residual air inside it to ensure accurate measurement A Do NOT twist the cuff tube or put heavy things on it A When unplugging the cuff hold the head of the connector and pull it out The symbol indicates that the cable and accessories are designed to have special protection against electric shocks and is defibrillator proof Pressure Accuracy Verification Pressure Accuracy Verification is a function to inspect the accuracy of pressure measurement by the NIBP module inside the device Technician or equipment manager should
25. freeze key to enter the S T segment analysis screen NOTE The S point is the end point of S wave and the T point is the start point of T wave Operation Instructions ECG lead press it to shift the ECG monitoring circulatory among and V Alarm silence press it to set or activate the system alarm Freeze press it 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 30 I I anc User s Manual for UP 6000 multi parameter patient monitor Chapter 5 CO Monitoring 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 5 1 CO2 Parameter Settings 1 On Main Screen press the knob to enter System Menu Screen Then choose SETUP gt C02 to enter CO2 Parameter Settings screen CO Setup Switch OFF Gain Al Unit mmHg Zero OFF RR Hi 40 EtCO2HI 70 0 Ins Hi 10 0 Flow amp lo 10 0 A Lo 0 Figure 5 1 CO Parameter Settings 1 C O2 Setup Baro 760 Apnea 20 Period 10s TEMP 35 0 02 Compen 16 Balance AIT Agent 0 0 System exits this status ID CO Parameter Settings 2 NOTE CO parameter setting screen will be displayed in two pages Focus the gray cursor on 7 E then press the navigation kn
26. interval shall longer than 2 minutes in continuous measurement too short interval may cause arm extrusion blood quantity increases then cause blood pressure increases Keep the patient still and stop talking before and during measuring The patient s mood also can affect the measuring result when exciting the blood pressure goes up The measuring result also affected by time lower in the morning and higher in the evening 9 6 3 Clinical Limitations Serious angiospasm vasoconstriction or too weak pulse When extremely low or high heart rate or serious arrhythmia of the subject occurs Especially auricular fibrillation will lead to unreliable or impossible measurement Do not take the measurement when the subject is connected with an artificial heart lung machine Do not take the measurement when the subject uses diuresis or vasodilator When the subject is suffering from major hemorrhage hypovolemic shock and other conditions with rapid blood pressure change or when the subject has too low body temperature the reading will not be reliable for reduced peripheral blood flow will lead to reduced arterial pulsation Subject with hyperadiposis In addition statistics show that 3796 people report blood pressure difference of no 12 User s Manual for UP 6000 multi parameter patient monitor less than 0 80kPa 6mmHg between the left and right arms and 13 people report difference of no less than 1 47kPa 11mmHg Note Some prac
27. is Real Time lt gt 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 lt gt Fill When the fill setting is ON the display fills the volume for the SpO and Respiration When it is OFF the system displays the line graph The default is OFF lt Frze Pressed the key to freeze the selected waveform The options are All and ECG When ECG is selected the system only freezes the ECG waveform When All is selected the system freezes all the waveforms including ECG SpO and Respiration The factory default is ECG lt gt Disp2 The Display 2 Two options Obsev Observation and 7 ECG 7 ECG lead can be selected The factory default is Observation AlmVol The alarm sound volume The maximum volume is 7 and minimum is 0 i e no sound When the setting is 0 the icon 4 will be displayed on screen to remind user that the alarm sound is 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 Exit return to the System Setup screen PRINTER SETUP Print Setup Printer ON Timer OFF Wav2 Pleth ARR OFF Exit lt gt Printer For switch on or off the printer lt P Timer If printer is ON rotate navigation knob to set on the Timer to enable timed print and set the value of printing intervals i
28. limit 0 119 mmHg 0 119 mmHg Pulmonary High limit 1 120 mmHg 1 120 mmHg Artery Diastolic Low limit 0 119 mmHg 0 119 mmHg vi High limit 1 120 mmHg 1 120 mmHg ean Low limit 0 119 mmHg 0 119 mmHg l High limit 9 40 mmHg 9 40 mmHg Systolic Low limit 10 39 mmHg 10 39 mmHg Central High limit 9 40 mmHg 9 40 mmHg Venous Diastolic EE Presse Low limit 10 39 mmHg 10 39 mmHg 10 39 mmHg e High limit 9 40 mmHg 9 40 mmHg 9 40 mmHg ean 10 39 mmHg 10 39 mmHg 10 39 mmHg Respiration High limit 1 120 rpm 1 1 50 rpm 1 1 50 rpm Rate 0 119 rpm 0 149 rpm 0 149 rpm 26 Ge High limit 1 100 mmHg 1 100 mmHg 1 100 mmHg i 0 99 mmHg 0 99 mmHg 0 99 mmHg ncn High limit 1 300 mmHg 1 30 mmHg 1 30 mmHg ns i 0 29 mmHg 0 29 mmHg 0 29 mmHg 0 249 mmHg 1 120 mmHg 0 119 mmHg 1 120 mmHg 0 119 mmHg 1 120 mmHg 0 119 mmHg 9 40 mmHg 10 39 mmHg 9 40 mmHg Pressure Parameter ad Parameter High limit 1 350bpm 1 350bpm 1 350bpm Heart Rate SE 0 349bpm 0 349bpm 0 349bpm TN High limit 1 120rpm 1 150rpm 1 150rpm Respiration 0 119rpm 0 149rpm 0 149rpm High limit 0 1 60 C 0 1 60 C 0 1 60 C Temperature 0 59 9 C 0 59 9 C 0 59 9 C Svstoli High limit 31 280 mmHg 31 200 mmHg 31 135 mmHg stolic 30 279 mmHg 30 199 mmHg 30 134 mmHg Diastoli High limit 11 232 mmHg 11 150 mmHg 11 100 mmHg iastolic i 10 231 mmHg 10 149 mmHg 10 99 mmHg M High limit 21 242 m
29. may develop partial bleeding when this monitor is used to take the blood pressure measurement DO NOT take blood pressure measurement from a limb receiving ongoing transfusion or intubations or skin lesion area otherwise damages may be caused to the limb Continuous use of SpO sensor may result in discomfort or pain especially for those with microcirculatory problem It is recommended that the sensor should NOT be applied to the same place for over two hours change the measuring site periodically if necessary SpO measuring position must be examined more carefully for some special patient Do NOT install the SpO sensor on the finger with edema or vulnerable tissue To prevent the risk of the short circuit and to ensure the ECG signal quality the equipment must be properly grounded Although biocompatibility tests have been performed on all the applied parts some exceptional allergic patients may still have anaphylaxis Do NOT apply to those who have anaphylaxis All the connecting cables and rubber tubes of the applying parts should be kept away from the patient s cervix to prevent any possible suffocation of the patient All the parts of the monitor should NOT be replaced at will If necessary please use the components provided by the manufacturer or those that are of the same model and standards as the accessories along with the monitor which are provided by the same factory otherwise negative effects concerning safety and bio
30. multi parameter patient monitor 8 11 Guidance and manufacturer s declaration Electromagnetic compatibility Table 1 Guidance and manufacturer s declaration electromagnetic emission for all EQUIPMENT AND SYSTEMS PC 3000 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the equipment or system should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions PC 3000 Patient Monitor uses RF energy only for its internal CISPR 11 function Therefore its RF emissions are very low and are Group l l not likely to cause any interference in nearby electronic equipment RF emissions PC 3000 Patient Monitor is suitable for use in all CISPR 11 Class A establishments other than domestic and those directly connected to the public low voltage power supply network ee that supplies buildings used for domestic purposes Voltage fluctuations flicker SR Complies emissions IEC61000 3 3 63 User s Manual for UP 6000 multi parameter patient monitor Table 2 Guidance and manufacturer s declaration electromagnetic immunity for all EQUIPMENT AND SYSTEMS PC 3000 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the equipment or system should assure that it is used in such an environment Immunity test Electrostatic dis
31. occlusion proximal to the sensor gt gt Blood vessel contraction caused by peripheral vessel hyperkinesias or body temperature decreasing 68 User s Manual for UP 6000 multi parameter patient monitor 9 3 3 Low SpO measuring value caused by pathology reason gt gt gt Hypoxemia disease functional lack of HbO Pigmentation or abnormal oxyhemoglobin level Abnormal oxyhemoglobin variation Methemoglobin disease Sulfhemoglobinemia or arterial occlusion exists near sensor Obvious venous pulsations Peripheral arterial pulsation becomes weak Peripheral blood supply is not enough 9 3 4 Clinical Limitations lt gt lt gt As the measure is taken on the basis of arteriole pulse substantial pulsating blood stream of subject is required For a subject with weak pulse due to shock low ambient body temperature major bleeding or use of vascular contracting drug the SpO waveform PLETH will decrease In this case the measurement will be more sensitive to interference For those with a substantial amount of staining dilution drug such as methylene blue indigo green and acid indigo blue or carbon monoxide hemoglobin COHb or methionine Me Hb or thiosalicylic hemoglobin and some with icterus problem the SpO gt determination by this monitor may be inaccurate The drugs such as dopamine procaine prilocaine lidocaine and butacaine may also be a major factor blamed for serious error of SpO meas
32. of mainstream sensors are fast response time and elimination of water traps Sidestream CO sensors are located away from the airway requiring a gas sample to be continuously aspirated from the breathing circuit and transported to the sensor by means of a pump This type of system is needed for non intubated patients When using mainstream CO sensors check the window for the patient secretions pooled on periodically Because that condition may affect the accuracy of the measurement or even make the sensor not work When using sidestream CO sensors there is a water trap or a part of the sampling tube with dehumidifying function Please periodically check the flow sensor and tubing for excessive moisture or secretion buildup 70 User s Manual for UP 6000 multi parameter patient monitor 9 6 NIBP Monitoring 9 6 1 Measuring Principle Blood pressure may be measured in an invasive way whereby the sensor will be inserted into blood vessel directly or a non invasive way The non invasive way includes several methodologies such as the Korotkoff Sound Method and oscillating method The Korotkoff Sound Method is used as a conventional way whereby stethoscope is used to measure the blood pressure By the oscillating method an inflation pump will fill the air and release it slowly A computer will record change of the cuff pressure when the air is released With this record the blood pressure value will be determined First of all make sure the
33. sensor as it causes short Do not use NIBP or other constructing instruments on same appendage as sensor for blood flow interrupted by NIBP cuff or circulatory patient condition will result in no pulse found or loss of pulse Do not use the sensor or other oximetry sensors during MRI scanning Carefully route cables to reduce the possibility of patient entanglement or strangulation Do not alter or modify the sensor Alterations or modifications may affect performance or accuracy 10 Do not use the sensor if the sensor or the sensor cable appears damaged 86 User s Manual for UP 6000 multi parameter patient monitor Instructions for Adult SpO Finger Rubber Sensor Intended Use When used with a compatible patient monitor or a pulse oximeter device this SpO sensor is intended to be used for continuous non invasive functional arterial oxygen saturation SpO and pulse rate monitoring for patients weighing greater than 50kg Contraindications This sensor 1s contraindicated for use on active patients or for prolonged use Instructions for Use 1 Hold the sensor with its opening towards the patient s index finger A The sensor should be oriented in such a way that the sensor side with a finger tip sign 1s positioned on the top 2 Insert the patient s index finger into the sensor until the fingernail tip rests against the stop at the end of the sensor Adjust the finger to be placed evenly on the middle base of the sensor Di
34. signal quality judgment by computer meets the requirements of accurate calculation such as sudden limb movement or cuff being hit during the measurement If the answer is negative give up the calculation If the answer is positive proceed with calculation of the blood pressure value As change of the blood pressure is recorded by electric sensor which sensitivity is much higher than that of human ears the oscillating method uses different definitions for measurement of diastolic pressure mean arterial pressure and systolic pressure from the Korotkoff Sound Method When the oscillating method is used the circuit in the measuring apparatus will separate the amplitude of the cuff pressure from its change with pulsation With the oscillating method the blood pressure at the maximum amplitude of cuff pressure is defined as the mean arterial pressure The blood pressure at amplitude of cuff pressure forward reduced according to proper proportion is defined as systolic pressure while the blood pressure at amplitude of cuff pressure backward reduced according to proper proportion is defined as diastolic pressure The maximum change of pulse pressure occurs at these two points They are equivalent to the point with pulse sound and the point without pulse sound respectively in the Korotkoff Sound Method When the risk of invasive monitoring method outweighs its advantage of accuracy non invasive monitoring method shall be used Comparison between blood
35. to find the time you are looking for The 5 sec on the top shows the interval time Move the cursor 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 interval 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 ECG is 150 not the value of ECG upper limit 300 The graph is scaled down for better view of the waveforms When the ECG 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 system gets reset or the patient ID is changed the vertical axis will return to its original va
36. 000 groups of event data can be memorized Using the Navigation Knob allows the user to scroll the list up and 92 User s Manual for UP 6000 multi parameter patient monitor 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 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 key to return to the Main Screen 6 12 MC Calculator This monitor supplies 10 kinds of medicine calculation and titration display function Medicin Weight 70 00kg ross Cubage MC m D fh ka m kg h TS DS Drop Duration SES Choose medicine Figure 6 27 Medicine Dosage Calculator Screen 6 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 On medicine calculation screen at first t
37. 1 ECG Monitoring 1 Input signals range in amplitude 0 5 mVp 5 mVp 2 Heart rate display range 15 bpm 350 bpm 3 Heart rate display accuracy 1 or 2 bpm whichever is greater 4 Heart rate averaging Averages the recent eight beats having RR intervals falling within the acceptable limits 5 Heart rate alarm delay time lt 10s 6 Response time to change in heart rate Change from 80 bpm to 120 bpm lt 8 sec Change from 80 bpm to 40 bpm lt 8 sec 7 Tall T wave rejection Rejects all T wave less than or equal to 120 of 1mV QRS 8 Pacemaker pulse rejection Rejects all pulses of amplitude 2mV to 700mV and duration 0 1 to 2 ms without overshoot Rejects all pulses of amplitude 2mV to 400mV and duration 0 1 to 2 ms with overshoot 9 Sensitivity selection AUTO Automatic scaled waveform x1 4 2 5mm mV tolerance 5 x1 2 5mm mV tolerance 5 x 10mm mV tolerance 5 x2 20mm mV tolerance 5 x4 40mm mV tolerance 5 10 Sweeping speed 6 25mm s 12 5mm s 25mm s 50mm s tolerance 10 11 ECG noise level 30uVp p 12 ECG input loop current lt 0 1uA 13 Differential input impedance gt SMQ 14 Common mode rejection ratio CMRR Diagnostic mode gt 90dB Operation monitoring mode gt 105dB 15 Time constant Monitoring mode gt 0 3s Diagnostic mode gt 3 2s 59 User s Manual for UP 6000 multi parameter patient monitor 16 Frequency response Monitoring mode 0 67 Hz 40
38. ATURE EE l 1 2 PRODUCENAME AND Te EE 2 l APPLICATION AND CORE a EE 2 LAOPERATING ENVIRONMENT ee 2 LSIMPAC TON ENVIRONMENT IND RESOURCE Saeed 2 OSA a nM 2 CHAPTER 2 WORKING THEORIES OF THE MAIN UNIT seesesevessevesevnsvennvennssvnnsennssvnnsennsennneee 4 2 OVERALL STRUCTURE AND WORKING I HEORIES ee ee 4 De D5 ONO SUT N NNN 4 CHAPTER 3 INSTALLATION AND CONNECTION cccssssscosssscccscscccccsscccscscccscsccccssscoescsces 6 NTE 6 FECE On EIN SM T SN M D RE 6 MEET mA RPG 8 De Ve LA TO TUUM Tx 9 INTE TON ENEE E 10 2 2 Opening hess Ox ana AAA nn nn A teed 10 LPO SN 10 212 935 Lame the MONO eao ceo cero eo Uem peo Cent deteriorada um tob Cu Deb eme neben 10 S Sou ONIS SUN SI NT A EE RER 11 LEN 11 32 Blood Pressure Cur C OE HON ls 13 eeler 15 NO A 18 LAMAS MM PANE Eer ae A ton 18 3 0 BATTERY NTN 19 3 5 7 Handle Mista latin adiectis A A ta 19 CHAPTER 4 MONITORING SCREEN 2 eoo eoo ees ee na SSES NEESS 20 AAN I ME Sv 20 4 2 MAIN SCREEN SN 2 4 9 DISPEAY D dll ltda 24 4231 ODIOS ps 24 452 NEPPE ea Genie a de ads 25 13 even POG Waveltorms om the Same SEN resa 26 4 3 4 Five Channels Real time Waveforms and Trends on the Same Screen 27 TF Parane lel SCL CM A ro A Sedo tesi oc tuer docitoet icq oom ass eoee oa topo a ode eo Eon c trud oa uae 28 AA FREEZE AND STAN SS SCREEN pe 29 FTSE DEN 29 4 4 2 How to Analyze the S T Segment on ECG Waveform occcccccccnnncnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnanininoss 30
39. F Lo 10 Figure 6 22 Respiration Setup T Gain Respiration amplification gain 4 options x1 2 x1 x2 and x4 The default is x2 lt gt Speed Respiration display speed 2 options 6 25mm s and 12 5 mm s The default is 12 5 mm s lt gt Apnea The apnea alarm time in second When the patient stop breathing for the time longer than the set period the Respiration display channel display warning Apnea xxx second lt gt Type Respiration impedance lt gt RR Hi High limit of respiratory rate alarm lt gt Lo Low limit of respiratory rate alarm lt gt Exit return to the System Setup screen RESUME DEFAULT In the System setup screen as shown in Figure 6 15 rotate knob to choose DEF and then press the knob all the value of parameters will resume default setting o0 User s Manual for UP 6000 multi parameter patient monitor 6 8 Color Settings Figure 6 23 Color Setup 6 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 key to return to the Main Screen or Exit button to return to the System Menu screen 6 9 File Management Screen ID 000001 Name No Name Bed Save OFF Sex M Age 3 Figure 6 24 Document management screen 6 9 1 How to Add a New Patient The docume
40. Hz Du dud i 3 0d B Diagnostic mode 0 05 Hz 150 gar Be G Ges 3 0dB Additional declarations to conform the particular standard of IEC 60601 2 27 Medical electrical equipment Part 2 27 Particular requirements for the safety including essential performance of electrocardiographic monitoring equipment Direct current for Applied current less than 0 1 microamperes respiration leads off sensing and active noise suppression Response to irregular Al Ventricular bigeminy 80BPM rhythm A2 Slow alternating ventricular bigeminy 60BPM A3 Rapid alternating ventricular bigeminy 120BPM A4 Bidirectional systoles 90BPM Time to ALARM for Waveform B1 Amplitude Average Time to Alarm tachycardia 0 5 mV lt 8 sec mV lt 8 sec 2mV lt 8 sec Waveform B2 Amplitude Average Time to Alarm ImV lt 8 sec 2mV lt 8 sec 4mV lt 8 sec 8 2 RESP Monitoring 1 RESP rate measuring range Orpm 120rpm 2 RESP rate accuracy 5 or 2 rpm whichever is greater 3 RESP rate alarm limit setting range Orpm 120rpm 4 Alarm tolerance 5 or 2 rpm whichever is greater 8 3 TEMP Monitoring 1 TEMP measuring range 25 0 C 45 0 C 2 TEMP measuring accuracy 40 2 C 3 TEMP responding time lt 150s 8 4 NIBP Monitoring 1 Measuring method Oscillometric Technique 2 Pneumatic pressure measuring range 0 mmHg 300mmHg 3 Accuracy of pressure measurement 3 mmHg 4 Cuff inflation time 10 seconds typical adult cuff
41. Mode ECG filter 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 without filtering OPE Operation mode Deep filtering 1t can filter out strong interference The factory default is MON ImV Generating the 1mV signal This signal is used to test the function of the machine It is not used during normal operation Factory default is OFF Notch frequency filter Different hardware configuration may make its options various One is 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 detection When Pace is ON a mark will be displayed on the ECG waveform if the patient fitted with a cardiac pacemaker The factory default is OFF Grid The grid on the background for Observing Screen and Frozen amp S T Analysis Screen Factory default is OFF Exit return to the System Setup screen gt 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 48
42. ST VE RONT and SVE RONT refer to 13 3 Abbreviation of arrhythmia for details 56 User s Manual for UP 6000 multi parameter patient monitor 7 2 Alarm modes When an alarm occurs the monitor responds with visual alarm indications which are shown by two ways alarm indicator and alarm message description and audible alarm indications Visual Alarm Indicators The flashing rates for the three categories of alarms are shown in the table below Indicator Color Alarm Category Flashing Rate Red flashing High priority alarm Orange flashing Medium priority alarm 0 5 Hz Orange light Low priority alarm Constant on non flashing Table 6 1 Refer to Chapter 13 1 Alarm Information for detailed alarm message descriptions Audible Alarm Indications The audible alarm has different tone pitch and on off beep patterns for each priority category These are summarized in the Table below Table 6 2 Note Visual alarm indicators can not be suspended or removed Audible alarms may be decreased in volume or silenced as described in Chapter 5 7 3 Alarm Silence Press x 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 t
43. WE CREATIVE mM MEDICAL Patient Monitor PC 3000 User Manual Version 1 3 User s Manual for UP 6000 multi parameter patient monitor 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 PC 3000 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 the PC 3000 Patient Monitor s features and requirements main structure functions specifications correct methods for transportation installation usage operation repair maintenance and storage etc as well as the safety procedures to protect both the user and equipment Refer to the respective chapters for details 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 Version of This Manual Ver1 3 Revised Date October 23 2012 All rights reserved Marks in the Manual Warning must be fol
44. along with the current entering value When exceeding the range of this unit expression the system will display 66 99 eec o A 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 A For every new entering value please perform confirming The operator should take it seriously 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 infant 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 6 13 Tourniquet Function CUFF Pressure 140 Duration 40 Alarm R Start Figure 6 29 Cuff lt gt Pressure when you use Tourniquet function you need to preset a cuff pres
45. alue as the ambient barometric pressure Use only our company approved accessories y TN TN gt 7N TON While using the CO sensor a system leak which may be caused by an uncuffed endotracheal tube or a damaged CO sensor may significantly affect flow related readings These include flow volume pressure and other respiratory parameters When stopping CO monitor please disconnected the CO sensor from the patient monitor Disposal of the CO Sensor and its accessories should comply with national and or local requirements In the presence of electromagnetic devices i e electrocautery patient monitoring may be interrupted due to electromagnetic interference Electromagnetic fields up to 20 V m will not adversely affect system performance Nitrous oxide elevated levels of oxygen helium and halogenated hydrocarbons can influence the CO measurement Excessive moisture in the CO may affect the accuracy of the flow measurement 36 User s Manual for UP 6000 multi parameter patient monitor 5 3 CO Monitoring Screen HR bpm 4 XI IST 0 22 mv NIBP mmHg 10 21 125 85 95 PR 60 Manu TEMP t 36 5 PR SpO2 CO Push knob for system menu Figure 5 2 CQ Monitoring Screen Waveform area 5 trace CO waveform It can be respiration waveform or CO waveform Data area Figure 5 3 RR EtCO and Ins Data Area lt gt RR Respiration Rate The rpm after that is the
46. art Rate Value The electrocardiogram ECG or EKG is primarily a tool for evaluating the electrical events within the heart The action potentials of cardiac muscle cells can be viewed as batteries that cause charge to move throughout the body fluids These currents represent the sum of the action potentials occurring simultaneously in many individual cells and can be detected by recording electrodes at the surface of the skin The figure below shows the system of the heart Sinoatrial Node T Eo Left Atrium SAN i A HIS Bundle Right Atrium Z8 33 FR Left Bundle E V 7 ta Branch LBB Atrioventricular Node R Ge LAS Left Posterior AVN pr ee AA AEN Fascicle LPS Right Bundle Branch RBB Left Ventricle Left Anterior Fascicle LAF Right Ventricle P Purkinje Fibers PF A common ECG plate electrode used together with this monitor has short shelf life Generally the shelf life is only one month after the package 1s opened When outdated plate electrode is used due to skin s contact impedance and big electrode potential the chance of interference will be increased and the ECG baseline will have an unstable inclination Therefore always use valid plate electrodes 9 1 2 Factors affecting ECG signal Interference from Electrosurgical Unit Doesn t filter the interference waveform Poor grounding Electrodes are not placed properly Use expired electrode or use disposable electrode r
47. at the monitor is grounded correctly After the supply mains has been interrupted when power switch remains in the on position and is restored after a period of time that is longer than 30 seconds the monitor will run by the last settings when restarting the monitor 2 When powered by built in battery The provided battery of the monitor must be recharged after transportation or storage So if the monitor is switch on without being connected to the AC power socket it may not work properly due to insufficient power supply It will be fully charged after about 3 hours when the monitor is off and about 5 hours when the monitor is on 3 2 3 Starting the Monitor The system performs self detection and enters initial display after switch on the monitor and the yellow alarm indicator blinks to inform that the user can begin operating it Check all the applicable functions to make sure that the monitor works normally If the built in battery is applied please recharge it after using the monitor to ensure sufficient power storage It will take minimal 8 hours to charge battery from depletion to 90 charge Do not use the monitor to monitor the patient if there are indications of damage or reminders of error Please contact the local dealer or our company A Start the monitor again 1 minute later after it is switched off 10 User s Manual for UP 6000 multi parameter patient monitor 3 3 Connection 3 3 1 ECG
48. ay that the cable is positioned along the top of the hand C mpm Plug the sensor into the e oximeter and verify proper e a operation as described in ao A AT 7 za A the user manual Inspect the monitoring site Bi C every 1 2 hours for skin integrity Before each use surface clean sensor and cable with a soft gauze pad by saturating it with a solution such as 70 1sopropyl alcohol If low level disinfection 1s required use a 1 10 bleach solution Caution Do not sterilize by irradiation steam or ethylene oxide Warnings 1 2 3 4 5 6 7 8 9 Some factors may affect the accuracy of saturation measurements Such factors include excessive patient motion fingernail polish use of intravascular dyes excessive light poor blood perfusion in the finger extreme finger sizes or improper placement of the sensor Using the sensor in the presence of bright lights may result in inaccurate measurements In such cases cover the sensor site with an opaque material The sensor must be moved to a new site at least every 3 hours Because individual skin condition affects the ability of the skin to tolerate sensor placement it may be necessary to change the sensor site more frequently with some patients If skin integrity changes move the sensor to another site Do not apply tape to secure the sensor in place or to tape it shut venous pulsation may lead to inaccurate saturation measurements Do not immerse
49. ble Source Current unstable This error occurs whenever the pneumatic pressure is outside the expected range One of the following conditions exist Zero Required Zero Required Zero Error The value being calculated is greater than the upper CO limit 150 mmHg 20 0 kPa or 19 7 The maximum value output is the upper CO limit Usually caused when the airway adapter 1s removed from the sensor or when there is an optical blockage on the windows of the airway adapter May also be caused by failure to perform sensor zero to when adapter type is changed This is prompted if the CO sensor is not ready for a Capnostat Zero If the Zero Required and this massage both prompt message both promptone or more of the following conditions may exist Breaths detected Temperature is not stable e Source Current unstable n sleep mode Zero in already progress Normal zero calibration is in already progress Zero Fault and Breaths Detected Zero attempted and breaths have been detected in the last 20 seconds 84 User s Manual for UP 6000 multi parameter patient monitor 13 6 Typical Pressures and CO Readings at Altitudes Barometric Pressure mmHg ws om s ms xm m 3 umm a Is x xw om 3 mo ms om s xm gt 13 7 Accessories List 15000813 ECGcable o ooo 10 0101310 ECGekcmde li 1504051 AdultSpO gt FimgerclipSemsor
50. ce 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 6 1 1 for deletion methods Exit Press this key to return to the System Menu screen 6 10 oxyCRG Screen oxyCardio_Respirogram Figure 6 25 oxyCRG Screen This screen displays the value or waveform of HR SpO and RESP waveform or Respiration Rate in selected time 6 10 1 Operation Instructions Step 1 rotate the knob to move the gray cursor to the button or PW Y 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 key to return to the Main Screen 6 11 Event List Screen Time Event Type Value HifLow Limit 16 03 05 Over HR limit 60 180 61 m 16 03 03 Over SpO2 limit 100 983 90 16 02 57 Over TEMFI limit 35 6 39 07 36 7 16 02 57 Over HR limit 60 180 61 16 02 54 Over SpO2 limit 99 98 90 Figure 6 26 Event List 6 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 6 11 2 Operating Instructions Up to 2
51. charge ESD IEC61000 4 2 Electrical fast transient burst IEC61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input lines IEC61000 4 11 Power frequency 50Hz 60Hz magnetic field IEC61000 4 8 IEC60601 test level 6 kV contact 8kV air 2kV for power Supply lines 1 kV for input output lines 1kV line s to line s 2kV line s to earth 5 Ur gt 95 dip in L1 for 0 5 cycle 40 Ur BO dip in LT for 5 cycles 70 Ur 30 dip in LT for 25 cycles 5 96 Ur gt 95 95 dip in Uri for 5 5 Electromagnetic environment Compliance level guidance 6 kV contact 8kV air 2kV for power Supply lines 1 kV for input output lines 1kV differential mode 2kV common mode lt 5 L4 gt 95 95 dip in Ur for 0 5 cycle 40 Ur BO dip in Uv for 5 cycles 70 Ur 30 dip in LT for 25 cycles 5 96 Ur gt 95 95 dip in Uri for 5 5 NOTE Uris the a c mains voltage prior to application of the test level 64 Floors should be wood concrete or ceramic tile if floors are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment
52. ciples ia 71 95 2 nl cascada sere 72 o AA A A A 72 CHAPTER 10 PACKAGING AND ACCESSORIES eee ee eee ne e een eren e eret e o eee eroe ee 74 MOS TPA CRAGIN IER Rm T 74 RI 74 CHAPTER IL TROUBLESHOOTING Gs 75 PLENO PPM ONE SEN T9 11 2 EXCESSIVE ECG SIGNAL INTERFERENCE OR TOO THICK BASELINE rrnnnnnnnnnnnnnnnnnnnvrvrnnnnnnnnnnnnnnnnsnrnnnnnnrrrnnnnnnn 75 11 3 NO BLOOD PRESSURE AND PULSE OXYGEN MEASURES csccceccceccsccecccssccscccscccsccesccusccesccscesscescenscenscencs 75 LSA 75 CHAPTER 12 MAINTENANCE AND SERVICE seesseesseossecssesssesssesssesssesseesseesseosseossesssesssessees 76 2 1 TECHNICAL MAINTENANCE sand 76 PAN Examina io in Ee 76 12 12 Route Maimtenancs eebe 76 PR Mt as 76 12 2C DEEANING STERILIZATION AND DISINFECTION otros hee TT 12 3 CLEANING STERILIZATION AND DISINFECTION OF ACCESSORIES eene nenne enne seen senis 78 S TORAQ 2 Ee 78 VI User s Manual for UP 6000 multi parameter patient monitor I SS DRANSPORDASDION ee 78 CHAPTER IS APPENDIEN sene 79 ECK RECHERCHER 79 15 2 DEFAULT ALARMING VALUES AND ELTERE e 80 15 3 ABBREVIATION OF ARRHYTHMIA arinkeria rni aai n aa n e eat Ee 82 134 STATUS ERROR DURING NIBP MONFTORING ete ease eet eee et EE E 83 13 5 STATUS ERROR DURING CO MONITORING sonic id iii iii 84 13 6 TYPICAL PRESSURES AND CO READINGS AT ALTITUDES ccccccscccsscccssccescccssccesccessccescceusceescceessc
53. compatibility etc may be caused DO NOT stare at the infrared light of SpO gt sensor when switch it on for the infrared may do harm to the eye If the monitor falls off accidentally please do NOT operate it before its safety and technical indexes have been tested minutely and positive testing results obtained It is recommended to take the blood pressure measurement manually The automatic or continuous mode should be used at the presence of a doctor nurse Reuse disassembly cleaning disinfecting or sterilizing the single patient use CO cannula kits and on airway adapters may compromise functionality and system performance leading to a user or patient hazard Performance is not guaranteed if an item labeled as single patient use is reused Electrical Shock Hazard Always disconnect the CO Sensor before cleaning Do NOT use if it appears to have been damaged Refer servicing to qualified service personnel Electrical Shock Hazard No user serviceable parts inside the CO Sensor After the life cycle of the Sidestream CO Sensor and its accessories has been met disposal should be accomplished following national and or local requirements Please peruse the relative content about the clinical restrictions and contraindication When disposing of the monitor and its accessories the local law should be followed I II User s Manual for UP 6000 multi parameter patient monitor Table of Contents CHAPTER JT OVERV URW Gi 1 UE e
54. ct the monitor and sensors before MRI scanning Use during MRI could cause burns or adversely affect the MRI image or the monitor s accuracy If you have any doubt to the grounding layout and its performance you must use the built in battery to power the monitor All combinations of equipment must be in compliance with standard of IEC 60601 1 1 for medical and electric system requirements Check SpO probe application site periodically every 30 minutes to determine circulation positioning and skin sensitivity The SpO measurement of this monitor may not work for all testees If stable readings cannot be obtained at any time discontinue using Do not immerse the monitor or its accessories in liquid to clean Do not use accessories other than those provided recommended by the manufacturer Each time the monitor is used check the alarm limits to ensure that they are appropriate for the patient being monitored The monitor is intended only as an adjunct in patient assessment It must be used in conjunction with clinical signs and symptoms When taking the measure of a pediatric or neonate s less than 10 years old blood pressure do NOT operate in the adult mode The high inflation pressure may cause lesion or even body putrescence II User s Manual for UP 6000 multi parameter patient monitor The monitor is prohibited from applying to those who have severe hemorrhagic tendency or who are with sickle cell disease for they
55. ctionality and system performance leading to a user or patient hazard Performance is not guaranteed if an item labeled as single patient use is reused Inspect the sidestream on airway adapters and sidestream sampling kits for damage prior to use DO NOT use the sidestream on airway adapters and sidestream sampling kits if they appear to be damaged or broken If the CO waveform Capnogram appears abnormal inspect the CO airway adapters and replace if needed Periodically check the CO Flow sensor and tubing for excessive moisture or secretion buildup Do not use them if there is excessive moisture or exterior condensation Electric Shock Hazard The CO Sensor contains no user serviceable parts Refer service to qualified service personnel Do not open the sensor cabinet at will as electric shock hazard may occur Place the exhaust vent of the CO Sensor in drafty ambient and do not let anything block the exhaust vent Always disconnect the CO2 Sensor before cleaning Do NOT use if it appears to have been damaged Refer servicing to qualified service personnel DO NOT sterilize or immerse the CO Sensor in liquids Replace the sidestream on airway adapters and sidestream sampling kits if excessive secretions are observed Do not operate the CO Sensor when it is wet or has exterior condensation Monitor the CO waveform Capnogram If you see changes or abnormal appearance check the patient and the sampling line Replace line if needed
56. de 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 limits of systolic pressure alarm DIA Hi Lo High and Low limits of diastolic pressure alarm MAP Hi Lo High and Low limits of MAP alarm PR Hi Lo High and Low limits of PR alarm 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 be 60 70 80mmHg default setting 70 mmHg 49 User s Manual for UP 6000 multi parameter patient monitor for infant 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 lt gt Exit return to the System Setup screen SPO PARAMETER SETTINGS SpOz Setup opO2Hi 100 PR HI Lo Figure 6 21 SpQO Setup lt gt SpO Hi Lo High and Low limits of SpO alarm lt gt Pulse Hi Lo High and Low limits of pulse rate alarm lt gt Exit return to the System Setup screen RESPIRATION PARAMETER SETTINGS RESP Setup Gain X2 RR Hi 40 opeed 12 5 Apnea OF
57. e the same as the original battery The user must ensure that the battery meets all applicable safety codes The user can also contact the local dealer for service 12 2 Cleaning Sterilization and Disinfection 5 Qo Er a x Noe qo gor qp 5 5 Switch off the monitor and disconnect the power code before cleaning Kept the monitor from dust It is recommended to clean the outer shell and screen of the monitor to keep it clean Only non corrosive cleanser such as clear water is permitted Wipe the surface of the monitor and transducers with an alcohol impregnated wipe and dry it with dry and clean wipe or simply air dry The monitor can be disinfected and sterilized Please clear the monitor first Do not let the liquid cleanser flow into the connector jack of the monitor to avoid damage Clean the exterior of the connector only Dilute the cleanser Do not use scrub materials Do not let any liquid flow into the shell or any parts of the monitor Do not let the cleanser and disinfectant stay on its surface Do not perform high pressure sterilization to the monitor Do not put any parts of the monitor or its accessories in the liquid If the monitor is accidentally wetted it should be thoroughly dried before use The rear cover can be removed by qualified service technician to verify absence of water Do not pour the disinfector on its surface while sterilization TT User s Manual for UP 6000 multi parameter patient mon
58. e of measurement range Mode 2 No automatic inflation by Monitor during the pressure accuracy verification Increase the pressure manually by the pumping balloon and the verification can be done by applying different pressure value manually If the increased pressure exceeds the given limit as shown in table B the Monitor will deflate automatically because of over pressure protection Child 240mmHg Table B A After the verification do press the button again to return to normal working mode then continue other operation or the NIBP key will be invalid A Pressure accuracy verification must be operated by technician or equipment manager Doctor or nurse is not allowed to do the verification it is very dangerous especially when the pressure cuff is still on patients gt Air Leakage Check In order to avoid significant error of blood pressure measurement or even no measurement result caused by air leakage in the pneumatic system including the cuff during measuring it is recommended to check if there is leak in the pneumatic system as well A Please remove the cuff from patient while performing the leakage check 3 3 3 To connect the SpO SpO probe is very delicate equipment Please follow the steps and procedures in operating it Failure to operate it correctly can cause damage to the SpO probe Operation procedure 1 Connect the SpO probe to the right panel s jack labeled SpO When unplugging the probe be sure to
59. ed CO on the connector panel of the monitor 2 Snap the CO sensor onto the airway adapter as shown in Figure 6 9 A click will be heard when the airway adapter is properly inserted 3 Position the airway adapter in the patient s respiratory circuit as close to the patient as possible between the endotracheal tube and the ventilator circuit Next turn on the CO switch at CO Setup Screen and then wait 2 minutes for the sensor warm up 34 User s Manual for UP 6000 multi parameter patient monitor Sensor Cable Mainstream CO Sensor nir e 7 q A A E a It A O en en Be Ba eg 3 To Patient Safety Introductions for CO Monitoring y ai TN AN GN IN GN 47 TN pr d d pr d ZN AS AS 7N TSN TN KO VIS VIS CO Sensor is a precision measuring part please use it correctly and store it properly Precautions for electrostatic discharge ESD and electromagnetic interference EMI to and from other equipment Failure of Operation If the CO Sensor fails to respond as described in this user manual DO NOT use it until approved for use by qualified personnel DO NOT position the sensor cables or tubing in any manner that may cause entanglement or strangulation Support the airway adapter to prevent stress on the ET tube Reuse disassembly cleaning disinfecting or sterilizing the single patient use CO airway adapters may compromise fun
60. epeatedly The skin placed electrode is unclean or poor contract caused by scurf and hair 99929255 Electrode long time used 67 User s Manual for UP 6000 multi parameter patient monitor 9 2 Respiration Monitoring 9 2 1 Measuring Principle The air will be filled into alveolus or be expelled during respiration and the chest s volume changes with this process Because the conductivity of air is lower than body tissues the chest s impedance will be changed by the inflation With this specialization the respiration can be monitored through putting safe current into body and measuring the change of voltage between the electrodes The product will transmit the high frequency current whose frequency is much higher than ECG frequency but with the safe current limit to the ECG electrodes placed at the both sides of chest which can be detect ECG signal and chest s impedance at the same time and the respiratory rate will be measured through impedance method by the software So the additional electrodes for respiratory measurement are unnecessary 9 2 2 Factors affecting respiration monitoring lt Place the white RA and red LL electrodes on the cross if the line between two electrodes in liver area or heart area the artifical error may occur lt Respiration monitoring doesn t support monitoring the patient who do much movement or may lead to wrong alarm 9 3 SpO Monitoring 9 3 1 Measuring Principle Based on Lamber Be
61. er law the light absorbance of a given substance is directly proportional with its density or concentration When the light with certain wavelength emits on human tissue the measured intensity of light after absorption reflecting and attenuation in tissue can reflect the structure character of the tissue by which the light passes Due to that oxygenated hemoglobin HbO and deoxygenated hemoglobin Hb have different absorption character in the spectrum range from red to infrared light 600nm 1000nm wavelength by using these characteristics SpO can be determined SpO measured by this monitor is the functional oxygen saturation a percentage of the hemoglobin that can transport oxygen In contrast hemoximeters report fractional oxygen saturation a percentage of all measured hemoglobin including dysfunctional hemoglobin such as carboxyhemoglobin or metahemoglobin 9 3 2 SpO Measurement Restrictions interference reason lt gt Intravascular dyes such as indocyanine green or methylene blue lt gt Exposure to excessive illumination such as surgical lamps bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight Vascular dyes or external used color up product such as nail enamel or color skin care Excessive patient movement Placement of a sensor on an extremity with a blood pressure cuff arterial catheter or intravascular line Exposure to the chamber with high pressure oxygen There is an arterial
62. er 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 1s no alarm during that period when the set time has passed the system alarm will be activated as well When the monitor alarms press x key to suspend the alarm and set the alarm silence time DO NOT silence the audible alarm or decrease its volume or patient safety could be compromised 6 Freeze Press the key to freeze unfreeze ECG waveform or the waveforms of ECG SpO and RESP according to the system setting and enter into ST segment measurement screen for analysis on Observing Screen 3 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 Red flashing High priority alarm Exceeding the limits pulse stop or suffocation low battery voltage Yellow flashing Middle priority alarm Leads and probe off VE RONT and SVE RONT Yellow light Low priority alarm Other arrhythmia phenomenon Use
63. esseusceuecs 85 KE Se OR ERE SEERE EE EN ia 85 13 08 INSTRUCTIONS TOR SPO PROBE avden 86 VII User s Manual for UP 6000 multi parameter patient monitor Chapter 1 Overview 1 1 Features This monitoring system may be used to monitor patient s physiological parameters ECG respiratory rate body temperature non invasive blood pressure NIBP pulse oxygen saturation SpO and pulse rate 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 995255922 gt gt It is lightweight easy to carry and operate 7 high resolution 800 x 480 pixel color TFT to display patient s ECG waveform respiratory waveform and SpO 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 SpO gt 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 gt trend respiration trend o
64. essure 1 20 86 Value of Diastolic Pressure lt gt Value of MAP Mode of HIBP PHR Value Figure 4 4 Blood pressure data area NIBP The blood pressure type labels and the measured value 2 User s Manual for UP 6000 multi parameter patient monitor lt gt mmHg NIBP unit lt 12 56 The time of NIBP measuring lt Manu The NIBP measurement mode 36 7 Figure 45 TEMP data area lt gt TEMP Temperature label The value below 36 7 is the temperature value lt gt C Body temperature unit C is Celsius and F is Fahrenheit Mark and Value of 5p02 Mark and Value of PR Histoqram of 5p02 Indensity Respiration Rate Mark Respiratory Sync Mark Value of RR RESP Waveform Gain X 23 Figure 4 6 SpO pulse rate and respiration data area SpO SpO label The 98 on the right side is the current SpO value measured lt gt PR Pulse rate label The value 62 on the lower left shows the pulse rate value lt gt E SpO strength bar v RR Respiration Rate The rpm is the unit of the respiration lt gt 16 Respiration rate lt gt X2 Respiration gain amplification x1 2 Waveform scaled with half of the base gain St Waveform scaled with base gain EU Waveform scaled with twice of the base gain x4 Waveform scaled with four times of the base gain Operation Instructions h ECG lead p
65. 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 channel of the waveform area as shown in Figure 6 13 Recall HH 61 X MON lt lt Time 13 56 33 90 Figure 6 13 Rotate the Navigation Knob to move forward or backward to review the waveform Press the Navigation Knob to exit the waveform recall and return to the initial waveform recall screen During waveform recall the system not only displays the current recalled waveform but also displays the lead status gain and filter type of the waveform and time HIST Press the key to shift between the History key 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 the system 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 1s to be detected press it release it 2 seconds later and then the record is deleted The current record cannot be deleted or system will exit Delete screen Exit Press this key to return to the System Menu screen 44 User s Manual for UP 6000 multi parameter patient monitor 6 6 Arrhythmia Screen Alarm amp ADUL MON 2011 03 02 14 10 10 SJ 0 09 mY x ECG I NIBP mmH
66. g 14 10 120 82 L 99 PR 62 36 5p02 Time arrhythmia type 14 09 42 VE FARLY 60 m End Learn View Exit View arrhythmia detected graph ID AZ Figure 6 14 Arrhythmia Screen 6 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 is disabled Press this key and the system enters learning mode 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 After the Arrhythmia detection is begins the system will automatically detect the Arrhythmia waveforms If Arrhythmia is detected the Arrhythmia waveform will be displayed in the 3 ECG channel shown in Figure 6 14 When the system get reset or the patient has changed the Arrhythmia needs to be re learned Learn Because the Arrhythmia detection is based on the normal ECG waveform at the same speed and same amplitude when the patient changes or the Arrhythmia detection is incorrect the Arrhythmia needs re learn To better use the learn function it is recommended to use a good ECG waveform to learn during the monitoring View Press this key and the selected record in the Arrhythmia list which is to be reviewed becomes the green Rotate the Navigation Knob to choose the rec
67. he 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 6 28 Medicine DOBUTAMINE Wa i sht 70 00kg Gross 500 00mg Cubage 250 00m MC 2 00mg ml 3 m 100 00mcg D 7h 6 00mg Dikoim 1 43mcg Dfkgfh 85 71mcg TS 3 0 ml db DS 1 DOGTT fm Drop 20 00GTT mi Duration 83 33h Figure 6 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 On MC analysis screen other menu options can not enter value unless entering patient s weight and 59 User s Manual for UP 6000 multi parameter patient monitor 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 4A 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
68. he 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 x key to suspend the alarm and set the alarm silence time 6 DO NOT silence the audible alarm or decrease its volume if patient safety could be compromised of User s Manual for UP 6000 multi parameter patient monitor 7 4 Alarm Setting In the System menu screen move the cursor to the SETUP and press it to enter System Setup screen Limits setup Move the gray cursor to the High or Low limits of the alarm settings and press the Alarm key to turn ON or OFF the alarm for the setting Yellow color shows ON status and gray color shows the OFF status Refer to Chapter 13 2 for detailed Default Alarming Values of All Parameters and Setup Range Whenever the monitor is used check the alarm limits to ensure that they are appropriate for the patient being monitored 7 5 Verify Adjustable Alarm Function To verify adjustable alarm function select Demo for the item of Mode in system parameter settings menu and adjust alarm limits or change alarm setting then pay a close attention to the alarm If the alarm is sent out according to your setting it means the alarm function is effective 58 User s Manual for UP 6000 multi parameter patient monitor Chapter 8 Technical Specifications 8
69. hold the head of the connector and pull it out 2 Insert one finger into the probe index finger middle finger or ring finger with proper nail length according to the finger mark on the probe shown as below 15 User s Manual for UP 6000 multi parameter patient monitor Figure 3 8 Demonstration for SpO probe When selecting a sensor consider the patient s category adequacy of perfusion availability of probe site and anticipated monitoring duration Use only SpO probes provided by our company with this monitor Read the following table for SpO gt probe information Refer to Chapter 13 8 for the detailed instructions of each SpO probe SpO Probe Patient Category SpO Finger clip Sensor reusable Pediatric SpO Finger rubber Sensor reusable Adult SpO Finger clip Sensor reusable High ambient light sources such as surgical lights especially those with a xenon light source bilirubin lamps fluorescent lights infrared heating lamps and direct sunlight can interfere with the performance of a SpO sensor To prevent interference from ambient light ensure that the sensor 1s properly applied and cover the sensor site with opaque material Failure to take this action in high ambient light conditions may result in inaccurate measurements If patient movement presents a problem verify that the sensor is properly and securely applied move the sensor to a less active site use an adhesive sensor that tolerates some
70. hree modes adult pediatric and neonate 4 CPU module consists of main board multi function board and the keyboard The multi function board performs the data communication between the main board ECG module SpO module NIBP module and CO module 5 The CO module collects the date of respiration rate EtCO InsCO through the sampling tube 2 2 Composition 1 The monitor consists of the main unit and the corresponding functional components ECG leads non invasive blood pressure cuff SpO probe and temperature transducer or CO accessories User s Manual for UP 6000 multi parameter patient monitor The monitor has 4 measurement channels ECG and respiration channel NIBP channel SpO and pulse channel and TEMP channel or CO channel The monitor has an output channel networking communication port Basic parameters include heart rate respiration rate NIBP SpO pulse and CO TEMP User s Manual for UP 6000 multi parameter patient monitor Chapter 3 Installation and Connection 3 1 Introduction to Panels 3 1 1 Front Panel 10 Figure 3 1 Front Panel 1 Power switch Press it for 3 seconds to start the monitor or turn off the monitor 2 FY AC power indicator When it is light it means that AC power supply is being used V 3 Built in DC power indicator When both AC and DC indicators are on 1t means that AC power supply 1s applicable and the battery 1s being recharged If only DC indicator is on
71. ications equipment and The equipment or system for EQUIPMENT and SYSTEM that are not LIFE SUPPORTING PC 3000 Patient Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the equipment or system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the equipment or system as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum m output power of 150kHz to 80QMHz 80MHz to 800MHz 80MHz to 2 5GHz transmitter For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be determined using the equation applicable to the frequency of the transmitter where p 1s the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer 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 66 User s Manual for UP 6000 multi parameter patient monitor Chapter 9 Monitoring Parameter 9 1 ECG Monitoring 9 1 1 How to Obtain High Quality ECG and Accurate He
72. igure 4 9 7 Leads on the Same mmm Operation Instructions CA ECG lead No action When the printer 1s on it serves as the printing key Alarm silence press it to set or activate the system alarm 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 ECG waveforms The ECG gain includes 6 options Auto X1 4 X1 2 X1 X2 X4 26 User s Manual for UP 6000 multi parameter patient monitor 4 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 4 10 Five channel real time waveforms and trend graph can be viewed on this screen Alarm ADUL 2011 03 02 14 10 20 E I HR bpm 4 0 22 mv x1 ECG 1 NIBP mmHg 14 10 Ju 1 eg 87 91 e ECG i Manu 4 SpO2 PI 2h Push dm an changing interface 1 5 Figure 4 10 Five Channel Real time Waveforms and Two Hours Trends On this screen the first channel waveform is ECG waveform of Lead II the second CAS one is the continued ECG for the first channel waveform the third one is ECG waveform
73. is connected to monitor and patient well but SpO 1s unable to be detected It may be caused by inconformity SpO signal The battery capacity will exhaust Low battery voltage Lead Off The ECG electrodes or cable fell off Probe Off SpO probe fell off 19 User s Manual for UP 6000 multi parameter patient monitor 13 2 Default Alarming Values and Setup Range The default alarming value Parameter ANM EMEN NE NN Parameter Heart Rate Migh Dont 180 bpm 200 bpm 220 bpm 40 bpm 50 bpm 50 bpm Ge Sak High limit 40rpm SOrpm Respon ig m 40 rpm 50 rpm 60 rpm 10 rpm High limit Temperature S 5 Systolic High limit 180 mmHg 130 mmHg 110 mmHg d 60 mmHg 50 mmHg 50 mmHg NIBP Diastolic High a 120 mmHg 90 mmHg 90 mmHg 50 mmHg 40 mmHg 30 mmHg High ae 160 mmHg 110 mmHg 100 mmHg 50 mmHg 40 mmHg 30 mmHg SPO High limit 100 100 100 Pulse Rate High n 180 bpm 200 bpm 220 bpm 40 bpm 50 bpm 50 bpm High Limit 1 00mV 1 00mV 1 00mV ST Segment SE 1 00mV 1 00mV 1 00mV Temperature Difference 140mmHg Arterial 140mmHg Pressure Lar e 140mmHg ga ga Een Wes i20mmHg i20mmHg ml F zm Low limit Respiration High limit 60 rpm Rate ds High ien InsCO ga Pressure 80 User s Manual for UP 6000 multi parameter patient monitor The high and low limits setting range M High limit 1 250 mmHg ean Low limit 0 249 mmHg 0 249 mmHg High limit 1 120 mmHg 1 120 mmHg Systolic Low
74. is damaged do not use it any more Check the SpO gt sensor and cable before use Do NOT use the damaged SpO sensor When the temperature of SpO sensor is abnormal do not use it any more Please do not allow the cable to be twisted or bended Please do not use nail polisher or other cosmetic product on the nail The fingernail should be of normal length The SpO sensor can not be immerged into water liquor or cleanser completely because the sensor has no capability to resist the harmful ingress of water 7 User s Manual for UP 6000 multi parameter patient monitor 3 3 4 Printer connection 1 PRINTER USB port connect the monitor to the provided USB cable 2 DCI2V DC power supply port Power indicator on the front panel will be on after the adapter is connected to power supply p MEE cedi Figure3 9 rear panel of printer 3 3 5 Loading printing paper Step 1 Open the cover of the printer Step 2 Install the paper to the printer properly Step 3 Pull the paper out of the printer for 2 or 3 cm Step 4 Close the printer cover The ERROR indicator on the top right corner of the printer will be on when the printing paper runs out Figure 3 10 front panel User s Manual for UP 6000 multi parameter patient monitor 3 3 6 Battery Installation 1 Make sure that monitor doesn t connect to mains power supply 2 Unscrew the screw on the battery lid with a screwdriver and open the battery cover 3 In
75. istance against the interference from electrosurgical unit Pacemaker pulse detection and inhibition functions are available Patient type can be selected among Adult Pediatric and Neonate in setup menu lt gt lt gt User s Manual for UP 6000 multi parameter patient monitor CO measuring function is optional Built in printer to output waveforms and text lt gt Networking with the central station as a part of the central network 1 2 Product Name and Model Name Patient Monitor Model PC 3000 1 3 Applications and Scope This Patient Monitor is a multi functional instrument designed for monitoring the vital physiological signs of adult pediatric and neonate patients With the functions of real time recording and displaying parameters such as ECG heart rate non invasive blood pressure functional oxygen saturation respiration rate CO body temperature and so on it allows comprehensive analysis of patient s physiological conditions This instrument 1s applicable for use in hospitals and clinical institutions The operation should be performed by qualified professionals only 1 4 Operating Environment l 9 Ambient temperature range 5 C 40 C Relative humidity 30 80 Atmospheric pressure 70kPa 106kPa Power supply 100 240VAC Power frequency 50 60Hz This device should be situated in a place protected against direct sunlight so as to prevent overheat inside it The device should be s
76. itor 12 3 Cleaning Sterilization and Disinfection of Accessories It is recommended to clean the accessories including sensor leads and plugs with a piece of gauze which has been soaked in 75 Alcohol or 70 Ispropanol before using 6 Do not use damaged accessories 6 Accessories cannot be entirely immerged into water liquor or cleanser Do not use radial steam or epoxyethane to disinfect accessories 6 Do wipe off the remained alcohol or ispropanol on the accessories after disinfection for good maintanance can extend the life of accessories 12 4 Storage If the equipment will not be used for long period of time wipe it clean and keep it in the packaging which shall be kept in a dry and good ventilation place free from dust and corrosive gases Storage environment ambient temperature 20 60 C relative humidity 10 90 atmospheric pressure 53 kPa 106kPa 12 5 Transportation This monitor should be transported by land vehicle or railway or air in accordance with the contractual terms Do not hit or drop it with force 18 User s Manual for UP 6000 multi parameter patient monitor Chapter 13 Appendix 13 1 Alarm Information The related parameter value exceeds the preset high low alarm Over NIBP PR limit Unable to detect HR ECG cable and leads are connected to monitor and patient well but HR is unable to be detected It may caused by inconformity HR signal Unable to detect SpO SpO probe
77. l be displayed on data area lt gt TEMP setting the temperature value of the current measured air flow For instance the temperature is usually 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 lt gt 02 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 Setting range 0 100 Default value 16 lt gt 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 is not adding anesthetic gas that s to say the concentration is 0 0 2 To set the color of CO parameters on Color Settings screen 5 2 CO Sensor Connection 32 User s Manual for UP 6000 multi parameter patient monitor 5 2 1 Sidestream CO Sensor Connection East Pa ven p sample cell 2 LL CO2 Receptacle A Sensor Cable Sidestream CO Sensor sample ce
78. ll Demonstration for Sidestream CO Sensor Connection 1 Take out the CO Sensor and insert the CO Sensor Cable into the connector labeled CO on the connector panel of the monitor 2 The sample cell of the sampling cannula must be inserted into the sample cell receptacle of the CO Sensor A click will be heard when the sample cell is properly inserted Then connect to airway tube After finishing sensor connection and make sure that the air input end is exposed to room air and away from all sources of CO including the ventilator the patient s breath and your own Next turn on the CO switch at CO Setup Screen and then wait 2 minutes for the sensor warm up 3 Default Tubing Configuration sampling dehumidification sampling sample adapter tubing tubing filter Cell i z 4 i r 1 i DL E E i 4 i E li jams T d SSS Doa r 7 SS Ic E Adapter and Sampling tube Single patient use Extending airway tube for connecting to sampling tube Single patient use Wye Connector 33 User s Manual for UP 6000 multi parameter patient monitor 4 Optional sampling cannula kits 1 T connector sampling cannula kits On air Connector 3 Oral Sidestream Cannula Kits 5 2 2 Mainstream CO Sensor Connection Sensor cable CO sensor f Demonstration for Mainstream CO Sensor Connection 1 Take out the CO Sensor and insert the CO Sensor Cable into the connector label
79. lowed to avoid endangering the operator and the patient E Note contains some important information and tips about operations and application A Attention must be followed to avoid causing damage to the monitor 3502 2560001 User s Manual for UP 6000 multi parameter patient monitor Instructions to User Dear Users Thank you very much for purchasing our product Please read the following very carefully before using this equipment These instructions describe the operating procedures to be followed strictly Failure to follow these instructions can cause monitoring abnormality equipment damage and personal injury The manufacturer is NOT responsible for the safety reliability and performance issues and any monitoring abnormality personal injury and equipment damage due to user s negligence of the operation instructions The manufacturer s warranty service does not cover such faults NZ WARNING PACEMAKER PATIENTS Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter ALARMS Keep pacemaker patients under close surveillance See this manual for disclosure of the pacemaker pulse rejection capability of this instrument Monitoring a single person at a time The monitor is defibrillator proof Verify that the accessories can function safely and normally and the monitor is grounded properly before conducting defibrillation Disconne
80. lt with the output value by the blood pressure measuring simulator will show which method has more accurate results In addition higher or lower value should be a statistical concept It is recommended those used to adopt the Korotkoff Sound Method use different physiological calibration for values determined by the oscillating method The studies have shown that the Korotkoff Sound Method has the worst accuracy when it comes to measurement of hypotension while the oscillating method has worse accuracy when it comes to measurement of controlled hypertension relief 9 6 2 Factors affecting NIBP measuring lt gt Select a cuff of appropriate size according to the age of the subject Its width should be 2 3 of the length of the upper arm The cuff inflation part should be long enough to permit wrapping 50 80 of the limb concerned Prior to use of the cuff empty the cuff until there is no residual air inside it to ensure accurate measurement Make the cuff mark in the position where artery pulsates obviously the effect will be best The lower part of cuff shall 2cm above the elbow joint Do not wrap the cuff on too thick clothes especially forcotton padded clothes and sweater to take measurement The testee shall lie in bed or sit in chair make the cuff and heart at the same level the result will be most accurate other postures may have inaccurate result During measuring do not move your arm or the cuff The measuring
81. lue of 0 75 and 150 Other changes of vertical axis value in other trend graph are similar to that of ECG The respiration rate body temperature and other trend graph are similar to that of ECG s and we will not cover them in detail again Please note that for those trend graphs the horizontal axis 1s the number of times the blood pressure measured instead of time NIBP graphic trend is a little different from the other graphic trends Rotate the knob to move the cursor to i lt gt then press the knob for activating this item Next rotate the knob towards left or right for viewing another 400 groups graphic trend 41 User s Manual for UP 6000 multi parameter patient monitor 1 0 S T Bee 10min 20min 30min 9Sec Mage ID HR RR SpO2 PR S TTEMP 1 5 I trend ID Figure 6 5 S T Graphic Trend Cursor hsec Omin 30min HR RR SpO PR 5 T TEMP 1 Figure 6 6 Body Temperature Graphic Trend Cursor 20min 30min 9sec RR 5p0 PH 3S I etco ID Figure 6 7 ETCO Graphic Trend 5p02 Cursor hsec 20min 30min RR 5p02 PR S I TEMP Figure 6 8 SpO Trend graph 75 Cursor p 10min 2 min 3 min 9sec Time ID HR RR SpO2 PR S T TEMP 1 PR trend ID Figure 6 9 DR Graphic Trend 42 User s Manual for UP 6000 multi parameter patient monitor iud 15 Cursor o 10min 20min 30min ae Time 7777 18 BEE RR SE PR E E RESP rate trend 1 IB Figure 6 10 Respiration Graphic
82. mHg 21 165 mmHg 21 110 mmHg ean 20 241 mmHg 20 164 mmHg 20 109 mmHg SPO High limit 1 100 1 100 1 100 li 0 999 0 999 0 999 High limit 1 300bpm 1 350bpm 1 350bpm Pulse Rate ae 0 299bpm 0 349bpm 0 349bpm STS High Limit 2 49Mv 2 49mV 2 49mV 2 49mV 2 49mV 2 49mV egmen 249mV 4249mV 249mV 4249mV 2 49mV 2 49mV Temperature Difference MEN 0 0 5 0 C 0 0 5 0 C 0 0 5 0 C eer High limit 1 250 mmHg 1 250 mmHg 1 250 mmHg stolic S 0 249 mmHg 0 249 mmHg 0 249 mmHg Arterial um High limit 1 250 mmHg 1 250 mmHg 1 250 mmHg iastolic Pressure 0 249 mmHg 0 249 mmHg 0 249 mmHg Highlimit 1 1 250 mmHg 1 250 mmHg Low limit 8l User s Manual for UP 6000 multi parameter patient monitor 13 3 Abbreviation of Arrhythmia ECG TACHY ECG BRADY ECG VPCEST MISS BEAT VE EARLY SVE EARLY VE COUPLET SVE COUPLET VE RUN SVE RUN VE SHORT RUN SVE SHORT RUN VE BIGEMINY SVE BIGEMINY VE TRIGEMINY SVE TRIGEMINY VEINSERT SVE INSERT VERONT SVE RONT Er Mo ie igo EE lc e sin dem NO a FSF Fesch A bech bech Lm Lm Fesch Fesch SO 0 EENEG 82 User s Manual for UP 6000 multi parameter patient monitor 13 4 Status Error during NIBP Monitoring Cuff error Air leak Pressure error Signal weak Over extent Over motion Signal overflow Leak in gas run System error Adult Infant PROBE OFF LEADS OFF LEARNING DEMO
83. man factors For example different people may have different sound judging ability or different reactivity when listening to heart sound and reading mercury meter The air release speed and subjectivity may also affect the judgment By the oscillating method the computation 1s accomplished by the computer thus relieving the possibility of effect due to human factor 2 With the Korotkoff Sound Method the measure is taken on the basis of appearance and disappearance of heart sound The air release speed and heart rate may have direct effect on the measurement accuracy It also has the disadvantages of rapid air release and poor accuracy In the contrast with the oscillating method the 11 User s Manual for UP 6000 multi parameter patient monitor determination is calculated on the basis of cuff pressure oscillatory waveform envelope and the air release speed and heart rate has little effect on the measurement accuracy Statistics show that when measuring the hypertension the measure taken by the oscillating method is likely to be lower than that taken by the Korotkoff Sound Method When measuring the hypotension the measure taken by the oscillating method is likely to be higher than that by the Korotkoff Sound Method But it doesn t mean the advantages or disadvantages between the oscillating method and the Korotkoff Sound Method Comparison with the results taken by more accurate method let s say comparison of the invasive pressure resu
84. mmended when necessary In case any indication of damage about the function of the monitor is detected and proven it is not allowed to apply it to the patient for any monitoring Please contact the local dealer or our company and we are to offer the best solution as soon as possible for your satisfaction 12 1 2 Routine Maintenance After each maintenance or the yearly maintenance the monitor can be thoroughly inspected by qualified personnel including function and safety examinations The designed life of this monitor is 5 years In order to ensure its long service life please pay attention to the maintenance NZ NZ If the hospital fails to carry out a satisfactory maintenance program about the monitor it may get disabled and harm the patient s safety and health In case of ECG leads damage or aging please replace the lead If there is any indication of cable and transducer damage or they deteriorate they are prohibited from any further use The adjustable units in the monitor such as potentiometer are not allowed to adjust without permission to avoid unnecessary failures that affect normal application It is recommended to use the battery once a month to ensure its strong power supply capacity and long service life and recharge it after run out of the power volume 12 1 3 Battery Maintenance NZ Please pay attention to the polarity of battery do NOT insert it into battery compartment with reversed polarities
85. monitor subject There are two modes available Adult and Infant MON ECG Filter type There are three types Diagnosis Monitor and Operation The option can be set in the System Menu LITT JE battery power 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 battery shortage 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 power is full battery power indicator displays full grid During recharging the grids in the battery indicator are rolling circularly 2011 03 02 13 57 25 Current calendar time and date The system time and date can be set during the system start up when the screen displays the time and data setups The current figure shows the time and date is March gue 13 57 25 2011 Push knob for System Menu System prompt or description for the current status ID The patient ID The patient ID can be entered or changed in the archive management window Waveform area lt gt 1 trace The first trace is ECG waveform for lead II The left side of the ECG shows the sign I which indicates the ECG scale The scale sign changes its length according to the ECG gains All ECG 21 lt gt
86. n the cycle category When the time is reached the system will automatically take the record The interval 1s 1 2 3 to 240 minutes lt P 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 Ke 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 lt gt Exit return to the System Setup screen gt Printer is optional function If the purchased machine has printer please refer to above Printer Setup 47 User s Manual for UP 6000 multi parameter patient monitor ECG PARAMETER SETTINGS lt gt lt gt etup Lead Gain x HR Hi 180 S T HI 1 00 Speed 25 Mode MON 40 A 1 00 Imi OFF Notch 50Hz Pace OFF arid OFF Cable D System exits this status ID Figure 6 17 ECG Setup Lead Can choose from I II III AVR AVL AVF V V1 V6 The default is I 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 of heart rate alarm Lo Low limit of heart rate alarm The adjustable 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 1s 25 mm s
87. nd is defibrillator proof Figure 3 5 Electrode Location Note If skin rash or other unusual symptoms develop remove electrodes from patient After starting the monitor if the electrodes become loose or disconnected during monitoring the system will display LEAD OFF on the screen to alarm the operator A It might not display ECG wave with 3 leads The 5 leads should be used to have ECG wave 11 5 User s Manual for UP 6000 multi parameter patient monitor The ECG leads and their corresponding locations are as follows Symbol Position RA The intersection between the centerline of the right clavicle and Rib 2 The intersection between the centerline of the left clavicle LA and Rib 2 LL Left part of the upper abdomen RL Right part of the upper abdomen C1 V1 C V C2 V2 C3 V3 The electrodes are placed in different places the different Chest C4 V4 lead forms will display electrode C5 V5 C6 V6 Safety Instructions for ECG Monitoring e e This Patient Monitor can only be equipped with ECG leads provided by our company using ECG leads supplied by other companies may cause improper performance or poor protection while using defibrillator Electric parts of electrodes leads and cable are forbidden to contact any other conductive parts including ground This Patient Monitor can resist against defibrillator and electrosurgical unit Readings may be inaccurate f
88. nical judgment rather than the monitor readout A functional tester can not be used to assess the accuracy of the pulse oximeter monitor or a SpO sensor However a functional tester such as SpO gt simulator can be used to check how accurately a particular pulse oximeter 1s reproducing the given calibration curve Before testing the oximeter by a functional tester please firstly ask the manufacturer which calibration curve is used if necessary request the manufacturer for its dedicated calibration curve and download it into the tester 69 User s Manual for UP 6000 multi parameter patient monitor 9 4 Temperature Monitoring The sensor is thermo resistor type 25 C 5kQ and is supplied with constant micro current Calculating the temperature of measured part through measuring the voltage There is a period responding time so the accurate temperature value display after a while The temperature monitoring can be divided into two measuring method measure through body surface temperature and through the temperature inside the body cavity placed in mouth or anus Normal value body surface 36 5 C 37 C inside body cavity 36 5 C 37 7C Notes gt Attach the TEMP transducer to the patient generally if the TEMP transducer and skin doesn t contact closely the measured value becomes lower so for those who have requirement for temperature add a proper martial to transducer and fix it with adhesive tape to make them contact firmly
89. 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 28 User s Manual for UP 6000 multi parameter patient monitor 4 4 Freeze and S T Analysis Screen During the process of monitoring the ECG waveform can be frozen to perform detailed analysis in the observing screen as shown in Figure 4 12 _ Alarm amp ADUL MON 2010 10 29 13 49 40 HR e SpQ2 61100 NIBP mmHg NBP mmHg PR RR TEMP 122 86 93 61 16 36 5 EB X 4 Seene ANGA JESUM 9 Base REN gg 0 98P Figure 4 12 Frozen and S T Analysis Screen 4 4 1 Screen Description Freezing ST segment analysis screen is similar with the observing screen except the waveform is frozen For example the Figure 4 13 is a portion of the frozen waveform The symbols on the screen were described briefly on the screen A a D 1 1 1 1 freezetime 13 49 38 1 D D LS E ne ias a e o en tm on ue n Mr Deed us ie ad e pem ren que an iram a a e ee gas sedie eer Nen sam E I pte rend com RI un e s A Der sic ee op enr ee Ee mile mr a rer ien cma te gare arme Ne qe aras ae eeh M e i n Base Pomt Orientation ei A a a E a E a SI A ae Se A o a ele R R a mn AN CC Me Cl ST 0 000 mV Set Base DIRE HOR
90. not be used to scroll up or down the listing Pressing CA key to return to the Main Screen 40 User s Manual for UP 6000 multi parameter patient monitor 6 4 Graphic Trend Screen Cursor ht ie E bsec 0min 30min HR RR Spo PR S T TEMP 1 ID Figure 6 4 HR Trend 6 4 1 How to View the Graphic Trend Figure 6 4 1s 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 SpO trend graphs next 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 mark to a specific point the data area below the graph will display the time and its corresponding heart rate respiration rate SpO temperature When rotating Navigation Knob key to move the mark the moving interval is a changing value The rule is that the initial step 1s 5sec after moving it towards the same direction 1 time the interval becomes 30 sec and with more steps the interval becomes I min 10min and 30min Therefore it is very easy
91. nt 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 the patient data in the permanent storage The screen is shown in Figure 6 24 ID Or Patient ID To enter patient ID choose the patient ID field by using the Navigation Knob Press it to 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 ol User s Manual for UP 6000 multi parameter patient monitor saved The system will determine the time range according to the available disk space If no disk spa
92. ob to enter the second page where the operator can set some other parameters of CO As shown in above figures lt gt Switch choosing the mode of CO 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 module In order to maintain the monitor please set CO switch at OFF state in system setup when CO function is not used lt gt Gain the CO waveform gain lt gt Unit Choosing the EtCO and the minimum InsCO It can be set up as kPa mmHg and lt gt Respiration Rate High Setting the upper alarm limit of CO respiration rate Low Setting the lower alarm limit of CO respiration rate lt EtCO High Setting the upper alarm limit of EtCO Low Setting the lower alarm limit of EtCO lt InsCO High Setting the upper alarm limit of InsCO Low Setting the lower alarm limit of InsCO 31 User s Manual for UP 6000 multi parameter patient monitor lt gt 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 lt gt Zero The method to calibrate CO Zero calibration Calibration must be carried out in a drafty place and the CO module must ha
93. of Lead I the fourth one is SpO gt 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 ECG lead press it to shift the ECG monitoring circulatory among and V G Alarm silence press it to set or activate the system alarm c3 Freeze press it to freeze ECG waveform or the waveforms of ECG SpO gt 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 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 Zt User s Manual for UP 6000 multi parameter patient monitor 4 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 4 11 SpO2 60 100 FICO PR 16 60 NIBP mmHg Manu PR 10 14 120 84 98 60 Push Display changing interface Figuer 4 11 Parameter screen Operation Instructions ECG lead when the printer is on it serves as the printing key Alarm silence press it to set or activate the system alarm Freeze
94. onitor are interconnected ECG leads may be damaged while using defibrillator If the leads are used again please do the functional check first When the monitor is inoperable due to an overload or saturation of any part of the amplifier it will prompt Lead off to remind operator 17 User s Manual for UP 6000 multi parameter patient monitor 3 3 2 Blood Pressure Cuff Connection 1 Connect the cable to the right panel connector marked with the NIBP icon 2 Unveil and wrap the cuff around patient s upper arm Requirements of the cuff 1 Appropriate cuff should be selected according to the age of the subject Its width should be 2 3 of the length of the upper arm The cuff inflation part should be long enough to permit wrapping 50 80 of the limb concerned See the table below for the dimensions Note The size of the cuff selected should suit the subjects while measuring Cuff Model Cuff Width Neonate Cuff 6 0cm 9 5cm NL NN Middle sized Pediatric Cuff 10cm 19cm sm Large sized Pediatric Cuff 18cm 26cm 2 When putting on the cuff unveil and wrap it around the upper arm evenly to appropriate tightness 3 Remember to empty the residual air in the cuff before the measurement is commenced 66 99 4 Locate the cuff in such a way that the q mark is at a location where the clearest pulsation of brachial artery is observed 5 The cuff should be tightened to a degree where insertion of one finger 1
95. or a short time after or during using defibrillator or electrosurgical unit Transient caused by cable circuitry blocks while monitoring may be similar to the real heartbeat waveform as a result resistance heart rate alarm rings If you put the electrodes and cable in proper places according to this manual s instructions and the instructions for using electrode the chance of this transient occurring will be decreased To the patient with pacemaker due to that this device has been designed to provide resistance to pacemaker signal interference generally the pacemaker pulse is not counted in heart rate measurement and calculation but when the cycle time of pacemaker pulse is over 2ms it may be counted In order to reduce this possibility observe the ECG waveforms on the screen carefully and do NOT rely entirely on the heart rate display and alarm system of this monitor when monitoring this kind of patients Keep pacemaker patient under close surveillance Besides the improper connection with electrosurgical unit may cause burns the monitor may be damaged or arouse deviations of measurement You can take some steps to avoid this situation such as do NOT use small ECG electrodes choosing the position which is far away from the estimated Hertzian waves route using larger electrosurgical return electrodes and connecting with the patient properly No predictable hazard will be caused by the summation of leakage currents when several item of m
96. or reset the sensor if necessary If error persists return sensor to factory for servicing No Parameter Message The host must set the Barometric Pressure and compensations to clear this error no user intervention should be required The sensor temperature 1s greater than 40 C One of the following conditions exist Source Current Failure EEPROM Checksum Faulty Hardware Error Barometric Pressure and or gas compensations have not been set since power on For CO to be calculated with the stated accuracy these values should be set whenever the sensor is plugged in Module in Sleep Mode This bit 1s set when sensor has been placed in sleep mode Zero In Progress A Module Zero is currently in progress Sensor Warm Up This error condition is normal at startup This error should clear when the warm up is complete Check Sampling Line Check that the sampling line 1s not occluded or kinked Zero Required To clear check airway adapter and clean if necessary If this does not correct the error perform an adapter Zero If you must adapter zero more than once a possible hardware error may exist CO Out of Range If error persists perform a zero Check Airway Adapter To clear clean airway adapter if mucus or moisture 1s seen If the adapter is clean perform a Capnostat Zero The Sensor not Ready One of the following conditions exist sensor under temperature Temperature not sta
97. ord and display the corresponding waveform in the 3 ECG channel 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 Arrhythmia is detected the system will alarm The Arrhythmia alarm is system default and does not need setup During Arrhythmia detection incorrect detection might occur if the non ECG waveforms e g square wave and triangle wave appear Before start 1mV testing please turn off the Arrhythmia detection During Arrhythmia detection the Arrhythmia module is very important The system requires a group of stable ECG waveforms If the system detects the Arrhythmia incorrectly please re learn Arrhythmia by pressing Learn button and capture correct template 45 User s Manual for UP 6000 multi parameter patient monitor 6 7 System Setup Screen oystem Setup Print ECG RESP System exits this status Figure 6 15 System Setup 6 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 key to return to the Main Screen or Exit button to return to the System Menu screen Note
98. patient motion or use a new sensor with fresh adhesive backing For reusable sensors follow the sensor directions for use for cleaning and reuse For single patient use sensors use a new sensor for each patient Do not sterilize any sensor by irradiation steam or ethylene oxide Safety Introductions for SpO Monitoring Continuous use of SpO sensor may result in discomfort or pain especially for those with microcirculatory problem It is recommended that the sensor should NOT be applied to the same place for over two hours change the measuring site periodically if necessary The measuring site is generally changed every 3hours The measuring site should be inspected for ensuring no abnormity every 1 2 hours If abnormity occurs change the measuring site periodically if necessary When the ambient temperature is over 35 C please change the measuring site every two hours if necessary Burn hazard When the ambient temperature is over 37 C do not use the SpO sensor for a long time 6 SpO measuring position must be examined more carefully for some special patient Do NOT install the SpO sensor on the finger with edema or fragile tissue 16 VIZ Qo Yo ege dec we x9 User s Manual for UP 6000 multi parameter patient monitor Do NOT put the SpO sensor and pressure cuff on the same limb otherwise the NIBP measuring will affect SpO measuring and cause the alarm error If sterile packaging of SpO sensor
99. pressure measuring methods To overcome the effect of human hearing variation and air release speed on measurement accuracy when the conventional Korotkoff Sound Method is used to take measure of blood pressure people have been dedicated to study of automatic measurement of blood pressure By now automatic blood pressure measuring system based on the principle of oscillating method is mature In practice however various problems are encountered such as why the measures taken by the oscillating method is lower or higher than those taken by Korotkoff Sound Method Why the measures are inclined to decline Why in some cases no result is obtained in spite of the inflation actions Why the measure values have big discreteness and even abnormal data in some cases Why the SpO waveforms may disappear suddenly and so on The following explanations are devised to give the answers The Oscillating method vs the Korotkoff Sound Method Blood pressure measurement by the oscillating method and Korotkoff Sound Method has good correlation with the invasive measurement Notwithstanding any of the non invasive blood pressure measurements has its one sidedness when it is compared to the invasive measurement The oscillating method has its advantages over the Korotkoff Sound Method in less error higher reliability and stability Their differences may be reflected in the following aspects 1 The measures by the Korotkoff Sound Method are liable to effect of hu
100. r finger 4 Do not use NIBP or other constructing instruments on same appendage as sensor for blood flow interrupted by NIBP cuff or circulatory patient condition will result in no pulse found or loss of pulse Do not use the sensor during MRI scanning 5 Carefully route cables to reduce the possibility of patient entanglement or strangulation 6 Do not alter or modify the sensor Alterations or modifications may affect performance or accuracy 7 Do not use the sensor if the sensor or the sensor cable appears damaged 87 User s Manual for UP 6000 multi parameter patient monitor Instructions for Adult SpO Finger Clip Sensor Intended Use When used with a compatible patient monitor or a pulse oximeter device the sensor is intended to be used for continuous non invasive functional arterial oxygen saturation SpO and pulse rate monitoring for patients weighing greater than 40kg Contraindications This sensor 1s contraindicated for use on active patients or for prolonged use Instructions for Use 1 With the upper and lower jaws open place an index finger evenly on the base of the clip Push the finger tip against the stop so that it is over the sensor window A If an index finger cannot be positioned correctly or is not available other fingers can be used 2 Note When selecting a sensor site priority should be given to an extremity free of an arterial catheter blood pressure cuff or intravascular infusion line 3
101. r s Manual for UP 6000 multi parameter patient monitor 3 1 2 Left and Right Panel Figure 3 2 the left panel Figure 3 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 3 2 1 SpO SpO probe connector 2 NIBP NIBP hose connector 3 TEMP TEMP probe connector CO5 CO probe connector 4 ECG RESP ECG cable connector 5 Symbol definition With type BF applied parts 19 With type CF applied part and applicable during the defibrillator 1s used AN Caution Please read the manual for details The power supply socket and ports are at the left panel shown in Figure 3 3 O c 9 l 168V 154 Power supply socket DC input Ze cm Serial communication port which is used to network with central monitoring system 3 USB port reserved for future use User s Manual for UP 6000 multi parameter patient monitor 3 1 3 Rear Panel Figure 3 4 Rear panel The following are at the rear panel of the monitor 1 S N Serial Number 2 Power supply socket 100 240 VAC 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 To avoid battery damage do remove battery s before shipping or storage Caution Burn hazard the built in battery Do not disas
102. r Mainstream 3 CO Response Time Sidestream lt 3seconds including transport time and rise time Mainstream 60ms rise time 4 Warm up Time Not less than two minutes 5 CO measurement range 0 150mmHg 6 CO Accuracy 0 40mmHg 2mmHg 41 70mmHg 5 of reading 71 100mmHg 8 of reading 101 150mmHg 10 of reading NOTE Gas temperature at 25 C for Sidestream Gas temperature at 35 C for Mainstream 7 Flow rate 50ml min 10 ml min Sidestream 61 User s Manual for UP 6000 multi parameter patient monitor 8 8 Data Recording 1 Sensitivity selection tolerance 5 2 Recording speed 25mm s 3 Recording speed accuracy 10 4 Hysteresis lt 0 5mm 5 Frequency response Monitoring mode 0 5 40Hz Diagnostic mode 0 05 75Hz 6 Time constant Monitoring mode gt 0 3s Diagnostic mode gt 3 2s 8 9 Other Technical Specifications 1 Power supply 100 240VAC 50 60Hz 2 Power consumption see the nameplate on the monitor 3 Rechargeable Li ion battery specification 14 8V 2200mAh 4 Display mode 7 inches TFT color LCD Resolution 800x480pixel 5 Alarming mode Audible amp visible alarm 6 Communication Serial Net port 8 10 Classification The degree of protection against harmful ingress Ordinary equipment without protection against of water ingress of water itable to use in the environment where The safety degree of flammable gas Ne SE E is flammable gas exits 62 User s Manual for UP 6000
103. r waveform simultaneously on oxyCRG screen to know the instantaneous the change of physiological parameters of respiration The cuff can be 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 Up to 20 types of arrhythmia can be analyzed automatically waveform freezing is available and automatic S T segment measurement and manual analysis Up to 1000 hours trend data of ECG S T TEMP CO SpO RESP and NIBP trends 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 function Real time monitoring of battery capacity when the battery power 1s insufficient low battery voltage alarm indication will display on LCD screen Easy to color code and change the color of the font background and waveforms 1f need Protection against defibrillator discharge and res
104. rect the cable along the top of the patient s hand Apply adhesive tape to secure the cable B If an index finger cannot be positioned correctly or is not available other fingers DEN mmm can be used XU JE 3 Plug the sensor into the NF 6 A A oximeter and verify Ki proper operation as 7 Oo described in the user manual A B 4 Inspect the monitoring site every 1 2 hours for skin integrity Cleaning amp Disinfection Unplug the sensor before cleaning or disinfecting Surface clean sensor and cable with a soft gauze pad by saturating it with a solution such as 70 isopropyl alcohol If low level disinfection is required use a 1 10 bleach solution Caution Do not sterilize by irradiation steam or ethylene oxide Warnings 1 This sensor is for use only with compatible patient monitors or pulse oximeter devices Use of this sensor with instruments other than compatibles may result in improper performance 2 Some factors may affect the accuracy of saturation measurements Such factors include excessive patient motion fingernail polish use of intravascular dyes excessive light poorly perfused finger extreme finger sizes or improper placement of the sensor 3 The sensor site must be checked for skin integrity at least every 1 2 hours Because individual skin condition affects the ability of the skin to tolerate sensor placement it may be necessary to change the sensor to anothe
105. ress it to shift the ECG monitoring circulatory among IT 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 SpO and RESP according to the system setting NIBP press it to start or stop NIBP measure 23 User s Manual for UP 6000 multi parameter patient monitor 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 second to enter 4 3 Display 2 Screen 4 3 1 Observing Screen Press the DISP key to shift screen to Observing Screen when setting Disp2 as Obsev in System Setup screen as shown in Figure 4 7 Ge E ADUL MON 2011 03 02 14 10 44 Spo2 NIBP mmHg TEMP i 126 87 92 62 16 36 6 Push Display changing interface ID 1 00P Figure 4 7 Observing Screen Operation Instructions CA ECG lead press it to shift the ECG monitoring circulatory among I I anc and V Alarm silence press it 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 NIBP press it to start or stop NIBP measure DISP press it to shift the display to the Main
106. s allowed 6 The lower end of the cuff should be 2cm above the elbow joint EN k kW A Do e b ua x E E XD Beta gen eg Figure 3 6 Cuff Position Safety Instructions for NIBP Monitoring MZ NZ When taking the measure of an infant s less than 10 years old blood pressure do NOT operate in the adult mode The high inflation pressure may cause lesion or even body putrescence It is recommended to take the blood pressure measurement manually Automatic or continuous measurement should be used at the presence of a doctor nurse NIBP monitoring is prohibited to those who have severe hemorrhagic tendency or with sickle cell disease or partial bleeding will appear Do NOT bind NIBP cuff on limbs with transfusion tube or intubations or skin lesion area otherwise damages may be caused to the limbs Pay attention to the color and sensitivity of the limb when measuring NIBP make sure the blood circulation is not blocked If blocked the limb will discolor please stop measuring or remove the La User s Manual for UP 6000 multi parameter patient monitor cuff to other positions Doctor should examine this timely The time of the automatic pattern noninvasive blood pressure measurement pull too long then the body connected with the cuff possibly have the purpura lack the blood and the neuralgia When guarding patient must inspect the luster the warmth and the sensitivity of the body far
107. s 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 ze Start shift cursor to Start and press MW key Start becomes Stop and meanwhile the blood cuff starts being inflated Pressing Stop button can stop using this function After deflation it will change to Start again 6 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 key to return to the Main Screen or Exit button to return to the System Menu screen O0 User s Manual for UP 6000 multi parameter patient monitor Chapter 7 Alarm 7 1 Alarm Priority High Priority Over HR limit Over TEMP limit Over RR limit Over SpO limit Over PR limit Over NIBP SYS limit Over NIBP DIA limit Over NIBP MAP limit Over EtCO limit Over InsCO limit Over ST limit Over NIBP PR limit ECG VPCEST Unable to detect HR Unable to detect SpO The battery capacity will exhaust Medium Priority VE RONT SVE RONT Lead Off Probe Off CO Out of Range Low Priority Other arrhythmia phenomenon Except ECG VPCE
108. semble incinerate or expose to high temperature 60 C 40F Refer to instruction manual User s Manual for UP 6000 multi parameter patient monitor 3 2 Installation 3 2 1 Opening the Box and Check 1 Open the packaging take out the monitor accessories from the box carefully and place it in a safe stable and easy to watch position 2 Open the users manual to sort the accessories according to the packing list Inspect the accessories for any mechanical damages Check all the exposed leads and inserted accessories You can customize the module configuration by choosing necessary modules to meet your own needs Therefore your monitor may not have all the monitoring functions and accessories Please contact the local dealer or our company in case of any problems We are to offer you the best solution for your satisfaction 3 2 2 Power Supply 1 When powered by AC mains power supply Make sure that the AC power supply is 100 240VAC 50 60Hz Usethe power cable prepared by the manufacturer Insert one end of it to the power port of the monitor and the other end to the grounded three phase power jack Toeliminate potential differences the monitor has a separate connection to the equipotential grounding system Connect one end of the provided ground cable to equipotential grounding port on the rear of the monitor and connect the other end to one point of the equipotential grounding system Caution ensure th
109. sensor in place or to tape it shut venous pulsation may lead to inaccurate saturation measurements 5 Do not immerse sensor as it causes short 6 Do not use NIBP or other constructing instruments on same appendage as sensor for blood flow interrupted by NIBP cuff or circulatory patient condition will result in no pulse found or loss of pulse 7 Do not use the sensor or other oximetry sensors during MRI scanning 8 Carefully route cables to reduce the possibility of patient entanglement or strangulation 9 Do not alter or modify the sensor Alterations or modifications may affect performance or accuracy 10 Do not use the sensor if the sensor or the sensor cable appears damaged Creative offers a 6 momth warranty against manufacturing defects for the SpO sensors mentioned above in its undamaged condition If you have any question regarding any of SpO sensor instructions please contact info creative sz com or your local dealer 88 User s Manual for UP 6000 multi parameter patient monitor SY 1141 Budapest Fogarasi t 77 1095 Budapest Mester u 34 Tel 220 7940 220 8881 220 7959 Tel 218 5542 215 9771 215 7550 220 7814 364 3428 Fax 220 7940 216 7017 216 7018 Fax 218 5542 Mobil 30 531 5454 30 939 9989 Mobil 30 940 1970 20 949 2688 E mail delton delton hu Web www delton hu www medipek hu 89
110. separation distance in metres 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 E Interference may occur in the vicinity of equipment marked with the following symbol e 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 and electromagnetic site survey should be considered If the measured field strength in the location in which PC 3000 Patient Monitor 1s used exceeds the applicable RF compliance level above PC 3000 Patient Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating PC 3000 Patient Monitor b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3V m 65 User s Manual for UP 6000 multi parameter patient monitor Table 4 Recommended separation distances between portable and mobile RF commun
111. sert the battery connecting wire into the battery receptacle Do not insert the plug in reverse 4 Insert 1t into the battery compartment Battery connecting wire Battery receptacle Battery label Figure 3 11 Battery Installation 5 Close the battery lid and fasten 1t with the screw amp Please take out the battery from battery compartment if it won t be used for a long time 3 3 7 Handle Installation 1 Take out the handle subassembly if necessary 2 Fix the handle subassembly on the rear panel with two screws see Figure 3 12 Figure 3 12 Handle Installation 19 User s Manual for UP 6000 multi parameter patient monitor Chapter 4 Monitoring Screen 4 1 Date and Time Setup Instead of entering into monitoring screen it shows the date and Time Setup screen immediately after the monitor 1s started shown in Figure 4 1 Time Setup Date 12004 02 27 Time Figure 4 1 Time Setup The system will stay on this screen for 10 seconds If you do not rotate the navigation knob within this period the screen will enter into the Main Screen 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
112. sure 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 infant preset range 80 130 mmHg default value 110 mmHg for adult preset range 80 180mmHg default value 140 mmHg 3 f the pressure drops down slowly under 10mmHg compared with the preset value due to little air leakage m 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 54 User s Manual for UP 6000 multi parameter patient monitor 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 1s 5 minutes If the set value 1s xx minutes and when counting down time reaches xx minutes the monitor will give off alarm sound until deflation ends The alarm type i
113. time press the Navigation Knob in the Main Screen as shown in Figure 4 2 the System Menu screen will display in the lower left area on the screen as shown in Figure 6 1 Alarm L HR bpm Ce 0 09 mg NIBP mmHg 10 18 128 84 97 PR 61 Manu TEMP t 36 5 PR Spo System Menu z 9 o NIBP TREND ARR SETUP COLOR oxyCRG MC 4 6 oystem settinc ur Figure 6 1 System Menu Screen 6 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 Arrhythmia 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 key to return to the Main Screen 39 User s Manual for UP 6000 multi parameter patient monitor 6 2 SpO Data List Screen Time HR RR TEMP Sp02 PR 10 1115 57 oi 14 36 7 99 62 10 1115 57 60 15 36 6 98 61 10 1115 57 o 15 36 7 98 60 10 11 15 57 60 15 36 6 100 61 10 1115 57 60 15 36 7 99 61 10 1115 56 op 16 36 5 100 61 y Figure 6 2 SpO Data Listing Screen 6 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
114. time when the SpO measurement was taken Up to 6 groups of SpO gt data can be displayed on one screen There is only one record every 4 seconds 6 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 key to return to the Main Screen 6 3 NIBP Data List Screen AD lime NIBP PR HR 5p02 EtCO2 000001 10 08 10 23 1267 81 97 61 DU 99 39 0 Push Display changing mterface Figure 6 3 NIBP Data List screen 6 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 6 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
115. titioners may report big discreteness or abnormal value of the blood pressure measures when the oscillating method is used As a matter of fact the so called big discreteness must be a term in the sense of statistical significance of mass data Abnormal data may be observed in some individual cases It is normal in the scientific experiments It may be caused by an apparent reason or by an unknown factor in some cases Such individual doubtful experimental data may be identified and eliminated using the special statistical technique It is not a part of this manual The practitioner may eliminate the apparently unreasonable data according to the experience 13 User s Manual for UP 6000 multi parameter patient monitor Chapter 10 Packaging and Accessories 10 1 Packaging The product is packed in high quality corrugated cartons with foam inside to protect the equipment against damage in the shipping and handling process Gross Weight Details see the indication on the outer package Dimension 355 L x245 W x245 H mm 10 2 Accessories 1 ECG lead One set 2 NIBP cuff One piece 3 SpO probe One piece 4 Body surface temperature transducer One piece 6 AC power adapter One piece 7 Power code One piece 8 Li ion battery One piece 9 Handle subassembly One set 10 Disposable electrode Ten pieces 11 User manual One copy 12 Warranty One copy 13 CO accessories optional For Mainstream For Sidestream
116. tored and used within specified temperature humidity and atmospheric pressure range or it may cause damage to the device or inaccurate measurement result Do not use this device in an environment with toxic or inflammable gas If the device gets wet by accident the operator should NOT power it on immediately until 1t has been air dried enough to avoid any damage to it This device should be fixed on a stand so as to prevent possible shock Do not use with any equipment other than those expressly permitted in these instructions The monitor 1s defibrillator discharge proof and has certain immunity to the interference from electrosurgical unit But when the device is used on the patient with pacemaker or used with electrosurgical equipment the user doctor or nurse should keep the patient under close surveillance for his her safety Refer to the following function description for specific protective measures or notes Make sure that the equal potential grounding terminal is grounded correctly 10 Do not use mobile phone nearby so as to avoid strong radiant field interference 1 5 Impact on Environment and Resources Low 1 6 Safety a This device conforms to IEC60601 1 electric safety classification Class I with Type BF and CF applied b c d User s Manual for UP 6000 multi parameter patient monitor parts This device can resist against the discharge of defibrillator and the interference of electrosurgical unit
117. unit of the respiration i e respiration per min ze EtCO 39 0 The label and the value will become gray when CO is turned off v Ins The label of the minimal inhalational CO the label and the value will become gray when CO is turned off lt gt 16 Respiration rate It will display the respiration rate of CO when the switch is turned on lt gt X1 Respiration gain amplification x1 2 Waveform scaled with half of the base gain xl Waveform scaled with base gain KE Waveform scaled with twice of the base gain x4 Waveform scaled with four times of the base gain of User s Manual for UP 6000 multi parameter patient monitor Observing Screen 7 Leads on the Same Screen and other display screen will display CO monitoring data as well besides Main Screen Note only when the setting item System Menu gt SETUP CO Switch 1s set as ON CO monitoring function 1s available 5 4 CO Graphic Trend On Graphic Trend screen rotate the knob and move the cursor to CO2 then press the knob to enter EtCO2 Graphic Trend Refer to Chapter 6 4 Graphic Trend Screen for detailed instructions and operations Cursor hsec 20min 30min HR RR SpO2 PR S T etco2 1 ETtCO trend ID Ime Figure 5 4 EtCO Graphic Trend 38 User s Manual for UP 6000 multi parameter patient monitor Chapter 6 Operating Instructions for System Menu 6 1 System Menu Screen Long
118. urements As the SpO value serves as a reference value for judgment of anemic anoxia and toxic anoxia the measurement result of some patients with serious anemia may also present as good SpO value 9 3 5 Points to be noted in SpO and Pulse Measuring lt gt lt gt gt The finger should be properly placed see the attached illustration of this instruction manual or else it may cause inaccurate measurement result Make sure that capillary arterial vessel beneath the finger is penetrated through by red and infrared lights The SpO sensor should not be used at a location or limb tied with arterial or blood pressure cuff or receiving intravenous injection Do not fix the SpO gt sensor with adhesive tape or else it may result in venous pulsation and consequential inaccurate measurement result of SpO Make sure the optical path 1s free from any optical obstacles like adhesive tape Excessive ambient light may affect the measuring result It includes fluorescent lamp dual ruby light infrared heater and direct sunlight etc Strenuous action of the subject or extreme electrosurgical interference may also affect the accuracy Please do not use the SpO gt sensor when having the MRI or burn may be caused by faradism Always observe the plethysmogram waveform which 1s auto scaled within the range of 100 The SpO reading may be unlikely true when the waveform is not smooth or irregular If in doubt rely on your cli
119. ve worked continuously for 5 minutes to ensure an accurate calibration or the calibration will not work lt Flow CO flow It is flow rate of the CO sampling Its value is 50ml min The information promoted for Zero calibration 1s as follows Do you want to do zero calibration Apply reference air with 0 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 time of the respiration rate value in data area 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 in the data area if on respiration is detected during this period lt gt 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 wil

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