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1. 1 1 2 PRODUCT NAME AND MODE 2 I SvAPPEICATIONS AND OC OPE bd debemus 2 1 4 REQUIREMENTS OPERATING ENVIRONMENT AND INSTALLATION scccsccsscseccsscescesscsscescescensees 2 NORMAL WORKING ENVIRONMENT a a 2 1 6 IMPACT ON ENVIRONMENT RESOURCES 2 IESU Sd Er P 2 CHAPTER 2 WORKING THEORIES OF THE MAIN UNIT eee eee 3 2 1 OVERALL STRUCTURE AND WORKING THEORIES 3 2 2 COMPOS UNION heen oo cidcm nate Sa Aaa ele codici ates op cox amen 3 CHAPTER 3 INSTALLATION AND CONNECT ION 4 Dol 4 E UM E 4 3 12 Leit and Richt Side TERRENCE 6 Dis LS BAKT ONC cato tit T aa A Tac A oes 7 FINS TAEAO 8 3 2 1 Opening the Box and Check eerte 8 Fe CONECO FOWE CODIGO s est out etae som M aee tei eae Aa 3 2 3 Starting the Monitor eerte tette ttes tete teretes 8 aa ete 9 MELDE 9 S2 blood Pressure uu op b t oa od eeepc ll 333 lo connec
2. 1 150 Respiration m 0 119rpm 0 149rpm 0 149rpm High limit 0 1 60 C 0 1 60 C Low limit 0 59 9 C 0 59 9 C High limit 30 280 mmHg 30 200 g Low limit 29 279 mmHg 29 199 mmHg 29 134 mmHg High limit 11 232 mmHg 11 150 mmHg 11 100 mmHg Low limit 10 231 mmHg 10 149 mmHg 10 99 mmHg High limit 21 242 mmHg 21 165 g 21 110 mmHg 0 1 60 C 0 59 9 C 30 135 mmHg Temperature Systolic Diastolic Mean Low limit 20 164 mmHg 20 109 mmHg High limit 1 100 1 100 Low limit 0 99 0 99 High limit 1 350bpm Low limit 0 349bpm 0 349bpm High Limit 249mV 4249mV 249mV 42 49mV Low Limit 249mV 42 49mV 2 49mV 42 49mV 0 0 5 0 C 0 0 5 0 C High limit 1 250 mmHg 1 250 mmHg Low limit 0 249 mmHg 0 249 mmHg High limit 1 250 mmHg 1 250 mmHg Low limit 0 249 mmHg 0 249 mmHg 0 1 350bpm Pulse Rate ini ST Segment Temperature Difference Systolic Arterial Pressure Diastolic High limit 1 250 mmHg 1 250 mmHg Low limit 0 249 mmHg 0 249 mmHg High limit 1 120 mmHg 1 120 mmHg Low limit 0 119 mmHg 0 119 mmHg High limit 1 120 mmHg 1 120 mmHg Low limit 0 119 mmHg 0 119 mmHg High limit 1 120 mmHg 1 120 mmHg Low limit 0 119 mmHg 0 119 mmHg High limit 9 40 mmHg 9 40 mmHg Low limit 10 39 mmHg 10 39 mmHg High limit 9 40 mmHg 9 40 mmHg Low limit 10 39 mmHg 10 39 mmHg m 9 40 mmHg 9 40 mmHg Respiration CO EtCO Systolic Pulmonary Artery
3. 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 is calculated by measuring the time interval between detected breaths 61 C 5k 9 36 5 C User Manual for Patient Monitor 9 6 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 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 sensors there 15 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 62 User Manual for Patient Monitor Chapter 10 Troubleshooting Note To troubleshoot this machine in the service follow the instructions below to eliminate the problem first If
4. 74 VIII User Manual for Patient Monitor Chapter 1 Overview 1 1 Features This monitoring system may be used to monitor patient s 6 physiological parameters ECG respiratory rate body temperature non invasive blood pressure NIBP pulse oxygen saturation SpO and pulse rate lt gt lt gt lt gt 952525527 lt gt 10 4 high resolution color LCD to display patient s ECG waveform respiratory waveform and SpO cubage waveform Abundant and friendly display interface multifold ECG display screen Main monitoring screen displays the information of all the waveforms and parameters visually Observing screen dispalys heart rate value and SpO value in big fonts and an ECG waveform and a SpO cubage waveform will be displayed at the same time Automatic analysis of 20 arrhythmia waveforms and ARR waveform freezing function and automatic ST segment measurement and manual analysis Up to 480 hours statistic data of HR TEMP SpO RESP and NIBP trends 100 groups of arrhythmia cases data and the corresponding ECG TEMP SpO RESP and pulse value of each case Storage and recall of a list of 800 groups of NIBP measurement data as well as heart rate body temperature respiratory rate and SpO pulse rate when the measure of blood pressure is taken Nonvolatile 6hours of ECG data storage and recall High precision NIBP measuring module good repeat capability Software and h
5. The blood pressure measuring now is in adult mode In this case it is not allowed to monitoring pediatric or neonatal patient Otherwise there may be serious danger to the infant monitored The blood pressure module is now worked in infant measuring mode 5 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 T1 User Manual for Patient Monitor 12 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 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 is 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 to be calculated with the stated accuracy these values should be set whenever the sensor is plugged in Module in Sleep Mode This bit is set when sensor has been placed in
6. 100 4 opO 90 80 Cursor 0 1 5h 3h 4 5h 6h Exit Time ID HR RR Spo PR TEMP Wess 000004 60 14 99 60 36 6 Figure 4 16 SpO Trend Graph Cursor d 1 5h 3h 4 5h 6h Exit Time ID HR RR Spo PR TEMP Eto teria 000004 62 16 100 61 36 5 38 5_ Figure 4 17 Pulse Rate Trend Graph User Manual for Patient Monitor NIBP Cursor 0 160 200 300 Exit Time DIA MAP 2090521 Figure 4 18 NIBP Trend Fi 0 0 1 5h 3 4 5h 6h Exit Time TEMP EtCO2 CaS um 82 16 99 61 368 Figure 4 19 EtCO Trend Graph 4 6 2 Operating Instructions Rotate the knob choose the parameter and press the knob Review the trend graph and move the cursor to the Exit button to exit the trend graph 4 7 Recall Screen Move the cursor to RCALL in the mode selection screen and press the navigation knob the system enters in the waveform recall screen Recall HR 80 DEG SS Time 709 08 655 t 000004 ZYX _ 09 08 08 09 18 34 View recall data in the 2nd channel z X O 000004 Figure 4 20 Waveform Recall Screen DU User Manual for Patient Monitor The waveform recall screen is shown in Figure 4 20 It is different from the main screen in its 2 waveform area and the operation area We will cover them in detail below ID Name StartTime EndTime 000004 ZYX 09 08 03 09 18 34 Recall
7. 4 2kV for power Supply lines 1 for input output lines 1kV line s to line s 2kV line s to earth 5 07 gt 95 dip in L1 for 0 5 cycle 40 07 BO dip in LT for 5 cycles 70 L4 30 dip in Ur for 25 cycles 5 07 gt 95 dip in LT for5 s Electromagnetic environment Compliance level guidance 6 kV contact 8kV air 4 2kV for power Supply lines 1 for input output lines 1kV differential mode 2 common mode lt Us gt 95 dip in L1 for 0 5 cycle 40 07 BO dip in CT for 5 cycles TO LY 30 dip in CT for 25 cycles 5 Ur gt 95 dip in L7 for s NOTE Uris the a c mains voltage prior to application of the test level 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 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
8. 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 Do not pour the disinfector on its surface while sterilization 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 Never use this machine in an environment with inflammable gas Avoid being hit by lightning The power cable should be plugged into an outlet with grounding wire Do not use an outlet with poor condition If possible use power supply system with manostat It must be used in a clean environment protected against shock Keep it away from corrosive substances explosive substances high temperature and dampness If it is installed in a cabinet make sure the installation allows for good ventilation and easy to maintain observe and operate 65 User Manual for Patient Monitor 11 4 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 use Do not use damaged accessories Accessories can not be entirely immerged into water liquor or cleanse
9. ENG English Portuguese CSK Czechish TRK Turkish and FRA French For the special configuration without the secondary language the display language is always ENG English and this setting item 15 gray so that it can not be set 30 User Manual for Patient Monitor 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 Frze Freeze controls the waveforms being frozen when the Freeze button is pressed The options are and ECG When ECG is selected the system only freezes the ECG waveform When is selected the system freezes all the waveforms including ECG SpO and Respiration The factory default is ECG Print PC42 is the type of the built in printer can not be adjusted Timer The timer is the time setting for timed printing when the printer setting is ON The unit is minutes The options are OFF 1 2 3 240 OFF shows the no timed printing If a timed minute is selected the printer will print the current data waveform at the preset interval specified at the timer The factory default 15 OFF Wav2 The second waveform to be printed when the Printer setting is internal printer PC42 The options are pleth SpO Respiration The default is SpO ARR the setting for arrhythmia trigged printing when the Printer setting is ON If ARR is ON during the
10. i 20 241 2 6 32 1 20 164 2 6 21 8 20 109 2 6 14 5 pra Mish limit 11 232 1 4 30 9 11 150 1 4 20 0 11 100 1 4 13 3 10 231 1 3 30 8 10 149 1 3 19 8 10 99 1 3 13 2 12 NIBP alarm tolerance 1 067 kPa 8mmHg m it 20 S 1 High limit 21 242 2 8 32 2 21 165 2 8 22 0 21 110 2 8 14 6 it it it 7 5 SpO Monitoring 1 Transducer dual wavelength LED Wavelength Red light 660 nm Infrared light 905 nm Maximal optical output power less than 2mW maximum average 2 SpO measuring range 0 100 3 SpO measuring accuracy not greater than 2 for SpO range from 70 to 100 NOTE accuracy defined as root mean square value of deviation according to ISO 9919 4 Low perfusion performance the declared accuracy is sustained when the pulse amplitude modulation ratio is as low as 0 4 5 SpO alarm limits setting range High limit 1 100 Low limit 0 99 6 SpO alarm tolerance not greater than 2 for SpO alarm range from 70 to 100 NOTE is SpO percentage 7 6 Pulse Rate Monitoring 1 Pulse rate measuring range Obpm 250bpm 2 Pulse rate monitoring accuracy not greater than 2bpm for pulse rate range from 30bpm to 250bpm 3 Pulse rate alarm limits setting range High limit lbpm 300bpm Low limit Obpm 299bpm 4 Pulse rate alarm tolerance 1 bpm or 1 whichever is greater 48 User Manual for Patient Monitor 7 7 CO
11. 57 57 9 2 2 Factors affecting NIBP measuring tette tette tete rettet orao o 58 IIIS T 59 E outta 60 9 3 1 Measuring Principle cccccccccccscscsccscssscsscssssececscssescscsvecussssssesesveueusassescscsveneasasscscscsveneusasatsesesvsueasarataesesvereacataeeee 60 9 3 2 SpO gt Measurement Restrictions interference reason 60 EISESPIBEATION MONITORING up e Pes attese cec diu uiv tp hU tva 61 9 4 1 Measuring Principle SRRRRRRRRRRRRRRRRRRRRRRMMMEMMMEMEKNF KY tctMMMMMMMMMMKN NEWEKkkuybx 61 9 4 2 Factors affecting respiration monitoring wisi sini saris tates cca i Gaii cca aie Uv Ca ai Eo C onu RC 61 DO TEMPERATURE MONITORING reinis vietata RR cap dod uode 61 ORTOS DIC 61 9 6 1 Measuring Principle RTT Ru 61 9 6 2 Mainstream vs Sidestream Sampling 62 VII User Manual for Patient Monitor CHAPTER 10 TROUBLESHOOTING eere ee eee eeu oo eee ee eoo ree ee eon ee ee eon ee eee oe 63 TOT INOCDISPEAY ON THE SCREEN aida esed E 63 10 2 EXCESSIVE ECG SIGNAL INTERFERENCE OR THICK BASELINE eene 63 10 3 NO BLOOD PRESSURE AND PULSE OXYGEN MEASUREMENTS 63 TOA SYSTENUATARM o
12. Dex M Age Time Exit Exit Figure 4 33 Document Management Screen The document patient management screen can be used to manage information about the patient In the screen the operator can enter 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 4 33 ID or Patient ID To enter patient ID choose the patient ID field using the rotate knob Press the rotate knob 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 to be deleted and rotate the knob to enter spaces after the Z 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 name Bed Enter the bed number Sex Choose between M or F for male or female Age Choose the age field and use the rotate 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 The factory default is OFF Time Use the Navigation Knob to set the time of data saved Save is not available if the Time is 0 Disk M
13. Qd eed des Lodo ocu 63 CHAPTER 11 MAINTENANCE ters Bevetqto veeesevaeeveb avesse vo tosveeeseveseseeeoveves 64 DEC PROTECTIVEANLESINTENANGCES e ioc tart aei Cub Uu hes os 64 1 2 BATTERY MAINTENANCE sorio e duh eI Oase duet meti pU Med dita deu lUe DU Tu ED tee 64 11 3 CLEANING STERILIZATION AND DISINFECTION OF THE MONITOR ecce eene nnne nenne 65 11 4 CLEANING STERILIZATION AND DISINFECTION OF ACCESSORIES eee ns 66 STORAGE cise uote hee S ace 66 11 6 TRANSPORTATION E 66 CHAPTER I2 APPENDDEN 67 PAN IP NE USB INFORMATION Rp 67 12 2 DEFAULT ALARMING VALUES AND SETUP RANGE estne nnne sese ann resta aaa 68 I2 3 ABBREVIATION OBEAXRRHY THEMEN td EP a MI MEE 70 12 4 STATUS ERROR DURING NIBP MONITORING eese nnne 71 12 5 STATUS ERROR DURING CO MONITORING 72 12 6 TYPICAL PRESSURES AND CO READINGS AT ALTITUDES ecce e e he nennen rentre reete esee 73 12 ING GESSORIES eerie per tb quur merde ttes e tere vu FRE dora muse datus 73 12 5 INSTRUCTIONS EOR SPO PROBE caus hod
14. 74 User Manual for 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 5 and pulse rate monitoring for patients weighing greater than 50kg Contraindications This sensor is 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 is 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 Direct 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 15 not available other fingers can be used V7 ECT et 3 Plug the sensor into the lt oximeter verify proper operation as b described in the user manual A 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 wit
15. C 50 0 C 2 TEMP measuring accuracy not greater than 0 2 C for TEMP measuring range from 25 0 C 45 0 C 3 TEMP responding time lt 150s 4 TEMP alarm limits setting range high limit 0 1 C 60 0C low limit 0C 59 9 C 5 TEMP alarm tolerance 0 1 6 Temperature unit C Celsius or F Fahrenheit 7 4 NIBP Monitoring 1 Measuring method Oscillometric Technique 2 Automatic mearurement interval 1 480min tolerance 10s 3 Cuff inflation time lt 10 seconds typical adult cuff 4 Measurement time on the average 90 seconds 5 Air release time while the measurement is canceled lt 2 seconds typical adult cuff 6 Initial cuff inflation pressure Adult 175 mmHg 23 3kPa Infant 135 mmHg 18 0 kPa Neonate 65 mmHg 8 6 kPa Tolerance 5mmHg 0 67 kPa 47 User Manual for Patient Monitor 7 Overpressure protection limit Adult lt 300 mmHg 39 9 kPa Infant lt 2240mmHg 31 9 kPa Neonate 150 mmHg 19 9 kPa 8 NIBP measurement range aus 40 275 40 200 40 135 5 3 36 7 5 3 26 7 5 3 18 0 DI 9 NIBP accuracy Maximum mean difference lt 5 mmHg 0 67kPa Maximum Standard deviation lt 8 mmHg 1 067 kPa 10 Measurement mode Manual Auto STAT 11 NIBP alarm limits setting range Pressure unit sys High limit 30 280 4 0 37 3 30 200 4 0 26 6 30 135 4 0 18 0 29 279 3 8 37 2 29 199 3 8 26 5 29 134 3 8 17 8 8 32 2 2
16. Monitoring 1 Technology Infrared absorption method 2 Mode of Sampling Sidestream or Mainstream 3 CO Response Time Sidestream 3seconds including transport time and rise time Mainstream 60ms rise time 4 Warm up Time Not less than two minutes 5 measurement range 0 150mmHg OkPa 20kPa 6 CO Accuracy 0 A40mmHg OkPa 5 3kPa 2mmHg 0 26 41 70mmHg 5 5kPa 9 3kPa 5 of reading 71 100mmHg 9 4kPa 13 3kPa 8 of reading 101 150mmHg 13 4kPa 20 0kPa 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 8 CO alarm limit setting range High limit 0 1 mmHg 150mmHg OkPa 20kPa Low limit 0 mmHg 149 9mmHg OkPa 19 9kPa 9 CO alarm tolerance l1mmHg 0 1 7 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 35 Diagnostic mode gt 3 25 7 9 Other Technical Specifications 1 Electrosurgical interference suppression To a certain extent this monitor can resist against the interference from electrosurgical unit 2 Audible alarm High priority A chain of 10 beeps with pause intervals in such way x x 2x td x 15 x x 2x td x 15 where pulse interval 100ms td beep d
17. SpO sensor connector ECG RESP ECG cable connector 1 2 3 TEMP Temperature probe connector 4 5 CO Cable connector of CO sensor module 6 Battery cover remove the cover to install or change rechargeable battery Factory default two rechargeable batteries 12V 2 3Ah battery specification FB 12V 2300mAh TO AVOID BATTERY DAMAGE ALWAYS REMOVE BATTERY S BEFORE SHIPPING OR STORAGE With Type BF applied parts let With Type CF applied part and applicable during the defibrillator is used Caution Please read the manual for details User Manual for Patient Monitor 3 1 3 Back Panel Figure 3 4 Back panel The back panel of the monitor includes the following 1 MONITOR External monitor port 2 NET Communication port which is used to network with central monitoring system 3 v Equipotential grounding port 4 FUSE 2XT3 15A Fuse holder fuse specification T3 15AL 250V 5 x 20mm 5 AC 100V 240V Power supply socket 6 S N Serial Number 7 Nameplate S N M een EC REP Authorised representative in the European community wd Manufacturer including address and date Disposal of this device according to WEEE regulations Sn User Manual for 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 sor
18. 30 2 0 FiScreon DEST U ON uo e e e t ette LA 30 dq 92 Stem ParametermseliiJe stesse dE 30 20 GG 31 2 04 Respiration Parameter SCUINGS 32 4 9 5 Temperature Parameter Settings ic ee p He 33 gU DN TBI PAV GIN CLOTS seas 33 SDO M araneo SAUNE S ie tuetur teint DIE tu ee T Eur LM D UR 34 QU sse EUM iM dE cC dm C 34 T IO C OLOR SETTINGS CREEN du ca Sa eter ais RM ee tench A bic 34 4 11 DOCUMENT PATIENT MANAGEMENT SCREEN ecce eene nnne nennen nter nnne 35 Sx COS PARAMETER OF FUINGS eec tu o RED t a n e au LO Peta M US Ea MU EU m Pc ENS 36 92 Os SENSOR CONNECTION ictal leote te 37 Dd Siaestreamt COs Sensor C onne CIO Sea he EL E 37 2 Ma ICON COS EHSOFC ONMCCTION ettet EE MEM IEEE ase es DIEA eee 36 23 950 S MONITORING SCREEN ek ne a nobel t 4 uL Qd qoM ds 42 OT ALARM aded iint sakes 43 OZ ALARMMODE S rrr dm 44 ERSTE Va SEENE e ERE 44 esse 45 VI User Manual for Patient Monitor 6 5 VERIFY ADJUSTABLE ALARM FUNCTION RUE MATE I MN MT I O MM 45 CHAPTER7 TECHNICAL SPE
19. ARR screen the arrhythmia will trigger the printing of the arrhythmia waveform The factory default is OFF Vol The sound volume The max volume is 7 and the min is i e no sound The factory default is 5 Key keystroke sound The factory default is ON 4 9 3 ECG Parameter Settings Lead W Gain xi Speed 25 HR Hi 180 Mode MON Pace OFF Im OFF Lof 40 Notch 50Hz Grid Exit m MEM Figure 4 26 ECG Settings Lead Can choose from I II III AVR AVL V V1 V6 and GND The factory default is II 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 Speed ECG waveform sweeping 4 options 6 25 12 5 25 50 mm s The factory default is 25 mm s HR Hi Heart rate upper alarm setting Lo Heart rate lower alarm setting The adjustable range and the factory default value can be found in Chapter 11 lt gt Mode filter mode Three options MON DIA and OPE MON Monitoring mode moderate filtering It can filter out interference and present good ECG waves DIA Diagnosis No filtering It represents the true ECG without filtering OPE Operation Deep filtering It can filter out strong interference The factory default is MON zw User Manual for Patient Monitor BtSnd Heart beat sound The synchronous heart beat sound during monitoring The factory default is ON lt ImV Ge
20. 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 SpO5 and pulse rate monitoring for patients weighing greater than 40kg Contraindications This sensor is 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 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 cu AEE that the cable is We i gt AJ Bh positioned along the top of the hand C ca 5 Plug 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 isopropyl alcohol If low level disinfection is required use a 1 10 bleach s
21. Hist Delete Exit Figure 4 21 Recall List Rotate the knob and choose Recall HIST Delete and Exit button We explain each button s function below Recall press the Recall button the first list on the recall listings becomes highlighted Rotate the knob to choose the record Press the knob to perform the recall The recalled waveform displays on the 27 channel of the waveform area as shown in Figure 4 22 Recall HR 80 II Time 09 08 16 gt gt Figure 4 22 Waveform Recall Rotate the knob to move forward and backward of the recalled waveform Press the knob to exit the waveform recall and return to the initial state of the waveform recall screen During waveform recall the system not only displays the current recalled waveform it also displays the lead status gain and filter type for the waveform HIST press this button to switch the button between the history button and current button Press the History button the recall listing on the left side displays the history listing Press the Current button the recall list on the left side displays the current listings When entering the recall screen the system defaults to the current listing Delete press this button the record on the recall list become highlighted Rotate the knob to choose the record being deleted Press the knob and hold for 2 seconds and release the knob The record will be deleted The current record cannot be deleted Exi
22. Pressure Diastolic Mean Systolic Central Venous Pressure Diastolic lt e gt 69 User Manual for Patient Monitor 12 3 Abbreviation of Arrhythmia 1 2 3 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 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 VE INSERT SVE INSERT VE RONT SVE RONT 70 User Manual for Patient Monitor 12 4 Status Error during NIBP Monitoring Cuff error 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 cuff is not wrapped correctly or is not connected Air moving part tube or 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
23. The value below 36 5 is the temperature values Body temperature unit and value When it shows TEMP C the temperature is in Celsius when it shows TEMP F the temperature is in Fahrenheit Time of NIBP Measuring Value of Systolic Pressure Value of MAP Value of Diastolic Pressure Valuc of Pulse Fate Mode of Figure 4 5 NIBP data area NIBP Data SYS DIA The blood pressure type labels and the measured value lt 09 08 The time of NIBP measuring lt The NIBP measurement mode Manual mode lt gt 62 Value of Pulse rate sp mark Pl value SpOZ value PI mark Histogram of 5pOZ intensity Pulse rate mark Respiration rate mark Respiratory Syne mark Value of RR RESP waveform gain X1 Figure 4 6 Respiration SpO PR Data Area SpO SpO mark the 99 on the right is the current SpO value being measured lt Perfusion index mark 5 8 is perfusion index value E SpO intensity bar Pulse rate label The value 62 on the lower right shows the pulse rate value 90 User Manual for Patient Monitor Respiration Rate The bpm after that is the unit of the respiration i e beat per min When there is no respiration wave detected the screen will display in searching u Respiratory Sync mark it is synchronized with respiratory wave
24. 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 poor blood perfusion in the 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 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
25. alarm If the alarm is sent out according to your setting it means the alarm function is effective 45 User Manual for Patient Monitor Chapter7 Technical Specifications 7 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 Ibpm whichever is greater 4 Alarm limits setting range high limit 350 bpm low limit Obpm 349 bpm 5 Alarm limit setting resolution Ibpm 6 Heart rate averaging Average of recent eight heart beats intervals within specified range update rate every second 7 Heart rate alarm delay time lt 10s 8 Response time to change in heart rate Change from 80 bpm to 120 bpm lt 10 sec Change from 80 bpm to 40 bpm lt 10 sec Change from 80 bpm to 0 bpm 0 sec 9 Tall T wave rejection Rejects all T wave less than or equal to 120 of ImV QRS 10 Pacemaker pulse rejection Rejects all pulses of amplitude 2mV to 700mV and duration 0 1 to 2 ms without overshoot 11 Sensitivity selection AUTO Automatic scaled waveform 1 4 2 5mm mV tolerance 5 x1 2 5mm mV tolerance 5 xl lOmm mV tolerance 5 x2 20mm mV tolerance 5 x4 40mm mV tolerance 5 12 Sweeping speed 6 25mm s 12 5mm s 25mm s 50mm s tolerance 10 13 ECG noise level lt 30uVp p 14 ECG input loop current lt 0 1uA 1 Un Differential input impedance gt SMQ 16 Common mode rejection r
26. appear 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 cuff to other positions Doctor should examine this timely The time of the automatic pattern noninvasive blood pressure measurement pulls too long then body connected with the cuff possibly have the purpura lack the blood and the neuralgia When guarding patient it is a must to inspect the luster warmth and sensitivity of the body far end frequently Once any exception is observed please stop the measurement immediately The subject should lie on the back so that the cuff and the heart are in a horizontal position and the most accurate measure will be taken Other postures may lead to inaccurate measurement Do not speak or move before or during the measurement Take care to avoid that the cuff will be hit or touched by other objects The measures should be taken at appropriate intervals Continuous measurement at too short intervals may lead to pressed arm reduced blood flow lower blood pressure and inaccurate measurement 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 fai
27. is turned off lt ns The label of inhalational CO the 3 0 on the lower right is the value of inhalational The label and the value will become gray when is turned off 16 Respiration rate It will display the respiration rate of when the switch is turned on X2 Respiration gain amplification 1 2 half of the basic waveform basic waveform X2 Twice the size of the basic waveform X4 4 times of the basic waveform 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 SETUP CO Switch 1s set as monitoring function is available 5 4 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 4 5 Graphic Trend Screen for detailed instructions and operations 2603 6 EtCO2 38 Cursor 1 1 5h 3h 4 5h 6h Exit Time TEMP EtCO2 E E 62 16 99 61 868 EtCO Graphic Trend 42 User Manual for Patient Monitor Chapter 6 Alarm 6 1 Alarm Priority High Priority Over FR imit Over RR limit Over TEMPI limit Over TEMP2 limit Over SpO limit Over PR limit Over NIBP SYS limit Over NIBP DIA limit Over
28. means this device is using mains power supply v DC build in battery indicator When DC indicator is on it means the battery is being used when both of AC indicator and DC indicator light are on it means that this device is using mains power supply and the battery is being recharged A LEAD switch Click it to shift the ECG monitoring circulatory among aVMRIIAVIL aVF V and GND J amp ALARM Press this key to setup the alarm function In monitoring screen press this key to set the alarm silence time The time shows on the upper left corner The system starts count down after the alarm silent time is set and will activate the alarm when the count down ends The alarm silence time has 4 settings 2 min 5 min 10 min and 20 min or in alarm DO NOT silence the audible alarm or decrease its volume if patient safety could be compromised 10 11 User Manual for Patient Monitor Navigation Knob By rotating the navigation knob the operator can choose the function and parameters By pushing down and releasing the knob the operator can switch screen confirm operations The majority of the operations of the monitor are performed by using navigation knob FREEZE Press this key to freeze ECG waveform or ECG SpO and RESP waveform based on the freezing settings in the system It also enters the ST segment manual analysis screen NIBP Press this key to start NIBP measurement Press it again to stop me
29. measurement at a certain interval 3 Stop automatic measurement In the procedure of automatic measurement press the NIBP key at any time the measurement will be stopped 4 STAT measurement Enter into the screen of NIBP settings select Cycle option and set as STAT the STAT measurement will be taken This procedure will last for 5 minutes 5 Stop STAT measurement on the halfway In the procedure of STAT measurement press the NIBP key at any time the measurement will be stopped 59 User Manual for Patient Monitor 9 3 SpO Monitoring 9 3 1 Measuring Principle Based on Lamber Beer 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 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 carboxyhemog
30. of the last measurement of systolic pressure In this way when the blood pressure rises or the subject is changed the blood pressure meter may fail in giving the result after the first time inflation This monitor will automatically adjust the inflation pressure until the measure is taken after that up to four measures will be allowed 6 When an adult subject is monitored the machine may fail in giving the blood pressure measure if the infant or neonate mode is selected 58 User Manual for Patient Monitor 9 2 3 Clinical Limitations 1 Serious angiospasm vasoconstriction or too weak pulse 2 When extremely low or high heart rate or serious arrhythmia of the subject occurs Especially auricular fibrillation will lead to unreliable or impossible measurement UJ Do not take the measurement when the subject is connected with an artificial heart lung machine P Do not take the measurement when the subject uses diuresis or vasodilator 5 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 6 Subject with hyperadiposis In addition statistics show that 37 people report blood pressure difference of no less than 0 80kPa 6mmHg between left and right arms and 13 people report difference
31. pressure to be inflated initially its range is different depending on patient type for neonates initial inflation pressure 60 70 80mmHg default setting 70 mmHg for infants initial inflation pressure 80 100 120 140 mmHg default setting 100 mmHg for adults initial inflation pressure 80 100 120 140 160 180 200mmHg default setting 150 mmHg 4 9 7 SpO Parameter Settings opO Setup SpO2 Hi 100 PR Hi 180 Lo 90 Lo 40 Exit Figure 4 31 SpO Settings SpO Hi Lo SpO upper and lower alarm settings adjustable 1 100 0 99 Pulse Hi Lo Pulse rate upper and lower alarm settings adjustable 21 250 20 249 4 9 8 Resume Default System parameters default key Move the cursor to DEF press the Navigation knob for 2seconds all the value of parameters will resume default except the setting of language and printer type 4 10 Color Setting Screen Color Menu mm mmm mm ECG opO NIBP RESP TEMP CO Back Figure 4 32 Color Setting Screen 34 User Manual for Patient Monitor In this screen rotate the knob to choose the color press the knob and rotate it to change the color When the appropriate color is chosen press the knob again to save it Press the Exit to exit this color settings screen Only the background color BACK can use the color black The background color can not be the same as other color 4 11 Document Patient Management Screen File Manager bed
32. 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 is seen If the adapter 15 clean perform a Capnostat Zero The Sensor not Ready One of the following conditions exist Sensor under temperature Temperature not stable 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 limit 150 mmHg 20 0 kPa or 19 7 90 The maximum value output is the upper CO limit Usually caused when the airway adapter is 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 Req
33. switched on without being connected to the AC power socket it may not work properly due to insufficient power supply 3 2 3 Starting the Monitor The system performs self detection and enters initial display after the monitor 1s switched on and the orange 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 at least 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 Restart the monitor 1 minute later after it is switched off User Manual for Patient Monitor 3 3 Connection 3 3 1 ECG Connection ECG measurement 15 to collect the ECG signals 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 i 1 Connect the cable to the right panel connector marked with 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 met
34. the attempt fails refer to the dealer in your local area or the manufacturer The service should be performed by a professional electrician Do not open the machine by yourself 10 1 No Display on the Screen 1 Shut down the machine and unplug the power Use a universal multi meter to check if the outlet has proper voltage if the power cable is in good condition and if the power cable is properly connected with this apparatus or the outlet Remove the fuse from the back cover of this machine and make sure it is in good condition 2 If the trouble still exists loosen the screws fastening the top cover of the machine and open the top cover Check if the signal plug of the monitor is properly connected with the Type D jack on the right side of the display card 10 2 Excessive ECG Signal Interference or Thick Baseline 1 Check if the plate electrodes are properly located and if valid plate electrodes are used 2 Are the lead wires properly inserted If no ECG curve is displayed check if ECG lead wires are broken 3 Does the mains outlet have standard grounding wire 4 Is the exclusive grounding wire of the apparatus properly grounded 10 3 No Blood Pressure and Pulse Oxvgen Measurements 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 front panel Check if the indicator of the pulse oxyg
35. 00 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 5000 Patient Monitor is used exceeds the applicable RF compliance level above PC 5000 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 5000 Patient Monitor b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3V m 53 User Manual for Patient Monitor Table 4 Recommended separation distances between portable and mobile RF communications equipment and the equipment or system for EQUIPMENT and SYSTEM that are not LIFE SUPPORTING PC 5000 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
36. 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 Sensor Cable Mainstream CO Sensor P RN Adapter To Patient Safety Introductions for CO Monitoring 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 230 42 VS 4 4 4 4 7N 7N VIS TIN TN IN User Manual for Patient Monitor 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 Inspect the sid
37. CIFICATIONS e eee eee e ree eno eee 46 EP OS Qe C E 46 RZRESPMONITOR INCORRUPTE ECTR ET 47 T3 TEMP MONITORING at dct N oct aia nara daa sea DU d 47 TANIBP MONITORING hene aea idu t stt Tiel Londen eiat to odo 47 A EN MONO FEIN Grae e etu ea 48 PEESEASATE MONFPPORENG iSo ioca queph doro Oca qua pta mM 48 Tat CO MONEILORING 49 JS DATA RECORDING 49 T9 OTHER TECHNICAL SPECIFICATIONS naniii an NEP de eu bar 49 PIOC CTAS SU AION Lr 50 7 11 GUIDANCE AND MANUFACTURER S DECLARATION ELECTROMAGNETIC COMPATIBILITY 51 CHAPTER 8 PACKAGING AND 55 DEACKAGINGO odere Me emque UN I ume UE UE 29 DPA RECIEN NND ml 55 CHAPTER 9 PARAMETERS MONITORING eee ee ee eere no eene onere oon eeeeuoe 56 Dd ECCHNIONDIIORING tds ue eM unis n tassa thia cies ai ttum 56 9 1 1 How to Obtain High Quality ECG and Accurate Heart Rate Value eee 56 01 2 Pactorsaficoting EC G chet espe pep ce 56 JZ NIBP Nc
38. Make sure that the monitor is grounded properly Pay close attention to the fluctuation of the local power supply voltage A manostat is recommended 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 After each maintenance or the yearly maintenance the monitor must be thoroughly inspected by qualified professional 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 VIZ 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 11 2 Battery Maintenance VIZ Please pay a
39. NIBP MAP limit Over EtCO limit Over InsCO limit Over TD 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 Sensor Over Temp Sensor Faulty Zero Required CO Out of Range Check Airway Adapter Check Sampling Line The Sensor Off Low Priority Other arrhythmia phenomenon Except ECG VPCEST VE RONT and SVE RONT refer to 12 3 Abbreviation of arrhythmia for details 43 User Manual for Patient Monitor 6 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 Yellow flashing Medium priority alarm Yellow light Low priority alarm Constant on non flashing 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 Note Visual alarm indicators can not be suspended or removed Audible alarms may be decreased in volume or silenced 6 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 f
40. Svstolic High limit 180 mmHg 130 mmHg 110 mmHg 60 mmHg 50 mmHg 50 mmHg NIBP Diastolic High amit 120 mmHg 90 mmHg 90 mmHg 50 mmHg 40 mmHg 30 mmHg MAP High limit 160 mmHg 110 mmHg 100 mmHg 50 mmHg 40 mmHg 30 mmHg S50 High limit 100 100 100 diis Highlimit 180bpm 200 bpm 220bpm pulses ig EXE 180 bpm 200 bpm 220 bpm 40 bpm 50 bpm 50 bpm High Limit 1 00mV 1 00mV 1 00mV ST Segment uU 1 00mV 1 00mV 1 00mV Temperature Difference High limit 200mmHg 160mmH g 140mmH g 10mmHg 10mmHg 10mmHg Arterial DIA High limit 200mmHg 160mmHg 140mmHg Pressure 10mmHg 10mmHg 10mmHg High 200mmHg 160mmHg 140mmHg 10mmHg 10mmHg 10mmHg SYS High limit 120mmH g 100mmH g 90mmHg 10mmHg 10mmHg 10mmHg Pulmonary TON DIA High limit 120mmH g 100mmH g 90mmHg 10mmHg 10mmHg 10mmHg High 120mmHg 100mmHg 90mmHg 10mmHg 10mmHg 10mmHg SYS High limit 30mmHg 30mmHg 30mmHg ni Highlimit 30mmHg 30mmHg 30mmHg Venous High 30mmHg 30mmHg 30mmHg Pressure M limit 30mmHg 30mmHg 30mmHg Low limit _ Respiration _High limit 60 rpm Rate High limit 70 mmHg 70 mmHg 70 mmHg 10 mmHg 10 mmHg 10 mmHg High limit 10 mmHg 10 mmHg 10 mmHg InsCO T Artery Pressure 68 User Manual for Patient Monitor The high and low limits setting range puma __ AN Parameter High limit 1 350bpm 1 350bpm 1 350bpm Heart Rate m 0 349bpm 0 349bpm 0 349bpm pn High limit 1 120rpm 1 150
41. User Manual for Patient Monitor WE CREATIVE MEDICAL Patient Monitor PC 5000 User Manual User Manual for 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 5000 Patient Monitor The Manual describes in accordance with the PC 5000 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 1n 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 Ver 2 0 Revised date August 21 2012 All rights reserved Marks in the Manual Warnings must be followed to avoid endangering the operator and the patient w Notes contains some important information and tips a
42. When rotating knob clockwise the list scrolls down 1 e use the arrow to scroll the data All the parameters in SpO data list are corresponding to the time when the 5 measurements were taken There is only one record every 4 seconds 4 6 Trend Screen 4 6 1 Screen Description Move the gray cursor to the Trend button press the knob you will get the trend menu screen as shown in Figure 4 13 Trend menu HR RR TEMP 5 02 PR NIBP Etco Exit Figure 4 13 Trend Menu If you want to enter one of the trend graphs the procedures are rotate the knob move the cursor to one of the parameter For example from the left to right we are entering Heart Rate Respiration Rate Temperature 5 and NIBP trend graphs Theses screens are described in the following Figures 120 T 6 HR on d 1 5h 3h 4 5h 6h Exit Time ID HR RR opu TEMP sings 90094 62 14 99 61 36 6 40 4 Figure 4 14 Heart Rate Trend Graph Figure 4 14 1s the heart rate trend graph There are 3 options on the right of the graph as described below The 6 on the top shows the trend graph time Move the cursor to the trend time press the knob and rotate it and the trend graph time will change to 24 120 or 480 which changes the horizontal coordinates to be 24 hours 120 hours or 480hours The corresponding trend gr
43. 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 output power of 150kHz to S0MHz 8O0MHz to 8300MHz 2 to 2 5GHz transmitter d 12 JP 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 is 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 54 User Manual for Patient Monitor Chapter 8 Packaging and Accessories 8 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 see the packaging Dimensions 500mm x 320mm x 460mm 8 2 Accessories 1 ECG lead cable One set 2 NIBP cuff One set 3 SpO probe One piece 4 Body surface temperature probe One piece 5 Power cable One piece 6 Grounding w
44. aker 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 The improper connection with electrosurgical unit may not only cause burns but also damage the monitor 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 them with the patient properly No predictable hazard will be caused by the summation of leakage currents when several item of monitor 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 overload of ECG module or saturation of any part of the amplifier it will prompt Lead off to remind operator 10 User Manual for 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 the cuff and wrap it around patient s upper arm Requirements of the cuff 1 Appropriate
45. al 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 disconnect the CO sensor from the patient monitor VIS was Disposal of the 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 5 3 CO Monitoring Screen ADUL 9012 08 17 09 21 54 Time SYS DIA MAF PR RR ETCO2SpO2 08 17 09 08 15 100 08 17 08 57 35b 10 15 99 08 15 13 48 15 gg 08 15 09 19 32 i 16 99 08 15 09 04 15 99 08 15 08 42 14 100 Push Knob for system menu adi User Manual for Patient Monitor Waveform area 5 5 trace CO waveform It can be respiration waveform or CO waveform Data area FICO RR 38 41 116 3 0 RR EtCO and Ins Data Area lt Respiration Rate The rpm after that is the unit of the respiration i e respiration per min lt gt 38 1 The label and value will become gray when CO
46. alarm sound is also off lt ECG Lead selection I aVR aVL aVF V V1 V6 and GND can be selected by LEAD switch MON ECG Filter type There are Diagnosis Monitor and Operation three types The option can be set in the system setup menu lt Adult The patient type There are three selectable patient types Adult Infant and Neonate 18 User Manual for Patient Monitor lt 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 meanwhile 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 this 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 lt 2012 08 17 09 17 43 Current calendar time and date The current Figure shows the time and date of August 17 2012 09 17 43 lt Push knob for system menu System prompt or description for the current status ZYX Patient name The patient name can be entered or changed in the archive management window lt 000004 The patient ID The patient ID can be entered or changed in the a
47. als 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 for 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 because skin preparation is helpful to remove the non conductive skin layer The symbol indicates that the cable and accessories are designed to have special protection against electric shocks and be defibrillator proof The locations of the electrode are in the following Figure Figure 3 5 Locations of Electrodes Note If skin rash or other unusual symptoms develop remove electrodes from patient 5 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 It might not display ECG wave with 3 leads The 5 leads should be used to have ECG wave User Manual for Patient Monitor 6 The ECG leads and their corresponding locations are as follows Symbol Posi
48. anged or the arrhythmia detection is incorrect the arrhythmia detection needs re learn to build up pattern To better use the learn function it is recommended to use a good ECG waveform for learning during the monitoring Exit press this key to exit the arrhythmia detection screen and return to the system menu During monitoring if arrhythmia is detected the system will alarm The ARR 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 testing please turn off ARR 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 make sure the correct ECG model is used Otherwise please re learn arrhythmia 2995 User Manual for Patient Monitor 4 9 The Menu Setup Screen of the System 4 9 1 Screen Description During the Mode Selection screen move the cursor to the SETUP and press the knob The screen shows the system setting screen as shown in Figure 4 24 oystem setup PRINT ECG RESP TEMP CO NIBP RESET Exit Figure 4 24 System Settings To set up the system parameter rotate the knob and move the cursor to the corresponding button press the knob to perform the corresponding system settings Press
49. aph also changes to 24 hour trend 120 hour trend or 480 hour trend After choosing Scan the trend graph display a triangle and a vertical line This is a moving data marker As shown in the picture when you move the marker to a specific point the data area below the graph will display the marker s time and its corresponding patient ID heart rate respiration rate 5 temperature When rotating the knob to move the marker the moving interval is a changing value The rule is as following the initial step is 1 After you move towards the same direction 5 times the interval becomes 5 after 5 more steps the interval becomes 10 and therefore it can go to 20 40 No matter what your interval is as soon as you move toward the other direction the interval becomes 1 on 25 User Manual for Patient Monitor the other direction Therefore it is very easy to find the time you are looking for The last button 1s Exit Move the cursor to the Exit button and press the knob to return to the previous level screen The screen returned to the Trend menu screen as shown in 4 13 Please note that the max value on the vertical axis of the ECG is 120 not the max value of the ECG upper limit The scaled down graph provide better waveforms When the ECG value exceeds 120 the vertical axis max value will automatically change to 240 The three value to change to 0 120 240 from 0 60 120 for reference When system gets reset or the patie
50. ardware dual excess air pressure protection function Special SpO measuring device which ensures the accuracy of SpO and pulse rate measures Unique file management which enables recording modifying deleting and saving operation of patient s information Precise alarm system different alarm events adopt different alarm degrees 3 degrees visual and audible alarm function Flexible high and low alarm limits setting function Resistance against defibrillator and electrosurgical knife interference Cardiac pacemaker restraining function enables the monitor to be used along with cardiac pacemaker Blood pressure may be measured in the mode of adult infant neonate which may be selected via the menu to better suit the adult or infant or neonate patient Built in printer optional to output waveforms and text Networking with the central station as a part of the central network Easy to color code and change the color of the font background and waveforms if needed Battery power indicator which enables real time battery power detection and displays the battery power User Manual for Patient Monitor 1 2 Product Name and Model Name Patient Monitor Model PC 5000 1 3 Applications and Scope This Patient Monitor is a multi functional instrument designed for monitoring the vital physiological signs of adult and pediatric patients With the functions of real time recording and displaying parameters such as ECG heart rat
51. asurement PRINT Press this key to print different waveforms on different screens In the main screen archive file management screen color setting screen it prints the ECG waveform SpO waveform or respiration waveform In the NIBP data listing screen it prints the NIBP data list In the SpO data listing screen it prints the SpO data list In the Trend screen it prints the system trend graph In the System menu it prints the system parameter settings In the Recall screen it prints the Recalled data list or prints current lead s ECG waveform and Recalled waveform In ARR monitoring screen it prints the ARR data list or current lead s ECG and the arrhythmia data DISP Display Press this key to switch between initial monitoring screen and Observe Screen and press it again to return to the main screen from other screens Alarm indicator Indicator Color Alarm Level Alarm Event Red flashing High priority alarm Exceeding the limits pulse stop or suffocation Yellow flashing Middle priority alarm Leads and probe off VE RONT and SVE RONT Yellow light Low priority alarm Other arrhythmia phenomenon User Manual for Patient Monitor 3 1 2 Left and Right Side Panel Figure 3 2 Left panel Figure 33 Right panel The built in printer is on the left panel as shown in Figure 3 2 The right panel of the monitor hosts the patient cable and probe jacks as shown in Figure 3 3 NIBP NIBP hose connector SpO
52. atio CMRR Diagnostic mode gt 90dB Operation monitoring mode gt 105dB 17 Frequency response Operation mode 1 Hz 20 Hz 0 4d m 2 0 d BJ Monitoring mode 0 67 Hz 40 Hz 0 4d B 2 0d B Diagnostic mode 0 05 Hz 150 Hz 0 4d s 2 30d BJ 46 User Manual for Patient Monitor 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 respiration Applied current less than 0 05 microamperes leads off sensing and active Waveform sine wave noise suppression Frequency 75 kHz A Ventricular bigeminy 80BPM A2 Slow alternating ventricular bigeminy 60BPM Response to irregular rhythm A3 Rapid alternating ventricular bigeminy 120BPM A4 Bidirectional systoles 90BPM Waveform B1 Amplitude Average Time to Alarm 0 5 mV lt 12 sec 1 mV lt 12 sec Time to ALARM for 2mV lt 12 sec tachycardia Waveform B2 Amplitude Average Time to Alarm 12 sec 2mV 12 sec 4mV 12 sec 7 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 limits setting range high limit 0 120rpm low limit 0 119rpm 4 Alarm tolerance 1 rpm 5 Measuring method Thoracic Electrical Bioimpedance 7 3 TEMP Monitoring 1 TEMP measuring range 21 0
53. blood pressure data including the diastolic systolic and mean arterial pressure through the NIBP cuff The cuffs are sized for adult infant and neonate respectively NIBP measure has three modes adult and infant and neonate 4 The CO module collects the date of respiration rate ECCO InsCO through the sampling tube 5 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 2 2 Composition 1 The monitor consists of the main unit and the corresponding functional components ECG leads electrodes non invasive blood pressure cuff SpO probe temperature transducer and side stream CO 2 The monitor has 4 measurement channels ECG and respiration channel NIBP channel SpO and pulse channel and temperature channel 3 The monitor has two output channels networking communication port and printer 4 Basic parameters include heart rate respiration rate NIBP SpO pulse rate and temperature 3 User Manual for Patient Monitor Chapter 3 Installation and Connection 3 1 Panel Introduction 3 1 1 Front Panel 1 2 3 4 56 7 89 10 Figure 3 1 PC 5000 Front Panel The patient monitor front panel is shown above 1 Power switch Press it to turn on the monitor press it again to turn off the monitor AC power indicator When AC indicator is on it
54. bout operations and application a Attentions must be followed to avoid causing damage to the monitor 3502 2300001 II User Manual for Patient Monitor Instructions to User Dear Users Thank you very much for purchasing our product Please read the following pages very carefully before using this equipment Read these instructions carefully before using this monitor These instructions describe the operating procedures to be followed strictly Failure to follow these instructions can cause monitoring abnormity equipment damage and personal injury The manufacturer is NOT responsible for the safety reliability and performance issues and any monitoring abnormity personal injury and equipment damage due to user s negligence of the operation instructions The manufacturer s warranty service does not cover such faults 4 VIS WARNING PACEMAKER PATIENTS Hreat rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon heart 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 Disconnect the monitor and sensors before MRI sca
55. creased 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 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 12 User Manual for Patient Monitor 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 Please remove the cuff from patient while performing the leakage check Safety Instructions for NIBP Monitoring 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
56. 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 Small sized Infant Cuff 4 5cm Middle sized Infant Cuff 10cm 19cm scm Large sized Infant Cuff 18cm 26cm Adult Cuff 25cm 35cm 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 4 Locate the cuff in such a way that 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 15 allowed 6 The lower end of the cuff should be 2cm above the elbow joint Figure 3 6 Cuff Position A When unplugging the cuff hold the head of the connector and pull it out gt 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 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 1s beyon
57. d 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 equipment like a mercury pressure meter reference 11 User Manual for Patient Monitor amassud poog Amisa HIEP cuff wath dual air tube A tube Air vent Manual valve module testing dui Increase the pressure manually saftware __ Inflatable balloon through the inflatable balloon inzide af PC 4S000 Figure 3 7 Connection of Pressure calibration fixture Mode 1 The inflation can be activated by Monitor so the pressure will increase automatically until 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 scale 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 in
58. e non invasive blood pressure functional oxygen saturation end tidal concentration respiration rate body temperature and so on it allows comprehensive analysis of patient s physiological conditions This instrument is applicable for use in hospitals and clinical institutions The operation should be performed by qualified professionals only 1 4 Requirements of Operating Environment and Installation 1 This device should be situated in a place protected against direct sunlight so as to prevent overheating inside the equipment 2 Donotuse this device in an environment with toxic or inflammable gas 3 This device should be fixed on a stand or flat platforms so as to prevent possible shock 4 Do not use this apparatus in combination with any equipment other than those expressly permitted in this instruction 5 When using this device with electrosurgical equipment the user doctor or nurse should pay attention to the safety of patient 6 Make sure that the equipotential grounding terminal 1s grounded correctly 7 Do not use mobile phone nearby so as to avoid strong radiant field interference 1 5 Normal Working Environment 1 Ambient temperature range 5 C 40 C 2 Relative humidity 3090 8090 3 Atmospheric pressure 70 0kPa 106 0kPa 4 Power supply AC 100 240V 5 Power frequency 50 60Hz 1 6 Impact on Environment and Resources Low 1 7 Safety a This device conforms to IEC60601 1 electric sa
59. e SpO sensor on the finger with edema or fragile tissue 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 sensor is damaged do not use it any more 4 User Manual for Patient Monitor Check the SpO sensor and cable before use Do NOT use the damaged SpO sensor When the temperature of SpO gt 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 p gp q ws wo wq The SpO sensor can not be immerged into water liquor or cleanser completely because the sensor has no capability of waterproofness 3 3 4 TEMP Transducer Connection Patient Monitor has two TEMP transducers to measure different body temperature Connecting methods 1 Attach the transducers to the patient firmly 2 Connect them to TEMP on the right panel Note When unplugging the probe be sure to hold the head of the connector and pull it out 3 3 5 Battery Installation 1 Make sure that monitor doesn t connect to mains power supply and stays in switch off status 2 Open the battery cover insert the battery into any slot of battery compartment and pay attention to the instruction of polarity direction in the compartment Do not reverse the batter
60. e out the CO Sensor and insert the 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 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 15 exposed to room air and away from all sources of including the ventilator the patient s breath and your own Next turn on the switch at Setup Screen and then wait 2 minutes for the sensor warm up 3 Default Tubing Configuration sampling dehumicification sampling sample adapter tubing tubing filter cell j i 1 L i T SSS E T Adapter and Sampling tube Single patient use 37 User Manual for Patient Monitor Wye Connector 4 Optional sampling cannula kits 1 T connector sampling cannula kits On air Connector ir Adapter 2 Nasal Sidestream Cannula Kits 3 Oral Sidestream Cannula Kits 5 2 2 Mainstream CO Sensor Connection 38 User Manual for Patient Monitor Sensor cable CO sensor Demonstration for Mainstream CO Sensor Connection Take out the Sensor and insert the CO Sensor Cable into the connector labeled CO on the connector panel of the monitor
61. en probe flashes and if the pulse oxygen probe is properly connected to the SpO2 jack on the front panel 2 Loosen the four screws fastening the top cover of this apparatus and check if the multifunctional board MID and electronic disc card SCPU nearest to the rear end of the LCD display are properly inserted in the slots on the main board 10 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 63 User Manual for Patient Monitor Chapter 11 Maintenance The 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 11 1 Protective Maintenances 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
62. er to empty the residual air in the cuff before the measurement is commenced 66 99 3 Locate the cuff in such a way that the mark is at a location where the clearest pulsation of brachial artery 1s observed 4 The cuff should be tightened to a degree where insertion of one finger 15 allowed 5 The lower end of the cuff should be 2cm above the elbow joint 2 The subject should lie on the back so that the cuff and the heart are in a horizontal position and the most accurate measure is taken Other postures may lead to inaccurate measurement 3 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 4 The measures 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 5 With the oscillating method when blood pressure is measured the inflation pressure of the cuff will be automatically adjusted according to the previous measure Generally the initial inflation pressure is 180mmHg for the adult mode or 100mmHg for the infant mode or 80 mmHg for the neonate mode when it is powered on Following that 5OmmHg for the adult mode or 30mmHg for infant mode or 10mmHg for the neonate mode will be added on the basis
63. erior Fascicle LAF Right Ventricle Purkinje Fibers PF First of all the hospital should be equipped with a 100 250V power supply system with a typical grounding wire If big interference in ECG continues connect one end of the grounding wire provided with this equipment to the grounding wire on the back panel of this monitor and the other end to the special grounding wire water pipe or radiator A common ECG plate electrode used together with this monitor has short shelf life Generally the shelf life 15 only one month after the package 15 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 repeatly The skin placed electrode is unclean or poor contract caused by scurf and hair 995959545 Electrode long time used 56 User Manual for Patient Monitor 9 2 NIBP Monitoring 9 2 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 suc
64. estream 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 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 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 CO 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 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 waveform Capnogram If you see changes or abnormal appearance check the patient and the sampling line Replace line if needed 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
65. fety classification Class I with Type BF and CF applied parts b This device can resist against the discharge of defibrillator and the interference of electro surgical unit c This device can monitor the patients with pace maker d DO NOT use this device while the patient is under MRI scanning User Manual for 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 8 00 2404 Operation buttons Power Supply includina Buttons LCD Display battery supports each I part s power Central Processing Built in printer Electrocardiogram Non invasive Blood Pulse Oxyen co Module odule Pressure Module Saturation Module Respiratory rate ECG RESP TEMP HIBP Spo2 PR EtCO2 natoz PC 5000 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 module NIBP module SpO module module optional and Central Processing Unit CPU module 1 ECG module collects heart rate respiration waveforms through the ECG leads and electrodes It also collects temperature data from the temperature transducer 2 SpO module collects data for pulse rate pulse oxygen saturation 5 and SpO volume waveform via the SpO probe 3 NIBP module collects
66. fied 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 5000 Patient Monitor uses RF energy only for its internal CISPR 11 function Therefore its RF emissions are very low and are Group not likely to cause any interference in nearby electronic equipment RF emissions PC 5000 Patent Monitor is suitable for use in all CISPR 11 Class A establishments other than domestic and those directly PF connected to the public low voltage power supply network that supplies buildings used for domestic purposes Voltage fluctuations flicker Complies emissions IEC61000 3 3 5 1 User Manual for Patient Monitor Table 2 Guidance and manufacturer s declaration electromagnetic immunity for all EQUIPMENT AND SYSTEMS PC 5000 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 discharge 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
67. form lt gt 15 Respiration rate lt xI Respiration gain Camplification x1 2 Waveform scaled with half of the basic gain xl Waveform scaled with basic gain x2 Waveform scaled with twice of the basic gain x4 Waveform scaled with four times of the basic gain NIBP List Below the operating area 1s the data list area as shown in Figure 4 7 Time HR SYS DIA MAP PR RR TEMP SpO2 PR f 08 15 08 42 62 126 82 107 60 14 36 6 100 60 08061408 62 127 85 109 62 16 36 6 99 61 07 27 09 29 60 120 89 106 62 16 36 7 100 61 07 27 09 27 62 126 87 107 63 15 36 7 100 60 07 27 09 25 61 125 83 109 61 15 36 7 99 62 07 27 09 05 62 129 82 103 63 15 36 6 99 62 Figure 4 7 NIBP List Area The time stamp is the time when the NIBP measurements are taken The data lists here are different under different operating mode As shown in Figure 4 7 one screen of the data list can list up to 6 groups of data When there are more than 6 groups of data we can rotate the navigation knob to scroll the complete list EP User Manual for Patient Monitor 4 2 Display2 Screen 4 2 1 Viewing Screen Choose Obsev of Disp2 on system setup screen press the DISP key to enter the monitoring screen as shown in Figure 4 8 Alarm t 1 DIA ADUL 2012 08 15 08 44 17 HR Spo 62 99 MAP mmHg PR TEMP 126 82 107 60 14 3646 Push Display to exit 000004 Figure 4 8 Viewing Screen In this screen press the DISP key to
68. h a solution such as 7096 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 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 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 another 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 not use the sensor if the sensor or the sensor cable appears damaged 15 User Manual for Patient Monitor Instructions for Adult SpO
69. h 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 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 1s 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 backwa
70. in a typical commercial or hospital environment 52 User Manual for Patient Monitor Table 3 Guidance and manufacturer s declaration electromagnetic immunity for EQUIPMENT and SYSTEM that are not LIFE SUPPORTING PC 5000 Patient Monitor is intended for use in the electromagnetic environment specified below The customer or the user of PC 5000 Patient Monitor should assure that it is used in such an electromagnetic environment IMMUNITY test IEC 60601 test level Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of PC 5000 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 ft 150 kHz to 80 MHz d 12 JP Radiated RF d 12 4P 0MHzto 800 MHz IEC 61000 4 3 3 V m 20 MHz to 2 5 GHz 234 P Miz 2 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d 1s the recommended separation distance in metres m j 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 te NOTE 1 At 80 MHz and 8
71. inutes 5 minutes 10 minutes and 20 minutes It takes 1 second to restart the alarm after the silencing alarm is disabled 8 Parts with protection against the discharge of defibrillator NIBP cuff SpO probe and built in ECG module 9 The NIBP measuring technique of this monitor is equivalent to the stethoscope method The measurement tolerance is complied with the standard ANSI AAMI SP10 1992 10 The monitor is applicable to connect to the public mains power network 11 Power supply voltage 100 240VAC frequency 50 60Hz 12 Input power consumption 100VA for PC 900 and Classic 90 50 VA 13 Display screen true color TFL LCD panel 14 Alarming forms audible amp visible alarm 15 Communication network Ethernet 7 10 Classification The type of protection against electric shock The degree of protection against electric shock Electro Magnetic Compatibility Continuous Operation mode Continuous Ordinary device without water proof capability Sterilization disinfection methods recommended by manufacturer The degree of protection from harmful liquid Sterilization and disinfection methods 50 User Manual for Patient Monitor 7 11 Guidance and manufacturer s declaration Electromagnetic compatibility Table 1 Guidance and manufacturer s declaration electromagnetic emission for all EQUIPMENT AND SYSTEMS PC 5000 Patient Monitor is intended for use in the electromagnetic environment speci
72. iple 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 r espir atory measurement are unnecessary 9 4 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 artificial error may occur lt Respiration monitoring doesn t support monitoring the patient who do much movement or may lead to wrong alarm 9 5 Temperature Monitoring The sensor 1s thermo resistor type 25 the temperature of measured part through measuring the voltage There 1s 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 bod
73. ire One piece 7 Disposable electrode Ten pieces 8 User Manual One copy 9 Warranty One copy 10 Printing paper optional Five rolls 11 Dust cover One set 12 Assembly report One set 13 Packing list One piece 14 CO accessories optional For Mainstream For Sidestream 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 55 User Manual for Patient Monitor Chapter 9 Parameters Monitoring 9 1 ECG Monitoring 9 1 1 How to Obtain High Quality ECG and Accurate Heart 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 E Eo Left Atrium SAN HIS Bundle Right Atrium Fa K A VA 2 3 Left Bundle i x NN Branch LBB Atrioventricular Node i C Left Posterior AVN n p c _ Fascicle LPS Right Bundle Branch RBB Left Ventricle Left Ant
74. it of lt InsCO High Setting the upper alarm limit of InsCO Low Setting the lower alarm limit of InsCO lt 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 Zero The method to calibrate CO Zero calibration Calibration must be carried out in a drafty place and the CO module must have worked continuously for 5 minutes to ensure an accurate calibration or the calibration will not work lt CO flow It is flow rate of the CO sampling Its value is 50ml min The information promoted for Zero calibration is as follows 36 User Manual for Patient Monitor Do you want to do zero calibration Apply reference air with 0 75 CO Please apply the reference air with 0 air in the drafty room usually can be regarded as the air with 0 Press OK and the result will be displayed on the screen several seconds later 2 To set the color of CO parameters on Color Settings screen 5 2 CO Sensor Connection 5 2 1 Sidestream Sensor Connection Exhaust vent F sample cell gt Su Sensor Cable Receptacle Sidestream CO Sensor Sample cell Demonstration for Sidestream CO Sensor Connection 1 Tak
75. l 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 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 be defibrillator proof 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 hold the head of the connector and pull it out 13 User Manual for Patient Monitor 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 Figure 3 8 Demonstration of SpO Probe When selecting a sensor do 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 probe information Refer to Chapter 11 6 for the detailed instructions of each SpO probe SpO Probe Patient Category SpO Fi
76. leakage and Initial pressure can be conducted SYS Hi Lo Systolic pressure upper and lower alarm limits DIA Hi Lo Diastolic pressure upper and lower alarm limits MAP Hi Lo Mean arterial pressure upper and lower alarm limits PR Hi Lo Pulse rate upper and lower alarm limits 9 5 Unit the pressure unit mmHg or kPa The factory default is mmHg 33 User Manual for Patient Monitor lt 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 choose a cycle time as well Cycle The inflation interval when the NIBP measurement is set as Auto The options are STAT 1 min 2 min 480min WARNING STAT can only be used for Adult Using this mode to Infant patient can cause serious injury lt NIBP Cali It is used to check the accuracy of pressure measuring system within NIBP module which should be conducted by technicians in test house or service department There are three options Mode 1 Mode 2 and OFF available After the calibration it is necessary to manually confirm it is in OFF status again or other operations can t be carried out and NIBP key will be disabled Factory default status is OFF lt Air leakage test it is used by technicians to perform a leakage inspection for NIBP pneumatic system lt Initial inflation pressure setup Cuff
77. lobin or metahemoglobin 9 3 2 SpO Measurement Restrictions interference reason 1 The fingers 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 3 The SpO sensor should not be used at a location or limb tied with arterial or blood pressure cuff or receiving intravenous injection 4 Do not fix the SpO sensor with adhesive tape or else it may result in venous pulsation and consequential inaccurate measurement result of SpO 5 Make sure the optical path is free from any optical obstacles like adhesive tape 6 Excessive ambient light may affect the measuring result It includes fluorescent lamp dual ruby light infrared heater and direct sunlight etc 7 Strenuous action of the subject or extreme electrosurgical interference may also affect the accuracy 8 Please do not use the SpO sensor when having the MRI or burn may be caused by faradism 9 Always observe the plethysmogram waveform which is 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 clinical judgment rather than the monitor readout 10 A functional tester can not be used to assess the accuracy of the pulse oximeter monitor or a SpO gt sensor However a functional tester s
78. n 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 result 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 4 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 2 2 Factors affecting NIBP measuring Like common non invasive blood pressure measurement improper operation may cause inaccurate or blank result or misunderstanding of the measuring information when the oscillating method is used to take the measure of blood pressure This point needs particular attention of the operators 1 Requirements of the cuff 1 Appropriate cuff should be selected according to the age of the subject For more information see Chapter 3 2 Rememb
79. nerating signal This signal is used to test the function of the machine It is not used during normal operation Factory default is OFF lt Notch frequency filter Different hardware configuration may make its options various One is ON or 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 or 60 HZ please choose 50 Hz or 60 HZ frequency filter according to your power supply frequency The factory default is SO Hz lt Cardiac pacemaker detection When Pace is ON a mark will be displayed on ECG waveform if the patient fitted with a cardiac pacemaker The factory default is OFF lt Grid The grids will be displayed on the background if this setting is The factory default is ON Move the cursor to the upper or lower limits of the alarm settings and press the Alarm key to turn ON and OFF the alarm for the setting Yellow color shows ON status and gray color show the OFF status 4 9 4 Respiration Parameter Settings RESP Setup 3ain X2 RR HI 40 Speed 12 5 Lof 10 Apnea OFF Exit Figure 4 27 Respiration Settings lt Gain Respiration amplification gain 4 options x1 2 x1 x2 x4 the factory setting is x2 lt Speed Respiration display speed 2 options 6 25mm s and 12 5 mm s The factory setting is 12 5 mm s Apnea The apnea alarm time in
80. nger clip Sensor reusable SpO Finger rubber Sensor reusable 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 gt sensor To prevent interference from ambient light ensure that the sensor is 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 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 fingertip SpO sensor may result in discomfort or pain especially for those patients with microcirculatory problem It is recommended that the sensor should NOT be applied to the same finger 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 th
81. nning 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 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 can not be obtained at any time discontinue to use Do not immerse the monitor or its accessories in liquid to clean Do not use accessories other than those provided recommended 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 User Manual for Patient Monitor The monitor is prohibited from applying to those who have severe hemorrhagic tendency or who are with sickle cell disease for they may develop partial bleeding when this monitor is used to take
82. nt ID has changed the vertical axis will return to its original value of 0 60 and 120 Other changes of vertical axis value in other trend graph are similar to that of ECG The Trend graph shows parameter value of the current time For example in the 6 hours trend graph when the monitoring time exceeds 6 hours the trend graph will move toward the right and the data 6 hours ago will be moved out of the graph This ensures the screen always displays the current data for review The data moved out of the graph is not deleted they are just hidden temporarily When the time frame changes from 6 hours to 24 hours while the monitoring time 1s less than 24 hours the complete set of data will display Other trend graph follows the same rule The respiration rate body temperature and other trend graph are similar to that of ECG trend graph and we will not cover them in detail again Please note that for those trend graphs the horizontal axis unit is number of time the blood pressure is measured instead of time NIBP graphic trend 15 little different from the other graphic trends Rotate the knob to move the cursor to then press the knob for activating this item Next rotate the knob towards left or right for viewing another 400 groups graphic trend _ T YI 6 TEMPs n 1 5h 3h 4 5h Ext Time ID HR SpO2 PR TEMP EtCO2 Lusso 62 14 99 61 36 6 404 Figure 4 15 Body Temperature Trend Graph
83. o not use the sensor if the sensor or the sensor cable appears damaged Creative offers 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 market 2 creative sz com your local dealer 76 2 1141 Budapest Fogarasi t 77 1095 Budapest Mester u 34 Tel 220 940 220 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
84. of no less than 1 47kPa 11 mmHg Note Some practitioners 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 Operation Introduction Take a measurement in manual mode Enter into the screen of NIBP setting select Mode option and set it as MANU and then press the NIBP key on the front panel to start measure If press the NIBP key again the measurement will be stopped During the automatic measurement interval when no NIBP measurement is taken press the NIBP key measurement in manual mode will be taken If at this time press the NIBP key again the manual mode will be stopped and continue the automatic mode 2 Take a measurement in automatic mode Enter into the screen of NIBP setting select Cycle option and select time interval according needs then press the NIBP key on the front panel to start the automatic
85. olution 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 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 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 D
86. omatically In order to avoid the damage to battery caused by excessive discharge please pay attention to following After monitor turns off automatically there is still small drain current inside battery so it is suggested that user should press the power button again to cut off the power supply If battery keeps in a state of small drain current battery will be damaged and can t be repaired because of excessive discharged If battery is damaged please replace with same type and specification battery marked by or CE in time or contact the company directly 11 3 Cleaning Sterilization and Disinfection of the Monitor Le ub Switch off the monitor and disconnect the power cable before cleansing 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 It is advisable to disinfect and sterilize the apparatus when necessary in the hospital maintenance program to avoid causing long term damage to the monitor and to clear the sterilizing and disinfecting tools in advance 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
87. operating area shows the mode selection screen as shown in Figure 4 11 oystem Menu TREND RECALL ARR SETUP COLOR FILE Exit Figure 4 11 Trend Menu Screen In the mode selection screen rotate the knob to move the gray cursor to the corresponding screen Press the knob to enter the screen of SpO Trend Recall ARR Setup Color and File The following sections from chapter 4 5 will describe each one of the 7 screens If you want to exit from this screen press the Display Key 4 5 SpO Data List Screen Move the gray cursor to SpO List in the mode selection screen and press Navigation Knob to enter SpO data list screen displays in the same position shown as Figure 4 12 Time HR SYS MAP EtCO2 SpO2 PR t 07 22 14 05 122 88 106 15 40 5 100 62 07 22 14 05 62 122 68 106 14 39 7 39 62 07 22 14 05 60 122 88 106 14 30 29 100 62 107 22 14 05 60 122 88 106 16 39 4 99 60 07 22 14 05 60 120 62 103 16 38 3 100 61 07 22 14 05 60 120 62 103 15 40 0 99 60 Figure 4 12 SpO List 24 User Manual for Patient Monitor 4 5 1 Screen Description In the SpO list title bar the front color of SpO Pulse is the same as SpO parameters while other front color is white The operation on the data listing is simple Using the Navigation Knob allows the user to scroll the list up and down When rotating the knob anti clockwise the list scrolls upward 1 e use the 7 arrow to scroll the data
88. our options of alarm silent time 2 minutes 5 minutes 10 minutes and 20 minutes The time shows up on the upper left corner of the screen When the alarm timer is activated the system begins to count down If alarm occurs during that period the system alarm will be active 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 active as well When the monitor alarms press DA key to suspend the alarm and set the alarm silence time DO NOT silence the audible alarm or decrease its volume if patient safety could be compromised 44 User Manual for Patient Monitor 6 4 Alarm Setting In the Mode Selection screen move the cursor to the SETUP and press it to enter system setup screen C Limits setup Move the gray cursor to 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 11 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 6 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
89. ove the cursor on Disk press the Navigation Knob to read the information of Disk 35 User Manual for Patient Monitor Chapter 5 CO Monitoring If your monitor has CO monitoring function please follow the instructions in this chapter to perform CO monitoring on patient The parameter setting menu and monitoring menu differ from different models please refer to the monitor on hand 5 1 CO Parameter Settings 1 On Main Screen press the knob to enter System Menu Screen Then choose SETUP gt CO to enter CO Parameter Settings screen CO Setup Switch Gain x Unit mmHg Zero OFF RR a Hi 40 EtCO2Hi 70 0 Ins Hil 10 0 Flow 50 Lo 10 a Lo 10 0 amp Lo 0 gt gt CO Parameter Settings Switch choosing the mode of 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 Gain the CO waveform gain lt Unit Choosing the EtCO and the minimum InsCO It can be set up as kPa mmHg and 90 lt Respiration Rate High Setting the upper alarm limit of CO respiration rate Low Setting the lower alarm limit of CO respiration rate lt High Setting the upper alarm limit of Low Setting the lower alarm lim
90. r Do not use radial steam or epoxyethane to disinfect accessories 11 5 Storage If the apparatus will not be used for long period of time wipe it clean and keep it in the package which shall be kept in a dry place free from dust Storage environment ambient temperature 20 C 60 C relative humidity 10 90 atmospheric pressure 53kPa 106kPa 11 6 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 66 User Manual for Patient Monitor Chapter 12 Appendix 12 1 Alarm Information The related parameter value exceeds the preset high low alarm limit 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 SpO probe is connected to monitor and patient well but SpO is unable to be Unable to detect SpO 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 67 User Manual for Patient Monitor 12 2 Default Alarming Values and Setup Range The default alarming value Parameter oe _ Parameter Heart Rate High 180 bpm 200 bpm 220 bpm 40 bpm 50 bpm 50 bpm MN EE limit Low limit High limit Temperature E S
91. rchive management window Waveform area lt 1 The first signal trace is ECG waveform lt gt 2 trace The second signal trace is cascade of the first ECG waveform Notice the second trace is refreshed screen by screen instead of consecutive refreshing in 1 trace The start time 09 17 32 for 29 trace is displayed on the upper right corner on the 2 trace lt 3 trace Respiratory waveform lt 49 trace SpO plethysmograph Data area A ini Heart Rate Value Heart Beating Symbol Value of S T Segment ECG Waveform Measuring mV 999 0 05 mw X1 Cain X1 Figure 4 3 Heart Rate Data Area Indicates the current display 15 heart rate The 60 on the right side is the heart rate measured The heart beating symbol Its flashing corresponds to wave of waveform The speed is the same as the heart rate S T 0 05mv The measured milli volts value during ST measurement x1 ECG waveform gain amplification 6 options available Auto Automatic scaled waveform 1 4 Waveform scaled with 1 4 of the basic gain x1 2 Waveform scaled with half of the basic gain x Waveform scaled with basic gain x2 Waveform scaled with twice of the basic gain x4 Waveform scaled with four times of the basic gain 19 User Manual for Patient Monitor TEMP Figure 4 4 Temperature Data Area lt TEMP Temperature label
92. rd 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 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 wi
93. rinting paper Step 1 press and hold down the cartridge button to open the paper cartridge Step 2 Install the paper to the printer properly pull the paper out of the printer for 2 cm as shown in figure 3 10 Step 3 Close the printer cover along the direction of arrow as shown in figure 3 10 Figure 3 10 Printing Paper 16 User Manual for Patient Monitor Chapter 4 Monitoring Screen 4 1 Main Screen 4 1 1 Date and Time Setup Instead of entering into monitoring screen it shows the date and time setting screen immediately after the monitor 15 started shown as Figure 4 1 Time Setup Date 2004 al 02 Save 2 Time 08 H 22 21 Figure 4 1 Date and 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 gray cursor stays on the Year of the date Press the knob again and the gray cursor becomes highlighted Rotate the knob left or right to increase or decrease the year value Step 3 When the Year is set press the knob to move the gray cursor to the Month of the date Step 4 Repeat Step 2 and Step3 to adjust the Year Month Date Hour and Minute Step 5 If you have finished adjusting the date and time press the knob and rotate the knob to mo
94. second the specified time is 5 120 seconds When the patient stop breathing for the time longer than the specified second the Respiration display channel display warning Apnea xxx second When the apnea time exceeds 250 seconds the system stops the timing and displays Apnea RR Hi Respiration rate upper alarm setting adjustable 1 120 bpm Lo Respiration rate lower alarm setting adjustable 0 119 bpm 2892 User Manual for Patient Monitor 4 9 5 Temperature Parameter Settings TEMP Setup TEMPHI 39 0 Unit c amp Lo 35 0 Exit Figure 4 28 Temperature Settings lt TEMP Hi Temperature upper alarm setting adjustable 0 1 60 0 C 32 1 140 0 F Lo Temperature lower alarm setting adjustable 0 59 9 32 0 139 8 F lt Unit Temperature unit The factory setting is C Celsius and can be set to F Fahrenheit 4 9 6 NIBP Parameter Settings NIBP Setup SYS 180 Hi 120 MAP Hi 160 PR Hi 180 Lo 60 Lo Lo 50 Lo AQ Unit mmHg Mode Auto Cycle 1 gt gt Figure 4 29 NIBP Settings 1 NIBP Setup Nibp OFF Test gas leakage InitP 150 Exit Figure 4 30 NIBP Setting 2 NOTE NIBP Setup Screen will be displayed in two pages As shown in Fig 4 29 and Fig 4 30 Move the gray cursor to e o then press the navigation knob to enter the second page where three operations NIBP calibration gas
95. sed DO NOT stare at the infrared light of SpO sensor when switch it on for the infrared may do harm to the eyes 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 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 IV User Manual for Patient Monitor Table of Contents CHAPTER TOVERVIESM 1 IM B gr oui c
96. switch the ECG lead or press the Print key to print the ECG waveform and the second waveform The second waveform can be selected in the System menu 20 User Manual for Patient Monitor 4 3 Freeze and ST Analysis Screen In the main screen press the Freeze key to freeze three channel ECG waveforms or all the waveforms on the screen as shown in Figure 4 9 Alarm DLA A DUL 2012 05 17 09 17 43 08 17 82 126 62 08 17 08 57 120 85 101 61 15 36 6 60 08 15 13 48 120 84 102 63 I5 36 5 99 6 08 15 09 19 129 82 104 61 16 36 6 99 6 08 15 09 04 60 126 105 64 15 36 5 99 6 08 15 08 42 52 126 82 107 50 14 36 5 100 60 Push Knob for system menu 000004 Figure 4 9 Frozen Screen 4 3 1 Screen Description Freezing ST segment analysis screen is similar with the main screen except that the waveforms are frozen For example the Figure 4 10 is a portion of the frozen waveform The symbols on the screen are described briefly on the screen Base Point Orientation Point Orientation HHH t Freeze 1 i i 1 1 1 pee ee a 1 1 0 000 O 1 E Lengthways Difference between set the shifted point to be set the direction Base Point and 5T Point Base Point or ST Point horizontal or vertical Figure 4 10 Frozen Waveform When the system setting for the freezing waveform is ALL the Freeze key
97. t press this key to return to the system setup menu In this screen the system can print the recalled data or the recalled waveform Oe User Manual for Patient Monitor 4 8 ARR Screen Move the gray cursor to ARR and press Navigation Knob to enter ARR screen shown in Figure 4 23 The structure is similar to recall screen We will cover each function key below 2012 08 17 09 20 24 709 19 83 ii VE_ EARLY EARLY _ EARLY _ EARLY EARLY WE _ EARLY Usus E lm ee Figure 4 23 Screen with ARR Detection Start This button is used to start and end the system arrhythmia detecting function short for ARR This function is disabled initially by default When the ARR is not ON the Learn key is disabled Press this key then the device enters learning mode and Start changes to Close Press it again to end the learning When Learn key change to yellow from gray it indicates the learning has finished When the arrhythmia detection begins the device will automatically detect the arrhythmia waveforms If arrhythmia is detected the arrhythmia waveform will be displayed in the second signal trace shown in Figure 4 23 When the device gets reset or the patient 15 changed the arrhythmia needs to be re learned Learn Because the arrhythmia detection is based on the pattern of normal ECG waveform at the same speed and with the same amplitude when the patient is ch
98. t he CeO e A m 13 SO dX LEVEE A VONSAUCEH CONN CCH 15 33 baren TII a 15 3 3 6 Loading Printing n a eee to Usi ER Eee E eel A 15 CHAPTER 4 MONITORING SCREEN Nae eua eaae e eo 17 Um 17 17 2 ee eee Re TE ee eR eee ae eR A Seen ee DUE 18 2 DISPLAY SCREBN atten ah teresa abest aan ele ane ler tae er ls 22 User Manual for Patient Monitor 4 2 1 VIC WINS STEEN ode die ete ie deat tep t educa dese tentus did Sans weed aad eee 22 dO FREEZE ANDS T ANALYSIS SCREEN E ko d usta dup RR 25 29 d Screen DeseriptiQI sve ds epp uds 22 iS CV 91179 24 4 4 MODE ELEC TON SCREEN fatus 24 POS DATA LIST SCREEN nice tedesca ie to biam 24 DURO TET DESP UON aeii TEE 25 ZO TRENDS CREE Norre e EAT E E 25 LOL BITTE 23 OPTUS a T 27 d T RBCALIDSOREEN dis isset 27 RE f TN cies messy beam ata geet E 29 4 9 THE MENU SETUP SCREEN OE THE xoci ettet da pnta eter Do bte eda Muestra A nants
99. t the accessories according to the packing list Inspect the accessories for any mechanical damages Check all the exposed leads and inserted 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 Connecting the AC Power Cable 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 To eliminate 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 panel and connect the other end to one point of the equipotential grounding system Caution ensure that the monitor is grounded correctly If the mains power supply has been interrupted when power switch remains in the position and is restored after a period of time longer than 30 seconds the monitor will run by the last settings when restarting the monitor 2 When powered by built in battery Caution it s better to recharge the battery after it is used up and the charging time should be 13 15 hours long The provided battery of the monitor must be recharged after transportation or storage So if the monitor is
100. th 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 human 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 57 User Manual for Patient Monitor disadvantages of rapid air release and poor accuracy In the contrast with the oscillating method the 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 3 Statistics show that when measuring the hypertension the measure taken by the oscillating method is likely to be lower tha
101. the DEF button will make settings returned to the factory default and will not change the patient document and the recalled data Our instructions will cover the functions of each button oystem setup Type ADUL Mode Demo Lang ENG Fill ON ECG AlmVol 5 Key ON Beep 1 Exit Figure 4 25 System Parameter Settings 4 9 2 System Parameter Settings Type The subject being monitored this can be chosen among Adult and Infant patient The factory default is Adult When changing the patient type the system will perform initiation of the alarm settings NIBP settings Please pay special attention to the patient type before starting the monitoring It is strictly forbidden to use Adult type on the infant patient Doing so can cause serious injury Mode Monitoring mode selection The shows the real time waveform i e normal monitoring state The DEMO shows the demo waveforms During the demo state all the signals and data are generated from the patient monitor for demo and testing purpose The factory default 15 Real Time Lang for setting the display language The patient monitor is equipped with dual language the primary and secondary languages which can be switched alternatively by user The default language configuration is ENG English as the primary language HX Chinese as the secondary language The available secondary languages can be configured optionally with FH Chinese
102. the added dead 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 Sensor in such environment may present an explosion hazard The power voltage over monitor working voltage may cause damage to sensor Likewise too low power voltage may affect the 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 effects of excessive moisture Altitudes are different in different area so set the Barometric Pressure setting value as the ambient barometric pressure AQ User Manual for Patient Monitor Use only our company approved accessories While using the CO sensor a system leak which may be caused by an uncuffed endotrache
103. the blood pressure measurement DO NOT take blood pressure measurement for a limb receiving ongoing transfusion or intubations or skin lesion area otherwise damage 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 patients Do NOT install 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 the connecting cables and rubber tubes of the applied parts should be kept away from the patient s cervix to prevent any possible suffocation of the patient gt 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 biocompatibility etc may be cau
104. tion EX The intersection between the centerline of the right clavicle and Rib 2 ir The intersection between the centerline of the left clavicle and Rib 2 LL Left part of the upper abdomen RL Right part of the upper abdomen CI V1 C V C2 V2 C3 V3 The electrodes are placed in different places the different Chest 4 4 lead forms will display electrode C5 V5 C6 V6 Safety Instructions for ECG Monitoring PC 5000 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 PC 5000 Patient Monitor can resist against defibrillator and electrosurgical unit Readings may be inaccurate for 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 the electrodes and cable are located in proper places according to this manual s instructions and the instructions for using electrode the chance of this transient occurrence will be decreased To the patient with pacemaker because this device has been designed to provide resistance to pacemaker signal interference generally the pacem
105. ttention to the polarity of battery do NOT insert it into battery compartment with reversed polarities Do NOT use the batteries manufactured by other companies if being inserted the device 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 Do not use this battery on other devices 64 User Manual for Patient Monitor Do not use this battery below 10 C or above 40 C Abandoning battery should obey the local law In order to maintain battery supply time and prolong battery lifetime please charge the battery every one or two months if don t use battery for a long time And do charge battery at least 12 15 hours every time Before connect to AC do start monitor with battery s power supply until battery power is used up and monitor turn off automatically then connect monitor to AC and have it charged for 12 15 hours continuously The speed of charge will be the same no matter whether the monitor is working or not The reason why discharge the battery before charge is to avoid the decrease of capacity caused by battery s memory effect If the monitor won t be used for a long time do have it charged fully before conservation When starting the monitor by battery power only which is short of supply monitor will turn off aut
106. uch as SpO simulator can be used to check how accurately a particular pulse oximeter is 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 Clinical Limit 1 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 2 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 determination by this monitor may be inaccurate 3 The drugs such as dopamine procaine prilocaine lidocaine and butacaine may also be a major factor blamed for serious error of SpO measurements 4 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 60 User Manual for Patient Monitor 9 4 Respiration Monitoring 9 4 1 Measuring Princ
107. uired 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 2 User Manual for Patient Monitor 12 6 Typical Pressures and CO Readings at Altitudes Altitude Barometric EtCO Reading Pressure mmllg mmHg m s x x 3 me 9 3 x xm ow 3 mb sms m s zm _ 12 7 Accessories List 15010513 ECGebl 5101 0101310 ECG electrode _______ 1504051 AdetSpO FigerclpSemor 150440651 AdwtSpO FigermbberSemor 15044041 Pediatric SpO Finger clip Sensor 15024402 Adult NIBP cuff 25 35em 15001400 Small sized Pediatrie NIBP Cuff 150240 Middle sized Pediatrie NIBP Cuff 15005400 Large sized Pediatric NIBP _ 2900000000 Powrcod oS o 9003 Ntwm 0 0 0 j 0 For more information regarding the accessories please contact your local sales representative or the manufacturer 73 User Manual for Patient Monitor 12 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 de
108. uration 160ms 15 1 second the beep tone 15 400Hz the pause period between every beeping chain 15 5 seconds Middle priority A chain of 3 beeps with 200ms pause interval and 200ms beep duration the frequency is 400Hz the pause period between every beeping chain is 5 seconds Low priority A single beep without repeat the frequency is 500Hz beep duration is 200ms 3 Visible alarm The visual alarm indications are represented by flashing LEDs on the upper side of monitor parameters 49 User Manual for Patient Monitor display on the right area of the screen and the status line displayed on the bottom of the screen respectively The LEDs flashing frequency and display colors are specified in the following table Alarm level LED Colors Blinking frequency High priority Middle priority Continuous lighting Continuous lighting Parameters displayed on the screen will be inversed or flashing if corresponding alarm occurs 4 Battery life Provided that a battery is new and fully charged the minimal working time of the moniter and of its connected accessories is declared in the table below Monitor model Battery life PC 9000B vin PC 9000C 00min PC 90005 90min PC 5000A 95min PC 50008 270min NOTE It will take 12 15 hours to charge battery from exhaust state to 90 charge 5 Telemetry Not applicable 6 Auxiliary output Not applicable 7 Alarm Silencing There are four options of alarm silent time 2 m
109. ve the cursor to Save press it to save the settings Then move the cursor to Exit press it to exit the date and time setting screen meanwhile enter into the main screen shown in Figure 4 2 The system is initialized and enters into Main Screen where monitoring and system operation are performed shown in Figure 4 2 17 User Manual for Patient Monitor 4 1 2 Screen Description e ADUL 2012 05 17 09 17 43 08 17 09 08 08 17 08 5 08 15 13 48 08 15 09 19 G 08 15 09 04 60 08 15 08 42 Push Knob for system menu Figure 4 2 Main Screen Navigation knob has two functions in main monitoring screen 1 Long time press the navigation knob for about three seconds to enter system setup screen 2 Rotate the navigation knob to focus the corresponding parameter area circularly by thick border then short time press the knob for one second to enter corresponding parameter setup screen That is to say it is convenient to set each parameter s menu by this shortcut operation from the main screen Top line on the screen Alarm 2 Alarm status green 2 shows the alarm ON yellow i shows the alarm silence status The alarm will be activated automatically after the end of given counting down or when a new type of alarm event occurs Red 5 means the alarm sound is disabled when the sound volume is set to 0 in system parameter settings meanwhile the
110. vice 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 is contraindicated for use on active patients or for prolonged use Instructions for Use 1 2 3 4 5 6 7 With upper and lower jaws open place an index finger evenly on base of the clip Push 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 way that the cable 1s positioned along the top of the hand C Plug the sensor into the ee oximeter and verify proper e S operation as described in ao 07 user manual T B Inspect the monitoring site Bi 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 isopropyl alcohol If low level disinfection is required use a 1 10 bleach solution Caution Do not sterilize by irradiation steam or ethylene oxide
111. will freeze all the waveforms Jo User Manual for Patient Monitor 4 3 2 Operation Instruction The operator can use the Navigation Knob to analyze the ST segment waveform i e measuring the difference between the ST segment value and the referenced value The value is displayed after the measure on S T 0 000 mV The operation 15 carried out in 4 steps First rotate the Navigation Knob to move the base point the red cross horizontally to base line point the base line is between the Q wave and the P wave At this point the frozen screen shows S T 0 xxx mV Set Base Dirc Hor Second 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 Third press the Navigation Knob again The screen shows S T 0 xxx mV Set STDot Dirc Hor Rotate the knob to move the ST point the yellow cross horizontally to the point to be measured on the ST segment Last press the Navigation Knob again The screen shows S T 0 xxx mV Set STDot Dirc Ver Rotate the knob to move the ST point vertically to the point to be measured on the ST segment One the main screen allows pressing the freeze key to enter the ST 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 4 4 Mode Selection Screen Press the Navigation Knob in the main screen as shown in Figure 4 2 the
112. y 3 Move baffle plate with hand to fasten the battery 4 Remove the battery cover you can insert one more storage battery to prolong using time according to your need Please take out the battery from battery compartment if it won t be used for a long time 3 3 6 Loading Printing Paper This description is for loading paper for the built in printer Operation procedures 1 Press both OPEN notches with force on printer shield with two thumbs to open it 2 Move the tab of rubber roller lock at the left 90 upwards to unlock it 3 Cut one end of the paper into triangle and load the paper from the underside of the rubber roller 4 Turn the roller clockwise to get the paper rolled and put the paper roll into the compartment 5 Pull the paper out of paper slot on the shield 6 Move the tab of the rubber roller lock 90 downwards to lock it 7 Put the shield back in position and secure it 15 User Manual for Patient Monitor 8 printer may be used due to the different configuration P printer operation instruction Power indicator green light shows the power is on while the monitor is out of power the green light is off Error indicator red light is constant which shows the printer 1s out of paper or the printing paper does not install well When the printer installs normally the red light is off Power Indicator Error Indicator Open button Paper cartridge Figure 3 9 P Printer Loading p
113. y surface temperature and through the temperature inside the body cavity placed in mouth or anus Normal value body surface 36 5 C 37 G inside body cavity Notes 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 Especially for pediatric patient they like sports pay more attention to the transducer fixing 9 6 CO Monitoring 9 6 1 Measuring Principle The principle is based on the fact that 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 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 is stored in the monitor s memory The monitor determines 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 90 or kilopascals kPa In addition a

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