Medrad Veris 8600 Operation Manual
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Medrad Veris 8600 Operation Manual

Vital signs monitor
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PRELIMINARY
3010796 Revision 0
Date 10/04
Veris
8600
TM
Vital Signs Monitor
Operation Manual
Page i

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  • Page 1 PRELIMINARY Veris 8600 Vital Signs Monitor Operation Manual 3010796 Revision 0 Date 10/04 Page i...
  • Page 2 Veris 8600 Operation Manual Copyright 2004, MEDRAD Inc. All rights reserved. Reproduction of this manual is strictly prohibited without express written consent of MEDRAD, Inc. For more information about MEDRAD products and services, please visit www.medrad.com Page ii...

  • Page 3: Table Of Contents

    Exhaust Port....................... 1-5 Air Intake Port ....................1-5 Remote Display....................1-6 Printer ........................... 1-8 Accessory Tray ......................1-8 Veris 8600 Configurations..................... 1-9 Section 2 - Monitor Setup Battery Power ....................... 2-1 Charging the Battery ..................2-1 Battery Indicators ....................2-2 System Start and Auto-calibration ................
  • Page 4 Veris MEDRAD 8600 ALARMS Softkey......................2-16 Primary ALARMS Window................2-17 Invasive Blood Pressure Alarm Settings ............2-18 Agent Gas Alarms .................... 2-19 PARAMS Softkey (Physiological Parameters) ............2-21 Primary PARAMS Window ................2-21 , Respiration, Temperature Menu ............2-24 Gas Settings ..................... 2-25 DISPLAY Softkey ......................

  • Page 5: Contents

    Contents Alarm Message List ...................... 3-7 Shared Source Alarms ..................3-7 ECG Alarms ....................... 3-7 Alarms ...................... 3-7 Temperature Alarms ..................3-8 NIBP Alarms....................... 3-9 IBP Alarms ....................... 3-10 Capnometry (CO ) Alarms and Messages............3-11 Agent Gas Alarms and Messages..............3-11 Oxygen Monitoring (O ) Alarms ...............
  • Page 6 Veris MEDRAD 8600 Section 6 - NIBP Theory of Operation ...................... 6-1 Heart Rate ......................6-1 Comfort Cuff™ Technology ................6-1 Description of NIBP Measurement ..............6-1 NIBP Clinical Testing and Accuracy ..............6-1 Cuff Inflation and Pressure Protection..............6-2 NIBP Monitoring ......................
  • Page 7 Contents Section 10 - Anesthetic Agents Theory of Operations ....................10-1 Integrated CO and Agent Gas Detector ............10-1 Agent Gas Measurement ................. 10-1 Gas Monitoring Procedures ..................10-2 Sampling Circuit Connections ................10-2 Gas Monitoring Safety..................10-3 Water Trap ....................... 10-4 Sampling Devices ....................
  • Page 8 Veris MEDRAD 8600 Appendix A: Maintenance Cleaning and Disinfecting..................... A-1 Pulse Oximeter Sensors..................A-2 Blood Pressure Cuffs..................A-2 Temperature ...................... A-3 Accidental Wetting......................A-4 Annual Safety Tests ..................... A-5 System Testing....................A-5 Service Checks....................A-5 Maintenance Schedule....................A-6 Long-Term Storage ...................... A-7 Disposal........................
  • Page 9 Contents Appendix D: Accessories ECG Accessories......................D-1 ECG Module.......................D-1 ECG Electrode Accessories................D-1 ECG Gating Accessories ...................D-1 Accessories......................D-1 Probes ......................D-1 Peripheral Gating Accessories ..............D-1 NIBP Accessories ......................D-2 Reusable Cuffs....................D-2 Disposable Cuffs ....................D-2 IBP Accessories......................D-2 Temperature Accessories .....................D-2 Agent Accessories ......................D-2 Miscellaneous Accessories...................D-3 Publications........................D-3 Operation Manuals.....................D-3 Help Cards ......................D-3...
  • Page 10 This page intentionally left blank.

  • Page 11: In Case Of Emergency Contact

    Telephone: +45 38-16 16 16 04304-000 - São Paulo - SP FAX: +45 38-16 16 46 Telephone: +(11) 5079-6500 FAX: +(11) 5584-8951 MEDRAD Middle East & Africa 92 Al Lasilky Street New Maadi Cairo Egypt E-mail: Medrad_ME&A@medrad.com (If contacting Andre directly, please phone or fax) +00.20.2.754.88.29...
  • Page 12 Germany Telephone: +39 (0) 382 552882 Telephone: +49 (0) 9381/80 36 80 FAX: +39 (0) 382 552876 FAX: +49 (0) 9381/80 36 85 MEDRAD Mexicana S. de Mediwest Norway AS R.L. de C.V. Leibnitz, 204 Aslakveien 14A Col. Anzures Del. Miguel Hidalgo NO-075 CP.

  • Page 13: Symbols

    Symbols Symbol Definition Regulatory Symbols European Community Mark ETL Mark FCC (US Federal Communications Commission) Mark Safety Symbols ATTENTION! Refer to Operation Manual for Information Shock Hazard Type CF Equipment, defib proof Indicates no protection against ingress of water IPX0 (remote display) Identifies the degree of protection against fluid as IPX1...

  • Page 14: System Symbols

    Veris MEDRAD 8600 Symbol Definition Dispose of batteries properly in accordance with hospital and local regulations. Risk of electrical shock! Do not remove cover. Refer servicing to qualified personnel. System Symbols Fuse Alternating Current (AC) Direct Current (DC) Wireless Device...

  • Page 15: Miscellaneous Symbols

    Symbols Miscellaneous Symbols Symbol Definition Technical Support Phone Number Manufacturing Contact Serial Number Part Reference Number Place this side against the skin (Blood Pressure Cuff) Placement of the cuff over the brachial artery. Single use device only. Do not reuse. Page xv...

  • Page 16: Safety

    Safety Definitions Definitions for Warning, Caution, and Note symbols: Designates a possible dangerous situation. WARNING Non-observance may lead to death or the most severe injuries. Designates a possible dangerous situation. CAUTION Non-observance may lead to minor injuries or damage to the product. NOTE: Indicates that important information follows, a tip that can help you recover from an error, or point you to related details in the manual.
  • Page 17 Lead-acid and Lithium-Ion batteries or contact MEDRAD for assistance. • Connect only MEDRAD approved three-lead or five-lead ECG cables from the patient to the ECG module. Do not connect any other signal source to the ECG module.

  • Page 18: Cautions

    • Do not press on the keys with sharp or hard objects. This could damage the keys. Use only your fingertips to press on the keys. • Changes or modifications not expressly approved by MEDRAD, Inc., may void the user's authority to operate the equipment and may also void the warranty.
  • Page 19 Safety CAUTION • Do not bend fiber optic cables too tightly. Follow cable manufacturers specifications for bend allowance. • If a probe falls on the floor or into liquid, clean the probe following proper cleaning methods. If the probe is not properly cleaned, inaccurate physiologic parameters or waveforms may result.
  • Page 20 MEDRAD 8600 Software Error Related MEDRAD, Inc., has quality control practices and procedures in place Hazard Mediation to review potential hazards as they relate to software. The monitor utilizes a four-digit year for all date, time, and leap year calculations.
  • Page 21 Discard disposable medical waste according to your institution's policies and procedures to prevent biological contamination. See “Disposal” on page A-7. Latex Content This MEDRAD product (patient monitors and approved accessories) are free from latex in any location that may result in patient contact. Page xxi...

  • Page 22: Introduction

    Introduction Description The Veris 8600 patient monitor is designed for use in the MRI environment. It interprets and displays physiologic data as waveforms and numeric information which, depending on the configuration of the system, may include ECG, NIBP, SpO , CO , respiration, temperature, O , anesthetic gases, and IBP.

  • Page 23: Clinical Use

    Introduction Clinical Use This manual provides separate sections for measured parameters. These sections provide instructions for patient connections and monitoring. The caregiver is expected to be fully familiar with patient monitoring techniques and with the functions of this monitor before using it with a patient.

  • Page 25: Section 1 - Panel Features

    1 — Panel Features This section provides an overview of the Veris 8600 monitor’s control panels, switches, accessory connections, and communication sockets. Front Panel The front panels of the monitor and the optional remote display feature a color flat-screen display. Located below the screen is the primary control panel equipped with the power button, eight dedicated function keys and a menu knob.
  • Page 26 The water trap connection is a feature on Anesthesia and Anesthesia Gas Sampling Connection with Temperature models only. MEDRAD Veris monitors without gas analysis capability have a blank plate in this location. The water trap is easily accessed on the front of the monitor. The gas sampling line...

  • Page 27: Left Side Panel (Main Monitor)

    The electrocardiogram (ECG), pulse oximetry (SpO ), and the non-invasive blood pressure (NIBP) connections are standard on all Veris 8600 models. All potential Veris main monitor connections are described in the picture below. The optional remote display has no patient connections.

  • Page 28: Communication Port (Main Monitor)

    MEDRAD Veris 8600 Communication Port There are two fiber optic ports at the bottom of the monitor. One is an (Main Monitor) input port and the other an output port. These ports, on both the main monitor and the remote display, are for fiber optic communication between the main monitor and the remote display.

  • Page 29: Main Monitor Base Connections

    1 —Panel Features Main Monitor Base Connections DC Connection Exhaust Port Air Intake Port DC Connection & Exhaust Port Figure 1-5: Main Monitor Base Connections Chassis Ground The Veris monitor has an internal chassis ground. DC Connection A DC power cable connection is located at the center of the base of the patient monitor.

  • Page 30: Printer

    MEDRAD Veris 8600 Remote Display The remote display displays the patient data in another location. Changes to the display can be made from the remote display and be effected on the patient monitor. Printer Feed Printer Release Advance Lever Printer...
  • Page 31 1 —Panel Features COMMUNICATION PORTS (REMOTE DISPLAY) There are three communications sockets available along the back edge of the remote display. These connections provide links to external printers, computers, and other medical devices. See “Printing and Data Ports” in Section 12 for more information about serial printing and communications COM Port 1 Serial DB-9...

  • Page 32: Accessory Tray

    The knob can be turned to feed paper. See “Printing and Data Ports” in Section 12 for additional printer information. Printers are only available on Veris 8600 remote displays. Accessory Tray The monitor has an integral accessories tray where the user can store and hang accessories.

  • Page 33: Veris 8600 Configurations

    1 —Panel Features Veris 8600 Configurations There are six factory-set configurations and one optional remote display available. See below for configuration options. Number Description Features 3011991 Base MR Monitor Standard 3-lead ECG, SpO , and NIBP 3011992 BasePlus MR Monitor...

  • Page 35: Section 2 - Monitor Setup

    2 — Monitor Setup This section provides an overview of the setup procedures for the Veris 8600 monitor. Also see the appropriate chapters on patient parameter monitoring for parameter setup information. The monitor should be set up by the health care provider before using it on patients: •...

  • Page 36: Battery Indicators

    MEDRAD Veris 8600 The Veris monitor can function on AC or battery power. MEDRAD recommends that batteries be fully charged at all times. If the batteries are insufficiently charged, battery life is degraded and shortened. If defective batteries are suspected, contact MEDRAD Service or your local representative.

  • Page 37: System Start And Auto-Calibration

    2 —Monitor Setup System Start and To power up the main monitor, press the ON/OFF key located on the Auto-calibration front, left side of the control panel. If your system has a remote display, power is applied via the same key on that component. ON/OFF Key Figure 2-1: ON/OFF Key Immediately upon power up, the monitor displays the Veris splash...

  • Page 38: Sensor And Probe Messages

    If the Veris system fails to auto-calibrate upon power up, the message AGT:BAD CAL appears. If the system continues to fail auto- calibration, contact MEDRAD Service or your local representative. The oxygen monitoring module also requires auto-calibration, which is performed at the same time as the agent bench calibration. If the module fails to calibrate, the message O2:SENSOR appears.

  • Page 39: Screen Display And Interface

    2 —Monitor Setup Screen Display and Interface The display is divided into dedicated areas for data and interface functions. The left side of the screen is reserved for waveform (up to six) or graphic display. The uppermost waveform slot is factory set for ECG.

  • Page 40: Waveform Slots

    MEDRAD Veris 8600 17 0.4 17 0.4 21 2.3 21 2.3 Mixed ENF E 10.5 I 10.0 Mixed ENF E 10.5 I 10.0 RESP RESP Br/m Br/m SpO2 SpO2 SpO2 SpO2 200 ml/min 200 ml/min ART1 ART1 IBP1 ART IBP1 ART...
  • Page 41 2 —Monitor Setup VISUAL ALARMS WITH WAVEFORMS The waveform slots are also used to display physiological alarms that will appear at the top center of each slot. For a high priority alarm the color of the message is red. For a medium priority alarm, the color of the message is yellow.
  • Page 42 MEDRAD Veris 8600 PRIMARY AGENT WAVEFORM The primary agent waveform is displayed in percentage only as is the display for primary agent numerical data. The waveform is auto- ranging within the slot. Secondary agents are not displayed as waveforms. NITROUS OXIDE (N...

  • Page 43: Numerical Parameter Boxes

    2 —Monitor Setup Numerical Parameter Boxes The numerical parameter box area is directly to the right of the waveform area. The area is broken into seven numerical boxes. There are three additional numerical boxes below the waveforms. The numerical parameter boxes display the measured value of the vital sign being monitored, the unit of measure, and parameter- dependent information (such as the source for the heart rate or inspired/expired values for gases).
  • Page 44 MEDRAD Veris 8600 GAS BOX Numeric data for oxygen and agent gases appear in the same box. The oxygen value is listed first followed by the primary halogenated 17 11.0 39 17 11.0 39 agent and nitrous oxide concentrations. The top line lists expired values and the second line lists inspired values.

  • Page 45: Main Menu

    The main menu area is directly under the Temperature and NIBP boxes on the left-hand side of the screen. There are up to eight selectable soft keys located on the screen as shown below. NOTE: The Veris 8600 screen layout depends on the configuration of the monitor. ALARMS...

  • Page 46: Alarm And Message Areas

    MEDRAD Veris 8600 Alarm and Message Areas The two alarm lines are located under the NIBP numerical box. All alarm and error messages for NIBP, respiration, and temperature are displayed in this area. ECG, SpO , CO O, Agent, and IBP high and medium alarms are displayed here if there is not an active waveform associated with them.

  • Page 47: Keypad

    Default Press this key momentarily to access custom default profiles. Press and hold the key to alter custom default profiles (password MEDRAD required). Trend Displays the trend table when pressed momentarily. Press the key to exit the trend window. While the trend table displays, press and hold to access the trend settings menu.

  • Page 48: Changing Settings

    MEDRAD Veris 8600 Softkey Functions Softkeys are selected by turning the menu knob clockwise or (Main Menu) counterclockwise until the desired softkey is highlighted. In the sample below the ALARMS softkey is highlighted indicating that the alarm settings window displays if the menu knob is pressed.

  • Page 49: Saved Setting Profiles

    2 —Monitor Setup Saved Setting Profiles Alarms and parameter default settings may be independently modified as part of a customized default profile. Setting changes generally remain after the monitor is power cycled. • Changes made to the settings remain in current memory until a patient is discharged or the monitor is left without power.

  • Page 50: Alarms Softkey

    MEDRAD Veris 8600 ALARMS Softkey ALARMS PARAMS DISPLAY ZERO IP1 ADM/DIS CONFIG PRINT ZERO IP2 Figure 2-7: ALARMS Softkey Selected This softkey allows access to all the parameter alarm settings. When the menu is activated by pressing the menu knob, an alarm limit settings window appears.

  • Page 51: Primary Alarms Window

    2 —Monitor Setup Primary ALARMS Window ALARM VOLUME The alarm volume can be set from 1 to 10. If the volume is set to 1 it returns as 2 if the monitor is power cycled. To turn off the alarms use the SILENCE key.

  • Page 52: Invasive Blood Pressure Alarm Settings

    MEDRAD Veris 8600 OTHER ALARM SETUPS Activation of the Other Alarm Setups option at the bottom of the first alarms window may reveal additional alarms screens if other parameter modules are detected when the system is powered up. Invasive Blood Pressure This selection is not available in Base or BasePlus configurations.

  • Page 53: Agent Gas Alarms

    2 —Monitor Setup Agent Gas Alarms EXIT Inspired Expired HIGH HIGH Agent Default Alarm Limits by Agent Inspired Expired HIGH HIGH 18.0 12.0 <<< BACK Figure 2-11: Agent Gas Alarm Setting Window This selection is only available in Anesthetic and Anesthetic with Temperature configurations.
  • Page 54 The second setting is for the nitrous oxide (N O) alarm limits. MONITORED HALOGENATED AGENTS The Veris 8600 monitor provides alarm limit settings for halothane, enflurane, isoflurane, desflurane and sevoflurane. Only one of these five monitored gases has active alarm limits depending on which has been designated or automatically determined as the primary agent for monitoring.

  • Page 55: Params Softkey (Physiological Parameters)

    2 —Monitor Setup PARAMS Softkey (Physiological Parameters) ALARMS PARAMS DISPLAY ZERO IP1 ADM/DIS CONFIG PRINT ZERO IP2 Figure 2-12: PARAMS Softkey Selected When this softkey is activated a parameter settings window appears. This softkey allows access to the physiological parameter settings. Each of the sampling modules is listed here and can be turned on and off.
  • Page 56 MEDRAD Veris 8600 The colors can be changed as desired. Select the color setting to access the color sample box. Turn the knob to scroll through the possible colors and press the knob to enter the selection. Colors red, yellow, blue, green, orange, violet, light gold, and white may be selected.
  • Page 57 2 —Monitor Setup ECG AUTO LEAD SWITCH The PARAMS window settings for Auto Lead Switching are described in “ECG Auto Lead Switching” on page 5-16. For general use, these can both be set to the On position. IBP SETTINGS The two IBP channels can be configured separately. The choices are: •...

  • Page 58: Spo 2 , Respiration, Temperature Menu

    MEDRAD Veris 8600 , Respiration, Temperature Menu <<<Exit SpO2 Average seconds Search time seconds Low limit alarm HIGH Color ¤ Respiration Temperature 1 Temperature 2 Unit of measure °F Color ¤ <<<Back Figure 2-14: SpO , Respiration, Temperature Parameter Window...

  • Page 59: Gas Settings

    2 —Monitor Setup Gas Settings EXIT Unit of measure mmHg Color ¤ Color ¤ Agent Agent to Monitor Auto Flow Rate 200 ml/min Flow Mode Exhaust Agent Color ¤ N2O Color ¤ <<< BACK Figure 2-15: Gas Settings UNIT OF MEASURE The CO numerical data can be displayed as mm/hg, Torr, kPa, or volume percent.
  • Page 60 MEDRAD Veris 8600 WARNING • The halogenated agent waveform and waveform label may automatically change to a different halogenated agent when automatic primary agent detection is used. If no primary agent is detected, dashes appear in the waveform label when automatic primary agent detection is used.

  • Page 61: Display Softkey

    2 —Monitor Setup DISPLAY Softkey ALARMS PARAMS DISPLAY ZERO IP1 ADM/DIS CONFIG PRINT ZERO IP2 Figure 2-16: DISPLAY Softkey Selected This softkey allows access to the display settings. When activated, the display settings window appears. The monitor can display up to six waveforms and has user selectable waveform slot configurations.

  • Page 62: Double Height Slots

    MEDRAD Veris 8600 Double Height Slots The monitor can display waveforms in three 25mm slots and three smaller 12.5mm slots. • Two 25mm slots can be combined to form one 50mm slot. • Two 12.5mm slots in the, bottom group, can be combined together to form one 25mm slot.

  • Page 63: Cascaded Slots

    2 —Monitor Setup Each waveform slot displays the parameter or source along the left edge of the screen. The colors of the waveforms are user selectable in the PARAMS window. The numerical parameters colors match the selected waveform color whenever possible. Cascaded Slots The monitor can cascade a waveform into the next lower slot and it is then displayed as twice or three times its original length.

  • Page 64: Gain And Sweep

    MEDRAD Veris 8600 To cascade a waveform into the next lower slot, set the lower slot TYPE to CASCADE. The waveform above automatically cascades into the next lower slot. You can cascade slots 1-2-3, or slots 4-5-6. NOTE: The display is set up in separate groups of three slots so a waveform cannot be cascaded from slot 3-4.

  • Page 65: Adm/Dis Softkey (Admit/Discharge)

    2 —Monitor Setup ADM/DIS Softkey (Admit/ Discharge) ALARMS PARAMS DISPLAY ZERO IP1 ADM/DIS CONFIG PRINT ZERO IP2 Figure 2-22: ADM/DIS Softkey Selected A patient may be admitted or discharged in the ADM/DIS window, however it is only necessary to correctly specify the Patient Size since this adjusts the monitoring defaults.

  • Page 66: Adult/Pediatric/Neonatal (Patient Size)

    MEDRAD Veris 8600 CAUTION • The discharge feature returns the monitor to the user default profile last selected. If no user profiles have ever been selected on a new monitor the CUSTOM DEFAULTS found in the first position in the defaults window is used.

  • Page 67: Procedure For Admitting A Patient

    2 —Monitor Setup Procedure for To admit a patient, proceed as follows: Admitting a Patient 1. Set the menu to ADM/DIS and press the knob. the ADM/DIS window appears. If the patient data needs to be updated use the patient information procedure. 2.

  • Page 68: Config Softkey (System Configuration)

    The printing and communications settings are discussed in “Printing and Data Ports” on page 12-1 of this manual. Service mode and Simulation Mode are described in the Veris 8600 Service Manual. 2 —34...

  • Page 69: Password Protection

    These are functions that generally should not be changed during use and their settings should be adjusted by supervisory personnel, your MEDRAD representative, or other qualified service personnel. These include; Standby Timeout, Alarm Tone Warning, Line Frequency, Enter Service Mode, and Enter Simulation Mode.

  • Page 70: Language Settings

    MEDRAD Veris 8600 Language Settings The following languages are available in the monitor; ENGLISH, FRENCH, GERMAN, ITALIAN, SPANISH, JAPANESE, and PORTUG. (Portuguese). To change the language: 1. Press the ON/OFF key to start the monitor. 2. Turn the menu knob until the CONFIG softkey is highlighted.

  • Page 71: Print Softkey

    2 —Monitor Setup PRINT Softkey ALARMS PARAMS DISPLAY ZERO IP1 ADM/DIS CONFIG PRINT ZERO IP2 Figure 2-26: PRINT Softkey Selected NOTE: The printer is only found in the remote display. Printer settings may be adjusted from the main monitor or the remote display. The PRINT softkey allows access to the printer settings window.

  • Page 72: Default Settings

    MEDRAD Veris 8600 Default Settings Factory Defaults ALARMS SETTINGS Alarm Type Range Adult Pediatric Neonate Alarm Volume 1-10 ECG lead fail high, medium, low medium medium medium Heart Rate High 80-250, Off Heart Rate 20-160, Off High 70-98, Off 1-98, Off...
  • Page 73 2 —Monitor Setup Alarm Type Range Adult Pediatric Neonate ART Systolic High 0 to 240, Off ART Systolic 0 to 240, Off ART Diastolic High 0 to 240, Off ART Diastolic Low 0 to 240, Off ART Mean High -10 to 240, Off ART Mean -10 to 240, Off PA Systolic...
  • Page 74 MEDRAD Veris 8600 Alarm Type Range Adult Pediatric Neonate HAL Inspired High 0.1-20.0%, Off HAL Inspired 0.0-10.0%, Off HAL Expired High 0.1-20.0%, Off HAL Expired 0.0-10.0%, Off ENF Inspired High 0.1-20.0%, Off ENF Inspired 0.0-10.0%, Off ENF Expired High 0.1-20.0%, Off ENF Expired 0.0-10.0%, Off...
  • Page 75 2 —Monitor Setup MONITORING PARAMETERS Parameter Selectable Options Factory Default HR Source Smart, ECG, IBP, SPO2, NIBP Smart Gating Off, ECG Wave, SpO Wave, Off * ECG Pulse, SpO Pulse On, Off ECG Cable 5 Lead, 3 Lead 3 Lead (Base, BasePlus) 5 Lead (Other models) ECG Filter Monitor...
  • Page 76 MEDRAD Veris 8600 CONFIGURATION SETTINGS Configuration Selectable Options Factory Default Date Format DD-MM-YYYY; MM-DD-YYYY DD-MM-YYYY Date Day, Month, Year (Not Applicable) Time Hour, Minute (Not Applicable) Freeze Timeout 30 seconds, 1, 2, 3, 4, 5 minutes, Off 2 min Standby Timeout...
  • Page 77 2 —Monitor Setup PRINTER SETTINGS Setting Selectable Options Factory Default Print Type (Demand) Graphical, Tabular Graphical Alarm Print Off, Graphical, Tabular BP Print Off, Graphical, Tabular Interval Print Off, 1, 2, 5, 10, 15, 30, 60 minutes 2, 4, 8,12, 24 hours (1, 2, 5, 10, 15, 20, 30 seconds only Printer Device is set to...
  • Page 78 MEDRAD Veris 8600 Setting Selectable Options Factory Default Waveform 3: Type: Lead I, Lead II, Lead III, Lead V, Lead avL, Lead avR, Lead avF, Pleth, IBP 1, IBP 2, EtCO Primary Halogenated Agent, N Breath by Breath, Cascade, and Off...

  • Page 79: Section 3 - Alarms And Messages

    3 — Alarms and Messages Alarm Description The Veris monitor provides both audible and visible alarm indicators to alert the operator of system status changes and physiological parameter alarms. Alarms are provided for all monitored parameters. Each parameter limit alarm condition triggers both audible and visible alarms until one of the following events occurs: •...

  • Page 80: Visible Alarms

    MEDRAD Veris 8600 Visible Alarms In addition to audible alarms, visual text and symbol alarms are displayed on the screen. Each message or symbol is specific to its respective parameter or condition. FLASHING NUMERICAL PARAMETERS SpO2 SpO2 If a physiological parameter exceeds a high limit or falls below a low limit value, the numerical value displayed flashes.

  • Page 81: Alert Icons

    3 —Alarms and Messages Alert Icons There are three alert icons that may appear on the main screen. SUSPENDED ALARM ICONS The alarm inhibit icon appears in the parameter boxes when an individual parameter’s alarms are turned OFF. When a red bell icon appears in the top waveform slot, all the monitor’s audible alarms have been silenced.

  • Page 82: Alarms Tone Warning (Warning Tone)

    MEDRAD Veris 8600 PERMANENT SILENCE CAUTION • All alarms are silenced, including those at higher levels, until the permanent silence is ended. Press and hold the SILENCE key to permanently silence the alarms. The alarm icon appears in the System Status Line followed by an infinity symbol.

  • Page 83: Standby Mode

    3 —Alarms and Messages Standby Mode This is a function on Base, Base Plus, and all Cardiology systems. This function may be set in the CONFIG menu. It is not password protected. All functions and alarms are suspended in Standby Mode. The screen appears blank and the message STANDBY MODE displays in large red characters.

  • Page 84: Triggering An Alarm

    MEDRAD Veris 8600 Triggering an Alarm A patient alarm is activated only when the value of one of the patient's parameters exceeds one of the alarm limits. For example, if the high saturation limit is set to 97%, the Veris monitor sounds an alarm when the patient’s SpO...

  • Page 85: Alarm Message List

    Check the lead(s). Alarms Priority Description : ERROR The monitor has detected a fault with the SpO function. Contact MEDRAD Service or your local representative. :SENSOR The SpO sensor is not properly positioned. :HIGH AMBIENT The SpO module is reading excessive light.

  • Page 86: Temperature Alarms

    MEDRAD Veris 8600 Priority Description LOW SpO High/Medium The SpO value has dropped below the value set in the ALARMS menu. This alarm can be set to high or medium priority in the PARAMS menu. HIGH SpO Medium The SpO value has exceeded the value set in the ALARMS menu.

  • Page 87: Nibp Alarms

    Pulse amplitude is too low. Reposition cuff. BP: NO DEFLATE The monitor was unable to deflate the NIBP cuff. Disconnect the cuff and contact MEDRAD Service or your local representative. BP: MAX TIME Maximum time (2 minutes) allowed for measuring the blood pressure has been exceeded.

  • Page 88: Ibp Alarms

    ZERO FAIL Informational The zero calibration was unsuccessful. Calibration was aborted due to detection of beat or pressure fluctuations. Contact MEDRAD Service or your local representative if the monitor continues to fail calibration. NOT ZEROED Informational The transducer needs to be zeroed.

  • Page 89: Capnometry (Co 2 ) Alarms And Messages

    A hardware failure has been detected. Contact MEDRAD Service or your local representative. :SENSOR The O cell inside the monitor is expended and must be replaced. Contact MEDRAD Service or your local representative. REPLACE TRAP Medium The Veris monitor trap needs to be replaced.
  • Page 90 MEDRAD Veris 8600 Priority Description AGT: AUTO CAL Quiet Medium The agent bench is doing an auto calibration. AGT: WARMING Informational The Veris monitor has not attained full accuracy for agent concentrations. AGT: DISCONNECT Informational There is an agent bench hardware error.

  • Page 91: Oxygen Monitoring (O 2 ) Alarms

    3 —Alarms and Messages Oxygen Monitoring ) Alarms Priority Description LOW EtO Medium The expired O value has dropped below the value set in the ALARMS menu. HIGH EtO Medium The expired O value has exceeded the value set in the ALARMS menu.

  • Page 92: System Alerts

    Contact MEDRAD Service. PRINT: TEMP ERR Informational The thermal printing element on the remote display is not at the correct temperature. Contact MEDRAD Service or your local representative. Vxxx - NO ADMIT Informational The patient has not been admitted and wireless communication is not setup.

  • Page 93: Section 4 - Trends

    4 — Trends Description The trend memory stores patient data at regular intervals for review at a later time. Trend data can be reviewed by printing it out on the remote display’s built-in printer, through the serial port, or on the screen.

  • Page 94: Trend Setup

    MEDRAD Veris 8600 Trend Setup Up to two parameters may be viewed in graphical format in the trend window. Change the trend view in the Trend Setup window. To view trends: 1. Press the TREND key to enter the trend window.
  • Page 95 4 —Trends If Graphical is selected, set the Trend Interval and Trend Parameters as desired. EXIT Trend Type Graphical Trend Interval 4 Hours First Trend Parameter Color ¤ Second Trend Parameter SPO2 Color ¤ Trend Screen Normal Clear Trend Figure 4-1: Graphical Trend Setup Window If Tabular is selected, the Trend Screen is set to Basic Trend Display for Base and Cardiology models.

  • Page 96: Graphical Trends

    MEDRAD Veris 8600 Graphical Trends The graphical trend window covers the lower five waveform slots. The physiological parameter and the unit of measurement is listed vertically on the left side for the first displayed line graph. The second line graph is labeled vertically on the right side.

  • Page 97: Graphical Trend Display

    4 —Trends Graphical Trend Display Two physiological parameters may be displayed at the same time in the graphical trend window. For IBP and NIBP the pressure values for diastolic, systolic and mean will be represented. The line graphs are shown in the color selected by the user for trend displays. ECG:LEADS OFF ECG:LEADS OFF SpO2...

  • Page 98: Tabular Trends

    MEDRAD Veris 8600 Tabular Trends Tabular Trend Markers Various messages appear in the tabular trend to indicate that system events have occurred. A complete list is as follows: STNDBY ON STNDBY OFF AGT STNDBY ON AGT STNDBY OFF AUDIO ON...

  • Page 99: Data Format

    4 —Trends Data Format The parameters are listed in the first column followed by the units. • Time stamps at the half minute mark are displayed with a plus “+” sign. • Measured parameters that exceed or drop below alarm limits are highlighted.
  • Page 100 MEDRAD Veris 8600 Anesthesia units display two trend screens. The default is Basic Trend Display. Select Advanced Trend Display for Trend Screen in the Trend Setup Window to view the second tabular trend screen. The Basic Trend Display screen displays: •...
  • Page 101 4 —Trends HEART RATE SOURCE INDICATION The source of the heart rate data is indicated by a letter following each heart rate value. • E = electrocardiogram, • I = invasive blood pressure, • S = pulse oximetry and • N = Non-invasive blood pressure. IBP SITE INDICATION The IBP site is indicated by a letter following each mean value.

  • Page 102: Clearing The Memory

    MEDRAD Veris 8600 Clearing the Memory To clear the trend memory: 1. Press the TREND key to display the trend. 2. Press and hold TREND key again to display the trend setup window. 3. Select the clear trend option and select YES to confirm the clearing of the trend data.

  • Page 103: Section 5 - Ecg

    ECG module, which in turn amplifies, digitizes (converts analog signals to digital signals), and transmits this information to the Veris 8600 patient monitor by means of light pulses traveling through fiber optic cable. The Veris 8600 patient monitor ECG circuitry filters these received signals.

  • Page 104: Ecg Module

    MEDRAD Veris 8600 METHOD To obtain an overall view of the heart's electrical activity, three or five electrodes attached to a leadset detect electrical impulses from the patient's heart to the skin. The monitor calculates the difference in electrical force between two electrode sites. Electrode polarity (positive, negative, or ground) depends on the cable receptacle the lead cable is attached to and the lead selected on the monitor screen.

  • Page 105: Gating Signals

    5 —ECG Gating Signals The input gating signal is derived from any one of two sources—ECG or Plethysmogram (SpO ) waveform and is available in 2 user-selectable forms, pulse or waveform. An icon of the gating signal source and a visual indication appears at the upper left corner of the heart rate numerical display box.

  • Page 106: Ecg Monitoring (Electrocardiogram)

    Use only ConMed Invisatrace electrodes or other electrodes specifically recommended by Medrad with the Veris monitor. • The ECG signal is not intended for diagnostic use. Interference due to static and gradient magnetic fields can occur. Determine only rate and rhythm during ECG use.
  • Page 107 5 —ECG WARNING • There is no defibrillator synchronization output on the Veris monitor. Make no connections between the Veris system and a defibrillator. • PACEMAKER PATIENTS: This device does not include pacemaker spike rejection capability. Heart rate readouts derived from the ECG patient connections are likely to display erroneous high or erratic rates when a pacemaker is in use.

  • Page 108: Protection

    • The presence of tall T-waves greater than 80% of the R-wave may result in a double counting of beats. The Veris 8600 monitor complies to AAMI EC13-2002 with exceptions. The monitor does not reject beats of 10ms or less in duration and 1mV or less in amplitude per EC13 section 5.2.6.

  • Page 109: Ecg Module Interface

    5 —ECG ECG Module Interface The ECG module is a battery-powered, fiber optic interface from the patient to the monitor. The module has five color-coded connectors along its front surface to interface with the ECG leadsets and 2 color- coded fiber-optic connectors on the rear surface to interface with the Veris monitor.

  • Page 110: Battery Condition

    Do not open the batteries. Do not dispose of the batteries in a fire. Follow all local regulations concerning the disposal of spent Lithium-Ion batteries or contact Medrad for assistance. CAUTION •...
  • Page 111 5 —ECG Charging the Charge the ECG module at least once per week using the provided Battery charger. Charge the module only when it is not in use and not connected to a patient. 1. Plug the charger into an AC outlet, outside the magnet room. 2.
  • Page 112 MEDRAD Veris 8600 5. Confirm that the module is charging by observing the indicator on the charger and using the instructions printed on the charger. Charger Indicator Figure 5-11: Charging with Indicator Light 6. The ECG module charges in 3 hours or less. Observe the charger indicator to determine when the module is fully charged.

  • Page 113: Ecg Monitoring

    Use three (or five) new, MR-compatable electrodes. WARNING • Connect only MEDRAD approved 3-lead or 5-lead ECG cables from the patient to the ECG module. Do not connect any other signal source to the ECG module. • When positioning the patient in the MR scanner, locate the electrodes less than four inches from each other and do not loop the leadset.

  • Page 114: Lead Placement

    Lead Placement The monitor provides ECG options for 3- and 5-lead patient setups. The following instructions describe both the 3- and 5-lead configurations. It is important to use the MEDRAD recommended leadset to ensure patient safety. CAUTION • When positioning the patient in the MR scanner, locate the electrodes less than four inches from each other and do not loop the leadset.
  • Page 115 5 —ECG 5-LEAD SETUP Place the electrodes on the patient in the 5-lead configuration as shown in the illustration below. Leads I, II, III, aVL, aVF, aVR, or V may be selected in the monitor’s DISPLAY window. Figure 5-13: Electrode Locations for 5-Lead Setup The V lead (chest lead) in a 5-lead configuration can be placed in one of six standard positions.
  • Page 116 MEDRAD Veris 8600 Connecting Patient NOTE: Inspect the ECG module cable and connections regularly for to the Monitor signs of mechanical damage (e.g., cracked insulation, crimped, or bent wires). 1. Attach the electrodes as described in “Lead Placement” on page 5-12 and following.

  • Page 117: Completion Of Ecg Monitoring

    5 —ECG NOTES: To remove the fiber optic ECG cable, grip the cable connectors at the end of the cable and pull back firmly. Do not pull on the fiber optic cable to remove it from the monitor or ECG module. To remove the lead set from the ECG module, grip the connectors at the module end of the lead and pull straight out.

  • Page 118: Ecg Auto Lead Switching

    MEDRAD Veris 8600 ECG Auto Lead Switching The monitor may have the ability to display alternate leads in cases of fault in the selected lead while the unit is set for 5 lead ECG. The monitor uses the RA electrode in deriving all lead views.

  • Page 119: Alternate Lead Priority

    5 —ECG Alternate Lead Priority The ECG monitor automatically determines lead switching as shown below. NOTE: Lead switching is only available in 5-lead setup. 5 Lead Electrode Off Primary Lead Alternative Lead Lead I NONE — — Lead II NONE —...

  • Page 120: Gating Interface

    MEDRAD Veris 8600 Gating Interface The source of the gating signal may arise from the ECG or SpO . The gating signal from either of these sources may be delivered to the scanner in two user-selectable forms—waveform or pulse. • Waveform output: one of the following: 1mV ECG waveform or a plethysmogram (SpO ) waveform.
  • Page 121 NOTE: Always select LEAD II on the MR scanner console. If you wish to use another configuration (I, II, III, aVL, aVR, or aVF), make this change at the Veris 8600 patient monitor. Selecting a lead configuration other than II at the MR scanner console may result in incorrect or no gating action.

  • Page 123: Section 6 - Nibp

    NIBP Clinical Testing This device was clinically tested per the requirements of EN 1060 and and Accuracy AAMI SP-10. The NIBP module as installed in the Veris 8600 monitor has been tested to meet the performance specifications listed in this manual.

  • Page 124: Cuff Inflation And Pressure Protection

    MEDRAD Veris 8600 Cuff Inflation and The maximum cuff inflation rate is 15 mmHg/sec. The software limits Pressure Protection inflation to 300 mmHg adult, 300 mmHg pediatric, or 150 neonate. A secondary circuit limits maximum possible cuff pressure to 316 mmHg in adult/pediatric mode and 158 mmHg in neonatal mode.

  • Page 125: Nibp Monitoring

    5 meter extension tubing. This adult arm cuff is one of many blood pressure cuffs available. Use only NIBP accessories recommend by MEDRAD. See “Accessories” in Appendix D. The monitor has a quick connect/disconnect fitting for the NIBP extension tubing. The patient end of the tubing has a threaded fitting that accepts any MEDRAD NIBP cuff.
  • Page 126 MEDRAD Veris 8600 CAUTION • Proper cuff size and placement is essential for accurate blood pressure measurement. • The accuracy of noninvasive blood pressure readings may be adversely affected by the presence of drugs or therapies which alter the patient's cardiovascular dynamics.

  • Page 127: Selecting Cuffs And Hoses

    6 —NIBP Selecting Cuffs and Hoses MEDRAD blood pressure cuffs and extension tubes are recommended for use with this monitor. Use of other brands of cuffs may cause inaccurate measurements. Proper cuff size and placement is essential to assure accurate blood pressure measurement.

  • Page 128: Placing The Nibp Cuff

    MEDRAD Veris 8600 Placing the NIBP Cuff Wrap the cuff snugly around the extremity, leaving enough room between the cuff and the extremity for two fingers. If the cuff is too loose, it cannot be inflated properly and may cause errors in measured BP values.

  • Page 129: Procedure

    MEDRAD Veris 8600 Procedure 1. Check the System Status Line for the correct mode. The status line indicates Adult, Pediatric, or Neonate. 2. Select a cuff as described previously in this section. 3. Connect the BP cuff to the extension tube.

  • Page 130: Taking Nibp Measurements

    MEDRAD Veris 8600 Taking NIBP Measurements For optimum accuracy, the patient should keep the cuffed part of the arm at the same level as the heart. NIBP measurement points above the level of the heart give reduced pressure values. Measurement points below the heart level give increased values.

  • Page 131: Section 7 - Spo

    7 — SpO Theory of Operation The monitor uses Digital Oximetry (DOX™) technology to measure blood oxygen saturation (SpO Heart Rate The SpO pulse rate is used if the ECG and the IBP pulse rates are not available. See “Heart Rate” on page 5-1 for more information. Definition Hemoglobin exists in the blood in several forms: •...

  • Page 132: Gating Signals

    The effects of skin pigmentation, venous blood, and other tissue constituents are eliminated by separating out the pulsating absorption data. Clinical Testing All MEDRAD oximeters (DOX™ compatible) have SpO calibration tables which were originally generated by monitoring desaturated and Accuracy...

  • Page 133: Spo 2 Monitoring Procedures (Pulse Oximetry)

    7 —SpO Monitoring Procedures The following instructions describe procedures for preparing a patient for SpO monitoring. (Pulse Oximetry) There are three SpO sensors available: • Adult finger-toe clip • Pediatric finger-toe clip • Neonate probe Shown below are two of these attached to a sensor extension cable. The sensor is connected to the Veris monitor by means of an extension cable.

  • Page 134: Attaching The Probe To The Monitor

    MEDRAD Veris 8600 CAUTION • The pulse oximeter sensor may cause skin irritation and pressure necrosis. Inspect the pulse oximeter sensor site every two to four hours or per hospital protocol. Move the sensor to a different location if skin irritation is present.
  • Page 135 RF energy and the electrically conductive sensor extension cable. • Use only oximeter probes supplied with, or specifically intended for use with, the Veris 8600 patient monitor. • Significant levels of dysfunctional hemoglobins, such as carboxyhemoglobin or methemoglobin, affects the accuracy of the SpO measurement.

  • Page 136: Finger Probe Application For Adults

    MEDRAD Veris 8600 Finger Probe Application 1. Attach the finger probe to the patient as shown. Be sure to fully for Adults insert the patient's finger into the probe. Run the fiber optic cable away from the hand. For patients with long fingernails, use the neonatal probe.

  • Page 137: Neonate Probe Placement

    7 —SpO Neonate Probe Placement In situations where a finger sensor is not practical, a MEDRAD neonate probe can be used. The sensor pads are small, light-weight, and adjustable. The neonate probe can be placed using adhesive tape. Special care should be taken not to restrict blood flow in the finger tip.
  • Page 138 MEDRAD Veris 8600 2. Remove the backing from the light source side of the neonate tape. Light Source Center Side Section Figure 7-5: Neonate Probe Tape 3. Attach the neonate probe to the patient with the light source side to the fingernail.
  • Page 139 7 —SpO FOOT (INFANTS) 1. Attach the neonate probe to a neonate tape strip. 2. Remove the backing from the light source side of the neonate tape. See “Figure 7-5: Neonate Probe Tape” on page 7-8. 3. Attach the neonate probe to the infant's foot as shown in “Figure 7-7: Neonate Probe Foot Placement (Infants)”, just behind the small toe.

  • Page 140: Spo Peripheral Gating

    MEDRAD Veris 8600 Peripheral Gating Peripheral (SpO ) gating provides an alternative to ECG gating. (See “Gating Interface” on page 5-18.) It utilizes the signal obtained from the pulse oximeter sensor. Figure 7-8: SpO Peripheral Gating Connection The pulse oximeter signal is obtained from the patient and displayed on the monitor.
  • Page 141 MEDRAD Veris 8600 One of two icons appears in the upper left corner of the heart rate Waveform Output numerical display box. These icons represent the gating signal output—either waveform or pulse. The icon is the same color as the...

  • Page 143: Section 8 - Ibp

    8 — IBP Theory of Operation The IBP monitoring module is intended for direct pressure monitoring using an intra-arterial catheter, a continuous flushing system, and an IBP transducer. The IBP module provides analog to digital conversion of the transducer signal. The IBP module processes continuous digital patient data that can be displayed as waveform and numerical values.

  • Page 144: Ibp Monitoring

    MEDRAD Veris 8600 IBP Monitoring Invasive Blood Pressure (IBP) allows monitoring of Real-Time Invasive Blood Pressure with the use of a Blood Pressure Transducer. The transducer converts the hydrostatic signals into electrical signals which are displayed graphically on the monitor.

  • Page 145: Invasive Blood Pressure Transducers And Interface Cables

    MEDRAD. Please note that MEDRAD does not sell or distribute transducers. The following are examples of disposable transducers which meet the Medrad specification of an electrical cable that does not exceed 14 inches in length: • Abbott Transpac IV (REF 42582-05) •...
  • Page 146 MEDRAD Veris 8600 CAUTION • Do not place the IBP transducer in the bore of the magnet. This could result in degraded measurement accuracy. Ensure the transducer is outside of the magnet bore. • Place only the disposable tubing portion of the IBP kit in the magnet bore to ensure patient safety and improve measurement accuracy.

  • Page 147: Ibp Monitoring Procedure

    IBP Port Channel 2 Figure 8-2: IBP Ports The IBP ports are customized 5-pin female sockets and are designed to accept only MEDRAD compatible IBP interface cables. The transducer specifications and information for obtaining transducer cables is located in Appendix F: "IBP Transducer Specifications”...

  • Page 148: Ibp Safety

    • For accurate performance, IBP transducers must conform with the specification designated by MEDRAD, Inc. Follow the instructions provided with your transducer. • Accuracy of the IBP measurement can be affected by poor setup of the transducer or fluid system.
  • Page 149 8 —IBP 3. Connect the IBP interface cable to the Veris monitor. 4. Connect the appropriate IBP interface cable to the transducer. 5. The monitor displays the message NOT ZEROED in the informational alarm line. The message appears independently for each channel. NOTE: If a waveform slot is set to display IBP, the monitor shows a waveform immediately.

  • Page 150: Zero Calibration (Quick)

    NOTE: the monitor cannot calibrate to a zero offset that exceeds ± 150 mmHg. The monitor reports a ZERO FAIL message. Contact MEDRAD Service or your local representative if you cannot zero the monitor. NOTE: According to information I found and conversion used: at an elevation of 2,000 meters (6,561.7 ft.) the transducer will not...
  • Page 151 MEDRAD Veris 8600 Clinical Use and A variety of physiological conditions alters the appearance of the IBP Arterial Waveforms pressure waveforms. Conditions such as hypertension, shock, obstruction of the aorta, aortic valve disease, and pericarditis can affect the arterial pressure waveform.

  • Page 153: Section 9 - Temperature

    9 — Temperature Theory of Operation The Veris monitor uses a fiber-optic thermometer to measure temperature. This provides accurate and reliable measurements in the MRI environment. This sensor probe features an environmentally inert, non-conductive, non-metallic, miniature probe, making it ideal for harsh operating conditions like the MRI environment, which includes conditions where high levels of electromagnetic interference (EMI) such as RF field or high voltages exist.

  • Page 154: Temperature Monitoring Procedures

    MEDRAD Veris 8600 Temperature Monitoring The Veris monitor system provides for two temperature probes, Procedures allowing for patient temperature measurements from two different locations. The user is not required to use both probes simultaneously nor is one probe dominant over the other.
  • Page 155 9 —Temperature CAUTION • Forced mating of the connectors without proper alignment may cause damage to the connectors and interruption in electrical continuity and optical alignment. • During use, do not entwine the cable with other electrical cables. • To remove the temperature connector, press on the locking clip and pull straight out.

  • Page 156: Directions For Use With Skin Surface Probe

    3. Unwind the cable from the protective card and peel the sensor from the card. Attaching the Temperature Probe MEDRAD recommends attaching the temperature probes at either to the Patient the Axillary or Femoral location as shown in “Figure 9-2: Temperature Probe Locations”...

  • Page 157: Section 10 - Anesthetic Agents

    10 — Anesthetic Agents Theory of Operations Integrated CO and Agent The integrated detector measures carbon dioxide (CO ), nitrous oxide O), and five halogenated anesthetic agent gases using the same Gas Detector sample collection path and testing apparatus. The analyzer uses proprietary High IQ™...

  • Page 158: Gas Monitoring Procedures

    MEDRAD Veris 8600 Gas Monitoring Procedures The following instructions describe procedures for preparing a patient for CO O, and agent (AGT) monitoring. Sampling Circuit Connections The monitor uses a sidestream gas sampling circuit composed of a water trap, a sampling line and a sampling device. The water trap is a combination filter and moisture condenser.

  • Page 159: Gas Monitoring Safety

    Gas sampling lines may be inadvertently connected to intravascular fluid systems; allowing air into a blood vessel. • Use MEDRAD MRI compliant supplied gas cylinders only for verification of gas readings. They are suitable for use in the MRI environment. See “Accessories” in Appendix D for part numbers.

  • Page 160: Water Trap

    MEDRAD Veris 8600 Water Trap The water trap has a connection located at the top that fits up and into the gas receptacle of the monitor. Water Trap Receptacle (On Monitor) Luer-lock entrance Water Trap Connection Water Trap Slide up and into receptacle ™...

  • Page 161: Sampling Devices

    10 —Anesthetic Agents Sampling Devices Shown below is a typical gas sampling device (nasal cannula) attached to a sample line. This nasal cannula is used for both CO O, and agent (AGT) monitoring. Figure 10-3: Nasal Cannula If using the nasal cannula, position it directly under the patient's nose with the prongs extending into the nostrils.

  • Page 162: Calibration And Startup

    MEDRAD Veris 8600 Standard breath circuit configurations are shown below beginning with a common endotracheal tube with a 15mm outside diameter. The circuit then extends to meet a standard 22mm inside diameter ventilation flex tube. Confirm the proper fit of all breath circuit components before attempting patient monitoring.

  • Page 163: Procedure For Gas Monitoring

    MEDRAD Veris 8600 Procedure for Gas Monitoring 1. Check the Flow Rate settings in the PARAMS softkey window. ™ 2. Slide the WaterChek water trap into the gas receptacle of the monitor. 3. If anesthetic agents are being used, attach a scavenging line to the exhaust port at the pedestal of the monitor.

  • Page 165: Theory Of Operation

    11 — CO , and N Theory of Operation Respiration Respiration is measured via the CO monitoring module and is only available in Anesthesia models. Capnometry The Veris monitor measures CO concentrations and sends data (Measurement of CO suitable for a continuous waveform display. The monitor also detects end-tidal and fractional Inspired CO levels and displays the numerical values.

  • Page 166: Measuring Oxygen (O 2 )

    MEDRAD Veris 8600 The Veris monitor is suitable for sustained pressure (breathing circuit) monitoring environments and has been tested per Clause 102 (Sustained Pressure) of EN 864. STABILITY OF ACCURACY The monitor has an internal barometer and thermistor that allow compensation for changes over a range of temperature and atmospheric pressures.
  • Page 167 11 —CO , and N CONDITIONS OF USE The O function is appropriate for measuring respiratory O concentrations in all patient populations. The O monitor is suitable for use in breathing systems and with the use of inhalation anesthetic agents. STABILITY OF ACCURACY The oxygen cell contains temperature correction circuitry.

  • Page 168: Co Monitoring Procedure

    MEDRAD Veris 8600 Monitoring Procedure Allow the CO monitor to warm up and auto-calibrate before use. It is necessary to have the water trap sampling line attached so that the monitor draws the correct air flow. When a patient is connected, the monitor begins displaying the end- tidal and inspired CO values in the parameter box.
  • Page 169 11 —CO , and N Monitoring Procedures When a patient is connected, the monitor begins displaying the expired and inspired O numerical values in the parameter box. All procedures for patient setup, water traps, and occlusions apply to the measurement because the sample is taken from the same source. Interfering Gasses for O The monitor reports small changes in O when anesthetic agents and...

  • Page 171: Section 12 - Printing And Data Ports

    12 — Printing and Data Ports Description The optional remote display is equipped with a thermal dot-matrix printer which is located on the top of the unit. The Veris remote display is capable of printing all vital signs parameters in tabular (text) format.

  • Page 172: Print Modes

    MEDRAD Veris 8600 Print Modes Demand Print If the print type is set to tabular, pressing the PRINT key causes an immediate print-out of the vital signs numbers, date, time and patient data in a “tabular” text format. If the print type is set to graphical, pressing the PRINT key causes an immediate print-out of the selected waveforms for a duration as selected by “snapshot size.”...

  • Page 173: Trend Print

    12 —Printing and Data Ports If print type is set to Graphical, the waveforms selected are printed out. The data printed is for a history time period followed by a snapshot time period. If Print Type is set to Tabular, a demand tabular print is issued using the “frozen”...

  • Page 174: Print Formats

    MEDRAD Veris 8600 Print Formats The internal thermal dot-matrix printer is capable of printing vital signs parameters in tabular (text) or graphical (waveforms). Select the printout format in the PRINT softkey menu. Tabular Printing A header is printed containing the monitor model, the operating software revision, the time and date, and the patient information.
  • Page 175 12 —Printing and Data Ports Figure 12-2: Single Waveform Printout Figure 12-3: Dual Waveform Printout Figure 12-4: Sample Agent with CO Printout 12 —5...
  • Page 176 MEDRAD Veris 8600 Data in corner for top waveform Data in corner for bottom waveform Figure 12-5: Sample ECG with Pleth Printout The printout can be configured with a variety of waveform pairs. The example above shows an ECG waveform and a plethysmographic waveform.

  • Page 177: Changing Printer Paper

    12 —Printing and Data Ports Changing Printer Paper The monitor uses thermal paper. The paper must be loaded with the thermal reactive side down as shown in the pictures below. Open the printer door and remove the old spool. Figure 12-7: Open The Printer Door Insert the paper between the rollers.
  • Page 178 MEDRAD Veris 8600 Figure 12-9: Feed Paper Close the paper door while sliding the end of the paper through the slot in the door. Figure 12-10: Close Door 12 —8...

  • Page 179: Data Output Ports

    12 —Printing and Data Ports Data Output Ports The Veris monitor supports a variety of communication connections. The communications ports are located along the left edge of the back of the remote display. The ports are as follows: • COM1 Port, RS232 Serial DB-9 •...
  • Page 180 A common computer terminal program and an unused RS232 serial port is needed for external communications. MEDRAD recommends using the Windows HYPERTRM.EXE program provided with MS Windows 95 or later operating systems. HYPERTRM.EXE can be found in the Windows accessory directory.

  • Page 181: Com2 Port

    There is also an analog output signal available at pin 2. For information about sending analog data to a plotter or chart recorder contact MEDRAD Technical Support. The connector pinouts are shown below. PINOUT CHART...

  • Page 182: Csv Data Format

    MEDRAD Veris 8600 CSV Data Format The Comma-Separated Variable output presents the data in a form that is easily imported into a spreadsheet application where further analysis can be done on the data. The data is output in ASCII format...

  • Page 183: Appendix A: Maintenance

    Appendix A: Maintenance This section contains recommended procedures for maintenance, and an operational checkout of the Veris 8600 patient monitor. Routine maintenance and inspection will: • Ensure continued performance of the patient monitor. • Reduce the possibility of equipment malfunction.

  • Page 184: Pulse Oximeter Sensors

    Do not spray glass cleaner directly on the display. Pulse Oximeter Sensors CAUTION • Do not immerse any MEDRAD pulse oximeter sensor connector in any liquid. Doing so may damage the connector. The SpO sensor may be wiped clean with alcohol. The SpO...

  • Page 185: Temperature

    Appendix A:Maintenance • Remove the inflatable bag from the cuff before laundering or sterilizing the cuff. • Strong bleach solutions will damage the cuff. • Temperatures over 275° F (135° C) will damage the cuff. ® • Close the Velcro fastener before laundering the cuff.

  • Page 186: Accidental Wetting

    Full testing is required before the monitor, remote display, or power supply can be used. Contact the MEDRAD Service Department as soon as possible. Time is critical! The longer any liquid remains in the monitor, remote display, or power supply, the more damage it can do.

  • Page 187: Annual Safety Tests

    • Test the monitor for electrical leakage and withstanding voltage. Do not remove the cover. Refer all servicing to a qualified technician. Descriptions of these tests can be found in the Veris 8600 Service Manual. Some tests may require specialized equipment.

  • Page 188: Maintenance Schedule

    Department offers Preventive Maintenance Programs. These annual programs greatly assist in maintaining accuracy and reliability, and can also extend the life of the system. Contact MEDRAD for details, In Europe, contact your local MEDRAD office or your local authorized dealer for further information. Refer to “In Case of Emergency Contact”...

  • Page 189: Long-Term Storage

    Discard disposable medical waste according to your institution's policies and procedures to prevent biological contamination. Alternately, the monitor and its accessories may be returned to MEDRAD, Inc., for safe disposal. The shipping address is: MEDRAD, Inc. One Medrad Drive Indianola, PA 15051-0780...

  • Page 191: Appendix B: Unit And Configuration Defaults

    Appendix B: Unit and Configuration Defaults Restoring the Unit Default A set of unit defaults are pre loaded into the non-volatile memory of Profile the monitor. These defaults can be used as they exist, or can be used as the basis for creating your own default profile. The unit default profile can be modified or renamed or replaced if desired.
  • Page 192 MEDRAD Veris 8600 3. Enter the password MEDRAD (required to save the customized default): • Turn the menu knob to highlight a single letter or number. • Press the menu knob to select that letter or number. • Continue for each letter and number of the password.

  • Page 193: Configuration Default Settings

    Appendix B:Unit and Configuration Defaults 9. To accept the new label name, turn the menu knob to highlight ACCEPT and press to select. The message Action Completed appears. Set Unit Defaults Set current configuration and alarm settings as new unit default settings. SELECT EDIT CUSTOM DEFAULTS...
  • Page 194 MEDRAD Veris 8600 The selection procedure works the same as in the previous screens. 1. WIth the SELECT feature highlighted, press the menu knob to select from Base System, Cardiac System or Anesthesia System (depending upon your unit’s configuration). 2. Turn the menu knob to select ACCEPT. The message Action...

  • Page 195: Configuration Settings For Unit Defaults

    Appendix B:Unit and Configuration Defaults Configuration Settings for Unit The configuration settings for the three configuration setup defaults Defaults are the same as the basic hospital configuration settings except for the following, grouped by menu: PARAMS Menu Settings Cardiac Anesthesia Setting Base BasePlus...

  • Page 196: Print Menu Settings

    MEDRAD Veris 8600 PRINT Menu Settings Cardiac; Cardiac; Anesthesia; Anesthesia; Cardiac Cardiac Anesthesia Anesthesia w/Temp— w/Temp— w/Temp— w/Temp— w/o Remote w/Remote w/o Remote w/o Remote Setting Base BasePlus Display Display Display Display Print Type Graphical Graphical Graphical (Demand) Alarm Print...

  • Page 197: Alarms Menu Settings

    Appendix B:Unit and Configuration Defaults ALARMS Menu Settings Cardiac Anesthesia Setting Base BasePlus Cardiac with Temp Anesthesia with Temp Heart Rate (High) Adult, Pediatric Neonate Heart Rate (Low) Adult, Pediatric Neonate (High) (Low) NIBP Systolic (High) Adult, Pediatric Neonate NIBP Systolic (Low) Adult, Pediatric Neonate NIBP Diastolic (High)
  • Page 198 MEDRAD Veris 8600 Cardiac Anesthesia Setting Base BasePlus Cardiac with Temp Anesthesia with Temp Inspired (High) Inspired (Low) Expired (High) Expired (Low) IBP1 Systolic (High) Adult, Pediatric Neonate IBP1 Systolic (Low) Adult, Pediatric Neonate IBP1 Diastolic (High) Adult, Pediatric Neonate...
  • Page 199 Appendix B:Unit and Configuration Defaults Cardiac Anesthesia Setting Base BasePlus Cardiac with Temp Anesthesia with Temp ART Mean (Low) Adult, Pediatric Neonate PA Systolic (High) PA Systolic (Low) PA Diastolic (High) PA Diastolic (Low) PA Mean (High) PA Mean (Low) LA Mean (High) LA Mean (Low) LV Systolic (High)
  • Page 200 MEDRAD Veris 8600 Cardiac Anesthesia Setting Base BasePlus Cardiac with Temp Anesthesia with Temp RV Diastolic (Low) Adult Pediatric, Neonate RV Mean (High) Adult Pediatric, Neonate RV Mean (Low) Adult Pediatric, Neonate CVP Mean (High) CVP Mean (Low) ICP Mean (High)

  • Page 201: Other Alarm Settings

    Appendix B:Unit and Configuration Defaults Cardiac Anesthesia Setting Base BasePlus Cardiac with Temp Anesthesia with Temp SEV Expired (High) SEV Expired (Low) Other Alarm Settings All models Value Alarm Volume Apnea 20 seconds ECG Lead Fail Medium B-11...

  • Page 203: Appendix C: Specifications

    Appendix C: Specifications ECG System Lead Selection: 3-Lead; I, II, III 5-Lead; I, II, III, aVR, aVL, aVF, V Frequency Response: Monitor; 1-40Hz (-3dB) Safety Standards: UL60601-1 CAN/CSA C22.2 No. 601.1-M90 IEC 60601-1, IEC 60601-2-27 EMC Standards: IEC 60601-1-2 2nd Edition, CISPR11 Class B ECG Module Dimensions: 13.34cm.

  • Page 204: Ecg Module Charger

    MEDRAD Veris 8600 ECG Module Charger Dimensions: 12.0cm. x 5.3cm. x 3.8cm. (4.73 in. x 2.1 in. x 1.5 in.) AC Input: 100-250VAC, 50/60Hz AC Input Connection: Universal IEC inlet; use supplied cord Output: 600mA at 7.4VDC Charge Time: Less than 3 hours...

  • Page 205: Spo 2

    Appendix C:Specifications Gating Signal Source: ECG, SpO Pulse output: 50msec (±10%) pulse width, synchronous with the r-wave or corresponding peak of the plethysmogram waveform. Waveform output: One of the following, 1.5mV (±0.5mv) ECG or plethysmogram waveform. Gating Signal Delay: <10 milliseconds (ECG), <20 milliseconds (SpO Visual Indication: Icon at the upper right corner of the display...

  • Page 206: Invasive Blood Pressure

    MEDRAD Veris 8600 Invasive Blood Pressure Channels: Transducer Sites: Selectable: ART, PA, LA, RA, CVP, ICP, RV, LV Pressure Range: -10mmHg to 300mmHg (increments of 1mmHg) Zero Offset: ±150 mmHg Transducer Sensitivity: 5µV/V/mmHg Resolution: 1 mmHg Excitation Voltage: 5 volts ± 0.1 volt Accuracy: ±1 mmHg or ±1%, whichever is greater...

  • Page 207: Halogenated Agents

    Appendix C:Specifications Halogenated Agents Method: Sidestream; non-dispersive infrared Units: Volume Percent Resolution: 0.1 Volume Percent Range: Halothane; 0 to 10.0 vol. % Isoflurane; 0 to 10.0 vol. % Enflurane; 0 to 10.0 vol. % Desflurane; 0 to 20.0 vol. % Sevoflurane;...

  • Page 208: Nitrous Oxide (N O

    MEDRAD Veris 8600 Nitrous Oxide (N Method: Sidestream; non-dispersive infrared (NDIR) Range: 0 to 99 volume percent Resolution: Accuracy: ± (1.5% abs. + 4% of reading) for breath rates up to 60 bpm. Identification Threshold: 5% (for single and mixed agents)

  • Page 209: Alarms

    Appendix C:Specifications Alarms Characteristics: EN 475, Adjustable Indication: Audible; Visual Levels: High, Medium, Low, Informational, Medium Quiet, Informational Quiet Settings: User Defaults, Hospital Defaults, Factory Defaults Alarm Modes: Adult/Pediatric/Neonate, High and low limit settings for each mode. Volume: User Adjustable (1-10) Silence: Yes;...

  • Page 210: Environmental

    MEDRAD Veris 8600 Environmental Operating Temperature: 15° to 35°C (59° to 95°F) Storage Temperature: -5° to 50°C (23° to 122°F) Operating and Storage Humidity: 15% to 90%; non-condensing Operating atmospheric pressure: 69 and 110 kPa Non-operating atmospheric pressure: 48 and 110 kPa...

  • Page 211: Main Monitor

    MEDRAD Veris 8600 Main Monitor Size: Monitor Top Enclosure: 26.7 cm x 36.8 cm x 36.8 cm (10.5 inches x 14.5 inches x 14.5 inches) Main Monitor System (Depth/Width/Height at Base): 61.0 cm x 50.8 cm x 152.4 cm (24 inches x 20 inches x 60 inches) Weight: Monitor Top Enclosure: 9.1 kg (20 lbs)

  • Page 213: Appendix D: Accessories

    Appendix D: Accessories MEDRAD Accessory Description Part Number ECG Accessories ECG Module ECG Module (complete with battery) 3010459 ECG Electrode Accessories Fiber Optic ECG Cable, Duplex, 5m 3010460 ECG Lead set, 3 conductor 3010461 ECG Electrodes,3/strip, 1 Box, 30/box (10 sets)

  • Page 214: Nibp Accessories

    MEDRAD Veris 8600 NIBP Accessories Reusable Cuffs Blood Pressure Cuff, Adult, 25-35cm 3010466 Blood Pressure Cuff, Small Adult/Pediatric, 18-26cm 3010467 Blood Pressure Cuff, Large Arm, 33-47cm 3010469 Blood Pressure Cuff, Thigh, 44-66cm 3010470 NIBP Connection Tube, 5 meters 3010471 Disposable Cuffs Disp.

  • Page 215: Miscellaneous Accessories

    Installation and Service Veris 8600 Patient Monitor Service Manual - English 3010798 Veris 8600 Remote Display Service Manual - English Veris 8600 Patient Monitor Service Manual - English (CD) 3010990 Veris 8600 Patient Monitor Service Schematic Manual - English (CD)

  • Page 217: Appendix E: Troubleshooting

    Department. NIBP not functioning • NIBP is disconnected. Ensure NIBP cable and extension cable are securely connected. • Software problem Contact MEDRAD Service Dept. not functioning • SpO cables are Ensure SpO cable and extension disconnected. cable are securely connected.
  • Page 218 Set volume higher in Configuration window. speaker COM 1 serial interface • Set to internal printer Reset monitor to external printer doesn’t work If the above Troubleshooting tips don’t resolve the problem, see your bio-medical personnel or contact MEDRAD’s Customer Service.

  • Page 219: Appendix F: Ibp Transducer Specifications

    As for all accessories, cables and transducers should comply with UL and IEC standards for medical equipment. Defibrillation Protection The MEDRAD-IBP module and port connection is defibrillation proof. Consult your transducer supplier for information about defibrillation protection of specific transducers and IBP fluid systems.

  • Page 220: High Frequency Interference

    MEDRAD Veris 8600 High Frequency Interference The Veris monitor does not employ any external, protective isolating devices that are required to be used in conjunction with invasive blood pressure monitoring accessories during high frequency electrosurgery/electrocautery procedures. Use of invasive blood pressure transducers with internal isolation between the electronic bridge and the wetted parts is recommended for all IBP applications.

  • Page 221: Appendix G: Wireless Communication

    Appendix G: Wireless Communication Wireless Network The Veris 8600 telemetry technology allows for RF communication up Communication Interface to 10 meters in the Faraday cage utilizing 2.4 gigahertz RF communication. The main monitor and remote display support a wireless network communication interface according to the 802.11b standard.
  • Page 222 MEDRAD Veris 8600 If communications are lost, the remote display displays the message Please Wait Until Synchronization and the units cycle through the synchronization process again after communications are restored. The communication icon on the main monitor (in the heart rate parameter box) does not display until communication is restored.

  • Page 223: Appendix H: Battery And Fuse Specifications

    Appendix H: Battery and Fuse Specifications Battery Specifications Main Monitor Batteries NOTE: Batteries in the main monitor are not externally accesible. Replacement of batteries must be done by a qualified service technician and the unit must be tested afterwards. Refer to the Service Manual for battery replacement.

  • Page 224: Fuse Specifications

    MEDRAD Veris 8600 Fuse Specifications Remote Display Fuses Number: Type: T, Slow acting Amps: 1 amp Voltage: 250 volts Main NOTE: Fuses in the main monitor are not externally accesible. Monitor Replacement of fuses must be done by a qualified service technician Fuses and the unit must be tested afterwards.

  • Page 225: Fuse Removal/Replacement

    MEDRAD Veris 8600 Fuse Removal/Replacement Remote Display There are two AC power fuses located at the rear of the remote display directly above the AC power entry socket. Remote displays use 1A 250V Slo Blo fuses. 1. Press in the side clips (at the same time) with a tool and lift out the small, black access cover.
  • Page 226 MEDRAD Veris 8600 2. Gently pull the fuses out of the fuse cover assembly. Figure H-3: Fuses Pulled 3. Reassemble in reverse order. Power Supply There are two AC power fuses located at the AC input side of the power supply directly above the AC power entry socket. Power supplies use 5A 250V slow acting fuses.

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