Infinium OMNI Express User Manual

Infinium OMNI Express User Manual

Patient monitor
Table of Contents

Advertisement

OMNI Express
Patient Monitor
USER'S MANUAL
Doc ID:
IFU-OMNI-7002
- I
037.007.0001 Rev.2
037.007.0001 Rev.2

Advertisement

Table of Contents
loading

Summary of Contents for Infinium OMNI Express

  • Page 1 OMNI Express Patient Monitor USER’S MANUAL Doc ID: IFU-OMNI-7002 037.007.0001 Rev.2 037.007.0001 Rev.2...
  • Page 2 Toll Free (US call only): 866-918-8434 International: 1-727-531-8434 Fax: 1-727-531-8436 To obtain information about a warranty, if any, for this product, contact Infinium Medical Inc, Technical Services or your local Infinium Medical, Inc. representative. PHASEIN is a trademark of PHASEIN AB...
  • Page 3: Table Of Contents

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 CONTENTS SAFETY INFORMATION ....................... 1 INTRODUCTION ..........................4 INTENDED USE ........................4 ABOUT THIS MANUAL ......................4 CONTROLS, INDICATORS, AND SYMBOLS ................5 FRONT PANEL ........................5 LEFT SIDE PANEL ........................6 RIGHT SIDE PANEL .......................
  • Page 4 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 CABLE AND LEADWIRE INSTALLATION ............... 21 ECG SETUP ........................... 22 ST-SEGMENT ANALYSIS ....................24 ARRHYTHMIA ANALYSIS ....................26 ERROR MESSAGES OF ECG MONITORING ..............27 MAINTENANCE AND CLEANING ..................27 RESP MONITORING ........................29 RESP ELECTRODE INSTALLATION ..................
  • Page 5 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ETCO2 MONITORING (OPTIONAL) ..................52 THEORY OF OPERATION ....................52 WARNINGS..........................52 ABBREVIATIONS AND TERMINOLOGY ................. 53 ZEROING THE CO2 MODULE .................... 53 PATIENT AND TUBING PREPARATION ................53 ETCO2 SETUP ........................55 ADVANCED SETUP ......................
  • Page 6 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 TIME SETUP .......................... 80 MARK EVENT SETUP ......................81 TRENDING INTERVAL ......................82 TREND GRAPH ANALYSIS ....................82 TABULAR TREND ANALYSIS .................... 82 ALARM EVENT ........................83 LAST WAVEFORM ....................... 83 RECALL DATA ..........................
  • Page 7 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ELECTROMAGNETIC IMMUNITY .................. 105 - VII...
  • Page 8 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 FIGURES Figure 1: Front Panel ......................... 5 Figure 2: Left Side Panel......................6 Figure 3: Right Side Panel ......................6 Figure 4: Rear View for Main Unit ................... 7 Figure 5: Display Screen for Two Waveforms ................ 10 Figure 6: Display Screen for Three Waveforms ..............
  • Page 9: Safety Information

    Read all text surrounding all precautionary information. The OMNI Express can be powered by one internal battery that provides 2 hours of monitoring from fully charged battery. The batteries are continuously recharged when AC power is connected to the monitor.
  • Page 10 [WARNING]: DO NOT use the OMNI Express to monitor patients who are linked to heart/lung machines. [WARNING]: To prevent electrical hazards to all personnel, these monitors must be properly grounded.
  • Page 11 60 ms of the peak of the R wave. The signal at the ECG output on the OMNI Express patient monitors is delayed by a maximum of 30 ms. Your biomedical engineer should verify that your ECG/Defibrillator combination does not exceed the recommended maximum delay of 60 ms.
  • Page 12: Introduction

    Built-in battery facilitates portability. The purpose and function of the OMNI Express Patient Monitor is to monitor ECG, heart rate, NIBP (systolic, diastolic, and mean arterial pressures), SpO...
  • Page 13: Controls, Indicators, And Symbols

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 CONTROLS, INDICATORS, AND SYMBOLS ◼ FRONT PANEL ◼ LEFT SIDE PANEL ◼ RIGHT SIDE PANEL ◼ REAR PANEL ◼ SYMBOLS FRONT PANEL Figure 1: Front Panel FUNCTION Icon ALARM INDICATOR In normal mode, no indicator lights.
  • Page 14: Left Side Panel

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 LEFT SIDE PANEL Figure 2: Left Side Panel FUNCTION Oxygen Saturation Sensor Socket NIBP Socket Temperature Probe Socket AAMI ECG Cable Connector EtCO /Gas /QTemp Sensor Socket (Optional) RIGHT SIDE PANEL...
  • Page 15: Rear Panel

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 REAR PANEL Figure 4: Rear View for Main Unit FUNCTION Icon 1 Equipotentiality Ground Solve the ground loop and mains problem by designing several alternate courses for electrical energy to finds its way back to ground.
  • Page 16: Symbols

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 SYMBOLS The following symbols may appear on the packaging, monitor or in user’s manual: Type BF Applied Part Defibrillation-Proof Type CF Applied Part To identify a defibrillation-proof type CF applied part complying with IEC 60601-1.
  • Page 17 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Indicates the temperature limits to which the medical device can be safely exposed Indicates the range of humidity to which the medical device can be safely exposed IPX1: N1=X, which means it was not required; N2=1, Protection against...
  • Page 18: Display Screen Partition

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 DISPLAY SCREEN PARTITION TWO WAVEFORMS DISPLAY MODE Figure 5: Display Screen for Two Waveforms THREE WAVEFORMS DISPLAY MODE Figure 6: Display Screen for Three Waveforms - 10...
  • Page 19: Waveform Area

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 All TFT display screen is divided into three areas: WAVEFORM AREA This area will display the waveforms: ECG, Pleth, Resp, EtCO and Gas. The waveform channel number is determined by the choice of Display Mode. Displaying waveforms are dependent on the choice of Waveform Select.
  • Page 20: System Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 SYSTEM SETUP System Setup includes: Factory Setup, Optional Module, Waveform Select, Printer, Config Manager, Language, Display Mode, Alarm Suspend, Sweep Direction and etc. Press the button of SETUP to pop up the menu below:...
  • Page 21: Optional Module

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 OPTIONAL MODULE You can input different passwords to open the relevant modules such as QTemp, EtCO and Gas. WAVEFORM SELECT Select WAVEFORM SETUP item to pop up the menu of system Setup.
  • Page 22: Config Manager

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 8: Keypad to input ASCIIS CONFIG MANAGER LOAD USER CONFIG If the parameter settings are invalid, you can call the Default Config to recover the original settings. You can also choose the settings that have been saved by yourself. The screen will display a menu to let you confirm the setup.
  • Page 23: Other Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 OTHER SETUP BRIGHTNESS LEVEL Set the brightness level for screen display. There are ten levels for choice, I, II, III, IV, Ⅴ, Ⅵ,Ⅶ,Ⅷ,Ⅸ and Ⅹ. The larger the value is, the brighter the screen is Ⅸ.
  • Page 24: How To Monitor

    5. Set monitoring parameters (see chapters below) ; 6. Enter the monitoring state. [CAUTION]: If the OMNI Express is to be stored for a period of 2 months or longer, notify service personnel to remove the battery from the monitor prior to storage. Recharge the battery when the battery has not been recharged for 2 or more months.
  • Page 25: Alarm & Sound

    VISUAL ALARM INDICATORS When an alarm occurs, the OMNI Express responds with visual alarm indicators. If more than one similar level alarm is present, the alarm messages will rotate. The flashing rates - 17...
  • Page 26: Alarm Suspend

    The background color of the Alarm Information Column will flash red for a high priority alarm in the OMNI Express. A non-flashing Asystole message appears in the message area and will override any other messages that may be present (there is no message “rotation”...
  • Page 27: Sound

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 SOUND ALARM SOUND There are four alarm levels to choose from, ranging from low to high: Ⅰ, Ⅱ, III and Ⅳ. The following encoded auditory alarm signals can be categorized by alarm condition and...
  • Page 28: Ecg Monitoring

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ECG MONITORING ◼ ELECTRODE INSTALLATION ◼ CABLE AND LEADWIRE INSTALLATION ◼ ECG SETUP ◼ ST-SEGMENT ANALYSIS ◼ ARRHYTHMIA ANALYSIS ◼ ERROR MESSAGES OF ECG MONITORING ◼ MAINTENANCE AND CLEANING ELECTRODE INSTALLATION :...
  • Page 29: Cable And Leadwire Installation

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 10: C-electrode Placement □ V1 is on the 4th intercostal space at the right sterna margin. □ V2 is on the 4th intercostal space at the left sterna margin. □ V3 is at the midway between V2 and V4 electrodes.
  • Page 30: Ecg Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ECG SETUP Touch the ECG Waveform or Parameter area directly. This menu has the following settings: Alarm Switch HR Alarm High HR Alarm Low ECG Lead ECG Setup ECG Gain ECG Filter...
  • Page 31 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ALARM SWITCH ON and OFF for choice, the factory setting is ON. If the HR value is above or below the HR alarm limit and the choice is ON, then the alarm is activated;...
  • Page 32: St-Segment Analysis

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Select from 12.5 mm/s, 25 mm/s and 50 mm/s. The factory setting is 25 mm/s. SWEEP COLOR Select from White, Gray, Red, Yellow, Green, Cyan, Blue, and Magenta. The default setting is Green.
  • Page 33 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 alarm indicator flashes, and the information column will show ST HIGHER or ST LOWER. ST ALARM LIMIT Set the ST alarm upper limit and lower limit separately. The range is: -2.00~2.00 mV. The default upper limit is +0.30 mV, and the default lower limit is -0.30 mV.
  • Page 34: Arrhythmia Analysis

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ARRHYTHMIA ANALYSIS The monitoring system supports the self-relearn function to accommodate itself to new conditions such as different patients. The user can edit the arrhythmia type. For each type, the system saves 8 items for arrhythmia and in total saves 104 items.
  • Page 35: Error Messages Of Ecg Monitoring

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 13: Window for ARR Retail Information Rename: To rename a selected ARR item. Delete: To delete a selected ARR item. Sort: to sort the arrhythmia items by Time or Type. The factory setting is by Time.
  • Page 36 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 and 167F). Hang or place them flat so they will not be damaged. ADDING POINTS ◼ HR calculating stability obeys a specific process. Switching ECG leads sometimes affects HR, but it will eventually stabilize. The change of gain and filter may influence the HR calculating stability too.
  • Page 37: Resp Monitoring

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 RESP MONITORING ◼ RESP ELECTRODE INSTALLATION ◼ RESP SETUP ◼ MAINTENANCE AND CLEANING RESP ELECTRODE INSTALLATION The monitor measures respiration from the amount of thoracic impedance between two ECG electrodes. The change of impedance between the two electrodes (due to the thoracic movement) produces a respiratory waveform on the screen.
  • Page 38: Maintenance And Cleaning

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 14: Tree Diagram for Resp Menu The menu has the following settings: ALARM SWITCH ON and OFF for choice, the factory setting is ON. If the RESP value is above or below the RESP alarm limit, when the choice is ON, the alarm is activated;...
  • Page 39: Spo2 Monitoring

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 SPO2 MONITORING ◼ SPO2 MONITORING PRINCIPLE ◼ SPO2 SENSOR INSTALLLATION ◼ SPO2 SETUP ◼ MEASUREMENT LIMITATIONS ◼ SPO2 ERROR MESSAGES ◼ MASIMO INFORMATION ◼ NELLCOR INFORMATION SPO2 MONITORING PRINCIPLE Arterial oxygen saturation is measured by a method called pulse oximetry. It is a continuous, non-invasive method based on the different absorption spectra of reduced hemoglobin and oxyhemoglobin.
  • Page 40: Figure 15: Tree Diagram For Spo

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 15: Tree Diagram for SpO Setup Menu The menu has the following settings: ALARM SWITCH ON and OFF for choice, the factory setting is ON. If the SpO value is above or below the SpO alarm limit, when the choice is ON, the alarm is activated;...
  • Page 41: Measurement Limitations

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Set the averaging interval time to obtain SpO value from Masimo module. This item is adjustable only when the SpO2 module is Masimo. You could choose 2-4s, 4-6s, 8s, 10s, 12s, 14s and 16s.
  • Page 42: Spo2 Error Messages

    ECG based arrhythmia analysis. ◼ OMNI Express Patient Monitor should be considered an early warning device. As a trend towards patient deoxygenation is indicated, blood samples should be analyzed by a laboratory co-oximeter to completely understand the patient’s condition.
  • Page 43 See the cleaning instructions in the directions for use for reusable Masimo LNOP® / LNCS® sensors. The OMNI Express Patient Monitor with Masimo technology board is intended to be used with the following sensors: For Human: ⚫...
  • Page 44: Nellcor Information

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ⚫ M-LNCS® DCI: Adult Finger Sensor ⚫ M-LNCS® DCIP: Pediatric Finger Sensor ⚫ M-LNCS® YI: Multisite Reusable Sensor ⚫ M-LNCS® Adtx Adhesive Sensors ⚫ M-LNCS® pdtx Adhesive Sensors ⚫ M-LNCS® Inf Adhesive Sensors ⚫...
  • Page 45: Nibp Monitoring

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 NIBP MONITORING ◼ NIBP MONITORING PRINCIPLE ◼ NIBP CUFF FITTING ◼ NIBP MONITORING INITIALIZATION ◼ NIBP SETUP ◼ NIBP LIST OBSERVATION ◼ MEASUREMENT LIMITATIONS ◼ NIBP ERROR MESSAGES ◼ MAINTAINENCE AND CLEANING...
  • Page 46: Nibp Monitoring Initialization

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 [WARNING] ◼ The width of the cuff should be either 40% of the limb circumference (50% for neonates) or 2/3 of the upper arm length. The inflatable part of the cuff should be long enough to encircle 50-80% of the limb.
  • Page 47 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 PATIENT TYPE ADULT TYPE This setting applies to the adult mode. Inflate the cuff to 180 mmHg (24 kPa). If the NIBP value cannot be measured, then inflate the cuff for the second time, but note that the maximum pressure cannot exceed 297 mmHg (40 kPa).
  • Page 48 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 monitor will immediately begin a new measurement. During the measurement, pressing the START/STOP button again will stop the current NIBP measurement, and the information area will read "Stop auto measuring", but the monitor will continue to automatically take measurements at every time interval.
  • Page 49: Nibp List Observation

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 NIBP LIST OBSERVATION Touch the NIBP List Area to open the NIBP List Table. Touch again will put away the NIBP List. Figure 17: Window for NIBP List Observation The NIBP list can save 256 groups of data.
  • Page 50: Nibp Error Messages

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 NIBP ERROR MESSAGES Message area may display messages like the following: Serial error Patient moving! NIBP renew self-check... Pressure < 10 mmHg! NIBP self-check... Pressure < 1.3 kPa! Pressure > 325 mmHg!...
  • Page 51: Temp Monitoring

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 TEMP MONITORING ◼ THEORY OF OPERATION ◼ TEMP SENSOR INSTALLATION ◼ TEMP SETUP ◼ TEMP ERROR MESSAGES ◼ MAINTAINENCE AND CLEANING THEORY OF OPERATION The monitor provides one isolated temperature measurement channels.
  • Page 52: Temp Error Messages

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 The Temp alarm upper-limit range is 10~50℃ (50~122℉), and the factory setting is 38.0℃(100.4℉). The temperature can be adjusted in increments of 0.1℃(0.2℉). TEMP ALARM LOWER-LIMIT The Temp alarm lower-limit range is 10~50℃(50~122 ℉), and the factory setting is 36℃(96.8℉).
  • Page 53: Quick Temp Monitoring (Optional)

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 QUICK TEMP MONITORING (OPTIONAL) ◼ ABOUT BODY TEMPERATURES ◼ GENERAL INFORMATION ◼ SAFETY AND WARING ◼ INSTRUCTION FOR USE ◼ QTEMP PARAMETER SETUP ◼ MAINTAINENCE AND CLEANING ABOUT BODY TEMPERATURES It is a common myth that 98.6°F (37°C) is the “normal body temperature.” The truth is that 98.6°F (37°C) is an average body temperature.
  • Page 54: Safety And Warning

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 SAFETY AND WARNING Read this booklet thoroughly before using the FILAC 3000 electronic thermometer. Do not use this device near flammable anesthetics. Not suitable for use in the presence of flammable anesthetic mixture with air, oxygen or nitrous oxide.
  • Page 55 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Insert the probe end into a cover in the box. Push the handle firmly until you feel the cover “snap” into place. Take appropriate temperature measurement (oral, axillary or rectal). Eject the used cover into bio-waste container by pressing top button.
  • Page 56 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 [NOTE] Accurate body temperature readings can only be obtained in one of these two “heat pocket” locations as shown. Temperatures taken in other mouth locations will result in inaccurate body temperature readings Patient’s mouth must be CLOSED.
  • Page 57 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Direct Mode The FILAC 3000 electronic thermometer normally operates in Predictive Mode to provide fast and accurate temperature measurements. However, in instances when no measurement site is detected or the temperature does not stabilize, the thermometer will automatically switch to Direct Mode and act as a temperature monitor.
  • Page 58: Qtemp Parameter Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 the ℃/℉ button again to change between the Celsius and Fahrenheit scales. Withdrawing the probe from the probe well erases last temperature memory. If the most recent temperature measurement was incomplete or out of range, dashes will appear on the display during the recall operation.
  • Page 59: Maintainence And Cleaning

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 alarm is activated; when the choice is OFF, the alarm indicator will not light, the relative alarm parameter will not flash and relative parameter area will display icon. QTEMP UNIT Fahrenheit or Celsius for choice, the factory setting is Celsius.
  • Page 60: Etco2 Monitoring (Optional)

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ETCO2 MONITORING (OPTIONAL) ◼ THEORY OF OPERATION ◼ WARNINGS ◼ ABBREVIATIONS AND TERMINOLOGY ◼ ZEROING THE CO2 MODULE ◼ PATIENT AND TUBING PREPARATION ◼ ETCO2 SETUP ◼ ADVANCED SETUP ◼ CALIBRATION ◼...
  • Page 61: Abbreviations And Terminology

    EtCO icon on the left panel of monitor. [WARNING]: Don’t hot plug EtCO module, that is make sure that the OMNI Express is powered off before Insert the connector of CO sensor into EtCO socket. Otherwise...
  • Page 62 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 b. Connect the CO2 tubing to Nasal and Nasal/Oral Sidestream Kits. c. Inserting the sample cell into the receptacle automatically starts the sampling pump. Removal of the sample cell turns the sample pump off.
  • Page 63: Etco2 Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ETCO2 SETUP Touch the EtCO Waveform or Parameter Area to open the menu for EtCO Setup, which is laid out as follows: Alarm Switch EtCO Alarm High EtCO Alarm Low AWRR Alarm High...
  • Page 64 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 The range is 10~150 rpm. The default alarm limit depends on the patient type. When the patient type is adult or pediatric, the factory setting is 30 rpm; when it is neonatal, the factory setting is 100 rpm.
  • Page 65: Advanced Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Only change to nitrogen (N ) when performing a zero on 100% N gas. This is provided for use in a laboratory environment. ADVANCED SETUP Select “ADVANCED SETUP” item to call up the related menu:...
  • Page 66: Calibration

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 CALIBRATION No routine user calibration required. Safety lockouts:  System does not allow sample cell zero for 20 seconds after the last breath is detected.  System does not allow sample cell zero if temperature is not stable.
  • Page 67: Maintenance And Cleaning

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 MAINTENANCE AND CLEANING SCHEDULE The CO Module flow rate accuracy should be verified by direct measurement using a calibrated flow meter every 12 months. CLEANING Cleaning the CO Module case, cable and connector: 1.
  • Page 68: Anesthetic Agent Monitoring (Optional, Phasein)

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ANESTHETIC AGENT MONITORING (OPTIONAL, PHASEIN) PHASEIN IRMA™ MAINSTREAM PROBE ◼ INTRODUCTION ◼ SAFETY ◼ SYSTEM ASSEMBLY INSTRUCTION ◼ ZEROING PROCEDURE ◼ ALARMS ◼ CLEANING ◼ MAINTENANCE PHASEIN ISA™ SIDESTREAM ANALYZER ◼...
  • Page 69: Safety

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 devices for display of real time and derived monitoring data of CO and the anesthetic agents Halothane, Enflurane, Isoflurane, Sevoflurane and Desflurane. It is intended to be connected to a patient breathing circuit for monitoring of inspired/expired gases during anesthesia, recovery and respiratory care.
  • Page 70 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 A green LED indicates that the IRMA probe is ready for use. Connect the 15 mm male connector of IRMA/airway adapter to the breathing circuit Y-piece. Connect the 15mm female connector of IRMA/airway adapter to the patient’s endotracheal tube.
  • Page 71: Zeroing Procedure

    Zeroing is performed by snapping a new IRMA airway adapter onto the IRMA probe, without connecting the airway adapter to the patient circuit, and then using OMNI Express to transmit a Zero reference command to the IRMA probe.
  • Page 72: Alarms

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 IRMA CO probes: Zeroing needs to be performed ONLY when an offset in gas values is observed, or when an unspecified accuracy message is displayed. Allow 10 seconds for warm up of the IRMA CO probe after power on and after changing the IRMA airway adapter before proceeding with the Zeroing Procedure.
  • Page 73: Cleaning

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 CLEANING The IRMA probe can be cleaned using a cloth moistened with maximum 70% ethanol or maximum 70% isopropyl alcohol. Remove the disposable IRMA Airway Adapter prior to cleaning the IRMA probe.
  • Page 74: Phasein Isa™ Sidestream Analyzer

    INTRODUCTION The ISA product family consists of three types of sidestream gas analyzers (ISA CO AX+ and ISA OR+), which are intended to be connected to OMNI Express Patient Monitor for measuring breath rate and the following breathing gases: ISA CO...
  • Page 75: Safety

    ◆ DO NOT re-use disposable sampling lines. ◆ DO NOT lift the ISA/OMNI Express by the sampling line as it could disconnect from the ISA/ OMNI Express >, causing the ISA/ OMNI Express to fall on the patient. ◆ Used disposable sampling lines shall be disposed of in accordance with local regulations for medical waste.
  • Page 76: Analyzer System Set-Up

    ANALYZER SYSTEM SET-UP 1. Securely mount the ISA analyzer. 2. Connect the ISA analyzer interface cable to the OMNI Express Patient Monitor. 3. Connect a Nomoline Family sampling line to the ISA analyzer input connector. 4. Connect the gas sample exhaust port to a scavenging system or return the gas to the...
  • Page 77: Consumable

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 6. Check that an occlusion alarm is displayed and that the LEGI shows a flashing red light. 7. If applicable: Perform a tightness check of the patient circuit with the sampling line attached.
  • Page 78 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 The Nomoline Airway Adapter Set with integrated airway adapter can be used with intubated patients. The Nomoline with a male Luer Lock type connector is compatible with any normal configuration that uses a female Luer Lock connector. When connecting to a T-adapter, be sure to use a PHASEIN T-adapter that samples the gas from the center of the T-adapter (see below).
  • Page 79: Alarms

    The Nomoline Adapter should be replaced according to good clinical practice or when an occlusion message appears. Occlusion occurs when the sample flow is too low. This is indicated by a flashing red LEGI together with a message on OMNI Express. REPLACEMENT OF T-ADAPTER AND NOMO EXTENSION The T-adapter and Nomo Extension are single-patient use products.
  • Page 80: Automatic Zeroing

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Steady green light System OK Blinking green light Zeroing in progress Steady blue light Anesthetic agent present Steady red light Sensor error Blinking red light Check sampling line AUTOMATIC ZEROING The infrared gas analyzer needs to establish a zero reference level for the CO O and anesthetic agent gas measurement.
  • Page 81: Mac (Minimum Alveolar Concentration) Caculation

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Nomoline. DO NOT operate the ISA if there is a major leakage in the unit. MAC (Minimum Alveolar Concentration) CACULATION Minimum alveolar concentration (MAC) is a standard for comparing the potency of inhalation anesthetics.
  • Page 82 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Symbol Title Explanation (Directive 2002/96/EC) ETL Listing Mark Conforms to ANSI/AAMI 60601-1:2005 Cert. to CAN/CSA-C22.2 No.60601.1:2008. Conformité Européenne Complies with 93/42/EEC Medical Device Directive when connected to medical devices approved by PHASEIN AB.
  • Page 83: Adverse Effects On Performance

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ADVERSE EFFECTS ON PERFORMANCE EFFECTS OF HUMIDITY The partial pressure and the volume percentage of CO O, O and anesthetic agents depend on the amount of water vapor in the measured gas. The O measurement will be calibrated to show 20.8 vol% at actual ambient temperature and humidity level, instead of...
  • Page 84: Anesthetic Agent Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ANESTHETIC AGENT TYPE HAL: Halothane ENF: Enflurane ISO: Isoflurane SEV: Sevoflurane DES: Desflurane ANESTHETIC AGENT SETUP Touch the Gas Waveform or Parameter Area to open the Gas Setup menu, see tree...
  • Page 85 User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Use this setting to fill in the bottom portion of the waveform on any channel of the display. SWEEP SPEED 12.5 mm/s and 25 mm/s are for choice, the factory setting is 12.5 mm/s.
  • Page 86: Patient Information Administration

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 PATIENT INFORMATION ADMINISTRATION ◼ PATIENT BASIC INFORMATION SETUP ◼ ADD NEW PATIENT ◼ DELETE PATIENT PATIENT BASIC INFORMATION SETUP When you start the monitor, it will open a countdown window to remind you to set the patient information.
  • Page 87: Add New Patient

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 ADD NEW PATIENT If you want to change other patient, you should input new patient information first. There are two ways to do this. 1. Touch the Patient ID area directly.
  • Page 88: Trend

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 TREND ◼ TREND OBSERVATION ◼ TIME SETUP ◼ MARK EVENT SETUP ◼ TREND TIME ◼ TREND GRAPH ANALYSIS ◼ TABULAR TREND ANALYSIS ◼ ALARM EVENT ◼ LAST WAVEFORM TREND OBSERVATION Monitoring system will save and trace the trend of the following parameters:...
  • Page 89: Mark Event Setup

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Once the system time has been updated, the trend data will be updated accordingly. On entering the master screen, please check whether the monitor time and the current time are consistent, if not, please correct them.
  • Page 90: Trending Interval

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 TRENDING INTERVAL Trending interval denotes how often the Graphic trend or the Tabular Trend displays the data. There are eight items for trending interval choosing: 5s, 10s, 15s, 30s, 1 min, 5mins, 10mins and 15mins.
  • Page 91: Alarm Event

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 30: Window for Basic Parameters Tabular Trend MOVING THE TREND TABLE Press the “PageUp”, “PageDown”, “Print”, or “Clear” buttons to complete the corresponding operation. If you choose the “Clear” button, all data saved in the trend will be deleted.
  • Page 92: Figure 32: Window For Last Waveform Review

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 32: Window for Last Waveform Review When there are waveforms to display for demonstration or real-time measurement, the system only save data for the last 16 seconds and displays two selectable waveforms.
  • Page 93: Recall Data

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 RECALL DATA ◼ RECALL DATA STORAGE ◼ RECALL DATA DISPLAYS ◼ RECALL OPERATION DESCRIPTIONS RECALL DATA STORAGE Recall Data in graphical or tabular format can be displayed on the screen, transferred to a computer for analysis via the RS232 interface, or printed if a printer is installed.
  • Page 94: Figure 34: Window For Recall Patient

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 Figure 34: Window for Recall Patient Select one ID for a patient, and then enter the Trend Management window with Patient ID which appears as below: Figure 35: Window for Trend Management with ID [NOTE] ◆...
  • Page 95: Rs-232 Interface

    Data Bits: 8 Start Bit: 1 Stop Bit: 1 Odd Parity: 1 Connect the OMNI Express to the serial port of the computer using a cable. Start the communication program on the computer and export trend data from the OMNI Express.
  • Page 96: Printer (Optional)

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 PRINTER (OPTIONAL) ◼ PRINTER SETUP ◼ PRINT REAL-TIME WAVEFORM ◼ PRINT TABULAR TREND ◼ GRID OUTPUT ◼ PRINT ALARM EVENT ◼ PRINT EVENT LIST ◼ PRINT EXPLATION ◼ WAVEFORM PRINT EXPLARION PRINTER SETUP Please refer to chapter SYSTEM SETUP for details.
  • Page 97: Grid Output

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 GRID OUTPUT For printer paper without a grid, you can set the grid form in order to observe the waveform easily. You can set the grid by following the instructions in the Chapter SYSTEM SETUP.
  • Page 98: Waveform Print Explanation

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 MESSAGES Message Meaning Start printing. . . Printing process has begun. Break printing! The print button has been pressed again during the printing process. Pressing the button again will restart it...
  • Page 99: Battery Operation

    [CAUTION]: If the OMNI Express is to be stored for a period of 3 months or longer, notify service personnel to remove the battery from the monitor prior to storage.
  • Page 100: Battery Recycle

    User’s Manual of OMNI Express Patient Monitor 037.007.0001 Rev.2 BATTERY RECYCLE When a battery has visual signs of damage or no longer holds a charge, it should be replaced. Remove the old battery from the Patient Monitor and recycle it properly. Follow local laws when disposing the batterty.
  • Page 101: Periodic Safety Checks

    [WARNING]: DO NOT spray, pour, or spill liquid on OMNI Express, its accessories, connectors, switches, or openings in the chassis. DO NOT submerge the OMNI Express or its accessories in liquid or clean it with caustic or abrasive cleaners. The Life expectancy of the OMNI Express Patient Monitor depends on how frequent and how long it is used.
  • Page 102: Specifications

    User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 SPECIFICATIONS SAFETY Meet the requirement of EN60601 series, CE marking according to MDD93/42/EEC Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide...
  • Page 103 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 labeled with a PACE marker: Signal Amplitude:±10 mV~±700 mV Pulse Width:0.1 ms~2 ms Signal Rising and Falling Time:10μs~100 μs Pace Pulse Rejection: When tested in accordance with the ANSI/AAMI EC13-2002: Sections 4.1.4.1 and 4.1.4.3, the heart rate meter rejects all pulses meeting the following conditions.
  • Page 104 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 Resolution: 1 mmHg 5 mmHg Pressure Accuracy: Maximum Mean Error: Maximum Standard Deviation: 8 mmHg Overpressure Protection: Adult/Pediatric Mode : 297 (mmHg) Neonatal Mode : 147 (mmHg) Alarm Limit: SYS(Upper/Lower): 30~240 mmHg DIA (Upper/Lower) : 15~180 mmHg...
  • Page 105 This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68 % of the population. . The OMNI Express with Masimo specified sensor has been validated for motion and no motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia...
  • Page 106 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 site): Oral (Standard Mode): 6~10 s Axillary Mode: 8~12 s Rectal Mode: 10~14 s Direct Mode (All Sites): 60~120 s Accuracy: A Standard Prediction Mode reading and a Direct Mode reading will differ by less than ±0.2°C (±0.4°F) on 98% of tested...
  • Page 107 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 ambient temperature off 25℃, full specifications within 2 minutes. Measurement Range: 0~150 mmHg (0~19.7 %, 0~20 kPa) (Barometric pressure supplied by host) Calculation Method: BTPS (Body Temperature Pressure Saturated) Resolution: 0~69 mmHg: 0.1 mmHg...
  • Page 108 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 Calibration: Zeroing recommended when changing Airway adapter. No span calibration required for the IR bench. Room air calibration of oxygen sensor performed automatically when charging airway adapter (<5 s) Warm-up Time: Concentration will be reported and the automatic agent identification will be running within 10 s.
  • Page 109 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 −40~70 °C (−40~158 °F) Storage Temperature: Operation Humidity: < 4 kPa H O (non-condensing) (95 %RH at 30 °C) Storage Humidity: 5~100 %RH (condensing) (100 %RH at 40 °C) Operating Atmospheric Pressure: 52.5~120 KPa...
  • Page 110 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 ±(0.15 vol% + 5 % of 0~10 vol% reading) 10~25 vol% Unspecified ±(0.15 vol% + 5 % of 0~22 vol% reading) 22~25 vol% Unspecified ±(1 vol% + 2 % of reading) 0~100 vol%...
  • Page 111: Accessories

    User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 ACCESSORIES WARNNING ◼ Use accessories assigned in this chapter only, accessories other than those indicated in this chapter might cause damage to the patient monitor or not able to achieve specification listed on this manual.
  • Page 112: Temp

    User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 NIBP CUFF Type Application Size(mm) Neonatal 60*200 01090106 Pediatric 110*400 01090104 Cycle-Use Adult 140*500 01090101 Adult (Big) 170*550 01090109 TEMP TEMP PROBE Type Model Application Position Length(mm) Shield M0511025 Adult Rectal...
  • Page 113: Emc

    The OMNI Express Patient Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the OMNI Express Patient Monitor should ensure that it is used in such an environment. –...
  • Page 114 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 – Immunity test 60601 Compliance Electromagnetic environment test level level guidance Electrical fast Mains power quality should be that transient/burst power supply power supply of a typical commercial or hospital IEC 61000-4-4...
  • Page 115 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 – Immunity test 60601 Compliance Electromagnetic environment test level level guidance Portable mobile communications equipment should be used no closer to any part of the OMNI Express Patient Monitor, including cables,...
  • Page 116 The OMNI Express Patient Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the OMNI Express Patient Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and...
  • Page 117 User’s Manual for OMNI Express Patient Monitor 037.007.0001 Rev.2 – Immunity test 60601 Compliance Electromagnetic environment test level level guidance 0.01 0.12 0.12 0.23 0.38 0.38 0.73 For transmitters rated at a maximum output power not listed above, the recommended...

Table of Contents