Schiller ARGUS LCM Operating Instruction
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Schiller ARGUS LCM Operating Instruction

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ARGUS LCM
Patient monitor
ARGUS LCM and ARGUS LCM PLUS
Operating Instruction

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Summary of Contents for Schiller ARGUS LCM

  • Page 1 ARGUS LCM Patient monitor ARGUS LCM and ARGUS LCM PLUS Operating Instruction...
  • Page 2 Sales and Service Information The SCHILLER sales and service centre network is world-wide. For the address of your local distributor, contact your nearest SCHILLER subsidiary. In case of dif- ficulty a complete list of all distributors and subsidiaries is provided on our internet site: http://www.schiller.ch.

  • Page 3: Table Of Contents

    Introduction ..........10 Version overview ..............10 2.1.1 ARGUS LCM (basic) from serial number 781.000-781.999..... 10 2.1.2 ARGUS LCM (basic) from serial number 781.1000 and higher ..10 2.1.3 ARGUS LCM PLUS (from 780.001and higher)........ 11 Functional overview ............12 2.2.1 Buttons of the Argus LCM PLUS............
  • Page 4 ARGUS LCM/PLUS Start monitoring ........25 Connecting the cables for monitoring......25 ECG monitoring ..............25 4.2.1 RRi monitoring with HF-ECG cable ..........25 4.2.2 Pacemaker monitoring ..............26 4.2.3 Pacemaker monitoring with HF-ECG cable ........26 NIBP monitoring ..............27 monitoring..............
  • Page 5 ARGUS LCM/PLUS Operating Instruction 7.3.5 Three- and five-lead cables for adults and children ......48 7.3.6 10-lead ECG patient cable ............... 49 7.3.7 Electrodes identification and colour code IEC/AHA ......50 settings................ 51 7.4.1 Description of CO 2 parameters............51 7.4.2...
  • Page 6 ARGUS LCM/PLUS Page 4...

  • Page 7: Safety Notes

    The operator is responsible for compliance with all applicable accident prevention and safety regulations. Intended use The ARGUS LCM/PLUS is a patient monitoring device used for the measuring of the parameters of a patient, including ECG, SpO , CO non invasive blood pres- sure, temperature and respiration.

  • Page 8: Safety-Conscious Operation

    – Ruptured fuses must only be replaced with the same type and rating as the orig- inal. Operation with other devices Use only accessories and other parts recommended or supplied by SCHILLER AG. Use of other than recommended or supplied parts may result in injury, inac- curate information and/or damage to the unit.

  • Page 9: Maintenance

    Danger of electric shock! Do not open the device. No serviceable parts inside. Servicing may only be carried out by a qualified technician authorised by Schiller Before cleaning and to isolate the mains power supply, switch the unit off and dis- connect it from the mains by removing the plug.

  • Page 10: Safety Symbols And Pictograms

    Safety notes ARGUS LCM/PLUS Safety symbols and pictograms Safety symbols and pictograms 1.8.1 Symbols used in this user guide The safety level is classified according ANSI Z535.4. The following overview shows the safety symbols and pictograms used in this manual For a direct danger which could lead to severe personal injury or death.

  • Page 11: Symbols Used On The Device

    • assembly operations, extensions, readjustments, modifications, or repairs are car- ried out by persons authorised by him, and • the ARGUS LCM/PLUS and approved attached equipment is used in accordance with the manufacturer's instructions. There are no express or implied warranties which extend beyond the warranties hereinabove set forth.

  • Page 12: Introduction

    DC voltage supply (11 - 30 VDC). Version overview 2.1.1 ARGUS LCM (basic) from serial number 781.000-781.999 The following table shows the equipment of the ARGUS LCM. This basic device can- not be upgraded. ARGUS LCM NIBP...

  • Page 13: Argus Lcm Plus (From 780.001And Higher)

    Introduction ARGUS LCM/PLUS Operating Instruction Version overview 2.1.3 ARGUS LCM PLUS (from 780.001and higher) ARGUS LCM PLUS version NIBP Respiration Temperature etCO Diagnostic amplifier only with 3- or 5- or 10 lead cable (1- or 7- or 12 lead display)

  • Page 14: Functional Overview

    Introduction ARGUS LCM/PLUS Functional overview Functional overview 2.2.1 Buttons of the Argus LCM PLUS Audible Alarm suppress/acknowledge Direct buttons for : 1. NIBP s tart/stop 2. Trend display 3. Print 4. Setting alarm limits Menu access button LED indicating battery...

  • Page 15: Description Of Buttons

    Introduction ARGUS LCM/PLUS Operating Instruction Functional overview 2.2.2 Description of buttons ON/OFF The LED indicates if the LCM is running from mains power or battery. Button for suppression/acknowledgement of audible alarms The alarm can be suppressed or acknowledged in two ways. This is defined in set- tings About+/Alarm setup menu.

  • Page 16: Description Of Display

    Introduction ARGUS LCM/PLUS Functional overview 2.2.3 Description of display Alarms (1) Status field for physiological alarms (2) Status field for technical alarms Curve field (3) 1 or 3 channel leads display. With enter display 1 or 3 leads, with up/down select the following/previous lead/lead group.

  • Page 17: Operation

    (2) Mains connection (100 -115 or 220 -240 VAC) (3) Potential equalisation (4) Nurse call or DC in 11 - 30 VDC (option) Fig. 3.1 ARGUS LCM back panel Voltage setting (2) 115 or 230 V. Refer to chapter 5.3 for the mains voltage. Con- nect the power cable at the rear of the unit (2).

  • Page 18: Operation With External Dc Voltage

    Operation ARGUS LCM/PLUS Switching off and disconnecting from mains 3.1.3 Operation with external dc voltage Important Before initial operation with external dc voltage, check voltage supply. (The voltage must be in the range of 11-30 VDC). On connection, make sure that the polarity is correct.

  • Page 19: Inserting Printing Paper

    Operation ARGUS LCM/PLUS Operating Instruction Inserting printing paper Inserting printing paper Important The device is delivered without printing paper installed. Only use original SCHILL- ER printing paper. The thermo-paper is sensitive to heat, humidity and chemical va- pours. Store the paper in a cool and dry area.

  • Page 20: Initial Settings

    Load factory defaults When the factory defaults are loaded, the system language will be German. The SCHILLER factory defaults are listed in section 7.2. When you load these de- faults, they will overwrite the user settings. Open the About+ panel and select Device.

  • Page 21: Alarm Limit Setting

    Operation ARGUS LCM/PLUS Operating Instruction Initial settings 3.4.4 Alarm limit setting All alarm limits are reset to the default or user specific system settings after switch- ing the unit off/on, if they have not been stored as default. (see menu About+/Soft- ware) Press alarm limit button.

  • Page 22: Setting Loudness Of Audible Alarm And Qrs Sound

    Operation ARGUS LCM/PLUS Initial settings Printing alarm limits Press the alarm limit button. Press the print button. The displayed table is printed. 3.4.5 Setting loudness of audible alarm and QRS sound Select normal monitor mode. Press menu if in programming mode or trend if in trend display.

  • Page 23: Trend Or Alarm Display

    Operation ARGUS LCM/PLUS Operating Instruction Trend or alarm display Trend or alarm display The trend values are measured every minute and additionally on every manual NIBP measurement. The trends can be displayed in graphical or tabular form for all parameters over 24 hours.

  • Page 24: Procedure In Case Of An Alarm

    Operation ARGUS LCM/PLUS Procedure in case of an alarm Procedure in case of an alarm 3.7.1 Display of alarms During initial switching on The alarms are suppressed for a defined time (programmable in the menu About+/ Alarm. Alarm suppr. time standard is 3 minutes) The message Alarm suppressed 3:00 appears.

  • Page 25: Suppressing/Acknowledging An Audible Alarm

    Operation ARGUS LCM/PLUS Operating Instruction Procedure in case of an alarm 3.7.3 Suppressing/acknowledging an audible alarm There are two ways to proceed in the case of an alarm. The procedure depends on the set alarm stop mode (On/Off) and the alarm suppression time in the menu...

  • Page 26: Preventive Alarm Suppression

    Operation ARGUS LCM/PLUS Procedure in case of an alarm 3.7.4 Preventive alarm suppression The preventive alarm suppression is used to deactivate in advance all alarms that may be caused by disconnecting patient cables, lose electrodes and relocation of the patient.

  • Page 27: Start Monitoring

    – SCHILLER recommends to attach, in addition to ECG measurement, a SpO sensor and adjust the alarm range of PP near to peripheral pulse.

  • Page 28: Pacemaker Monitoring

    Start monitoring ARGUS LCM/PLUS ECG monitoring 4.2.2 Pacemaker monitoring Set the PM monitoring in the menue ECG/Pacemaker On to display the pacemaker pulses as vertical lines (1) on the ECG display. When pacemaker signals are detect- ed, the heart symbole is replaced by a diamond (2). These vertical lines represent neither magnitude nor duration of the pacemaker pulse but are purely time relative.

  • Page 29: Nibp Monitoring

    Start monitoring ARGUS LCM/PLUS Operating Instruction NIBP monitoring NIBP monitoring To prevent extensive pressure on the extremity, it is very important to choose the correct cuff size and to check the setting in the panel System/Patient (Adult, Pediatric, Neonatal). In case of long-term monitoring or automatic operation, the connected body areas of the patient and the extremity to which the cuff is attached must be checked reg- ularly for signs of ischaemia, purpura and/or neuropathy.

  • Page 30: Spo Monitoring

    Only use sensors recommended from SCHILLER for SpO2 measurement with the Argus LCM. Other oxygen transducers (sensors) may lead to improper per- formance. The information in this manual does not overrule any instructions given in the Masimo operating manual, which must be consulted for full instructions.

  • Page 31: Ibp Monitoring

    Start monitoring ARGUS LCM/PLUS Operating Instruction IBP monitoring IBP monitoring Carefully read the manufacturer's instructions before using the invasive blood pressure kit. When applying the kit to the patient, make sure that absolutely no air penetrates the system. To achieve correct arterial pressure measurement, the pressure sensor must be installed on the level of the right atrium.

  • Page 32: Ibp Calibration

    Start monitoring ARGUS LCM/PLUS monitoring 4.5.2 IBP calibration • Calibration must be carried out before every application. • Zero point calibration is automatically carried out when the pressure sensor cable is plugged in. However, it can also be initiated manually via the IBP setting screen.

  • Page 33: Maintenance

    Maintenance work not described in this chapter, e.g. battery replacement, may only be accomplished by a qualified technician authorised by SCHILLER AG. The following table indicates the intervals and responsibilities of the maintenance work required. Country specific regulations can prescribe additional or other intervals and examinations.

  • Page 34: Maintenance Interval For The Battery

    Maintenance ARGUS LCM/PLUS Maintenance interval for the battery Maintenance interval for the battery Important The battery is maintenance free during its normal life. The battery should remain charged during storage. If the storage period exceeds three months, recharge the battery.

  • Page 35: Changing The Fuse And Mains Voltage

    Maintenance ARGUS LCM/PLUS Operating Instruction Changing the fuse and mains voltage Changing the fuse and mains voltage The mains voltage may only be changed by qualified personnel. Before changing the fuse and mains voltage, disconnect the device from the mains and remove the mains plug. See section 3.2.

  • Page 36: Cleaning The Device, Cable And Sensors

    Maintenance ARGUS LCM/PLUS Cleaning the device, cable and sensors Cleaning the device, cable and sensors Disconnect the device from the mains and remove the mains plug before clean- ing. See section 3.2. Do not immerse the unit or the cable and sensors in liquid! Do not use aggressive cleaners.

  • Page 37: Zero And Two Point Co Calibration

    Maintenance ARGUS LCM/PLUS Operating Instruction Zero and two point CO calibration Zero and two point CO calibration • CO scrubber not more than one year old. • Watertrap • Calibration gas 10% CO Bal. N • Or calibration kit including above items and accessory Art.no. 2.100741 •...

  • Page 38: Trouble Shooting

    Maintenance ARGUS LCM/PLUS Trouble shooting Trouble shooting Alarm Cause Remedy ECG cable off • ECG cable disconnected Connect the ECG cable. ECG lead off • Electrode lose/defective Check and reapply/replace electrodes. Low Perfusion • Bad sensor positioning Check the sensor and reapply.

  • Page 39: Accessories And Disposables

    Your local representative stocks all the disposables and accessories available for the Argus LCM. A full list of all SCHILLER representatives can be found on the SCHILL- ER website (www.schiller.ch). In case of difficulty, contact our head office in Switzer- land.

  • Page 40: Technical Data

    Technical Data ARGUS LCM/PLUS System data 6 Technical Data System data Manufacturer SCHILLER AG Device type ARGUS LCM/PLUS monitoring system Dimensions 290 x 275 x 180 mm (h x l x w) Weight 4.6 kg Protection case IP20 Power supply...
  • Page 41 Technical Data ARGUS LCM/PLUS Operating Instruction System data Monitoring functions • All vital data numerical and/or graphical Display • All vital data are stored for up to 24 h and can be displayed in tabular or graphical Trend form in intervals of 1, 5, 15, 30, 60, 120 or 240 minutes.

  • Page 42: Technical Data - Measured Values

    Technical Data ARGUS LCM/PLUS Technical data - measured values Technical data - measured values 6.2.1 Leads Simultaneous, synchronous recording of all 9 active electrodes giving 12 leads Patient cable 3p-, 3-,5-, 10-lead cable Heart rate 20 – 250 beats/min Lead display...

  • Page 43: Temperature

    Technical Data ARGUS LCM/PLUS Operating Instruction Technical data - measured values 6.2.3 Temperature Sensor YSI 401, rectal, skin or ear Measurement interval 1x per second Measurement range 15 °C to 45 °C Resolution 0.1 °C Minimum measurement 2 min until a measured value is achieved duration 6.2.4...

  • Page 44: Spo 2 - Pulsoximetry

    Technical Data ARGUS LCM/PLUS Technical data - measured values 6.2.6 - pulsoximetry Amplifier Masimo™ MS-3, MS-7, NELL-1 Operation Normal and sensitive Sampling rate 62.5 Hz Accuracy • Adults 70 to 100% ± 2 digits • Neonates 70 to 100% ± 3 digits •...

  • Page 45: Appendix

    Appendix ARGUS LCM/PLUS Operating Instruction Settings menu 7 Appendix Settings menu 7.1.1 Main menu Bold marked values are factory settings. Main menu Parameter Values Display sensitivity 5/10/20/40 mm/mV Diagnostic/ Monitoring 1 / Monitoring 2 / Artefact ECG - Filter QRS beep source...

  • Page 46: Special Menu "About

    3.4.2.) With this function, the saved default values can be re- Restore defaults stored. (See section 3.4.2.) Restores the SCHILLER factory settings. The display Factory defaults language is changed to German. (See section 3.4.3.). For service only Service NIBP update or ECG electrode test.

  • Page 47: Factory Settings

    Appendix ARGUS LCM/PLUS Operating Instruction Factory settings Factory settings These values can be loaded from the menu About+/Software. See chapter 7.1.2. Parameter Abbrev. Unit Type Limit Step Alarm Adult Child Neonat Prio. Heart rate High 80...220 15...100 Asystole 2...20 High...

  • Page 48: Connecting The Ecg Patient Cable

    The used pacemaker impulse will be filtered by the HF protection in the ECG cable. Danger of destroying the device during defibrillation! The device is only type CF protected if the original SCHILLER patient cables are used. 7.3.1 3-leads cable for children and neonates...
  • Page 49 Appendix ARGUS LCM/PLUS Operating Instruction Connecting the ECG patient cable Note When the signal amplitude is < 0.5 mV, place the yellow electrode according the fol- lowing picture instead to adjust the resolution to 40 mm/V. Because of that the ar- tefacts can be reduzed.The signal amplitude is influenced by the electrical heart ax-...

  • Page 50: 3P-Lead Cable

    7.3.4 3p-lead cable The ARGUS LCM BASIC Serial number > 1000 with the microprocessor MK19-11 has a new ECG amplifier (3p). It is now possible to display 6 leads with a 3p-lead ca- ble. The 3p-lead cable is marked with an black connector housing instead of green.

  • Page 51: 10-Lead Ecg Patient Cable

    Appendix ARGUS LCM/PLUS Operating Instruction Connecting the ECG patient cable 7.3.6 10-lead ECG patient cable The following illustration indicates the placement locations for the electrodes of a ten-lead patient cable. Yellow (L) White/Green C3 Red (R) White/Braun C4 White/Black C5...

  • Page 52: Electrodes Identification And Colour Code Iec/Aha

    Appendix ARGUS LCM/PLUS Connecting the ECG patient cable 7.3.7 Electrodes identification and colour code IEC/AHA The electrode placements shown in this handbook are labelled with the colours ac- cording to code 1 requirements. The equivalent code 2 colours are given below.

  • Page 53: Co Settings

    Appendix ARGUS LCM/PLUS Operating Instruction settings settings 7.4.1 Description of CO parameters Parameter Setup Description Flow rate To ensure that children and neonates have sufficient air to breathe, it is vital that the "System > Patient" ("Adult", "Pediatric", "Neonatal") and the CO...

  • Page 54: Combination Of N 2 O And O 2 Compensation

    Appendix ARGUS LCM/PLUS settings 7.4.3 Combination of N O and O compensation As the influence on N O is greater than on O , the influences can cancel each other out in a gas mixture of 25% N O and 75 % O .

  • Page 55: Index

    Index ARGUS LCM/PLUS Operating Instruction 8 Index Save as default Accessories and Disposables Alarm Alarm limit setting Two point calibration Alarm suppr. time Default settings for alarm limits Zero point calibration Calibration date Display 3 Leads Battery operation Language Loudness...
  • Page 56 Index ARGUS LCM/PLUS Page 54...

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