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INSIGHT Vital Signs Plus ECG Operator's Manual

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Summary of Contents for INSIGHT Vital Signs Plus ECG

  • Page 1 Monitor Operator’s Manual...

  • Page 2: Table Of Contents

    Contents Preface........................1 Chapter I Overview ....................3 1.1 Introduction ...................... 4 1.2 Introduction to the Display Interface ..............8 Chapter II Installation of the Monitor ................ 11 2.1 Unpacking and Checking ................11 2.2 Electrical Connection ..................11 2.3 Power On ....................... 11 2.4 Sensor Connection ..................
  • Page 3 5.4 Alarm Status ....................29 5.5 Parameter Alarm .................... 29 5.6 Measures to be Taken in Case of Alarm ............29 Chapter VI ECG ...................... 30 6.1 Instructions for ECG Monitoring ..............30 6.2 ECG Monitoring Operation Method ..............30 6.3 ECG Operation ....................

  • Page 4: Preface

    Preface This manual introduces the InSight Vital Signs + ECG Monitor's performance, operation methods and other safety information in detail. This is the best starting point for new users to start using the monitor. The following symbols indicate some important tips, which users should pay attention Warnings are information that you should know how to help avoid injury to animals and medical personnel.
  • Page 5 Precautions ● Before use, verify that the calibration is correct and that the device is working properly. ● Pay attention to the placement of power adapters, conduits and all cables to avoid the danger of strangling animals or tripping other people. ●...

  • Page 6: Chapter I Overview

    Chapter I Overview ■ For a comprehensive understanding of the monitor, please read the overview of the monitor information in Section 1.1 ■ For an introduction to the various information displayed on the screen, please read the introduction to the screen display information in Section 1.2 ■...

  • Page 7: Introduction

    1.1 Introduction The InSight Vital Signs + ECG Monitor is a small device with a built-in battery which is convenient for animal transfer. It can monitor and measure vital signs such as heart rate/pulse rate, non-invasive blood pressure (systolic blood pressure, diastolic blood pressure, mean blood pressure), electrocardiogram, blood oxygen saturation and temperature for large or small animals.
  • Page 8 1.1.1 Button and Indicator Light Fig. 1-1 Buttons and Indicator Light • Power - Switch on/off • Mute - Press this key to suspend or resume the alarm loudspeaker • Function 1 - Carry out functions as indicated by text showing on the lower left corner of screen •...
  • Page 9 1.1.3 Reset Micro USB Fig. 1-3 Reset Micro USB Open the protecting shell and insert a needle into the reset hole. Press the reset button, the device will be reset. Warning USB data upload, ECG will not appear. 1.1.4 Ports Fig.
  • Page 10 Abbreviations Abbreviation Definition Electrocardiography TEMP Temperature NIBP Non-invasive blood pressure SPO2 Blood oxygen saturation EtCO2 End tidal carbon dioxide Respiration rate Heart rate Pulse rate Perfusion index Premature ventricular contractions Systolic blood pressure Diastolic blood pressure Mean arterial pressure Monitor Continuous measurement mode Spot Field mode (multi-user measurement)

  • Page 11: Introduction To The Display Interface

    1.2 Introduction to the Display Interface The monitor's display screen is a colour LCD screen which can simultaneously display the collected animal ID, waveform parameters, alarm information provided by the monitor, monitor status, clock and other prompt information. The main screen is divided into three areas (as shown in Figure 1-6): 1.
  • Page 12 Other prompt messages in the information area appear and disappear at the same time as the reported status and are divided into: The monitor prompts information, the physiological alarm is fixed in the area ④; the technical alarm of NIBP is fixed under the NIBP mmHg, the SpO2 technology alarm of the ECG 3-lead interface is fixed behind the PI value and the SpO2 technology of the ECG 5-lead interface.
  • Page 13 Alarm Lights and Alarm Status: In the normal state, the warning light does not light up. When an alarm occurs, the alarm light flashes and lights up in red. For details, please refer to Section 3.5.

  • Page 14: Chapter Ii Installation Of The Monitor

    Chapter II Installation of the Monitor 2.1 Unpacking and Checking Carefully remove the monitor and accessories from the packaging box and save the packaging materials for future transportation or storage. Please check the contents according to the packing list. • Check for any mechanical damage.

  • Page 15: Sensor Connection

    • Check all the monitoring functions that can be used to ensure that the monitor is functioning properly. • If equipped with a battery, the battery must be charged after each use to ensure that there is sufficient power reserve. 2.4 Sensor Connection Connect the required sensors to the monitor and the animal.

  • Page 16: Chapter Iii System Menu

    Chapter III System Menu • Main Interface • Menu setting • Working mode • User Setting • Alarm setting • Blood pressure setting • Blood oxygen setting • ECG Setting • Temperature • System Setting • Data review 3.1 Main Interface Press the power button, the system enters the main interface.

  • Page 17: Menu Setting

    • In SPOT mode (energy-saving mode is on), if there is no key operation within 1 minute, the instrument will be turned off automatically. • When the battery is low, the battery progress bar is empty. An audible alarm is generated at the same time and the alarm red light flashes regularly. •...

  • Page 18: Working Mode

    3.3 Working Mode Fig. 3-3 Working Mode • Spot mode will automatically sleep for 1 minute when there is no measurement operation (power saving mode is turned on). • Monitor mode does not automatically sleep. • If you switch from Spot mode to Monitor mode, you will be prompted to choose whether to keep the data in Spot mode.

  • Page 19: User Setting

    3.4 User Setting Under the setting menu, select user setting and press the confirm key to enter the user setting interface menu. The menu shown in Figure 3-5. Spot mode Monitor mode Fig. 3-5 User Setting • The user setting interface shows different interfaces according to different working modes.

  • Page 20: Alarm Setting

    Each time a user is added in the Monitor mode, it will prompt whether to keep the previous data, as shown in Figure 3-7. Fig. 3-7 Add User Menu 3.5 Alarm Setting Under the setting menu, select the alarm setting and press the confirm key to enter the alarm setting interface menu.

  • Page 21: Blood Pressure Setting

    The alarm setting can be modified according to the up and down buttons. The upper limit of the same parameter cannot be lower than the lower limit. Similarly, the lower limit cannot be higher than the upper limit. Alarm Limit Setting Sys: 40-280 mmHg Dia: 10-220 mmHg SpO2: 0~100%...

  • Page 22: Blood Oxygen Setting

    3.7 Blood Oxygen Setting Under the setting menu, select the blood oxygen setting and press the confirm key to enter the blood oxygen setting interface menu. The menu is shown in Figure 3-10. Fig. 3-10 Blood Oxygen Setting SpO2 Setting Pulse Sound: on/off.

  • Page 23: Ecg Setting

    3.8 ECG Setting Under the setting menu, select ECG setting and press the confirm key to enter the ECG setting interface menu. The menu is shown in Figure 3-11 : 3 Lead ECG Mode 5 Lead ECG Mode Fig. 3-11 ECG Setting ECG Setting Lead Type: 3-lead, 5-lead.

  • Page 24: Etco2 Setting

    3.9 ETCO2 setting ETCO2 Set Up CO2 Unit: Choose mmHg, kPa or % Apnea Time(s): Set time - device will alarm when no air is detected. Note: Monitor must detect 3 breaths before this timer is activated. CO2 Save Time(s): Set how often monitor records ETCO2 data (in seconds) CO2 Range: Choose how high the vertical axis (Y Axis) of the ETCO2 waveform graph will display ETCO2 Zero: Use this when connecting a new adaptor or resetting a current...

  • Page 25: System Setting

    3.11 System Setting Under the setting menu, select the system setting and press the confirm key to enter the system setting interface menu. The menu is shown in Figure 3-13. Fig. 3-13 System Setting System Settings "Low Power Mode": When on, it will automatically shut down in SPOT mode. When off, it will not shut down automatically in SPOT mode.

  • Page 26: Data Review

    3.12 Data Review Under the setting menu, select data review and press the confirm key to enter the data review interface menu. The menu is shown in Figure 3-14. View ID View the list Fig. 3-14 Data Review If the current working mode is Spot mode, you must select the ID number you want to view before entering the view list.
  • Page 27 NIBP Table: Time, SYS, DIA, PR. As shown in Figure 3-15. SpO2 Table: Time, SPO2, PR. As shown in Figure 3-16. Fig. 3-17 ECG Table Fig. 3-18 TEMP Table ECG Table: Time, HR. As shown in Figure 3-17. TEMP Table: Time, TEMP. As shown in Figure 3-18. 3.12.2 Description of Trend Graph Fig.
  • Page 28 SpO2 Trend The trend graph displays blood oxygen and pulse rate. The horizontal axis on the left is in %, the pulse rate is on the right and the horizontal axis is the measurement time. As shown in Figure 3-20. Fig.

  • Page 29: Chapter Iv Maintenance And Cleaning

    Chapter IV Maintenance and Cleaning 4.1 Maintenance and Inspection Before using this equipment, the following checks must be carried out: ● Check for any mechanical damage. ● Check all exposed wires, inserts and accessories. ● Check the function of all instruments that may be used to monitor animals and ensure that the instruments are in good working condition.

  • Page 30: Sterilisation

    dried naturally or cleaned with clean and dry cloth. • We are not responsible for the effectiveness of these chemicals as a means of infectious disease control. Please consult with the relevant person in charge of infection control or infectious disease experts.

  • Page 31: Chapter V Alarm

    Chapter V Alarm This chapter introduces the information about the alarm and the measures to be taken when the alarm occurs. You can get the information for the parameter alarm and prompt in the chapter about parameter setting. 5.1 Overview The alarm refers to the prompt given by the monitor to the user when the animal being monitored has a vital sign change or the machine itself is unable to record patient data.

  • Page 32: Alarm Mode

    5.3 Alarm Mode In case of alarm, sound, light and text prompt will be given. 5.3.1 Alarm Properties 5-2 Alarm Sound and Light Characteristics Alarm Sound Mode Alarm Light Mode The device will ‘beep’ every 30 seconds. The alarm light flashes red. 5.3.2 Content Properties Background Colour: The alarm background colour is red.

  • Page 33: Chapter Vi Ecg

    Chapter VI ECG 6.1 Instructions for ECG Monitoring 6.1.1 ECG Monitor Definition ECG monitoring generates continuous waveforms of animal ECG to accurately evaluate the physiological state of the animal at that time. The portable monitor only displays one ECG waveform in three lead state. •...
  • Page 34 6.2.2 Installation of ECG Lead The location of ECG monitoring electrode is determined according to the animal type as shown in Figure 6-2. Warning The lead names in European and American standards are listed in the table below (in European standard, R, l, N, F and C are used for each lead, while in American Standard, RA, La, RL, ll and V are used for each lead).
  • Page 35 • The pacing signal was not greater than the height of R wave. • The height of T wave is less than 1/3 of that of R wave. • P wave should be much smaller than T wave. • In order to obtain 1 MV calibrated ECG wave, ECG calibration should be performed.

  • Page 36: Ecg Operation

    6.3 ECG Operation ECG Alarm The alarm will be given when the ECG is out of the upper limit or lower limit. Warning • The upper and lower limits of alarm should be set according to the clinical conditions of the animal. Lead Type 5 lead or 3 lead can be selected Waveform Selection...
  • Page 37 6.4 ECG Alarm Information and Prompt Information Alarm Information There are two kinds of alarms in ECG measurement: physiological alarm and technical alarm. At the same time, various prompt messages may be generated in the process of ECG measurement. When these alarms or prompts appear, the visual and auditory representations of the monitor can refer to the relevant description in the chapter of alarm settings.
  • Page 38 6.5 Maintenance and Cleaning Maintenance and Cleaning Warning Turn off the power and disconnect the AC power before cleaning the monitor or sensor. If the ECG cable is damaged or ageing, replace it with a new one. Cleaning The surface of the monitor and its sensor can be wiped with medical alcohol, dried naturally or cleaned with a clean, dry cloth.

  • Page 39: Chapter Vii Spo2 Measurement

    Chapter VII SpO2 Measurement 7.1 SpO2 Monitor instruction 7.1.1 SpO2 Definition SpO2 plethysmography measure arterial oxygen saturation, which is the percentage of total oxygenated haemoglobin. For example, if 97% of the total haemoglobin molecules in the red blood cells of arterial blood are combined with oxygen, the blood will have 97% SpO2 oxygen saturation, and the SpO2 value reading on the monitor should be 97%.

  • Page 40: Spo2 Measurement Operation

    Warning Make sure the blood oxygen probe is out of the light. Warning The SpO2 value is always displayed in a fixed place. Warning The SpO2 waveform is not proportional to the pulse volume. Warning Before monitoring, check whether the sensor cable is normal. When the SpO2 sensor cable is removed from the socket, the screen will display the error message of "probe falling off"...

  • Page 41: Spo2 Monitoring Measurement Limit

    Warning In the long-term continuous monitoring process, check the peripheral circulation and skin condition of the measuring part every 2 hours or so. If adverse changes are found, the measuring part should be changed in time. In the process of long-term continuous monitoring, the positioning of the probe should be checked periodically to avoid the change of the probe positioning caused by moving and other factors, which will affect the accuracy of measurement.

  • Page 42: Maintenance And Cleaning

    Physiological Alarm Notification Reason SpO2 too high SpO2 measured is higher than the upper alarm limit SpO2 too low SpO2 measured is below the lower alarm limit PR too high PR measured is higher than the upper alarm limit PR too low PR measured is below the lower alarm limit Technical Alarm Notification...

  • Page 43: Chapter Viii Temperature Measurement

    Chapter VIII Temperature Measurement 8.1 Temperature Monitor Instruction The portable monitor can use the temperature probe to measure the temperature data. Temperature Measurement Setting • If you are using a disposable temperature probe, insert the temperature cable into the socket and then connect the probe with the cable. For a reusable temperature probe, you can insert it directly into the socket.

  • Page 44: Maintenance And Cleaning

    Prompt and Alarm Notification Reason Overrange Out of range 8.3 Maintenance and Cleaning Warning Turn off the power and disconnect the AC power before cleaning the monitor or the sensor connected to it. Reusable temperature probe: 1) The heating of the temperature probe should not exceed 100°C. 2) Do not steam sterilise the probe.

  • Page 45: Chapter Ix Nibp Measurement

    Chapter IX NIBP Measurement 9.1 NIBP Monitor Instruction Non-invasive blood pressure (NIBP) is measured by oscillatory method. It can be used for measuring an animal’s blood pressure. • Measurement Mode：Manual, Auto and Stat. • Every mode will display SYS,DIA & MAP •...

  • Page 46: Operation Tips

    9.3 Operation Tips Take an automatic measurement The user can select the time interval value for automatic measurement. After that, the system will automatically inflate and measure according to the set interval. Caution If the non-invasive pressure measurement time in the automatic mode is too long, the limbs rubbing with the cuff may be accompanied by purpura, ischemia, and nerve damage.
  • Page 47 Arrhythmia • If the display shows an arrhythmia that results in an irregular heartbeat, the measurement will be unreliable or even impossible, and the measurement time will be extended. Heart-lung machine • If the animal is connected with an artificial heart-lung machine, the measurement will not be possible.

  • Page 48: Nibp Alarm Information

    9.4 NIBP Alarm Information The following situations may cause a longer measurement time or unreliable values: • Animal Movement • Severe Shock • Low Heart Rate • Arrhythmia • Rapid Pressure Changes • Extremely Large Animals Error Cause SysErr Self-test fail SysErr2 NIBP module system error CuffLoose...

  • Page 49: Maintenance And Cleaning

    9.5 Maintenance and Cleaning • Don’t constrict or kink the rubber hose • Don’t allow liquid to come in contact with the vital signs monitor or charging dock • When cleaning the monitor, only wipe the case • Don’t submerge or place in any type of gas or steam sterilizer Disposable NIBP cuff should be used for only one animal, it cannot be disinfected or be sterilised under high pressure steam.

  • Page 50: Chapter X Mainstream Co2 Module

    Chapter X Mainstream CO2 Module 10.1 Hardware Interface 10.1.1 Mainstream CO2 Module Fig. 10.1.1 Mainstream CO2 Probe 10.1.2 Points for Attention Zero Operation It is recommended that users ensure each module goes down to zero before use to ensure the best measurement accuracy. During the zero calibration operation, ensure that the gas sampled by the module is air.

  • Page 51: Proper Connection

    indicates a “check adaptor” alarm. A fast blinking red light indicates the adapter needs to return to zero (see section 10.1.2). Note: The adapter needs to be preheated for 2-3 minutes (until the red light extinguishes) to prevent condensation on the optical analysis window from affecting the measurement results.

  • Page 52: Co2 Compensations

    optical analysis window is dirty, the monitor will display the “check adapter” alarm. If the user attempts to zero the module, the procedure will cause an error. At this point, the module will not work properly and will continue to prompt the “check adapter” or “adapter need replace”...

  • Page 53: Appendix I Accessories Specifications

    Appendix I Accessories Specifications Warning The accessory models specified by the manufacturer are listed below. The use of other types of accessories may damage the monitor 1. ECG Accessories Name Specification One-piece 3-lead cable Plug: LEMO type 6PIN plug Cable: shielded wire Lead wire: single core double shielded wire Electrode connector: clip...

  • Page 54: Appendix Ii Product Specifications

    Appendix II Product Specifications 1. Monitor Specifications 1.1 Monitor size and weight Size 146mm x 67mm x 30mm Weight 250g 1.2 Working Environment Temperature Operating: 0°~ 40°C Storage/Transportation: -20°~+60°C Operating Humidity: ≤80% Storage/Transportation:≤ 93% Working Altitude range: -500-4,600 meters (-1,600-15,000 feet) Transportation and storage altitude: -500-13,100 meters (-1,600-43,000 feet) 1.3 Display information Up to 3 waveform displays...
  • Page 55 2. ECG Specifications 2.1 Lead configuration Standard 3-lead or 5-lead cable 3 lead RA, LA, LL, lead mode: I, II, III 5 lead RA, LA, LL, RL, V, lead mode: I, II, III, aVR, aVL, aVF, V 2.2 Gain 250, 500, 1000, 2000 2.3 Heart rate Heart rate range: 15 ~ 350bpm (beat/min) Accuracy: ±1% or ±1bpm, whichever is greater...
  • Page 56 2.11 Signal range 8mV (peak-to-peak value) 2.12 Calibration signal 1mV (peak-to-peak value), accuracy 5% 3. SpO2 specifications 3.1 Measuring range: SpO2: 0-100% PR: 0-500bpm PI: 0.05%-20% 3.2 Accuracy range SpO2: 70%-100% PR: 30-500bpm PI: 0.05%-20% 3.3 Accuracy SpO2: ±3(70%-100%) PR: ±3bpm (under exercise conditions: ±5bpm) 4.TEMP Specifications 4.1 Applicable temperature sensor YSI series, CYF series...
  • Page 57 5.3 Measurement interval time in automatic measurement mode 1,2,3,5,10,15,30,60,90 5.4 Pulse rate range 40 – 240 bpm 5.5 Range Systolic blood pressure: 40 ~ 270 mmHg Diastolic blood pressure: 10 ～ 230 mmHg Average pressure: 20 ～ 210 mmHg Static pressure range: 0 ~ 300 mmHg Static pressure accuracy: ±3 mmHg 5.6 Pulse rate range 40 –...
  • Page 58 Old Station Park Buildings St. John Street Horwich Bolton BL6 7NY, UK Tel: +44 (0) 1204 669033 Email: sales@woodleyequipment.com Web: www.woodleyequipment.com...

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