Northern Meditec Taurus E Operator's Manual
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Northern Meditec Taurus E Operator's Manual

Multi-parameter patient monitor
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Taurus E
Multi-parameter Patient Monitor
Operator's Manual
Northern Meditec Limited

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  • Page 1 ® Taurus E Multi-parameter Patient Monitor Operator’s Manual Northern Meditec Limited...
  • Page 2 Before operating, please read this Manual carefully to ensure proper use. Please keep this Manual properly for future reference. Product Name: Patient Monitor ® Taurus E Model: Structure and The monitor consists of master unit, display, ECG cable, SpO2 Components: probe, blood pressure cuff, and temperature probe.
  • Page 3 Intellectual Property Rights The intellectual property rights of this Operator’s Manual and the corresponding product belong to Northern Meditec Limited (hereinafter referred to as “Northern”). This Manual contains proprietary information protected by copyright law. Without written permission of Northern, any organization or individual is prohibited to photograph, copy, modify or print any part of this Manual, or translate into other languages.
  • Page 4 文件编号：NR-TP-0715-008 版本： 1.0 Statement Northern reserves the right of final interpretation to this Manual. The content of this Manual is subject to change without prior notice. Only if the following requirements are met, Northern will be responsible for the safety, reliability and performance of the product, i.e.: ...
  • Page 5 文件编号：NR-TP-0715-008 版本： 1.0 Warranty and Maintenance Services The warranty period is 2 years for this product and 1 year for the main accessories. The main accessories include: blood oxygen probe and extension cable, ECG cable, blood pressure cuff and catheter, temperature probe, power cord, stent, and ground wire. Consumables are disposable materials that should be replaced after each use or wearing parts that should be replaced periodically.
  • Page 6 文件编号：NR-TP-0715-008 版本： 1.0 After-sales Service Unit Name: Northern Meditec Limited Customer Service Department Address: Floor 4, Block B1, Famous Industrial Products Center, No. 168 Baoyuan Road, Xixiang Subdistrict, Baoan, Shenzhen Postal Code: 518102 Website: www.northernmeditec.com Email: info@northernmeditec.com Tel: + 86 755 29970566...
  • Page 7 Manual introduces the use, properties, method of operation, safety information and intended use of the TAURUS E Multi-parameter Patient Monitor in details. Before using the product, please carefully read and understand the contents of this Manual, and abide by the method of operation stated in this Manual in order to ensure the safety of patients and operators.

  • Page 8: Table Of Contents

    文件编号：NR-TP-0715-008 版本： 1.0 Content Chapter1 Safety ....................... - 1 - 1.1 Safety Information......................- 1 - 1.1.1 Danger ........................ - 1 - 1.1.2 Warning ......................- 2 - 1.1.3 Caution ........................ - 3 - 1.1.4 Note ........................- 3 - 1.2 Symbols ..........................
  • Page 9 文件编号：NR-TP-0715-008 版本： 1.0 4.2.4 Volume Control ....................- 21 - 4.2.5 Setting Parameter Unit ................... - 21 - 4.2.6 Network Setup ....................- 22 - Chapter5 Patient Information Management..............- 23 - 5.1 Patient Setup Menu ....................- 23 - 5.2 Admitting a Patient Quickly..................
  • Page 10 文件编号：NR-TP-0715-008 版本： 1.0 8.5.3 Average Time ....................- 43 - 8.6 Influencing Factors ....................- 43 - Chapter9 PR ......................... - 45 - 9.1 Overview ........................- 45 - 9.2 Display ........................- 45 - 9.3 Pulse Vol........................- 45 - 9.4 Alarm Setup.......................
  • Page 11 文件编号：NR-TP-0715-008 版本： 1.0 12.3.5 Checking the Pacemaking Status ..............- 62 - 12.4 ECG Display ......................- 63 - 12.5 ECG Setup ....................... - 64 - 12.6 Alarm Setup ......................- 65 - Chapter13 Review......................- 66 - 13.1 Reviewing Trend Chart ................... - 66 - 13.2 Reviewing Trend Table ....................
  • Page 12 文件编号：NR-TP-0715-008 版本： 1.0 Appendix D Default Parameter Configuration ............- 95 -...

  • Page 13: Chapter1 Safety

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter1 Safety Safety Information Danger  A warning that alerts you to a potential serious outcome, adverse event or safety hazard. Failure to observe a warning may result in serious injury or death to the user or patient. Warning ...

  • Page 14: Warning

    文件编号：NR-TP-0715-008 版本： 1.0 1.1.2 Warning Warning  This monitor is used for clinical patient monitoring, and only trained and qualified doctors and nurses are allowed to use this monitor.  Before operating, the user must check if the device, cables and accessories are functioning properly and safely.

  • Page 15: Caution

    文件编号：NR-TP-0715-008 版本： 1.0  For patients with pacemakers, the cardiotach ometer may count the pacemaker pulse in case of a cardiac arrest or arrhythmias. Never rely solely on the cardiotach ometer alarm. Closely monitor the patients with pacemakers. For the inhibition of the device on pacemakers, refer to this Operator’s Manual.

  • Page 16: Symbols

    文件编号：NR-TP-0715-008 版本： 1.0 Symbols The symbols appearing on the instrument are as follows: Defibrillation-proof type EU representative CF applied part Defibrillation-proof type USB interface BF applied part Caution: Refer Network Interfac accompanying documents (Operator’s Manual). Signal input and output Power on / off interface Refer to the Operator’s AC power supply (AC)

  • Page 17: Chapter2 Installation & Check

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter2 Installation & Check Note  To ensure normal working of the monitor, read this chapter before use, and install as required. Warning  All analog and digital devices connected to the monitor must be certified by IEC standards (e.g., IEC 60950 Data Processing Equipment Standard and IEC 60601-1 Medical Equipment Standard).

  • Page 18: Environmental Requirements

    文件编号：NR-TP-0715-008 版本： 1.0 Environmental Requirements The storage, transport and use of the monitor must meet the following environmental requirements. Working Ambient 5℃~40℃ environment temperature range ≤80% Relative humidity range Atmospheric 86kPa~106kPa pressure range Supply voltage Supply voltage a.c.100V~240V requirement Power frequency 50Hz/60Hz Input power 40VA-60VA...

  • Page 19: Turning On

    文件编号：NR-TP-0715-008 版本： 1.0  Make sure that the AC power supply meets the following specifications: AC 100V ~ 240V, 50/60Hz.  Use the power cord provided with the monitor. Plug the power cord into the power connector of the monitor, and plug the other end of the power cord into the mains (low voltage power supply network facilities) power outlet with protective earthing.

  • Page 20: Connecting The Sensor

    文件编号：NR-TP-0715-008 版本： 1.0 monitor makes a “tick” sound, the warning system of the monitor can work normally. Notes  If any fatal error occurs during self-test, the system will alarm.  Check all available monitoring functions to ensure that the monitor functions properly.
  • Page 21 文件编号：NR-TP-0715-008 版本： 1.0  If the monitor cannot be turned off properly or special cases occur, you can simply disconnect the power to force shutdown. However, forced shutdown may cause data loss, and is not recommended. - 9 -...

  • Page 22: Chapter3 Monitor Overview

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter3 Monitor Overview 3.1 Introduction 3.1.1 Scope of Application This monitor is suitable for bedside monitoring of adults and pediatric. This monitor enables ECG, respiration (RESP), pulse rate (PR), blood oxygen saturation (SPO2), noninvasive blood pressure (NIBP), and temperature (TEMP) monitoring. It is equipped with a replaceable built-in battery to provide convenience for the patient movement in hospital.

  • Page 23: Master Unit

    文件编号：NR-TP-0715-008 版本： 1.0 3.2 Master Unit 3.2.1 Front View Fig. 2-1 Front View 1. Power on / off button(①)  Power on: When the monitor has been connected to AC power supply, press this key to turn on the monitor. ...
  • Page 24 文件编号：NR-TP-0715-008 版本： 1.0  On: The monitor has been connected to AC adaptor  Off: The monitor has not been connected to AC adaptor 4. Silence key(④): Press this key to turn off/resume the alarm sound of the system. 5. Freeze key or print key(⑤): ...

  • Page 25: Side View

    文件编号：NR-TP-0715-008 版本： 1.0 3.2.2 Side View Fig. 2-2 Side View ——Temperature probe interface（①） 1. Temp —— ECG cable interface（②） 2. ECG ——SpO2 cable interface（③）could conneted to Masimo 3. SpO2 or CO2 SpO2,Northern SpO2,or Phasin CO2 module —— NIBP cuff interface（④） 4.

  • Page 26: Rear View

    文件编号：NR-TP-0715-008 版本： 1.0 3.2.3 Rear View Fig. 2-3 Rear View (example) 1. Equipotential terminal: When other devices are used in conjunction with the monitor, you should connect the equipotential terminals of other devices and the monitor with wires to eliminate the ground potential difference between different devices and ensure safety.
  • Page 27 文件编号：NR-TP-0715-008 版本： 1.0 The monitor uses high-resolution color TFT LCD, which can clearly show the physiological parameters and waves and other information of patients and provide patient information, alarm information, clock, monitor status and other tips. The figure below is the standard interface (demo mode) of the monitor in the normal monitoring state.

  • Page 28: Smart Hotkeys

    文件编号：NR-TP-0715-008 版本： 1.0  NIBP parameter area  SPO2 and PR parameter area  TEMP parameter area  RESP parameter area ○ 3. NIBP list ( Display the measurement result of NIBP. ○ 4. Introduction of smart hotkey area ( The smart hotkey area shows the hotkeys, which are mainly used for some common operations;...
  • Page 29 文件编号：NR-TP-0715-008 版本： 1.0 [Print]: Print key [Switch]: Interface switch key [Freeze]: Freeze key [Ala.Set]: Alarm setting key [Silence]: Silence key [Review]: Review key [Vol.Set]: Volume setting key - 17 -...

  • Page 30: Chapter4 Basic Operation

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter4 Basic Operation Basic Operation 4.1.1 Using the shuttle Shuttle can be used to perform the following operations:  Rotate: Rotate clockwise or counterclockwise to move the focus.  Press: Press the shuttle to perform an action, such as access to a menu or execute a command.

  • Page 31: Using Soft Keyboard

    文件编号：NR-TP-0715-008 版本： 1.0 You can directly click on the touch screen to quickly and easily accomplish some operations. 4.1.4 Using Soft Keyboard Click on the edit box, and the system will display the soft keyboard on the screen; you can turn the shuttle or use the touch screen to select characters one by one, and input data.

  • Page 32: User Setup

    文件编号：NR-TP-0715-008 版本： 1.0 menu operations, including confirmation and cancel key. User Setup The common setup of the monitor is the general setup that defines how the monitor works, for example: alarm volume setting. They may affect the setup of multiple measurements or display interfaces.

  • Page 33: Volume Control

    文件编号：NR-TP-0715-008 版本： 1.0 Set the monitor time in the following steps:  [Menu] Smart Hotkey→[Main Menu]; Select   Select [Time Setup >>] → enter [Time Setup] menu;  Select [Date Format], and set the date format in accordance with custom ...

  • Page 34: Network Setup

    文件编号：NR-TP-0715-008 版本： 1.0  Select [User Maintenance >>] →enter the password and confirm → [User Maintenance] menu;  Select [Unit Setup >>] → [Unit Setup] menu;  Select [Height], and select the unit [cm] / [inch] as needed.  Select [Weight Unit], and select the unit [kg] / [lb] as needed. ...

  • Page 35: Chapter5 Patient Information Management

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter5 Patient Information Management Connect the patient to the monitor, and the monitor will display and store the physiological data of the patient, so the patient can be monitored without admitting the patient. However, admitting the patient correctly is very important. If the monitor has admitted the patient, it is recommended to operate the monitor to discharge the current patient before connecting to (not admitted) the next patient.

  • Page 36: Admitting A Patient Quickly

    文件编号：NR-TP-0715-008 版本： 1.0 Fig. 5-1 Patient Info Setting Admitting a Patient Quickly Admit a patient quickly as follows: In [Patient Setup] menu, select [Quick Admit] → [Warning] menu → [OK] → [Quick Admit] menu, which is shown below: Fig. 4-2 Quick Admitting Menu ...

  • Page 37: Admitting A Patient

    文件编号：NR-TP-0715-008 版本： 1.0 Admitting a Patient To admit a patient, operate as follows: In the [Patient Setup] menu, select [Admit Patient] → [Warning] → [OK] → [Patient Info] menu, which is shown below: Fig. 43 Patient Info a) Select [SurName], and enter patient’s surname through the soft keyboard. b) Select [Name], and enter patient name through the soft keyboard.

  • Page 38: Editing Patient Info

    文件编号：NR-TP-0715-008 版本： 1.0 Select [Paced], and set whether the patient wears a pacemaker according to the patient condition:  [Yes]: The patient wears a cardiac pacemaker.  [No]: The patient does not wear a cardiac pacemaker. g) Select [High (cm)], and set the patient’s height via the pop-up keyboard on the screen.
  • Page 39 文件编号：NR-TP-0715-008 版本： 1.0 After the patient is discharged, all the information of the patient stored by the monitor will be cleared. Therefore, discharge the patient only when needed. - 27 -...

  • Page 40: Chapter6 User Interface

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter6 User Interface The monitor has four working interfaces, which are “Normal Screen”, “Big Numerics”, “ECG 7-Lead Half-Screen” and “ECG 7-Lead Full-Screen”. The user can select the working interface according to needs, and get different screen information. Below describes the working interfaces.

  • Page 41: Big Numerics

    文件编号：NR-TP-0715-008 版本： 1.0 图 6-1 标准界面 The normal screen provides the parameter wave being monitored and the parameters displayed in the parameter area. This is the basic working interface of the monitor. The interface displays NIBP,SPO2,TEMP, one blood oxygen binding capacity scan wave. Press【menu】->【Screen Setup】to setup the parameters shown in the display 6.2.2 Big Numerics The Big Numerics screen is as shown in Fig.

  • Page 42: Ecg 7-Lead Half-Screen

    文件编号：NR-TP-0715-008 版本： 1.0 Big Numerics screen allows observing NIBP+SPO2 parameters and one blood oxygen binding capacity scan wave. 6.2.3 ECG 7-Lead Half-Screen ECG 7-Lead Half-Screen 6-3： Fig.6-3 ECG 7-Lead Half-Screen ECG 7-Lead Half-Screen allows observing all parameters, seven ECG waves (I, II, III, AVR, AVL, AVF, V) - 30 -...

  • Page 43: Chapter7 Alarm

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter7 Alarm Alarm means that the monitor prompts the medical staff through sound and light when the patient being monitored has abnormal changes in vital signs or the monitor has a failure and is unable to monitor the patient successfully. Warning ...

  • Page 44: Alarm Level

    文件编号：NR-TP-0715-008 版本： 1.0 Strictly speaking, the prompt messages are not alarms. The monitor also will display some information associated with system status in addition to the physiological alarms and technical alarms, and generally such information do not involve the patient's vital signs. The prompt messages generally appear in the technical alarm area and parameters area.

  • Page 45: Light Alarm

    文件编号：NR-TP-0715-008 版本： 1.0  Light alarm  Audible alarm  Alarm info  Parameter flashing Of which, the light alarm, audible alarm, and alarm info distinguish the alarm levels in a different manner respectively. 7.3.1 Light Alarm When an alarm occurs, the alarm indicator will flash in different colors and frequencies to prompt the alarm level.

  • Page 46: Parameter Flashing

    文件编号：NR-TP-0715-008 版本： 1.0 7.3.4 Parameter Flashing When a physiological parameter of the patient alarms, the parameter values in the parameter area will flash once per second, and the upper limit and lower limit of the parameter will also flash at the same frequency, indicating that the parameter exceeds the upper limit or lower limit.

  • Page 47: Alarm Pause

    文件编号：NR-TP-0715-008 版本： 1.0  Set [Min Alarm Vol] to [0];  [Vol.Set] smart hotkey → [Volume Setup] menu; Select  Set [Alarm Volume] to [0]. When the alarm sound is turned off, the alarm state area on the screen shows the icon.

  • Page 48: Alarm Setup

    文件编号：NR-TP-0715-008 版本： 1.0 As shown in 6.4.3, if the [Alarm Pause Time] is set to [Permanent], press the [Pause] smart hotkey, and the monitor will turn off the alarm. In this case, except the alarm prompt characteristics maintained in alarm pause state: ...

  • Page 49: Setting A Parameter Alarm

    文件编号：NR-TP-0715-008 版本： 1.0  Select [Alarm Delay], and set the alarm delay time as needed:  [Off]: Turn off the alarm delay.  [1s] / [2s] / [3s] / [4s] / [5s] / [6s] / [7s] / [8s]: Alarm delay time is 1 sec, 2 sec, 3 sec, 4 sec, 5 sec, 6 sec, 7 sec or 8 sec.

  • Page 50: Latch Alarm

    文件编号：NR-TP-0715-008 版本： 1.0  Select [Default], and restore the alarm setup to the factory default. Note  When setting the upper and lower alarm limit, confirm the patient category to be adults or pediatric, and set its scope according to the clinical need. If the setting exceeds the alarm limit, the alarm system will fail easily.

  • Page 51: Manual Event

    文件编号：NR-TP-0715-008 版本： 1.0  [No latching]: Non-latching alarm. Manual Event In the patient monitoring process, some events may have an impact on the patient, resulting in changes of some monitoring waves or parameters. In order to assist in the analysis of these effects, you can manually record these events through the [Event] smart hotkey, and then view it in the event review;...

  • Page 52: Chapter8 Spo2

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter8 SpO2 Overview Blood oxygen saturation (SpO2) is the percentage of oxyhemoglobin (HbO2) capacity bound by oxygen in the blood in the total hemoglobin (Hb) capacity that can be combined, that is, the concentration of oxygen in the blood. The principle for monitoring the pulse SpO2 is to fix the probe fingerstall on the patient’s finger, use the finger as a transparent container for hemoglobin, use 660nm wavelength red light and 880nm near-infrared light as the incident light, maximum output power is 300 mw,...

  • Page 53: Monitoring Steps

    文件编号：NR-TP-0715-008 版本： 1.0  If there is carboxyhemoglobin, methemoglobin or dye diluted chemical, the SPO2 value will have deviation.  When the patient has a tendency to hypoxia, use the oximeter to analyze blood samples in order to fully grasp the patient's condition. ...

  • Page 54: Display

    文件编号：NR-TP-0715-008 版本： 1.0 Note  Turn on the monitor, plug in SPO2 probe and connect patient’s finger, monitor displays SPO2 wave， 【SPO2 Pulse Search】 displayed in the technical alarm area until the monitor measured SPO2 value and pulse rate. 【SPO2 Search Timeout】 displayed in the technical alarm area until the monitor measured pulse rate.

  • Page 55: Wave Speed

    文件编号：NR-TP-0715-008 版本： 1.0 Fig. 8-3 [SpO2 Setup] Menu 8.5.1 Wave Speed  Select [Wave Speed] and set wave speed to [12.5mm/s] or [25mm/s]; the faster speed, the smoother wave. 8.5.2 Wave Mode  Select [Wave Mode], and set the wave drawing mode ...
  • Page 56 文件编号：NR-TP-0715-008 版本： 1.0  High-frequency radio wave interference, such as interference generated by the host system or interference from electrosurgery instrument connected to the system.  Intravenous dye.  Too frequent movement of the patient.  External light radiation.  Sensor is improperly installed or improperly in contact with the patient.

  • Page 57: Chapter9 Pr

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter9 PR Overview The mechanical activity of the heart causes arterial pulsation, and PR (pulse rate) value can be obtained by measuring this pulsation. PR value can be obtained through SpO2 measurement. Display The color of PR parameter area is same as SpO2 parameter color of PR source, as shown in Fig.
  • Page 58 文件编号：NR-TP-0715-008 版本： 1.0 Alarm Setup for detailed setting method. - 46 -...

  • Page 59: Chapter10 Nibp

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter10 NIBP 10.1 Overview 2The monitor uses oscillometric method to measure noninvasive blood pressure (NIBP), and applies to adults, pediatric. The oscillometric method for measuring blood pressure is to inflate a cuff with a certain amount of pressure until the arterial blood flow has been completely blocked. As pressure decreases, the arterial blood flow will be completely occluded, gradually opened, and completely opened.

  • Page 60: Safety Information

    文件编号：NR-TP-0715-008 版本： 1.0 measurement, continue 5 minutes then stop. During measurement. Any error will stop the continuous measurement. If the first measurement time is over 4 minutes and 40 seconds but less than 5 minutes, the continuous mode will stop before 5 minutes, if the first measurement time is over 5 minutes, the continuous mode will stop after 5 minutes 10.2 Safety Information Warning...

  • Page 61: Measurement Limits

    文件编号：NR-TP-0715-008 版本： 1.0 10.3 Measurement Limits According to the patient's condition, the oscillometric method has some limitations. This measurement is to look for the regular pulse waves generated by arterial pressure. If the patient's condition makes this detection method difficult, the measured value becomes unreliable, and pressure measurement time increases.

  • Page 62: Measurement Procedure

    文件编号：NR-TP-0715-008 版本： 1.0 pressure measurement is impossible.  Obese patients A thick layer of fat around a limb blocks the arterial oscillation so that it cannot reach the cuff. The accuracy is lower than normal.  Environmental Requirements Measure blood pressure should meet the environment range as follow: ambient humidity 15%～80%, no condensing, ambient temperature 0～45℃, altitude -500m~5000m.

  • Page 63: Starting / Stopping Measurement

    文件编号：NR-TP-0715-008 版本： 1.0 Note  If there is any question of measurement value, please repeat measurement then get average value, if the average value is not correct, please change to mechanical blood pressure measurement equipment.  Please use neonate cuff to measure on neonate patient. 10.4.3 Starting / Stopping Measurement Use the buttons on the monitor panel or...

  • Page 64: Inflation Pressure

    文件编号：NR-TP-0715-008 版本： 1.0 Fig. 11-1 NIBP Parameter Area 10.6 Inflation Pressure If necessary, you can manually set the initial cuff inflation pressure as follows:  Select the NIBP parameter area → [NIBP Setup] menu;  Select [Pre-Infl Press], and set the appropriate cuff pressure value. 10.7 Resetting Select NIBP parameter area →...

  • Page 65: Calibration

    文件编号：NR-TP-0715-008 版本： 1.0 1. Connect the cuff to the NIBP pore of the monitor 2. Wrap the cuff on the cylinder of appropriate size. 3. Set the patient type to adults. [Menu] Smart Hotkey → [Main Menu]; 4. Select 5. Select [User Maintenance >>] → enter the password and confirm → [User Maintenance] menu;...

  • Page 66: Disinfection

    文件编号：NR-TP-0715-008 版本： 1.0 Sprinkle cleaning agent on NIBP cuff, connector and extension tube, keep 1 minutes for the dry stains. Use a soft cloth to wipe smooth face. Use soft hair brush to brush visible stain and irregular surface Note ...

  • Page 67: Chapter11 Temp

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter11 Temp 11.1 Overview This monitor has two temperature measurement channels; the temperature sensor will measure the body temperature, and calculate the difference between the body temperature data. 11.2 Safety Information Warning  Before monitoring, check if the probe cable is normal. Unplug the temperature probe cable from the jack, the screen will display [TEMP1/TEMP2 Sensor Off] prompt and make an alarm sound.

  • Page 68: Temp Display

    文件编号：NR-TP-0715-008 版本： 1.0 The environmental temperature range for body temperature measuring is 0~55° C, the minimum measuring time is 1s, and the measuring interval is 1s. Warning  Please measure the body temperature in the specified environmental temperature range, or else it may be dangerous. 11.5 Temp Display The monitor can display the body temperature of two channels (T1 and T2) and the alarm limits, difference between the two temperature (TD) and temperature units.

  • Page 69: Setting Temperature Unit

    文件编号：NR-TP-0715-008 版本： 1.0  If the temperature value displayed by the monitor has significant difference from the body temperature under normal condition, please check if the probe resistance of the monitor matches the resistance set in the monitor system; if not, please replace a probe with appropriate resistance or adjust the monitor and select the appropriate resistance.

  • Page 70: Chapter12 Ecg

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter12 ECG 12.1 Overview Electrocardiogram (ECG) is produced by the continuous electrical activity of the patient's heart, and displayed with waves and numerics on the monitor in order to accurately assess the physiological state of the patient at the time. The ECG cable should be connected properly, so as to obtain a correct measurement value and normal display.

  • Page 71: Monitoring Steps

    文件编号：NR-TP-0715-008 版本： 1.0 neutral electrodes, are attached to the patient and prevent them from contact with the conductive parts or ground.  Periodically check the skin that the electrode is placed at; if there is any sign of allergy, replace the electrode or change the placement position. ...

  • Page 72: Selecting Lead

    文件编号：NR-TP-0715-008 版本： 1.0  Place the electrode on the patient.  Connect the ECG cable and ECG interface. Warning  Check if the lead is normal before monitoring. When the ECG cable is unplugged, the screen will display [ECG Lead Off] prompt, and trigger an audible and visual alarm.

  • Page 73: Installing Electrodes

    文件编号：NR-TP-0715-008 版本： 1.0 12.3.4 Installing Electrodes  3-lead The electrode placement position of 3-lead is shown in Fig. 7-1:  R electrode: placed below the clavicle, near the right shoulder.  L electrode: placed below the clavicle, near the left shoulder. ...

  • Page 74: Checking The Pacemaking Status

    文件编号：NR-TP-0715-008 版本： 1.0 Fig. 7-2 European 5-lead Connection Method Notes  To ensure patient safety, all leads must be connected to the patient.  If the electrodes are attached correctly, but the ECG wave is not accurate, then replace the lead. ...

  • Page 75: Ecg Display

    文件编号：NR-TP-0715-008 版本： 1.0 12.4 ECG Display  ECG wave display The monitor displays two ECG waves on the normal screen. Fig. 7-4 below is the monitoring interface of 5-lead, and is for reference purposes only. The graphics displayed on your monitor may be slightly different.

  • Page 76: Ecg Setup

    文件编号：NR-TP-0715-008 版本： 1.0 12.5 ECG Setup Click the ECG parameter area or wave ECG area to pop up the [ECG Setup] menu, which is as shown below. You can set the ECG through the [ECG Setup] menu. Fig. 7-6 [ECG Setup] Menu ...

  • Page 77: Alarm Setup

    文件编号：NR-TP-0715-008 版本： 1.0  [Strong]: Strong filter mode  Select [Draw Wave], and set the wave drawing method as below:  [Smooth]: Smooth  [Ladder]: Ladder; default.  Select [Relearn] to learn arrhythmia. In the following cases, you need to start arrhythmia self-learning: ...

  • Page 78: Chapter13 Review

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter13 Review The monitor provides up to 120 hours trend data review of all monitoring parameters, 1000 groups of NIBP measurement data and 200 alarm events. The user can select trend chart or trend table to view trend change; or view the latest wave. 13.1 Reviewing Trend Chart Select [Review] smart hotkey to enter [Review] menu, and select [Graphic] to enter the...

  • Page 79: Reviewing Trend Table

    文件编号：NR-TP-0715-008 版本： 1.0  [30min]: observe the trend of the last 120 hour at 30min interval.  [60min]: observe the trend of the last 120 hour at 60min interval.  Browse the trend chart in the following method:  Select to move the trend cursor.

  • Page 80: Nibp Measurement Review

    文件编号：NR-TP-0715-008 版本： 1.0  [60min]: observe the data of the last 120 hour at 60min interval.  Browse the trend table in the following method:  Select to turn pages to left or right and move the trend table to observe the target parameters.

  • Page 81: Event Review

    文件编号：NR-TP-0715-008 版本： 1.0  Select to move the trend table upward or downward progressively and observe more data.  Select to turn pages up or down and move the trend table to observe more data. 13.4 Event Review Select [Review] smart hotkey to enter [Review] menu, and select [Event] to enter the following window.
  • Page 82 文件编号：NR-TP-0715-008 版本： 1.0  [RESP]: View RESP related alarm events.  [TEMP]: View TEMP related alarm events.  [Manual]: View manual events.  [All]: View all related events.  Select [Level], and select an option as needed:  [High]: View high level alarm events. ...

  • Page 83: Chapter14 Caring And Cleaning

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter14 Caring and Cleaning 14.1 Overview In the using process, please make sure that there is no dust on or near your device. To prevent damage, please use the diluted detergents and disinfectants specified in this Manual, and use the lowest possible concentration.

  • Page 84: Disinfection

    文件编号：NR-TP-0715-008 版本： 1.0  Before cleaning the monitor or sensor, turn off the power and disconnect the AC power.  The monitor should be kept clean. It is recommended to regularly clean the enclosure surface and the display screen. Cleaning the enclosure with non-etching cleaners such as soap and water.

  • Page 85: Sterilization

    文件编号：NR-TP-0715-008 版本： 1.0  To prevent damage to the monitor, do not disinfect the monitor with gas (EtO) or formaldehyde. 14.4 Sterilization In order to avoid long-term damage to the device, we recommend that the product is sterilized only when it is deemed necessary by the instrument maintenance program. We also recommend that the instrument to be sterilized must first be cleaned.

  • Page 86: Chapter15 Maintenance

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter15 Maintenance Warning  If the hospitals or institutions using this instrument can’t implement a satisfactory maintenance schedule, it will result in device failure and may endanger human health. 15.1 Checking Check the following basic items before using the monitor: ...

  • Page 87: Viewing Software Version Info

    文件编号：NR-TP-0715-008 版本： 1.0 If the instrument function has any sign of damage, do not use this monitor for any patient monitoring. Please contact the hospital's professional maintenance personnel or our customer service personnel. All checks that require disassembling the instrument must be performed by qualified service personnel.

  • Page 88: Ecg Calibration

    文件编号：NR-TP-0715-008 版本： 1.0 15.4 ECG Calibration In the process of using the monitor, the displayed ECG signals may be inaccurate due to hardware or software problems, mainly shown as waveform amplitude becoming larger or smaller. At this moment, you need to calibrate ECG. Prepare the following instruments before testing: ...
  • Page 89 文件编号：NR-TP-0715-008 版本： 1.0  If the touch screen calibration is finished after clicking three times, select [Ok] to exit the calibration interface; if the touch screen isn’t completely calibrated, select [Retry] for re-calibration. - 77 -...

  • Page 90: Chapter16 Accessories

    文件编号：NR-TP-0715-008 版本： 1.0 Chapter16 Accessories Warning  Use the accessories specified in the Operator’s Manual; using other accessories may damage the monitor, or cannot reach the performance claimed in this Manual.  The operating and storage environment of the monitor should meet the requirements of the accessories.

  • Page 91: Appendix A Specifications

    文件编号：NR-TP-0715-008 版本： 1.0 Appendix A Specifications A.1 Safety Specifications A.1.1 Product Category In accordance with classification specified in the European Medical Device Directive 93/42/EEC, this monitor is IIb type equipment. The monitor is classified as follows in accordance with IEC 60601-1: Category Name Specification 93/42/EEC ohm...

  • Page 92: Hardware Specifications

    文件编号：NR-TP-0715-008 版本： 1.0 Rated battery voltage d.c. 14.8V Battery capacity 2600mAh Maximum supply time About 2 hours Charging time About 3 hours in power on state Minimum supply 16.8V voltage A.2 Hardware Specifications A.2.1 Physical Specifications Dimensions 8 inch 175× 275× 175mm (L× W× T) Weight <...

  • Page 93: Alarm Signal

    文件编号：NR-TP-0715-008 版本： 1.0 Resolution ratio Flat direction in curve mode 32dot/mm Vertical direction 8dot/mm Flat direction in image mode 8dot/mm Length of recorder paper Recording speed 12.5mm/s, 25mm/, 50mm/s Recording wave 2 waves or 3waves A.2.6 Alarm Signal Off or 1s, 2s, 3s, 4s, 5s, 6s, 7s, 8s; depending on the configuration; Alarm delay the default is 4s.

  • Page 94: Measurement Specifications

    文件编号：NR-TP-0715-008 版本： 1.0 A.3 Measurement Specifications A.3.1 ECG/TEMP/RESP Specifications ECG Specifications EN 60601-2-27/IEC 60601-2-27, GB 9706.25, IEC60601-2-25 Standards compliant Lead type 3-lead I, II, III 5-lead I, II, III, aVR, aVL, aVF, V 2.5mm/mV (× 0.25), 5mm/mV (× 0.5), 10mm/mV (× 1.0), 20mm/mV Display sensitivity (×...

  • Page 95: Nibp Specifications

    文件编号：NR-TP-0715-008 版本： 1.0 Adult: 15bpm~300bpm Measuring range 3/5-lead monitoring Pediatric: 15bpm~350bpm Resolution 1bpm Heart rate measurement ± 1bpm or ± 1%, whichever is greater error TEMP EN12470-4, ISO 80601-2-56 Standards compliant Measurement method Thermistor Measuring range 5~50° C (41~122° F) Resolution 0.1°...

  • Page 96: Spo2 Specifications

    文件编号：NR-TP-0715-008 版本： 1.0 in automatic mode Typical measurement 20~40s time Adult Pediatric Systolic blood 40-270 40-230 Normal mode pressure measuring range Mean blood 20-230 20-165 (mmHg) pressure Diastolic blood 10-210 10-145 pressure Maximum average error: ± 5mmHg Measurement accuracy Maximum standard deviation: 8mmHg Resolution 1mmHg Default...
  • Page 97 文件编号：NR-TP-0715-008 版本： 1.0 1%~100% SpO2 alarm preset Upper alarm limit limits Lower alarm limit 0%~99% SpO2 alarm preset ± 1% accuracy SpO2 alerting signal No delay generates a delay SpO2 value refresh 1s/time period ＜ 10s SpO2 value refresh delay Low sensitivity 7～8s Average period...

  • Page 98: Appendix B Emc

    文件编号：NR-TP-0715-008 版本： 1.0 Appendix B EMC This product complies with EN 60601-1-2 Medical Electrical Equipment - Part 1-2: General requirements for safety - Collateral standard electromagnetic compatibility requirements and tests Notes:  Using unqualified accessories, sensors and cables will increase the electromagnetic emission and reduce the electromagnetic immunity of the device.
  • Page 99 文件编号：NR-TP-0715-008 版本： 1.0 Guidance and Declaration - Electromagnetic Immunity ® Taurus Patient Monitor is suitable for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Immunity test IEC60601 test Compliance level...
  • Page 100 文件编号：NR-TP-0715-008 版本： 1.0 Guidance and Declaration - Electromagnetic Immunity ® Taurus Patient Monitor is suitable for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Immunity test IEC 60601 Test level Compliance level...
  • Page 101 文件编号：NR-TP-0715-008 版本： 1.0 Appendix B EMC Recommended Separation Distances between Portable and Mobile RF Communications Equipment and The device The device is suitable for use in an electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the device as recommended below, according to the maximum output power of the communication equipment.

  • Page 102: Appendix C Alarm Information

    文件编号：NR-TP-0715-008 版本： 1.0 Appendix C Alarm Information This chapter lists some important physiological and technical alarm information, and some alarms are not necessarily listed. Note that in this chapter: L column indicates the default alarm level: H indicates high level, M indicates middle level, L indicates low level, and “*”...
  • Page 103 文件编号：NR-TP-0715-008 版本： 1.0 Source Alarm message Causes and countermeasures Miss Beat Pacemaker Not Capture Pacemaker works abnormally; check the pacemaker. Pacemaker Not work The patient ECG signal is too weak, and the system can’t analyze. Check the patient's condition, ECG Signal weak electrodes, cables and leads.
  • Page 104 文件编号：NR-TP-0715-008 版本： 1.0 Source Alarm message Causes and countermeasures category and alarm limit settings are appropriate for the patient. PR Too High SpO2 value is higher than the upper alarm limit or lower than the lower alarm limit. Check the patient's physiological condition, and check if the patient PR Too Low category and alarm limit settings are appropriate for...

  • Page 105: Technical Alarm Information

    文件编号：NR-TP-0715-008 版本： 1.0 C.2 Technical Alarm Information Source Alarm message Causes and countermeasures Connect to AC power supply, and charge the System Battery Low battery, and power with the battery as needed after fully charged. ECG Comm. Stop ECG module failure, or communication failure between the module and the host;...
  • Page 106 文件编号：NR-TP-0715-008 版本： 1.0 Source Alarm message Causes and countermeasures condition, check the connections or replace the cuff, and then re-test. The used cuff does not match the set patient Cuff type error category. Verify the patient category and replace the cuff. NIBP cuff isn’t placed or connected properly, or Cuff loose or no cuff there is gas leak.
  • Page 107 文件编号：NR-TP-0715-008 版本： 1.0 Appendix D Default Parameter Configuration This chapter lists the important factory default settings of different departments in monitor configuration mode. Users can not change the default configuration, but can modify the settings as required and save as user-defined configuration. Module defaults Module Option...
  • Page 108 文件编号：NR-TP-0715-008 版本： 1.0 Mean blood pressure limit 60~110 on 50~90 on Diastolic blood pressure limit 50~90 on 40~70 on Alarm level Alarm record Alarm limits 90~100 on 90~100 on SPO2 Wave velocity 25.0 25.0 Wave color Cyan Cyan Wave style Line Line Alarm level...

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