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WARNING – ELECTROSURGERY. The Nightingale PPM3 is suitable
for use in the presence of electrosurgical (ESU) equipment. The
following precautions should be taken:
• To minimize the risk of patient burns, only use ESU equipment
that monitors the impedance of the ESU return wires.
• Users should be properly trained in the operation of the ESU
equipment.
• Keep patient-applied cables (e.g., ECG lead wires) off of earth
ground and away from the ESU knife and return wires to
prevent burns to measurement sites.
• To prevent burns to the patient in the event of a defective
neutral ECG electrode of the device, it is necessary to place
ECG electrodes far from the neutral electrode, and as
equidistant as possible from the blade-neutral axis of the
surgical patient monitor.
• When activating the ESU device, the ECG signals may be
distorted or may disappear, and Lead Fail or Noise alarms
might be present. The signal should return once the ESU
activation stops.
• When activating the device, using the SpO
heart rate source rather than the ECG parameter to determine
heart rate may be clinically preferred.
• Only use accessories approved by Zoe Medical for use with
the Nightingale PPM3.
WARNING – FLAMMABLE ANESTHETICS. An explosion hazard
exists if the monitor is used in the presence of flammable
anesthetics.
WARNING – ANESTHESIA PATIENTS. Constant attention by a
qualified individual is needed whenever a patient is under anesthesia
or connected to a ventilator.
WARNING – ALARM MONITORING. Alarm configuration settings can
be individualized according to patient condition and demographics.
The operator should check the appropriateness of the alarm settings
with each patient admission. Inappropriate alarm configuration
settings may render the alarm system useless. Always respond
promptly to alarms.
April 2019
N i g h t i n g a l e P P M 3 U s e r ' s G u i d e
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