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Lutech Datalys V650 User Manual

Multi-parameter veterinary monitor
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Multi-parameter Veterinary Monitor
Datalys V650
User Manual

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  • Page 1 Multi-parameter Veterinary Monitor Datalys V650 User Manual...
  • Page 2 Copyright Version: Issued Date: 2013/11 Part No.:046-000531-00 Statements Our company makes no warranty of any kind with regard to this material, including, but not limited to the implied warranties of merchantability and fitness for a particular purpose. Our company assumes no responsibility for any errors that may appear in this document, or for incidental or consequential damage in connection with the furnishing, performance or use of this material.

  • Page 3: Table Of Contents

    Contents CHAPTER1 GENERAL INFOMATION ..................... 1 Genaral Infomatino ........................2 Button Fuctions and Basic Openraitons .................. 3 Screen display ..........................4 External Socket ........................... 9 Built-in charge battery ......................11 CHAPTER2 MONITOR ASSEMBLY ....................12 Open Package and Check ...................... 12 Connect with AC Cable ......................
  • Page 4 4.1.1 STANDARD ........................28 4.1.2 LIST FACE ........................28 4.1.3 TREND SCREEN ......................29 4.1.4 OxyCRG SCREEN ........................30 4.1.5 BIG FONT INTERFACE ......................31 CHAPTER5 ALARM .......................... 32 Alarm Type ..........................32 Alarm Level ..........................32 Alarm Mode ..........................33 Lighting Alarm..........................
  • Page 5 CHAPTER8 DRUG CALCULATION & TITRATION LIST ............44 DRUG CALC ..........................44 8.1.1 Operation method: ......................44 TITRATION ..........................46 8.2.1 Enter the Titration list: ....................46 CHAPTER9 PATIENT SAFETY ...................... 48 Environment ..........................48 Power Source ..........................48 Monitor earthing ........................48 Equal-potential earthing ......................
  • Page 6 12.4 RESP setting in measurements ....................75 12.5 RESP alarm information and prompt information ..............76 12.6 Maintenance & Cleaning ......................77 CHAPTER13 SPO2 MONITORING ....................78 13.1 Definition of SpO2 Monitoring ....................78 13.1.1 Principle for Measurement of SpO Volume Recording Parameter ......
  • Page 7 16.3 Operating Instruction for CO Connection ................105 16.4 CO Measurement Procedures .................... 107 16.4.1 Measuring Procedure of RESPIRONICS Branded Mainstream and Sidestream Modules 108 16.4.2 Measuring Procedure of PHASEIN Branded Sidestream and Mainstream Analyzers ............................. 110 16.5 CO2 Settings in Parameter Area ..................112 16.6 CO2 Settings in Waveform Area...................
  • Page 8 18.8 Safety Alarm Information ....................- 139 - 18.8.1 ISA Sidestream Gas Analyzer Safety Warning Information ......- 139 - 18.8.2 ISA Mainstream Gas Analyzer Safety Warning Information ......- 141 - 18.9 Airway Obstruction ......................- 143 - 18.10 Discharging Waste Gases .....................- 143 - 18.11 Consumables ........................- 144 - 18.12...
  • Page 9 Blank page VIII...

  • Page 10: Chapter1 General Infomation

    Chapter1 General Infomation For information about the monitor, please read the General Information on the Monitor chapter. For introduction on various information displayed on screen, please read the Screen Display chapter. For operational methods, please read the Button Functions and Basic Operations chapter. For locations of various interfaces, please read the External Interfaces chapter.

  • Page 11: Genaral Infomatino

    Warning Users (doctors or nurses) should ensure safety of patients under monitoring, when the monitor is used together with electrosurgical equipments. 1.1 Genaral Infomatino The portable Veterinary Monitor is of rich functions, applicable for bedside monitoring on Veterinary, such as cat, dog, the small animals. This monitor can monitor main parameters including electrocardiography (ECG), respiration (RESP), blood oxygen saturation (SpO ), non-invasive blood pressure (NIBP), temperature (TEMP), dual-channel...

  • Page 12: Button Fuctions And Basic Openraitons

    (14) (13) (12) (11) (10) Figure 1-1 Multi-parameter Monitor This monitor has rich functions, able to provide various functions such as visual/audio alarming, TREND storage & output, NIBP measurement save and review, medicine calculation, ST analysis, pulse analysis, heart rate turbulence analysis, etc. This monitor has a friendly operation interface, able to provide all functions with the keys and buttons on the front panel, refer to Function Keys part for details.

  • Page 13: Screen Display

    (SILENCE button): Press this button and the alarm will be silence for 3 minutes (this item can be set in the ―Alarm Setting‖ menu). Press this button over 1 second and the alarm sound can be shielded. In the information area appears sign.
  • Page 14 Information Area Waveform Parameter Area Area Menu Area Figure 1-2 Main screen display Information Area (①): Prompt message in the information area appears and disappears together with the reported state. In accordance with the content, it is divided into: Network setup: Cursor stops in sign, press to enter system setup.
  • Page 15  Update patient: Replaced with new patients, once the update, delete the monitoring data on a patient. Time setup: set up local time  time: display system time Technical alarm: display technical alarm, such as ECG lead off. Physical alarm: display physical alarm, such as T2 too low. Battery: display capacity of batter.
  • Page 16 ② ① ③ ④ ⑤ ⑥ ⑦ ○ ○ ○ ○ Figure 1-3 Main Screen —Heart Rate or Pulse Rate（①,unit：bpm） —pacer detection (②PACE) —ST-segment of channel 1 and channel 2 (③, unit: mv) — PVCs times (④ Unit: times/minute) NIBP —...
  • Page 17 TEMP —TEMP —Temperature（⑧,unit: ℃ or℉） (optional) —end-tidal CO (⑩, Unit: mmHg or kPa) —inspiratory CO (⑨, Unit: mmHg or kPa) ○ —Air Way Respiration Rate (AWRR)（ 11 ,unit：bpm） RESP —Respiration Rate（,unit：bpm） Attention CO2 module and RESP module is only display one ,if CO2 module on ,the RESP module wil be closed by monitor.

  • Page 18: External Socket

    function. Click on the "lock screen" button to lock the touch screen in the main interface. For To unlock the the continuous point lived unlock the screen "option for three seconds, you can unlock the screen is locked. 1.4 External Socket Left Panel Recorder is optional Open the recorder door.
  • Page 19 means the equipotential grounding terminal. A.C. indicator work indicator Power-up Shutdown Rear Panel There are the following soclets in the rear panel: ① ○ ② ○ ③ ○ ○ ④ ⑤ ○ ○ Figure 1-6 rear panel 1. Handle 2. Speaker 3.Label 4.Earth line socket 5.

  • Page 20: Built-In Charge Battery

    equipments with the input/ output signal terminals should configure the medical system and be responsible for compliance of the system to IEC 60601-1-1 standard. For any enquiries, please contact the supplier. Attention Patient cable interface, network interface and other interfaces connected to different equipments, the leakage current should not exceed the limit.

  • Page 21: Chapter2 Monitor Assembly

    Chapter2 Monitor Assembly Attention For normal work of the monitor, before use please read this chapter and the Patient Safety chapter and assemble in accordance with the requirements. 2.1 Open Package and Check Carefully pick up the monitor and accessories from the package box, and properly keep the package materials for future transport or storage.

  • Page 22: Power On

    2.3 Power on The logo displays when the power is on, and appears the processing screen. After the 3~5 seconds checking process, the system enters the monitoring main screen and the users can start operations. Attention In case of any fatal errors found during the self-detection process, the system will alarm. Attention Check all the available monitoring functions and make sure they work properly.

  • Page 23: Chapter3 Syetem Menu

    Chapter3 Syetem Menu The monitor system setting is more flexible. Monitoring, waveform speed, volume and output, all can be setup by user. Press the ― ‖ button or use turn-knob to choose main menu, popping up MAIN MENU. Figure 3-1 Main Menu MAIN MENU including: PATIENT MANAGE, SURVEY SETUP, SELECTION, MONITOR SETUP, FACE SELECT, TREND GRAPH, TREND TABLE, NIBP RECALL, ALM RECALL, WAVE RECALL , INFO, DRUG CALC, MAINTAIN, DEMO.
  • Page 24 Figure 3-2 Patient Manage Users can set the following content: Bed NO. 0-999 for option, for example, 666 Name input patient name to the popping up menu Lock Shift Enter Caps Lock Caps shift delete clear enter （permanent） （one-off） Patient gender( female, male) PAT TYPE PATIENT TYPE (BIG, SMALL) Weight(kg)

  • Page 25: Survey Setup

    pacing pulse as QRS, and not alarm for heatbeat stop 3.2 SURVEY SETUP In the main menu, select SURVEY SETUP , Measurement settings include: ECG SETUP, SPO2 SETUP, NIBP SETUP, TEMP SETUP, RESP SETUP , CO2 SETUP (RESP SETUP and CO2 SETUP both can appear only one of them), IBP <1,2>...

  • Page 26: Alarm Volume

    3.3.1 ALARM Volume In the system there are five levels of Alarm Vol: OFF, 1~4. "OFF" level means the alarm sound is closed. WARINING Where the alarm volume of the system is set at OFF, the monitor will not give alarm sound in case of alarm, so you should use this function carefully.

  • Page 27: Alarm Setup

    3.4.1 ALARM SETUP Alarm Setup has the following options:  ALM REC TIME (Alarm Record Time): In case of physiological alarm, the system can record the information before and after the alarm time. The system can give three kinds of time, i.e., 4 seconds, 8 seconds, 16 seconds. The seconds in the options are the sum of seconds before and after the alarm time.

  • Page 28: Time Setup (System Time Setting)

    3.4.3 TIME SETUP (System Time Setting) "TIME SETUP" with options below: Setup year, month, day, hours, minutes and seconds. Pitch on the content required for correction. 3.4.4 NURSE CALL SETUP Options in nurse call setting:  ALM ON/OFF: ON/OFF  ALM LEV(Alarm lever): high, middle, low 3.4.5 MODULE SETUP.

  • Page 29: Work Interface Selection

    When the temperature module manufacturers setting temperature module is locked, this menu "TEMP" is not option. Attention Factory software program determines the option module switch settings when CO2 (CO2 mainstream and sidestream module work), no AG the options appear AG, CO2-free options, in short, both only appear single, and will not appear in this menu.

  • Page 30: Trend Table (Trend Figure)

    Figure 3-7 Trend Graph 、 PR、 TEMP、 NIBP、 IBP1、 IBP2、 CO 、 INS、 A Parameter selection: HR、 RR、 SPO RR.Y-axis means measurement value, X-axis means measurement time. ―‖ is cursor for trend graph, The measurement values it points to display at the bottome of the graph, corresponding time at the upper end of the graph: 2012-09-17 12：33：29。...
  • Page 31 Figure 3-8 Trend Table Time corresponding to various groups of TREND data is displayed at the left column, with dates braced. What are listed is the cases that have once been marked, which corresponds to the time of the marked cases. Parameters in the TREND Figures can be categorized into the following 9 groups: ST1, ST2 T1，T2，TD...

  • Page 32: Nibp Recall

    3.8 NIBP RECALL The monitor can display the latest 2000 NIBP measurement data in the NIBP review function. After users select the NIBP Data Review item under the System menu, the windows will display the latest 10 NIBP measurement results and measurement time, as shown in the following: Figure 3-9 NIBP Recall Data is sorted in time sequence, from early to late, and each screen can display 10 times of measurement data, while users can select ―...
  • Page 33 Figure 3-10 Alarm Recall condition 1. Setup up the ―recall event‖ from start time/date to end time/date 2. Would be re-check the alarm status in ―RECALL EVENT‖ menu , the events include ―ALL , ECG ,SPO2 , NIBP , IBP , CO2 , RESP , TEMP‖ status. 3.

  • Page 34: Wave Recall

    3.10 WAVE RECALL In ―MAIN MENU‖ selected the ―WALL RECALL‖could be recall the parts information or all information within memory data , following with figure below. Figure 3-12 Wave Recall-Condition Setup the review types of the recall events and times , enter in ―WAVE RECALL-Condition‖ selected ―WAVE RECALL ‖...

  • Page 35: Info (Monitoring Information)

    3.11 INFO (Monitoring Information) In the ―MAIN MENU‖ select the ―INFO‖ to look through the version information of the software and hardware. Figure 3-14 Monitoring Information 3.12 DRUG CALC (DRUG CAL CULATION & TITRATION LIST) The portable-type multi-parameter monitor can provide the computation for 15 kinds of medicines as well as the Titration List Display Function, and output the content of Titration list on the recorder.

  • Page 36: Scr Lock(Screen Lock)

    and helping users with training. In the practical clinical l use it is prohibited to use such a function because it will make the medical personnel misthink they are the monitored patient‘s waveforms and parameters so as to affect patient monitoring and delay treatment.

  • Page 37: Chapter4 System Work Interface

    Chapter4 System Work Interface 4.1 Work Interface Selection In the Main Menu, select the ―FACE SELECT‖ to enter the dialog box in the following Figure. Here there are such six interfaces to choose: STANDARD, LIST FACE, TREND SCREEN, oxyCRG SCREEN, BIG FONT. 4.1.1 STANDARD In the ―FACE SELECT‖...

  • Page 38: Trend Screen

    Figure 4-2 List interface 4.1.3 TREND SCREEN Enter the ―FACE SELECT‖ and select the ―TREND SCREEN‖ in the Work Interface Selection menu to enter such an interface. Figure 4-3Trend Sreen Interface...

  • Page 39: Oxycrg Screen

     Location of trend diagrams TREND diagrams is located at right side of waveforms, with the same colors to the corresponding parameters.  TREND length Dynamic trend length is 2 hours; in a trend diagram, the right side of the horizontal axis is 0 hour, and the left side is 2 hours.

  • Page 40: Big Font Interface

    ―The function of ―Respiratory Rate/Compressed Respiratory Wave‖ means the operator can select the ―PR Trend‖ or ―Compressed Respiratory Wave‖ as needed, under which the displayed content occupies the same position. Select the ―PR Trend‖ and this position will show the TREND Diagram of the respiratory rate;...

  • Page 41: Chapter5 Alarm

    Chapter5 Alarm 5.1 Alarm Type The monitor can give an alarm of three types: physiological alarm, technical alarm and prompt message. (1) Physiological alarm Physiological alarm is usually caused by a certain physiological parameter of the patient which exceeds the set upper/lower limit scope or by the physiological abnormality of the patient. The alarm message of the physiological alarm will appear in the physiological alarm area above the screen.

  • Page 42: Alarm Mode

    are delivered:, the users are not allowed to change them. but a certain degree of physiological alarm can be modified. 5.3 Alarm Mode When giving an alarm, the monitor will prompt the users in both sound and visual modes: Lighting Alarm Sound Alarm Alarm parameter‘s flashing...

  • Page 43: Alarm Parameter Flashing

    Prompting message means the related information will appear on the physiological alarm area or technical alarm area of the monitor when the alarm is active. The system will show different alarm levels in different background colors: High level alarm: Red Medium level alarm: Yellow Low level alarm: Yellow Levels of the prompt message in the front of the alarm will be distinguished with the following symbols:...

  • Page 44: Verifying The Alarm System

    Set the upper and lower limits of MID LIMIT as 110bpm and 60bpm respectively Set the upper and lower limits of LOW LIMIT as 100bpm and 70bpm respectively Upon completion of setting, press the key ― ‖ to exit. Warning When setting the upper and lower limits of alarm, decide whether the patient you are monitoring is an big or small animal, and the limit should be set according to clinical requirements.If the set limit value exceeds the alarm limit, it will easily lead to alarm system...

  • Page 45: Chapter6 Recording

    Chapter6 Recording In the Main Menu, select the ―MONITOR SETUP‖, then to ―RECORD‖ menu 6.1 General Information on the Recorder The recorder used with this monitor is a heat-sensitive array recorder, with print width of 50mm. Recorder capability Outputted waveforms run at 25mm /sec. or 50mm / sec Maximally record two waveforms Grid output function is optional Chinese or English output...

  • Page 46: Frozen Waveform Record

    6.2.2 Frozen waveform record In case waveforms are frozen, the system can output the designated waveforms on the screen and in such a way record those unusual waveforms captured by freezing. 6.2.3 The contents of the real time recording Record time Record type :real-time print ,alarm trigger print ,frozen print ECG lead,1mV ruler, and gain Paper speed : 25mm /sec.

  • Page 47: Paper Loading Procedures

    6.3.4 Paper loading procedures Open the recorder door; Pull up the slide switch at the left rod of the recorder; Load new paper exactly following the paper inlet, with the print side toward the heat-sensitive head; Slightly pull the paper exposed from the other side, and align the paper properly; Pull back the slide switch at the left rod of the recorder;...

  • Page 48: Chapter7 Trend

    Chapter7 Trend It can store 120 hours trend data, 2000 NIBP and 500 alarm events and support recording. Observation methods are provided in this chapter. 7.1 TREND GRAPH (TREND Diagram) TREND diagram for the latest 1 hour can be displayed one data per second or one data per five seconds; TREND diagram for latest 120 hours can be displayed one data per minute, per 5 minutes, or per 10 minutes.

  • Page 49: Select Trend Diagrams For Various Parameters To Be Displayed

    7.1.1 Select trend diagrams for various parameters to be displayed: Use the cursor to select the ―Parameter Selection‖ option and revise the displayed contents. Upon display of the expected parameter, press the knob, then the TREND diagram for this parameter will be displayed in the window.

  • Page 50: Trend Table (Trend Figure)

    Press the ― ‖ button or rotate the knob, while observing changes in the TREND diagram time and TREND curves; Stop at the period to be carefully observed; in case the vertical axis is out of proper size, for example, some TREND values exceed the highest value of the current vertical axis, select ―Adjust amplitude‖...

  • Page 51: Select Trend Figures In Various Resolutions

    ST1, ST2 T1，T2，TD , PR NIBP （S/D/M）DATE IBP1（S/ D/M） IBP2（S/ D/M） , INS, A NIBP TREND data has its own characteristics; besides of measured values, below each ―measurement point‖ there is time for this NIBP measurement. 7.2.1 Select TREND Figures in various resolutions Use the cursor to select a resolution and use the knob to change options so as to change the time interval for TREND data.
  • Page 52 window will display 10 groups of NIBP records as follows: Figure 7-3 NIBP RECALL Data is sorted in time sequence, from early to late, and each screen can display 10 times of measurement data, while users can Press ― ‖ button to view later or earlier data. Maximally 2000 measurement results can be displayed, and when the measure times are over 2000, only the latest 2000 will be displayed.

  • Page 53: Chapter8 Drug Calculation & Titration List

    Chapter8 Drug Calculation & Titration List The portable-type multi-parameter monitor can provide the computation for 15 kinds of medicines as well as the Titration List Display Function, and output the content of Titration list on the recorder. 8.1 DRUG CALC Medicines able to be calculated under this system are: aminophylline, dobutamine, dopamine, epinephrine, heparin, isuprel, lidocaine, nipride, nitroglycerin and pitocin.
  • Page 54 the various calculation items in the calculation formulae, press the knob and rotate it, so as to select the calculation value. After the calculation value is selected, value of the items to be calculated will be displayed at the corresponding position. Values for each calculation item have their limits, if the calculated results exceed such limits, the system will display ―---.--‖.

  • Page 55: Titration

    Medicines A, B, and C are fixed under the “mg” unit series, including g, mg, and mcg; Medicine D is fixed under the “unit” unit series, including unit, k unit, and m unit; and Medicine E is fixed under the “mEq” unit. Patient weight: When entering the medicine calculation window, operators should firstly or secondly input patient weight, which will be taken as independent information for calculation of medicine contents.
  • Page 56 The specific operations are as follows: In the Titration list, move the cursor to the ―Reference Item‖ with the knob first, and then press the knob to select the required item. ―Dosage‖ and ―Injection Speed‖ are two options. Move the cursor to the ―Step Length‖ and press the knob to select the step length in the range of 1~10. Move the cursor to the ―Dosage Type‖...

  • Page 57: Chapter9 Patient Safety

    Chapter9 Patient Safety The portable monitor is designed to meet the international safety requirements IEC60601-1, EN60601-2-27 and EN60601-2-30 formulated for medical electric equipments. It‘s furnished with floating inputted defibrillation resistance and surgery electric knife protection. If correct electrodes (referring to the ECG and RESP chapters) are installed following supervision of the manufacturer, screen display will be recovered within 10 seconds after defibrillation.

  • Page 58: Equal-Potential Earthing

    Warning Don‟t connect the 3-line cable of this monitor with a 2-line socket. Connect the ground line with the equal-potential earthing terminal of the monitor. If unaware whether a certain equipment combination is risky in terms of equipment specification, for example, whether gathered leakage current is dangerous, users should consult with relevant manufacturers or specialists, so as to make sure the necessary safety of the relevant equipment will not be damaged by the proposed combination.

  • Page 59: Chapter10 Maintenance & Cleaning

    Chapter10 Maintenance & cleaning 10.1 Maintenance check Before monitoring patients, you shall:  Check whether there is any physical damage;  Check all the disclosed leads, plugs, and accessories;  Check all the functions to be used to monitor the patients and ensure the equipment works well;...

  • Page 60: Cleaning

    10.2.2 Cleaning The Monitor must be kept dust-free. Regular cleaning of the monitor shell and screen is strongly recommended. More cleaning is needed in the environmental polluted or sandstorm areas. Before cleaning the monitor or the sensor, please consult with customer service or understand the hospital equipment cleaning regulation.
  • Page 61  Don‟t let any liquid enter the cover and don‟t immerse any part of the equipment into any liquids.  Don‟t remain any cleaning liquid on the equipment surface.  Don‟t pour liquids onto the equipment during the disinfection process.

  • Page 62: Chapter11 Ecg Monitoring

    Chapter11 ECG Monitoring 11.1 Definition of ECG Monitoring ECG monitoring describes continuous waveforms of cardiac activities of patients so as to accurately assess the current psychological status of the patients. Thus proper connection of ECG cables must be ensured in order to obtain correct measurement values.

  • Page 63: Monitoring Procedures

    Disturbance from non-earthing equipments around a patient or ESU disturbance may affect waveforms to function improperly. Where this monitor is operated according to the conditions specified in the EN60601-1-2 (anti-radiation ability: 3V/M) and the electric-field strength above 1V/M may give rise to the measurement mistakes under various frequencies, it is suggested that the electroradiant equipment should not be used in the place next to the ECG/Respirometer.

  • Page 64: Install Ecg Leads

    11.3.2 Install ECG leads Attention The following table lists the lead names under the European and US standards (leads are represented in R, L, N, F and C under the European standard and in RA, LA, RL, LL, and V under the US standard) US standard European standard...

  • Page 65: Ecg Lead Connection Recommended For Surgery Patients

    ■ green electrode (RL)— Right hind leg. ■ red electrode (LL)—Left hind leg. ■brown electrode (V) — Fourth intercostal space. Figure 11-2 5-lead ECG electrodes position Attention For patient safety, all the leads must be connected with patient body. 11.3.3 ECG lead connection recommended for surgery patients Warning When using ES equipments, users should put ECG electrodes at middle of the ES earthing plate and ES knives to prevent from burns.

  • Page 66: Use The 5-Lead Ecg Device

    11.3.4 Use the 5-lead ECG device. Users may based on their requirements arrange leads at each channel. Lead names for each channel are displayed at left to the corresponding waveforms, and users can directly select them for revision. Users can select proper leads from I, II, III, AVR, AVL, AVF, and V for the channels, as shown in Fig.
  • Page 67 ② ③ ○ ○ ○ Figure 11-4 ECG Hot Key ○ 1 Name of the First ECG Lead: ECG using 5-lead, the selectable leads include I, II, III, aVR, aVL, aVF and V; ECG using 3-lead, the selectable leads include I, II and III. (For neonate) The leads on the ECG waveform should not have the same name, otherwise the system will automatically change the similar name into another.

  • Page 68: Ecg Menu

    The input signal being too strong, the wave crest may be truncated. At this time users can manually change the gain column of ECG waveform by reference to the actual waveform for fear of incompleteness of waveform. ○ 3 Filtering Mode: The cleaner or precise waveform can be obtained through filtering. There are three filtering modes for option.

  • Page 69: Ecg Setting In Waveform Area

    Figure 11-5 ECG Setup  Alarm ON/OFF: Select ―ON‖ to give alarm prompt and storage when the heart rate alarm happens. will be prompted beside ECG.  Alarm record: Users can select ―On‖ to print HR alarms when they happen ...
  • Page 70 Turn the knob to waveform area,press the knob to enter ECG waveform setting Figure 11-6 ECG Setup  Lead Name： ECG using 5-lead, the selectable leads include I, II, III, aVR, aVL, aVF and V; ECG using 3-lead, the selectable leads include I, II and III. ...

  • Page 71: Ecg Setting In Measurements

    11.5.3 ECG setting in measurements Figure 11-7 ECG Setting menu 1. ALM ON/OFF(alarm On/off):When the heart rate alarm happens. Select ―OFF‖ will be prompted beside ECG. ALM LEV(Alarm level): three options: High, MED and Low, and High is for the most serious alarm. ALM REC(Alarm record): Users can select ―On‖...

  • Page 72: About St Monitoring

    particular, the apparatus furtherincludes a phase compensation processing means for receiving from the subject organisms of biological signals and the driver circuit to provide the amplified signal, the output is sent to a feedback signal by measuring biometric. HR ALM SETUP: setup heart rate hight limit ,middle limit ,low limit of the upper and lower limits . 10.
  • Page 73 The adjustable range for upper limit and lower limit of alarm as follows: Name Max. Upper Limit Min. Lower Limit Single Adjustable Quantity 2.0mv -2.0mv 0.1mv Determine the ST Segment AP (Analysis Point): Select this option to enter the ―Determine the ST Segment AP‖...
  • Page 74 ST measured value of each HB composite waveform is the vertical distance between this waveform and the crossing of two measuring points. Caution Where obvious changes happen to the patient‟s HR or ECG Waveform, it is necessary to adjust the ST measuring point in the following methods. Method of Adjusting ISO and ST Adjust the values by turning the knob.

  • Page 75: Arrhythmia Analysis

    Prompt Alarm Causes Solutions Message Level Alarm Function Stop use of ST SEGMENT alarm and advise the Limit High biomedicine engineer or our company‘s servicemen. safety failure wrong. Prompt Message (including general alarm message): Prompt Alarm Causes Messages Level measurement The measured value for ST Segment of Channel 1 exceeds the measured High out of scope...
  • Page 76 means the most serious PVCs alarm. (4) ALM REC(Alarm Record): Select the ―ON‖ and the recorder will output during PVCs alarm. ALM HI(Alarm Upper Limit): PVCs alarm is based upon the set alarm upper limit. The alarm will happen when PVCs exceeds the upper limit. The adjustable range for upper limit and lower limit of alarm as follows: Name Max.
  • Page 77 The latest saved arrhythmia events are listed in the window (one page can show 10 events and at most 6 pages can display). Figuer 11-11 Arrhythmia events review Press to observe the list of arrhythmia events in other pages. Cursor Movement: to move the cursor to select the arrhythmia events in the list. Waveform: press this button and the window will show the waveforms, occurrence time and parameters of the selected arrhythmia events Press ―...
  • Page 78 Figure 11-12 Arrhythmia Waveform Review Attention In the event that the number of arrhythmia event is more than 200, the monitor will retain the latest instead of the earliest. As for the monitor with the power-fail saving function, it can save 200 arrhythmia events with power-fail.

  • Page 79: Ecg Alarms & Reminders

    Selectabl PVS bigeminy No pacing PVS bigeminy e by users Selectabl PVS trigeminy No pacing PVS trigeminy e by users HR<100, RR interval < 1/3of average interval, after which Selectabl R ON T No pacing there is a compensation interval of which length is 1.25 x R-R e by users mean (next R waveform is moved up to the previous T wave.) Selectabl...
  • Page 80 because parameters exceed alarming limits may activate the recorder to automatically output alarming parameter values and the relevant measurement waveforms. The following classified table lists various possible alarms during such measurement process. Physical alarms: Reminders Causes Alarming levels signal Fail to detect patient ECG signals High over-weak HR measurement values higher the set alarming...

  • Page 81: Chapter12 Resp Measurement

    Chapter12 RESP Measurement 12.1 Measure RESP 12.1.1 How to measure RESP This monitor measures RESP values from the breast impedance values at two electrodes; impedance change between such electrodes (due to breast activities) will generate a RESP waveform on the screen. 12.1.2 Setting of RESP monitoring For RESP monitoring, no additional electrodes are required, but how to install electrode is critical.

  • Page 82: Resp Setting In Parameter Area

    ■ white electrode (RA) — Right foreleg ■ black electrode (LA)— Left foreleg ■ green electrode (RL)— Right hind leg. ■ red electrode (LL)—Left hind leg. ■brown electrode (V) — Fourth intercostal space. Attention Install the white and red electrodes in a diagonal line so as to obtain the best RESP wave. Need keep the liver and heart area out of the line formed by such electrodes, so as to avoid artificial discrepancy generated from heart cover or pulsatile blood, which is very important for newborns.

  • Page 83: Resp Setting In Waveform Area

    Figure12-1 RESP Setup ALM ON/OFF(Alarm Switch): select the ―ON‖ and the alarm prompt and saving will proceed during RR alarm; select the ―OFF‖ and ― ‖ will be prompted beside RESP in the screen parameter area. ALM LEV(Alarm levels): High, MED or Low to be selected, and High for the most serious alarm. ALM REC(Alarm record): If users select ―On‖, upon RESP alarming, the recorder will output the alarm.

  • Page 84: Resp Setting In Measurements

    Users can rotate the knob and move the cursor to the RESP hotkey on the parameter area of the main screen, then press the knob to enter the RESP Setting menu. Figure12-2 RESP Setup  GAIN(Waveform amplitude): Users can set enlarged display of RESP waveforms under five optional enlargement rates: ×...

  • Page 85: Resp Alarm Information And Prompt Information

    ALM ON/OFF: see reference in RESP Setting menu ALM LEV: see reference in RESP Setting menu ALM REC see reference in RESP Setting menu SWEEP: Waveform speed, Three optional speeds, 6.25mm/s, 12.5mm/s and 25.0mm/s WAVE COLOR: green, cyan, red, yellow, white, blue, violet RR Gain: Users can set enlarged display of RESP waveforms under four optional enlargement rates: 0.25, 0.5, 1.0, 2.0 and 4.0.

  • Page 86: Maintenance & Cleaning

    Prompt information Cause Alarm level RR measurements beyond measurement RR beyond measurement range High range Table 12-4 12.6 Maintenance & Cleaning Note and Cleaning Warning Before cleaning the monitor or sensor, users must turn of the equipment and break the AC power supply.

  • Page 87: Chapter13 Spo2 Monitoring

    Chapter13 SpO2 Monitoring 13.1 Definition of SpO2 Monitoring The SpO volume recording parameter is used to measure arterial SpO , i.e., percentage of oxyhemoglobin. For example, if there are 97% of hemoglobin molecules combining with oxygen out of the arterial red blood cells, the blood will be described as SpO 97％, and the SpO reading on the monitor will be 97％.

  • Page 88: Bos/Pulse Monitoring

    13.1.2 BOS/Pulse Monitoring Warning The cable for the equipment of electrosurgery can‟t be twisted together with the sensor cable. Warning Please don‟t place the senor on the limb with arterial duct or vein injection syringe. Attention Please don‟t place SpO detector and cover on the same limb for measurement of blood pressure, because in the course of measuring blood pressure the vascular obstruction will affect the BOS reading.

  • Page 89: Monitoring Procedures

    Warning Continuous and overlong monitoring may increase the undesirable dangers that skin features change, such as extraordinary sensitivity, reddening, blistering or pressure necrosis, which are especially easy to happen to the newborns or the patients with perfusion disorder or immature skin.

  • Page 90: Measurement Restriction

    you should calm the patient or replace sites in order to reduce the impact of excessive movement. Warning In a long and continuous monitoring process, check the condition of the peripheral circulation and skin under measuring every 2 hours or so, and if negative conditions happen, timely change the site under measurement.

  • Page 91: Spo 2 Setting In The Parame Area

    13.5 Setting in the parame area Users can rotate the knob and move the cursor onto the SPO hotkey in the parameter area, then press the knob to enter the SpO Setting menu. Figure13-2 SPO Setup Warning Setting the SpO alarm upper limit to be 100% means to release the upper limit.

  • Page 92: Spo2 Setting In Waveform Area

    13.6 SPO2 setting in waveform area Users can rotate the knob and move the cursor onto the SPO hotkey in the parameter area, then press the knob to enter the SpO Setting menu. Figure13-3 SPO Setting  SWEEP: Waveform Speed, the scanning speed of SpO volume recording waveform is provided with 12.5 and 25.0mm/s for option.

  • Page 93: Alarms & Reminders

     ALM LEV: see the content of this chapter parameter area the SPO2 set " ALM LEV ".  ALM REC: see this chapter parameter area the SPO2 set ―ALM REC‖.  SWEEP: see this chapter waveform area the SPO2 set "SWEEP‖. ...

  • Page 94: Maintenance & Cleaning

    Ensure the sensor is fixed on the SpO2 sensor drops down patient‘s finger or other locus and SPO2 Sensor from patient disconnected that monitor normally monitor. connected with the cable. SPO2 module initialization wrong SPO2 module initialization wrong 1 SPO2 module initialization wrong 2 SPO2...

  • Page 95: Cleaning

    monitor or the connected sensor. Careful Please don‟t sterilize the senor with pressure. Please don‟t soak the sensor in the liquid. Use of the senor or cable is prohibited if they are damaged or degenerated. 13.9.1 Cleaning: Having cleansed the surface of the sensor with the cotton ball or cotton cloth soaked with medical alcohol, dry it with the dry cloth.

  • Page 96: Chapter14 Nibp Monitoring

    Chapter14 NIBP Monitoring 14.1 General Information NIBP measurement can be performed in the oscillation method; It can be used in big cuff and small cuff( decided to use based on the animal's limbs cuff type) Measurement mode: manual, automatic and continuous measurement. Each mode can show NS, NM and ―Manual‖...
  • Page 97 1. Insert the pumping pipe into the interface of a blood pressure cuff and turn on the power supply. 2. In accordance with the following method (Pic 14-1), tie the blood pressure cuff on upper arm of upper leg of a patient. 3.

  • Page 98: Operational Guide

    Attention Cuff width should be 40% of arm perimeter (50% in case of small) or 2/3 of upper arm length. Width of the pumping part of a cuff should be as long as to surround 50%~80% of the arm. Cuffs in improper size will generate wrong readings. In case of size problem with a cuff, users should change it with a bigger one so as to reduce mistakes.
  • Page 99 may have allergic purpuras, ischemia and neural injury. During monitoring on patients, users should often check color, warmness and sensitiveness of remote body parts. Once any abnormal phenomenon is found, users should put the cuff at another location or immediately stop measuring blood pressure.

  • Page 100: Measurement Restriction

    14.2.3 Measurement restriction Vibration measurement has its restriction subject with patient conditions. This measurement method looks for regular pulse waves generated from arterial pressure, so when patient conditions make this wave detection method hard to work, measured values are no more reliable and measurement time last longer. Users must understand the following cases will disturb the measurement method, making measured press unreliable or measurement time extended.

  • Page 101: Nibp Setting In Parameter Area

    14.3 NIBP setting in parameter area Rotate the knob, move the cursor onto the NIBP hotkey in the parameter area, and then press the knob to enter the NIBP Setting menu. Figure14-3 NIBP Setup ■ ALM ON/OFF(Alarm switch): Where ―ON‖ is selected, the alarm prompt and saving will proceed when the pressure is alarmed;...

  • Page 102: Nibp Setting In Measurements

    NS upper limi：42-200 mmHg lower limit：40-198 mmHg ND upper limi：12-150 mmHg lower limit：10-148 mmHg NM upper limi：22-165 mmHg lower limit： 20-163 mmHg 14.4 NIBP setting in measurements Users can rotate the knob and move the cursor onto the ―Main Menu‖ to ―Survey Setup‖, then press the knob to enter the NIBP Setting menu.

  • Page 103: Nibp Pressure Calibration

    limit ,low limit.  RESET : reset of measuring status of blood pressure pump. Press the reset button, the inflated value of blood pressure pump will recover the initial settings. When blood pressure pump is not working properly but the monitor does not question why, this is the recommended key. Because it allows self checking of blood pressure pumps, allowing automatic recovery of pump exception due to some accident.

  • Page 104: Nibp Leak Detection

    Figure 14-5 calibration of NIBP connection diagram 14.6 NIBP Leak detection Used to detect whether the NIBP measurement pump leaks, when switch in NIBP cuffs, it can be used to start the NIBP inflation process to find out if the closed conditions of NIBP gas does well. If air leakage test is passed, the system does not make any messages;...

  • Page 105: Nibp Alarm Information

    Warning This leak detection is different from those described in the standard EN 1060-1, which is for users to simply test air leakage in NIBP inflation. If the system displays the NIBP leaks at the end of testing, please contact the Our company maintenance engineers. 14.7 NIBP alarm information Provided that the alarming record function under relevant menu is turned on, those physical alarms...
  • Page 106 engineers or our maintenance team Communication If the failure continues, stop using the NIBP failure with NIBP measurement function and inform communication NIBP High biochemical engineers or our maintenance error measurement team module Cuff isn‘t Cuff loose or out of properly Wrap the cuff properly connection...

  • Page 107: Maintenance & Cleaning

    execute measurement analysis calculation Reminders (displayed in the reminder area below NIBP values): Reminders Causes Alarming levels Manual measurement… Manual measurement in process Continuous measurement… Continuous measurement in process Automatic measurement… Automatic measurement in process Please press START After you select the measurement time No alarm interval Measurement stopped...

  • Page 108: One-Time Blood Pressure Cuff

    Fig 14-7 Change the tape inside cuff To put the rubber bag back into the cuff, users should put the rubber bag near the cuff opening side, making the rubber pipe aligned with the long opening of the cuff, then vertically roll the rubber bag and insert it into the long opening, hold on the rubber pipe and cuff, and then shake the whole cuff until the rubber gag is positioned exactly.

  • Page 109: Chapter15 Temp Monitoring

    Chapter15 TEMP Monitoring 15.1 TEMP Monitoring The monitor has two TEMP measuring channels. The temperature data can be measured with the TEMP detector. Teperature is not a standard configuration for the neonatal monitor. 15.1.1 TEMP measurement setting For one-time TEMP detectors, users must insert the TEMP cables into slots and then connect the detectors with such cables;...
  • Page 110 Figure15-1 TEMP setting  Alarm Switch: Select ―ON‖ and the alarm prompt and saving will proceed when TEMP is alarmed; select ―OFF‖ and no alarm will happen, but will be prompted beside TEMP in the screen parameter area.  Alarming levels: High, Middle or Low to be selected by users to set alarming levels. ...

  • Page 111: Temp Setting In Measurements

    15.3 TEMP setting in measurements Figure15-2 TEMP setting ■ Alarm Switch: Select ―ON‖ and the alarm prompt and saving will proceed when TEMP is alarmed; select ―OFF‖ and no alarm will happen, but will be prompted beside TEMP in the screen parameter area.

  • Page 112: Maintenance & Cleaning

    Reminders Causes Alarming levels T over-high TEMP measurement value higher than the set upper limit User defined T over-low TEMP measurement value lower than the set lower limit User defined Technical alarms Reminders Causes Alarming Solutions levels Sensor TEMP cable disconnected Make sure the cable is reliably disconnected from the monitor...

  • Page 113: Chapter16 Co Monitoring

    Chapter16 CO Monitoring 16.1 General The contents of this section are just the descriptions of the ways of measurement by sidestream and mainstream CO modules, which are different from the working mode of CO measured in an anesthetic gas (AG). Please note their differences. This instrument measures the CO pressure of the patient's air circuit, can measure the content of end-of-respiration CO...

  • Page 114: Measuring Principle And Working Process

    familiar with this manual. In the ―Monitor Settings‖ main menu, select ―Module Switch Settings‖, set the CO switch to On, as shown in the figure below: Figure 16-1 CO Waveform and Parameter Display 16.2 Measuring Principle and Working Process The CO measuring principle is mainly based on the characteristic that CO can absorb the infrared rays having a wavelength of 4.
  • Page 115 Figure 16-2 Mainstream Mode CO Connection (2) The schematic of connection of the sidestream module produced by the RESPIRONICS company is shown in the figure below: Figure 16-3 Sidestream Mode CO Connection Schematic (3) The schematic of connection of the ISA™ sidestream analyzer produced by the PHASEIN company is shown in the figure below: Sampling tube Figure 16-4 ISA™...

  • Page 116: Co Measurement Procedures

    (4) The schematic of connection of the IRMA™ mainstream analyzer produced by the PHASEIN company is shown in the figure below: Figure 16-5 IRMA™ Mainstream Analyzer (IRMA CO ) CO Connection Schematic The monitoring equipment produced by this company supports CO measurement by using a sidestream or mainstream module produced by the IRONICES company, or an ISA™...

  • Page 117: Measuring Procedure Of Respironics Branded Mainstream And Sidestream

    have been carried by the module itself, need not to be set manually. Please refer to the instruction manual coming with the module. alarm message function, you can set this function in ―CO Settings‖. If you need the CO 16.4.1 Measuring Procedure of RESPIRONICS Branded Mainstream and Sidestream Modules The RESPIRONICS branded sidestream analyzer operating procedure is roughly the same as the mainstream analyzer operating procedure;...
  • Page 118 Sea-Level Elevation Atmospheric Pressure 5%CO Inch mmHg ETCO mmHg Sea Level (0) Sea Level (0) 152. 4 228. 6 1, 000 304. 8 1, 500 457. 2 2, 000 609. 6 2, 500 3, 000 914. 9 3, 500 1066. 8 4, 000 1219.

  • Page 119: Measuring Procedure Of Phasein Branded Sidestream And Mainstream

    Note: It is assumed that the atmospheric pressure is 760mmHg and the ambient temperature is 0℃ at the sea level. Calculation of Atmospheric Pressure: the sea-level based ambient temperature is assumed as 0℃. Refer to the above Table. Warning By setting sea-level elevation, the monitor is not automatically changed with air pressure compensations.
  • Page 120 monitoring equipment; otherwise, please reinsert the CO plug-in module. Connect the Nomoline sampling tube to the input interface of the ISA analyzer (CO module) Connect the interface cable of the ISA analyzer to the CO interface of the CO plug-in module or the minihost.

  • Page 121: Co2 Settings In Parameter Area

    If the interface shows the prompt of „no connection to the oxygen sensor‟, please reinstall the oxygen sensor. Attention The end of the gas circuit adapter which connects the gas sampling pipe should point upward so as to prevent the condensing water drops entering the gas sampling pipe and blocking it up. Warning ...

  • Page 122: Co2 Settings In Waveform Area

    Figure 16-6 CO2 Settings  ALM ON/OFF(Alarm Switch): select ―On" to enable CO2 alarms, or select ―Off" to disable CO2 alarms with the icon ― ‖ appearing beside ―CO2‖ in the parameter area on the screen.  ALM REC(Alarm Record): select ―On‖ to enable the recorder output when there is any CO2 alarm.

  • Page 123: Co Settings In Measurement Setup

    Figure 16-7 CO2 Settings  SWEEP: 12.5mm/s~25.0mm/s.  WAVE COLOR: Green, Cyan, Red, Yellow, White, Blue, or Purple.  WAVE TYPE: Line or Fill. 16.7 Settings in Measurement Setup Select ―CO2 SETUP‖ in the menu ―SURVEY SETUP " or rotate the shuttle button to move the cursor to CO2 hotkey in the parameter area on the main screen, and then press the shuttle button to enter the menu ―CO2 SETUP‖...

  • Page 124: Discharging Waste Gases

    altitude before the first use of the CO2 for measuring. Any wrong altitude could result in an inaccurate CO2 reading: a reading error of 5% for each altitude deviation of 1000m. 16.8 Discharging Waste Gases When nitrous oxide and/or an anesthetic gas is used, you should prevent these gases from polluting the operating room.

  • Page 125: Method For Sterilizing Reusable Adapter

    16.9.3 Method for Sterilizing Reusable Adapter Autoclave Sterilizer-operable only to adult-used adapters. Ethylene oxide (ETO)- Sterilizing for 1. 5h. Soaking in Cidex Plus for 10h. Soaking in Perasafe for 10h. U. S. Steris System 1pasteurizer. Before adapters are reused, please make sure that the windows are dried without any residuals and that adapters stand intact during operation or cleaning/sterilization.

  • Page 126: Co Module Lighting Information

    Automatic Zeroing The ISA sidestream gas analyzer execute zeroing automatically by switching the gas sample from the respiration circuit to the ambient air. To execute automatic zeroing once every 24 hours, the ISA sidestream gas analyzer takes less than 3 seconds. If the ISA sidestream gas analyzer is equipped with an oxygen sensor, automatic zeroing also includes the indoor air calibration of the oxygen sensor.

  • Page 127: Chapter17 Ibp Monitoring

    Chapter17 IBP Monitoring 17.1 General information This chapter mainly introduces invasive blood pressure (IBP) monitoring methods and contents relevant to maintenance and cleaning of accessories. STAR8000H portable-type multi-parameter monitor can be directly used for measuring vascular pressures (diastolic pressure, systolic pressure and mean blood pressure). The following waveforms can be displayed: Waveform Name Definition...

  • Page 128: Monitoring Procedure

    Caution Only the pressure sensor specified in the Manual can be used. The specified sensor has shock-proof function (with resistance to leakage current) and can prevent influence of cardiac defivrillators. It can be used in surgeries. When the patient is in the defibrillation period, the pressure wave may exhibit temporary disorders;...

  • Page 129: Ibp Menu

    Fig 17-1 IBP Monitoring 17.4 IBP Menu 17.4.1 IBP<1,2>setup in the parameter area Rotate the knob and move the cursor to the IBP hotkey in the parameter area of the screen. Fig 17-2 IBP Parameter Setting Menu - 120 -...
  • Page 130 Settings can be done on the following items:  ALM ON/OFF(Alarm switch): Where ―ON‖ is selected, the alarm prompt and saving will proceed when the IBP (invasive blood pressure) is alarmed; where ―OFF‖ is selected, alarming will not happen, but will be prompted beside IBP in the screen parameter area.
  • Page 131  SCALE AGJUST : The IBP waveform area provides scales for waveforms. Two dash line of each IBP waveform, from the upper to the lower, respectively represents the upper-limit scale and the lower-limit scale of the waveform. Values of the two scales may be set. The detailed setting method is introduced in the current menu.

  • Page 132: Ibp<1,2>Setup In The Waveform Area

    17.4.2 IBP<1,2>setup in the waveform area Rotate the knob and move the cursor to the IBP hotkey in the waveform area of the screen. Fig 17-3 IBP Parameter Setting Menu Settings can be done on the following items:  CH Press Setup:eight options including ART, PA, CVP, RAP, LAP,ICP ,P1 and P2 are provided. ...
  • Page 133 Fig 17-4 IBP Parameter Setting Menu Settings can be done on the following items:  IBP<1,2>SETUP:  ALM ON/OFF: see this chapter parameter area IBP <1,2> setup the ALM ON/OFF.  ALM LEV: see this chapter parameter area IBP <1,2> setup the ALM LEV ...
  • Page 134 When setting alarm limits, users should confirm the item to be set. 17.4.3.1 Zero calibration of sensor: Press the ―IBP zero calibration‖ key with the rotary knob and the system will begin zero calibration. Zero calibration consideration: Before zero calibration, close the three-way stop cock at the patient side. Before zero calibration, the sensor should communicate with the atmosphere.

  • Page 135: Alarm Information And Prompt Information

     standard blood pressure gauge  three-way stop cock  pipeline with a length of about 25cm Warning The following operation should never be done when a patient is being monitored. ① Close the three-way stop cock which is opened to the atmosphere for zero calibration. ②...

  • Page 136: Maintenance And Cleaning

    IS too high Measured SP value is higher than the set upper alarm User Optional limit. IS too low Measured SP value is lower than the set lower alarm limit. User Optional ID too high Measured DP value is higher than the set upper alarm User Optional limit.
  • Page 137 Caution No one-off sensor or cap is allowed to be re-disinfected or reused. Caution For the purpose of environmental protection, please recycle or dispose of the one-off sensor or cap in a proper way. Disinfection Disinfection by Chemical Liquid Follow the above steps to remove the visible dirt. Select an effective chemical disinfectant applicable to the equipments in the operation room, like buffered glutaraldehyde (glutaraldehyde or preservative).

  • Page 138: Chapter18 Measurement Of Anesthetic Gases

    Chapter18 Measurement of Anesthetic Gases 18.1 Overview Anesthetic gas (AG) is used to measure the anesthetic gases and breathing gases for the patients under anesthesia. This module provides the end-tidal value (et) and inhalation value (in) of the following gases: ...

  • Page 139: Ag Display

    by the AG module should be able to absorb infrared rays, and each gas has its own absorption characteristics. The gas is transmitted to a sampling room and passed through by the infrared rays of a specific frequency band selected by an infrared ray filter. When you measure more than one gas, there will be more than one infrared ray filter.

  • Page 140: Mac Value

    ―AA‖ stands for one of such five anesthetic gases as Des, Iso, Enf, Sev, or Hal. 18.4 MAC Value As a basic index reflecting the depth of inhalation anesthesia, MAC (minimum alveolar concentration) is defined by the standard ISO21647 as the alveolar concentration of an inhalational anesthetic agent in balanced state in the absence of any other anesthetic agent, which can prevent the body movements of 50% patients under a standard surgical stimulation.

  • Page 141: Ag Setup

    1. Select a water tank appropriate for the patient type and install it onto the holder. 2. Connect one end of the gas sampling tube to the water tank. 3. Use the airway adapter to connect the other end of the gas sampling tube to the patient. 4.
  • Page 142 In the AG interface, rotate the shuttle button to move the cursor on the display interface to the CO2 hotkey in the parameter area, and then press the shuttle button to enter the menu ―CO2 Settings‖. Figure 18-3 CO2 Settings ...

  • Page 143: Ag O2 Setup

    Figure 18-4 AG CO2 Settings  Sweep: 12.5mm/s or 6.25mm/s.  WaveColor: Green, Cyan, Red, Yellow, White, Blue, or Purple.  Gain: × 1, × 2, or × 4, to adjust the wave amplitude of the CO2 waveform. 3. AG CO2 Setup in Measurement Setup In the AG interface, rotate the shuttle button to move the cursor on the display interface to ―Survey Setup"...

  • Page 144: Ag N2O Setup

    icon ― ‖ appearing beside ―O2‖ in the parameter area on the screen.  ALM LEV: High, Medium, or Low; ―High‖ is most serious.  Oxygen Compensation: HIGH ,MED ,LOW.  ET ALM SETUP :set high alarm limit ,middle alarm limit ,low alarm limit. if the measured ET value exceeds the limit, there will be an alarm and prompting ...
  • Page 145 Figure 18-7 Laughing Gas Settings  ALM ON/OFF: select ―On" to enable N2O alarms, or select ―Off" to disable N2O alarms with the icon ― ‖ appearing beside ―N2O‖ in the parameter area on the screen.  Oxygen Compensation: HIGH ,MED ,LOW. ...

  • Page 146: Ag Aa Settings

    specific options of the menu ―N2O‖ in ―Survey Setup‖. 18.6.4 AG AA Settings 1. AG AA Settings in Parameter Area In the AG interface, rotate the shuttle button to move the cursor on the display interface to the hotkey ―AG AA‖...

  • Page 147: Aderse Effects On Performance

     SWEEP: 12.5mm/s or 6.25mm/s.  Wave Color: Green, Cyan, Red, Yellow, White, Blue, or Purple.  Gain: × 1, × 2, or × 4, to adjust the wave amplitude of the AG X waveform. 3. AG AA Settings in Measurement Setup In the AG interface, rotate the shuttle button to move the cursor on the display interface to ―Survey Setup"...

  • Page 148: Safety Alarm Information

    displayed. 20.8 vol% of oxygen corresponds to the actual oxygen concentration of indoor air (the water concentration is 0.7 vol%) (for example: at 1013 hPa, corresponding to 25° C and 23% RH). The actual partial pressure at the current humidity level will be displayed all the time when CO oxygen and anesthetic gases (all the gases measured the infrared cell) are measured.
  • Page 149 reining the patient.  Do not repeatedly use a disposable sampling tube.  Do not lift the ISA/host equipment by grasping the sampling tube; otherwise it may break away from the ISA/host equipment, which may result in that the ISA/host equipment falls onto the patient.

  • Page 150: Isa Mainstream Gas Analyzer Safety Warning Information

     The ISA gas analyzer is not designed for being used in a MRI environment.  During MRI scanning, the host equipment must be placed outside the MRI room.  Using high frequency electrosurgical equipment in the vicinity of the ISA/host equipment may produce interference, which will result into incorrect measurements.
  • Page 151  The host equipment should be equipped with an appropriate alarm system to remind the user of circumstances which may cause death or serious damages to the patient‟s health.  Every corresponding alarm message in IRMA state abstract fields must be implemented in the host equipment.

  • Page 152: Airway Obstruction

    should make sure that the IRMA probe is used in the electromagnetic environment designated in this operating instruction manual.  Never disinfect the IRMA probe or soak it into a liquid.  The IRMA oxygen cell and the IRMA airway adapter are not germ free devices. Never carry out high pressure sterilization on the equipment;...

  • Page 153: Consumables

    anesthetic is measured, the gas discharging hole on the module must be connected to a waste gas processing system or the patient circuit (on the anesthesia machine or the respirator), so as to prevent medical personnel from inhaling the anesthetic. 18.11 Consumables The Nomoline sampling tube cannot be used repeatedly.

  • Page 154: Patents And Trademarks

    Waterproof rating Waterproof performance indicated by IP classification Provide protection for tools and short wire ends Level of protection from water (>1mm). inflow and solid foreign objects Provide protection for water spraying towards all indicated by IP classification directions. Warning (USA): According to the federal law, this Sold based on prescriptions product can only be sold by practicing medical personnel or based on prescriptions.

  • Page 155: Maintenance

    18.14 Maintenance The user should verify gas readings regularly; If finding any problem, please contact an engineer of the manufacturer for maintenance. 18.15 Cleaning the Analyzer The ―Plug in and measure‖ ISA sidestream gas analyzer should be cleaned regularly. Use ethanol or isopropyl alcohol with a maximum concentration of 70% and a wet rag to clean the analyzer..

  • Page 156: Appendix Iaccessories

    Appendix I Accessories Please use the accessories below for this patient monitor, as recommended by the manufacturer: Warning Only use our cardiac electric cable and other accessories, or the instrument may be damaged or has poor performance and safety. Standard accessories： Code Name Quantity...
  • Page 157 1PCS 040-000076-00 Blood oxygen probe/ Veterinary 040-000012-00 Invasive blood pressure cable 2 PCS 040-000013-00 Invasive blood pressure sensor 2 PCS 099-000005-00 CO2 module 1 PCS 040-000021-00 Airway adapter used for a single patient 1 PCS 040-000022-00 Airway adapter used for a single neonate 1 PCS 040-000023-00 Cable fixing casing...

  • Page 158: Appendix Ii Specification

    Appendix II Specification 1.Monitor type Name Type belongs to Class I, Type CF application part, Type BF application part classified by electric shock anti-defibrillator devices with internal power supply Among which except protection for the cardiac electrophysiologic detecting part, which belongs to Type CF application part, other detecting part belong to Type BF application part IEC 60601-1;...
  • Page 159 width of chart paper 50mm valid width of recorder 48 mm Paper speed 25/50 mm/s settings of realtime record 3 sec,5 sec, 8 sec, connection tracing waveform 2 channels alarm trigger record (6) ECG Specification Name Specifications big: 15～350bpm; Range and accuracy of heart rate small: 15～350bpm detection ±...
  • Page 160 calculate the average of them According to the requirement of YY 1079 Part 4.1.2.1 e，after 20 sec of a stabilizing period, the heart rate value is displayed as: Heart rate calculation figure 3 a) (coupled rhythm) 80± 1bpm; accuracy and response figure 3 b) (slowly varying coupled rhythm) 60±...
  • Page 161 （8）NIBP specification Name Specifications Measuring mode Automatic oscillation 40-270mmHg Systolic blood pressure Measurement 10-210mmHg Diastolic blood pressure range for big 20-230mmHg Mean blood pressure Measurement 40-200mmHg Systolic blood pressure range and Measurement 10-150mmHg accuracy diastolic pressure range for small 20-165mmHg Mean blood pressure 5mmHg, when non-invasive BP exceeds the above range, Accuracy...
  • Page 162 （10）Respiration specification Name Specifications Thoracic impedance method 6bpm-120bpm Measuring range Respiration rate detection Small 6bpm-150bpm and accuracy Accuracy ± 1bpm Upper limit 8bpm-120bpm narrower than Lower limit 6bpm-118bpm narrower than Accuracy and error of preset alarm of respiration Upper limit 8pm-150bpm rate narrower than...
  • Page 163 -1.3～5.3kPa(-10～40mmHg) -1.3～5.3kPa (-10～40mmHg) P1，P2 -1.3～40kPa(-10～300mmHg) error of IPB‘s alarm set ± 0.1 or ± 1mmHg of the set value sensitivity: 5V/V/mmHg pressure sensor range of impedance: 300～3000Ω （13） AG Specifications Name Specifications AG measuremen feature of infrared radiation absorption CO2：1mmHg AG resolution awRR：1rpm CO2 , O2, N2O and one of five anesthetics (Enflurane, isoflurane,...
  • Page 164 upper limit (lower limit ＋ FiHal/FiEnf/FiI 0.2) ~25% So/FiSev/FiDes 0.1% ± 0.1% lower limit 0~ (upper limit － 0.2)% - 155 -...

  • Page 165: Appendix Iii Description Of System Alarm Prompt

    Appendix III Description of System Alarm Prompt PROMPT MESSAGE CAUSES SOLUTIONS XX is higher than the upper limit value "XX is too high " of alarm limit. Check whether the alarm limit values are suitable, and the current status of the patient. XX is lower than the lower limit value "XX is too low"...
  • Page 166 "ECG lead disconnected" ECG lead cable is not joined well. Check the connection of ECG lead cable. "ECG V lead disconnected" ECG V-lead cable is not joined well. Check the connection of ECG V-lead cable. "ECG LL lead disconnected" ECG LL-lead cable is not joined well. Check the connection of ECG LL-lead cable.
  • Page 167 " Keyboard wrong 2"; "Network initialization wrong (G.)" " Network initialization wrong (Ram)" " Network initialization wrong (Reg)" Something wrong happens to the Please contact manufacturer " Network initialization wrong network of the system so the system maintenance. can‘t start network function. (Mii)"...
  • Page 168 is measured. the air path of NIBP and whether there is air jam. If the error persists, please contact the manufacturer for maintenance. Select the resetting function in NIBP menu. If Something wrong happens to the NIBP "NIBP communication wrong " error persists, please...

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