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Gima CMS 8000 VET Manual

Gima CMS 8000 VET Manual

Vet multiparameter monitor
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PROFESSIONAL MEDICAL PRODUC TS
CMS 8000 VET MULTIPARAMETER MONITOR
CMS8000VET (GIMA 80700)
CONTEC MEDICAL SYSTEMS CO., LTD
No.112 Qinhuang West Street, Economic & Technical Development
Zone, Qinhuangdao, Hebei Province, PEOPLE'S REPUBLIC OF CHINA
Made in China
Imported by:
Gima S.p.A.
Via Marconi, 1 - 20060 Gessate (MI) Italy
gima@gimaitaly.com - export@gimaitaly.com
www.gimaitaly.com
1060hPa
55°C
-20°C
500hPa
95%
%
0%

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  • Page 1 PROFESSIONAL MEDICAL PRODUC TS CMS 8000 VET MULTIPARAMETER MONITOR CMS8000VET (GIMA 80700) CONTEC MEDICAL SYSTEMS CO., LTD No.112 Qinhuang West Street, Economic & Technical Development Zone, Qinhuangdao, Hebei Province, PEOPLE’S REPUBLIC OF CHINA Made in China Imported by: Gima S.p.A.
  • Page 2 Copyright Statement Our company owns all rights to this unpublished work and intends to maintain this work as confidential. We may also seek to maintain this work as an unpublished copyright. This publication is to be used solely for the purposes of reference, operation, maintenance, or repair of our equipment.
  • Page 3 Warranty Workmanship & Materials Our company guarantees new equipment other than accessories to be free from defects in workmanship and materials for a period of 18 months (six months for multi-site probes and sensor) from date of shipment under normal use and service. Our company's obligation under this warranty is limited to repairing only.
  • Page 4 Return Policy Return Procedure In the event that it becomes necessary to return a unit to our company, the following procedure should be followed: Obtain return authorization. Contact our Service Department and tell us the product  serial number. The number is marked on the outside of the shipping package. Return shipments would not be accepted if the number is not clearly visible.
  • Page 5 Contents Chapter 1 Safety ........................1 1.1 Safety information ..................... 1 1.2 Precautionary measures .................... 2 1.3 Symbols ........................3 Chapter 2 General ........................5 2.1 Introduction ....................... 5 2.2 Contraindications ....................... 5 2.3 Main unit ........................5 2.4 Display ........................9 Chapter 3 Installation .......................
  • Page 6 Chapter 9 Drug Calculation and Titration Table ............... 54 9.1 Drug Calculation ...................... 54 9.2 Titration Table ......................55 Chapter 10 ECG Monitoring ..................... 57 10.1 Introduction ......................57 10.2 Safety information ....................57 10.3 Monitoring Procedure ................... 58 10.4 ECG Screen Hot Keys ....................61 10.5 ECG setup ......................
  • Page 7 15.8 IBP Calibration ..................... 100 15.9 Troubleshooting for Pressure Calibration ............102 15.10 Alarm Information and Prompts ................ 102 Chapter 16 CO2 Measuring ....................105 16.1 Introduction ......................105 16.2 Safety information ....................105 16.3 Monitoring steps ....................106 16.4 CO Menu ......................
  • Page 8 Chapter 1 Safety 1.1 Safety information WARNING Before using the device, the equipment, patient cable and electrodes etc. should be  checked. Replacement should be taken if there is any evident defect or signs of aging which may impair the safety or performance. The Monitor is intended for clinical monitoring application with operation only granted ...
  • Page 9 CAUTION At the end of its service life, the product described in this manual, as well as its  accessories, must be disposed in compliance with related local regulations or hospital regulations. If you have questions concerning disposal of the product, please contact our company or representative institution.
  • Page 10 damage to the electronic components when the operator with electrostatic charge contacts them. In addition, the methods for preventing electrostatic buildup, and the manner and reasons for the release of human body static electricity to the ground or equipment frame or the use of a bracelet to connect the human body to the equipment or the ground before establishing the connection should be described.
  • Page 11 Serial number Temperature limit Date of manufacture Humidity limit Internet access Battery Product complies with European Directive WEEE disposal Defibrillation-proof type CF applied part...
  • Page 12 Chapter 2 General 2.1 Introduction Structure and composing: main unit, accessories (ECG lead cables, SpO sensor, NIBP extension tube, NIBP cuff, TEMP probe, etc.) and power cord. The monitor is applicable for the clinical monitoring of cat, dog and other animals. Physiological parameters including ECG (including ST-segment measurement and arrhythmia analysis), RESP, , PR, NIBP ,TEMP,EtCO2 and IBP, can be monitored.
  • Page 13 AC indicator: On: the monitor is connected to AC power supply; Off: the monitor is disconnected from AC power supply. Battery indicator: it displays green and flickers under battery-powered condition, it always displays orange in charging state and green after fully charged. MENU:Press this button to call up the SYSTEM MENU, in which the user may set up system information and perform review operation.
  • Page 14 Side view T1: Socket for channel 1 TEMP probe...
  • Page 15 : Socket for SpO sensor ECG: Socket for ECG cable NIBP: Socket for NIBP cuff T2: Socket for channel 2 TEMP probe Note: [6] and [7] can not be connected to a IBP/CO : IBP or CO interface function at the same time; if connected, only IBP/CO : IBP or CO interface...
  • Page 16 Equipotential grounding terminal: when the monitor is used together with other equipment, use a cable to connect other equipment to the equipotential terminal of the monitor, which eliminates the ground potential difference between the different devices to ensure safety. AC power port. Fuse: T1.6AL250V NOTE: Replacement of fuse: unplug the power cord, then disassemble the screws by using ...
  • Page 17 The monitor does not contain internal battery. 2.Technical alarm area Displaying technical alarms and prompt messages, cycle display for multiple pieces of information. 3.Physiological alarm area Displaying physiological alarms, cycle display for multiple pieces of information. 4.Parameter area Consisting of several individual areas, displaying the measured value corresponding to each parameter module.
  • Page 18 Chapter 3 Installation The system has a floating input for defibrillation proof . If the correct electrodes (see the section about ECG Monitoring) are used and placed according to the manufacturer's instructions, the display will be restored within 5 seconds after defibrillation. WARNING If any sign of damage to the monitor function is detected, or an error message appears, ...
  • Page 19 environment for potable monitor using shall properly away from vibration, dust, corrosive or flammable gas, extreme temperature or humidity and so on. When it is installed in a cabinet, there should be enough space in front of the device for convenient operation. When the door of the cabinet is opening, enough space at the back of the device should be guaranteed for convenient maintenance.
  • Page 20 Connect the equipotential grounding terminal on the device to the grounding wire. If the hazards of a specific combination can not be determined from the specifications of each equipment (for example, the hazard caused by accumulation of leakage current), please contact the manufacturer or experts related this field to ensure that the necessary safety of all equipment in this combination will not be damaged.
  • Page 21 WARNING When the monitor is powered on, the system will check whether the alarm function  (audio and light alarms) is normal. If the alarm function works abnormally, this monitor can not be used for patient monitoring and contact the manufacturer's maintenance department.
  • Page 22 Chapter 4 System Menu This monitor features flexible configurations. You can customize monitoring content, waveform sweep speed, sound volume, and output content.Press the MENU button on the front panel of the monitor, the interface shown in the following figure will appear: 4.1 Patient Information Setup Select the "PATIENT SETUP"...
  • Page 23 information will be displayed in Patient information area DELETE: to delete the information of current patient, and to register a new patient After clicking the "DELETE" button in this menu, a dialog box "CONFIRM TO DELETE" will pop up, you could select "YES" or "NO" to decide whether to clear current patient information. NOTE: If you choose "YES", the information of current patient will be deleted.
  • Page 24 In the "SYSTEM SETUP" menu, user can set the following items. 4.4.1 Face select The system provides 5 display modes: "STAND SCREEN", "OxyCRG SCREEN", "TREND SCREEN", "BIG CHAR" and "VIEWBED SCREEN". You can choose any one of them according to clinical demand.
  • Page 25 1. STAND SCREEN The "STAND SCREEN" is the default setting. If the current screen is not the standard screen, you may enter the standard screen by selecting "STANDARD SCREEN" and then selecting "EXIT" in FACE SELECT menu.
  • Page 26 Stand Screen 2. OxyCRG SCREEN If you want to enter the following interface, select "OxyCRG SCREEN" and then select "EXIT" in "FACE SELECT" menu. OxyCRG Screen...
  • Page 27 OxyCRG screen is located at the lower part of the waveform area, consisting of the HR trend, the SpO trend, and the RR (respiration rate) trend or the compressed RESP waveform. Below the RR trend or the compressed RESP waveform is the scale of the trend time. In addition, three labels are displayed beneath the time scale.
  • Page 28 Selecting a trend parameter  If a module has multiple trend parameters, you can select one from the parameter label options of the corresponding trend graph. The trend graph of the selected parameter will be displayed. For example, in the ECG trend graph, you can select either from the parameter label options: HR, ST, PVCs.
  • Page 29 Viewbed Screen The monitor that used to view the situations of other monitors, is called "host monitor". The monitor being viewed is called "viewbed monitor". The viewbed screen is always displayed at the lower part of the host monitor’s waveform area. It consists of the following parts. ①...
  • Page 30 in one screen, if "STEP ECG" is selected, the step ECG waveform will be displayed in the waveform area. NOTE: "FULL ECG" and "STEP ECG" are set off as default, and these two functions can not be  turned on at the same time. 4.4.4 Parameter setup Select "PARAM SETUP"...
  • Page 31 clear the alarm event that has been generated and is waiting for outputing. NOTE: The setup of "RT REC TIME" takes priority over the "TIMING RECTIMING".  The recorder is a optional component.  If two same waveforms are selected, the system will automatically change one of the ...
  • Page 32 This function is used to detect whether the patient moves during the blood pressure measurement. If the patient moves, the monitor will give an alarm message and stop the current measuring, or the measurement will be taken as usual. This function is set "1" as default. "1"...
  • Page 33 Wireless  It is strongly required to use the accompanying wireless network card provided by manufacturer. The router complied with IEEE802.11 (ordinary or household wireless network router) should be used, and it shall support the authentication method of WPA, WPA2 or WEP. Wireless network router should access to the Internet by WAN.
  • Page 34 When the network type is CMS, just make sure the connection between the device and the wireless router is successful. (The IP address of the server is 202.114.4.119, the IP address of this monitor and subnet mask are generated by the port number.) When the network type is CUSTOM, if DHCP service is used, the device will automatically obtain the network support (dynamic IP of this monitor, gateway, DNS, etc.) through the DHCP.
  • Page 35 Wire When the network type is CMS, just make sure the connection between the device and the central station is successful. (The IP address of the server is 202.114.4.119, the IP address of this monitor and subnet mask are generated by the port number.) When the network type is CUSTOM, make sure the monitor is connected to the router.
  • Page 36 Chapter 5 Alarm When the patient being monitored appears abnormal changes in vital signs, or the monitor itself occurs failure and fails to monitor the patient, it will remind the veterinary workers through sound, light, etc. WARNING In any single area (e.g. intensive care unit or cardiac operating room), there is a ...
  • Page 37 2. Medium-level alarm Medium-level alarm means serious warning. 3. Low-level alarm Low-level alarm is a general warning. NOTE: The level of all technical alarms and prompt messages and some of the physiological  alarms are determined by the system, which can not be changed by user. The level of most of the physiological alarms need to be set by user, such as alarm ...
  • Page 38 NOTE: If one monitoring system has multiple alarm equipment, when an alarm occurs, the  visual and audio prompts generated by all alarm equipment should keep the same. The way of alarm prompting is related to its level.  When alarms of different levels occur at the same time, the monitor prompts the ...
  • Page 39 restarted, this setup to will be restored to the previous set value. The symbol " " means that the alarm sound is turned off, the system could not  make any sound for the alarm, so user must be careful when using this function. There are two ways to exit this status.
  • Page 40 ALM SETUP: alarm switch, alarm level, upper/lower limit of CO alarm,  upper limit of INS alarm, upper/lower limit of AWRR alarm, apnea alarm. 5.5 Alarm status Except general alarm conditions, you can set the monitor to four different alarm status as below according to your need.
  • Page 41 alarm condition is appropriate, but after the "SILENCE" button is pressed, the system will permanently turn off the alarm sound for lead-off or probe-off. The alarm pause time can be set in the "ALARM SETUP" menu as required, the default ...
  • Page 42 Chapter 6 Freeze When monitoring a patient, you may freeze the waveform to view it carefully. Up to 34 seconds waveform can be reviewed. Besides, the frozen waveform can be output by recorder. The Freeze function of this monitor has following features: Freeze status can be activated under any operating screen.
  • Page 43 the knob, the option displays "L-RIGHT". By turning the knob left or right, the frozen waveform on the screen will move left or right correspondingly. There is an arrow indicating upward under the right side of the last waveform. There is also a time scale beside the arrow. "0 s" is used to mark the moment when waveforms are frozen.
  • Page 44 Chapter 7 Recording NOTE: The recorder is an optional component.  7.1 General Information for Recorder A thermal array recorder is used for the Monitor. Performance of the Recorder Recording speed: 25 mm/s or 50 mm/s.  Waveform recording width: 48mm ...
  • Page 45 TIME" of the "RECORD SETUP " menu. Refer to the section "RECORD" in system setup for details. Alarm Recording Parameter Alarm  The monitor records waveforms 4/8/16 seconds before and after the alarm (totally 8, 16 or 32 seconds) (which can be selected in System Menu). All parameter values during the alarm will also be recorded.
  • Page 46 Periodic recording Para alarm recording Arrhythmia recording Freeze waveform recording Trend Graph Trend Table Para alarm review NIBP review Titration Table Alarm parameters, alarm time and freeze time  Patient bed number, sex, height, weight, date of birth, admission date ...
  • Page 47 Access the "ALARM RECALL" interface from "SYSTEM MENU", Alarm review recording select "REC" button to print out the waveform and related parameters currently displayed. Access the "NIBP RECALL" interface from "SYSTEM MENU", NIBP review recording select "REC" button to print out the NIBP values currently displayed.
  • Page 48 attention to the edges. Give out the paper from the recorder outlet.  Close the recorder door.  NOTE: Be careful when inserting paper. Avoid damaging the thermosensitive printer head.  Unless replacing the recorder paper or troubleshooting, do not leave the recorder door open.
  • Page 49 Chapter 8 Recall The monitor provides 480-hour trend data of all parameters, storage of 4800 groups of NIBP measurement results and 72 alarm events. All these data can be output through recorder. By using SD card, the trend data and 72-hour ECG waveform can be reviewed. This chapter gives detailed instruction for reviewing these data.
  • Page 50 min/10 min for 480-hour trend graph. To view earlier or later trend curves: When " " appears on the right part of the screen, pick "L-RIGHT" button, turn the knob clockwise to view later trend curves. When " " appears on the left part of the screen, select the "L-RIGHT"...
  • Page 51 8.2 Trend Table The latest 480-trend table data can be displayed at every 1 min, 5 min, 10 min, 30 min, or  60 min. Pick TREND TABLE in the SYSTEM MENU to call up the following menu: Time corresponding to each group of trend data is displayed at the leftmost list with date in brackets.
  • Page 52 Pick L-RIGHT to select one from the 6 groups of parameters. A ">" by the rightmost item indicates following page available. And "<" by the leftmost item indicates previous page available. To print out the trend table Press REC button to print out the trend data of all parameters currently displayed through the recorder.
  • Page 53 The PHYSIOLOGICAL ALARM RECALL interface is shown as below: ① ② ③ ④ ⑤ ① Time span (Format: year/month/day/hour/minute/second--- year/month/day/hour/minute/second). ② Event type. ③ Serial number (Format: NO. xx of XX ). ④ The value at the moment of alarming. NIBP result is excluded. ⑤...
  • Page 54 CO2, IBP) and 72-hour ECG waveform. The trend data is stored per 1 minute. NOTE: For the review on PC by using the sync software, only ECG and SpO related waveforms  and parameter values can be reviewed. Refer to the instructions of sync software for details.
  • Page 55 The items from left to right in this menu are No., patient No., patient name, admission date and birth date. The information is displayed according to the content set in patient setup. The buttons at the bottom of menu includes: PAGE UP/PAGE DOWN: observe patient lists of other page.
  • Page 56 ③ Review trend data Select an item in above menu by using the cursor, then press "REVIEW" button, the trend data will be displayed in a list. The resolution is 1 minute.
  • Page 57 The buttons are: Page UP/ PAGE DOWN: to view trend data of different time.  LIGHT/ RIGHT: to view trend data of different parameter.  REC: to print current list.  Review ECG waveform  ① Select the "REVIEW ECG WAVE" button in SD OPERATE menu, then choose a specific patient to review.
  • Page 58 ② Select time span you want to review ECG data is saved in many different files. It need save ECG data in a new file per half an hour. For example, "2014-09-03 14:15" represents ECG file name, it also indicates the starting time that the file is saved.
  • Page 59 ③ Review ECG waveform The time span of one window is 5s.  The window can display 3 channels ECG waveform. When the lead type is "5  LEADS", it displays ECG I, ECG II and ECG V. 5-Lead...
  • Page 60 When the lead type is "3 LEADS", it can displays only one channel waveform. The  ECG lead is the same with the one displayed on the monitor. 5. Unmount SD card Enter "SD OPERATE" menu, press "UMOUNT DEVICE". You can take out SD card only when the system displays the prompt "UMOUNT SD CARD SUCCESSFULLY, YOU CAN TAKE OUT THE CARD NOW."...
  • Page 61 Chapter 9 Drug Calculation and Titration Table This Portable Patient Monitor provides drug calculation and titration table display functions for fifteen drugs and outputs the content of titration table on the recorder. 9.1 Drug Calculation The drug calculations that can be performed by the system are AMINOPHYLLINE, DOBUTAMINE, DOPAMINE, EPINEPHRINE, HEPARIN, ISUPREL, LIDOCAINE, NIPRIDE, NITROGLYCERIN and PITOCIN.
  • Page 62 new group of values suitable for the patient should be entered according to doctor’s advice. Each drug has its fixed unit or unit series. Operator must select the proper unit  following the doctor’s instruction. The unit will automatically adjust itself in its unit series according to the input value.
  • Page 63 Method to operate the titration table:  1) In the TITRATION table, turn the knob to pick BASIC item. Press and turn the knob to select either INF RATE or DOSE or DRIP RATE. 2) Move the cursor to STEP item. Press the knob to select step. The selectable range is 1 ~ 3) Move the cursor to DOSE TYPE item.
  • Page 64 Chapter 10 ECG Monitoring 10.1 Introduction The ECG monitoring produces a continuous waveform of the patient's cardiac electric activity to enable an accurate assessment of patient's current physiological state. Only proper connection of the ECG cables can ensure satisfactory measurement. The monitor displays 2-channel ECG waveforms at the same time in normal working, and provides 3/5-lead monitoring, ST segment analysis and arrhythmia analysis.
  • Page 65 10.3 Monitoring Procedure 10.3.1 Preparation Prepare the patient's skin prior to placing the electrodes. The skin is a poor conductor of electricity, therefore preparation of the patient's  skin is important to facilitate good contact between electrodes and skin. Shave hair from the sites where electrode patches attach to, if necessary. ...
  • Page 66 The 5-lead The placement of 5-lead electrodes is shown as below: RA (right arm) lead: on the right foreleg.  LA (left arm) lead: on the left foreleg.  RL (right leg) lead: on the right hind leg.  LL (left leg) lead: on the left hind leg. ...
  • Page 67 NOTE: To ensure patient safety, all leads must be attached to the patient.  Recommended ECG Lead Placement for Surgical Patients The placing of the ECG leads will depend on the type of surgery that is being performed. For example, with open chest surgery the electrodes may be placed laterally on the chest or on the back.
  • Page 68 the patient or bed, and the defibrillation electrode should not touch the electrode of the monitor directly, for doing so may generate sparks then causing device damage or patient injury. NOTE: If a ECG waveform is not accurate, while the electrodes are correctly attached, try to ...
  • Page 69 ③ ① ② ④ ⑤ ECG Hot Key ① Leads of channel 1: The selectable leads are I, II, III, aVR, aVL, aVF, V. When the ECG is 5-lead, the selectable leads are: I, II, III, aVR, aVL, aVF; V. When ECG is 3-lead, the selectable leads are: I, II, III.
  • Page 70 WARNING Only in Diagnostic mode, the system can provide non-processed real signals. In Monitor  or Surgery mode, ECG waveforms may have distortion of different extent. In either of the latter two modes, the system can only show the basic ECG, the results of ST analysis may also be greatly affected.
  • Page 71 following items can be set: HR ALM: pick "ON" to enable alarm prompt and data record during the heart  rate alarm; pick "OFF" to disable the alarm function, and there will be a parameter area. ALM LEV: selectable from "HI" and "MED". Level HIGH represents the most ...
  • Page 72 EMG: ON/OFF.  PITCH TONE: ON/OFF  ECG CAL: pick this item to start calibrating ECG. The method to end calibrating:  re-select this button in the menu or change the lead name on the screen. ADJUST WAVE POS:  1.
  • Page 73 monitor. LL LEAD OFF LA LEAD OFF RA LEAD OFF If the fault persists, stop using the measurement function provided by Occasional this ECG module, and inform the MODULE ERROR communication HIGH bioveterinary engineer or failure maintenance personnel of our company.
  • Page 74 analysis alarm; pick "OFF" to disable the alarm function, and there will be a beside parameter area ST1. ST alarm is activated when the result exceeds the upper limit of ST value or falls below the lower limit of ST value. ALM LEV: to set the ST alarm level.
  • Page 75 measurement points. R Wave ST Value -78 ms +109 ms The position of measurement points (ISO and ST) should be adjusted at the beginning of monitoring, or the patient's HR or ECG waveform changes significantly. Abnormal QRS complex is not considered in ST segment analysis. NOTE: Abnormal QRS complex is not considered in ST segment analysis.
  • Page 76 ST measuring value of channel 1 is above the upper alarm User-selectabl ST1 HI limit. ST measuring value of channel 1 is below the lower alarm User-selectabl STI LOW limit. ST measuring value of channel 2 is above the upper alarm User-selectabl ST2 HI limit.
  • Page 77 alarm.  ALM REC: pick "ON" to enable the recording when PVCs alarm occurs.  ALM HI: PVCs alarm is activated when the PVCs exceeds the set ALM HI value.  ARR RELEARN: press this button to start a learning procedure. ...
  • Page 78 1. Pick this item to review and edit the ARR analysis result. 2. Select "ARR RECALL" item in the "ECG SETUP" menu, the following interface will pop The recent stored ARR events are listed in this interface: UP/DOWN: Observe event lists of other pages. ...
  • Page 79 UP/DOWN: To observe waveforms of other Arrhythmia events.  CURSOR: To observe the whole 8s waveform of Arrhythmia event.  RECORD: To print out displayed waveform of Arrhythmia event.  EXIT: To return to ARR RECALL menu listing Arrhythmia events. ...
  • Page 80 HR is less than 100, R-R interval is less than 1/3 of the average interval, followed by a Without User-selectabl R ON T compensatory pause of 1.25 times of the pacemaker average R-R interval (the next R wave advances onto the previous T wave). Without Single PVC not belonging to the type of above User-selectabl...
  • Page 81 Chapter 11 RESP Monitoring 11.1 Introduction Measurement method: chest impedance. When the patient breathes, the thoracic activity causes a change in the thoracic impedance between the two ECG electrodes. The monitor produces a respiratory wave on the screen by measuring the impedance change (due to the movement of the thorax), then it calculates the respiration rate based on the waveform cycle.
  • Page 82 waveform. Avoid the liver area and the ventricles of the heart in the line between the RESP electrodes so as to avoid cardiac overlay or artifacts from pulsating blood flow. This is particularly important for neonates. 11.4 RESP SETUP Press RESP hot key on the screen to "RESP SETUP" interface: ALM REC: select "ON"...
  • Page 83 Message Cause Alarm Level Remedy RA, RL or LL falls Make sure all electrodes, leads and RESP LEAD OFF off. cables are connected normally.
  • Page 84 Chapter 12 SpO2 Monitoring 12.1 Introduction Plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the arterial blood. If, for example, 97% hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen, then the blood has a SpO oxygen saturation of 97%.
  • Page 85 The person who is allergic to silicone or ABS can not use this device.  The SpO probe accompanying with the monitor is only intended for use in this monitor.  The monitor can only use the SpO probe supplied in this manual. It is the operator's responsibility to check the compatibility of the monitor, probe and extension cord before use, to avoid the patient's injury.
  • Page 86 Ear Sensor Placement 4. Tongue Sensor Placement You can easily place the tongue sensor as shown below. Tongue Sensor Placement WARNING Check the wearing parts once per 2 to 3 hours to ensure the good skin texture and  proper light alignment. If the skin texture changes, move the sensor to another location. It is best to change the wearing parts once per 4 hours.
  • Page 87 NOTE: Do not use photoelectric oximeters and SpO sensors during magnetic resonance  imaging (MRI) scanning, as the induced current may cause burns. 12.5 Measurement Limitations During measuring, the measurement accuracy can be affected by: High-frequency electrical interference, such as the interference created by the host ...
  • Page 88 ALM LEV: set the alarm level, selectable from HI, MED and LO. HIGH represents the  most serious case. ALM HI and SpO ALM LO: SpO alarm is activated when the result exceeds  set SpO ALM HI value or falls below SpO ALM LO value.
  • Page 89 PR measurement value is lower than the lower limit of PR LOW User-selectable alarm. Technical alarms: Alarm Message Cause Remedy Level sensor may be Make sure the sensor is placed in SENSOR disconnected from patient's ear or tongue, and the the patient or the connection between the monitor and monitor.
  • Page 90 Chapter 13 NIBP Monitoring 13.1 Introduction Measurement method: Oscillometry. It is applicable for cat,dog and other animals. In order to know how the Oscillometry works, we compare it with auscultatory method: Auscultatory method: the doctor listens the blood pressure by the stethoscope, to obtain ...
  • Page 91 by an alternative method before checking the functioning of the monitor. When the alarm prompt information for low battery appears, it is not recommended to  start NIBP measurement. As in this circumstance, it may cause device shutdown. 13.3 Measurement Limitations NIBP measurement can not be done on the patients with extreme heart rate(lower than 40 bpm or higher than 240 bpm) or connecting with heart-lung machine.
  • Page 92 Cat Cuff Placement For a DOG  For measurements in dogs, it is preferable to use the right lateral, stemal or dorsal recumbent position. If the dog is in a sitting position, place the front paw on the operator’s knee and take measurements from the metacarpus.
  • Page 93 If the animal’s hair over the artery site is too thick or matted for good contact, it should  be clipped. The width of the cuff should be either 40% of the limb circumference (50% for neonates)  or 2/3 of the upper arm length. The inflatable part of the cuff should be long enough to encircle 50-80% of the limb.
  • Page 94 MANUAL NIBP OVER PRESSURE CUFF:100 1. Alarm is off 2. Measurement time 3. Mean pressure 4. Unit: mmHg or kPa 5. Diastolic pressure 6. Current cuff presure 7. Prompt information area: display the prompt information related to the NIBP. 8. Measurement mode 9.
  • Page 95 CONFIG FACTORY DEFAULT 60/70/80/100/120 CONFIG USER DEFAULT OTHER PET 80/100/120/140/150/160/180/200/220/ CONFIG USER DEFAULT 80/100/120/140/150/160/180/200 CONFIG USER DEFAULT CAT CONFIG 60/70/80/100/120 Press "MENU" button to enter "SYSTEM MENU" menu, then select a factory or user configuration in "DEFAULT" menu, after configuration, return to the main interface to select NIBP hot key to enter "NIBP SETUP"...
  • Page 96  NIBP VERIFY(NIBP pressure check ) NIBP pressure verify should be performed once per two years at least or once when you thought that the reading is inaccurate. Prepared materials: Standard manometer  Metal container(500 ml)  Spheroidal air pump ...
  • Page 97 Connect the cuff with the NIBP cuff jack. Wrap the cuff around the cylinder of an appropriate size. Cylinder Monitor Airway tube Cuff NIBP cuff jack Diagram of NIBP Air Leakage Test Select "PNEUMATIC" in NIBP menu, then the information "Pneum testing..." will display in the NIBP parameter area.
  • Page 98 Physiological alarms: Message Cause Alarm Level NIBP SYS measuring value is above upper alarm SYS HI User-selectable limit. SYS LOW NIBP SYS measuring value is below lower alarm limit. User-selectable NIBP DIA measuring value is above upper alarm DIA HI User-selectable limit.
  • Page 99 service staff. Affected by arm NIBP EXCESSIVE motion, signal noise is Make sure that the patient under MOTION too large or pulse rate monitoring is motionless. is not regular. Measure again, if failure persists, Pressure has exceeded stop using measuring function of NIBP OVER the specified upper HIGH...
  • Page 100 Measurement Press START/STOP key during measuring to stop over measuring. Calibrating… During calibrating Calibration over Calibration over Pneum testing… During pneumatic test Pneum test over pneumatic test over Resetting... NIBP module in resetting Reset failed NIBP module reset failed...
  • Page 101 Chapter 14 TEMP Monitoring 14.1 Introduction Two TEMP probes can be used together to obtain 2 temperature data, via comparing, the temperature difference can be obtained. 14.2 Safety information WARNING Verify whether the probe cable is normal before monitoring. Unplug the temperature ...
  • Page 102 DEFAULT: select "DEFAULT" to enter "TEMP DEFAULT CONFIG" interface, the user may  select "FACTORY DEFAULT CONFIG" or "USER DEFAULT CONFIG". After selecting, the system will prompt the user to confirm, then exit. 14.5 TEMP Alarm message The alarm which triggers by the parameters exceeding the limits, which may activate the recorder to automatically output the parameters and related measured waveforms when the alarms occur on the condition that the alarm record switch in the related menu is On.
  • Page 103 Chapter 15 IBP Monitoring 15.1 Introduction The monitor can provide 2-channel IBP measurement, generate and display real-time waveform, systolic pressure, mean pressure and diastolic pressure for each channel. 15.2 Safety information WARNING When applying the accessories, make sure the accessories selected comply with ...
  • Page 104 7. Zero the transducer. 8. After zeroing successfully, turn off the valve from the transducer to atmospheric pressure, and turn on the valve to the patient. 15.4 Setting for label name 1. Select the IBP hot key by the cursor. 2.
  • Page 105 The items to be set in the menu include: ALM REC: select “ON” to enable alarm prompt and data storage during IBP alarm.  SWEEP: set the scanning speed of the IBP waveform. Two selections: 12.5 mm/s or 25  mm/s.
  • Page 106 15.6 IBP Scale Setup The waveform scale displays in the IBP waveform area, the three dotted lines from top to bottom respectively represent the upper scale, reference scale and lower scale of the waveform, which can be set, the steps are as followings: 1.
  • Page 107 2. The transducer must be vented to atmospheric pressure via the 3-way stopcock. 3. Take the channel 1 as an example, select "IBP SETUP" → "IBP PRESSURE ZERO" → "CH1 ZERO", then select it to calibrate. When the information "CH1 SUCCESSFUL ZERO." apears, close the valve to the ...
  • Page 108 accordance with the period specified by the hospital procedure. The purpose of the calibration is to ensure that the system provides an accurate measurement. Before starting a calibration by the mercury pressure gauge, a zero procedure must be performed. If you need to perform this procedure by yourself, you need the following equipment: Standard sphygmomanometer ...
  • Page 109 After calibrating, disassemble the blood pressure tubing and the attached T-shape  connector. 15.9 Troubleshooting for Pressure Calibration The possible reasons for unsuccessful calibration are listed below: Cause Remedy Check the connection condition of channel 1 to make sure that it has not the prompt of sensor IBP1 SENSOR OFF, FAIL! off, then cabibrate again, if the problem exists still, please contact the service personnel.
  • Page 110 MAP measuring value of channel 1 is below lower IM1 LOW User-selectable alarm limit. SYS measuring value of channel 2 is above upper IS2 HI User-selectable alarm limit. SYS measuring value of channel 2 is below lower IS2 LOW User-selectable alarm limit.
  • Page 111 EXCEED measurement range. IBP2 MEASUREMENT IBP measuring value of channel 2 is beyond HIGH EXCEED measurement range. IBP1 NEED ZERO-CAL IBP1 is not performed the zero calibration. IBP2 NEED ZERO-CAL IBP2 is not performed the zero calibration.
  • Page 112 Chapter 16 CO2 Measuring 16.1 Introduction The device adopts infrared absorption technology to measure the CO concentration in the patient's breathing airway. The principle is that the CO molecules can absorb the infrared energy with specific wavelength, and the amount of energy absorbed is directly related to the concentration.
  • Page 113 16.3 Monitoring steps 16.3.1 Sensor zeroing When you use a new airway joint, you must calibrate as the following procedures: Connect the sensor to the CO module.  Select the CO parameter area, set the "WORK MODE" to "MEASUREMENT" in "CO ...
  • Page 114 Connection for sidestream and non-intubated patient We aring for Nasal sampling cannula Connection for sidestream and intubated patient For the intubated patient, when using the airway adapter, install the adapter to the  near-end of the loop, between the elbow bend and ventilator Y tube, as shown below. Sampling tube upwards Airway adapter To the patient...
  • Page 115 NOTE Disconnect the cannula, airway adapter, or sampling tube from the sensor when it is  not used. Before connecting the 3-way stopcock to the breathing circuit, make sure to properly  connect the airway adapter and the sensor. Conversely, before removing the sensor, be sure to remove the airway adapter from the breathing circuit.
  • Page 116 NOTE Install the sensor above the adapter to prevent the liquid from gathering on the  adapter window. The high concentration of liquid at this location will hinder the gas analysis. Use only sterile airway adapter or disposable airway adapter to avoid ...
  • Page 117 AWRR ALM LO: adjust the lower limit of AwRR alarm. If the measurement value is  lower than the lower alarm limit of AwRR, the information “AWRR TOO LOW” appears on the screen. After the measurement value returns to the normal one, the information disappears.
  • Page 118 output the alarm parameter value and corresponding waveforms. Tables below describe the possible physiological alarms, technical alarms and prompt messages occurring during CO measurement. Physiological alarms: Message Cause Alarm Level EtCO measuring value is above upper alarm limit. User-selectable EtCO measuring value is below lower alarm limit.
  • Page 119 AIRWAY the airway adapter is or moisture on the air adapter, ADAPTER removed from please clean it before calibrating sensor or when there is zero. an optical blockage on the windows of the airway adapter. It may also caused performing false Zero When adapter type is changed.
  • Page 120 Chapter 17 Battery 17.1 Introduction The device can configure the rechargeable battery(lithium battery), which can ensure that the device can be used normally when the patient is moving in hospital or in the condition of power failure. The battery can be charged once connecting to the AC, no matter whether the the device is powered on.
  • Page 121 measurement. 2. Connect the device to AC to continuously charge the battery for above 10 hours. 3. Disconnect the AC, use the battery to supply power for the device till shutdown. 4. Battery-powered time reflects the battery performance. If the battery-powered time is obviously lower than the time claimed in the Specification, please replace the battery or contact the service personnel.
  • Page 122 17.6 Battery recycle The battery should be replaced and recycled properly if it has obvious damage or it can not store the power normally. The disposal of scrap battery should follow the relevant laws and regulations. WARNING Don't disassembly the battery, or throw it into the fire, or make it short circuit. As ...
  • Page 123 Chapter 18 Care and Cleaning Only use the material and method listed in this chapter to clean or maintain the device. Otherwise we do not provide any guarantee. Our company has verified the cleaning and disinfection methods described in the manual. Professional personnel in hospital should obey the manual to ensure sufficient cleaning and disinfection.
  • Page 124 CAUTION If the liquid is poured into the device or the accessories carelessly, please contact with  our company or our service personnel immediately. Note Do not use alcohol or alcohol-based cleaning solution。  18.2.2 Cleaning for the reusable accessories 18.2.2.1 Cleaning for the ECG lead cables 1.
  • Page 125 until that there is no obvious dirt. 2. After cleaning, please use the new cloth or paper towel adsorbed proper tap-water to wipe the residual detergent until that there is no obvious dirt. 3. Use a dry soft to wipe the residual water. 4.
  • Page 126 Chapter 19 Maintenance WARNING The hospital or veterinary institution using the device should establish a perfect  maintenance plan, otherwise it may result in device failure and unpredictable consequences, even endanger personal safety. All safety inspections or maintenance works to the components to be disassembled ...
  • Page 127 position. Check the electrodes, cables and their placement. Refer to "ECG Monitoring" for details. • Replace a lead. Remove the ECG cable from the interface and insert it again. Thick ECG baseline. ECG cable is looped. Other power cables are close to ECG lead cables. Inappropriate power frequency.
  • Page 128 interface. the mainboard program. 19.3 Maintenance plan The following tasks can only be performed by the professional maintenance staff authorized by our company. Please contact the service personnel when you need the following maintenance. Before test or maintenance, the device must be cleaned and disinfected. Check/maintenance items Frequency NIBP air leakage check.
  • Page 129 Chapter 20 Accessories WARNING Use only the accessories specified in this chapter, as other accessories may damage the  monitor or fail to meet the specifications stated in this manual. If you find any damage to the accessories packing or accessories, please do not use the ...
  • Page 130 20.3 NIBP Accessories Airway tube Accessory name. Description Remark NIBP extension tube, L= 3 m (direct-plug connector and fast Repeatable connector (female)) Cuff Accessory name. Description Remark Small veterinary cuff with gasbag (single tube Limb perimeter (6-11 cm) length 0.2M) Middle veterinary cuff with gasbag (single Repeatabl Limb perimeter (10-19 cm)
  • Page 131 Chapter 21 Default Settings This appendix documents the most important default settings of your monitor as it is delivered from the factory. For a comprehensive list and explanation of default settings, see the Configuration Guide supplied with your monitor. The monitor’s default settings can be permanently changed in Configuration Mode.
  • Page 132 ARR ANAL PVCS ALM ALM LEV ALM REC ALM HI ST-segment analysis Factory Default Name OTHER ST ANAL ST ALM ST ALM LEV ST ALM SEC ST ALM HI 0.20 ST ALM LO -0.20 21.4 RESP Factory Default Name OTHER ALM LEV ALM REC ALM HI...
  • Page 133 ALM REC ALM HI ALM LOW SWEEP 25 mm/s PR ALM PR ALM HI 120 bpm 160 bpm 200 bpm PR ALM LO 50 bpm 75 bpm 100 bpm 21.6 NIBP Factory Default Name OTHER ALM LEV ALM REC SYS ALM HI 160 mmHg 120 mmHg 90 mmHg...
  • Page 134 T2 LO 36.0 ℃ TD HI UNIT 21.8 IBP Factory Default Name other ALM LEV ALM REC SWEEP 25.0 mm/s IBP1 UNIT mmHg IBP2 UNIT mmHg FILTER No filter Systolic/diastolic(mean) pressure(mmHg) Alarm limit other ALM HI 160/90(110) 120/70(90) 90/60(70) ART, P1, P2 LM LO 90/50(70) 70/40(50)
  • Page 135 NS ALM HI AWRR ALM HI AWRR ALM LO APNEA ALM 20 s SWEEP 25.0 mm/s Unit mmHg WAVE SCALE WORK MODE Standby ATMOS(mmHg) O2 COMPENSATE BALANCE GAS ANEA...
  • Page 136 Appendix A Product Specification A.1 Classification Anti-electroshock type Internal and external powered equipment Harmful liquid proof IPX0 degree Working mode Continuous working A.2 Physical characteristic Device model Dimension(L×W×H) Weight CMS8000VET 314mm×145mm×264mm <3.0 kg(excluding accessories) A.3 Working environment If used or stored outside the specified temperature and humidity range, the device may not meet the performance specifications listed here.
  • Page 137 A.5 Display Dimension(diagonal) 12.1 inch, color TFT display Resolution 800×600 Display information Up to 8-channel waveform A.6 LED on host Alarm indicator One alarm indicator(red / yellow) Battery indicator AC power indicator A.7 Recorder (Option) Recorder type Thermal dot-matrix Waveform 2-channel Recording width 48 mm...
  • Page 138 Lead mode 3-lead: I, II, III 5-lead: I, II, III, aVR, aVL, aVF, V Waveform 3-lead: 1-channel waveform 5-lead: 2-channel waveform, up to 7-channel waveform can be displayed on one display. Lead style AHA(American standard), IEC(European standard) Sensitivity 2.5 mm/mV(×0.25),5 mm/mV(×0.5),10 mm/mV(×1),20 mm/mV(×2),40 mm/mV(×4) Scan speed 12.5 mm/s, 25 mm/s, 50 mm/s...
  • Page 139 ability for T wave In the RR interval within the latest 6 seconds, take the average value HR mean after removing the maximum and minimum values. The heart rate displayed on the screen is refreshed in every second. Response time 80 to 120 bpm: <...
  • Page 140 impedance Bandwidth 0.2~2.5 Hz Scan speed 6.25 mm/s, 12.5 mm/s, 25 mm/s Measurement range 0~150 rpm Resolution 1 rpm 0rpm～6rpm:unspecified; Accuracy 7rpm～150rpm:±2 rpm or±2％. Apnea alarm 10~40 s Alarm limit range(rpm) Step(rpm) Alarm high limit (low limit+1)~150 Alarm low limit OTHER: 0~(high limit-1) DOG / CAT: 0~(high limit-1) A.11 NIBP...
  • Page 141 High limit of diastolic OTHER: (low limit+1)~220 pressure DOG: (low limit+1)~195 CAT: (low limit+1)~100 Low limit of diastolic 10~(high limit-1) pressure High limit of mean OTHER: (low limit+1)~235 pressure DOG: (low limit+1)~210 CAT: (low limit+1)~110 Low limit of mean 20~(high limit-1) pressure A.12 SpO Measurement...
  • Page 142 ℃ or ℉ Unit Alarm limit Range(℃) Step(℃) T1/T2 high limit (low limit +1)~50 T1/T2 low limit 0~(high limit-1) TD high limit 0~50 A.14 IBP Measurement method Invasive and direct measurement Channel Dual-channel Measurement range -50~300 mmHg Resolution 1 mmHg Accuracy ±2 % or 1 mmHg, whichever is greater.
  • Page 143 accuracy Reading ±5%, 41~70 mmHg Reading ±8%, 71~100 mmHg Reading ±10%, 101~150 mmHg At 25 ℃, inspiration/expiration CO AwRR ±1 rpm curve can be Mainstream displayed within 15s, which meets all specification At 25 ℃, inspiration/expiration CO within 2 minutes. Initialization time curve can be Sidestream...
  • Page 144 Appendix B System Alarm Prompt PROMPT CAUSE MEASURE XX value exceeds the higher "XX HIGH" Check if the alarm limits are alarm limit. appropriate current XX value is below the lower situation of the patient. "XX LOW" alarm limit. XX represents the value of parameter such as HR, ST1, ST2, RR, SpO , NIBP, etc.
  • Page 145 electrode and lead cable. Check the patient' condition; Check Patient suffers from Arr. of "VT>2" connection between VT>2. electrode and lead cable. Check the patient' condition; Check Patient suffers from Arr. of “MISSED BEATS” connection between MISSED BEATS. electrode and lead cable. Check connection pacemaker...
  • Page 146 T1 sensor is not connected "T1 SENSOR OFF" Check the connection of T1 sensor. correctly. T2 sensor is not connected "T2 SENSOR OFF" Check the connection of T2 sensor. correctly. Check the connection of ECG lead larger interference signals cable; Check the current situation of "ECG NOISE"...
  • Page 147 The NIBP cuff is not "NIBP LOOSE CUFF" Re-connect the NIBP cuff. connected correctly. The NIBP cuff is not Check the connection of each part or connected correctly or replace with a new cuff. If the failure "NIBP AIR LEAK" there are leaks in the still exists, contact the manufacturer airway.
  • Page 148 Check the connection of each part or "NIBP PNEUMATIC replace with a new cuff. If the failure NIBP airway has leaks. LEAK" still exists, contact the manufacturer for repair. Problem happens when Check the connection of each part measuring the curve. The and the patient situation.
  • Page 149 Appendix C Abbreviations C.1 Unit list Abbreviation Description µA microampere µV microvolt ampere ampere hour beat per minute ºC centigrade centimeter decibel ºF fahrenheit gram hour hertz inch inch kilo kilogram kilopascal litre pound meter milliampere hour microgram milli-equivalents milligram minute milliliter millimeter...
  • Page 150 Ω watt C.2 Terminology list Abbreviation Description alternating current adult American Heart Association left foot augmented lead left arm augmented lead right arm augmented lead blood pressure central monitoring system COHb carboxyhemoglobin direct current diastolic dot per inch electrocardiograph electromagnetic interference electro-static discharge electrosurgical unit heart rate...
  • Page 151 Disposal: The product must not be disposed of along with other domestic waste. The users must dispose of this equipment by bringing it to a specific recycling point for electric and electronic equipment. GIMA WARRANTY TERMS The Gima 12-month standard B2B warranty applies...

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