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Escort Prism 20401 Reference Manual

Patient monitor
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ESCORT Prism™ & Prism SE
Patient Monitor
Reference Manual
Prism Model
20401
20403
Prism SE Model
20411
20412
20413
20414

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Summary of Contents for Escort Prism 20401

  • Page 1 ESCORT Prism™ & Prism SE Patient Monitor Reference Manual Prism Model Prism SE Model 20401 20411 20403 20412 20413 20414...
  • Page 2 ESCORT Prism™ & Prism SE Patient Monitor Reference Manual Prism Model Prism SE Model 20411 20401 20403 20412 20413 20414 Federal law restricts this device to sale by or on the order of a physician. E9030-33R Rev F Medical Data Electronics • 12723 Wentworth Street • Arleta, California 91331-4330 (818) 768-6411 •...
  • Page 3 Preface The ESCORT Prism and Prism SE Series monitors are intended only as an adjunct to patient assessment. They cannot replace skilled nursing care and proper surveillance. Carefully read this reference manual, all directions for use of monitor accessories, and all precautionary information before attempting clinical use of any Prism or Prism SE.
  • Page 4 Safety Considerations (Prism & Prism SE) Read the following sections before using the Prism or Prism SE monitors. These cautions and warnings are presented to both increase patient safety and prevent damage to the monitor. WARNING: Shock hazard. Do not remove cover. There are NO user serviceable parts.
  • Page 5 CAUTION: Always locate the Prism or Prism SE and its power cord away from any electrosurgery and diathermy equipment and its power cord and cables. CAUTION: When operating either the Prism or Prism SE monitor from an AC power source, the wall receptacle must be a three-wire, grounded, hospital grade outlet.

  • Page 6: Table Of Contents

    Table of Contents Chapter 1 – Physical Description ......................1-1 Prism & Prism SE Front Panel ..................... 1-1 Fixed Function Keys (USA and International)................1-2 ON/STBY ..........................1-2 ALARM SUSPEND ......................1-2 ALARM SETUP........................1-3 FREEZE..........................1-3 NIBP START/STOP......................1-3 PATIENT TYPE........................
  • Page 7 AC Power Cord Input Connector and Optional Power Cord Mounting Bracket....1-13 Auxiliary Output Connector ....................1-14 Add-On Module Interface....................1-14 Recorder Release Lever ....................... 1-14 Model & Serial Number Label..................... 1-14 Prism SE Side Panel ........................1-15 Connector Panel ........................1-15 Dual Channel Recorder......................
  • Page 8 Measuring a Patient’s Temperature with Continuous Probes ..........3-10 ® Measuring a Patient’s Temperature with SureTemp ............3-10 Noninvasive Blood Pressure Measurements (NIBP)..............3-11 Selecting an appropriate NIBP Cuff ..................3-13 Displaying the NIBP Table....................3-13 Invasive Blood Pressure ......................3-14 Pulmonary Artery Monitoring .....................
  • Page 9 System Setup Factory Defaults ....................6-1 Recorder Factory Defaults......................6-2 Vital Signs Chart Factory Defaults....................6-2 ECG Setup Factory Defaults ......................6-3 Respiration Setup Factory Defaults....................6-3 SPO2 Setup Factory Defaults....................... 6-4 BP1 Setup Factory Defaults ......................6-5 BP2 Setup Factory Defaults ......................6-6 BP3 Setup Factory Defaults ......................
  • Page 10 Chapter 9 – Clinical Information System....................9-1 Introduction..........................9-1 Operation ..........................9-1 Accessing the CIS Menu......................9-2 Interacting with the CIS Menu....................9-3 CIS Status Message Zone ...................... 9-4 Setting up a Patient for Data Collection ................9-4 Initializing a New Patient Record: .................. 9-5 Initiating a Patient Query: ....................
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  • Page 12: Chapter 1 - Physical Description

    Chapter 1 – Physical Description This section describes the controls, indicators, and features located on the front, back, and side panels of the Prism and Prism SE Patient Monitors. Prism & Prism SE Front Panel 1. Monitor On/Standby Keys 2. Battery Charging Indicator 3.

  • Page 13: Fixed Function Keys (Usa And International)

    10. Patient Type Selection Key (Adult, Ped, Neo) 11. Start/Stop Manual Recordings 12. Display System Setup Menu 13. Return to Home Page 14. Seven Parameter/System Softkeys Fixed Function Keys (USA and International) The Prism & Prism SE monitor includes the following nine (9) fixed functions keys: ON/STBY, ALARM SUSPEND, ALARM SETUP, FREEZE, NIBP START/STOP, PATIENT TYPE, SYSTEM SETUP, PAGE HOME, and RECORD.

  • Page 14: Alarm Setup

    ALARM SETUP Displays the alarm status for all vital sign parameters. Alarm ON/OFF status, alarm priority level, high and low limits, and recording type for each active parameter are displayed. A bell… … next to the listed parameter indicates that one or more alarms for that parameter is ON.

  • Page 15: Record

    RECORD Initiates a 16-second recording of any one or two parameter waveforms. To stop a recording in process, press RECORD prior to completion of a manual or alarm recording. To specify the parameters to be recorded, press the softkey(s) of the desired parameter(s) within two seconds after pressing the RECORD key.

  • Page 16: Indicators

    Indicators The monitor includes up to four indicators, which illuminate to notify the operator of a specific activity or situation. These indicators notify the operator of AC power, battery charging, and alarm status. AC ON INDICATOR The green AC ON LED (Light Emitting Diode) illuminates when the monitor is connected to AC power.

  • Page 17: Prism & Prism Se Display Screen

    Prism & Prism SE Display Screen 1. ECG Lead in Use 2. Softkey Labels for Parameters Displayed in the Waveform Display Zone (WDZ) 3. Alarm Status for Parameters in the Waveform Display Zone 4. Alarm Status for Parameters in the Numeric Only Display Zone 5.

  • Page 18: Ecg Lead In Use

    1. ECG Lead in Use Indicates the ECG lead displayed in the top trace of the WDZ. Choices include lead I, II, III, or V LD (and depending on hardware and software, choices may include aVF, aVL, or aVR) (for “chest lead”...

  • Page 19: System Message Area

    7. System Message Area A message that is not specific to a single parameter, such as “ALARMS SUSPENDED 180”, is displayed in a reverse-video box, just below the WDZ. Message display is temporarily obscured when a parameter or system setup page is displayed. In the HOME PAGE state, the message continues to be displayed as long as the message condition exists.

  • Page 20: Prism Se Rear Panel

    Prism SE Rear Panel 1. External DC` Input Connector (optional) 2. Fuse Holder 3. AC Power Cord Input Connector 4. Battery Compartment 5. Model & Serial Number Label 6. Add-On Module Interface (MDE Modules) 7. Auxiliary Output Connector (optional) 8. VGA Output Connector (optional) 9.

  • Page 21: External Dc Input (12 - 28V) Connector

    1. External DC Input (12 - 28V) Connector Allows an external DC power source to be connected for extended use during transport where AC power is not available. Batteries are also charged with external DC power. 2. Fuse Holder and Fuse Replacement The fuse holder contains the fuses for the monitor.

  • Page 22: Battery Compartment

    4. Battery Compartment This compartment houses one battery (or up to two batteries on earlier units) which provide power in transport situations or when AC power is not available. 5. Model & Serial Number Label This label contains the model number and serial number of the monitor. 6.

  • Page 23: Prism Rear Panel

    Prism Rear Panel 1. External DC Input Connector (optional) 2. Equipotential Connector (grounding terminal) (optional) 3. Batteries 4. Defibrillator/ Pacer Interface 5. Fuse Holder/Voltage Selector 6. AC Power Cord Input Connector 7. Auxiliary Output Connector 8. Add-On Module Interface (J1 Connector) 9.

  • Page 24: External Dc Input (12 - 28V) Connector

    These two slots contain modular batteries which provide power in transport situations or when AC power is not available. 4. Defibrillator/Pacer Interface Provides connection and communication between the Prism monitor and the ESCORT Defibrillator/Pacer. 5. Fuse Holder/Voltage Selector and Fuse Replacement The fuse holder contains the fuses and the voltage selector for the monitor.

  • Page 25: Auxiliary Output Connector

    7. Auxiliary Output Connector Provides analog waveform or alarm relay closure interface signals from the monitor to other clinical instruments. WARNING: When connecting the Prism to any other instrument, verify proper operation before clinical use. Refer to the other instrument’s operation manual for complete instructions. 8.

  • Page 26: Prism Se Side Panel

    Prism SE Side Panel 1-15...

  • Page 27: Connector Panel

    Connector Panel The Prism SE can monitor several parameters. They include ECG, SPO , IBP (Invasive Blood Pressure), NIBP (Noninvasive Blood Pressure), Respiration, ETCO , Cardiac Output and Temperature. Dual Channel Recorder The Recorder unit provides manual and alarm recordings of any one or two waveforms simultaneously.
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  • Page 29: Multiparameter Module

    Multiparameter Module The Multiparameter Module is configured for several parameters; however your Multiparameter Module may be configured for fewer parameters. The parameters include ECG, SPO , IBP (Invasive Blood Pressure), NIBP (Noninvasive Blood Pressure), Respiration, ETCO Cardiac Output, Temperature and SureTemp. This module may be interchanged with any Prism monitor.

  • Page 30: Prism's Modular Components

    AC power is not available. • Transceiver Module – provides two-way wireless communication to the ESCORT-Link or ESCORT Vision Central Station, and serves as a repeater for the wireless network. • Telemetry Module – allows for bedside monitoring of telemetry patients.

  • Page 31: Prism Se's Modular Components

    There are several modular (user-movable) components that can be shared by all Prism & Prism SE monitors. • Transceiver Module – provides two-way wireless communication to the ESCORT-Link or ESCORT Vision Central Station, and serves as a repeater for the wireless network. • Telemetry Module – allows for bedside monitoring of telemetry patients. •...
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  • Page 34: Chapter 2 - General Instructions For Using The Patient Monitor

    Chapter 2 – General Instructions for Using the Patient Monitor Determine the Power Source The Prism and Prism SE can be powered in one of three ways: AC, battery, and external DC power. An optional auxiliary DC connector (center pin positive) labeled EXT DC 12-28V, 30VA is located on rear panel of monitor to allow external DC power source when AC is not available.

  • Page 35: Prism Se's Connector Panel

    To install the Multiparameter Module: 1. Align the Multiparameter Module’s front panel with the parameter labels facing you and right-side up. Insure the edges of module are square with the edges of monitor housing. 2. Push the Multiparameter Module into monitor until it clicks into place. To remove the Multiparameter Module: 1.

  • Page 36: Temporary Suspension Of Monitoring

    ALARM ON/OFF—Allows alarm to be turned ON/OFF. ALARM LIMITS—Allows adjustment of limits through use of ↑↓ arrow keys. SIZE/SCALE—Allows adjustment of waveform in size or sensitivity. In an invasive waveform, allows adjustment of scale for waveform being displayed. TONE—Allows audible tone for ECG, SpO2, and Respiration. WF ON/OFF—Allows waveform for vital sign to be turned ON or OFF.
  • Page 37 2. Press the TRACE SEL softkey to open the following menu. TRACE TRACE TRACE DISP DISP MORE OCRG AUTO AUTO AUTO 3. Press the softkey under desired TRACE until the parameter to be displayed is highlighted. Note that the only available parameters are those that are turned ON. 4.

  • Page 38: Monitor Default Settings

    6. Use the UP ARROW ↑ ↑ and DOWN ARROW ↓ ↓ softkeys to adjust the date and time settings. 7. Press the PAGE HOME key. Monitor Default Settings If you need to change power-up defaults so that your monitor powers up every time in a specialized mode or with settings different than the factory defaults, please refer this process to service personnel.
  • Page 39 To adjust tone volumes for all parameters: 1. Press the SYSTEM SETUP key to open the System Setup menu.

  • Page 40: More Prams Avail

    CLEAR STORE DISP TRACE AUTO MORE SETUP DATA 2. Press the MORE softkey to open the following menu. ADULT DISP TIMER CLOCK MORE OCRG SETUP 3. Press the VOL softkey to cycle through the 8 volume selections. The menu that displays after pressing VOL also allows you to set up tone volumes for all parameter alarms.

  • Page 42: Chapter 3 - Vital Sign Parameter Usage

    Chapter 3 – Vital Sign Parameter Usage NOTE: The Prism SE monitor can be used during defibrillation, but certain parameter readings may be inaccurate for a short time. Prism and Prism SE monitors provide clinical viewing of the conduction of electrical impulses through various parts of the heart (ECG).

  • Page 43: Patient Preparation

    Patient Preparation When doing any patient monitoring, proper skin prep and electrode placement are critical to ensuring patient safety as well as accurate ECG, heart rate, and respiration readings. Follow the steps and diagrams below carefully: 1. Shave areas where electrodes are to be applied if hair is present. 2.
  • Page 44 Neonatal Electrode Placement This placement is also Alternate Method: good for RESP Position RA and LA monitoring electrodes at the 2nd intercostal space, midclavicular line To monitor a patient’s ECG: 1. Open the ECG SETUP menu by pressing the softkey next to the ECG label. PACE LEAD SIZE...

  • Page 45: Selecting A Telemetry Patient To Monitor

    Selecting a Telemetry Patient to Monitor “Telemetry-monitored” patients must be prepared properly for telemetry functions to work. A 3-lead or 5-lead ECG cable (depending on the type of transmitter used) must be correctly connected to both the patient and the telemetry transmitter. The transmitter must then be secured to the patient with an appropriate transmitter pouch.

  • Page 46: Respiration

    Respiration Respiratory monitoring may be done either by impedance pneumography via ECG leads of RA (right arm) and LA (left arm) or through ETCO2. Location of ECG electrodes may need to be altered to allow correct count of RESPS. Review lead placement charts for respiratory monitoring.

  • Page 47: Pulse Oximetry (Spo2)

    Pulse Oximetry (SPO2) A noninvasive method for continuously measuring oxygen saturation and pulse rate. Hospital policies, along with the sensor's directions for use, should be followed in care and rotation of monitored sites. Insure correct sensor is being used for the type of oximetry in your monitor. To monitor a patient’s SPO2: 1.
  • Page 48 MODE for Nellcor MP405 Averaging Time Application *NORM (NOT USED) (NOT USED) (NOT USED) FAST (NELLCOR Mode 2) Typically 7-8 seconds for All monitoring situations. average pulse. Varies + – with pulse quality and other functions. *SLOW (NOT USED) (NOT USED) (NOT USED) *Nellcor OxiSmartXL Technology has eliminated the need for operation in NORM and SLOW modes.

  • Page 49: Spo2 Sensor Accessories-Nellcor

    SPO2 Sensor Accessories—Nellcor Nellcor Sensors – Contact Nellcor Sensor Model Patient size Oxisensor® II oxygen transducers N-25/N-25LF <3 or > 40Kg (Sterile, Single-use only) I-20 3 to 20 Kg D-20 10 to 50Kg D-25/D25-L >30Kg >50Kg OXI-A/N <3 or > 40 Kg Oxiband®...

  • Page 50: Spo2 Sensor Accessories-Masimo

    • There is arterial occlusion proximal to sensor • Patient is in cardiac arrest or is in shock SPO2 Sensor Accessories—Masimo Name/Type Model Number Application ® ® Adult, digit LNOP - ADT LNOP - ADT ® ® Adult/Pediatric LNOP - PDT LNOP - PDT ®...

  • Page 51: Temperature Monitoring

    Temperature Monitoring The Prism and Prism SE can accommodate a variety of continuous temperature probes, as well as MDE SureTemp oral/axillary and rectal fast temperature probes. The unit automatically senses and configures the monitor for the probe type that it detects. MDE SureTemp temperature measurements can be accomplished in either “normal”...

  • Page 52: Noninvasive Blood Pressure Measurements (Nibp)

    T1 WAIT. DO NOT place probe into position until message reads T1 READY and an audible tone is heard. 3. When ready, place probe in position. ORAL and RECTAL methods require caregiver to hold probe in position. 4. An audible tone for NORM mode signals completion of the measurement. A message on screen displays T1 FINAL.
  • Page 53 Each NIBP reading, recording, and trend printout will display an ET (elapsed time) number. This number indicates the number of minutes that have passed since the start of the last NIBP measurement. To manually measure NIBP: 1. Select proper cuff size and patient-monitoring mode for patient. 2.

  • Page 54: Selecting An Appropriate Nibp Cuff

    Selecting an Appropriate NIBP Cuff For patient safety and accurate NIBP readings, it is essential to select an appropriate cuff for patient type and size being monitored. The following table shows MDE part numbers for a variety of cuff sizes and types: MDE Part Number Application E2910-06...

  • Page 55: Displaying The Nibp Table

    Displaying the NIBP Table The Prism and Prism SE monitors stores up to 100 NIBP readings, as well as any other parameters being monitored, with their corresponding time of measurement. When you turn the NIBP table ON, the most recent readings will be displayed in tabular format in the NIBP trace (NIBP must be set up in one of the three lower traces in the waveform display zone).

  • Page 56: Pulmonary Artery Monitoring

    10. Press the SITE softkey to cycle through site labels for invasive pressure line. Highlight desired site. 11. Press the MORE softkey to access second page of menu. MEAN 12. Displayed values for SYSTOLIC/MEAN/DIASTOLIC are chosen by pressing the SMD-S/D-MEAN softkey. 13.

  • Page 57: Storage Of Invasive Pressure Values To Vsc

    4. Press the CURSOR ↑↓ softkeys to align cursor bar with end expiration. Note value displayed on cursor bar and at bottom of screen changes as cursor bar is moved. 5. Press the SAVE PAWP softkey to store PAWP value for hemodynamic calculations. Press the FREEZE key to release (if FREEZE key was used to hold display).

  • Page 58: Cardiac Output And Hemodynamic Calculations

    If a BP in TRACE 4 or 5 is turned OFF, that BP will be removed from the waveform zone. The remaining BP will be expanded into the full Trace 4 area. The 5 TRACE Mode will then be terminated. Turning BP ON again will not restore it as the 5 TRACE.

  • Page 59: Selecting A Thermodilution Catheter

    Injections are labeled as RUN 1, 2, etc. Subsequent injections are completed once START is redisplayed. A total of 6 RUNS can be displayed. Further RUNS require deletion of one of the 6. 11. Press the VIEW RUN 1 (2-6) softkey to view injection. To delete the run, press DEL RUN 1 (2-6) softkey and press the YES softkey.

  • Page 60: End Tidal Carbon Dioxide (Etco2) (Prism Only)

    End Tidal Carbon Dioxide (ETCO2) (Prism Only) End tidal carbon dioxide (ETCO2) monitoring can show early indications of circulatory and pulmonary problems. In order to have a “normal” ETCO2 (CO2) reading a patient must have active cellular metabolism that produces CO2, a functional cardiovascular system to transport CO2 to the lungs and a normal intrinsic pulmonary function or proper ventilator-assist function.
  • Page 61 WARNING: Do not allow CO2 sensor to come in contact with patient’s skin for prolonged period of time. CO2 sensor heats to prevent fogging of airway adapter windows. WARNING: Do not use damaged sensor or one with exposed electrical contacts. Refer any servicing to qualified personnel. CAUTION: Do not apply tension to sensor cable.
  • Page 62 1. Inspect circular window on airway adapter for cracks or blemishes. Replace if necessary. 2. Attach airway adapter and sensor in line proximally to patient between endotracheal, nasotracheal or tracheal tube and ventilator circuit, T-tube setup or bag/valve setup. 3. Carefully press sensor down onto airway adapter being careful not to damage glass window. 4.

  • Page 63: Etco2 (Co2) Sensor And Airway Adapter Maintenance (Prism Only)

    ETCO2 (CO2) Sensor and Airway Adapter Maintenance (Prism Only) CO2 sensor is a precision instrument, which requires proper maintenance to verify accuracy and durability. Great care must be exercised in handling the CO2 sensor. There are no user serviceable parts inside sensor. The following precautions will help protect sensor and patients: •...
  • Page 64 UNIT mmHg ETCO2 allows numeric information and waveform to be displayed. ETCO2 waveform can be placed in a trace slot. Refer to configuration instructions. CAUTION: Do not over tighten FilterLine tubing in connector. CAUTION: The Microstream CO2 FilterLine tubing is for use with approved airway adapters only.

  • Page 65: Graphical Trends

    1. Position nasal cannula on patient. 2. Connect ETCO2 tubing to Prism SE’s connector panel. 3. Observe WARM UP message on screen. ETCO2 monitoring will commence approximately 10 seconds following connection. If an error message appears, check tubing for blockage. If this does not correct problem, see the Troubleshooting section.

  • Page 66: Vital Sign Chart (Vsc)

    Vital Sign Chart (VSC) VSC is a feature that allows storage, display, documentation and editing of vital signs. The monitor stores 100 sets of tabular vital signs with most recent visible when VSC is viewed. To continuously display VSC in a trace slot, refer to configuration page. 1.

  • Page 67: Storing Vs Charts In Monitor Memory

    (bell) Entry made when an alarm is violated (alarming vital sign is shown in inverse video). Entry made when a user-initiated NIBP reading is completed. Entry made when an automatic (timed interval) NIBP reading is completed. Entry made when a predictive SureTemp reading is completed. Entry made when the user presses the STORE VS key (indicates “validated”...

  • Page 68: Oxycardiorespirogram (Oxycrg/Crg)

    CLEAR STORE DISP TRACE AUTO MORE SETUP DATA 2. Press the CLEAR PT DATA softkey and press YES softkey. 3. Press the PAGE HOME key. Oxycardiorespirogram (OxyCRG/CRG) OxyCRG is an optional trend that allows display of compressed respiration waveform (1mm/sec) correlated with trend data derived from heart rate and SpO2 over most recent two minutes of monitoring.
  • Page 69 5. To remove temporary display, press the PAGE HOME key. To display OxyCRG in Trace 2: 1. Monitor ECG, Respiration, and SpO2. 2. Press the SYSTEM SETUP key. CLEAR STORE DISP TRACE AUTO MORE SETUP DATA 3. Press the TRACE SEL softkey to display the following menu. TRACE TRACE TRACE...

  • Page 70: Alarms

    Alarms Alarm ON/OFF status and limits can be set from individual parameter menus or from ALARM SETUP page. Do not temporarily silence or disable audible alarm if patient safety would be compromised. During alarm, bell next to parameter will flash. To temporarily suspend patient alarms: 1.

  • Page 71: Alarm Bells

    understand the ramifications of turning alarms off, silencing alarms, suspending alarms, and resetting alarm criteria from factory defaults. Please read this section carefully. WARNING: Do not temporarily silence or disable an audible alarm if patient safety would be compromised. In the event of an adverse patient condition, the audio alarm will not sound if it has been temporarily silenced or disabled.

  • Page 72: Alarm Tones

    A solid bell will flash if one or more alarm criteria are violated for associated parameter, and an alarm message will display in parameter’s message area. (FLASHING) When monitored vital sign has returned within set up alarm limits, or when alarm is suspended, bell will stop flashing.
  • Page 73 Continuous recordings: 1. For ECG, press and hold the RECORD key for approximately three seconds. 2. For all other parameters, press the RECORD key followed by pressing softkey next to selected parameter for approximately three seconds. To stop a recording in progress: 1.
  • Page 74 CLEAR STORE DISP TRACE AUTO MORE SETUP DATA 2. Press the MORE softkey to display the following menu. ADULT DISP TIMER CLOCK MORE OCRG SETUP 3. Press the REC SETUP softkey to access the Recorder Setup page. DELAY TRACE MARK SNGL MORE EVENT...
  • Page 75 1. Press the door release to open recorder. 2. Remove the empty spool. 3. Install new roll with paper unrolling from bottom side. 4. Pull out five (5) inches (12.7 cm) of paper. 5. Close the recorder door. 6. Tear excess paper using downward motion. 3-34...
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  • Page 77: Chapter 4 - Additional User Infromation

    The Prism and Prism SE monitors have the capability to send vital sign data and waveforms wirelessly to ESCORT-Link and ESCORT Vision central stations via modular transponders (900 MHz - MDE part #20011 or 20011V, and 2.4 GHz - MDE part #20019 or 20019V) that attach to the back of monitor.

  • Page 78: Maintenance And Calibration

    Refer to Chapter 9 in the ESCORT Prism or ESCORT Prism SE Patient Monitor Service Manual for periodic maintenance and calibration instructions. If returned to MDE, the Prism/Prism SE must be shipped in packaging specified by MDE.

  • Page 80: Chapter 5 - Main Setup Menus

    Chapter 5 – Main Setup Menus This section describes the main system setup and vital sign menus on the Prism and Prism SE monitors. The menus are the same for both monitor types. System Setup Menus Pressing the System Setup key accesses the following menus: CLEAR STORE DISP...

  • Page 81: Ecg Setup Menus

    ECG Setup Menus ECG function menus are accessed by pressing the softkey adjacent to the ECG label. The menus are as follows: PACE LEAD SIZE MORE ALM ON OFF—Toggles ECG alarms ON or OFF. ALM LIM—Accesses alarm limits menu. SIZE—Accesses menu to increase/decrease ECG size. LEAD SEL—Accesses menu to select ECG cable (3/5) and ECG lead (I, II, III, V).

  • Page 82: Pulse Oximetry (Spo2) Setup Menus

    RR AUTO LEADS—Selects RESP source, ECG leads, CO2, or AUTO detect. APNEA DELAY 20S—Selects allowable apnea period before alarming. MORE—Displays the next menu. TONE RESP TONE ON OFF—Toggles RESP tone ON or OFF. CVA ON OFF—Toggles cardiovascular artifact detection ON or OFF. RESP ON OFF—Turns RESP monitoring ON or OFF.

  • Page 83: Noninvasive Blood Pressure (Nibp) Setup Menus

    SITE OFF ART—Adds label next to numeric to identify IBP sites. ZERO ALL—Zeroes all connected transducers. ZERO BP1—Zeroes the transducer offset. MORE—Displays the next menu. MEAN SMD S/D MEAN—Selects numeric display format. CAL—Simulates a 100/50 mmHg square wave (hold for 5-10 sec.). BP1 ON OFF—Turns BP monitoring ON or OFF.

  • Page 84: Continuous Temperature Setup Menus

    NIBP ON OFF—Press the NIBP softkey to turn ON or OFF. Continuous Temperature Setup Menus Continuous Temperature menus may be accessed by pressing the softkey adjacent to either of the Temp labels (TMP1, TMP2). Note that these menus are different for SureTemp (shown later): UNIT °C MORE...

  • Page 85: Cardiac Outpt Setup Menus

    SCALE MM/S 12.5 MORE 6.25 ALM ON OFF—Toggles CO2 alarms ON or OFF. ALM LIM—Accesses alarm limits menu. SCALE 50/75—Selects CO2 waveform scale (50, 75, 100 mmHg). MM/S 12.5/6.25—Selects CO2 sweep speed. CO2 ON OFF—Turns CO2 monitoring OFF (alarms must be disabled). MORE—Displays the next menu.

  • Page 86: Vital Sign Chart (Vsc) Setup Menus

    CONST .470 (ARROW ON 4)—Use to change the tenths column of the constant. CONST .470 (ARROW ON 7)—Use to change the hundredths column of the constant. CONST .470 (ARROW ON 0)—Use to change the thousandths column of the constant. MORE—Displays the previous menu Vital Sign Chart (VSC) Setup Menus VSC menus are accessed by pressing the softkey adjacent to the VSC label.
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  • Page 88: Chapter 6 - Factory Defaults

    Chapter 6 – Factory Defaults When the Prism & Prism SE monitor is powered on for the first time, it will be in the Neonatal mode, and all parameters will be set to their factory defaults. Each parameter has defaults for adult, pediatric, and neonatal modes (ADULT, PED, NEO). All parameter and system defaults can be user-configured.

  • Page 89: Recorder Factory Defaults

    Recorder Factory Defaults RECORDER SETUP ADULT DESCRIPTION RECD DELAY Four second delay ALRM RECDNG Alarm recording enable/disable DUAL RECDNG Dual trace recording REMOTE RECD Telemetry recording Vital Signs Chart Factory Defaults VITAL SIGNS ADULT DESCRIPTION CHART STORE AUTO Auto stores at selected intervals STORE NIBP Storing NIBP values STORE TMP...

  • Page 90: Ecg Setup Factory Defaults

    ECG Setup Factory Defaults ECG SETUP ADULT DESCRIPTION ALARMS Enables ECG alarms ALARM LEVEL Sets alarm priority level (1, 2, or 3) LATCH ALARMS Latches the ECG alarms until reset HIGH LIMIT High alarm limit setting LOW LIMIT Low alarm limit setting RCD ON ALARM Record when ECG alarm enabled FILTER...

  • Page 91: Spo2 Setup Factory Defaults

    SPO2 Setup Factory Defaults SPO2 SETUP ADULT DESCRIPTION ALARMS Enables SPO2 alarm ALARM LEVEL Sets alarm priority level (1, 2, or 3) ALARM DELAY Delay time for alarm LATCH ALARMS Latches the SPO2 alarm until reset ALARM TONE Tone during alarm HIGH LIMIT High alarm limit setting LOW LIMIT...

  • Page 92: Bp1 Setup Factory Defaults

    BP1 Setup Factory Defaults BP1 SETUP ADULT DESCRIPTION ALARMS Enables BP1 alarm ALARM LEVEL Sets alarm priority level (1, 2, or 3) LATCH ALARMS Latches the BP1 alarm until reset SYS HI LIMIT Systolic high alarm limit setting SYS LO LIMIT Systolic low alarm limit setting DIA HI LIMIT Diastolic high alarm limit setting...

  • Page 93: Bp2 Setup Factory Defaults

    BP2 Setup Factory Defaults BP2 SETUP ADULT DESCRIPTION ALARMS Enables BP2 alarm ALARM LEVEL Sets alarm priority level (1, 2, or 3) LATCH ALARMS Latches the BP2 alarm until reset SYS HI LIMIT Systolic high alarm limit setting SYS LO LIMIT Systolic low alarm limit setting DIA HI LIMIT Diastolic high alarm limit setting...

  • Page 94: Bp3 Setup Factory Defaults

    BP3 Setup Factory Defaults BP3 SETUP ADULT DESCRIPTION ALARMS Enables BP3 alarm ALARM LEVEL Sets alarm priority level (1, 2, or 3) LATCH ALARMS Latches the BP3 alarm until reset SYS HI LIMIT Systolic high alarm limit setting SYS LO LIMIT Systolic low alarm limit setting DIA HI LIMIT Diastolic high alarm limit setting...

  • Page 95: Nibp Setup Factory Defaults

    NIBP Setup Factory Defaults NIBP SETUP ADULT DESCRIPTION ALARMS Enables NIBP alarm ALARM LEVEL Sets alarm priority level (1, 2, or 3) LATCH ALARMS Latches the NIBP alarm until reset SYS HI LIMIT Systolic high alarm limit setting SYS LO LIMIT Systolic low alarm limit setting DIA HI LIMIT Diastolic high alarm limit setting...

  • Page 96: Co2 Setup Factory Defaults

    CO2 Setup Factory Defaults CO2 SETUP ADULT DESCRIPTION ALARMS Enables CO2 alarm ALARM LEVEL Sets alarm priority level (1, 2, or 3) LATCH ALARMS Latches the CO2 alarm until reset HIGH LIMIT High alarm limit setting LOW LIMIT Low alarm limit setting ICO2 LIMIT Inspired CO2 alarm limit setting PRAM AVAIL...

  • Page 97: Temp1 Setup Factory Defaults

    Temp1 Setup Factory Defaults TEMP1 SETUP ADULT DESCRIPTION ALARMS Enables Temp1 alarm ALARM LEVEL Sets alarm priority level (1, 2, or 3) LATCH ALARMS Latches the Temp1 alarm until reset ο ο ο UNITS Celsius or Fahrenheit HIGH LIMIT 38.0 38.0 37.5 High alarm limit setting...

  • Page 98: Chapter 7 - System & Parameter Messages

    Chapter 7 – System & Parameter Messages System and parameter messages remind, prompt, or warn you about the current condition of the monitor or its parameters. These messages are displayed in reverse video and may flash on and off to get your attention. System Messages The system messages, explained in the following tables, are displayed in a reverse-video box, just below the WDZ.

  • Page 99: Battery Messages

    Battery Messages MESSAGE BATTERY LEVEL MONITOR BAT HI > 60% Charge MONITOR BAT MID 20-60% Charge MONITOR BAT LOW < 20% Charge BATTERY VERY LOW Approximately 10 minutes of battery life remains (Intermittent Alarm Tone Sounds) Parameter Messages The following tables explain messages that are parameter specific. Messages concerning parameters displayed in the WDZ will be displayed in a video box below the numeric data for the corresponding waveform parameters.

  • Page 100: Spo2 Messages

    SPO2 Messages SPO2 MESSAGE MEANING SPO2 SRCH The monitor cannot locate the patient’s pulse. The patient’s perfusion may be too poor to detect an acceptable pulse. Confirm (Nellcor only) proper application of the sensor; make sure the ECG parameter is available for C-LOCK synchronization;...

  • Page 101: Noninvasive Blood Pressure (Nibp) Messages

    Noninvasive Blood Pressure (NIBP) Messages NIBP MESSAGE MEANING ET = MM:SS Indicates elapsed time (ET) since last NIBP measurement. AET = MM:SS Indicates elapsed time since last NIBP measurement while auto timer is on. AUTO Monitor is in NIBP AUTO mode. CUFF = XXX Displays as the cuff inflates and deflates, giving the pressure in mmHg.

  • Page 102: Suretemp Messages

    SureTemp Messages SURETEMP MESSAGE MEANING T1 INITIAL This message display for a few moments as the probe warms up. T1 WAIT This message displays momentarily when the probe is removed from the well. T1 READY This message means it is time to insert the probe (orally or rectally).

  • Page 103: Cardiac Output (Co) Messages

    Cardiac Output (CO) Messages CO MESSAGE MEANING NO CATH No catheter connected to the monitor. NO PROBE No temperature probe (bath or injectate) connected to the monitor. ∧ ∧ RANGE ∧ ∧ Signal over range. ∨ ∨ RANGE ∨ ∨ Signal under range.

  • Page 104: Chapter 8 - Defibrillator/Pacer

    Chapter 8 – Defibrillator/Pacer Introduction The portable ESCORT defibrillator/pacer can attach to any ESCORT 300, II 300, or Prism monitor to provide full resuscitation and pacing capability during transport or at the bedside via AC power or modular batteries. NOTE: The Prism monitor must be equipped with a “defibrillator slide mount”...

  • Page 105: Symbols (Defib/Pacer)

    connection, the unit must be operated by battery power. CAUTION: Make sure to use an ECG cable with an inline resistor so the monitor is protected from high voltage during defibrillation. CAUTION: Do not operate defibrillator in the presence of high- energy electrical fields.

  • Page 106: Defibrillator/Pacer Front Overview

    Defibrillator/Pacer Front Overview 1. Defibrillator/Pacer Carrying Handle 2. APEX Defibrillator Paddle 3. Energy CHARGE (transparent/lighted) and DISCHARGE (red) Buttons on APEX Paddle 4. Energy DISCHARGE Button on Sternum Paddle 5. Sternum Defibrillator Paddle...

  • Page 107: Defibrillator/Pacer Rear Overview

    Defibrillator/Pacer Rear Overview 1. AC Receptacle 2. Defibrillator Test Lamp 3. Voltage Select/Fuse Holder 4. Battery 5. Battery Lock...

  • Page 108: Defibrillator/Pacer Front Panel

    Defibrillator/Pacer Front Panel 1. External Pace Rate Adjustment Knob 2. QRS Indicator 3. External Pacing Mode Key 4. Pace Current Adjustment Knob 5. Pace STOP/START Key 6. CHECK PACE ELECTRODES Indicator 7. ENERGY SELECTOR Control 8. INTNL PADDLE DISCHG Key (Internal Paddle Discharge) 9.

  • Page 109: Using Defibrillator And Pacer Paddles And Electrodes

    17. Defib Energy CHARGE Key Using Defibrillator and Pacer Paddles and Electrodes External Paddles The STERNUM defibrillating paddle contains a discharge button and serves as the negative ECG electrode (placed on the upper right sternum) when the defib ECG source key is set to PADDLE. The APEX defibrillating paddle contains both a discharge button and a charge button with ready light that functions the same as the CHARGE key on the defibrillator front panel.

  • Page 110: To Apply Disposable Adhesive Electrodes To The Patient

    To Apply Disposable Adhesive Electrodes to the Patient: 1. In a non-emergency application, clean and dry skin in electrode areas, preferably with a coarse dry terry cloth. If necessary, use alcohol for removal of lotions or moisturizers, and allow area to dry completely prior to application of pads. Do not shave electrode sites. 2.

  • Page 111: Operating The Defibrillator

    Operating the Defibrillator 1. Ensure that the paddle cable is connected to the back of the defib/pacer behind the monitor. 2. Apply conductive gel (MDE part # E2700-83 or equivalent) to paddles. Do not let conductive gel form an alternate conductive path to the operator or between paddle sites. Otherwise, energy may flow across, rather than into, the chest cavity.

  • Page 112: Disarming The Defibrillator

    6. Place defibrillator paddles firmly on the patient’s chest with the STERNUM paddle near the upper sternum and slightly toward the patient’s right shoulder, and the APEX paddle over the cardiac apex. 7. Instruct all personnel to stand away from the patient and the bed before proceeding. 8.
  • Page 113 3. Number “2”—select the energy to be delivered using the ENERGY SELECT knob on the front panel. NOTE: If the energy select knob is changed after a charge is initiated, the energy will change to the new level immediately, and an intermittent tone will sound during the change.

  • Page 114: Synchronized Cardioversion

    7. Observe the patient and check Prism monitor to determine results. If repeat defibrillation is necessary, readjust the energy level as prescribed by ACLS (Advanced Cardiac Life Support) protocol, and repeat the above steps. Synchronized Cardioversion Synchronized cardioversion is the delivery of a defibrillator shock synchronized with the patient’s R-wave in order to convert abnormal rhythms to a normal sinus rhythm.

  • Page 115: Operating The Pacer

    6. Follow defibrillation procedure in the section “Operating the Defibrillator”. NOTE: The defib/pacer automatically goes to defib (async) mode after sync discharge. Operating the Pacer You can use MDE’s standard disposable adhesive electrodes for either pacing, or for both pacing and defibrillation.
  • Page 116 4. Select the desired pace rate with the external pace rate switch on the defib/pacer front panel. 5. Select either asynchronous (continuous) or synchronous (demand) pacing with the ASYNC/DMAND MODE key. The current operating mode will be shown by the green indicator light.

  • Page 117: Pacing And Defibrillating With The Same Electrodes

    • the pacing cable is properly connected to the electrodes and to the pace output connector Pacing and Defibrillating with the Same Electrodes In order to both pace and defibrillate a patient through the same set of electrodes, you will need the “Hands-Off”...
  • Page 118 8-15...

  • Page 119: Chapter 9 - Clinical Information System

    Chapter 9 – Clinical Information System Introduction The CIS Communication Module when attached to a Prism or Prism SE Patient Monitor, allows for the remote gathering of patient vital signs and data, and automatically recording them into the patient(s) records on a remote computer system. This is performed by connecting the CIS Communication Module to the user’s Clinical Information System via the Local Area Network (Ethernet) or via an RS-232 system.

  • Page 120: Accessing The Cis Menu

    1. CIS Status Message Zone 2. CIS Parameter Label 3. Softkeys for Interfacing with the CIS Menu 4. CIS Menu Display Zone NOTE: At power up, the CIS Status Message Zone (item 1 above) will begin flashing either a “NO CIS FOUND”, “SETUP PATIENT”, or “CONFIRM PATIENT”...

  • Page 121: Interacting With The Cis Menu

    3. Press the PAGE HOME key to remove the CIS Menu display and replace the regularly monitored parameters in the waveform display zone. The display will automatically return to the Home page if there is no interaction with the CIS softkeys for 90 seconds. To set up CIS for continuous display in Trace 2: 1.

  • Page 122: Cis Status Message Zone

    The action taken upon the selection of a softkey is determined by the current menu selections displayed on the CIS menu located in the Trace 2 waveform zone. To select a function, press the monitor softkey associated with the appropriate key label. During certain menu operations, the F1-F5 function key selections may be replaced by other softkey selections to match the on-screen choices displayed in the CIS Menu.

  • Page 123: Initializing A New Patient Record

    A brief overview of the patient confirmation process is included here to provide a better understanding of the significance and overall scope of this process. Upon turning the monitor ON or after selecting a NEW PATIENT via the CIS menu, the operator will interact with the monitor to “ask”...
  • Page 124 location, must be queried using the “Query By Patient Identification” method described below. Monitors that are situated between multiple room/bed locations may be configured to present the user with a list of query options. In this case, a room/bed query can be initiated by: (a) Selecting the desired room/bed location presented in the CIS menu (choices F1-F2).

  • Page 125: Confirming The Patient

    Confirming the Patient: CIS STATUS MESSAGE: CIS STATUS MESSAGE: “CONFIRM PT” (flashing) Displays Confirmed Patient’s Name and Identification Once the query has been performed, the CIS Communication Module will display the results of that query in the CIS display zone. The results should be checked for accuracy and the name/ID verified as correct.

  • Page 126: Using The Vsc Function To Set Up Cis Charting Intervals

    Using the VSC Function to Set Up CIS Charting Intervals Each monitor includes the ability to store vital signs in a tabular format at user-selectable intervals. This feature is identified as “VSC” in the monitor, short for Vital Sign Chart. This VSC feature permits the operator to determine how often and under which circumstances vital signs should be stored in the VSC table.
  • Page 127 In the sample VSC table illustration, notice that there is an unlabeled column to the left of the TIME column. This column is used to display a letter or symbol that represents the catalyst for that entry in the VSC table. This allows the operator to differentiate types of vital sign entries, which may be important in determining which entries should be included in the patient’s permanent record.
  • Page 128 1. Press the SYSTEM SETUP key then select the CLEAR PT DATA softkey. Be sure to select “YES” when faced with the “Are You Sure?” question. CLEAR STORE DISP TRACE AUTO MORE SETUP DATA —OR— 2. Select the “NEW PATIENT” function from the CIS menu. This will clear the VSC table in preparation for the new patient record.
  • Page 129 NOTE: Episodic measurements will not post to a VS chart more than once for all automatic entries, even if they are displayed and within the Valid Time. There is one exception to this rule: the STORE VS softkey will capture ALL measurements displayed on the monitor at a given time, regardless of their continuous or episodic nature.
  • Page 130 5. Press the PAGE HOME key when you have finished setting up VSC to return to the main monitoring screen. Assigning VSC to a Waveform Trace 1. Press the SYSTEM SETUP key to open the System Setup menu. CLEAR STORE DISP TRACE AUTO...

  • Page 131: Manually Entering Vital Signs Data Using The Cis Menu

    Refer to section “Deleting Vital Signs Entries”, for details on the DEL VSC ENTRY option. Manually Entering Vital Signs Data Using the CIS Menu Vital signs that are not directly monitored can still be filed into the patient record using the “Enter Vital Signs”...

  • Page 132: Cis Module Storage Capacity

    2. Press the CIS softkey associated with the ENTER VITAL SIGNS function. The following CIS menu will be displayed with the corresponding CIS softkeys shown below. NOTE: the following values depict the default values. RESP: TEMP: 98.6 (37.0) NIBP: 120 / 80 (95) SPO2: 3.

  • Page 133: Viewing The Current Patient Information

    1. Display the VSC parameter in the monitor waveform zone (refer to section “Assigning VSC to a Waveform Trace”). 2. Press the softkey adjacent to the VSC parameter label to display the VSC function keys at the bottom of the monitor (refer to section “VSC Function Keys” for additional information regarding these keys).
  • Page 134 NOTE: If the network connection is lost per the above situation, the CIS Status Message at the top of the monitor will no longer simply display the confirmed patient name. Instead, the patient name will flash and alternate with the message “NO CIS FOUND”. This will not only alert you to the fact that your network connection is lost, but will also indicate the patient the CIS Module is saving vital sign data for in the absence of the network connection.

  • Page 135: Using The Temporary Name Feature

    Using the Temporary Name Feature CIS STATUS MESSAGE: Displays Temporary Patient’s Name (Flashing) Patient vital signs information that is taken on an unconfirmed patient must be assigned a temporary patient name at the monitor. This will assist in identifying which patient record in the Clinical Information System the stored data should be sent to when the operator is ready and able to send the vital sign data to the CIS.

  • Page 136: Retrieving Vital Signs From Previous Patients

    The optional keyboard can be used to facilitate entry of the temporary name. To use the keyboard: 1. Access the TEMP NAME function as described in the previous section “Using the Temporary Name Feature”. 2. Type in the name using the keyboard and press <Enter> on the keyboard. Retrieving Vital Signs from Previous Patients Previous patient information can be filed to the Clinical Information System any time a connection to the network exists.

  • Page 137: Communication

    Table 1 shows the parameter packet format sent by the CIS module. It is identified by its 2 byte ID <ESC> <P>. Parameter numbers and names are outlined in Table 3 along with their waveform numbers. Table 1. Port 1 - Escort II Parameter Packet 42 bytes 1 byte...

  • Page 138: Waveform Packet

    HR HIGH LIMIT is 1 byte long and represents heart rate HIGH alarm limit (not currently supported at this time). HR LOW LIMIT is 1 byte long and represents heart rate LOW alarm limit (not currently supported at this time). REMOTE STATUS is 1 byte long (see Table 5 for Remote Status).
  • Page 139 NIBP Diastolic NIBP Mean Not Available Temperature Not Available CO - Escort II packets only Not Available - Escort II packets only ECG Vector 2 (No Parameter – Waveform Only) NOTE: Temperature is transmitted as an integer value with a range between 200 and 500 (Base 10).
  • Page 140 Table 5: Remote Status Remote Status Hex Value Description Null Status No activity Low Battery Battery voltage is low Alarm Suspend Alarm Suspend activated NOTE: In the event a low battery condition occurs coincident with an alarm suspend, the monitor will prioritize the event. Priority will be given to the low battery signal and the CIS module will transmit 10h.

  • Page 141: Additional Waveforms

    Additional Waveforms As previously stated, the CIS module transmits two type of packet information, a parameter packet and a waveform packet. The ECG waveform is always transmitted through the serial port by default. The Clinical Information System may request additional waveforms by issuing the following command: <ESC>...
  • Page 142 9-24...

  • Page 143: Chapter 10 - Troubleshooting

    Chapter 10 – Troubleshooting General Solutions Problem Possible Causes Action/Solution Monitor does not turn on. AC power may not be Verify AC ON light is on. connected. Parameter labels display, but Sensor or cable is not connected Connect appropriate sensor or without alarm status or data.
  • Page 144 Respiration Solutions Problem Possible Causes Action/Solution Erratic Respiration rate and Poor electrode placement or Confirm proper electrode waveform. conductivity. placement and adhesion. Respiration rate displayed less Respiration waveform amplitude Use RESP SIZE function to than actual rate. is too low. increase waveform amplitude.
  • Page 145 NO SENSOR is displayed. Sensor not connected. Check sensor connections. Damaged Sensor or cable. Verify red light on sensor illuminates. Replace cable if necessary. Unknown sensor connected. Replace with Masimo sensor. Invasive Blood Pressure Solutions Problem Possible Causes Action/Solution Will not zero - ZERO OUT OF Faulty transducer or transducer Try new transducer or rezero RANGE displays.
  • Page 146 Mainstream ETCO Solutions (Prism Only) Problem Possible Causes Action/Solution NO SENSOR message. Sensor not connected. Confirm proper sensor connection. LOW SIGNAL message. Airway adapter obstructed. Check airway adapter for obstruction. Use another airway adapter. OCCLUSION message. Particulate matter obstructing Check airway adapter for airway.
  • Page 147 ETCO Solutions (Prism SE Only) Problem Possible Causes Action/Solution No Sensor message. No filterline connected. Connect a filterline to monitor. Filt Occl message. Filter occluded/airway blockage Remove/Replace filterline. detected. SureTemp Solutions Problem Possible Causes Action/Solution T1 Position message. Incorrect probe placement or Check location of probe to verify movement.
  • Page 148 Cardiac Output (CO) Solutions Problem Possible Causes Action/Solution NO CATH message. Catheter not connected. Confirm catheter connected properly. NO PROBE message. Either injectate probe or bath Confirm both probes connected temperature probe not properly. Without probe, connected. monitor assumes 0 C injectate temperature.
  • Page 149 power. Defib/Pacer Solutions Problem Possible Causes Action/Solution Defibrillator will not charge Defibrillator cable is either Ensure that defibrillator cable (beeps intermittently) when disconnected or defective. is properly connected to the CHARGE key is pressed. defibrillator behind the Prism monitor. If problem persists, replace defibrillator cable.
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  • Page 151: Chapter 11 - Supplies, Accessories, & Options

    Defib Pacer Rolling Stand Kit – Includes GCX Rolling Stand, Basket, E100008 Fixed mounting Plate, and Rolling Stand Counterweight Part Battery Accessories Number E2700-37M Modular Battery Medical Grade – ESCORT II, Prism E2700- Battery (3.5 hours) – Prism SE 37SE7 11-1...
  • Page 152 Part Defibrillator / Pacer Accessories / Supplies Number GCX Defib Slide Mount Adapter Plate – Allows monitor equipped with E2700-03 Defib base to attach to a GCX wall mount or rolling stand E2700-80A Defib/Pacer Tester (One recommended with each Defibrillator purchase) E2900-07 Defib 3-Lead Cable (fixed) 384000-...
  • Page 153 Part ECG Accessories – CE Approved Number E2900-04 5-Lead ECG Safety Cable (Red, Yellow, Green, Black, White) E2900-03 3-Lead ECG Safety Cable (Red, Yellow, Green) E2700-60 24 inch 3-Lead Safety Snap Leadwires (Red, Yellow, Green) (10 sets) 401505 24 inch 3-Lead Safety Pinchclip Leadwires (1 set) 401506 24 inch 5-Lead Safety Pinchclip Leadwires (1 set) E2700-76...
  • Page 154 Part Microstream ETCO2 Accessories / Supplies (Prism SE Only) Number Adult / Pediatric Filterline & Airway Adapter Set – for intubated CO2 E2910-20 sampling, 6 foot (box of 25) Adult / Pediatric Filterline & Airway Adapter Set – High Humidity – for E2910-21 long term intubated CO2 sampling, 6 foot (box of 25) Infant / Neonatal Filterline &...
  • Page 155 Part NIBP Accessories / Supplies – Screw Type Fittings Number E2800-06 Adult / Pediatric Hose Assembly (12 foot) E2800-11 Neonatal Hose Assembly (8 foot) E2810-12 SE to EII NIBP CUFF ADAPTER (Quick disconnect to screw fitting) E2810-13 EII to SE NIBP CUFF ADAPTER (Screw fitting to Quick Disconnect) E2910-06 Neo Size 1 –...
  • Page 156 Part SPO2 Accessories / Supplies – Masimo Number E2810-50 Adult Finger Sensor-Reusable E2810-51 Adult Disposable Adhesive Sensors (box of 20) E2810-52 Pediatric Disposable Adhesive Sensors (box of 20) E2810-53 Neonatal Disposable Adhesive Sensors (box of 20) E2810-54 Neonatal and Preterm Disposable Adhesive Sensors (box of 20) E2810-55 Neonatal Masimo SpO Adhesive Sample pack...
  • Page 157 E9040-63 ESCORT Prism SE Service Manual E9040-55 Service Manual CDROM E9030-31 ESCORT Prism & Prism SE Operator’s Manual E9030-33R ESCORT Prism & Prism SE Reference Manual E9030-36 Reference Manual CDROM E9040-54 ESCORT Prism & Prism SE Quick Reference Guide 11-7...
  • Page 158 Part Options (Prism Only) Number OPT25 BEDRAIL HANDLE – Need 9040-60 upgrade on older units CRG and OXYCRGS – Provides CRG (Cardiorespirogram) to standard OPT37 MPM equipped with ECG/Resp. Provides OXYCRG (Oxycardiorespirogram) when and SpO2 option is purchased. VGA Output for Prism model 20401 Only – Permits all Prism waveforms and numeric data to be displayed on any standard VGA OPT53A display.
  • Page 159 HP MERLIN CONNECTORS – ECG & IBP only. For MPM’s equipped OPT38-N with Nellcor SPO2 CARDIAC OUTPUT / REF – Available in MPM’s for ESCORT II OPT39 20101 & 20300 monitors ONLY. Requires purchase of (2) or (3) Invasive Blood Pressures.
  • Page 160 Part Options (Prism SE Only) Number VGA Output for Prism SE series monitors – Permits all Prism SE waveforms and numeric data to be displayed on any standard VGA OPT53-SE display. The remote display may require an Isolation Transformer depending upon its location. Remote Display, Isolation Transformer can be purchased from a commercial source or MDE.
  • Page 161 VISION TRANSCEIVER MODULE – (900 MHz BAND) Spread 20011V Spectrum communication with Vision central station. Requires (1) per monitor. ESCORT-LINK TRANSCEIVER MODULE – (900 MHz BAND) 20011 Spread Spectrum communication with existing E3200B central stations. Requires (1) per monitor. VISION TRANSCEIVER MODULE – (2.4 GHz BAND) Spread 20019V Spectrum communication with Vision central station in the 2.4 GHz...
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  • Page 163: Chapter 12 - Specifications

    Chapter 12 – Specifications PRISM & PRISM SE SPECIFICATIONS PHYSICAL (Prism Only) Size: 9.3 x 11.8 x 10.2 in./23.6 x 30.0 x 25.9 cm (HWD) Weight: 12.35 lb/5.6 kg (includes MPM with ECG, NIBP, SPO2, Temp) Weight with 2 Batteries: add 2.9 lb/1.3 kg PHYSICAL (Prism SE Only) Size: 8.9 x 11.8 x 8.3 in./22.6 x 30.0 x 21.1 cm (HWD) Weight: 10.5 lb/4.8 kg (includes one battery pack)
  • Page 164 Range: 10 to 300 BPM Accuracy: ±2% or ±2 BPM Sweep Speed: 12.5, 25 mm/sec selectable Display Update Information: Display update interval is 2 seconds High Limit Range: 50 to 250 BPM in 5 BPM steps Low Limit Range: 20 to 150 BPM in 5 BPM steps Bandwidth: 0.5 to 40 Hz (monitor);...
  • Page 165 Range: 20 to 50° C (68 to 122° F) Alarm Limit Range 20-44° C Accuracy: ±0.1° C Probe: YSI 700 or 400, autosensing Connector: 1/4 inch (0.6 cm) stereo phone jack ® SURETEMP TEMPERATURE Patient Temperature Range: 28.9 to 42.2 ° C (84.0 to 108.0 ° F) Predictive Temperature Range: 34.5 to 42.2 °...
  • Page 166 Pulse Tone: Pitch varies with SpO value ECG Sync: NELLCOR C-LOCK (Nellcor MP405) Display: % SpO , Plethysmographic Waveform or Pulse Amplitude Bar Range: 0 to 100% Accuracy: ADULT: 0 to 69% unspecified; 70 to 100% ±2 digits; NEO: 0 to 69% unspecified;...
  • Page 167 0-150 mmHg 0-150 mmHg Mean: ADULT 0-200 mmHg 0-170 mmHg 0-170 mmHg Display Scale: 15, 30, 60, 120, 180, 240 mmHg selectable Input Connector: Std 6 pin MS, 5 uV/V/mmHg CARDIAC OUTPUT/HEMODYNAMIC CALCULATIONS CO Range: 0.1 to 19.99 liters/minute CO Repeatability: ±2% or 0.2 liters/minute from mean value, whichever is greater, as measured by electronically generated standard flow curves REF Range: 1% to 85% Blood Temperature Range: 17.5 to 43°...
  • Page 168 Operating Pressure: 430 to 795 mmHg Maximum Change Rate in Pressure: 12.4 mmHg/min Operating Altitude: -1,250 to 15,000 ft. Maximum Change Rate in Altitude: 500 ft./min Relative Humidity: 10 to 95% Ambient CO2: 0 to 700 ppm Flow Rate: 50 ml.min ±7.5 ml/min Resp Range: 0 to 150 bpm BTPS: 37°...
  • Page 169 TELEMETRY RECEIVER MODULE Frequency Range: UHF 450 to 470 MHz (20012/20012V) Frequency Range: UHF 608 to 614 MHz (20012V-M6) Sensitivity: 1 uV typical Available Transmitters: MDE models 1200LR, 20013, ESCORT Guardian models 20601,20602, 20603 Weight: 0.85 lb (0.39 kg) CIS INTERFACE MODULE Size: 13.5 x 6.6 x 3.4 cm (HWD)
  • Page 170 POWER Modular Batteries: 1-each 12V; 2.0 AH Rechargeable Sealed Lead Acid Modular Battery Capacity: 35 charges @ 360 joules or 5 hours pacing at100 mA 70 ppm Battery Charge Time: 6 hours to 90% AC Main: 115/230 VAC selectable, 48 to 62 Hz autosensing Power Consumption: Normal –...
  • Page 171 © 2003 Medical Data Electronics Inc. Part Number: E9030-33R Rev F June 2003...

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