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Datex-Ohmeda S/5 Light Monitor User`s Reference

1. 54 Selecting Tie D DEBE se ae ade Poe nn 54 Selecting the paper SIZE utis ertet rides tet utet 55 P interinstallatioNi etim a aaah Mei or p au adil 55 Printer die Questa tuac n o bh Ap 55 13 Network and DataCard 56 Networking S sta edite eodd hd pas dn annia 56 Patient view and multi view on the Datex Ohmeda Central 56 Monitor to Monitor CoMMUN CAat ON ecd meto er ele 57 Data Card een ale 57 Inserting and removing the anne aan 57 GHlleeing daten aD 58 14 ECG 59 Monitoring EGO einen 59 Applying electrodes nn ee a ea 59 59 Placingeleetr des ve oret eue pra Rey 60 Electrode COMMA ses ascen de Sere MD 60 Selecting ea ur rM 61 What should happen when electrodes are applied 61 Selecting ECG DR a aite Nu me NE 61 re nde ur AER ete RR 61 Cascaded EGO euet dq caduto down eds id uito vnde veda etat ded 62 ECG adjustments deve per Reda 62 SETUD doter tle Etpe Mn toL MANN AR 63 Seting heatt ale aa en oido
2. M del andis Calibratioriicheck nass ee ds oaov sa Mca SUMO pigs eden udo br eer ied a Ecchi General 19 INVASIVE BLOOD PRESSURE 83 Monitoring invasive pressufes Pe ER AN ra E d 83 Preparing a 83 Zeroing transducer sra ere dot de n do esie 84 Invasive pressure dS p aas axe E e de 85 POC US VNC TNE Cero 86 labeling EPI Ferte Pra te ua kan 86 CHANGING te SCAG 65 ud etn pe doe 87 Other invasive pressure setup 87 Invasive pressure alarmieren 88 DINERI ases haa Se aa I 88 20 Carbon Dioxide C02 89 Monitoring mainstream Cases 89 Display of anne 90 AI ah EAE 91 Calibration ee ee 91 92 Measunng nee 92 21 MAINTENANCE AND TROUBLESHOOTING 93 TU 93 MON OR atari pill vine eine 93 ONCER Vea ou con iiiv ee Armee eis 93 na ae einigen 93 MEE 93 ECG RES Ola Ol ter MEE 94 VITIIS Be Apu so a RM 94 nase tud s sto D aat M t
3. c Rc enfe Pte hiess 17 CoM IB Dee ee A N EU lee 17 DIS BIB a Mom S bep dm 18 19 5 Operation 20 Cettingstared 5 MR al d v 20 sequ veo yc ri 20 IN DEBWSER Aso sce vb niat elle 20 Athe end of theday deinen 20 CERTE TEE EOD DT 21 Datex Ohmeda S 5 Light Monitor 6 Batteries 22 Charging Dattenes 22 Charging inithe Monitor ssa Sedet et qo ee boe eod blo ntn 27 Removing batteries from the Battery Module sse 23 Battery alamises sk ce dais sos eto o MV M Mt 23 Storing and disposing OF Dit LOM GS sa asian dete petra en dave etie bo D at n er D ES PON 23 Cleaning 25 BUSCH Er n M oro Rx etd eL t td M cef 26 MONITOR Er eV 26 Pulse oximetry saris DS audam ee erkenne 26 ECG cables temperature probes 1 26 NIBP CUTE eure era tette vsu sens duri emer ert td 21 Invasive pressure Cables fics nun an 27 Airway aC C BSSOITOS aa a 27 cC 27 Sensors een OUR 27 ALARMS 29 Alarm Ts Iro RNC TCR 29 SmartstartalaiMS u MN TT 30 sera
4. 54 Option eve iM rH PME Nurse call and defibrillator synchronization signals 1 0 0 23 Accessories 24 INDEX General 1 HOW TO USE THIS MANUAL This manual describes how to use and maintain the Datex Ohmeda S 5 Light Monitors F LM1 and F LMP1 The General section gives you information about safety aspects and installation Get acquainted with them before using the monitor The Basic Operation section helps you through the daily basic use of the monitor The Detailed Operation section describes the monitor functions in detail These chapters are necessary if you want to master all the features available in the monitor The Troubleshooting Specifications and Index sections help you find the information you need in various situations NOTE Before using your monitor please read this manual Pay special attention to WARNING and CAUTION statements Related documents S 5 Light Monitor Technical Reference Manual The Technical Reference Manual provides detailed technical descriptions and instructions for the service maintenance procedures and troubleshooting Light Monitor Schematic Diagrams The Schematic Diagrams provide schematic diagrams and part layouts forthe monitor Patient Monitor Supplies and Accessories The Patient Monitor Supplies and Accessories Catalogue provides information on all supplies and accessories available forthe monitor Datex
5. 3 m 10 ft SAS C3 1 FingerSat Sensor cable 1 3 m 4 ft SAS F Hemodynamic 877974 ladultNIBP hose 877235 Includes ECG cables with AAMI accessory kit 1 standard adult cuff color coding 572435 1 three lead trunk cable AAMI color coding 545302 1 three lead set AAMI color coding 545317 1 adult central temperature 126 Accessories probe 16561 1 Sat Sensor Cable 3 m 10 ft SAS C3 1 FingerSat Sensor cable 1 3 m 4 ft SAS F NIBP ECG and 890935 1 adult NIBP hose 877235 Includes ECG cables with IEC 5p0 accessory kit 1 standard adult cuff color coding 572435 1 three lead trunk cable IEC color coding 545300 1 three lead set IEC color coding 545315 1 Sat Sensor Cable 3 m 10 ft SAS C3 1 FingerSat Sensor cable 1 3 m 4 ft SAS F NIBP ECG and 877971 ladultNIBP hose 877235 Includes ECG cables with IEC Temp accessory kit 1 standard adult cuff color coding 572435 1 three lead trunk cable IEC color coding 545300 1 three lead set IEC color coding 545315 1 adult central temperature probe 16561 NIBP ECG and 877972 1 adult NIBP hose 877235 Includes ECG cables with AAMI Temp accessory kit 1 standard adult cuff color coding 572435 1 three lead trunk cable AAMI color coding 545302 1 three lead set AAMI color coding 545317 1 adult central temperature probe 16561 5 0 accessory kit 5 0 accessory kit 875697 1
6. External Battery Charger w two batteries N LCHGR 114 General specifications Nurse call and defibrillator synchronization signals WARNING WARNING The nurse call signal is generated when the alarm is activated Alarm silencing suppresses the nurse call signal The defibrillator synchronization digital signal is generated by ECG The pulse Will be given on each rising R wave edge on QRS complex The pulse amplitude is 5 Vand width is 10 ms When the def sync signal is active the signal is set to state 1 After 10 ms the state is set to 0 A new pulse will not be generated before the previous pulse is deactivated PATIENT SAFETY Use only cables with shielding against electromagnetic interference Do not use delayed analog signals for defibrillator and intra aortic balloon pump synchronization 115 Datex Ohmeda 5 5 Light Monitor 116 Accessories 23 ACCESSORIES CAUTION Use only cables and accessories approved by Datex Ohmeda Other cables and accessories may damage the system or interfere with measurement For further information on the accessories listed below see the catalogue Datex Ohmeda Patient Monitor Supplies and Accessories GAS MONITORING Mainstream CO accessories Product name Ordercode Specification Mainstream CO sensor 902300 Mainstream CO sensor Use LER 5 5 Light Monitor F LM1 F LMP1 Mainstream CO airway 902301 Single use mainstream CO Use with S 5 Light Monitor adapter p
7. Sweep Speed Set the display sweep speed for the waveform display The speeds are 12 5 25 or 50 mm sec NOTE The sweep speed is same for ECG plethysmographic and invasive pressure waveforms Ventilation Mode Select Spont or Contrl for spontaneous or controlled ventilation Respiration may cause artifacts in invasive pressure measurement HR Source Select the heart rate source If the ECG signal is affected by too much noise for a reliable heart rate calculation heart rate can be calculated from pressure Art or Plethysmographic pulse waveform Pleth The selected heart rate source is shown above the numerical display of the heart rate AUTO selects the first available of ECG Art and Pleth Px Alarm Opens a submenu for adjusting Alarm settings see the Alarms chapter Previous Menu Return to the NIBP amp Inv Pressure menu 87 Datex Ohmeda S 5 Light Monitor Invasive pressure alarms Invasive pressure alarm is active only after pressure channel has been zeroed For alarm setup see the Alarms chapter Alarm messages are explained in the chapter Maintenance and troubleshooting Measuring principle The transducer converts the pressure variations into electrical signals The electrical signals are amplified and displayed as numeric pressure values and waveforms 88 Carbon dioxide LS VJ V 20 CARBON DIOXIDE CO CO can be measured with mainstream method N LCM option using Mainstream CO Sensor
8. 74 22 Temperature F Temperature setup Unit Temp Label e Press Menu e Select SpO2 amp Temp e Select Temp Setup amp Alarm p02 amp Temp Temp Setup amp Alarm ie gt lt Temp Label Temp Temp Alarm Previous Menu Change temperature unit C or F Selects unit C or F Select the label AirW airway temperature Axil axillary temperature Blad bladder temperature Eso esophageal temperature Myo myocardial temperature Naso nasopharyngeal temperature Rect rectal temperature Room room temperature Skin skin temperature Temp temperature Tymp tympanic temperature Core central temperature Surf surface temperature Previous Menu Return to 5 02 amp Temp menu 75 Datex Ohmeda 5 5 Light Monitor 18 NON INVASIVE BLOOD PRESSURE NIBP A The monitor can measure NIBP automatically after set intervals ortake single 1 7 measurements or measure continuously for five minutes in STAT mode WARNING PATIENTSAFETY The monitor sets the inflation pressure according to the first measurement Reset the monitor between patients to reset the inflation limit CAUTION Vibrations during transport may disturb the NIBP measurement Monitoring NIBP e Selectthe appropriate cuff and hose Table 18 1 NIBP cuff sizes Limb circumference inch Large adult Standard adult Small adult Child Infant Disposable infant cuff 5 NOTE Always use the white hose when measuring little
9. 75 cm 30 in 545343 300 Series replacement cli white C 75 cm 30 in 545344 300 Series replacement cli black LA 75 cm 30 in 545345 300 Series replacement cli brown V 75 cm 30 in 545358 300 Series replacement cli red LL 75 cm 30 in Specification 300 Series 545359 300 Series replacement cli replacement clip white RA 75 cm 30 in lead 545346 300 Series replacement cli red LL 125 cm 49 in 545347 300 Series replacement cli green F 125 49 in 545348 300 Series replacement cli black N 125 cm 49 in 545349 300 Series replacement cli green RL 125 cm 49 in ECG replacement snap leads 300 Series 545350 300 Series replacement snap lead replacement snap red LL 75 cm 30 in lead 545351 300 Series replacement snap lead black LA 75 cm 30 in 545352 300 Series replacement snap lead white RA 75 cm 30 in 121 Datex Ohmeda 5 5 Light Monitor 545353 300 Series replacement snap lead brown V 75 cm 30 in 545354 300 Series replacement snap lead red LL 125 cm 49 in 545355 300 Series replacement snap lead green RL 125 cm 49 in ECG cables miscellaneous Combiner for 300 545390 Series 3 lead set pkg of 3 pcs Combiner for 300 545391 Series 5 lead set pkg of 3 pcs Organizer for 300 545392 Series 3 lead set pkg of 10 pcs Organizer for 300 545393 Series 5 lead set pkg of 10 pcs 891192 Bed sheet clip Use with all Datex pkg of 3 pcs Ohmeda ECG cables Electrodes
10. Datex Ohmeda 5 5 Light Monitor Figure 19 1 Invasive pressure setup for disposable and reusable transducers 1 Heparinized fluid bag with pressure infusor 2 Flushing set 3 Transducer 4 Adapter cable for using disposable transducers Zeroing transducer Always zero the pressure transducer before monitoring and check zero level after power interruptions To zero the transducer e Open the transducer to air e Press the Zero ALL key or select Zero Px the amp Inv Pressure menu The messages Zeroing and Zeroed are displayed accordingly After the channel is zeroed the zeroing time appears in the menu If the zeroing fails the previous zero is used 84 Invasive blood pressure e Openthetransducerto the patient NOTE ICP can be zeroed via the NIBP amp Inv Pressure menu only CAUTION Mechanical shock to pressure transducer may change zero balance and calibration Invasive pressure display After the line is zeroed and opened to the patient the pressure wave appears If two pressures are measured they can be combined with individual scales Select separate or combined waveforms in the Monitor Setup Waveform Fields menu see chapter Monitor setup G9 GO Art244 50 mmHg 130 82 93 Figure 19 2 Combined pressure waveforms 1 Invasive blood pressure waveforms with zero and reference lines 2 Selected pressure label 3 Se
11. automatic self calibration every 30 ms adjustable high and low alarm limits for Et Fi CO and respiration rate 18 5 g excluding cable 3 meters 80 seconds from 25 C 77 F 100 ms typical value in conditions 22 5 C 760 mmHg CO in balance air IE 1 2 General Monitor WxDxH Battery module WxDxH Weight Weight w battery 325x160 x210 mm 12 8 6 3 x8 3 290 x150 x40 mm 11 4 x5 9 x1 6 4 2 kg 9 3 Ib 6 1 kg 13 5 Ib 111 Datex Ohmeda 5 5 Light Monitor Input voltage Power consumption Safety standards Output specifications Printing Recorder option 12 5 VDC 17 5 37 W depending on the options used Designed to meet IEC 60601 1 CAN CSA C22 2 No 601 1 M90 and UL 2601 1 CE marking according to Directive 93 42 EEC RS 232 computer serial output Defibrillation synchronization signal According to ANSI AAMI EC13 1992 Time interval from R peak to sync pulse output 35 ms Nurse Call Analog output 2 fixed and 2 freely configurable outputs Local printing with laser printer PCL5 or via network Built in three channel thermal array recorder Environmental conditions Operating temperature Storage temperature Relative humidity Mechanical shock 0 40 C 32 104 F CO and Nellcor options 5 40 C 41 104 F mainstream sensor 10 40 C 50 104 F Nellcor measurement optimal temp 28 40 C 82 104 F Battery charging tempe
12. monitor setup 29 NIBP setup 57 Respiration setup 57 screen setup 29 temperature setup 57 time and date 29 trend setup 29 Charging batteries 15 Checklist 91 Cleaning 15 airway accessories 15 ECG cables 15 invasive pressure 15 NIBP Cuff 15 NIBP hose 15 Pulse oximetry 15 temperature probes 15 C02 57 checklist 91 Cleaning the accessories 15 CO2 waveform 57 Collecting Data 29 Combine Pressures 29 Combined pressures 57 Compensation 0 and 02 57 ComWheel 15 Configuration 1 Connecting mainstream sensor 57 Connectors patient cables 15 Continuous NIBP measurement 57 Contrl 57 CS 3 monitors 29 Cycling NIBP 57 D Data collecting 29 entering patient data 29 DataCard 29 Date 29 Def sync signal 91 Default 29 alarm limits 29 settings 29 Defaults returning to 29 Defibrillator proof 1 Degree of protection against harmful ingress of water 1 Description patient cable connectors 15 rear panel 15 screen 15 Detection limits respiration 57 Digit Fields 29 Discarding the monitor 1 Disinfecting 15 Display 15 Disposal 1 DURASENSOR 57 DURA Y 57 Dust filter Cleaning 15 Dyshemoglobins 57 ECG 57 adjustments 57 applying electrodes 57 checklist 91 electrodes 57 selecting lead 57 Electrical interference respiration 57 Electrodes 57 Electrosurgery 57 Warning 1 57 End ofthe Day 15 Entering name 29 Erasing trend 29 Erasing Tr
13. 15 24 58 97 128 81 5 8 130 82 1 14 c Show numerical 15 25 58 97 i128 81 5 8 1 0 82 t 14 a 5 0 trends 15 26 58 97 128 35 8 130 82 14 125in 15 27 58 57 i28 81 35 8 1307 82 1 14 HIBP CYP Temp Resp mmHg Sys Dia mmHg Spont Inped 128 81 14 35 8 12 Mean 1931 Manual 25 12 Amin Figure 10 2 1 2 3 4 Numerical trend page List of selections Real time ECG above the trend information Numeric trend information Movable cursor Parameters displayed are HR SpO NIBP sys dia P1 Art sys dia P1 CVP mean CO Et Fi RR 48 Trends mm Changing trend setup Trend etup Page 1 Field 2 HR Field 3 NIBP Field 4 Sp02 Field 5 Resp Previous Menu Change contents of field 1 To clear field select OFF e Select Trend Setup in Trends menu e Selectthe graphic trend page you want to change e Selectthe parameter for each field or select OFF If you want to make your trend setup permanent you can store it see chapter Monitor setup Default settings Erasing trend data e Press Menu e Goto Patient Data e Select Reset Trends e Select YES to confirm resetting trends 49 Datex Ohmeda 5 5 Light Monitor 11 PATIENT DATA Last Name First Name Patient ID Reset Trends Reset ALL Main Menu Patient Data menu is used for identifying the patient case and erasing trends and settings
14. 3 lead trunk Requires 300 Series lead set cable IEC cable 1 2 m 4 ft with IEC color coding EC color coding 545300 300 Series 3 lead trunk Requires 300 Series lead set cable 3 0 m 10 ft with IEC color coding EC color coding 545304 300 Series 3 lead trunk Requires 300 Series lead set cable 5 0 m 16 ft with IEC color coding EC color coding 300 Series 5 lead trunk 545306 300 Series 5 lead trunk Requires 300 Series lead set cable IEC cable 1 2 m with IEC color coding EC color coding 300 Series 5 lead trunk 545301 300 Series 5 lead trunk Requires 300 Series lead set 119 Datex Ohmeda S 5 Light Monitor cable IEC cable 3 0 m 10 ft with IEC color coding IEC color coding ECG lead sets IEC color coding 300 Series 3 lead set 545315 300 Series 3 lead set with Detachable leads IEC clips 75 cm 30 in Requires 300 Series trunk cable IEC color coding with IEC color coding 300 Series 5 lead set 545316 300 Series 5 lead set with Detachable leads IEC clips 125 cm 49 in leg Requires 300 Series trunk cable and 75 cm 30 in chest with IEC color coding IEC color coding ECG trunk cables AAMI color coding Product name Order code Specification 300 Series 3 lead 545307 300 Series 3 lead trunk cable Requires 300 Series lead trunk cable AAMI 1 2 m 4 ft AMI color coding set with AAMI color coding 545302 300 Series 3 lead trunk cable Requires 300 Series lead 3 0 m 10 ft A
15. Mounting attachment 6 Extemal VGA connector X7 7 Connector for network location ID plug X6 8 Network connector X5 16 Operation Keys and controls On Standby Returns back to normal monitoring display Screen 7 Silence N Silences the alarm sound for two minutes Calls up the main menu which enables changing the monitor settings f NIBP w Opens NIBP mini menu for autocycling or a single non invasive Start Cancel blood pressure measurement Cancels any NIBP measurement Zeroes all invasive pressure lines except ICP which needs to be zeroed separately see chapter Invasive pressure Stops the waveform sweep for 60 seconds Pressing it again JOE unfreezes the sweep Recorder Starts stops recording of selected waveforms with the built in Start Stop recorder ComWheel 829 Menu functions are controlled by turning and pressing the 5 ComWheel xs Nes 17 Datex Ohmeda 5 5 Light Monitor Display Q II 1 Lead II 58 hrog 123 0 5 0 Resp 2 FI 0 0 12 min Resp mmHg Sys Dia mmHg Spont ec Imped 128 81 14 35 8 12 Mean 93 Manual 25 12 min Figure 4 3 Parts of the display 1 Alarm message field for five messages 2 Battery status field 3 Actualtime 4 Up to four waveform fields with numeric information 5 Up to four digit fields The waveform and digit fields are configurable se
16. Tymp Core Surf arterial pressure central venous pressure intracranial pressure invasive mean of diastolic and systolic pressures non invasive blood pressure blood pressure pulmonary arterial pressure systolic diastolic temperature airway temperature axillary temperature bladder temperature esophageal temperature myocardial temperature nasopharyngeal temperature rectal temperature room temperature skin temperature temperature tympanic temperature central temperature surface temperature Datex Ohmeda 5 5 Light Monitor Miscellaneous Casc cascaded ECG waveform ECG electrocardiography EL electroluminescence display HR heart rate LED light emitting diode Pleth plethysmograph waveform P N part number PR pulse rate 5 0 oxygen saturation measured by pulse oximeter MS mainstream CO measurement SN S N serial number Conventions used in this manual Names of the keys appear in bold typeface Normal Screen Selectable menu items appear in bold and italic typeface Previous Menu Informative messages displayed on the screen are enclosed in single quotes Please wait 2 SAFETY Warnings WARNING X Indicates situations in which the user or the patient may be in danger of injury or death EXPLOSION HAZARD Do not use the monitor in presence of flammable anesthetics ELECTRICAL SHOCK HAZARD Do not remove cover Refer servicing to qualified service personnel Use only hospital grad
17. and airway adapter Respiration rate is the frequency of the peak end tidal CO value per minute Monitoring mainstream CO Figure 20 1 Connecting mainstream CO sensor 1 Connectthe special airway adapter between the elbow adapter and Y piece with the saddles upright 2 Attach the Mainstream CO Sensorto the adapter between the saddles so that the sensor cable fits into the slot on the farther saddle Ensure the connection between the sensor and the adapter with the Velcro tape supplied with the sensor 3 Connectthe sensorto the connector on the monitor s side panel Place the adapter as close to the patient airway as possible Make sure that the sensor remains in upright position 89 DatexOhmeda 5 5 Light Monitor CAUTION WARNING WARNING WARNING WARNING To remove the adapter e Detach the sensor before removing the adapter from the circuit Do not apply force to the sensor or sensor cable Selectthe airway adapter according to the patient s status Refer to the instructions for use provided in the adapters package Using the adult pediatric mainstream airway adapter endotracheal diameter gt 5 5 mm increases the dead space by 6 ml With the low dead space airway adapter diameter 5 0 mm the increase is 0 6 ml NOTE Airway adapter selection recommendations should be used as a guideline It is important for the clinician to assess each patient when selecting the appropriate airway adapte
18. children Make also sure the Inflation Limits selection is setto 150 mmHg or Auto 76 Ceo Non invasive blood pressure Over brachial artery Use smaller cuff Correct size Use large cuff e Attach the cuff to the patient and the hose to the NIBP connector located on the right side panel of the monitor e Make sure that NIBP tubes are not bent pressed or stretched Measurement may be impaired e Press the NIBP key to open the mini menu e Select Start Cycling or Start Manual and press the ComWheel e You can also adjust the cycling time by selecting Set Cycle Time Adjust the time by tuming and pressing the ComWheel e Observe the cuffed limb frequently The measurement may impair blood circulation Display of NIBP measurement Systolic pressure 2 Diastolic pressure Field shows the selected measurement Manual STAT or the time since last autocycle measurement 77 Datex Ohmeda 5 5 Light Monitor 4 Mean pressure value of non invasive blood pressure Atthe beginning of the measurement the cuff pressure is displayed in the mean pressure value field If motion artifacts are detected the monitor automatically retains deflation until the motion stops maximum of 30 seconds If the artifacts interrupt proper measurement a new measurement is automatically activated When the measurement is ready a short beep is heard and the result starts flashing Automatic NIBP dou
19. completely Such devices are electrosurgery units and infrared heaters among others Intermittent mechanical ventilation During spontaneous breathing the ventilator may at times support the patient s ventilation with an extra inspiration If these ventilator inspirations are substantially larger than the spontaneous breaths the respiration calculation may mistakenly count only the ventilator produced inspirations and expirations You can correct this by manually adjusting the detection limits I Press the Menu key 2 SelectECG amp Resp 3 Select Resp Setup 4 Select Detection limit Measuring principle ECG electrodes are used to measure impedance change across the thorax Impedance change is caused by movements and changing air volume in the lungs Lead selection Signal fed Signal measured using 3 lead between cables electrodes nn e hem eit may be neutral N in some older 3 lead sets 67 Datex Ohmeda 5 5 Light Monitor 16 PULSE OXIMETRY Pulse oximetry is used for monitoring oxygen saturation SpO pulse rate 2 and plethysmographic waveform The plethysmographic pulse waveform reflects the changes in blood pulsation atthe measuring site The amplitude of the waveform reflects the strength of perfusion except when using the Nellcor option N LNSAT Pulse oximetry is measured with a sensor from finger toe ear or with little children from palm or feet Monitoring pulse oximetry Atta
20. higher than maximum inflation pressure or artifacts in systolic area Automatic retrial with increased pressure Message stays 10 seconds Artifacts accurate diastolic pressure difficult to measure Message stays 10 seconds Unstable zero pressure when cuff is inflated New measurement in correct time Measurement stays 10 seconds Adult or child cuff is used but the selected infant mode restricts the inflation pressure too low to be able to measure the blood pressure Message stays 10 seconds Measurement time overtwo min adult and child mode and one min infant mode Message stays 10 seconds When measurement is going and VENOUS STASIS is attempted Pressure alarm limit is exceeded New measurement is performed automatically to check the blood pressure Message stays 10 seconds 100 Call service ErrorX beep Temperature Alarms Messages Temp High Notes Messages Performingtemp test Temperature error Pulse oximetry Alarms Messages SpO2 probe off No SpO2 pulse Faulty probe Notes Messages Probe off No pulse Artifact Check Probe Poor signal Maintenance and troubleshooting NIBP hardware error Contact authorized service personnel error number 1 99 Message stays on the screen See Technical Reference Manual Explanation Measured temperature value exceeds the alarm limit Explanation During the calibration test Error message if calibration test fails Explanation Sensor i
21. invasive blood pressure NIBP adjustments NIBP amp Inv Press NIBP Setup amp Alarm Set Cycle Time Ready Prompt Inflation Limits Calibration Check NIEP Alarm Previous Menu Change interval between automatic cuff inflations mins Set Cycle Time Select desired interval time of 1 2 5 3 5 10 15 30 or 60 minutes Ready Prompt Vol Adjust the volume of the beep that informs when the NIBP measurement is ready The range is from 1 soft to 10 loud or 0 OFF Inflation Limits Select the inflation pressure limit 280 200 or 150 mmHg Calibration Check Start the pressure calibration check with an external manometer See instructions below NIBP Alarm Opens a submenu for adjusting the NIBP alarms see the Alarms chapter Previous Menu Return to the NIBP amp Inv Pressure menu Calibration check Remove the cuff from the connector before entering the menu e SelectCalibration Check ON in NIBP Setup menu e __ henthe calibration menu appears attach an external manometer with pump to the connector e Pump ca 200 mmHg and compare the readings of the manometer and display If the difference is greaterthan 4 mmHg the calibration must be checked by an authorized service person 81 Datex Ohmeda 5 5 Light Monitor NIBP alarms NIBP Alarms are set in the Alarm Setup menu see the Alarms chapter The alarm messages are explained in chapter Maintenance and troubleshooting Measuring principl
22. monitor Sp0 A damaged sensor ora sensor soaked in liquid may cause bums during electrosurgery Cautions CAUTION Safety 5 0 Change measuring site frequently Change the sensor site and check skin and circulatory status every 2 4 hours with adults and every hour with small children The output signals are not floating and must not be connected directly to a patient Do not use delayed analog signals for defibrillator or intra aortic balloon pump synchronization The monitor is intended for use by qualified medical personnel only InvBP All invasive procedures involve risks to the patient Use aseptic technique Follow catheter manufacturer s instructions InvBP Use only defibrillator proof cables and transducers Indicates situations in which the unit or devices connected to it may be damaged Use licensed patient cables and accessories only see Patient Monitor supplies and accessories catalogue Other cables and accessories may damage the system or interfere with measurement Before connecting the power cord ensure that the input voltage selector is set correctly in the external power adapter Use the monitor outdoors with the battery power only Do not store the monitor beyond the specified temperature range Do not use hypochlorite ammonia phenol or acetone based cleaners They may damage the monitor Clean rear panel fan dust filter once a month or whenever needed Leave space around the mo
23. monitors connected to the system In between patients Printtrends see chapter Recorder Reset previous case Press Menu and select Patient Data Reset ALL e Change single use accessories clean reusable ones e Check the monitor and accessories before use e Plugin the power cord to charge batteries At the end of the day e Tumthe monitor to standby Remove the power cord e Clean the monitor and reusable accessories Let dry completely e Plugin the power cord to charge batteries 20 Using menus e Press the Menu key e Select the item by turning and pressing the ComWheel e Change settings by turning and pressing the ComWheel Need help Short instructions appear in every menu e Press Normal Screen 21 Operation Main Menu ECG amp Resp NIBP amp Inv Press 5 02 amp Temp co2 Alarms Setup Trends Record Print Patient Data Monitor Setup Hoda aw uy ud Normal Screen Show ECG amp Resp menu to change ECG amp Resp settings Alarms Setup ALARM LIMITS AND 10 MIN TRENDS Adjust Limits z 05585 Auto Limits HR NIBP Arti Sp02 C02 02 Resp Default Limits Cancel Changes Alarm Sources g Alarm Volume Audio ON OFF Alarm History Remove Menu Main Menu Push wheel to adjust alarm limits manually Temp Normal Screen Datex Ohmeda 5 5 Light Monitor 6 BATTERIES The monitor can be equipp
24. paper size e Press Menu e Select Record Print e SelectPrint Graphical e SelectPrinter Paper Size and the right one of A4 or Letter size Printer installation WARNING WARNING Printer setup A laser printer can be connected to the monitor s serial connector and used as the local printer The printer must be able to use PCL5 and a special converter cable p n 894193 is required when using the parallel connection The printers with serial connection can be connected directly to the monitor with a standard cable Purchase the printer locally The printer memory should be at least 2 MB ELECTRIC SHOCK HAZARD The printer must be supplied from an appropriate extra separating transformer ELECTRIC SHOCK HAZARD Before starting to use the system ensure that the entire combination complies with the international standard IEC 60601 1 1 and with the requirements of the local authorities For instructions refer to the printer s documentation Make sure that the printer settings are set to serial interface 55 Datex Ohmeda 5 5 Light Monitor 13 NETWORK AND DATACARD The monitor can be equipped with following options to enhance data continuum capabilities in the Datex Ohmeda 5 5 information system N LNET Network N LDATA DataCard N LDNET DataCard and network Networking Ifthe monitor is connected to the network the symbol is displayed When the monitor is connected to network e Time and date are set by the
25. the lead is displayed in the ECG field and above the HR numerics Applying electrodes WARNING PATIENT SAFETY Ensure proper contact of the electrosurgery return electrode to avoid possible burns on the patient via ECG electrodes and probes Make sure that no part of the patient connections touches any electrically conductive material including earth Patient preparation e Ensure good skin contact with the electrodes Remove excessive body hair skin oil etc e Check that the pre gelled electrodes are moist and have not dried out during storage 59 Datex Ohmeda 5 5 Light Monitor Placing electrodes Avoid bones close to the skin obvious layers of fat and major muscles RED IEC RED IEC YELLOW IEC WHITE AAM LACK AAMI WHITE LEADI o_O LEAD LEAD Ill LEAD Il YELLOW GREEN GREEN a RED AAMI RED Figure 14 1 Lead selections in typical electrode positioning Left Standard 3 Lead Positioning Middle Modified CB 3 Lead Positioning Right Standard 5 Lead Positioning place the fifth electrode in one of the six places indicated Electrode coding Table 14 1 IEC and AAMI codes for ECG electrodes 3 LEAD IEC STANDARD 5 LEAD IEC STANDARD yellow left arm R red right arm green foot N black neutral R right arm L yellow left arm green foot C white chest 3 LEAD AAMI STANDARD 5 L
26. 0 P1x1 25 10 1 0 75 10 1 1 25 10 1 0 75 10 x1 25 5 0 75 5 x1 25 5 0 75 5 CVP 1 25 5 0 75 5 36 Alarms m PA Sys High PAx1 25 10 Low PA x0 75 10 Mean High PAx1 25 10 Low PAx0 75 10 High PAx1 25 10 Low PA x0 75 10 ICP Sys High ICP 1 25 5 Low ICP x0 75 5 Mean High ICP x1 25 5 Low ICP x0 75 5 High ICP x1 25 5 Low ICP x0 75 5 2 High EtCO 1 Low EtCO 1 Resp High RR 1 25 2 Low RR 75 2 Temp High Temp 1 C 1 8 F Low Temp 1 C 1 8 F 37 Datex Ohmeda S 5 Light Monitor 9 MONITOR SETUP The Monitor Setup menu enables you to select the information displayed on the screen to set the time and date and to change the default settings via the Install Service menu Getting to Monitor Setup e Press Menu e Select Monitor Setup Main Menu Monitor Waveform Fields Digit Fields Set Time and Date Install Service Main Menu Configure waveforms and rightmost digit fields shown on Normal Screen Screen setup Selectthe parameters displayed in the waveform and lower digit fields A parameter can be displayed in one place only at the time The monitor turns to the default settings every time it is turned off If you want to save a certain screen setup as default see Install Service adjustments later in this chapter Selecting waveforms Four waveforms can be displayed If one field
27. 3 s and infant 20 s adult child infant 185 150 120 280 200 150 320 220 165 2 2 1 320 220 165 Invasive blood pressure F LMP1 models only Measurement range Measurement accuracy Numeric display Range Resolution Averaging Display update Alarms Waveform display Range Scales Pulse rate Measurement range Resolution 40 320 mmHg 5 or 2 mmHg 40 320 mmHg 1 mmHg over 5 s or end expiratory filtering every 5s adjustable high and low alarm limits for systolic diastolic and mean pressures or off 30 300 mmHg adjustable in 10 mmHg increments 30 250 bpm 1 bpm 110 Resolution Accuracy Transducer sensitivity Pressure filter CO option N LCM Principle of operation Measurement range Accuracy Respiration rate measurement range Pressure compensation Gas compensations Calibration Alarms CO sensor weight Cable length Warm up time Response time General specifications 1 bpm 5 or5 bpm 5 uV V mmHg 5 Vdc 20 mA 22 Hz 3 dB for P1 Art 9 Hz 3dB for P2 CVP PA ICP Non dispersive infrared single beam single frequency fully chopped ratiometric 0 99 mmHg 0 13 vol 0 13 kPa 0 40 mmHg 0 5 3 vol 2 mmHg 30 3 vol 41 76 mmHg 5 3 10 5 of reading 77 99 mmHg 10 13 90 10 of reading 4 150 breaths minute automatic continuous User selectable 02 N20 or OFF No routine calibration required
28. 577 Reusable transducer 165700 Spectramed P10EZ 1 0 45 m Requires flushing kit 16571 1 5 ft Sensitivity 50 uV V cmHg and adapter cable 54586 Holder for InvBP 16579 Holderfor2 xSensoNor 840 transducer transducers Adapter cable 54586 Cable 3 8 m 12 ft Use with Beckton Dickinson DTX disposable pressure transducers or Spectramed P10EZ 1 Adapter cable 875408 Cable 30 cm 1 ft Use with HP 1290C type pressure transducers 124 Accessories Flushing kits disposable Disposable flushing kit 16577 Disposable flushing kit for Sterile pkg of 10 kits transducer SensoNor 840 Each kit includes tubing and one dome Disposable dome 16578 Disposable dome for transducer Sterile pkg of 50 pcs SensoNor 840 Disposable flushing kit 16571 Disposable flushing kit for pkg of 5 kits transducer Spectramed P10EZ 1 INTERFACE CABLES Interface cables for configured monitors Product name Specification Note Light Monitor Printer 894193 Light Monitor models F LM1 and Local laser printer cable cable F LMP1 printer cable PCL5 Portable monitor 572238 Portable Monitor Wall Mount Requires mounting plate wall mount 890915 for Light Monitor Max load 27 kg Portable monitor 572235 Portable Monitor Roll Stand Requires mounting plate roll stand 890915 for Light Monitor Includes basket for monitor accessories Light monitor 890915 Light Monitor Universal Mounting Mounts Light Monitorto mounting plate Plate Portable
29. 7 Returning to defaults 29 Rotating wheel 15 5 5 0 29 57 Safety Symbols 1 Save as Defaults 29 Scale Automatic Plethysmographic 57 C02 57 Pleth 57 Scaling ECG 57 invasive blood pressure 57 Screen 15 Screen setup 29 Selecting ECG lead 57 heart rate source 57 paper size 29 parameters for display 29 printer 29 pulse oximetry sensor 57 temperature unit 57 Setting alarm volume 29 screen layout 29 time and date 29 Signals defibrillator synchronisation 91 nurse call 91 Silencing alams 29 5 02 57 Nellcor sensors 57 response 57 Spont 57 Spontaneous Index Breathing 57 Startinga case 29 STAT mode 57 Steam autoclave 15 Sterilization 15 Stoppinga case 29 Sub menu 1 Sweep speed C02 57 invasive pressure 57 Symbols 1 battery status 15 T Temperature checklist 91 setup 57 unit 57 Testing Temperature 57 Thermal paper 29 Thick waves 29 Time 29 Transducer Oxygen 57 Transducer kit 57 Transport power adapter 1 Trends 29 changing page 29 erasing 29 setup 29 viewing graphic 29 viewing numerical 29 Troubleshooting 91 Tuberculosis 15 Turning Audible Alarms Off On 29 Type BF 1 Type of protection against electrical shock U Unit Datex Ohmeda 5 5 Light C02 57 Unit conversions C02 57 Unpacking 1 Using data card 29 Network 29 V Vasoconstrictive drugs 57 Venous Stasis 57 Ventilation mode 57 Viewing Graphic Trends 29 Viewing Nume
30. AMI color coding set with AAMI color coding 300 Series 5 lead 545308 300 Series 5 lead trunk cable Requires 300 Series lead trunk cable AAMI 1 2 m 4 ft AMI color coding set with AAMI color coding 300 Series 5 lead 545303 300 Series 5 lead trunk cable Requires 300 Seri trunk cable AAMI 3 0 m 10 ft AAMI color coding set with AAMI color coding ECG lead sets AAMI color coding 300 Series 3 lead 545317 300 Series 3 lead set with clips Detachable leads set AAMI 75 cm 30 in AAMI color coding Requires 300 Series trunk cable with AAMI color coding 300 Series 5 lead 545318 300 Series 5 lead set with clips Detachable leads set AAMI 125 cm 49 in leg and 75 cm 30 Requires 300 Series trunk in chest AAMI color coding cable with AAMI color coding 300 Series 3 lead 545327 300 Series 3 lead set with snaps Detachable leads set AAMI 75 cm 30 in AAMI color coding Requires 300 Series trunk cable with AAMI color coding 300 Series 5 lead 545328 300 Series 5 lead set with snaps Detachable leads 120 Accessories set AAMI 125 cm 49 in leg and 75 cm 30 Requires 300 Series trunk in chest AAMI color coding cable with AAMI color coding ECG replacement clip leads Specification 300 Series 545340 300 Series replacement clip lead replacement clip red R 75 cm 30 in lead 545341 300 Series replacement cli green 75 cm 30 in 545342 300 Series replacement cli yellow L
31. Datex Ohmeda 5 5 Light Monitor User s Reference Manual 0537 Conformity according to the Council Directive 93 42 EEC concerning medical devices CAUTION U S Federal and Canadian law restricts this device to sale by or on the order of a licensed medical practitioner Outside the USA and Canada check local laws for any Datex Ohmeda Inc P O Box 7550 Madison WI 53707 7550 USA Tel 1 608 221 1551 Fax 1 608 222 9147 www us datex ohmeda com restriction that may apply Document No 8000056 2 April 2003 Datex Ohmeda Division Instrumentarium Corp Box 900 FIN 00031 DATEX OHMEDA FINLAND Tel 358 10 39411 Fax 358 9 146 3310 http www datex ohmeda com Instrumentarium Corp All rights reserved Intended purpose Datex Ohmeda S 5 LightMonitoris intended for stationary and mobile monitoring of patient s ECG SpO non invasive and invasive blood pressure temperature respiration and in hospitals and ambulances When used outdoors the monitor must be in the protective case The monitor is intended for use by qualified medical personnel only The S 5 Light Monitor is intended for patients with weight from 5 kg 11 Ib up Respiration monitoring is intended for patients three years old and up Classification en to IEC 60601 1 CLASS EQUIPMENT and INTERNALLY POWERED EQUIPMENT according to the type of protection against electrical shock TYPE BF orCF equipment according to the degree o
32. EAD AAMI STANDARD LA black RA white LL red RL green RA white LA black LL red V 2 brown 60 ECG J Selecting trunk cable Use a 5 lead set with a 5 lead trunk cable and accordingly a 3 lead set with 3 lead trunk cable If you have a 3 lead set connected to a 5 lead trunk cable you must set in the ECG Setup menu the selection 5 Lead Cable to 3elect What should happen when electrodes are applied ECG display appears e Abeepis heard when a QRS complexis detected Selecting ECG lead e Press the Menu key and select ECG amp Resp e Select ECG Lead e Selectone of I or Ill NOTE Only 3 leads are measured though a 5 lead set and cable are used NOTE To minimize the interference from the electrosurgery unit ESU place the electrodes and select the lead so that the current from the surgical buming area to the return electrode does not go through the measured ECG lead ECG display a Figure 14 2 Display of ECG and HR 1 Selected lead label 2 1mVreference bar 3 Heart rate HR label 4 Heart rate calculation source and message field for HR messages 61 Datex Ohmeda S 5 Light Monitor Cascaded ECG If two fields are configured See Monitor setup Waveform fields for ECG display the waveform continues from one field to another Thus more QRS complexes are displayed at the same time ECG adjustments ECG Lead Size e Press the Menu key e Sel
33. ECG electrode 572683 ECG electrodes solid gel Disposable pkg of 50 pcs Ag AgCI Infant ECG electrode 572684 Infant ECG electrodes safety pin Disposable pkg of 15 pcs DIN 42 802 connector solid gel Connects directly to 300 Ag AgCI Series trunk cable TEMPERATURE PROBES Temperature probes reusable Skin temperature probe 16560 2 8 m 9 ft 400 series thermistor For adults and infants amp 10 mm tc 24 5 sec Can be autoclaved at Accuracy 121 C 250 F 0 25 C 0 2 C 25 50 C 0 1 C Central temperature 16561 Adult 2 8 m 9 ft 400 series Oesophageal or rectal probe thermistor Z 4 mm tc 26 9 sec Can be autoclaved at Accuracy 121 C 250 F 0 25 C 0 2 C 122 LLL Aesessaries EFT ET 7 DE aim Pediatric 2 8 m 9 ft 400 series Oesophageal or rectal thermistor 2 3 tc 3 2sec Can be autoclaved at Accuracy 121 C 250 F 0 25 C 0 2 C 25 50 C 0 1 C NIBP CUFFS NIBP cuffs reusable Reusable cuff 572436 Large adult Requires black adult hose Color code red Forarm circumference 33 47 cm 572435 Standard adult Requires black adult hose Color code blue Forarm circumference 25 35 cm Reusable cuff 572434 Small adult Requires black adult hose Color code gray Forarm circumference 18 26 cm 877408 Child Requires black adult hose Color code green Forarm circumference 10 19 cm Reusable infant cuff 877407 Infant Requires white infant hose Color c
34. Monitor Wall Mount Portable Monitor Roll Stand and to a fixed vertical pole within diameter range 25 32 mm 1 1 25 in with maximum load of 7 5 kg 16 5 Ibs Includes mounting plate adapter 572623 Mounting plate 512623 Mounting plate adapter for Light Included in Light Monitor adapter Monitor Universal Mounting Plate 890915 Light Monitor 737731 Protective case for Datex Ohmeda protective case Light Monitor 125 Datex Ohmeda 5 5 Light Monitor MISCELLANEOUS Product name Ordercode Specification Light Monitor battery 896895 Light Monitor Battery Module For Light Monitor w 2 batteries F LBAT NiCd battery Light Monitor data 887045 Light Monitor data card for models English card F LM1 and F LMP1 Allows data storage of physiological trends for data continuum 887047 Light Monitor data card for models French F LM1 and F LMP1 Allows data storage of physiological trends for data continuum Dust filter 886841 Dust filter For Datex Ohmeda Light Monitor Thermal recorder 74205 Thermal recorder paper paper 20 rolls width 50 mm 2 in ACCESSORY KITS Hemodynamic accessory kits Hemodynamic 877973 1 adult NIBP hose 877235 Includes ECG cables with IEC accessory kit 1 standard adult cuff color coding 572435 1 three lead trunk cable IEC color coding 545300 1 three lead set IEC color coding 545315 1 adult central temperature probe 16561 1 Sat Sensor Cable
35. Ohmeda 5 5 Light Monitor Symbols and abbreviations Symbols on the equipment AN on the rear panel indicates the warning on the rear panel dust filter indicates the reminder on the patient connector panel indicates the warnings and cautions on the external power adapter indicates the cautions on the battery unit indicates the warnings and cautions on the CO sensor Attention consult accompanying documents Electric shock hazard Do not open monitor frame Refer servicing to qualified personnel Do nottouch any part of the monitor or patient connections during defibrillation procedure Disconnect power supply before servicing Check rear panel dust filter regularly and clean at least once a month Use only the specified cables and accessories Ensure proper contact of the return electrode of the electrosurgery unitto your patient to avoid possible burns at ECG electrode or other probe sites The output signals are not floating and must not be connected directly to a patient For continued protection against fire hazard replace only with same type and rating of fuse Make sure voltage selector is set according to local voltage For indoor use only For patient transport outdoors use the monitor in its protective case and with battery power only Do not immerse in liquid or allow any liquid to enter the interior Do not put in fire Do not short circuit any terminals Do not disassemb
36. SatSensor Cable 3 m 10 ft SAS C3 FingerSatSensor cable 1 3 m 4 ft SAS F 127 Datex Ohmeda 5 5 Light Monitor 128 24 INDEX A AAMI Codes ECG electrodes 57 Adapters mainstream CO2 57 Adjusting alarm limits 29 alarm volume 29 beat volume 57 CO scale 57 default settings 29 ECG settings 57 invasive blood pressure settings 57 monitor settings 29 NIBP settings 57 pulse oximetry settings 57 Respiration display 57 screen 29 temperature settings 5 7 time and date 29 trends 29 Alam sound 29 Alarms 29 audio alarm pattem 29 auto limits 29 automatic recording 29 categories 29 default limits 29 pulseoximetry 57 Reminder volume 29 setup 29 silencing 29 smart start 29 source 29 Alcohol Cleaning 15 Arrhythmia Warming 1 Artefacts Index Of movement 57 Respiration 57 AS 3 monitors 29 Auto alarm limits 29 Autoclave 15 Autocycling 57 Automatic Alarm Recording 29 Backup Battery 15 Batteries 1 15 cautions 1 charging 1 15 checklist 91 disposing of 15 removing 15 storing 15 Battery alarm 15 Battery Module 15 beat volume 57 1 Breathing tubes Warning 1 C Cadmium 15 Calibration IBP caution 1 Calibration check mainstream CO2 57 NIBP 57 Calibration check NIBP 57 Carbon dioxide See 2 Carbon monoxide 57 Cascaded ECG 57 Cautions 1 Changing alarm setup 29 ECG setup 57 invasive pressure setup 57 Datex Ohmeda 5 5 Light
37. To stop a monitoring case reset trends between patients Altematively you can reset all data and settings If the trends are just being printed they cannot be erased A message Resetting not possible during printing Please wait until printing is completed appears The Patient Data menu will open automatically when the monitor is started less than 15 minutes after previous case and the trends have not been erased This is to confirm thatthe collected data is connected to the right patient Press Menu Select Patient Data Main Menu Patient Data Last Name First Name Patient ID Reset Trends Reset ALL Main Menu Give patient s last name Give patients last name max 14 characters with ComWheel Give patients first name max 14 characters with ComWheel Give patients ID max 14 characters with ComWheel This starts the case the message Case started is displayed Erase trend memory between patients Select YES to confirm the erasing the message Case ended is displayed Return all the settings to their defaults and erase trend and alarm memory Select YES to confirm the erasing the message Case ended is displayed Retum to Main Menu 50 Patient data The Last First and Patient ID be entered also from the Datex Ohmeda Central via network The name is displayed as long as there are less than five alarm messages displayed simultaneously 51 Datex Ohmeda 5 5 L
38. a full screen sweep five minutes Slow waveforms show changes better than fast waveforms Resp Rate Source Change respiration rate source AUTO or impedance respiration CO Alarm Brings you to the Alarms Setup menu to adjust CO alarms Main Menu Retums you to the Main Menu Calibration check No routine calibration by user is required Calibration check is recommended to be performed once a year by a qualified technical personnel See the Technical Reference Manual for instructions 91 DatexOhmeda 5 5 Light Monitor Unit conversions Relationship between gas concentration and its partial pressure reading in mmHg ambient pressure mmHg gas concentration in 100 reading in kPa ambient pressure in mmHg gas concentration in 96 750 Measuring principle The CO measurement is based on the infrared absorption In the mainstream method the measurement bench is located at the patient s airway adapter 92 Maintenance and troubleshooting 21 MAINTENANCE AND TROUBLESHOOTING WARNING ELECTRICAL SHOCK HAZARD Do not remove cover Refer servicing to qualified service personnel Maintenance Once a month e Clean the rear panel dust filter see the Cleaning chapter Discharge and recharge the batteries fully Once a year Check the CO calibration see Technical Reference Manual Checklist Check the following items to ensure you have remembered the essential preparations before mon
39. activated 31 Datex Ohmeda 5 5 Light Monitor If an active alarm is suppressed the monitor will give a reminder beep every two minutes Reminder beep volume can be adjusted by selecting Reminder Volume If asystole alarm is silenced and ECG is used as the heart rate source the HR high and low limits are also silenced Alarm messages All messages are listed in chapter Maintenance and troubleshooting Alarms setup and adjustments You can adjust alarm limits and volume silence alarms permanently and view alarm status a 10 minute trend in Alarms Setup menu e Press Menu e Select Alarms Setup Alarms Setup LIMITS AND 10 MIN TRENDS Adjust Limits Auto Limits HR NIBP Art 1 5 02 CO2 CO2 Resp Default Limits Cancel Changes Alarm Sources 2 Alarm Volume Audio ON OFF Alarm History Remove Menu Main Menu Push wheel to adjust alarm limits manually Adjusting alarm limits Alarm limits can be adjusted individually Adjust Limits or set near to real measured patient values Auto Limits To adjust alarm limits e Select Adjust Limits 32 Other settings Default Limits Alarms m e Selectthe desired high or low alarm limit by turning and pressing the ComWheel e Adjustthe alarm limit up or down by turning the wheel Press the wheel to confirm the adjusted alarm limit e Turm the ComWheel to move the highlight either to the next alarm limit or to the Exit bo
40. atexOhmeda 5 5 Light Monitor Datex Ohmeda 5 5 Light Monitor Power Adapter with power cord or optional Power Adapter for Transport Vehicles Users Reference Manual Check that the contents correspond to your order and that all additional options you have ordered are included If any ofthe items appears damaged oris missing contact your sales person immediately The monitor can be placed on a flat surface or hung with the handle from bed or wall rails Make sure that the surface or rail holds up to at least 10 kg 22 Ib Figure 3 1 Installation A protective case is also available If using the case make sure that the monitor is always in a standing position to ensure proper ventilation The monitor is splash proof IPX4 when it is in the protective case and all the openings ofthe case are closed properly Make sure the monitor is intact and operates on battery power When used outdoors the monitor must be in the protective case NOTE The pocket in the protective case is not water proof Do not place items in the pocket that may be damaged by moisture Universal mounting solutions are sold separately Contact your local distributor 11 Datex Ohmeda S 5 Light Monitor Electrical Power Adapter WARNING AN Use only the power cord and power adapter provided with the monitor e Setthe voltage selector on the adapter to the right position 115V 230V e g with a pen e Connectthe adapter cord to the connector on t
41. attached Some alarms have their own specific requirements before they become active e X Invasive pressures must be within alarm limits for 20 seconds after zeroing e Apnea alarm requires at least three detected breaths When apnea alarm is activated the high and low alarms of CO and respiration will not be activated Silencing alarms WARNING PATIENTSAFETY Do not turn off audible alarms without assuming continuous direct observation of the patient Silencing alarms also disables the extemal Nurse Call signal 30 Alarms m Silencing alarms for two minutes e Press Silence Alarms The symbol X with a countdown timer appears on the screen and the message is cleared from the display Messages of new alarms also appear during silencing period After two minutes all silenced alarms and Nurse Call function will return to normal alarm operation To reactivate alarms e Pressthe Silence Alarms key during the silencing period The alarm sounds of new alarms and the Nurse Call signal are activated Turning audible alarms on and off Itis possible to silence only apnea ECG and apnea alarms or all the alarms e Press Menu e Select Alarms Setup e Select Audio ON OFF e SelectSilence ECG Silence Apnea Silence Apnea ECG or Silence ALL Alarms Setup Audio ON OFF Activate Alarms Silence Apnea Silence Asystole Silence ApnkAsy Silence ALL Reminder Yolume Previous Menu All audible alarms are
42. bladder is over the artery all residual air is squeezed out of the cuff before wrapping it around the am the cuff is not loose the cuff is at heart level the tubes are not bent pressed or stretched if a leak is suspected start venous stasis and check that the pressure is Stable during stasis non invasive blood pressure is selected for display in the Monitor Setup menu 95 Datex Ohmeda 5 5 Light Monitor Invasive blood pressure Check that invasive blood pressure transducer cable is connected to red connector the pressure transducer is connected to the cable the patient catheter is connected to the pressure line there are no air bubbles in the transducer dome or catheter line the transducer is at mid heart level the pressure transducer is zeroed invasive blood pressure is selected for display in the Monitor Setup menu Check that the measurement is set on the sensor is properly attached to the airway adapter Ensure the connection with the Velcro tape supplied with the CO sensor the sensor is connected to the monitor new airway adapter is used for each patient Used adapters may leak and cause too high CO values Battery packs and Module Check that battery packs are properly inserted in the module charging LEDs are lit when batteries are fully charged flashing during charging not lit when the monitor is battery driven battery operation with a fully charged batter
43. ble check Ifthe NIBP value exceeds the alarm limits a new measurement is taken automatically immediately with MANUAL measurements and after 30 seconds with AUTO measurements If an alarm situation persists an alarm signal is given out Using NIBP functions To use NIBP functions e Press the NIBP key to open the NIBP mini menu NIBP Start Manus Set Cycle Time 15 min Normal Screen Start automatic cuff infla tions at cycle time interval or e Press Menu and select amp Inv Press to open the NIBP amp Inv Pressure menu 78 Non invasive blood pressure LE Main Menu amp Inv Press Start Manual Start Ven Staziz Start STAT NIBP Setup 4larm f Zero drt 0 00 Zero P2 CYP 0 00 Pi Setup amp Alarn aw P2 Setup amp larw Main Mena Start automatic cuff infla tions st cycle time interval Starting Stopping Autocycle Starting a Manual Measurement and Canceling Any Measurement are available through both menus STAT mode and Venous Stasis are available through the NIBP amp Inv Pressure menu only Starting Stopping autocycle e Select Start Cycling Stop Cycling to start stop automatic NIBP measurement at selected intervals The bar at the bottom of the NIBP display shows the time remaining to the next measurement Autocycling is synchronized to actual time so that if the first measurement ha
44. bol is blinking the card is faulty orit is not inserted properly A blinking heart next to the heart rate or pulse rate value indicates the beats detected A lung next to the respiration rate value indicates that respiration rate is calculated from the impedance respiration measurement Silence alarm indicator When displayed on the upper left corner of the screen indicates that all the alarms are silenced When in the menu or digit fields indicates that the alarm source has been tumed off Altemating current Datex Ohmeda 5 5 Light Monitor 6 Input voltage gt Output voltage kol Ethernet connectors Printer connector gt Sample gas outlet ex Do not immerse the sensor in liquids Symbols used in this manual i Indicates the procedure for making adjustments turn and press in the menus Submenu Selecting a menu item with this symbol opens a new menu Chapter symbols General chapters Measuring parameter chapters General information la ECG Operation Ceo NIBP IN Alarms Ae Pulse oximetry Trends 9 Temperature mm 2 General E Recorder INI Invasive pressure Joc Sm Monitor setup Networking and DataCard Impedance respiration Patient data Abbreviations Blood pressure Art CVP ICP Inv Mean NIBP P PA S D Temperature Temp Axil Blad Eso Myo Naso Rect Room Skin Temp
45. breathing detected for 20 seconds Mainstream sensor not been connected CO sensor malfunctioning Anon Datex Ohmeda sensor used Unspecified CO sensor detected for more than 30 seconds CO measuring failure contact authorized service 102 Maintenance and troubleshooting Clean airway adapter Clean orreplace mainstream CO2 airway adapter Notes Messages Warming 02 Compensation N20 Compensation Over Scale Measurement Off DataCard Notes Messages Faulty Data Card change card Data Card full Data Card inserted Data Card removed Insert Data Card Faulty Data Card change card CO sensor airway adapter foggy or dirty Blocked airway adapter detected gt 30 s Explanation CO sensor warming up 0 compensation selected ON N20 compensation selected ON Waveform is over the selected scale CO measurement is selected OFF Explanation DataCard read write error DataCard full of data DataCard is inserted in the card slot DataCard is removed from the card slot DataCard is not present during case MenuCard or some other card is inserted in the slot 103 Datex Ohmeda 5 5 Light Monitor Battery Alarms Messages Batt Low Notes Messages Batttoo wam to charge Batttoo cold to charge Recorder Notes Messages Recorder out of paper Recorder cover open Recorder thermal array overheat Recorder Input voltage low Recorder Input voltage high Record
46. ch the sensorto the gray connector on the monitor s side panel Attach the sensor to the patient The 5 0 and pulse rate values and the plethysmographic pulsewave appear on the screen Change the sensor site frequently Remove the sensor from the patient and clean it 68 Pulse oximetry Selecting sensor Reusable Sensors Figure 16 1 Sat Sensors for different applications NOTE These sensors cannot be used when using the Nellcor option N LNSAT Please refer to chapter Alternative SpO measurement Applying sensors Use dry and clean only Confirm that light lights up in the sensor when it is connected the monitor Clean the application site Remove nail polish artificial fingernail earrings etc Clip long finger nails Attach the sensor cable the wristor bed clothes to prevent cable sensor from moving WARNING PATIENT SAFETY Change measuring site frequently 69 Datex Ohmeda S 5 Light Monitor e Change sensor site and check skin and circulatory status every 2 4 hours with adults and every hour with little children What should happen when sensor is applied e The message Pulse Search appears e When Pulse Search is completed the pulse rate and SpO value will appear e The plethysmographic waveform will appear The waveform scale is established according to the measured amplitude e Pulse beep is heard T
47. cted on the screen unless the alarm source is not turned off See default settings in Alarm tables alarm sources later in this chapter WARNING PATIENTSAFETY Always make sure that alarm limits are set and alarms are on when monitoring a patient Alarm categories Alarms are classified into two types red and yellow alarms The alarm type depends primarily upon the physiological significance and the duration of the alarm e g Asystole advances rapidly to the red category The alarm messages are displayed in the order of priority from left to right Audio alarms follow either General or ISO pattern This selection can be made in Install Service menu and is stored in permanent memory Selectthe same pattern for all the monitors in a hospital 29 Datex Ohmeda S 5 Light Monitor Table 8 1 Alarm priority categories Weng Red alarm Red LED ISO General Life Ifthe alarm is 3 2 beeps every Continuous string threatening connected to 6 seconds of beeps situation measured values this number field is flashed Yellow Yellow LED Triple beep every Double beep every Serious alarm Ifthe alarm is 20 seconds 5 seconds problem connected to measured values this number field is flashed Note Message is Single beep Single beep Advisory note displayed orequipment related alarm Smart start alarms Alarms are automatically active once the patient connection cables are
48. data in bars or dots and numerical trends give the information in tabular form In addition a 10 minute trend is displayed in the Alarm Setup menu for every parameter with alarm limits During trend display the monitor is active and the numerical information is continuously updated and displayed Trend data is stored in memory for 15 minutes after the monitor is tumed off 45 Datex Ohmeda 5 5 Light Monitor Viewing graphic trends Select Trends e Select Graph 2 h 4 h 12 h or24 h Trends Next Page f 5 8 Print Page fmin Cursor Graph 2 h 47 h 130 82 12h 93 24h Numerical Trend Setup Main Menu Change graphic trend length 5 E 0 Resp to 2 hours 0 0 12min mmHg Sys Dia 128 81 12 Mean 93 Manual min Figure 10 1 Graphic trend 1 Listofselections 2 Labels 3 Realtime ECG above the trend information 4 Parametertrend fields 5 Movable trend cursor Graphic trend pages There are three pages of graphic trends Pages are turned by selecting Next Graph The page that is viewed last is stored in memory It appears first when trends are viewed again 46 Trends mm Table 10 1 parameters trended in three pages Ist Page Basic model Model with CO and pressure invasive pressure ECG ECG HR 5 0 5 0 Resp C0 2nd Page EI Basic model Model with CO and pressure invasive pressure ECG HR 500 n ne
49. deu em podia ac ne tasa t dos diss 64 Datex Ohmeda S 5 Light Monitor Pacemaker patients 15 Respiration Monitoring ooa ceci ie decode ente Ra m qeu aD ET UIS Patient Connections eun gre te bu READERS RESP ICAEIO nc sj Limitations of measuring Measunng na diciendo t a io 16 Pulse Oximetry Monitoring pulse SEIELEINGSENSO lead SENSON ee What should happen when sensoris applied Pulse oumettydisplay na Rt rides Measuring limitations een AST rore ns nisse Setting SOO gt Ania nee en Measuring principle i een areas Alternative 5 02 measurement Nellcor ONS a see 17 TEMPERATURE Monitoring aos cu kia rend d v Do aude Temperature us deco DR ula e Gee aa rd uei uror Potter T Temperature eun esse dnd eU ea ei 18 NON INVASIVE BLOOD PRESSURE NIBP Monttoring NIBP sace d a re usa ed e Ree Display of NIBP measurement nne Automatic NIBP double check er Using NIBP FUNCIONS sata Starting Stopping autOCyCle ssec o nee Starting a manual Canceling any measurement sse mmn Starting a continuous measurement Using venous
50. down warm up Recharge only in room temperature Battery operation lasts less than Batteries are not fully charged specified e Charge batteries fully and check operation Battery pack is faulty or too old e Replace the battery pack with a new one Batt Low message Less than 10 min of battery time left e Replace with fully charged batteries or plug in the power cord 106 General specifications 22 GENERAL SPECIFICATIONS Parameter specifications ECG Measured leads Frequency response Sweep speed Heart rate Pulse rate Measurement range Measurement accuracy Display resolution Averaging time Display update time Alarms Gain range Allowable DC differential offset Pacemaker pulse detection I Il or II 0 5 30 Hz 3 dB with 50 Hz reject filter 0 5 40 Hz 3 dB with 60 Hz reject filter 12 5 25 or50 mm s 30 250 bpm 5 or 5 bpm whichever is greater 1 bpm 10s 55 asystole leads off detection adjustable high and low alarm limits for heart rate 0 2 5 0 cm mV 300 mV detection level 5 500 mV pulse duration 0 5 2 ms Impedance respiration Measuring range Max base impedance Respiration range Accuracy Impedance 0 2 6 Ohm 5 kOhm 4 120 resp min 5 or 5 resp min whichever is greater 107 Datex Ohmeda 5 5 Light Monitor Averaging Update interval Display resolution Sweep speed trace Alarms Gain ra
51. e The non invasive blood pressure NIBP measurement uses the oscillometric measuring principle The cuff is inflated with a pressure slightly higher than the presumed systolic pressure then slowly deflated at a speed based on the patient s heart rate collecting data from the oscillations produced by the pulsating artery Based on this data the unit calculates values for systolic mean and diastolic pressures 82 Invasive blood pressure I 19 INVASIVE BLOOD PRESSURE 1 Two invasive blood pressures can be measured with the model F LMP1 WARNING PATIENT SAFETY All invasive procedures involve patient risks Use the aseptic technique Follow catheter manufacturer s instructions WARNING Ensure proper contact of the return electrode of the electrosurgery unit to your patient to avoid possible burns at sensor sites WARNING Make sure that no part of the patient connections touches any electrically conductive material including earth WARNING Use only defibrillator proof transducers and cables Monitoring invasive pressures Preparing pressure line e Prepare the transducer kit according to transducer manufacturer s instructions Ensure there is no air in the line Connect the kit to the transducer cable and the cable the red connector in the monitor Mount the transducer kit at heart level e Connectthe patient catheter to the pressure line e the transducer e Openthelineto the patient 83
52. e Check electrodes quality positioning and skin contact e Change lead e Enlarge the size from 1 0 mV to 2 0 mV Invasive blood pressure e Make sure that there are no air bubbles in transducer system Flush and readings are unreliable zero e Place transducer on patient s mid heart level and zero Zeroing failed message is Stopcock not opened to room air on all channels displayed when the Zero ALL e Zero or continue if the lines have been zeroed separately key is pressed NIBP measuring does not work e Use cuffs of correct size and check that cuff tubings are not bent stretched or values are unreliable compressed or loose e Prevent motion artifacts e Make sure that the patient is not shivering Respiration measurement fails e Check electrode quality and positioning e Adjust the detection limits 5 02 signal is poor e Check sensor placement e Beaware of differences caused by skin pigment e sure that the patient is not shivering The monitor does not start The power cord is not connected e Connect the power cord to the power outlet Battery empty e Replace battery with a recharged one Fuses blown e Check the fuses replace if necessary or contact your local service Monitor is very warm Dust filter is blocked e Cleanorreplace the back panel dust filter Batteries are not recharged Batteries are not properly inserted power supply notconnected or monitor too warm or cold e Waitformonitorto cool
53. e chapter Monitor setup 18 Operation Measurement connectors Connectors for measurement sensors are in the right side panel Connectors are marked with the measurement abbreviations and symbols specifying the type of protection against electrical shock Figure 4 4 Connector panel 1 2 3 4 5 6 7 Mainstream CO connector Connectors for invasive pressure lines NIBP hose connector Pulse oximetry sensor connector ECG trunk cable connector also used for impedance respiration measurement Temperature probe connector Signal out P N 19 Datex Ohmeda 5 5 Light Monitor 5 OPERATION Getting started e Tumonthe power After 10 seconds a start up display will appear the measurement needs to warm up about 80 seconds in room temperature If the monitor has been stored in the temperature below freezing point it takes approximately one hour to warm up Make patient connections check the accessories e Zero invasive lines e Check that desired parameters are displayed in digit and waveform fields If necessary make appropriate adjustments During monitoring Ensure that ECG electrodes have good skin contact e Change pulse oximetry measuring site frequently e Observe the cuffed limb frequently during NIBP measurement If the monitor is connected to the network the patient information and alarms can be followed on the screens of the Datex Ohmeda Central and the S 5
54. e grounded electrical outlets and power cord Grounding reliability can only be achieved when the equipment is connected to a receptacle marked hospital grade Make sure that external equipment is hospital grade grounded before you connect itto the monitor Do not connect any external equipment to the monitor except that specified by Datex Ohmeda When connecting extemal equipment to monitor make sure that the whole combination complies with safety standard IEC 60601 1 1 forthe medical electrical systems and with the requirements of local authorities A non medical electrical equipment connected to monitor shall be supplied from an extra separating transformer with a protectively grounded power outlet Before cleaning disconnect the monitor from electrical outlet Do not immerse any part of the monitor in liquids or allow liquid to enter the interior Do not autoclave any part of the monitor with steam or ethylene oxide After cleaning orif liquid has accidentally entered the interior of the monitor make sure that every part of the monitor is dry before reconnecting itto the power supply Datex Ohmeda S 5 Light Monitor PATIENT SAFETY Always make sure that necessary alarm limits are set and operative when you start monitoring When the alarms are suppressed observe the patient frequently Connect only one patient to one monitor at a time Constant attention by a qualified professional is needed whenever a patientis u
55. e monitor can be equipped with the Nellcor compatible saturation option N LNSAT With this option you can use the sensors listed below NOTE When the monitor has the N LNSAT option the monitor is equipped with the Nellcor measurement only and cannot use Datex Ohmeda Sat Sensors Plethysmographic scale You cannot adjust the scaling when using the N LNSAT option it is automatically set by the monitor Nellcor sensors Use one of the following Nellcor sensors with the N LNSAT module OXISENSOR II Oxygen transducer D 25 D 25L D 20 20 N 25 R 15 OXICLIC Oxygen transducer A DURASENSOR Oxygen transducer DS 100A DURA Y Oxygen transducer D YS Adult Pediatric Infant Neonatal OXIBAND Oxygen transducer OXI A N Adult Neonatal OXI P Pediatric Infant 73 Datex Ohmeda 5 5 Light Monitor 17 TEMPERATURE One temperature value can be measured from various sites using YSI 400 probes or equivalents Monitoring temperature e Attach the probe to the patient e Connect the temperature probe to the connector on the right side of the monitor e The measured value appears on the digit field Temperature display Example Figure 17 1 Temperature display 1 Label 2 Temperature value Temperature testing The monitor automatically tests the temperature measuring function at the start up and after that every 10 minutes If the test fails contact your local service representative
56. ect ECG amp Resp Main Menu 27 72 ECG Lead Size Beat Sound Volume ECG Setup Resp Setup Resp Rate Alarm HR Alarm Gd Gg 0 t Main Menu Change lead shown as first ECG waveform Select the displayed lead 1 or IIl Adjust from 0 2 to 5 in steps of 0 1 The baron the left side of the ECG display is 1 mV Beat Sound Volume ECG Setup HR Alarm Resp Setup A beat QRS complex ora plethysmographic or pressure pulse produces a beep and its volume is adjustable from 0 to 10 in steps of 1 Adjusting also changes the beat sound volume of SpO When 5 0 is monitored the tone of the pulse beep rises with increasing oxygen saturation and falls as saturation decreases Opens a submenu for ECG settings see below Opens a submenu for adjusting heart rate alarm see chapter Alarms Opens a submenu for Respiration settings see chapter Respiration Resp Rate Alarm Opens a submenu for adjusting respiration rate alarm see chapter Alarms 62 ECG setup Sweep Speed HR Source 5 Lead Cable Grid Pacemaker ECG J ECG Setup 25 mm s HR Source AUTO 5 Lead Cable Select Grid OFF fA Pacemaker Previous Menu Change sweep speed of haemo dynamic waveforms 12 5 25 or 50 mm s Set the speed of the waveform sweep Speeds are 12 5 25 and 50 mm s a 9 screen The 12 5 mm sec speed is suggested for monitoring patients with a slow HR to sh
57. ected to line power or DC N LPOW or N LPOWT Charging time 3 5 h battery to full capacity 5 5 Light Monitor Backup Battery optional Type NiCd battery Capacity Up to 30 min typical on full charge at 23 C 73 F Recharging When connected to line power or DC N LPOW or N LPOWT Charging time 1 5 h battery to full capacity 113 Datex Ohmeda 5 5 Light Monitor External Power Adapter N LPOW AC voltage range 220 240 V 100 120 V 50 60 Hz Allowed AC voltage 100 V 10 120 V 10 96 220 V 10 96 240 V 10 96 fluctuations DC output voltage 12 5 Vand 18 5 V Protection class Class Grounding Hospital grade Power Adapter for transport vehicles optional N LPOWT Input voltage range 12 Vdc 15 32 Vdc 10 96 and fluctuations Output voltage 12 5 Vdc and 18 5 Vdc Option codes Description Order code 5 5 Light Monitor F LM1 w ECG Resp SpO Temp 5 5 Light Monitor F LMP1 w ECG Resp SpO Temp 2 Light Monitor Power Adapter N LPOW Power adapter 110 220 V Light Monitor Transport Power Adapter N LPOWT Transport power adapter 12 32 V Light Monitor Battery Module F LBAT Battery module w two batteries Light Monitor Recorder N LREC Built in 3 channel thermal array recorder S 5 Light Monitor CO Option N LCM Mainstream Mainstream CO sensor 902300 DataCard Option N LDATA Network Option N LNET DataCard amp Network Option N LDNET 5 0 Option N LNSAT
58. ed with eitherthe Battery Module F LBAT with two removable batteries or the Backup Battery N LBB with a built in battery pack in the monitor basement Battery capacity is displayed on the battery status field The arrow shows the discharging left and recharging right level of the battery I we The Battery Module works fortwo hours one hour battery and Backup Battery for 30 minutes with fully charged batteries NOTE Make sure that there is enough battery capacity for a patient transport Charging batteries e Charge the batteries in 10 40 C 50 104 F only Charging in the monitor Keep the monitor connected to power outlet The batteries are charged when the monitor is either ON or STANDBY If monitor is tumed ON an arrow to the right is displayed on the Battery Status field during charging e The green LEDs on the battery module keep flashing until the battery is fully charged Charging empty batteries to full capacity for Battery Module takes approximately 3 5 hours battery and for Backup Battery 1 5 hours The protective case may increase the operating temperature so check the charging status when using it 22 Operation Removing batteries from the Battery Module e Push the release latch down e The battery pops out from the frame Figure 6 1 Removing battery packs from the Battery Module Replace the batteries with new ones if the total operation time is less t
59. end Data 29 F Flash memory card 29 Freeze 15 G General alarm pattem 29 Getting started 15 Glutaraldehyde 15 Graphic trends 29 Grid in ECG display 57 H Heart rate source 57 Heavy metal waste 15 Hemoglobin 57 Hepatitis 15 HIV 15 Hospital grade 1 HR source 57 ID 29 IEC codes ECG electrodes 57 IEC 601 1 1 Impedance respiration 57 In Between Patients 15 Inflation limits 57 Information Centre 29 Infrared light 57 Install Service 29 Installing 1 configuration 1 monitor on the rail 1 network 1 power adapter 1 printer 29 Intended Purpose 1 Intermittent Mechanical Ventilation 57 Intervals NIBP measurement 57 Invasive blood pressure 57 checklist 91 settings 57 Index zeroing transducer 57 IPX class 1 ISO alarm pattern 29 Isolating transformer 1 K Keys 15 L Labels invasive blood pressure 57 temperature 57 Limitations Respiration measurement 57 Local printing 29 Low dead space adapter 57 M Magnetic resonance imaging MRI Waming 1 Mainstream CO2 57 Maintaining batteries 15 Maintenance 91 Measuring limitations Respiration 57 Measuring Principle invasive blood pressure 57 NIBP 57 pulse oximetry 57 Monitor Setup 29 Monitor to Monitor Communication 29 MRI Waming 1 Multi View 29 Name patient s 29 Nellcor Compatible 57 Nellcor sensors pulse oximetry 57 Network 29 installing 1 Datex Ohmeda 5 5 Light NIBP 57 checkl
60. er System error Explanation Note Less than 10 min of battery time available Yellow Alarm Less than 2 min of battery time available Explanation Battery temperature gt 40 C Battery temperature lt 10 C Explanation No paperin recorder Recorder cover is open Thermal array is overheated recorder does not function Input voltage is too low recorder does not function Input voltage is too high recorder does not work Error in recorder 104 Other messages Messages Monitor temp high Vent OK STP module error ECGR module error NIBP module error CO2 module error NSAT module error Case Started Case Ended RAM Error SRAM Error FLASH Error Printing Printer failure Maintenance and troubleshooting Explanation The temperature inside the monitor is too high Check ventilation Error in STP measurement communication Error in ECGR measurement communication Error in NIBP measurement communication Errorin measurement communication Error in NSAT measurement communication Vital signs have been detected Vital signs are not detected any longer RAM error detected SRAM error detected FLASH error detected Printing is active Failure in printer 105 Datex Ohmeda S 5 Light Monitor Troubleshooting connection with the Velcro tape supplied with the 2 sensor ECG signal is noisy orno QRS is e Ensure that the patient is not shivering detected
61. erior of the monitor make sure that every part of the monitor is dry before reconnecting it to the power supply CAUTION Do not use hypochlorite acetone phenol or ammonia based cleaners Cleaning Whichitems How To remove All parts daily NOTE Always detach accessories from the monitor and the patient before dirt and most The items to be cleaning microbes disinfected or e Wipe away visible organic material using a moist cloth and mild Sterilized detergent e g Datex Ohmeda Cleaning Fluid e Rinse as recommended by the detergent manufacturer e Allow to dry completely To kill and Accessories and With heat remove supplies in contact e Wash in a washing machine at least 1 min at 85 C 185 F With chemicals 1 Immerse in 2 glutaraldehyde for 10 minutes pH 6 5 After tuberculosis HIV or hepatitis patient the treatment time should be 20 min Rinse carefully and let dry pathogenic with the patient s microbes skin or airways e Wipe with alcohol and let dry Sterilization To kill the Accessories and Steam autoclave at maximum 121 C 250 F for15 min microbes and supplies Use ethylene oxide mixture at 50 to 60 C 120 to 140 F Follow the bacterial penetrating the sterilizer manufacturer s recommendations for required aeration times Spores patient s tissue Immerse in 2 glutaraldehyde for three hours rinse carefully and let dry 25 Datex Ohmeda 5 5 Light Monitor Dust f
62. es If alarm source is OFF no alarms of this parameter occur and the parameter box with the 10 minute trend is not displayed in the Alarm Setup menu Table 8 2 Alarm source alternatives and defaults Source alternatives Default selection Sys Dia Mean OFF Sys Dia Mean OFF ICP Sys Dia Mean OFF me Sys Dia Mean OFF Default limits Sys Dia Mean OFF The monitor is delivered with a certain set of alarm limits so called factory default limits These are listed for each parameter in the following tables Itis possible to save alarm adjustments as defaults see chapter Monitor setup submenu Install Service menu Do not change default settings without common consent of all users If you change the default alarm limit write the new limits in the following table Table 8 3 Adjustment ranges and default settings of alarm limits Parameter Limit range Factory default User min max default HR High 35 250 bpm 160 Low 30 245 bpm 40 High 51 100 OFF OFF Low 50 100 96 90 Sys High 15 265 OFF 180 120 infant Low OFF 15 265 80 70 infant 34 x Mean igh 15 265 OFF 140 90 infant ow OFF 15 265 60 50 infant Inv P1 Sys Inv P2 Sys x gt x High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low High Low 5 sales gt
63. es not affect the clock You can adjust hours minutes seconds day month and year orselect the Clock format of either 12 or 24 hours Do not change the monitor s time settings during patient monitoring Trend data may be lost NOTE If the monitor is connected to network the time is set by the network and cannot be adjusted in the monitor 40 a Monitor setup Install Service menu To enter Install Service menu a password 16 4 34 must be given Service View Service View is fora qualified technician only It is entered with a password Alarm Tones Select ISO or General pattern see chapter Alarms Save As Defaults Saves permanently your new settings and configurations The choices are Save ALL Screen Setup Trend Setup Alarm Settings Recorder Setup and Param Defaults Select Save to save settings Cancel to cancel changes or Factory to retum to the factory settings Analog outputs Selectthe parameterfor four analog outputs as default they all are off Channel Pin Selection range 1 3 in Signal Out connector ECG or test signals 2 4 in Signal Out connector P1 ortest signals 3 5 in feature connector freely selectable 4 10 in feature connector freely selectable Previous Menu Return to Monitor Setup menu Default settings Default settings are always on when the monitor is tumed on They are marked in the following tables with brackets If you change the default settings using Sa
64. essories Adapters Replace the single patient use adapter after each patient If the adapter is occluded it can be rinsed with water and air dried It may then be replaced into the ventilator circuit of the same patient Multi use adapters can be rinsed with water and steam autoclaved The adapter is designed to withstand 20 sterilization cycles Before using check that the adapter windows are dry and residue free and that the adapter has not been damaged Make sure that all traces of alcohol or detergent are rinsed away or dried before connecting to the patient Mainstream CO sensor WARNING ELECTRICAL SHOCK HAZARD Do not immerse the sensor in liquids or autoclave it Wipe the sensor with a slightly damp cotton swab When necessary use disinfectant 27 Datex Ohmeda 5 5 Light Monitor 28 Alarms m 8 ALARMS In alarm Messages max five messages appear the alarm message field atthe top ofthe display in the priority order from left to right Audible alarm is heard External Nurse Call signal is active and if the monitor is connected to the network the alarm is passed into it e Yellow or red alarm indicator LED next to the Silence Alarms key is illuminated according to the alarm category e The measured value which activates the alarm flashes and an explanation may appear on the waveform the digit field or the alarm message field Alarms are active also when the parameter is not sele
65. etup menu For the respiration measurement Pulse oximetry PACEMAKER PATIENTS The impedance respiration measurement may cause rate changes in Minute Ventilation Rate Responsive Pacemakers Set the pacemaker rate responsive mode off or turn off the impedance respiration measurement on the monitor Check that the correct pO sensoris selected for each patient size sensoris completely dry after cleaning SpO extension cable is connected to the gray connector sensor cable is properly connected to the extension cable sensoris positioned correctly to the patient and the measuring site is well prepared 5 0 is selected for display in the Monitor Setup menu 94 Temperature Maintenance and troubleshooting Check that the temperature probe is YSI 400 or equivalent temperature probe is inserted properly into the connector temperature is selected for display in the Monitor Setup menu temperature probe is positioned correctly Non invasive blood pressure NIBP Check that the O rings on hose connectors are intact two at monitor side the NIBP hose is properly connected to the monitor and will not come loose by pulling the correct NIBP cuff size is used the right hose black or white is used for different cuffs the O ring on cuff connector is intact and the connector firmly pushed inside the cuff tube there are no holes or cracks in the cuff bladder or cuff tube the symbol indicating the center of the
66. f protection againstelectric shock is indicated with a symbol beside each patient connector Degree of protection against harmful ingress of water as detailed in the 60529 Monitor IPX1 vertically falling water drops shall have no harmful effects applicable when the monitoris in upright position ortilted backwards In the protective case IPX4 splash proof when the case is closed properly the monitoris intact and operates on battery power Poweradapter IPX0 ordinary equipment Power Adapter for Transport Vehicles IPX1 EQUIPMENTnot suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE with air or with oxygen ornitrous oxide CONTINUOUS OPERATION according to the mode of operation Classification soning to EU Medical Device Directive The monitoris classified as Responsibility of the manufacturer Trademarks Instrumentarium Corp is responsible forthe effects on safety reliability and performance of the equipment only if assembly operations extensions readjustments modifications service and repairs are carried out by authorized personnel the electrical installation ofthe relevant room complies with appropriate requirements the equipment is used in accordance with this manual The CO measuring option N LCM is manufactured forInstrumentarium Corp by Pryon Corp 8500 S W Creekside Place Beaverton OR 97008 7107 USA The Nellcor option N LNSAT is manufactured for Instrumentari
67. gt gh 2 Alarms 15 265 OFF 100 70 infant OFF 15 265 40 40 infant 40 300 OFF 180 OFF 40 300 80 40 300 OFF 140 OFF 40 300 60 40 300 OFF 100 OFF 40 300 40 40 300 OFF 20 OFF 40 300 5 40 300 OFF 15 OFF 40 300 0 40 300 OFF 10 OFF 40 300 5 40 300 OFF 180 OFF 40 300 80 40 300 OFF 140 OFF 40 300 60 40 300 OFF 100 OFF 40 300 40 40 300 OFF 20 OFF 40 300 5 40 300 OFF 15 OFF 40 300 0 40 300 OFF 10 OFF 40 300 0 40 300 OFF 40 OFF 40 300 10 40 300 OFF 30 OFF 40 300 5 40 300 OFF 20 OFF 40 300 5 40 300 OFF 20 OFF 40 300 0 40 300 OFF 15 OFF 40 300 0 40 300 OFF 10 OFF 40 300 0 0 1 13 OFF 8 60 mmHg 8 1 kPa OFF 0 12 9 3 23 mmHg 3 kPa 0 3 0 OFF 3 23 mmHg 3 kPa OFF 0 2 9 OFF 5 60 OFF OFF 4 59 4 38 C 100 F 10 45 C OFF 50 113 F OFF OFF 10 45 OFF 50 113 F 15 59 F 35 Datex Ohmeda S 5 Light Monitor Auto alarm limits Auto Limits are based on the measured patient values according to the following tables Table 8 4 Auto alarm limits Auto limit calculation Sp0 5 or x1 25 10 x0 75 10 NIBP x1 25 10 NIBP x0 75 10 NIBP 1 25 10 NIBP x0 75 10 P1x125 10 P1x0 75 10 P1x125 10 P1x0 75 10 P1x125 10 P1x0 75 10 P2x1 25 5 P2x0 75 5 P2x1 25 5 2 0 75 5 P2x1 25 5 P2x0 75 5 P1x1 25 410 1 0 75 1
68. han one hour Part number is 896895 Battery alarms If something out of normal routine happens a corresponding message appears These battery alarm and note messages are explained in chapter Maintenance and troubleshooting Storing and disposing of batteries Keep the batteries in the monitor or extemal charger If they are stored for longer periods store them fully charged in a dry place Before use charge them fully CAUTION Do not put in fire CAUTION Do not short circuit any terminals CAUTION Do not disassemble or mutilate CAUTION Use only with Battery Module or External Battery Charger CAUTION Do not insert any other than specified batteries into Battery Module or External Charger 23 Datex Ohmeda S 5 Light Monitor 4 Ni Cd When stored for longer periods or used mostly with mains power charge and discharge the batteries fully once a month This battery contains heavy metal cadmium Cd and when disposed must be separated from other waste according to local regulations Battery packs can be recycled Discharge before disposing 24 Operation 7 CLEANING WARNING ELECTRICAL SHOCK HAZARD Before cleaning disconnect the monitor from electrical outlet Do not immerse any part of the monitor in liquids or allow liquid to enter the interior Do not autoclave any part of the monitor with steam or ethylene oxide After cleaning or if liquid has accidentally entered the int
69. he rear panel e Connect the power cord to the adapter and then plug onto the wall electrical outlet NOTE To use the power adapter it must be lying on a flat surface or hanging from the holder Do not let any liquid enter the adapter When external power supply is in use a green led is lit Figure 3 2 Placing Power Adapter ELECTRICAL SHOCK HAZARD Use only hospital grade grounded electrical outlets CAUTION Before connecting the power cord ensure that the input voltage selector is set correctly in the power adapter In vehicles with 12 32 V power source use the Power Adapter for Transport Vehicles N LPOWT For information on how to install and use this adapter refer to the instruction sheet provided with it or contact your local distributor 12 CAUTION Installation X Electromagnetic interference from radio frequency transmitting devices in ambulances may affectthe performance ofthis medical device Charge batteries CAUTION Keep the monitor connected to the mains outlet The batteries are fully charged when the battery capacity indicators on the screen show FULL and green LEDs in the Battery Module stop flashing When stored for longer periods or used mostly with mains power charge and discharge the batteries fully once a month Connecting to network The monitor can be connected to a monitor network for central monitoring and printing services e Connectthe Ethernet and location ID plug to
70. he tone of the pulse beep will rise with increasing oxygen saturation and fall as saturation decreases Pulse oximetry display o S Pleth 97 Figure 16 2 Plethysmographic waveform with oxygen saturation number 1 Barreflecting the signal amplitude not available with the Nellcor option N LNSAT 2 Plethysmographic waveform 3 Oxygen saturation SpO Measuring limitations Plethysmograph The waveform is a good indicator of measurement validity If the wave is noisy amplitude is low orthe normal waveform cannot be seen attach the sensor again Dyshemoglobins The pulse oximeter cannot distinguish between oxyhemoglobin and dyshemoglobins Thus the SpO values may be erroneously high in smokers or in patients who have burns or carbon monoxide CO intoxication 70 Pulse oximetry er Electrosurgery Under some circumstances electrosurgery may cause noise on the display Therefore be careful in interpreting the results especially the plethysmographic pulse waveform during electrosurgery External interference Ambient light intravascular dyes and vasoconstrictive drugs may affect the accuracy of the measurement Improper sensor attachment measuring site too thick or thin sensor ends not aligned or patient movement may also interfere with the measurement Adjustments e Press the Menu key e Select SpO2 amp Temp e Select and adjust by turning and pressing
71. ic scaling with N LNSAT automatically scaled bythe measurement board the actual scale unknown Accuracy is based on deep hypoxia studies using Datex Ohmeda Finger Sensors on volunteered subjects Arterial blood samples have been analyzed by a Radiometer OSM Co oximeter Refer to Datex Ohmeda Sat Sensor directions for specific S pO accuracy option N LNSAT Accuracy specifications are based on testing the monitor and sensor on healthy adult volunteers in induced hypoxia studies Temperature Measurement units C or F Measurement range 10 45 C 50 113 F Measurement 0 1 C 0 1 F resolution Measurement 0 1 C 25 45 0 C accuracy 0 2 C 10 24 9 C Probe type Compatible with YSI 400 series Non invasive blood pressure Measurement oscillometric with linear deflation principle Deflation speed heart rate dependent 5 13 mmHg s Measurementrange adult25 260 mmHg child 25 190 mmHg infant 15 140 mmHg Pulse rate range 30 250 bpm 109 Datex Ohmeda S 5 Light Monitor Numeric display Alarms Typical measurement time Safety features Initial inflation pressure mmHg Max inflation pressure mmHg Overpressure limit max 2 s mmHg Max inflation time gt 13 mmHg min Safety valve mmHg systolic diastolic and mean arterial pressure cuff loose cuff occlusion adjustable high and low alarm limits for systolic diastolic mean or off adult 2
72. ight Monitor 12 RECORDING AND PRINTING Recording The optional built in recorder provides single dual and triple real time waveform recording and single and dual recordings of numerical information In addition it can record up to 24 hours of graphic and numerical trend data NOTE Printings on thermal paper may be destroyed when exposed to light heat alcohol etc Take a photocopy for archives Graphical trend data can also be printed on the laser printer either from the local port or if the monitor is connected to network using a central printer e Press Recorder Start Stop to start and stop recording NOTE Scaling of recorded waveforms follows the displayed parameter scaling when applicable Selecting the waveforms to be recorded Waveform x e Selectup to three waveforms you wish to record in Menu Record Print Wave Setup menu Record amp Print Wave Setup Waveform 1 Waveform 2 OFF Waveform 3 Pleth Previous Menu Change waveform recorded in upper field To clear field select OFF D Selectthe recorded waveforms 52 Recording and printing Recording trends Press Menu and select Record Print e Startrecording by selecting Record Graph Trend or Record Num Trend or Record Tab Trend e Stop printing by selecting Stop Graph Num Tab Trend To select the graphical trend you want to record go to Menu Record Print Graph Trend Setup Other recorder se
73. ilter Clean the dust filter at least once a month 1 Pull out the filter frame on the rear panel Do not remove any screws 2 Shake the filter and blow out the dust If the filter is damaged replace it with a new one p n 886841 Monitor casing 1 gently using a moist cloth and mild detergent 2 Letdry completely before reconnecting the power cord Pulse oximetry sensors 1 Wipe the sensor with mild detergent solution 2 Allowitto dry completely before use The Sat Sensors may be sterilized using ethylene oxide The Sat Sensors are latex free Take possible patient allergies into account also when selecting the cleaning agent With the option using Nellcor sensors see instructions in the sensor package WARNING PATIENT SAFETY A damaged sensor or a sensor soaked in liquid may cause burns during electrosurgery ECG cables temperature probes NIBP hose Wipe the cables with mild detergent solution When necessary use disinfectant Always follow the manufacturer s instructions Disinfect only the items that tolerate the process NIBP cuff Clean only when necessary 1 Remove the bladder from the cuff 26 Operation 2 Wash the bladder and the cuff in mild detergent solution Do use alcohol Invasive pressure cables 1 Wipe the cables with sterile alcohol based detergent 2 Aftercleaning wipe the surfaces with a cloth dampened with sterile water Dry with a dry cloth Airway acc
74. in chapter Maintenance and troubleshooting Alarm and information messages Pacemaker patients WARNING The monitor detects and rejects pacemaker pulses see selection Pacemaker in the ECG Setup menu Sometimes this may lead to unnecessary asystole alarms The pacemaker may well change the shape of QRS so much that QRS detection may be affected PATIENT SAFETY Monitor may count pacemaker pulses as heart rate during cardiac arrest some arrhythmias or with certain types of pacemakers particularly in ON R mode Do not rely entirely upon alarms Keep pacemaker patients under close surveillance 64 Respiration 15 RESPIRATION Respiration measurement uses ECG electrodes to measure the impedance changes caused by breathing The measurement is intended for patients three years old and up WARNING PACEMAKER PATIENTS The impedance respiration measurement may cause rate changes in Minute Ventilation Rate Responsive Pacemakers Set the pacemaker rate responsive mode off or turn off the impedance respiration measurement on the monitor Monitoring respiration Respiration measurement is activated when a digit or waveform field is selected for it e Press the Menu key e Select Monitor Setup e Select Waveform Fields or Digit Fields e Select Resp to be displayed on an appropriate field min Figure 15 1 Respiration display Patient connections Respiration uses the same electrodes as ECG referto the ECG
75. ion Paper Speed Recording Length Display Trends Parameter Use detail Trend Setup Trend Page 1 Fi OFF ECG HR P1 P2 SpO2 Pleth CO2 Resp Temp C02 C02 Real time ECG in all models Field 2 OFF ECG HR P1 P2 NIBP SpO2 Pleth CO2 Resp Temp Sp02 Field 3 OFF ECG HR P1 P2 SpO2 Pleth CO2 Resp Temp P1 Pleth P1 mE 72 mim wol Trend Setup Trend Page 2 OFF ECG HR P1 P2 NIBP SpO2 Pleth CO2 Resp Temp P2 C02 p2 OFF ECG HR P1 P2 NIBP SpO2 Pleth CO2 Resp Temp Resp 43 Datex Ohmeda S 5 Light Monitor Trend Setup Trend Page 3 Real time ECG in all models Field 2 OFF ECG HR P1 P2 NIBP SpO2 Pleth CO2 Resp Temp HR HR SpO2 OFF ECG HR P1 P2 NIBP SpO2 Pleth CO2 Resp Temp SpO2 SpO2 Pleth OFF ECG HR P1 P2 NIBP SpO2 Pleth CO2 Resp Temp Temp Resp Field 4 OFF ECG HR P1 P2 NIBP SpO2 Pleth CO2 Resp Temp Pleth Temp C02 default in models with invasive pressure default in models with CO default in models with invasive pressure and CO not available with the Nellcor option N LNSAT 44 Trends mm 10 TRENDS The monitor accumulates and displays trend data for user selected periods between 2 and 24 hours There are two types of trend screens graphic trend displays measured
76. is set to OFF the remaining waveforms are enlarged to fill the area 38 gt Monitor setup Monitor Setup Waveform Fields Field 2 P1 Field 3 P2 Field 4 Pleth Combine Pressures Thick Waves Previous Menu Change the waveform in field 1 To clear field select OFF Select Waveform Fields e Select the field you want to rearrange e Selectthe parameter from the list e Press Normal Screen Selecting Combine Pressures YES displays invasive pressures in the same field only in models with invasive pressure Selecting Thick Waves YES draws the displayed waveforms with thicker trace Selecting numerical display fields There are four fields in the lower part of the screen for numeral information fields are numbered from left to right If a digit field is turned OFF the digit field to its left is automatically enlarged to fill the space 39 Datex Ohmeda 5 5 Light Monitor Monitor Setup Digit Fields Lower Field 1 Lower Field 2 Lower Field 3 Lower Field 4 Previous Menu Change contents of leftmost lower digit field 1 To clear field select OFF e Select Digit Fields e Selectthe field you want to rearrange e Selectthe parameter from the displayed list e Press Normal Screen Setting time amp date CAUTION e Press Menu Select Monitor Setup Set Time and Date The time is shown in the upper right corner of the screen Turning the monitor off do
77. ist 91 double check 57 settings 57 setup 57 Ni Cd 15 N LDATA 29 N LDNET 29 N LNET 29 Non invasive blood pressure 57 Normal Screen 15 Numerical fields 29 Nurse Call 29 disabling 29 Nurse call signal 91 0 On standby 15 Oscillometric principle 57 Output signals 91 OXIBAND 57 OXICLIC 57 OXISENSOR 1 57 Oxygen saturation 5 7 P Pacemaker displaying 57 monitoring patients 57 Waming 1 Paediatric mainstream adapter 57 Paper speed 29 Partial pressure 57 Patient Data 29 Patient ID 29 Patient View 29 Permanent settings 29 Placing monitor 1 Placing Electrodes 57 Plethysmographic Scale 57 Plethysmographic waveform 57 Power adapter 1 fortransport vehicles 1 Preset alarm limits 29 Pressure combined waveforms 29 invasive blood 57 non invasive blood 57 partial 57 Printing 29 M 29 letter size 29 local 29 printer installation 29 trends 29 Priorities of alarms 29 Problem solving 91 Protective case 1 Pulse oximetry 57 Alternative 57 applying sensors 57 checklist 91 selecting sensor 57 settings 57 Pulse rate 57 Pulse Search 57 R Rear Panel 15 Recorder 29 adding paper 29 setup 29 start on alarms 29 Recording alarms automatically 29 trends 29 waveforms 29 Recycling 1 Regular checks 91 Reminder volume 29 Resetting all 29 Resolution trend 29 Respiration 57 Measuring limitations 57 Respiration rate 57 Respiration rate source 5
78. itoring or if any problems occur during monitoring Ifthe monitor does not function as it should and troubleshooting cannot solve the problem contact your sales representative Qualified service personnel may use the Technical Reference Manual General Check that the monitor doesn t have any visual defects such as cracks or loose parts power cord with external power adapter is connected to a grounded electrical wall outlet and the voltage selector is set to local voltage patient connection cables are attached to the monitor so thatthe color coding on the plug matches the color coding on the monitor connector e trends ofthe previous patient are erased e limits are suitable for a new patient 93 Datex Ohmeda 5 5 Light Monitor ECG Respiration monitor is used in correct environmental conditions see General specifications Check that the electrode gel is moist electrodes have good skin contact electrodes are positioned correctly correct cable is used 5 lead cable with 5 lead sets and 3 lead cable with 3 lead sets If you have a 3 lead set connected to a 5 lead trunk cable you must set in the ECG Setup menu the selection 5 Lead Cable to 3elect ECG trunk cable is connected to the blue connector leadwire set is properly connected to the trunk cable Pacemaker selection in the ECG Setup menu is Show or ON R when a pacemaker is used ECG Respiration is selected for display in the Monitor S
79. kg of 10 pcs airway adapter adult pediatric F LM1 F LMP1 Dead space 6 ml Connectors 15F 15M Maximum flow 120 I min Mainstream CO airway 902302 Single use mainstream CO Use with 5 5 Light Monitor adapter pkg of 10 pcs airway adapter low dead space F LM1 F LMP1 Dead space 1 ml Connectors 15F 15M Maximum flow 30 1 min Mainstream CO airway 902304 Reusable mainstream CO airway Use with S 5 Light Monitor adapter pkg of 3 pcs adapter adult pediatric F LM1 F LMP1 Dead space 6 ml Connectors 15F 15M Maximum flow 120 I min Calibration gases Calibration gas regulator 755533 Regulator for QUICK CAL calibration Use with calibration gas gas cans aerosol cans 755580 755581 755582 755583 QUICK CAL calibration 755580 QUICK CAL calibration gas Use with regulator 755533 gas pkg of 4 cans aerosol can 117 Datex Ohmeda S 5 Light Monitor Contains 5 0 CO Balance air Accuracy 0 596 relative Calibration Check 902305 CO Calibration Check Adapterand For755580 Adapter Kit Silicon tube Y fitting for gas regulator 733831 Y fitting for calibration gas For755533 and 755530 regulator PULSE OXIMETRY SENSORS Sat Sensors reusable FingerS at Sensor SAS F4 Cable 4 m 13 ft Standard sensor for adults and children Recommended use short term monitoring OR FingerS at Sensor SAS F Cable 1 3 m 4 ft Standard sensor for adults and children Recommended use short
80. le or mutilate Use only with Battery Module or Extemal Battery Charger Discharge and charge batteries fully once a month to restore full capacity Sealed NiCd battery must be recycled or disposed of properly Discharge before disposing Do not immerse the sensor in liquids or autoclave it g 1 Ni Cd amp Ni Cd IPX class IPX1 IPX4 as General SpO Type BF IEC 60601 1 protection against electrical shock not defibrillation proof NIBP BF IEC 6060 1 1 defibrillator proof protection against electrical shock Temperature Type CF IEC 60601 1 protection against electrical shock ECG Impedance Respiration P2 Type CF IEC 60601 1 defibrillator proof protection against electrical shock Battery packs contain heavy metal cadmium chemical symbol Cd and in case of disposal must be separated from other waste according to local regulations Battery packs contain Ni Cd and they can be recycled Degree of protection against harmful ingress of water as detailed in the IEC 60529 ordinary equipment vertically falling water drops shall have no harmful effects splash proof Battery charging LEDs LEDs are blinking while batteries are being charged and stay illuminated when batteries are fully charged and the monitor is connected to mains The monitoris connected to the network optional The DataCard option is inserted If sym
81. lected pressure scale 4 Systolic diastolic and mean pressures 5 Ventilation mode selected in the Px Setup amp Alarm menu 85 Datex Ohmeda 5 5 Light Monitor Adjustments Press Menu Select NIBP amp Inv Press Select Px Setup amp Alarm Labeling the inva NIBP amp Inv Press P1 Setup amp Alarm Scale 245 mmHg Digit Format S D Sweep Speed 25 mm s Ventilation Mode Spont HR Source AUTO Pi rt Alarm Previous Menu Change label Sets scale alarm source and limits back to default settings sive line The label of the pressure channel sets its scale alarm source and alarm limits The label alternatives are P1 P2 Standard labels Art Arterial pressure CVP Central venous pressure PA Pulmonary arterial pressure ICP Intracranial pressure To change the label Go to setup menu ofthe desired pressure Select Label Select the desired label from the list 86 Invasive blood pressure I Table 19 1 Waveform scales alarm sources and limits that are assigned when the label is selected we ma mo www m m ww 2 Changing the scale Scales can be adjusted between 10 and 300 mmHg in steps of 10 e setup menu ofthe desired pressure e SelectScale e Adjust the scale by turning and pressing the ComWheel Other invasive pressure setup adjustments Digit Format Select the displayed digit either systole and diastole S D or Mean
82. mmHg or lt 40 mmHg Offset over 100 mmHg reduced range Explanation Measured NIBP value exceeds the alarm limit Cuff remains pressurized after measurement or becomes pressurized during or between measurements for more than 15 seconds Cuff not attached to patient or too loose Hose not connected to the monitor Measuring mode is changed to manual Air leakage in cuff or hose in one of the connectors or inside the module Measuring mode is changed to manual Air leakage in cuff or hose in one of the connectors or inside the module Measuring mode is changed to manual 99 Datex Ohmeda 5 5 Light Monitor Notes Messages Artifacts Weak pulsation Cuff overpressure Unable to measure Sys Unable to measure Dia Unstable zero pressure beep Infl limits Check setup beep Long measurement time beep Wait forthe measurementto be done Control measurement Explanation Unsuccessful NIBP measurement due to movements shivering deep breathing marked arrhythmia or irregular beats Weak pulsation s due to improper cuff position weak or abnormal circulation Slow heart rate associated with artifacts problems with measuring diastolic pressure small airleakage insufficient data to artifacts Cuff is squeezed during measurement and exceeds pressure safety limits Measurement is canceled and safety valves are opened Message stays 10 seconds Systolic pressure probably
83. natant 95 Non invasive blood pressure 1 1 11 95 Invasive blood pressure 96 DU tdeo ie Sede i URN tecla lot ul 96 Battery packs and Module aan eh 96 Alarm and information messages ai ash 97 ECG du fide taedis CH OT TIER Mad 97 Impedance 98 Invasive blood nn rn 98 a MEI SN ke 99 Temperature nee asien 101 Pulse na 101 ee 102 103 Datex Ohmeda S 5 Light Monitor Other IGS Sete a elle 22 GENERAL SPECIFICATIONS rs cian EC REAL EINER UN ER tle sd S laksa deleti Impedance respiration nassen Pulse oximetry Sp02 Pleth use dedi sent br ect crea tg TeMmperallfe E Non invasive blood Pressure an ia Invasive blood pressure F LMP1 models 4 Generale Asa aA Light Monitor Battery Module optional w 2 battery 5106 5 5 Light Monitor Backup Battery optional se External Power Adapter 5 te ak a Power Adapter for transport vehicles
84. nder anesthesia or connected to a ventilator Some equipment malfunctions may pass unnoticed in spite of the monitor alarm Do not use antistatic or electrically conductive breathing tubes They may increase the risk of burns when electrosurgery unit is utilized Do not use the monitor during magnetic resonance imaging MRI ECG Impedance Respiration InvBP Ensure proper contact of the retum electrode of the electrosurgery unit to your patient to avoid possible bums at sensor sites ECG Impedance Respiration InvBP Make sure that no part of the patient connections touches any electrically conductive material including earth Impedance Respiration In obstructive apnea thoracic movements and impedance variations may continue NIBP The monitor sets the inflation pressure automatically according to the first measurement Reset the case to reset the inflation limit before measuring a new patient PATIENTS WITH PACEMAKERS OR ARRHYTHMIAS Monitor may count the pacemaker pulses as heart beats during cardiac arrest some arrhythmias and with certain types of pacemakers particularly in ON R mode Do not rely entirely upon rate meter alarms Keep patients with pacemakers and arrhythmias under close surveillance PACEMAKER PATIENTS The impedance respiration measurement may cause rate changes in Minute Ventilation Rate Responsive Pacemakers Set the pacemaker rate responsive mode off or turn off the impedance respiration measurement on the
85. network and cannot be adjusted in the monitor e The patients name can be entered in the Patient Data menu to be displayed on the Datex Ohmeda Central s and the monitor s screen and printed on the laser printouts e Measured and entered patient data be viewed on the Datex Ohmeda Central Measured patient data and alarms can be viewed on other Datex Ohmeda 5 5 monitoring systems but not vice versa Patient view and multi view on the Datex Ohmeda Central screen The Patient View on the Datex Ohmeda Central screen looks like monitor s own screen In the Multi View the measured values from each of the monitor shown on the screen are 8 Patient mode 16 Patient mode ECG waveform ECG waveform HR P1 Sp02 RRor HR numbers numbers Alarm field Alarm field 56 SE Network and DataCard Monitor to Monitor communication DataCard When the monitor is viewed on another S 5 monitor the following parameters EGC Pleth Art HR 5 0 Art CO are displayed HR SpO NIBP P1 P2 CO You cannot view other monitors on the S 5 Light Monitor The DataCard is a rewritable flash memory card With the DataCard the patient trend data collected with the S 5 Light Monitor can be transferred to other 5 5 monitors with record keeping or intensive care softwares as well as to 5 5 monitors with ARK software and S 5 monitors Data from any card cannot be loaded to the 5 5 Light Monito
86. nge 305 105 1 resp min slow 0 62 mm s fast 6 25 mm s apnea adjustable high and low alarm limits for respiration rate 0 1 5 cm Ohm Pulse oximetry SpO Pleth Measurement method Measurement range Calibration range with N LNSAT Display resolution Measurement accuracy with N LNSAT Display averaging time with N LNSAT Alarms Pulse rate red and infrared light absorption SpO 40 100 50 100 calibrated against functional oxygen saturation 70 100 calibrated against functional oxygen saturation 1 digit 1 of SpO 100 80 2 digits 1SD 80 50 3 digits 150 50 40 unspecified 100 70 2 digits 1SD for sensor types D 25 D 25L N 25 D 20 1 20 100 70 96 2 5 digits 150 forsensor OXICLIQ A OXICLIQ P 100 70 96 3 digits 1SD forsensortypes D YS DS 100A OXI A N OXI P I 100 70 96 3 5 digits 1SD forsensortype R 15 10 40 unspecified adjustable 20 s 10 s or beat to beat adjustable slow normal or fast probe off no probe no pulse adjustable high and low alarm limits forSpO 108 General specifications Measurementrange 30 250 bpm Display resolution 1 digit 1 bpm Measurement 5 or 5 bpm accuracy with N LNSAT 3 bpm Alarms adjustable high and low alarm limits for pulse rate Plethysmographic pulse waveform Scales proportional scaling 2 5 10 20 50 mod 96 orautomat
87. ngs see the Temperature chapter Main Menu Return to Main Menu Setting SpO alarms The alarms can be adjusted in the Alarms Setup menu accessed through the 5 02 amp Temp menu See more detailed instructions in the chapter Alarms Alarm messages are explained in the chapter Maintenance and troubleshooting Alarm and information messages Measuring principle Oxygen saturation S pO expressed as a percent defines the amount of oxygen carried compared to total capacity also called functional or in vivo oxygen saturation It is measured by a two wavelength pulse oximeter The SpO value is measured by light absorption technique Red and infrared light 660 nm and 910 nm is emitted from the light source The amount of transmitted light is detected in the detector half When the pulsative part of the light signal is examined the amount of light absorbed by arterial hemoglobins is resulted and the saturation level can be calculated The saturation percentage is displayed numerically and the pulse beep sound varies according to the saturation level Plethysmographic pulse wave The plethysmographic pulse wave is derived from variations of the intensity of the transmitted light and reflects the blood pulsation atthe measuring site Pulse rate Pulse rate is calculated from the plethysmographic pulse wave 72 Pulse oximetry AES Alternative SpO measurement As an altemative to the Datex Ohmeda pulse oximetry th
88. nitor for ventilation to prevent the monitor from overheating Do not apply pressurized airto any outlet or tubing connected to the monitor Pressure may destroy sensitive elements When used in moving vehicle mount the monitor properly Dispose of the device and parts thereof in accordance with local regulations Datex Ohmeda 5 5 Light Monitor e Vibrations during transport may disturb SpO gt ECG impedance respiration and NIBP measurements e C02 5 0 Do not apply force to sensors or sensor cables e DataCards Do not subject cards to excessive heat bending or magnetic fields InvBP Mechanical shock to invasive blood pressure transducer may cause severe shifts in zero balance and calibration and produce erroneous readings Electromagnetic interference from radio frequency transmitting devices in ambulances may affect the performance of this medical device BATTERY CAUTIONS Do not put in fire Do not short circuit any terminals Do not use damaged or leaking batteries e Donotdisassemble or break the batteries Use only with Battery Module or Extemal Battery Charger e Charge and discharge batteries fully once a month to restore full capacity e Sealed NiCd battery must be recycled or disposed of properly Discharge before disposing 10 Installation X 3 UNPACKING AND INSTALLATION Unpacking Placing The monitor is delivered in one box containing typically as minimum D
89. ode tan Forarm circumference 9 14 cm Replacement cover 572437 Replacement coverfor standard adult adult cuff 572435 Color code blue NIBP cuffs single use Single useinfantcuff 572405 Infant cuff 5 for arm Requires infant hose pkg of 10 pcs circumference 9 6 cm 14 3 cm NIBP cuff hoses Adult hose black 877235 Black 3 m 10 ft Use with NIBP cuffs 572436 123 Datex Ohmeda S 5 Light Monitor a 572435 572434 877408 879739 Black 6 m 20 ft Use with NIBP cuffs 572436 572435 572434 877408 Infanthose white 877514 White 3 m 10 ft Do not use with Light Monitor F LM and F LMP Use with reusable NIBP cuff 877407 and single use cuffs 572403 572404 572405 Infanthose white 890639 White 6 m 20 ft Do not use with Light Monitor F LM and F LMP Use with reusable NIBP cuff 877407 and single use cuffs 572403 572404 572405 Connectors Plastic connectors Plastic connectors for upgrading For cuffs adult NIBP cuffs and hoses 572434 572435 572436 877408 For hoses 877235 879739 877913 INVASIVE BLOOD PRESSURE TRANSDUCERS NOTE Companies like Abbott Baxter Edwards COBE Beckton Dickinson and Utah Medical can provide adapter cables for Datex Ohmeda monitors to be used with disposable transducers from these companies InvBP transducers and cables reusable Reusable InvBP 16576 SensoNor 840 3 m 10 ft Requires LE dome transducer Sensitivity 50 uV V cmHg 16578 and flushing kit 16
90. ow more QRS complexes per sweep The 50 mm sec speed is recommended when monitoring patients with a high HR or when using cascaded ECG NOTE The sweep speed is same for ECG plethysmographic and invasive pressure waveforms Select the heart rate source If ECG signal is too noisy for reliable heart rate calculation heart rate can be calculated from pressure Art or pulse oximetry Pleth The heart rate source appears above the numerical display of the heart rate The AUTO selects the first available of ECG Art and Pleth If you use a 5 lead trunk cable with a 3 lead set select 3electon otherwise the Leads Off message will be displayed Select ON to display ECG waveform with 0 5 mV grid lines Selects how to display the pacing pulse of a cardiac pacemaker Show Hide or ON R Hide The pacing pulse is filtered from the waveform Show As above butthe pulse is marked with a constant height marker 63 Datex Ohmeda S 5 Light Monitor ON R Pacing pulses are not filtered from the waveform This improves ECG monitoring with A V pacemaker patients as the QRS complexes are counted even if the pacing pulse hits the complex On the other hand during asystole the monitor may count pacing pulses as heart rate Setting heart rate alarm Heart rate alarms can be adjusted in the Alarms Setup menu or accessed through the ECG amp Resp menu See more detailed instructions in the Alarms chapter Alarm messages are explained
91. planation Cable or some or all the leads off Possibly the DC offset voltage between two electrodes is too high Measurement has turned off Signal amplitude 0 4 Ohm Invasive blood pressure Alarms Messages 1 P2 High Low HR High Low Notes Messages No P1 P2 Transducer No Transducer Not zeroed Zeroing Zeroed Zeroing failed Failed Zero ICP via menu Explanation Measured P1 P2 exceeds the alarm limit Measured heart rate exceeds the alarm limit Explanation Transduceris not connected Transduceris not connected Measurement on channel is not zeroed Zeroing of P1 P2 in progress P1 P2 zeroed message time out 10 seconds Unsuccessful zeroing of P1 P2 Retry Unsuccessful zeroing of P1 P2 Retry ICP must be zeroed through menu 98 Zero fail PrevP1 P2 zero valid Calibrating Calibrated Calibration failed Failed Out of range Zero adj 100mmHg NIBP Alarms Messages NIBP High Low NIBP Cuff occlusion with message beep then caution beep NIBP Cuff loose NIBP manual if cycling stopped Airleakage beep NIBP Air leakage NIBP manual if cycling is stopped Maintenance and troubleshooting Zeroing failed Previous zero value will be used Calibrating of P1 P2 in progress P1 P2 transducer calibrated message time out 10 seconds Unsuccessful calibrating of P1 P2 Unsuccessful calibrating of P1 P2 Measured pressure exceeds gt 320
92. ppens at 12 02 the next measurement is done at 12 05 and again at 12 10 5 min intervals Starting a manual measurement e Select Start Stop Manual Canceling any measurement e Press the NIBP key or e selectthe corresponding menu item 79 Datex Ohmeda 5 5 Light Monitor Starting a continuous measurement STAT You can startthe continuous measurement for five minutes STAT mode through the NIBP amp Inv Pressure menu only In STAT mode the early systolic value is measured and displayed until the final result is available After five minutes the monitor automatically returns to the previously selected cycling interval orto manual mode To start the measurement e Press the Menu key and select amp Inv Press Select Start STAT Using venous stasis You can hold a constant pressure in the cuff to help venous cannulation Venous Stasis This function is only available through the NIBP amp Inv Pressure menu The pressure is maintained in the cuff for a certain time according to the inflation limits Table 18 2 Inflation limits and venous stasis times nen in ous sasis pressure Venous tate The pressurization time is displayed in the NIBP field and during the last 15 seconds the word STASIS is flashed e Press the Menu key e Select NIBP amp Inv Press and Start Ven Stasis To release the pressure before the time is expired e Press the NIBP key 80 En Non
93. r Do not allow the CO sensor to come in contact with the patient s skin fora prolonged period of time Mainstream sensor is heated to prevent the fogging of the airway windows Do not immerse the sensor in liquids or autoclave it Do not use damaged sensors or adapters Do not clean or sterilize a single use adapter Display of CO measurement Resp 12 min Figure 20 2 Display of the CO waveform 1 Continuous CO waveform 2 Values of end tidal ET and fraction of inspiratory Fl CO 3 Respiration rate 90 Carbon dioxide V VJ V CO adjustments Main Menu BEREITS Ten Mainst Scale 6 N20 02 Comp OFF Unit Sweep Speed Resp Rate Source CO2 Alarms Main Menu Select CO2 measurement MainStream or OFF Measurement Set on mainstream MainSt or turn the measurement OFF Scale Selects 0 6 0 10 96 0 15 orkPa and 0 50 mmHg 0 80 mmHg 0 100 mmHg Scale 0 6 is used in normal situations 0 1096 and 0 1596 scales are used if hypercarbia is expected N20 02 Comp Selects compensation OFF 0 or Op In the breathing circuit when there is 50 or more of N20 use 0 compensation when ther is 60 or more of 02 use O In other cases turn off the compensation Unit Selects CO unit 9o kPa or mmHg See Unit conversions later in this chapter Sweep Speed Selects Fast 6 25 mm sec or Slow speed 0 62 mm sec Slow waveforms have a sweep speed one tenth of normal for
94. r nor loaded from the network to the S 5 Light Monitor or vice versa Inserting and removing the card Push the card into the slot on the left side panel of the monitor When the DataCard is inserted this symbol is displayed If the symbol is blinking the card is not inserted properly If any other card ora faulty card is inserted a message Faulty DataCard change card is displayed 57 Datex Ohmeda 5 5 Light Monitor To remove the card Push the lever on the side of the slot Collecting data When the card is inserted the continuous patient trend data is automatically Stored on it When the card is filled the oldest data is erased but only if it is older than two days You can retrieve information of approximately the last 24 hours The memory capacity depends on the complexity of the saved data 58 14 ECG 1 ECG J ECG monitoring is used to measure the heart rate detect arrhythmias monitor pacemaker function and myocardial ischaemia ECG reflects the electrical activity generated by the heart muscle You can use 5 and 3 lead sets and trunk cables but only leads I Il or lll can be measured Monitoring ECG 1 Connect the patient cable to the blue ECG connector on the monitor s side panel Place the electrodes on the patient Connect the leadwires to the electrodes NOTE Always attach all the electrodes to the patient also when using a 5 lead cable The label of
95. rature 10 40 C 50 104 F 30 70 C 22 158 F 20 60 C 4 140 F with 30 50 C 22 122 F for batteries 5 95 non condensing 50g 11 ms For accessories please refer to the Datex Ohmeda Patient Monitor supplies and accessories catalogue Specifications subject to change without notice Display Display size and type Number of traces Display resolution Display layout 9 monochrome EL display Up to 4 640 x400 User configurable Integrated direct function keys menu key and ComWheel for selections and adjustments in menus 112 General specifications Trends Graphical 2 4 12 and 24h Numerical all parameters sampled every 5 min and after NIBP measurement Trend cursor both in graphical and numerical trends Alarms Adjustable high and low alarms for Resp SpO Temp Fi and Invasive Pressures Alarm system classified according to priority visually with color and audio tone coded Central alarm display and adjustment page 10 min graphical mini trends referenced to set alarm limits Automatic alarm limits function alarm limits automatically calculated from current parameter reading when selected Alarms history displaying 10 latest alarms Light Monitor Battery Module optional w 2 battery slots Type NiCd battery Capacity Up to 2 hours 1 h batt typical on full charge at 23 C 73 F Recharging When conn
96. ren nein us 30 Silencing alarms for two 31 Turning audible alarms on and off sans i ern doa a ee 31 Alam messa GOS onora ET AT UR 32 Alarms setup and adjustments u a 32 ES a ein 32 Other SOUINGS air 33 Automatic alarm eot I asso ados aces id tiii qa red uns 33 Pi Innere e METER 34 een ee UR CL 34 34 Auto alar HI ES ss rennen 36 MONITOR SETUP 38 Sereen SetUp mc aan 38 Selecting dort donas ip ets voe OM tari pap ra a esed 38 Selecting numerical display tta ter eae etes 39 Setting EINER TB EB e eds dec n 40 Install eri Ce Men uero eee doeet Rb rer esie E bro EH ens 41 eraut SOUNDS ioc aside eek nee 41 General 10 TRENDS 45 VIEWING graphic trends sn ee 46 Graphic trend DB coss ct ido MOS are Tne BERNER 46 Viewing numerical cas ri eaa dr etus dnos Po wa du 48 Changing trend RM LUIS 49 Peel SAGAN CUT a d Dea sd cede toten 49 11 Patient Data 50 12 Recording and Printing 52 Recordin beoe 52 Selecting the waveforms to be recorded 52 RecordingtrendS tuns Rav etam 53 Other recorder SEES ea o NP RERUMS 53 Recorder paper bin 54 PIAINg EENE
97. rical Trend 29 Warnings 1 washing machine 15 Waveforms displaying 29 invasive blood pressure 57 scaling ECG 57 scaling plethysmographic 57 sweep speed 57 thick waves 29 Z Zeroing the transducer 57
98. s not connected to the patient No pulse detected during last 20 seconds or more Damaged probe probe is present but LEDs take no current Explanation Sensor is not connected to the patient Pleth pulses not detected Interference due to movements or shivering Probably faulty sensor or wrong attachment Check the sensor site for poor blood circulation Change site and sensor if needed 101 Datex Ohmeda S 5 Light Monitor Scale changed Pleth scale changed automatically 10 s time out With the Nellcor compatible option N LNSAT NOTE Following messages are available also with the N LNSAT option 5 02 Low 5 02 High HR Low HR High No SpO2 probe No probe Pulse search No SpO2 pulse SpO2 probe CO Alarms Messages Resp high low EtCO2 high low FiCO2 high Apnea No CO2 Sensor CO2 sensor Failure Unspecified CO2 Sensor Use only Datex Ohmeda mainstream CO2 Sensor Gas module error SpO lt alarm limit SpO gt alarm limit Pulse rate lt alarm limit Pulse rate gt alarm limit Sensor is not connected to the monitor Sensor is not connected to the monitor Searching for appropriate internal gain and signal levels No pulse detected when the Pleth is selected as HR source No pulse detected when ECG or Art selected as HR source Explanation Measured respiration rate exceeds the alarm limit Measured exceeds the alarm limit Measured FiCO exceeds the alarm limit No
99. section of this manual Respiration setup e Press the Menu key e Select ECG amp Resp 65 Datex Ohmeda 5 5 Light Monitor Size Sweep Speed e Select Resp Setup ECG amp Resp Resp Setup Size 0 2 Sweep Speed Resp Rate Source Measurement Detection limit Previous Menu Change size of signal by adjusting scale height Adjust the scale height 1 50 mm Ohm The bar on the left displays always 1 Ohm Set the speed of the waveform sweep Speeds are Fast 6 25 and Slow 0 625 mm s on a 9 screen Resp Rate Source Measurement Select the respiration rate source of AUTO CO and Imped The AUTO sets the CO first and if itis not available impedance respiration is used Default selection is AUTO Select ON to measure impedance respiration and OFF to set the measurement off Default selection is ON Detection Limit Adjusts measurement sensitivity Selections are AUTO 20 40 60 or 100 The percentage is the ratio to the 1 Ohm reference bar which is 100 Limitations of measuring Movement artifacts Changing the patient position moving the head moving the arms or shaking will result in movement artifacts Also the heart may cause noticeable movement and sometimes this may interfere with the respiration measurement 66 Respiration Electrical interference Electrical devices that emit electromagnetic disturbance will result in artifacts or disable the respiration measurement
100. t n Temp Temp 3rd Page EC Basic model Model with CO and pressure invasive pressure ECG 500 not available with option N LNSAT Parameters displayed on each page can be selected in Trend Setup Resolution Resolution of trend display depends on the trend length selected Table 10 2 lengths and resolutions Trend length hours Resolution minutes 47 Datex Ohmeda S 5 Light Monitor Viewing numerical trend You may view trend data also in numerical format The trend information is updated every five minutes and always after NIBP measurement The latest information is displayed atthe bottom ofthe page Select Numerical uam 12 48 Trends us Lead II H Next Page p R 58 Cursor Hm Graph 2 h 5 02 RR Temp Pil P2 Time sysydia Temp Art mmHg 15 14 58 128 81 5 8 1304 82 14 130 82 12 h 15 15 58 1287 81 35 8 180 82 t 14 t 24 h 15 16 58 97 128 81 35 8 1304 82 1 14 194 15 17 97 8 81 5 8 1 04 82 14 5 18 58 97 128 81 35 8 130 82 1 14 Trend Setup 15 19 58 57 i28 81 95 8 i90 82 1 14 5 Msi 15 20 58 1287 81 8 8 130 82 1 14 97 lain Menu 15 21 58 97 128 81 35 8 1307 82 1 14 2 15 22 58 97 128 81 35 8 1307 82 1 14 15 23 58 97 128 81 5 8 130 82 1 14
101. term monitoring OR Requires Sat Sensor Cable FlexSat Sensor SAS W Cable 1 m 3 ft Multisite sensor for adults includes cloth wrap and infants Recommended use long term monitoring ICU and PACU Requires Sat Sensor Cable EarSat Sensor SAS E Cable 1 m 3 ft Multisite sensor for adults and infants Recommended use short term monitoring PACU Requires Sat Sensor Cable Product name Order code Specification Single patientSat 16580 Infant cable 0 7 m 2 ft Recommended use long term Sensor pkg of 12 pcs monitoring ICU Requires Sat Sensor Cable ingle patient Sat 16581 Pediatric cable 0 7 m 2 ft Recommended use long term Sensor pkg of 12 pcs monitoring ICU Requires Sat Sensor Cable Sing ient Sat 16582 Adult cable 0 7 m 2 ft long Sensor pkg of 12 pcs ires Sat Sensor Cab 118 Accessories Sat Sensor cables Sat Sensor Cable 5 5 Cable 1 5 m 5 ft Use only with Datex Ohmeda at Sensors S SAS C3 Cable 3 0 m 10 ft Use only with Datex Ohmeda Sat Sensors Sat Sensor Cable SAS C10 Cable 10 m 33 ft Use only with Datex Ohmeda Sat Sensors Clips wraps and tapes nie emt pkg of 3 pcs pkg of 25 pcs Sensors pkg of 12 pcs application Sensors ECG CABLES NOTE All Datex Ohmeda ECG cables can be used for respiration monitoring with Datex Ohmeda 5 5 monitors ECG trunk cables IEC color coding 300 Series 3 lead trunk 545305 300 Series
102. the ComWheel Main Menu Beat Sound Yolume Pleth Scale Sp02 Pleth Setup Sp02 Alarm Temp Setup amp aAlarm Main Menu Change volume of pulse heart beat sound Sound is derived from HR source Beat Sound Volume Scale Sweep Speed Adjust beat volume from 0 to 10 Select Scale from 50 20 10 5 2 or use AUTO which automatically adjusts the scale according to the measured waveform NOTE The selection is not available with the Nellcor option N LNSAT Set the speed of the display sweep for the waveform display The speeds are 12 5 25 or50 mm sec on a 9 screen NOTE The sweep speed is same for ECG plethysmographic and invasive pressure waveforms 71 Datex Ohmeda 5 5 Light Monitor HR Source Select the heart rate source If ECG signal is too noisy for reliable heart rate calculation heart rate can be calculated from pressure Art or pulse oximetry Pleth The heart rate source appears above the numerical display of the heart rate The AUTO default selects the source in the following order ECG pressure and plethysmographic pulse waveform SpO Response Select how fast the 5 0 value follows the measurement The selections are Beat to beat Normal 10 s or Slow 20 s default setting The selections with the Nellcor option N LNSAT are Fast Normal and Slow 5 0 Alarms Opens a submenu for adjusting alarms see the Alarms chapter Temp Setup Opens a submenu for adjusting temperature setti
103. the corresponding connectors on the monitor s rear panel Configure the location IDs in the DatexOhmeda Central When the monitor is connected to the network and tumed on the network symbol is displayed on the upper right corner of the screen Configuration Disposal When the monitor is delivered itis configured with the factory default settings and is ready to use If you want to change the settings and make your own permanent configuration refer to chapters Alarms and Monitor setup of this manual Dispose ofthe monitor or parts of it in accordance with local environmental and waste disposal regulations 13 Datex Ohmeda 5 5 Light Monitor 14 Operation 4 DESCRIPTION Parts ofthe monitor Figure 4 1 S 5 Light Monitor 1 2 aA Ui mu 7 8 9 Battery 2 pieces Recorder option DataCard slot option Handle with rail hooks Alarm indicators Function keys ComWheel Power On Standby External power indicator 10 External power adapter or Power Adapter for Transport Vehicles 11 Battery Module option 12 Battery charge status LEDs 15 Datex Ohmeda 5 5 Light Monitor Rear panel Figure 4 2 Rear panel Dust 1 2 Feature connector X3 3 Connector for power adapter X1 4 Printer connector serial X2 5
104. ttings To make the following selections go to Menu Record Print Recorder Setup Start on Alarms Selectif an alarm activates the recorder or not YES NO Recording time is 30 seconds 12 seconds recording from the recorder memory 18 seconds real time recording Alarm source annotated Waveform Delay Select the amount of waveform data in seconds that will be stored in the recorder memory and printed before real time waveform The choices are OFF or12 seconds Paper Speed Select the paper speed 6 25 12 5 or25 mm seconds Recording Length Select the printing time either 30 seconds or continuous Previous Menu Return to Record amp Print menu 53 Datex Ohmeda 5 5 Light Monitor Recorder paper replacement Figure 12 1 Placing paper roll Printing Graphical trend pages P1 P2 and P3 can be printed either separately or all together Print with a local laser printer or if the monitoris connected to the network with a central laser printer To print Press Menu Select Record Print Select Print Graphical Select Print Graphs or Press Menu Select Trends Select Print Page Selecting the printer Press Menu Select Record Print Select Print Graphical 54 Recording and printing Select Printer Location e Select Local for local printing or an appropriate network alternative Network printers are named in your Datex Ohmeda Central Selecting the
105. um Corp by Mallinckrodt Inc 675 McDonnell Boulevard P O Box5840 St Louis 63134 USA ComWheel Datex Ohmeda AS 3 Datex Ohmeda CS 3 Light EarSat FingerSatand Flexlite are trademarks of Instrumentarium Corp Instrumentarium Corp All rights reserved General Table of contents 1 How to Use THIS MANUAL 1 Related documents eek 1 Symbols and abbreviations ol eye tl EPI ad 2 Symbols on the BqUIDITIBTIDS 2 2 Symbols used in this Maal es cena a n RR e 4 562323 oia e 4 AbDFevidlOFIS s 5 Conventions used In this mal dl sid edo edes een 6 2 SAFETY 7 Wang ne ERINNERN EN 7 EXPLOSION HAZARD isi rd aan 7 ELECTRICAL SHOCK HAZARD ioco Meran 7 PANIENTSAFEN s desee nee 8 CO a De 9 BATERY CAUTIONS a as 10 3 Unpacking and Installation 11 Eng ac Ing os nee dd toam nies 11 Placing os ae ee la ds GE 11 Electrical POWeI Ada IGI ai sanken 12 Charge batteries urn eai evt Equidad m M d D LAC amu 13 Connecting to networks 13 Configuratio N 13 DISHOSdl 14 4 Description 15 Parts of Eig moniti arena 15 Rear panel ca tio pr ped Dico dE pn D E 16 Keys
106. ve as Defaults please write them down in the empty column Do not change default settings without common consent of all users Table 9 1 Monitor setup selections and factory defaults Monitor settings Parameter Field 1 OFF ECG P1 P2 PLETH CO2 Resp Field 2 OFF ECG P1 P2 PLETH CO2 Resp P1 Pleth P1 Field Combine Pressure Thick Waves OFF HR P1 P2 NIBP 502 CO2 Resp Temp 41 Datex Ohmeda 5 5 Light Monitor Lower Field 2 OFF P1 P2 NIBP SpO2 02 Resp Temp tP2 P2 Lower Field 3 OFF HR PL P2 5 02 Resp em Lower Field 4 OFF HR P1 P2 Sp02 CO2 Resp Temp OrF Clock Format Parameter settings Pacemaker Show Hide On R Beat Sound Volume 0 0 10 Scale Sweep Speed HR Source 5 02 Response B to B Normal Slow with N LNSATselections are Fast Normal Slow Temp Setup Unit Label Label Scale Digit Format Sweep Speed HR Source Label P2 Art CVP ICP PA Scale 20 10 300 Digit Format S D Mean Sweep Speed 12 5 25 50 HR Source AUTO ECG Pleth 42 Monitor setup Set Cycle Time 12 5 3 5 10 15 30 60 NIBP Setup Ready Prompt 5 0 10 Inflation Limits 150 200 280 mmHg C02 Scale Sweep speed MS or OFF Recording and Printing Parameter user default Waveform 1 Waveform 2 Waveform 3 Graphic Trend 1 Graphic Trend 2 Starton Alarms YES NO Waveform Delay Trend Resolut
107. x e the ComWheel e Press Normal Screen to return to normal monitoring To set auto limits Auto limits are calculated from the measured patient values at the time when auto limits are selected These limits enable close patient control with individual alarms Select Auto Limits Press Normal Screen Sets the alarms to the default alarm limits Cancel Changes Returns all the values to those that were valid when the Alarms Setup menu Alarm Sources Alarm Volume Audio ON OFF Alarm History Remove Menu was entered NIBP and invasive pressure alarms have altemative sources systolic diastolic mean pressure or OFF The volume ofthe audio alarms can be adjusted from 1 soft to 10 loud All alarms or asystole alone can be turned on and off Displays a list of the last 10 alarms message with respective times Press the ComWheel to get back to Alarms Setup menu Only the alarm limits and 10 minute trends are displayed Automatic alarm recording You can record following alarm situations 1 Asystole 2 HR high low and Art low simultaneously in model with invasive pressure When the alarm reaches red state the recorder will print the ECG P1 waveforms Printing appears 12 seconds after the alarm situation has started 33 Datex Ohmeda 5 5 Light Monitor To set alarm recording press Menu and select Record amp Print Recorder Setup Start on Alarms YES NO Alarm tables Alarm sourc
108. y lasts at least one hour If not the battery is old and needs to be replaced NOTE Discharging and recharging the battery regularly lengthens the battery lifetime 96 Maintenance and troubleshooting Alarm and information messages ECG Alarms Message Asystole HR high low Leads off Notes Message Leads off Noise Artifact Casc Explanation No QRS complexes in 6 sec Asystole message is given always from ECG in spite of HR calculation source and only from ECG Measured heart rate exceeds the alarm limit ECG cable or some or all leads are off Possibly the DC offset voltage between two electrodes is too high 3 lead set is used with a 5 lead cable set in ECG setup menu the selection 5 Lead Cable to 3elect Explanation ECG cable or some or all leads are off Possibly the DC offset voltage between two electrodes is too high 3 lead set is used with a 5 lead cable set in ECG setup menu the selection 5 Lead Cable to 3elect High frequency noise e g from electrosurgical unit or 50 Hz from the mains Frequent ECG overload or clipping Elevated baseline noise Heart rate 240 Two ECG waveforms selected for display 97 Datex Ohmeda 5 5 Light Monitor Impedance respiration Alarms Messages Apnea Resp high low Notes Messages Leads off Measurement off Small Resp curve Explanation No breathing detected for 20 seconds Measured respiration rate exceeds the alarm limit Ex

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