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Product Manual - Drive Medical

1. ways Alarm level Audible prompt High DO DO DO DO DO DO DO DO DO DO Medium DO DO DO Low DO 5 3 2 Alarm Lamp When a physiological alarm occurs the alarm levels are indicated in the following different visual ways Alarm level Visual prompt High Alarm lamp flashes in red with 2 Hz Medium Alarm lamp flashes in yellow with 0 5 Hz Low Alarm lamp lights on in yellow without flashing When a technical alarm occurs the alarm levels are indicated in following different visual ways Alarm level Visual prompt Medium Alarm lamp flashes in blue with 0 5 Hz Low Alarm lamp lights on in blue without flashing Caution When multiple alarms of different levels occur at the same time the monitor will select the alarm of the highest level and give visual and audible alarm indications 5 3 Vital Signs Monitor User s Manual 5 3 3 Alarm Message Physiological alarm Physiological alarm messages are displayed in the physiological alarm area The system uses different symbols and background colors for the alarm messages to match the alarm level as follows Alarm level symbol background color High kkk red Medium Low a yellow Caution O The monitor won t give physiological alarm under clinic mode e Technical alarm Technical alarm messages are displayed in the technical alarm area The system uses differ
2. Medium SpO Low SpO measuring value is below the low alarm limit SpO Desat SpO measuring value is too low High PR High PR measuring value is above the high alarm limit Medium PR Low PR measuring value is below the low alarm limit SpO No Pulse SpO signal is predominantly invalid and High therefore cannot be analyzed Oo NIBP Alarm messages Cause Level NIBP Sys High NIBP Sys measuring value is above high alarm limit NIBP Sys Low NIBP Sys measuring value is below low alarm limit NIBP Dia High NIBP Dia measuring value is above high alarm limit Medium NIBP Dia Low NIBP Dia measuring value is below low alarm limit NIBP Map High NIBP Map measuring value is above high alarm limit NIBP Map Low NIBP Map measuring value is below low alarm limit Vital Signs Monitor User s Manual e CO Alarm messages Cause Level EtCO High EtCO measuring value is above high alarm limit EtCO Low EtCO measuring value is below low alarm limit FiCO High FiCO measuring value is above high alarm 3 bats Medium limit awRR High awRR measuring value is above high alarm limit awRR Low awRR measuring value is above high alarm limit CO Apnea No breath is detected in the set period High o Temp Alarm messages Cause Level Temp measuring value is above high alarm Temp High E limit Medium Temp measuring value is b
3. Technical alarm indicating lamp 1 Blue Power indicating lamp 1 Green Orange Green When powered with AC it lights green while turn on and off the monitor Orange When powered with battery it lights orange only while turn on the monitor Battery charging indicating lamp 1 Orange A 3 5 Audio indicating Speaker Gives audible alarm QRS tone Supports Pitch Tone and multi level volume Alarm tones meet the requirement of IEC 60601 1 8 Alarm pressure 45 dB to 85 dB Testing place is 1 meter from the tone V6 Vital Signs Monitor User s Manual A 3 6 Input device ieem NG PAN 5 NIBP record suspend silence screen switch and power switch Knob With Barcode scanner Optional Temp module Button 1 START A 3 7 Connectors Center computer connector RJ 45 10M 100M TCP IP Serial port RS232 serial port Nurse call Nurse call connector Equipotential grounding point 1 USB connector Barcode scanner or other USB devices supported by monitor SD card connector reserved connector Wireless network reserved connector Temp module connector Temp probe connector A 3 8 Signal Output Nurse call output Drive mode Relay Electric specification lt 60W lt 2A lt 36VDC lt 25VAC Isolated voltage 1500VAC Signal type N C N
4. The monitor can be fitted with rechargeable battery to ensure its continuous work after the failure of alternating current power supply and it needs no special maintenance under the normal condition While the monitor connecting with alternating current power no matter whether the monitor is operating or not the battery always can be charged In the case of sudden power off the monitor will automatically get power supply from battery without interruption of monitoring work Indicative message under the screen will display battery states HE The icon indicates that the battery is fully charged HE The icon indicates that the battery is four grids left HE The icon indicates that the battery is three grids left QM The icon indicates that the battery is two grids left BN The icon indicates that the battery is one grid left EE The icon indicates that the battery is almost depleted and need to be charged immediately Warning e Use only batteries specified in this manual e Keep the batteries out of children s reach Caution O Remove the batteries prior to shipping or if the monitor is not likely to be used for an extended period 12 1 Vital Signs Monitor User s Manual 12 2 Installing a Battery The battery compartment is in the bottom part of the monitor please refer to the following steps when installing or charging the batteries 1 2 3 4 5 Turn off power of the monitor and disconnect
5. Manufacture date de O ul pi Manufacturer SN Serial number IPX1 Degree of protection against ingress of liquid Symbol marked on a tag attached to the supply cord of the monitor to Hospital Only warn that the supply cord should be connected to the sockets which are Hospital Only to achieve grounding reliability SpO Short for Pulse Oxygen Saturation NIBP Short for Non invasive Blood Pressure CO Short for Carbon dioxide Temp Short for Temperature K Symbol for the marking of electrical and electronics devices according to m Directive 2002 96 EC 2 5 Vital Signs Monitor User s Manual Chapter 3 Operations 3 1 Unpacking and Checking 1 Unpacking Before unpacking examine the packing case carefully for signs of damage If any damage is detected contact the carrier If the packing case is intact open the package 2 Remove the monitor and accessories carefully 3 Keep all the packaging materials for future use in transportation or storage 4 Check the monitor and accessories Check the monitor and its accessories one by one in accordance with the packing list Check to see if the parts have any mechanical damages In case of problems please contact us or our agent Warning Keep the packing materials out of children s reach Disposal of the packing materials should observer the applicable waste control regulations The monitor mig
6. Menu Display Setup 2 Select Color Setup choose a desired color for the parameter and waveform 3 Select Default Setup set all the parameters and waveforms to default color 4 1 3 Screen Switch You can set the screen layout as required The setting method is as follows 1 Select Menu Display Setup 2 Select Screen Switch choose a desired screens to display There are NIBP Review Trend Screen and Alarm Screen 4 1 4 Standby Mode The monitor has standby function under the clinic mode Please set as follows 1 Select Menu Display Setup Screen Save Time 2 Set the screen save time the monitor will enter standby mode while with no operations during the setting time 3 Press any button including the touch screen to exit the standby mode Vital Signs Monitor User s Manual 4 2 Screen Layout The monitor has configured with a color TFT LCD to display parameters and waves of patient s SpO NIBP and CO The following figures are screens of the monitor 4 2 1 Standard Screen Parameters displayed under the screen are SpO2 CO2 SpO and TEMP Waves displayed under the screen are SpO2 and CO 12 1 11 wer 2 3 4 10 5 6 9 7 8 1 Alarm Pausing Silence Area It is to display alarm pausing icon and time or silence icon 2 NIBP Parameter Area It is to display NIBP parameters Select NIBP to enter NIBP Setup menu 3 CO Parameter Area It is to display CO
7. SpO2 Desat Limit to a desired value 6 5 6 Setting Wave Color 1 Select Pleth to enter Pleth Setup menu 2 Set Wave Color to a desired color 6 5 7 Masimo SpO module setup When using masimo SpO module You may need to do the following operations inthe SpO Setup menu Setting Sensitivity Mode You can set sensitivity mode of Masimo SpO module according to use condition Select Sensitivity Mode in the SpO Setup menu with the options of Max Normal or APOD Max This mode should be used for the sickest patients where obtaining a reading 6 5 Vital Signs Monitor User s Manual is most difficult The mode is recommended during procedures and when clinician and patient contact is continuous Normal This mode provides the best combination of sensitivity and probe off detection performance The mode is recommended for the majority of patients APOD This mode is the least sensitive in picking up a reading on patients with low perfusion but has the best detection for probe off conditions The mode is useful for patients that are at particular risk of the sensor becoming detached pediatric combative etc Setting Fast Sat mode The Fast Sat mode is clinically applicable during procedures when detecting rapid changes in oxygen saturation is paramount such as induction intubation and sleep studies Select Fast Sat Mode in the SpO parameter setting menu you can select On or Off to
8. to a desired value 7 8 Setting Venipuncture Press You can use the NIBP cuff to cause sub diastolic pressure and block the venous blood vessel to assist venous puncture 1 Select NIBP to enter NIBP Setup menu 2 Set Veni Press to a desired value 3 Select Venipuncture 4 Puncture vein and draw blood sample 5 Select Venipuncture again to deflate the cuff The cuff deflates automatically after a set time if you do not deflate it 7 9 NIBP Resetting Select Reset in NIBP Setup menu to restore the inflation value of blood pressure pump to the initial value In case the blood pressure pump doesn t work as normal but without any prompt the blood pressure pump can be checked by reset 7 5 Vital Signs Monitor User s Manual thus the blood pressure pump in abnormal condition due to unexpected reason will automatically restore 7 10 Air Leakage Testing Air Leakage Testing is to test the status of air way s air leaking If no error information displays on NIBP parameter area it indicates that the airway is in good situation and no air leaks exist However if the airway may have air leaks the prompt message appears in NIBP displaying area NIBP Air Leakage Testing should be done every two years or when you feel the reading is incorrect Before testing please get ready the following things O One adult cuff O One inflate hose One Cylinder Metal Vessel Procedure of the air leakage test 1 Enter Pat
9. 9 5 Vital Signs Monitor User s Manual Chapter 10 Reviewing Review means reviewing the patients relevant data that have been saved by the monitor previously Review function is available in Clinic Mode only In Monitor Mode you may review the trend data NIBP measurement data and alarm events of the monitored patient by use of screen changing key 10 1 Entering the Reviewing Menu You can enter the reviewing menu by the following two methods O Select Menu History Review to enter the reviewing window O Select Menu Data Manage to enter Data Manage window 10 2 Reviewing Details O Through History Review window 1 Select History Review to enter History Review menu 2 Turn the Trim Knob to select a patient in the window then select LookUp 1 to view patient s Detail Record 3 Select Record or press the button on the front panel of monitor to print out the current page O Through Data Manage window 1 View one patient s ID record a Use a barcode scanner to input the patient s ID number in Lookup ID Record or input the ID number manually b Select the button Lookup ID Record on the right to view patient s Detail Record 2 View record during a time a Set Lookup Jto Within a week 1 Within a month 1 Within half a year or TAM b Select Lookup on the right to enter History Review menu 10 1 Vital Signs Monitor User s Manual Caution No matter where the
10. Biolight Meditech Co Ltd Address No 2 Innovation First Road Technical Innovation Coast Hi tech Zone Zhuhai P R China Post code 519085 EC Representative Shanghai International Trading Corp GmbH Eiffestrasse 80 20537 Hamburg Germany PN 22 038 0013
11. Display screen 4 NIBP press this button to start or stop NIBP measurement 5 RECORD press this button to start or stop recording 6 22 SPEND SILENCE Press this button to pause or reactive the alarms Press and hold this button for 1 second to silence the system sound de mm Press this button to Change the screen Return to the main screen when a menu is opened 8 Trim Knob The Trim Knob is used for O Turn left or turn right to move the cursor O Press down to perform an operation such as open a menu dialog or select one option 9 NIBP connector 10 CO connector 11 SpO connector Vital Signs Monitor User s Manual 12 0 0 Power button O Press this button to turn on the monitor after AC power is connected or the battery is installed O Press and hold it for 2 seconds to turn the monitor off 13 Power indicating lamp It is a LED that lights green and orange the status of the LED is specified as follows O Green When the AC mains is connected O Orange When the AC mains is not connected and monitor is powered by battery O Off When the AC mains is not connected 14 Battery charging indicating lamp Light up When the battery is being charged Off When the battery is fully charged or no battery in monitor 15 Handle 1 2 2 Side View Left side SD card slot Recorder Vital Signs Monitor User s Manual 1 2 3 Rear View 1 Temp connector 2 Grounding termina
12. Meanwhile the system clanks and enters main screen and the temperature module displays screen information after a sound of ba Warning e If the monitor is mechanically damaged or if it is not working properly do not use it for any monitoring procedure on a patient Contact your service personnel Caution e The monitor does not have mains switch The monitor is switched completely only by unplugging the power cable from the AC power source 3 2 Vital Signs Monitor User s Manual 3 2 3 Starting Monitoring 1 Decide which parameter should be monitored or measured 2 Install required modules or sensors 3 Check whether the installation of modules or sensors is correct 4 Check whether all kinds of settings are correct 5 Start monitoring on a patient Detailed information refers to the related chapters 3 3 Shutting off the Monitor Please follow the below steps to shut off the monitor Confirm that the patient monitoring is finished Disconnect the cables and sensors form the monitor Confirm that the monitoring data is stored or cleared PO UN A Press the power switch and hold it for 1s to turn off the monitor Caution e If the monitor can t be switched off normally forced close the monitor by pressing and holding the power switch for more than 5s This may cause some damages to the device 3 4 Operation Modes 1 Select EJ or pa in the Icons Area after starting the monitor to enter Mode S
13. O A 3 9 Data Storage Clinic Mode Patient quantity 1000 Recording number 16000 Single patient clinic 1 16000 record number V6 Vital Signs Monitor User s Manual Monitor Mode Patient quantity 1 Trend data 3 kinds resolution 1Min 5Min 10Min 1Min can store 96 hours 5 Min can store 480 hours 10 Min can store 960 hours Alarm events 1000 NIBPmeasurement 5000 record A 4 Measurement Specifications A41 SpO e Digital SpO module Measurement technic Digital SpO technic Monitoring parameters SpO and PR SpO Measurement range 0 100 Resolution 1 Accuracy 2 70 100 SpO 0 69 unspecified PR Measurement range 257255 bpm Resolution 1 bpm Accuracy 1 or 1 bpm whichever is the greater SpO alarm range 0 100 high low limit can be adjusted continuously PR alarm range 0 300 bpm high low limit can be adjusted continuously O Nellcor SpO2 module Measurement technic Nellcor SpO technic Monitoring parameters SpO and PR SpO Measurement range 0 100 V6 Vital Signs Monitor User s Manual Resolution 1 Accuracy 2 70 100 SpO adult 3 70 100 SpO neonate 2 70 100 SpO Clow perfusion unspecified 0 69 PR Measurement range 20 300 bpm Resolution 1 bpm Accuracy 1 or 1 bpm whichever is the greater SpO al
14. Sensor or module is not initialized o Temp Alarm messages Cause Level Temp Sensorerrorl The temp sensor is error Temp Sensorerror2 The temp sensor is error The measurement value is higher than Temp OverrangeUp 43 C The measurement value is lower than Temp OverrangeDown 34 C Low Temp Environment ee The ambient temp is higher than 40 OverrangeUp Temp Environment The ambient temp is lower than 10 OverrangeDown Temp Disconnect The temp probe is disconnected C 3 Prompt Messages O System Messages Cause Level Recording Recorder is in printing operation No level 17 Vital Signs Monitor User s Manual SpO Messages Cause Level Search pulse SpO module is searching for pulse E 7 No level Motion interference Patient movement is too much NIBP Messages Cause Level Software Overpress NIBP is testing Software Over Pressure No level Hardware Overpress NIBP is testing Hardware Over Pressure Manometer NIBP is testing Manometer Air Leakage Testing NIBP is testing Air Leakage No level Venipuncture NIBP is in venipuncture e CO Messages Cause Level Zero in Progress Zeroing is in progress 7 No level CO Sensor Warm Up Module is warming up Vital Signs Monitor User s Manual Manufactured for MEDQUIP Inc 11 Parmenter Road Bluffton SC 29910 USA Catalog MQ3600 Model V6 Vital Signs Monitor Manufactured by Guangdong
15. Unit mmHg kPa 0 mmHg to 40 mmHg 2 mmHg 41 mmHg to 70 mmHg 5 of reading Accuracy 760mmHg 71 mmHg to 100 mmHg 8 of reading temperature is 25 101 mmHg to 150 mmHg 10 of reading when RR gt 80 rpm all the range is 12 of reading Gas temperature at 25 C Total system response time lt 3s Sample flow rate and accuracy Rate 50 ml min Accuracy 7 5ml min 15ml min Alarm range 0 20 0 OmmHg 152mmHg high low limit can be adjuste continuously Alarm accuracy 0 1 or 1mmHg O awRR Measurement range 0 rpm 150 rpm V6 Vital Signs Monitor User s Manual Measurement accuracy 0 rpm 70 rpm 1 rpm 71 rpm 120 rpm 2 rpm 121 rpm 150 rpm 3 rpm Alarm range and accuracy Range Orpm 150rpm high low limit can be adjusted continuously Accuracy 1 rpm A 4 4 Temp Ambient temperature Measurement range 10 C 40 C 34 0 C 43 0 C Measurement part Ear cavity Unit C F Resolution 0 1C F Kaanib Between 35 0 C 42 0 C lt 0 2 C Beyond 35 0 C 42 0 C lt 0 3 C clinical repeat accuracy lt x0 3C Measurement time lt 0 8s Measurement interval time 12s Standby time 40s Memory storage 10 Temp probe alarm The measured value is beyond the range Alarm occurs when the value is lower than 34 0 C or higher than 43 0 C The ambient temp is beyond the range Alarm occurs when
16. aati 6 1 62 Salety Iron ae OMe 3 NANA ANAN PLA NN tad 6 1 6 3 Monitoring Procedure Lanka RANA ANA aaa aadd 6 2 64 SpOs Display eiii idad 6 2 o PA Astute etna ag 6 4 6 6 Masimo Information mac am o Rec at a 6 7 6 7 N llcor Infomation nsoni la 6 7 Chapter 7 NIDO cincel 7 1 A ERA NAAN R Cal 7 1 LN A o NA 7 1 7 3 Measurement Limitations ara 7 2 7 4 Measurement Mods AA A A AALAGA NAA 7 2 ida a maan a aaa naa a ada aa 7 2 1 6 NIBP Display did 7 4 NT DA IB o as ale cdas 7 5 LG Setting Venpres Maa AA Uh 7 5 TD NIBP RESCUING ninia adas ARNAN 7 5 TAQ Air Weakage TESUNP A ee kaaa 7 6 Chapter CO paa a A A eee 8 1 S1 Dangal li mO ss tse R a ea doe ellen A A ale Rash 8 1 8 2 Monitoring Procedure usar nG Bank 8 1 8 3 CO DISPIAY e dl od ed 8 4 O o o ere 8 4 8 3 LAO iaa 8 5 BG Calibrating A rea 8 6 91 Remoyina BUTAS da 8 6 IV Vital Signs Monitor User s Manual Chapter 9 AA 9 1 OA NMG UCU OTN ii illa kak 9 1 9 2 Safety Inform atl OW ni NAGIIBA REE TANAA KHAN 9 2 9 3 Monitorine Procedure e E KAN 9 2 OP Temp Display A akala peta 9 3 OS Settins AA AA PAA 9 4 XO Temp Anna aa AKA ADA ANA 9 4 A erases 9 5 Chapter 10 Revie AAA ANGGE AA AA 10 1 10 1 Entering the Reviewing MENU UNA NGANGA ANAN 10 1 10 2 REVIEW E Details ka AA NANANA 10 1 Chapter AAA NAIG NGA LINIBEAEDR UE 11 1 Jk NG IR ea AA AA AA 11 1 11 2 Recordins PP AK ARALAN 11 1 11 3 Starting Stopping Recording GIKAN KARNE 11 1 LEA Settine RECOMEND E E e 11 1 11 5 Installing Record
17. absorbed by CO in the gas At another side of infrared light source a photodetector is used to measure the remaining infrared energy and convert it to electric signal which will be compared with the energy of infrared light source and adjusted so as to correctly reflect the CO concentration in the gas sample The method to measure carbon dioxide in the patient s airway for this monitor is microstream That is takeing a sample of the respiratory gas with a constant sample flow from the patient s airway and analyzes it with the CO2 sensor 8 2 Monitoring Procedure 1 Attaching the CO Module Cable Plug the cable into the CO connector on the monitor 2 Attaching the Sampling Tube Insert the sampling tube into the sampling tube receptacle Shown as follows Exhaust pa Tube Fal Pa Receptacle if a IA Sampling Tube po 2422 Module Cable H Receptacle NS i i an Pa Eo Ni Sampling Tube CO2 Module 8 1 Vital Signs Monitor User s Manual Note Inserting the sampling tube into the receptacle automatically starts the sampling pump Removal of the sampling tube turns the sample pump off e To remove the sampling tube from the sampling tube receptacle press down on the locking tab and pull the sampling tube from the receptacle 3 If the sampling pump fails to turn on or runs intermittently perform a Zero procedure 4 Ensure that the CO module exhaust tube vents gases away from the module envir
18. burning of patients do not use damaged sensor or extension cable Do not soak the sensor into water or make it wet otherwise it may be damaged O When disposing the disposable SpO probe or useless SpO probe please observe all local state and federal regulations that relate to the disposal of this products or similar products 6 3 Monitoring Procedure 1 Depending on the patient category weight and application site you can select the SpO sensor as required Clean the application site such as colored nail polish Apply the sensor to the patient Select the extension cable according to the SpO connector nA A UU N Plug the SpO sensor into the extension cable 6 4 SpO Display 6 4 1 BLT SpO2 Oo Waveform Display Pleth 1 1 Pleth waveform 6 2 Vital Signs Monitor User s Manual 2 9o indicates SpO unit while indicates signal intensity Details are as the following table SpO value 4 Pleth bar Pulse Rate obtained from SpO Indicator of signal intensity Description ni The signal strength is low eae The signal strength is good ee The signal strength is best 6 4 2 Masimo SpO2 The Masimo module is intended to monitor the SpO2 PR PI SpMet SpHb PVI SpCO SpOC of patients The following figure shows the SpO display screen the display on your monitor may be looked slightly different SpO value SpO unit PI Perfusion Index
19. current cursor is in the Data Manage dialog box the successful scanning result by using a barcode scanner will fill in the Lookup ID Record automatically The ID will be replaced instead of accumulating when repeated scanning occurs 10 2 Vital Signs Monitor User s Manual Chapter 11 Recording 11 1 Recorder This monitor uses the thermal recorder which supports various record type It can output the patient information measurement data review data and two waveforms at most 11 2 Recording Type The records can be divided into the following types according to trigger modes 1 Real time record of manual startup 2 The circular record of automatic startup of the recording meter in line with the given time interval 3 The alarm record triggered by out of limit parameter and so on 4 Record started by manual operation and related to special function 11 3 Starting Stopping Recording Through the following methods you can start and stop recording Press the button on the front panel of monitor to start real time recording Press the button again to stop recording 11 4 Setting Recorder Select to enter Recorder Setup menu 11 4 1 Setting Cycle Record 1 Enter Recorder Setup menu through the above methods 2 Set Cycle Record to 5 Min 10 Min 30 Min 1 H or 2 H 11 4 2 Setting Cycle Record Time You can set a certain time interval and the recorder will automatically start recording in line wi
20. enable or disable the Fast Sat mode O Setting Smart Tone Mode Smart Tone Mode is a feature that affects pulse beep and can be selected in the SpO parameter setting menu When you set it to On it will allow the audible pulse beep to beep when the pleth shows signs of motion The pulse beep is suppressed during signs of motion when Smart Tone is set to KOff Setting Waveform Mode You can select Waveform Mode Jin the SpO parameter setting menu and select Resp out Jor Resp in Resp out is short for Respiration Signal Filtered Out and Resp in is short for Respiration Signal Included O Setting Alarm Delay In the SpO2 setting menu select Alarm Delay and you can select the delay time in the alarms as required in the options O Setting SpHb Mode While monitoring Hemoglobin levels there are two blood sample sources from which Hemoglobin readings can be obtained arterial and venous You can select SpHb Mode in the SpO gt parameter setting menu and you can select Arterial or Venous 6 6 Vital Signs Monitor User s Manual Setting SpHb Average Time You can select the averaging mode for SpHb value select SpHb Average Time in the SpO2 parameter setting menu and you can select Short Medium or Long Setting SpHb Precision You can select the SpHb precision to be displayed on the screen select SpHb Precision in the SpO2 parameter setting menu and select a proper time as req
21. or data displayed on your product Conventions e Bold Italic text is used in this manual to quote the referenced chapter or sections e is used to enclose screen texts o 1s used to indicate operational procedures II Vital Signs Monitor User s Manual Contents Chapter 1 General Introduction oooomommss 1 1 VA Intended Use al 1 1 LAMA Uttar 1 1 13 Work A ANA AA NALANG NA AN AA papa 1 5 Chapter 2 Sale ty A G INT TA AA 2 1 Zeal SALLY AA A IA 2 1 AAA A A 2 4 2 3 Equipment Symbol S senil diia idad 2 4 Chapter 3 Opera tions GINANGBANG KGAD EGR 3 1 3 1 Unpacking and Check cinc cnica AGA 3 1 SL GEN AA AA 3 2 3 3 Shutting OFF the Monitor miii KANAN 3 3 3 4 Operation Modes o e 3 3 Sus ng NGA NA Ba o e e edo 3 3 3 6 General SEIP sA dat ANG Gia 3 4 3 1 DELAS NAAGAPAN ANA BRIAN UA BEBANG GANG 3 5 3 09 Nurse all hie A BABALA A a AAA A ales 3 5 A AN BA KANAN PANA RA eae 3 7 A AA AA 3 7 3 11 Viewing the Machine Td ios 3 7 Chapter 4 User Interface escceccossssesssecssecccossccocssoocsooossscccossesoesoscesosecsssscosssssessose 4 1 A a O a GA PS PHC a 4 1 4 2 Sereen LAVOUL ini ardid 4 2 4 3 Patient IIA Ad vee 4 7 AA NA O 4 8 4 5 Machine Malena led 4 9 Chapter 3 Adaro 5 1 3 Alarm Caesar gt ae 5 1 SD tl a AA NP 5 2 III Vital Signs Monitor User s Manual IA CAES A ANAN NAA GAI GG 5 2 o NTG ANN 5 4 5 5 Parameter Alai 5 5 JO Paust Alarms BAN EE E E EEE E Hi 5 5 SOSEN AA N O 5 6 A AGE 6 1 a AN AA ine ell aR
22. possible concentration Do not immerse part of the equipment in the liquid Do not pour liquid onto the equipment or accessories Do not allow liquid to enter the case Never use abrasive materials such as steel wool or silver polish or erosive cleaners such as acetone or acetone based cleaners Warning O Be sure to shut down the system and disconnect all power cables from the outlets before cleaning the equipment Caution e If you spill liquid onto the equipment or accessories contact your service personnel or us 13 2 Cleaning of Monitor 1 Common detergent and non corrosive disinfectant used in hospital can be applied to clean monitor however you must be aware that many kinds of detergents must be diluted prior to utilization and please use it according to the instruction of detergent manufacturer Avoid the use of alcohols amino or acetonyl detergent 3 The enclosure and screen of monitor shall be free of dust and they can be wiped with lint free soft cloth or sponge soaked in detergent While cleaning 13 1 Vital Signs Monitor User s Manual be careful and do not spill liquid onto the instrument and keep any liquid out of it When wiping the side panel of monitor you must be especially careful to keep water out of all kinds of cable and outlet on the panel Do not use abrasive material including wire brush or metal brightener during cleaning because this material will damage the pan
23. radiation Before connecting the monitor to the power line check that the voltage and frequency ratings of the power line are the same as those indicated on the monitor s label or in this manual Always install or carry the monitor properly to avoid damage caused by drop impact strong vibration or other mechanical force When THERMAL CUT OUT operates the monitor will function continually without any SAFETY HAZARD by using its rechargeable battery However the battery is not being charged anymore While the battery is low the monitor will give both visible and audible warnings in 5 minutes The American mains plug whose ground is in the same plug with its other two cords is Hospital Only The supply cord should be connected to the sockets which are Hospital Only to achieve grounding reliability 2 1 3 Note Note Put the monitor in a location where you can easily see the screen and access the operating controls Keep this manual in the vicinity of the monitor so that it can be obtained conveniently when needed The software was developed in compliance with IEC 60601 1 4 The possibility of hazards arising from software errors is minimized This manual describes all features and options Your monitor may not 2 3 Vital Signs Monitor User s Manual have all of them O The service life of this monitor is 5 years At the end of its service life the monitor as well as its accessories must be disposed of in compliance with
24. range exceeds module Range Exceeded oh Ny specification Excessive Motion 1 Too many retries due to interference of motion artifact 2 Signal is too noisy during measurement e g patient has severe tremor 3 Irregular pulse rate e g arrhythmia Overpressure Sensed Cuff pressure exceeds the specified high safety limit Could be due to rapid squeezing or bumping of cuff Signal Saturated Large motion artifact that saturates the BP amplifier s amplitude handing capability Pneumatic Leak Module reports Air Leakage failure while in the Pneumatic Test mode System Failure Module occurs abnormal processor event Time Out Measurement took more than 120 seconds in adult 90 seconds in neonate mode Cuff Type Err Neonate cuff is used in adult mode Low Vital Signs Monitor User s Manual e CO Alarm messages Cause Level CO sensor is off patient or off the CO sensor off monitor nG Low i CO airway adapter is disconnected with Check airway adapter CO sensor CO measurement over CO measurement is over range and need range verify zero Zero Required Sensor or module is not initialized Check CO Sampling Line Sampling tube is occluded or damaged Sampling tube is kinked or pinched Low Exhaust tube is blocked CO sensor error CO sensor is error Sensor no initialized
25. the ambient temp is lower than 10 0 C or higher than 40 0 C Fever alarm Alarm occurs when the measured value is higher than 37 5 and lower than 43 0 C V6 Vital Signs Monitor User s Manual Appendix B Factory Defaults B 1 Patient messages Patient messages Factory Defaults Type Adult B 2 Alarm Alarm setup Factory defaults ALM Volume 2 Alarm paused time 2min B 3 Interface Setup Interface setup Factory defaults Brightness 3 B 4 SpO B 4 1 General Setups SpO setup Adult Pediatric Neonatal Alarm switch On Alarm Level Medium Alarm Print Off Average Time 8s High alarm limit of SpO 100 100 95 Low alarm limit of SpO 90 90 85 Desat Limit 85 Pleth Wave Speed 25mm s Color Yellow V6 Vital Signs Monitor User s Manual B 4 2 Special Setups Masimo SpO setup Factory defaults Sensitivity Mode Normal Fast Sat Mode off Smart Tone Mode off Waveform Mode Resp out Alarm Delay off SpHb Mode Arterial SpHb Average Time Long SpHb Precision 0 1 SpHb Unit g dL B 5 NIBP NIBP setup Adult Pediatric Neonatal Alarm switch On Alarm Level Medium Alarm Print Off High alarm limit of Sys 160 mmHg 120 mmHg 90 mmHg Low alarm limit of Sys 90 mmHg 70 mmHg 40 mmHg High alarm limit of Map 110 mmHg 90 mmHg 70 mmHg Low alarm limit of Map 60 mmH
26. the guidelines regulating the disposal of such products If you have questions concerning disposal of products please contact manufacturer or its representatives 2 2 Safe Operation Conditions Methods of sterilization or Sterilization not applicable disinfection recommended by the Disinfection Refer to Maintenance and Cleaning chapter manufacturer Electromagnetic interference No mobile telephone nearby Electrosurgical interference damage No damage Diathermy instruments influence Displayed values and prints may be disturbed or erroneous during diathermy 2 3 Equipment Symbols Symbol Symbol Note Type CF applied part defibrillation protected ot The unit displaying this symbol contains an F Type isolated floating applied part providing a high degree of protection against shock and is defibrillator proof Type BF applied part defibrillation protected TA The unit displaying this symbol contains an F Type isolated floating applied part providing a high degree of protection against shock and is defibrillator proof A Attention Consult accompanying documents this manual Non ionizing radiation 2 4 Vital Signs Monitor User s Manual Symbol Symbol Note h Dangerous voltage y Equipotential grounding 100V 240V Alternating current input range 100V 240V USB socket Network connector Nurse call connector
27. to dissipate before zeroing Do not attempt to zero the module while the adapter or cannula is in the patient s airway 8 5 Vital Signs Monitor User s Manual O Do not attempt zeroing if the temperature is not stable O Zeroing with CO in the adapter or cannula can lead to inaccurate measurements or other error conditions If you attempt zeroing while CO remains in the adapter or cannula the time required to zero the module may be increased 8 6 Calibrating The monitor has been calibrated before leaving factory You can use the monitor directly except the following three situations When one of the following situations happens please calibrate the CO module The CO module has been used for half a year or a whole year The therapeutist doubt about the reading of measurement tThe atmospheric pressure or height above sea level has changed a lot after last calibrating Caution O Please calibrate the monitor under the direction of the technician authorized by manufacturer Incorrect calibrating process should lead incorrect reading 8 7 Removing Exhaust Gases Warning O When using the microstream CO measurement on patients who are receiving or have recently received anesthetics connect the outlet to a scavenging system or to the anesthesia machine ventilator to avoid exposing medical staff to anesthetics Use an exhaust tube to remove the sample gas to a scavenging system Atta
28. 2000 A physician must determine the clinical significance of the NIBP measurement 7 2 Safety Information Warning O Check the patient category before monitoring Incorrect settings may result in some risk for patient safety Higher adult setting is not suitable for pediatric and neonatal patients Do not measure NIBP on patients with sickle cell disease or any condition where skin damage has occurred or is expected e Use clinical judgement to decide whether to perform frequent Auto BP measurements on patients with severe blood clotting disorders because of the risk of hematoma in the limb fitted with the cuff Use clinical judgement to decide whether to perform Auto BP measurement on the patients of thrombasthemia O Do not use the NIBP cuff on a limb with an intravenous infusion or arterial catheter in place This could cause tissue damage around the catheter when the infusion is slowed or blocked during cuff inflation O If you doubt the NIBP measurements check the patient s vital signs by other device and then check the monitor Vital Signs Monitor User s Manual 7 3 Measurement Limitations NIBP measurements are impossible with heart rate extremes of less than 40 bpm or greater than 240 bpm or if the patient is on a heart lung machine The measurement may be inaccurate or impossible with excessive and continuous patient movement such as shivering or convulsions if a regular arterial pressure pulse
29. Flo Accessories PN LoFlo CO sensor 16 100 0016 Airway adapter adult 15 100 0045 CO nasal cannula adult 15 100 0044 CO O nasal cannule adult 15 100 0046 CO nasal cannule pediatric 15 100 0048 CO nasal cannule infant 15 100 0049 CO nasal cannule infant 15 031 0010 14 4 Temp Accessories PN Earcap Disposable Probe Cover 038 14 5 Barcode scanner Accessories Model Barcode scanner FG2100 14 3 V6 Vital Signs Monitor User s Manual Appendix A Product Specifications A 1 Safety Specifications A 1 1 Classification Classification of Protection against electric shock Degree of protection against electric shock SpO NIBP Temp CF CO BF Degree of protection against hazards of explosion Not suitable Degree of protection against ingress of liquid IPX1 Mode of operation Continuous Note I Class I internally and externally powered equipment CF Type CF applied part BF Type BF applied part Not suitable Equipment is not suitable for use in the presence of flammable anesthetic mixture with air or with oxygen or nitrous oxide A 1 2 Environmental Specifications Operating 5 40 Temperature Transportation and Storage 20 55 C he Operating 15 85 noncondensing Humidity Transportation and Storage 10 93 noncondensing t Operating 700 1060 hPa Atmospheric Pressure Transportation and
30. Q MEDGUIP V6 Vital Signs Monitor MQ3600 User s Manual Product Information Manufactured for MEDQUIP Inc 11 Parmenter Road Bluffton SC 29910 USA Catalog MQ3600 Model V6 Vital Signs Monitor OEM Manufacture Guangdong Biolight Meditech Co Ltd Add No 2 Innovation First Road Technical Innovation Coast Hi Tech Zone Zhuhai P R China 519085 Vital Signs Monitor User s Manual Revision History This manual has a revision number This revision number changes whenever the manual is updated due to software or technical specification change Contents of this manual are subject to change without prior notice Document No J V6 0 118 001 O Revision number V1 0 Release time 2013 12 Copyright 2013 Guangdong Biolight Meditech Co Ltd All rights reserved CE mark C 6123 EC Representative Name Shanghai International Trading Corp GmbH Hamburg EC Representative Address Eiffestrasse 80 20537 Hamburg Germany Statement Manufacturer holds the copyright of this manual and we are also entitled to deal with this manual as confidential files This manual is only used for operation maintenance and service of product someone else can not publish the manual This manual contains exclusive information protected by copyright laws and we reserve its copyright Without written approval of manufacturer no parts of this manual shall be photocopied Xeroxed or translated into other languages The contents cont
31. S 10 BAPOR o 10 O 11 BO COS CLGEIO ri dad 12 BATES AS 12 Appendix C Alarm Messages PA ABA ceneeevancenatonceusacansscnetanecaeaeess 13 CA Physiological alarm Mess a A tt 13 C 2 Technical alarm Messages nA a 14 Co Prompt Messages idas SEESE 17 VI Vital Signs Monitor User s Manual Chapter 1 General Introduction 1 1 Intended Use The monitor is intended to be used for monitoring displaying reviewing storing and alarming of multiple physiological parameters of patients including Pulse Oxygen Saturation SpO2 Pulse Rate PR Non invasive Blood Pressure NIBP Carbon dioxide CO2 and Temperature Temp The monitor is intended to be used in outpatient departments and emergency treatment rooms of hospitals community clinics private clinics and other medical institutions It is not intended for helicopter transport hospital ambulance or home use 1 2 Main Unit 1 2 1 Front View Vital Signs Monitor User s Manual 1 Physiological alarm indicating lamp When a physiological alarm occurs this lamp will light up as defined below High level alarm the lamp quickly flashes red Medium level alarm the lamp slowly flashes yellow Low level alarm the lamp lights yellow without flashing 2 Technical alarm indicating lamp When a technical alarm occurs this lamp will light up as defined below Medium level alarm the lamp slowly flashes blue O Low level alarm the lamp lights blue without flashing 3
32. Select Modify Yes to finish setting 3 4 Vital Signs Monitor User s Manual 3 6 4 Adjusting the Volume Alarm Volume Under the Monitor Mode 1 Select Menu Sound Setup 2 Select Alarm Volume choose a desired value Beep Volume 1 Select Menu Sound Setup 2 Select Beep Volume choose a desired value 3 7 Default Setups Caution In case of power failure after restart the system will restore the setup before power failure automatically It is possible that you change some setup during operation but these changes are not always appropriate or correct Therefore you may restore some setup to factory default setup during actual operation to ensure that various setup of the monitor is applicable to the monitored patient 1 Select Menu System Setup to open System Setup menu 2 Select Default Config to enter Remind menu 3 Select Yes to load the user config and alarm limit shown in the Remind menu Select No to exit the Remind menu 3 8 Nurse Call Nurse Call is a function that the monitor will send signal to call nurse when the alarm conditions destined occur The monitor has a nurse call output connector connect the connector to the nurse call system of the hospital by the nurse call cable the nurse call function can be realized The nurse call function is valid when the following conditions are concurrent The nurse call function is open 3 5 Vital Signs Mo
33. Setup menu O Select Pleth to enter Pleth Setup menu 6 5 2 Setting Beep Volume 1 Select SpO gt to enter SpO Setup menu 2 Set Beep Volume to Off or 1 5 6 5 3 Setting Scan Speed O SpO Scan Speed 1 Select SpO gt to enter SpO Setup menu 2 Set Scan Speed to 6 25mm s 12 5mm s 25 mm s or 50 mm s O Pleth Scan Speed 6 4 Vital Signs Monitor User s Manual 1 Select Pleth to enter Pleth Setup menu 2 Set Scan Speed to 6 25mm s 12 5mm s 25 mm s or 50 mm s 6 5 4 Setting Average Time The SpO reading shown on the monitor is the average of data collected within a specific time The shorter the averaging time is the quicker the monitor responds to the change in the patient s oxygen saturation level Contrarily the longer the averaging time is the slower the monitor responds to the change in the patient s oxygen saturation level but the measurement accuracy will be improved When a critical patient is monitored selecting shorter averaging time will help understanding the patient s state Select SpO to enter SpO Setup menu Set Average Time to a desired value 6 5 5 Setting Desat Limit Desat Limit means that when the measuring value is lower than the limit high alarm will be triggered Set the Desat Limit as follows 1 Select Menu System Setup Machine Mainte enter the password to enter Machine Mainte menu 2 Set
34. Storage 500 1060 hPa V6 Vital Signs Monitor User s Manual A 1 3 Power Specifications Input voltage AC 100 240 V 50 60 Hz Input power TOVA Fuse T1 6AL 250V 2 5x20mm A 2 Physical Specifications Part Weight kg Size WxHxD mm Mainframe About 2 5 Including a lithium battery lt 160x130x260 Temp module About 0 16 Including the connecting wire 153x40 5x60 A 3 Hardware Specifications A 3 1 Display Type Color TFT LCD Size diagonal 7 inch Resolution 234x480 pixels Anti glare screen With LCD switch With Temp module Type black and white LCD Size 1 2 inch A 3 2 Recorder Type Thermal dot array Paper width 50 mm Recording width 40 mm Recording speed 25 mm s Recording waveform double tracks V6 Vital Signs Monitor User s Manual A 3 3 Battery Type Rechargeable lithium ion battery Size 105mmx78mmx20mm Weight s360 g Quantity 1 Rated voltage 11 1 VDC Capability 4000 mAh 8 hours Operating time Using a new and fully charged battery at 25 C ambient temperature connecting SpO sensor and NIBP work on AUTO mode for 15 minutes interval Charge time 6h to 100 Standby Turn off delay 5 min 15 min after the low battery alarm first occurs Indicator of battery i me With capability A 3 4 Mainframe LED Physiological alarm indicating lamp 1 Yellow Red
35. Trim Knob to select Step then the options of 1Min 5Min and 10 Min will pop up select one you need 4 3 Patient Information Select Patient Information icon to enter Patient Info menu In the menu you can view patient s ID Name Type Gender and Age 4 3 1 Continuous the same patient When the patient to be monitored is the one displayed in Patient Info menu please select Return The monitor will continuous the monitoring of the same patient and add current data to the previous one 4 7 Vital Signs Monitor User s Manual 4 3 2 Admitting a new patient When the patient to be monitored is a new one please select New Patient to enter New Patient menu Input new patient s ID Name Type Gender and Age At last select OK to keep the setting of new patient 4 3 3 Patient ID e Clinic Mode In Patient Info menu when selecting New Patient Patient ID will be created according to ID Name automatically You can also input Patient ID through barcode scanner or input manually Through Patient Info menu you can change the patient info After amending the patient info selectingl Return lto save the changing O Monitor Mode In Patient Info menu when selecting New Patient you need to input Patient ID through barcode scanner or input it manually Through Patient Info menu you can change the patient info After amending the patient info selecting Return to save the changin
36. age down button to browse more trendgraph information The left button is page up button while the right one is page down button As shown in the above figure 3 Time scale The scale is to display time You can browse the selected parameter s trend graph during the time between the left time and the right time on the time scale The date and time displayed under the time scale is the date and time the cursor now indicates 4 6 Vital Signs Monitor User s Manual 4 Scale It is to scale the value of parameters 5 Parameter displaying area It is to display values of all the monitored parameters at the time where the cursor indicates now 6 The selected parameter It is to display the name of the selected parameter and its value at the time where the cursor is 7 Setting interval Interval is the time between the left time and the right time on the time scale It can be 1 2 3 4 or 5 hours Turn the Trim Knob to select Setting interval The sign of is to add the time value while is to decrease it Each time you press the two buttons the time will add 1 hour or decrease 1 hour 8 Cursor It is to indicate the selected parameter s trend graph at the time where it is Turn the Trim Knob to select Tcursor button the color of the button will turn into green like the cursor Then turn Trim Knob to move the cursor where you need 9 Setting step Step is the time the cursor move on the time scale at one time Turn the
37. ained in this manual are subject to amendments without notification Vital Signs Monitor User s Manual Manufacturer s Responsibility Only under the following circumstances will manufacturer be responsible for the safety reliability and performance of the instrument All the installation expansion readjustment renovation or repairs are conducted by the personnel certified by manufacturer O The storage condition operation condition and electrical status of the instrument conform to the product specification O The instrument is used in accordance with the user s manual About this manual This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety This manual is based on the maximum configuration and therefore some contents may not apply to your product If you have any question please contact us This manual is an integral part of the product It should always be kept close to the equipment so that it can be obtained conveniently when needed The manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures practiced and terminology as required for monitoring patients All illustrations in this manual serve as examples only They may not necessarily reflect the setup
38. arm area The technical alarm message will still be shown in the technical alarm area After the alarm paused time or when a new medium level technical alarm occurs during the alarm pausing the monitor will automatically cancel the alarm pausing Press again the button 244 the alarm pausing can be cancelled by manual operation Setting Alarm Pausing time 5 5 Vital Signs Monitor User s Manual Set the silence time only under Monitor Mode 1 Select Menu System Setup Machine Mainte enter the required password 2 Set Alarm suspend Time to 1Min 2Min or 3Min 5 7 Silence Press and hold the button 24 on the front panel of monitor for 1 second to set the system silent That is all the sound of system is shut off And the icon Xx will be displayed in the upper right corner of the screen When in the silence status the alarm indicators are valid except audible alarm Press the button 4 again to exit the silence status A new alarm will cancel the silence automatically 5 6 Vital Signs Monitor User s Manual Chapter 6 SpO 6 1 Introduction The measurement of oxygen saturation of arterial blood also known as pulse oxygen saturation usually shortened as SpO2 adopts the principles of light spectra and volume tracing The LED emits lights with two specific wavelengths which are selectively absorbed by oxygenated hemoglobin and deoxyhemoglobin The optical receptor measures the changes in the light
39. arm range 0 100 high low limit can be adjusted continuously PR alarm range 0 300 bpm high low limit can be adjusted continuously Masimo SpO module Measurement range 0 100 Resolution 1 70 100 2 Adult Pediatric non motion conditions 70 100 3 Neonate non motion conditions Accuracy 70 to 100 3 motion conditions 0 69 undefined Average time PR Measurement range 2s 4s 4s 6s 8s 10s 12s 14s 16s 25 bpm 240 bpm Accuracy Resolution SpCO Measurement range 3 bpm non motion conditions 5 bpm motion conditions 1 bpm 0 to 100 Accuracy SpMet Measurement range 0 to 40 3 non motion conditions gt 40 unspecified 0 to 100 Accuracy PI Measurement range 0 to 15 1 non motion conditions gt 15 unspecified 0 05 to 20 SpHb V6 Vital Signs Monitor User s Manual Measurement range Accuracy 0 g dl to 25 g dl 8 g dl to 17 g dl 1 non motion conditions lt 8 g dl or gt 17 g dl unspecified SpOC Measurement range A 4 2 NIBP Measurement way 0 ml dl to 35 ml dl Automatic oscillometry Sys 30 270 mmHg Adult Dia 10 220 mmHg Map 20 235 mmHg Sys 30 235 mmHg MGA Pediatric Dia 10 220 mmHg Map 20225 mmHg Sys 30 135 mmHg Neonatal Dia 10 110 mmHg Ma
40. at the patient is in a life threatening situation and an emergency treatment is necessary This is the highest level alarm O Medium level alarms Indicate that the patient s vital signs appear abnormal and an immediate treatment is required e Low level alarm Indicate that the patient s vital signs appear abnormal and an immediate treatment may be required The levels of some physiological alarms are predefined before the monitor leaves the factory and can not be changed by users While some levels of physiological alarms can be changed by users The monitor s technical alarms are classified into two categories medium level and low level The levels of technical alarms are predefined before the monitor leaves the factory and can not be changed by users 5 3 Alarm Indicators When an alarm occurs the monitor will indicate it through the following means Alarm tone According to alarm level speaker in the monitor gives alarm sound in different tone Alarm lamp According to alarm level alarm lamp on monitor flashes in different color and speed Alarm message Alarm messages are displayed on the screen Flashing numeric The numeric of parameter in alarm flashes Caution O The concrete presentation of each alarm prompt is related to the alarm level 5 2 Vital Signs Monitor User s Manual 5 3 1 Alarm Tone The different level alarms are indicated by the system in following different audio
41. breathing circuit In reverse always remove the airway adapter from the breathing circuit before removing the sensor e Always disconnect the camnula airway adapter or sampling tube from the CO sensor when not in use e Do not insert the things other than sampling tube into receptacle of sampling tube e Only use the CO sampling tubes specified by our company e The sampling tubes are disposable Please keep the sampling tube clean and prevent the tube from clogging by dust It is advised to replace the sampling tube every 12h up to 120h of use with filter tip the sampling tube leaks or has been damaged and contaminated 8 3 Vital Signs Monitor User s Manual 8 3 CO Display e Waveform Display CO waveform Unit of CO Inspired minimum CO FiCO Airway respiration rate awRR End tidal CO2 value EtCO2 R A UU N e 8 4 Setting CO 8 4 1 Entering CO Menu O Select CO to enter CO Setup menu O Select CO Wave to enter CO Wave Setup menu 8 4 2 Setting Apnea Alarm 1 Select CO to enter CO Setup menu 2 Set Apnea Alarm to 10 Sec 15 Sec 20Sec 30Sec 45 Sec J or 60 Sec 8 4 3 Setting Unit 1 Select CO to enter CO Setup menu 2 Set Unit to mmHg KPa and 96 8 4 4 Setting Scan Speed CO Scan Speed 8 4 Vital Signs Monitor User s Manual 1 Select CO to enter CO Setup menu 2 Set Scan Speed to 6 25
42. ch it to the outlet connector of microstream CO module 8 6 Vital Signs Monitor User s Manual Chapter 9 Temp 9 1 Introduction 9 1 1 Measuring principle The emission infrared wave length is Sum 14um while the human body temperature is in 35 C 44 C The science proves that human s eardrum approaches the brain hypothalamus and the hypothalamus is the human body temperature control center thus the ear temperature can reflect the body core temperature more accurately than other parts of human Obviously the human ear cavity temperature and the body temperature have the relatively stable corresponding relations According to this principle we can monitor the human ear cavity s infrared launch through the infrared temperature measurement probe After signal transforming and microprocessor processing the relatively accurate human body temperature will be outputted This temperature module has the ambient temperature automatic compensation function It can detect the ambient temperature change and revise its reading to reduce the influence of difference temperature to the monitoring and avoid the shortcoming that it is unable to monitor correctly when used in the big different temperature environment This temperature module uses the ear cavity mode to monitor human temperature rapidly and obtain the temperature information 9 1 2 Introduction of Temp probe The structure of the Temp probe is as follows earcap Measuring bu
43. connect the monitor from the patient and stop all monitoring and measuring procedures 12 2 Vital Signs Monitor User s Manual 2 Place the monitor in the charger stand and connect the AC mains Allow the battery to be charged uninterruptedly for above 6 hours 3 Disconnect AC mains and allow the monitor to run on the battery until it shuts off 4 The operating time of a battery reflects its performance directly Caution The operating time of a battery depends on the configuration and operation of the monitor NIBP measurement SpO2 measurement and using of recorder will deplete the battery faster than other parameters measurement 12 5 Disposing Batteries Batteries that are damaged or depleted should be replaced and discarded properly Dispose of used batteries according to local regulations Caution O The service life of battery depends on the service time and frequency This monitor battery can be charged and discharged for 300 times generally Warning O Do not disassemble batteries dispose of them in fire or cause them to short circuit They may ignite explode or leak causing personal injury 12 3 Vital Signs Monitor User s Manual Chapter 13 Maintenance and Cleaning 13 1 Introduction Keep your equipment and accessories free of dust and dirt To avoid damage to the equipment follow these rules 1 O a AR NG Always dilute according the manufacturer s instructions or use lowest
44. d for use only by clinical professionals or under their guidance It must only be used by persons who have received adequate training in its use Anyone unauthorized or untrained must not perform any operations on it O The monitor can only be applied to one patient at one time O Before using please check the connecting cables and accessories are in correct working order and operating condition O Please connect the monitor to a socket with protective earth If the socket does not have protective earth conductor please do not use the socket and Vital Signs Monitor User s Manual use battery to provide power to the monitor O To avoid explosion hazard do not use the monitor in the presence of flammable anesthetics vapors or liquids O Do not open the monitor housings electric shock hazard may exist All servicing and future upgrades must be carried out by the personnel trained and authorized by manufacturer only O When using the monitor with electrosurgical units ESU make sure the patient is safe e If you spill liquid onto the equipment or accessories particularly if there is a chance that it can get inside the tubing or the measurement device contact your service personnel Please insure the measurement device and its accessories dry during using electrosurgery and defibrillator O Do not come into contact with the patient during defibrillation Otherwise serious injury or death could result O Do not rely exclusively on t
45. d value is displayed on the module screen while it is transmitted simultaneously to the main unit to display Caution O After each monitoring the temperature module will locks for 12 seconds Please do not carry out the next monitoring until the temperature unit sign glints If there is no operation in 40 seconds the temperature module will enter standby mode automatically and turn off the screen 9 4 Temp Display Unit Temp value 9 3 Vital Signs Monitor User s Manual 9 5 Setting Temp 9 5 1 Setting Unit 1 Select TEMP to enter the temp setup menu 2 Set Unit toL Jor The new unit will become effective at the next monitoring 9 5 2 Setting Alarm Select menu Alarm Setup to enter the alarm setup menu Set the alarm level and alarm limit The setting value will become effective at the next monitoring 9 6 Temp Alarm 1 The main unit temperature alarm If the measured value is lower than 34 0 an alarm for that the temperature is lower than the low limit occurs If the measured value is higher than 43 0 the alarm for that the temperature 1s higher than the high limit occurs If the ambient temperature is lower than 10 0 the alarm for that the ambient temperature is lower than the low limit occurs If the ambient temperature is higher than 40 0 the alarm for that the ambient temperature is higher than the high alarm occurs If the measured temperature value is higher tha
46. e to enter ID Name menu 2 Define the ID Name rule according to your usage 3 10 Patient ID You can use a barcode scanner to input the Patient ID please go through the following steps before input the patient ID 1 Open the barcode scanner switch in factory configuration 2 Connect the barcode scanner to the monitor B shown in the bottom of the display screen indicates the barcode scanner is supported by monitor Otherwise g displayed indicates the barcode scanner can t be used Caution O In case of interfere with other USB device including USB keyboard please use the barcode scanner provided or designated by the manufacturer Please check whether the switch of scanner is open before start the barcode scanner Only in the patient ID input interface can the barcode scanner work The monitor will not process any input operation when using the scanner in other input interface 3 11 Viewing the Machine Info 1 Select Menu Machine Info 2 View the detail information about this monitor 3 7 Vital Signs Monitor User s Manual Chapter 4 User Interface 4 1 Display Style Display style of user interface can be set according to your need Including Screen brightness Display color of wave and parameter Sweep mode of wave 4 1 1 Adjusting the Screen Brightness 1 Select Menu Display Setup 2 Select Back Light set its value 4 1 2 Selecting the Color 1 Select
47. el and monitor screen 5 Do not submerge the monitor in liquid While cable or plug of attachment accidentally gets wet please rinse 1t with distilled water or deionized water and dry it in the environment of temperature 40 to80 for at least one hour 13 3 Cleaning and Sterilizing of Accessories 13 3 1 SpO2 Sensor The recommended disinfector include isopropyl alcohol 70 10 decolourant solution can be used for sterilization at lower standard Don t use undiluted decolourant 5 5 25 sodium hypochlorite or other non recommended disinfector in order to avoid damage to sensor Attention Do not sterilize sensor by ray steam or epoxy ethane Do not directly submerge sensor in liquid To avoid long time harm to sensor it is suggested that sterilization to theproduct be conducted only when necessary according to the regulation of your hospital 13 3 2 NIBP Cuff Please regularly clean the product Remove cuff from connector and pull out airbag from sheath 3 Submerge clean and soft medical gauze pad or other soft cleaning tools into fresh water or neutral soapy water and wring out surplus water from the submerged gauze then wipe airbag and pipe Wash the cuff sheath in the clean neutral soapy water 5 After the sheath and airbag intensive drying enclose airbag with cuff sheath and put into operation 13 2 Vital Signs Monitor User s Manual Attention Excessive or frequent cleani
48. elect menu 2 Select Clinic Mode or Monitor Mode to enter Continue menu 3 If the patient you are going to monitor is the one displayed in Continue menu please select Continue 4 If the patient is a new one please select New Patient 5 Input the new patient s information in New Patient menu 3 5 Using Menu Turn the Trim Knob left or right to select Menu to open the following main menu You can finish most operations and sets through Menu The main menu 3 3 Vital Signs Monitor User s Manual under Monitor Mode is different from that under Clinic Mode The following figure is main menu under Monitor Mode Style of other menus is the same as that of the main menu parts of which are as follows 1 Menu title Name of the menu 2 Main display area Area to display options buttons or prompt messages M means you can enter its submenu 3 Return Press this button to exit the menu 3 6 General Setup 3 6 1 Changing the Language 1 Select Menu System Setup 2 Select Language choose a desired language 3 Select Return exit the current menu 3 6 2 Setting the Screen Saver Under the Clinic Mode 1 Select Menu Display Setup 2 Select Screen Save Time choose a desired setup 3 6 3 Setting the Date and Time 1 Select Menu System Setup IDatetime Setup 2 Set Year Month Day Hour Min and Sec to a desired value 3
49. elow low alarm Temp Low PERA limit C 2 Technical alarm Messages System Alarm messages Cause Level Battery Failure Battery failure or no battery Low Battery Low Voltage of battery is too low Medium SD Write Protected SD memory card is write protect Low SD Unknowpart The inserted SD card is unrecognized Low SD Write Error SD card is miswriting SD No Space SD card has no space Medium Flash No Space Interior flash has no space No paper in the recorder when recording Recorder Error or the recorder door is open or recorder is Low absent Vital Signs Monitor User s Manual O SpO Alarm messages Cause Level SpO sensor may be disconnected from the a SpO2 Sensor off Medium patient or the monitor SpO sensor error SpO sensor failure Low SpO signal weak SpO signal is weak O Masimo SpO module Alarm messages Cause Level SpO2 No cable No cable connected SpO2 Replace cable Cable life expired Cable is defective SpO2 Incompatible cable Cable is incompatible SpO2 Unrecognized cable Cable is unrecognized SpO2 No sensor No sensor connected SpO2 Replace sensor Sensor life expired Sensor is defective SpO2 Invalid sensor Sensor is incompatible Sensor is unrecognized SpO2 No tape No tape SpO2 Replace tape Tape life expired Tape is defective SpO2 Invalid tape Tape is incompatible Tape i
50. ent symbols and blue background color for the alarm messages to match the alarm level as follows Alarm level symbol background color Medium pa oa a blue Prompt messages Prompt messages are displayed in technical alarm area Prompt messages have no color and visual and audible alarm indication 5 4 Setting Alarm Volume You need to set alarm volume only under monitor mode 1 Select Menu Sound Setup 5 4 Vital Signs Monitor User s Manual 2 Select Alarm Volume choose a desired value 5 5 Parameter Alarm You need to set Alarm Setup only under Monitor Mode 5 5 1 Turn on off the Alarm Take SpO2 for example 1 Select Menu Alarm Setup 2 Set Class to any option but Off to turn on the alarm while set Class to Off to turn off the alarm 5 5 2 Setting Alarm Level Take SpO for example 1 Select Menu Alarm Setup 2 Set Class to Medium or High 5 5 3 Setting Alarm Limit Take SpO for example 1 Select Menu Alarm Setup 2 Set High Lim and Low Lim to a desired value 5 6 Pausing Alarms Press the button 48 on the front panel of monitor you can suspend all alarm indicators of the monitor The visual alarm and audible alarm are all suspended The parameters of physiological alarm stop flashing The alarm message in the physiological alarm area will not be displayed O The remaining time and the icon 4 will be shown in the physiological al
51. eps 1 Use the pily stick or soft cloth bedewed with water or alcohol to wipe the lens gently Do not pot the probe in the water or other liquid Dry the lens for over 30 min before cover the new earcap and avoid solarizing directly while the temperature is beyond 10 C 40 13 3 Vital Signs Monitor User s Manual Attention e Do not sterilize sensor by ray steam or epoxy ethane e Do not directly submerge sensor in liquid To avoid long time harm to sensor it is suggested that sterilization to theproduct be conducted only when necessary according to the regulation of your hospital Please change the earcap after each use to ensure the veracity and avoid cross infecting Note The electric schematic and element list can only be offered to the eligible service center or personnel 13 4 Vital Signs Monitor User s Manual Chapter 14 Accessories Warning e Use only accessories specified in this manual Using other accessories may cause damage to the monitor e Disposable accessories are designed for single patient use only Reuse of them may cause a risk of contamination and affect the measurement accuracy e Check the accessories and their packages for any sign of damage Do not use them if any damage is detected 14 1 SpO SpO Sensor Nellcor SpO Type Model Patient category MAX A Adult finger patient size gt 30kg MAX P Pediatric foot hand
52. g Caution O No matter where the current cursor is in the New Patient dialog box the successful scanning result by using a barcode scanner will fill in the Patient ID automatically The ID will be replaced instead of accumulating when repeated scanning occurs O The history data will be deleted while admitting a new patient under Monitor Mode 4 4 Demo 4 4 1 Turn on Demo 1 Select Menu System Setup to enter the system setup menu 2 Set Demo to On a password entering window will pop up 4 8 Vital Signs Monitor User s Manual 3 Input the desired password and then select OK to enter the demo mode 4 4 2 Turn off Demo 1 Select Menu System Setup to enter the system setup menu 2 Set Demo to Off 4 5 Machine Maintenance Select Menu System Setup Machine Mainte input the required passwords to enter Machine Mainte menu NIBP Test Select NIBP Test to test NIBP NIBP PR Select On or Off Touch Adjust Select Touch Adjust to adjust touch screen Nurse Call Select Nurse Call to set nurse call Desat limit Set SpO2 desat value Alarm suspend Time Set the value of Alarm suspend Time TI Tm 4 A U Ne Factory Mainte Used for factory maintenance 4 9 Vital Signs Monitor User s Manual Chapter 5 Alarm Alarm refers to a prompt that is given by the monitor for medical personnel through visual audible and other means when a vital sign appears abnormal o
53. g 50 mmHg 25 mmHg High alarm limit of Dia 90 mmHg 70 mmHg 60 mmHg Low alarm limit of Dia 50 mmHg 40 mmHg 20 mmHg Measure Mode Manual Unit mmHg Interval 15 min Color red Venipuncture Press 60 mmHg 40 mmHg 30 mmHg Inflation 170 mmHg 130 mmHg 100 mmHg V6 Vital Signs Monitor User s Manual B 6 CO LoFlo CO setup Adult Pediatric Neonatal Alarm switch On Alarm Level Medium Alarm Print Off Limit Display Off Unit mmHg High alarm limit of EtCO 50 mmHg 50 mmHg 45 mmHg Low alarm limit of EtCO 20 minke 20 mma 30rmmakle High alarm limit of FiCO 4 mmHg 4 mmHg 4 mmHg High alarm limit of awRR 30 rpm 30 rpm 100 rpm Low alarm limit of awRR 8 rpm 8 rpm 30 rpm Scale 61 mmHg Wave Speed 12 5 mm s Color White Apnea alarm time 20s B 7 Temp Temp setup Factory defaults Alarm switch On Alarm Level Medium Unit CC High alarm limit of Temp 39 C Low alarm limit of Temp 36 C Vital Signs Monitor User s Manual Appendix C Alarm Messages C 1 Physiological alarm Messages The third line in the cable is Alarm level of factory default the ones with mean that the level can be changed by users O SpO Alarm messages Cause Level SpO gt High SpO measuring value is above the high alarm limit f
54. gns Monitor User s Manual The screen is called Trend Screen under Monitor Mode while called Clinic Review under Clinic Mode Under the screen you can view the measurement of each parameter Storage Setup 1 Select Menu Storage Setup to enter Storage Setup menu 2 Set Trend StorInter to a desired value between 1 Min 1 Min and 10 Min 4 2 4 Alarm Screen Akm Screen tae tino O TO 4113 Aecorder Error Under the screen you can view each alarm event including its data time and the parameters leading the alarm 4 5 Vital Signs Monitor User s Manual 4 2 5 Trend Graph Trend reph Sws Die Map 00 lic ce 5 Parameter displaying area owkR 6 The selected parameter 4 Scale 7 Setting interval 3 Time scale 8 Cursor 2310432115 17 22 2 Page up 2 Page down 1 Selecting parameter aan a 9 Setting step You can enter TrendGraph screen through the screen changing button as shown in chapter 1 section 1 2 main unit Under the screen you can do the following operations 1 Selecting the parameter Turn the Trim Knob to select Param Press the Trim Knob Et Fi awRR NIBP Sp02 PR and TEMP will pop up Turn and press the Trim Knob to select the parameter you need to view its trend graph And the selected parameter will turn to be the parameter you selected just now 2 Turning pages You can turn pages through the page up and p
55. he audible alarm system for patient monitoring Adjustment of alarm volume to a low level or off may result in hazard to the patient Remember that alarm settings should be customized according to different patient situations and always keeping the patient under close surveillance is the most reliable way for safe patient monitoring O The physiological data and alarm messages displayed on the monitor are for reference only and cannot be directly used for diagnostic interpretation O To avoid inadvertent disconnection route all cables in a way to prevent a stumbling hazard Wrap and secure excess cabling to avoid risk of entanglement or strangulation by patient or personnel 2 1 2 Caution Caution O To ensure patient safety use only parts and accessories specified in this manual O At the end of its service life the monitor as well as its accessories must 2 2 Vital Signs Monitor User s Manual be disposed of in compliance with the guidelines regulating the disposal of such products If you have any questions concerning disposal of the monitor please contact us Magnetic and electrical fields are capable of interfering with the proper performance of the monitor For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements Mobile phone X ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic
56. he part of air pipe plug of cuff close to socket with fingers before pulling it out 5 Tie the cuff to the upper arm or thigh of the patient Ensure the mark on the cuff shall lie above artery while the air pipe shall be under the cuff ensuring the air pipe outside the cuff does not knot and the white line on the cuff shall be within the range lt gt otherwise the cuff shall be replaced The monitor is applicable for standard neonatal cuff pediatric cuff and adult cuff Including arm cuff and thigh cuff Note While measuring blood pressure the patient must keep calm without any talk O The cuff tied on the limb shall be on the same level as the patient s heart so as to avoid the reading error resulting from the hydrostatics effect of the blood flow between the heart and cuff If the cuff position is higher than heart level the BP reading will be lower the measured result shall be added 0 75mmHg 0 1kPa for each centimeter higher in case the cuff position is lower than heart level the BP reading will be higher the measured result shall be deducted 0 75mmHg 0 1kPa for each centimeter lower 7 3 Vital Signs Monitor User s Manual 7 5 2 Starting Stopping Measuring Press the button on the front panel of monitor to start NIBP measuring while press the button s again to stop NIBP measuring 7 5 3 Auto Measurement 1 Select NIBP to enter NIBP Setup menu 2 Set Interval to any o
57. ht be contaminated during storage and transport Before use please verify whether the packages especially the package of disposable accessories are intact In case of any damage do not apply it to the patient Please ensure the monitor is working under specified conditions otherwise the technical specifications mentioned in this manual will not be met thus possibly leading to damage of equipment and other unexpected results Caution Please put the monitor onto a horizontal and stable supporting plane Avoid putting the monitor in the locations where it easily shakes or wobbles Enough space shall be left around the monitor so as to guarantee normal ventilation Vital Signs Monitor User s Manual 3 2 Getting Started 3 2 1 Inspecting the Monitor 1 Before you start to make measurements carry out the following checks on the monitor including all connected modules Check for any mechanical damage Check for any incorrect connection of all the external cables and accessories 2 Plug the power cord into the AC power source If you are using battery power ensure that the battery has sufficient power for monitoring When you use a battery for the first time you must charge it following the instructions given in Battery chapter 3 2 2 Starting the Monitor Press the power switch the technical alarm lamp will light up in blue and then the physiology alarm lamp lights up in yellow and red at last goes out
58. ient Info menu set Type to Adult 2 Connect the cuff securely with the socket for NIBP air hole 3 Connect the cuff to a suitable Cylinder Metal Vessel shown as follows Metal Cylinder Monitor Cuff 4 Enter NIBP Setup menu select Leakage After 20 seconds or so the system will automatically open the deflating valve which marks the completion of an air leakage test 6 If no error information displays on NIBP parameter area it indicates that the airway is in good situation and no air leaks exist However if the prompt Air Leak appears in the place it indicates that the airway may have air leaks In this case the user should check for loose connection After confirming secure connections the user should re perform the air leakage test If the failure prompt still appears please contact the manufacturer for repair If the leakage still exists after all the above operations please contact us 7 6 Vital Signs Monitor User s Manual Chapter 8 CO 8 1 Introduction The monitor adopts infrared absorption technology to measure the carbon dioxide CO concentration in the breathing airway of patient Because CO molecule can absorb infrared light of special wavelength and the amount of absorbed infrared light directly relates to the concentration of CO therefore while the infrared light radiated from the infrared light source passing through the gas sample containing CO part of energy will be
59. ing Paper aaa aNG NGI 11 2 M6 Elan Jam Papas ass suid Sel AA APA a i 11 3 11 7 Cleaning Recordere eining cds 11 3 Chapter 12 Battery ii NANANG UNAN RANGE 12 1 12 1 MAE TUG Ca ma A AN Taka aanak 12 1 12 211stalling a Baterias 12 2 12 3 Optimizing Battery Performance oooonocccnnococooncccononnconncnononanonnnonononccnnnncnnno 12 2 12 4 Checking Battery Performance iss si ssccissecacsansaveasisesenccaspascdssecsencsavonadeussentens 12 2 12 5 Disposing Batteries cistitis KAU KIA Li Gama 12 3 Chapter 13 Maintenance and Cleaning oooocooocsosssc 13 1 VES WMHS EH Lo y RON AER E Eu o BANA BABABA NLA 13 1 132 Cleaning OF Mont a ips 13 1 13 3 Cleaning and Sterilizing of Accessories ococccnoccnocaconncnoncnonnnonn non nono ncnnnnnnnnno 13 2 Chapter 14 Accessories eesessesseseesossesossossesceosoesossossesossossescosoesessosoesossossesosssssessoss 14 1 Vital Signs Monitor User s Manual APO AKA BANG o 14 1 TA NIBE a aaa mah MB AA AA AA e eae 14 2 14 3 CO LOFI0 aaa NAN NAGANA dd 14 3 NA AA ee a ae 14 3 14 3 Barcode Scanner a di as 14 3 Appendix A Product Specifications ooooomo 1 a AA ALTA A NG AG KAO 1 Ai PHYSIC al Spa ima SNANG TANAKA 2 A 3 Hardware Specifications bu aNG sons e raii D E sE 2 AA Measurement Specifications ssc dics ascicissseccsensacessdigesadtashascevsbedeeaeeaveszeeesacensentecses 5 Appendix B Factory Delas 24ANG 10 Bil Patient messages aa NAN a NAA paalaala 10 AA PA a Be ee A ee 10 a a apace sa A A E
60. intensity after the light passes the capillary network and estimates the ratio of oxygenated hemoglobin and the total hemoglobin Oxygenated hemoglobin Spo h A Q i Oxyhemoglobin deoxyhemoglobin 5100 Wavelengths of the light emitted by the pulse oximeter probe are nominally 660nm for red LED and 940nm for infrared LED 6 2 Safety Information Warning Use only SpO2 sensors specified in this manual Follow the SpO2 sensor s instructions for use and adhere to all warnings and cautions When a trend toward patient deoxygenation is indicated blood samples should be analyzed by a laboratory co oximeter to completely understand the patients conditions O Do not use the monitor and the SpO sensor during magnetic resonance imaging MRI Induced current could cause burns O Prolonged continuous monitoring may increase the risk of unexpected changes in skin characteristics such as irritation reddening blistering or burns Inspect the sensor site every two hours and move the sensor if the skin quality changes For neonates or patients with poor peripheral blood circulation or sensitive skin inspect the sensor site more frequently O Check the SpO sensor and its package for any sign of damage before use Do not use the sensor if any damage is detected Vital Signs Monitor User s Manual Before use the operator must ensure the compatibilityies of the monitor SpO sensor and extension cables otherwise this may lead to the
61. is hard to detect with cardiac arrhythmias with rapid blood pressure changes with severe shock or hypothermia that reduces blood flow to the peripheries on an edematous extremity 7 4 Measurement Mode There are three modes of measuring NIBP O Manual measurement on demand e Auto continually repeated measurements in the set interval STAT rapid series of measurements over a five minutes period then the monitor returns to the previous mode Use only on supervised patients 7 5 Monitoring Procedure 7 5 1 Preparing to Measure NIBP 1 Check the patient category if you want to change the patient category Select Ci to enter Patient Info menu And select the patient category as required 2 Select the appropriate cuff according to patient category O Check the limb circumference of patient Select the appropriate cuff The applicable limb circumference for cuff is marked on the cuff The width of the cuff should be about 40 of the limb circumference 50 for neonate or 2 3 of the upper arm s length The inflatable part of the cuff should be long enough to encircle 50 80 of the limb 1 2 Vital Signs Monitor User s Manual Note The accuracy of measurement of BP depends on the suitability of the cuff 3 Confirm the cuff has been entirely deflated 4 Plug the air pipe plug of cuff into the connector NIBP of monitor until the plug and socket contact well Attention you shall nip t
62. l 3 AC power input connector Connect to USB device such as keyboard and mouse 4 Serial port 5 Wired network connector Standard RJ45 socket it is used for connection with the central monitoring system provided by manufacturer 6 USB socket 7 Nurse call connector 8 Fan and horn orifice Note The wired network connector is used for connection with the central monitoring system provided by manufacturer Vital Signs Monitor User s Manual 1 2 4 Bottom View Battery compartment Fig 1 4 1 3 Work mode The monitor has two working modes Clinic Mode and Monitor Mode 1 3 1 Clinic Mode Clinic Mode refers to that the monitor is used for monitoring of a number of patients one by one by outpatient doctor Each patient has his her own ID number and the monitoring results of patients are saved according to their ID numbers When a patient with the same ID number appears again the device will automatically find out the previous monitoring data and will add current data to the previous one Clinic mode may be used in one of the following occasions 1 Medical personnel are present e g monitoring of patients by outpatient doctor or house call doctor 2 A number of measurements of many patients e g monitoring of patients by physical checkup doctor 3 Rounds of wards e g doctor or nurse can monitor relevant physiological status of patient by the monitor when checking in ward 1 3 2 Monitor Mode Monito
63. mm s 12 5 mm s 25 mm s or 50 mm s e CO Wave Scan Speed 1 Select CO Wave to enter CO Wave Setup menu 2 Set Scan Speed 1 to 6 25 mm s 112 5 mm s 25 mm s or 50 mm s 8 4 5 Setting Wave Color 1 Select CO Wave to enter CO Wave Setup menu 2 Set Wave Color to a desired value 8 5 Zeroing Zeroing allows the CO module to adjust to the optical characteristics in order to obtain accurate readings While zeroing is recommended the first time a CO module is connected to the monitor it is only absolutely necessary when the message Zero Required is displayed Follow these steps 1 Ensure that the nasal cannula or airway adapter is not connected to the patient or close to any source of CO including the patient s your own exhaled breath and ventilator exhaust valves 2 Select Zero in the CO parameter setting menu this will start zeroing The monitor zeroes the module and displays the message Zero In Progress for about 15 20s on the screen The message disappears upon completion of the zeroing Caution Always ensure that the sampling tube is properly connected to the microstream CO module before zeroing O Always ensure that the mainstream CO sensor is properly connected to the airway adapter before zeroing O Do not attempt zeroing for 20s after removing the adapter or cannula from the patient s airway This time allows any CO remaining in the adapter or cannula
64. n the high limit or is lower than the low limit the alarm for that the temperature is high or low occurs 2 The temperature module alarm If the measured value is lower than 34 0 the LCD will display Lo and the buzzer sounds B B B B B If the measured value is higher than 43 0 the LCD will display Hi and the buzzer sounds B B B B B If the ambient temperature is lower than 10 0 the LCD will display AL and the buzzer sounds B B B B B If the ambient temperature is higher than 40 0 the LCD will display AH and the buzzer sounds B B B B B The temperature module has a fever alarm function While the temperature is higher than 37 5 the buzzer sounds B B B 9 4 Vital Signs Monitor User s Manual 9 7 Calibrating The monitor has already been calibrated before leaving factory User can directly apply it to measuring in normal conditions to the exclusion of the below conditions For temp module please carry out temperature deviation calibration when the following conditions happened More details refer to Service Manual The temperature module has been used for half a year or one year The accuracy of Temp reading has been doubted by clinical physician Caution User may only calibrate the device under the instruction of the technical personnel authorized by manufacturer Moreover incorrect calibrating procedure may result in incorrect reading
65. ng otherwise the recording meter may be damaged e Unless for paper replacement or fault remedy do not keep the recorder door open 11 6 Clearing Jam Paper While the sound of recorder operation or printing of recording meter is abnormal please first check whether there is paper jam in the recording meter If so please clear it as per following steps 1 Open the recorder door 2 Pull out the recording paper and cut off the wrinkle part 3 Load recording paper once again and close the recording meter door 11 7 Cleaning Recorder After long time service some paper scrap and impurity will accumulate on the printing head and affect printing quality as well as the service life of printing head and roll shaft The recorder can be cleaned according to the following methods 1 Before cleaning the measures such as wearing anti static wrist strap shall be adopted to avoid the damage to recording meter resulting from static 2 Open the recorder door and pull out recording paper Use a tampon with some alcohol to sweep slightly the surface of thermo sensitive parts of printing head 4 After the alcohol entirely vaporizes load recording paper once again and close the recorder s door Caution e Don t use any article that can damage the thermo sensitive parts of recorder during cleaning e Don t heavily press the printing head of recorder 11 3 Vital Signs Monitor User s Manual Chapter 12 Battery 12 1 Introduction
66. ng may damage airbag so don t clean airbag unless necessary Do not dry airbag and sheath in high temperature If higher sterilization level is required please choose disposal cuff One disposal cuff can only be used for one patient Carefully keep water and cleaning solution out of the connecting parts ofcuff and monitor 13 3 3 CO2 Sensor and Reusable Airway Adapter The outside of the module or sensor may be cleaned and disinfected by wiping with 70 isopropyl alcohol a 10 bleach solution or mild soap After cleaning wipe with a clean water dampened cloth to rinse Dry before use Reusable airway adapters may be cleaned by rinsing in a warm soapy solution followed by soaking in a liquid disinfectant such as 70 isopropyl alcohol a 10 bleach solution Cidex or System 1 refer to the disinfectant manufacturer s instructions for use Adapters should then be rinsed with sterile water and dried Reusable airway adapters may also be pasteurized or autoclaved Autoclave at 121 250 for 20 minutes unwrapped Before reusing the adapter ensure the windows are dry and residue free and that the adapter has not been damaged during handling or by the cleaning process 13 3 4 Temp probe The recommended disinfector is isopropyl alcohol 70 Don t use undiluted decolourant 5 5 25 sodium hypochlorite or other non recommended disinfector in order to avoid damage to sensor Please clean the probe lens as the following st
67. nitor User s Manual An alarm condition destined occurs The monitor is not in the state of alarm paused or system silence Warning The nurse call function should not be used as the primary patient alarm inform source It is necessary for combining the auditory and visual alarm signal and the patient clinical feature and symptom as the primary information to medical and nursing staff about the physiological condition of the patient 3 8 1 Turning on off Nurse Call Select Menu System Setup Machine Mainte enter the required password Select Factory Mainte enter the required password Select Nurse Call setitto on 3 8 2 Setting Nursecall Type Select Menu System Setup Machine Mainte enter the required password Select Nurse Call to enter the nurse call menu Set Nursecall Type to Normally Open or Normally Closed 3 8 3 Setting Call Time 1 Select Menu System Setup Machine Mainte enter the required password Select Nursecall Setup to enter nurse call setup menu Set Call Time to 1 Sec or Continuous 3 8 4 Triggering Nurse Call Select Menu System Setup to enter system setup menu Select Nursecall Setup to enter nurse call setup menu Set PhyAlarm Trigger and TecAlarm Trigger to Off Low Med or High 3 6 Vital Signs Monitor User s Manual 3 9 ID Name You need to set ID name under the Clinic Mode 1 Menu System Setup ID Nam
68. onment 5 Wait for the CO module to warm up The monitor will display the Sensor Warm Up message for approximately Iminute while the module warms up to operating temperature The message disappears when the module is ready for use 6 Apply Microstream airway adapter or cannula 1 For intubated patients requiring an airway adapter Install the airway adapter at the proximal end of the circuit between the elbow and the ventilator Y section Shown as follows 2 For intubated patients with an integrated airway adapter in the breathing circuit Connect the male connector on the straight sample line to the female port on the airway adapter Shown as follows gt o O 8 2 Vital Signs Monitor User s Manual 3 For non intubated patients Place the nasal cannula onto the patient Shown as follows um ba Wa 4 For patients prone to mouth breathing use an oral nasal cannula Trim the oral sampling tip if necessary to fit the patient It should extend down past the teeth and be positioned in the mouth opening Remove the cannula from the patient if the tip needs to be trimmed Shown as follows FI 5 For nasal or oral nasal cannulas with oxygen delivery place the cannula on the patient as shown then attach the oxygen supply tubing to the oxygen delivery system and set the prescribed oxygen flow Caution e Always connect the airway adapter to the sensor before inserting the airway adapter into the
69. p 20 125 mmHg Cuff pressure range 0 300 mmHg Resolution 1 mmHg Pressure accurac y Static 3 mmHg Clinic Average error 5 mmHg standard deviation lt 8 mmHg Unit mmHg kPa PR range 40 240 bpm PR Resolution lbpm Cuff auto deflation The cuff will deflate automatically when power is off or time of measurement is beyond 120 seconds 90 seconds for neonate or the cuff pressure is beyond the overpressure protection set by software and hardware Measurement time Normally it is 20s to 45s depending on HR and moving interference typically Overpressure protection Adult Pediatric Neonatal 29743 mmHg 25243 mmHg 14743 mmHg V6 Vital Signs Monitor User s Manual Alarm range 0 300 mmHg high low limit can be adjusted PE continuously ba 0 300 mmHg high low limit can be adjusted continuously Map 0 300 mmHg high low limit can be adjusted continuously A 4 3 CO LoFlo O Microstream CO module Measurement way Infrared spectrum Measurement mode Warm up time microstream Capnogram displayed in less than 15 s at an ambient temperature o 25 C full specifications within 2 minutes Measurement range 0 19 7 0 150 mmHg Resolution 0 1 or 1mmHg Short term drift 0 8mmHg over four hours Stability Long term drift Accuracy specification will be maintained over a 12 hour period
70. parameters Select CO to enter CO Setup menu 4 CO Wave Area It is to display CO wave Select CO Wave to enter CO Wave Setup menu 4 2 Vital Signs Monitor User s Manual 5 TEMP Parameter Area It is to display temperature parameter Select TEMP to enter TEMP Setup menu 6 SpO2 Wave Area It is to display SpO2 wave Select SpO2 Wave to enter SpO2 Wave Setup 1 menu 7 Time and Battery Status Displaying Area It is to display system time and battery status 8 Prompt Messages Area It is to display the menu s meaning which the cursor is on or prompt messages 9 Icons Area From left to right the icons are Menu Patient Information Recorder Setup Network Setup and SD Card 10 SpO Parameter Area It is to display SpO parameters Select SpO to enter SpO Setup menu 11 Physiological Alarm Area It shows the physiological alarm messages When multiple alarms of different levels occur at the same time the monitor will give visual and audible alarm indications according to the alarm level 12 Technical Alarm Area It shows technical alarm messages When multiple alarms of different levels occur at the same time the monitor will give visual and audible alarm indications according to the alarm level 4 3 Vital Signs Monitor User s Manual 4 2 2 NIBP Review Under the screen you can view the measurement of NIBP 4 2 3 Trend Screen 4 4 Vital Si
71. patient size 10 50kg Disposable MAX I Infant foot hand patient size 3 20kg UARN Aui finger or neonatal foot hand patient size gt 40 kg or lt 3 kg DS 100A Adult Reusable OXI A N Adult neonatal OXI P I Pediatric infant BLT SpO Type Patient category PN Adult 15 100 0013 Reusable Pediatric 15 100 0014 Neonatal 15 100 0015 14 1 Vital Signs Monitor User s Manual SpO Extension cable Accessories PN Extension cable 15 031 0016 Masimo SpO Sensor Type Model PN Patient category DCI 2501 Adult finger Reusable DCIP 2502 Pediatric finger Disposable Neo 2514 Infant foot hand O Masimo SpO2 Extension cable Accessories Model PN Rainbow RC 12 20pin Patient cable Rainbow RC 12 2404 14 2 NIBP Disposable cuffs Model Patient category Limb circumference cm Bladder width cm M1866A 3 1 5 7 2 5 M1868A 4 3 8 0 3 2 Neonatal M1870A 5 8 10 9 4 3 M1872A 7 1 13 1 5 1 O Reusable cuffs Patient category Limb circumference cm Bladder width cm PN Large adult 15 100 0021 Adult 25 35 14 4 15 100 0019 Small adult 20 28 11 15 100 0023 Pediatric 13 20 8 15 100 0022 Infant 10 18 5 15 100 0024 Adult Thigh 15 100 0020 Neonatal 6 11 15 100 0025 14 2 Vital Signs Monitor User s Manual 14 3 CO Lo
72. ption but Manual 3 Start the Auto measurement manually for the first time and then enter the Auto mode The monitor will start the measurement continually repeated in the set interval after the first measurement If you press the button during the auto measurement the measuring will be paused You should press the button gt again to start the auto measurement Warning Prolonged NIBP measurements in Auto mode are associated with purport ischemia and neuropathy in the limb wearing the cuff When monitoring a patient examine the extremities of the limb frequently for normal color warmth and sensitivity If any abnormality is observed stop the NIBP measurements 7 5 4 STAT Measurement 1 Select NIBP to enter NIBP Setup menu 2 Select STAT to start the STAT Measurement 7 6 NIBP Display There is no waveform displayed for NIBP measurement the NIBP readings are displayed in the parameter area The following figure shows the NIBP display screen the display on your monitor may be looked slightly different 7 4 Vital Signs Monitor User s Manual Pressure unit Systolic blood pressure Mean arterial blood pressure Pulse Rate obtained from NIBP Diastolic blood pressure nA A U N e 7 7 Setting NIBP Select NIBP to enter NIBP Setup menu 7 7 1 Setting Unit In NIBP Setup menu set Unit to mmHg or kPa 7 7 2 Setting Initial Press In NIBP Setup menu set Init Press
73. r technical problem occurs Note The monitor generates all the audible and visual alarms through speaker alarm lamp and screen When the monitor powers on the alarm lamp will be lighted one time and the speaker will give a beep voice which indicates the alarm system of the monitor is working order 5 1 Alarm Category According to character of alarm the monitor s alarms can be classified into three categories physiological alarms technical alarms and prompt messages e Physiological alarms Physiological alarms are triggered by a monitored parameter value that violates set alarm limits or an abnormal patient condition Physiological alarm messages are displayed in the physiological alarm area Technical alarms Technical alarms are triggered by a device malfunction due to improper operation or system problems The problems may result in system abnormal operation or irresponsible monitoring parameters Technical alarm messages are displayed in the technical alarm area O Prompt messages As a matter of fact prompt messages are not alarm messages Apart from the physiological and technical alarm messages the monitor will show some messages to indicate the system status Vital Signs Monitor User s Manual 5 2 Alarm Level According to severity of alarm the monitor s physiological alarms are classified into three categories high level alarms medium level alarms and low level alarms High level alarms Indicate th
74. r Mode refers to that the monitor is used to monitor the same patient in ward for long time In this mode the small sized monitor is used to monitor the patient s SpO2 NIBP and CO Monitor mode may be used in one of the following occasions Vital Signs Monitor User s Manual 1 Monitor of a single patient for a long time e g hospitalized patient 2 Ward without on duty medical personnel 3 Remote monitoring connect to central unit through network 1 3 3 Difference Between two Modes Function Mode Monitor Clinic Silence With With Alarm Pause With Without Technical Alarm With With Physiological Alarm With Without Recording Review With With Alarm Review With With Parameter Storage With With Alarm Messages Storage With Without Nurse Call With Without Communicating with Center With With Computer Multi patient Without With Standby Mode Without With Vital Signs Monitor User s Manual Chapter 2 Safety 2 1 Safety Information Warning Indicates a potential hazard or unsafe practice that if not avoided will result in death or serious injury Caution Indicates a potential hazard or unsafe practice that if not avoided could result in minor personal injury or product property damage Note O Provides application tips or other useful information to ensure that you get the most from your product 2 1 1 Warning Warning O The monitor is intende
75. s unrecognized SpO2 Sensor Calibrating Sensor is calibrating SpO2 Sensor off Sensor may be disconnected from patient SpO2 Pulse search Searching pulse SpO2 Interference Interference detected SpO2 Low perfusion Low perfusion index SpO2 Demo Mode The monitor is at demo mode SpO2 Check sensor Check sensor is connecting SpO2 Low SIQ SpO2 Signal IQ is low SpO2 Low PR SIQ PR Signal IQ is low SpO2 Low PI SIQ PI confidence is low SpO2 Low SpCO SIQ SpCO Signal IQ is low SpO2 Low SpMet SIQ SpMet Signal IQ is low SpO2 Low SpHb SIQ SpHb Signal IQ is low SpO2 Low SpOC SIQ SpOC Signal IQ is low Vital Signs Monitor User s Manual SpO2 Low PVI SIQ PVI Signal IQ is low SpO2 Board Failure SpO2 board is failure SpO2 Failure SpO2 module is failure SpO2 Communication Error SpO2 communication is error SpO2 Enter Programming SpO2 is entering programming mode Mode SpO2 Weak signal SpO2 signal is weak SpO2 PR Over 239bpm SpO2 PR is over 239bpm NIBP Alarm messages Cause Level Transducer or other hardware failure Self test Failed 1 Cuff is completely unwrapped Loose Cuff 2 The cuff is not connected 3 Adult cuff used in neonate mode Air Leak Air leak in pneumatics hose or cuff Air Pressure Error Unable to maintain stable cuff pressure e g kinked hose Very weak patient signal due to a loosely Weak Signal wrapped cuff The pulse of patient is too weak Measurement
76. th the given time interval 11 1 Vital Signs Monitor User s Manual 1 Enter Recorder Setup menu through the above methods 2 Set Cycle Record Time to 5 Sec 10 Sec or 30 Sec 11 4 3 Setting Alarm Record 1 Enter Recorder Setup menu through the above methods 2 Set Alarm Record to On or Off 11 4 4 Setting Alarm Record Time 1 Enter Recorder Setup menu through the above methods 2 Set Alarm Record Time to 5 Sec 10 Sec or 30 Sec 11 4 5 Setting Gridding 1 Enter Recorder Setup menu through the above methods 2 Set Open Grid to On or Off 11 4 6 Setting Recorder Speed 1 Enter Recorder Setup menu through the above methods 2 Set Recorder Speed to 6 25 mm s 12 5 mm s 25 mm s or 50 mm s 11 5 Installing Recording Paper If the record paper runs out please install the record paper as the following step 1 Press both sides of the recorder door with one hand and pull outwards to open the recorder door 2 Put the recording paper into the recorder with the thermal side which is smoother up 3 Close the door of the recorder and pull some recording paper outside of the paper out port Caution e Must use the thermo sensitive record paper otherwise it will lead to recording failure bad quality record or damage of thermo sensitive printing head 11 2 Vital Signs Monitor User s Manual e Do not pull out the recording paper during recorder printi
77. the power wire and other connected wires Open the battery door towards the direction labeled on it Take out the old battery Insert the new battery towards the direction labeled Close the battery door 12 3 Optimizing Battery Performance A battery needs at least two optimizing cycles when it is put into use for the first time A battery cycle is one complete uninterrupted charge of the battery followed by a complete uninterrupted discharge of the battery A battery should be conditioned regularly to maintain its useful life Condition a battery once when it is used or stored for two months or when its run time becomes noticeably shorter To optimize a battery follow this procedure 1 6 Disconnect the monitor from the patient and stop all monitoring and measuring procedures Place the battery in need of optimizing into the battery compartment to the monitor Place the monitor in the charger stand and connect the AC mains Allow the battery to be charged uninterruptedly for above 6 hours Remove the AC mains and allow the monitor to run from the battery until it shuts off Replace the monitor in the charger stand and connect the AC mains Allow the battery to be charged uninterruptedly for above 6 hours The optimizing of the battery is over 12 4 Checking Battery Performance The performance of a battery may deteriorate over time To check the performance of a battery follow this procedure 1 Dis
78. tton mmm Connecting wire Vital Signs Monitor User s Manual 9 2 Safety Information Warning Please change the earcap after each use to ensure the veracity and avoid cross infecting At least every half year or one year carries out a temperature measure calibration or carries out the calibration according to the hospital regulation 9 3 Monitoring Procedure 1 Connect the temperature module to the main unit press the power button of the main unit to turn on the monitor 2 Installs earmuffs to the temperature probe While monitoring please use new clean earmuffs with non breakage and ensure that the ear cavity is clean Please install the earmuffs as follows to ensure the monitoring accuracy The earmuffs installing way 1 Put the earmuffs paper film into the assistant ring groove 2 Insert the probe to the end when its center is at the center of the assistant ring 3 Ensure that the earmuffs on the probe is fixed on Refer to the following pictures 9 2 Vital Signs Monitor User s Manual 3 Pull back the ear cavity gently to make it straight and fix the head of the patient 4 Measuring method When the temperature module is in the off state or the unit sign glints please carry out the monitoring Insert the temperature probe into the ear at the ear hole then press START please don t read the temperature information until you hear the buzzer sound The temperature measure
79. uired Setting SpHb Unit You can select SpHb Unit in the SpO parameter setting menu and select the unit as required The options are g dL 1 and mmol L 6 6 Masimo Information UNASHO rainbow E Masimo Patents This device is covered under one or more of the following U S A patents 5 758 644 5 823 950 6 011 986 6 157 850 6 263 222 6 501 975 and other applicable patents listed at www masimo com patents htm E No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized sensors or cables which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device 6 7 Nellcor Information This is the trademark of Nellcor Puritan Bennett Inc 6 7 Vital Signs Monitor User s Manual Chapter 7 NIBP 7 1 Introduction The monitor uses the oscillometric method for measuring NIBP It is applicable for adult pediatric and neonatal patients The method of oscillometric indirectly estimates the systolic and diastolic pressures within the blood vessels by measuring the change of the pressure within blood pressure cuff along with the volume of the arteries and calculates the average pressure The NIBP measurement is suitable for use in the presence of electrosurgery and during the discharge of a cardiac defibrillator according to IEC 60601 2 30 1999 EN 60601 2 30
80. value and unit SpMet Methemoglobin Saturation value and unit SpHb Total Hemoglobin value and unit SpOC Oxygen Content value and unit SpCO Carboxyhemoglobin Saturation value and unit PVI Pleth Variability Index value and unit PR value VD 0 N Mm 4 bh W Nh Note O When one of the above parameters signals is weak its label will fresh Parameters Description 6 3 Vital Signs Monitor User s Manual a Perfusion index PI PI is a value that indicates arterial pulse signal strength as the percentage of pulsatile signal to non pulsatile signal The perfusion index allows clinicians to place sensors on optimal sites b Methemoglobin Saturation SpMet SpMet is a value that represents the percentage of methemoglobin saturation within the blood c Total Hemoglobin SpHb SpHb is a measure of the total hemoglobin concentration in arterial blood d Oxygen Content SpOC SpOC is a measure of the total oxygen content present in the blood e Carboxyhemoglobin Saturation SpCO SpCO is a value that represents the percentage of carboxyhemoglobin saturation within the blood f Pleth Variability Index PVD PVI is a measure of peripheral perfusion changes secondary to respiration or the PI amplitude modulation over a respiration and can be closely related to intrathoracic pressure changes 6 5 Setting SpO 6 5 1 Opening the SpO Menu To open the SpO Menu O Select SpO to enter SpO

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