Home

Ventura - TOC.CHP - Veterinary Technics

Contents

1. 3 25 3 22 2 Interfacing with the 3000 or 3000A Monitor 3 26 3 22 2 1 Software Compatibility Multinex Plus 3000 3000A 3 26 2073 COnBeCtOrS sw do ste ded SU 3 27 3 22 4 Interfacing to Personal Computers nn 3 29 3 23 Optional Unit Configurations oct PE SUA 3 29 3 23 1 Units equipped with 5 02 Model 4200 3 29 3 23 2 Units Equipped with Anesthetic Agent Model 410010 3 30 3 24 SaO2 Sensor Selection EE mox SD XA 3 31 3 25 Performance Verification ds tal AD e a 3 36 4 USER MAINTENANCE 4 1 4 1 Careand Cleaning 2 4 1 4 2 Replaceable 025 57 a eode QUA Me UR ME ga 4 1 4 2 1 Catheters and Breathing Adaptors 4 2 422402 C8 a viiam Sese A 4 2 ADI SUI X aeui et o Due 4 3 4 2 4 Scrubber Cartridge t t 4 3 4 2 5 Software Cartridge X UIN ib m re 4 4 42 0 FUSS hae xe Y s a M IS e 4 4 43 Troubleshooting
2. Line Voltage Type Rating Datascope P N 90 132 V 3AG 72 04 250 V 0159 03 0015 198 264 V 5X20 mm T1 0A 250 V 0159234001 4 4 MULTINEX Gas Module Operating Instructions Chapter 4 4 3 Troubleshooting Guidelines This section contains messages that may appear on the screen to alert the user to take action Takethe action indicated for O perator R esponse if any of the following messages should display If service is required contact a D atascope Service R epresentati ve Internal servicing should only be preformed by qualified personnel Chart 6 Troubleshooting Guidelines M essage APNEA PURGING OCCLUSION SUMP FULL CAL IN PROGRESS FAN FAILURE UNITWARMING UP SY STEM FAULT SO2 SENSOR OFF SO2 INTERFEREN CE PULSE LEVEL WEAK NO PULSE O perator R esponse M eaning N o breaths detected during a 30 second period N o operator response needed unit clearing catheter obstruction Replace or clean catheter unit unableto clear catheter obstruction Sump bottlefull empty sump N o operator response normal operation unit performing auto zero It is normal for the MULTINEX Gas M odule to automatically recalibrate on a periodic basis Fan has stopped rotating turn unit off Unit usable but not within specifications units with A gent capability only CO N20 Agent measurement system self test unsuccessful Power cycle the monitor Apply sensor to patient
3. 4 5 4 4 Frequent PURGING Events dueto M oisturein the Breathing Circuit and or Improperly Sized Accessories 4 8 5 ACCESSORIES 55255 su 9l 5 1 Standard Accessories ta Vie eoi ie th S a 5 1 5 2 Optional Accessories n a uo web ed aor a 5 1 5 3 Mounting e ART AI WURST 5 4 5 3 1 Multinex to the 3000A 0 5 4 5 3 2 Multinex to Other Units i a bue 5 5 5 3 3 Drawer Box Assembly wa Ass Db AA We Awe a 5 6 ii MULTINEX Gas Module Operating Instructions Table of Contents 6 APPENDIX 232299528882 55 ee x BG I M ab oue S gaa x Sa cede 6 1 6 2 Extended W arranty oe s vox ox ooo Rok X X 3 ox x r ww ss 6 2 6 3 Material Safety Data Sheets for Material used in the Scrubber Cartridge 6 3 6 4 Specifications 5 a OE UE s t e e week ED 6 5 6 5 Environmental Characteristics moa enean 6 6 6 6 Performance Specifications e uh 5 5 Dee OR xs e t t 6 8 6 7 Safety Characteristics AAA Se Ye to es Ee 8 6 17 6 8 System Compatibility a a a a a a 6 18 6 9 Configurations He va y eR a A a v AD Ue 6 18 6 10 Agency Compliances e 3 oe yox om ox OX RR a a 6 19 0 11 COD DISUIdyS
4. ah we Re 3 12 CER LIU TP A m 3 12 3 12 Alarm Keys Seting Alarms 3 14 EO arie uas ana uem La er e SALUS 3 15 3 12 2 Auto Set Automatic Setting of Alarms 3 15 3 12 3 A UOIO MU 3 16 3 12 4 3 16 3 13 Digital ASS ta Tos di de Sete AA a 3 17 3 14 Trend Displays Ge Gh ae BR m UE E BOR XS xo 3 18 3 15 Sampling Flow Rate O2 Cal Adjust Sequence 3 18 346 0 Cell RIP Ve BE Y 3 20 SIF SUMP 22 4 Wie ud esr der Be dae AP Re dr 3 20 3 18 Scr bber Cartridge A erue we de wee ob mp ESL 3 20 MULTINEX Gas Module Operating Instructions Table of Contents 3 19 Software Cartridge eem b ege s De s ek e e VE e a 3 20 3 20 Intake and Exhaust LUES es Soe ELEC D Eee 3 20 3 21 User Configuration Tr 3 21 3 21 1 User Configuration Mode atom oh ede pe awe e As 3 21 3 21 2 Typical Configuration Menu Sequence 3 24 3 21 3 CO2 SaO2 Output Configuration ges SE 3 25 3 22 nterfaGifid Gel et cn dead tee dep ka n RR 3 25 3 22 1 With amp
5. 7 8 9 10 1115 1216 13 14 17 18 Model 4200 MULTINEX Gas Module Operating Instructions 2 3 Chapter 2 99 94 99 34 91 JU amp 0 7 8 8 10 11 12 13 Model 4300 35 34 30 3l 33 32 27 26 25 24 23 20 7 8 9 10 1116 15 13 22 19 Gas Module 2 4 MULTINEX Gas Module Operating Instructions Chapter 2 ON ps E ers 10 11 12 Size Trace 1 13 Cal 26 Inspired CO2 Size Trace 2 14 Beep Volume 27 ECTO2 Select Trace 2 15 Audio Volume 28 Pulse Rate Size Trace 3 16 Audio Mute 29 2 Select Trace 3 17 Patient Connector 30 Auto Set Power ON OFF 18 Sample Luer 31 Lo Agent ID mode 19 Agent Select 32 Hi Agent ID Units 20 Inspired Agent 33 Select Left Hidden Key 21 Illuminated Messages 34 Inspired N20 Non Agent ID Units 22 End Tidal Agent 35 Expired Trace Speed 23 Respiration Rate Split Screen 24 Inspired O2 Trend Time 25 Illuminated Messages Right Hidden Key kPa Torr Record Size Trace 1 This key is used to select the scale for the CO2 waveform trend display Size Trace 2 This key is used to select the scale for the Trace 2 display Select Trace 2 This key is used to select a parameter for display on Trace 2 On Agent models the Agent Waveform is always displayed in the Trace 2 position Therefore the Select Trace 2 key 15 not required on Agent models Size Trace 3 This key is used to select the scale for the Trace 3 d
6. HI SIZE Gas Trace Speed Default LOW SELECT Gas Trace Scale Default AUTO iti SET TRACE 3 Trend Trace Partition Sekect SIZE Trend Time Default AUDIO MUTE SELECT Exit AUDIO VOLUME J DN y _ ALARMS TRACE 1 SIZE Options Select gt SELECT TRACE2 Torr Enter SIZE KPa LOW SELECT Exi SET TRACE 3 xit AUDIO MUTE SELECT AUDIO VOLUME 4 Press EN TER HI 32 5 Press SELECT 33 and choose CO Units 6 Press EN TER HI 32 7 Press SELECT 33 and choose 96 8 Press EN TER HI 32 MULTINEX Gas Module Operating Instructions Chapter 3 3 21 3 2 5 2 Output Configuration This menu allows two selections e CO2 Only e CO2 Sa02 Multiplexed The output configuration refers to the CO2 analog output on pin 16 of the Datascope Interface Connector 40 W hen the 2 5 02 M ultiplexed mode is selected a pulse one tenth of a second long is added to the CO2 waveform every 10 seconds The height of the pulse shows the current SaO value Scaled at 1 SaO2 per mm with a range of 60 to 100 SaO2 3 22 Interfacing TheMULTINEX Gas Module can interface with various equipment to provide thefollowing communication facilities to external devices e Analog outputs to compatible chart recorders e Analog plethysmograph input from external oximeters e Datascope Bus Connector for D atascope 2000R S not applicable to Gas M odule e Patient Data Limits and Status to pe
7. N oisy signal dueto patient motion or ESU Pulse signal detectable but not weak Pulse not detactable MULTINEX Gas Module Operating Instructions 4 5 Chapter 4 M essage PULSE SEARCH CHECK 502 SENSOR PULSE RATE lt 30 PULSE RATE gt 250 5202 UNCALIBRATED Sa02 FAILURE DOWNLOADING FRONT PANEL KEY BOARD ISNOT CONNECTED USER CONFIGURATION ERROR DEFAULT CONFIGURATION SELECT FULL CALIBRATION REQUIRED GASMEASUREMENT RESPONSE FAILURE GASMEASUREMENT SYSTEM SELF TEST FAILURE READY O perator R esponse M eaning Temporary message while searching for pulse Inadequate signal received by detector Pulse Rate detectable but less than 30 beats per minute Pulse Rate detectable but greater than 250 beats per minute SaO value displayed is below specified accuracy rate 5202 self test unsuccessful Power cycle the monitor SaO2 program code being sent to 5 02 PCBs Power up self test failure U nit needs service Theunit has detected an erroneous change to the user configuration and automatically selected a default configuration Power up self test failure Agent units with SaO2 only Unit needs to be recalibrated except for SaO2 Power up self test failure units with Agent capability only Power up self test failure units with Agent capability only W hilein the agent auto ID mode unit is ready for agent identification units with Agent ID capability only
8. 02 Output Audio Control Flow Rate Control Alarm Limits Trace Options and Agent D efault are available on the MULTINEX Gas Module Access each of the above stated menus through the M ain M enu when in the U ser Configuration M ode 1 Press and hold SELECT 33 while turning theM ULTIN EX Gas ModuleON Hold SELECT pressed until the first beep is heard 2 Choose U ser Configuration left hidden key 7 The Main M enu displays on the x SELECT and ENTER are ALARMS TRACE 1 zi displayed on the CRT next to the S MANMEND Select gt SELECT Alarm SELECT 33 and HI 32 keys TRACE 2 Display Parameters Enters 4 2 SIZE 3 Press SELECT 33 to choose a CO2 SaO2 Output ION particular menu SELECT Audio Control Flow Rate Control ps 4 Press Enter H 32 to access TRACES menu choice em AUDIO TE MUTE 5 Choose Exit in the menu to SELECT obtain the previous menu VOLUME display 6 Proceed to the main menu Choose EXIT right hidden key 11 to resume normal operation The normal MULTIN EX Gas M odule screen displays The following lists the menus found in U ser Configuration MULTINEX Gas Module Operating Instructions 3 21 Chapter 3 MAIN MENU CONFIGURABLE ITEM 5 SETTINGS DISPLAY PARAMETERS 02 Units TORR KPA Exit 02 Pressure 002 at sea level 760 mmHg Compensation 002 at local barometric p
9. High 5 95 Off 5 0ff Beep 1 45 every 10 s Low 210 Off 1 2 Beep 1 4 s every 10s 40001D Plus 5802 96 5207 High 80 99 Off 1 off Continuous on violation 4000 Plus Low 50 85 Off 5 85 Continuous on violation 4200 86 95 Off 1 Continuous on violation 40001D Plus Pulse Rate bpm Hi 100 250 Off 5 0ff Continuous on violation 4000 Plus Low 30 99 Off 5 0ff Continuous on violation 4200 40001D Plus Inspired Agent 96 High 0 20 1 6 Continuous on violation 4000 Plus Low 0 3 Off 1 off Beep 1 45 every 10 s 4100 Plus Gas Module 400010 Plus Sensor Off 4 second waming tone 4000 Plus Check Sensor n a n a n a 4200 No Pulse 40001D Plus Wrong Agent nl a nl a 4 second waming tone 40001D Plus Mixed Agent na n a 2 beeps NOTES e 5202 and Pulse Rate alarms are not available when using an external oximeter W arning tones and 5 0 2 messages will also not be present e LED displays always flash once per second during each violation Violated alarm limit is displayed in reverse graphics on the CRT e CO2 alarms can also be set in or K Pa but only to whole numbers 1 2 amp c e Alarm limits are considered violated if the displayed value equals or exceeds the upper alarm limit or is equal to or below thelower alarm limit MULTINEX Gas Module Operating Instructions Chapter 3 3 13 TheMULTINEX Gas Module alarms on all alarm limit violations and for the following apnea conditions Breath not
10. 10 0 5 0 12 N 20 0 40 0 100 0 60 Agent 0 20 0 8 0 3 Trends SaO 2 0 100 Pulse 0 250 Pleth 1 2 44 8 qefault values Trend SaO2 and Pulse are available on all models but the 4100 Plus 4300 and the Gas Module require external oximeters approved to work with MULTIN EX Trend only appears when selected MULTINEX Gas Module Operating Instructions 3 9 Chapter 3 3 Gas Trace Speed 8 1 Press Gas T race 8 to change the speed of the erase bar devoted to any gas measurements CO2 N20 or Agent The setting changes the gas trace speed for all displayed gases individual settings for different waveforms can not be made The speed of the erase bar be set to 1 5 10 12 5 or 25 mm s The plethysmograph trace speed is fixed at 25 mm s regardless of the Gas T race Speed setting 3 7 Split Screen 9 1 Press Split Screen 9 to changethe proportion of the display dedicated to waveform data and trended data Split Screen combinations are as follows W aveform T rend 96 100 0 all waveform no trend 75 25 50 50 25 75 0 100 no waveform all trend The selected split screen setting affects all displayed waveforms default values 3 10 MULTINEX Gas Module Operating Instructions Chapter 3 3 8 Trend Time 10 1 Press Trend Time 10 to change thetime scales for trend presentations The availabletime scales are as follows 10 min 30 min 1 hr 2 h
11. 11 N C 12 N C 13 N C 14 N C 15 N C 16 N C 17 N C 18 N C MULTINEX Gas Module Operating Instructions 3 27 Chapter 3 19 N C 20 N C 21 Plethysmograph Analog Output 4200 4000 Plus amp 40001D Plus only 12 0 V 22 Sa0 Analog Output 4200 4000 Plus 400010 Plus only 12 0 V 23 Pulse Rate Analog Output 4200 4000 Plus amp 40001D Plus only 12 0 V 24 N C 25 Analog Reference 24 pin IEEE Interface Voltage Do Not Apply Voltages gt 8 N C 9 Digital Communications to 2000RS 0V 5 V 12 0 V 10 N C 11 NC 12 Shield Ground 13 NC 14 N C 15 Control Line to 2000RS Motor 0V 5V 15 3 V 16 02 SAT Multiplexed Analog Output to 200085 0 12V 14 0 V 17 N C 18 N C 19 N C 20 21 Digital Reference 22 23 24 Analog Reference 3 28 MULTINEX Gas Module Operating Instructions Chapter 3 3 22 4 Interfacing to Personal Computers TheMULTINEX Gas Moduleallows users with properly equipped personal computers to remotely access patient data alarm limits and MULTIN EX operational status over a wire cable not supplied Personal computers must have R S232 serial communications capabilities with the following characteristics e Format ASCII e DataBits
12. 22 3 Connectors The three interface connectors on the MU LTIN EX are a 15 pin male sub D connector 25 pin female sub D connector and a 24 pin female EEE 488 style connector Each pin assignment is detailed below Do not apply voltageto output pins as damage may occur M aximum non destructive voltages are lised for each output pin 15 pin Male Sub D External Oximeter Voltage Do Not Apply Voltages 1 Chassis Ground 2 TXD3 Transmit Data to external oximeter RS 232C RS 232C Limits 3 RXD3 Receive Data from extemal oximeter RS 232C RS 232C Limits NC 5 N C 6 N C 1 Digital Reference 8 N C 9 Respiration Rate analog output 04 V 12 0 V 10 Plethysmograph analog input from extemal oximeter equivalent to 047 12 0 V 0 100 Sa02 11 00 Analog Output 0 1 V 12 0 V 12 N20 Analog Output 04 V 12 0 V 13 02 Analog Output 01 V 12 0 V 14 Agent Analog Output 041 V 12 0 V 15 Analog Reference 01V 12 0 V 25 pin Female Sub D PC Interface Voltage Do Not Apply Voltages gt 1 Chassis Ground RS232C 2 TXD1 Transmit Data to external PC RS 232C RS 232C Limits 3 RADI Receive Data to external PC R5232C 85 232 Limits 4 RTS1 Request to Send RS 232C RS 232C Limits 5 CTS1 Clear to Send R5232C RS 232C Limits 6 NC 1 Signal Ground 8 N C 9 10 N C
13. Gas Module Operating Instructions Chapter 3 3 24 SaO Sensor Selection A Introduction A widerange of sensors are available for connection to the Datascope MULTIN EX Gas Module The sensors cover both short term and long term monitoring needs on patients ranging from neonates to large adults TheDATASEN SOR isintended for short term adult monitoring TheFLEXISEN SOR SD available in five different sizes provides both short term and long term monitoring for large adults adults pediatrics infants and neonates The FLEXISEN SOR SD is used when the DATA SOR is not convenient or suitable T he ear sensor is intended for long term adult monitoring A range of disposable bandages are available for use with the FLEX ISEN SO R 5 5 They are available in 3 styles SEN SOR GUARD used for large adults adults and pediatrics Coban with SEN SOR GUARD used for infants and LIGH TGUARD used for neonates NOTE Use only Datascope bandages with the D atascope FLEX ISEN SO RO SDs U se of the sensors does not cause any penetration of the skin nor is there any electrical contact or transfer of excessive heat to the patient The sensor is composed of a light emitting diode emitter and a photodiode detector The emitter discharges two colors wave lengths of light into the patient s extremity finger toe ear The detector receives that amount of light not absorbed by the blood or tissue components The MULTIN EX Gas Mo
14. Instructions Chapter 1 The seventh configuration is the Gas Module The Gas Module measures anesthetic agent but does not have agent identification Instead the user must use the front panel agent SELECT key to indicate the anesthetic agent given Gas Module Gas Module MULTINEX Gas Module Operating Instructions 1 5 Chapter 1 Models 4300 4200 410010 Plus 4100 Plus 400010 Plus 4000 Plus Gas Module End Tidal 02 6 e e e e Inspired 0 e e e Inspired N20 e 7 Expired 0 e Inspired 02 e e e e e e Inspired 02 In e spired Anesthetic Agents Expired Auto ID e e Anesthetic Agent Respiration Rate e e e 5007 e e Pulse Rate e Inspired Select dd Anesthetic Agents Expired Select k T Anesthetic Agents TABLE 1 1 FEATURES OF EACH MODEL 1 6 MULTINEX Gas Module Operating Instructions Chapter 1 2 0 15 AND INDICATORS This section of the Operating Instructions identifies the configurations of the MULTINEX GAS MODULE and describes each control on each front and rear panel Refer to the paragraph numbers listed below for the location of the specific controls and displays Step by step instructions for operating this instrument are contained in Section 3 0 Operation Paragraph Number Descriptio
15. MULTINEX Gas Module Operating Instructions Chapter 4 essage XXX WRONG AGENT YYY XXX AGENT ID DISABLED MIXED AGENTS XXX YYY NO ID SELECT AGENT O perator R esponse M eaning W hilein the confirmation mode indicates the agent detected Y Y Y does not agree with the agent selected XX X units with Agent ID capability only Indicates agent ID is disabled and XX X is the agent selected units with Agent ID capability only Indicates X X X agent is mixed with agent YYY units with Agent ID capability only Indicates agent ID is not working units with Agent ID capability only For these messages the following message appears SELF TEST FAILURE PRESSTRACE 1 Chapter 4 Operator query Press T race 1 SIZE to continue monitoring 5 0 2 TO CONTINUE If the only error is user configuration normal operation will begin with default values MULTINEX Gas Module Operating Instructions 4 7 4 4 Frequent PURGING Events due to Moisture in the Breothing Circuit and or Sized Accessories In the process of monitoring respiratory gases moisture may appear in the sample line T his moisture takes the form of either liquid or humidified gas coming from the patient circuit The M ultinex Gas Module incorporates a moisture elimination system that first separates and then collects moisturetypically found under normal conditions This internal protection is adequate to maintain the pneum
16. Model 4100 PLUS MULTINEX Gas Module Operating Instructions 1 3 Chapter 1 The fifth configuration the Model 4000ID Plus combines all the capabilities of the 4100ID Plus as well as SaO Accordingly there is a beep volume control key a patient connector for the oximeter probe a 2 digit red LED display for SaO2 data a 3 digit red LED display for pulse rate a 2 digit red LED display to indicate end tidal concentrations of agent a 2 digit red LED display to indicate inspired concentrations of agent If nitrous oxide is used digtal information appears on the CRT A front panel AGENT ID MODE is used to select automatic agent detection verify agent mode or Agent ID Disabled Mode when using desflurane or sevoflurane NOTE Prior to applying des or sev select agent id disabled mode then select agent Failure to do so will cause erroneous CO2 N2O and agent readings The sixth configuration the Model 4000 Plus measures anesthetic agent but does not have agent identification Instead the user must use the front panel AGENT SELECT key to indicate the anesthetic agent given The front panel is the same as the 4000ID except that there is no AGENT ID MODE key O MULTINEX ALARMS SELECT wo a TRACE 1 ER bomi CO END TIDAL INSPIRED LE bpm A ENDTIDAL INSPIRED AGENT ID GAS TRACE MODE SPEED ___ PATIENT SAMPLE Model 4000 ID PLUS Model 4000 PLUS 1 4 MULTINEX Gas Module Operating
17. O2 plus agent identification either Isoflurane Halothane or Enflurane If nitrous oxide is used digital information appears on the CRT A front panel AGENT ID MODE key is used to select AUTO agent detection VERIFY agent mode or agent ID DISABLED mode when using Desflurane or Sevoflurane CAUTION PRIOR TO APPLYING DES OR SEV SELECT AGENT ID DISABLED MODE THEN SELECT AGENT FAILURE TO DO SO WILL CAUSE ERRONEOUS CO N20 AND AGENT READINGS The unit also features a 2 digit red LED display indicating end tidal concentrations of the selected agent and a 2 digit red LED display indicating inspired concentrations of the selected agent Both displays update upon the completion of each breath and flicker if new breath data is the same as old breath data The fourth configuration the Model 4100 Plus measures anesthetic agent but does not have agent identification Instead the user must use the front panel AGENT SELECT key to indicate the anesthetic agent given The front panel is the same as the 4100ID except that there is no AGENT ID MODE key MULTINEX O ALARMS l SELECT TRACE 1 SIZE 2 SIZE END TIDAL INSPIRED SELECT CET SET FiO TRACE 3 bpm SIZE mu SELECT CET i MAINS TIDAL INSPIRED ON AGENT ID GAS TRACE SPLIT TREND RECORD CAL D OFFO MODE SPEED SCREEN TIME O TOO wg AN WOLD 3 SEC TO CLEAR SAMPLE AN Model 4100 ID PLUS
18. a catheter and a breathing tube adaptor The 7 inch raster type CRT displays a maximum of three trace waveforms trended data alarm limits and user messages Trace 1 always displays the CO2 waveform Trace2 and Trace 3 are used to display the other available waveforms i e N 20 Pleth and Cascaded CO2 CO2DY Trace2 is always the Agent waveform on units with A gent capability Each trace area is outlined and scaled with it s appropriate units MULTINEX Gas Module Operating Instructions 3 1 Chapter 3 3 2 Initial Set Up 1 Set the front panel AC POWER ON OFF switch 6 OFF 2 Check the serial number label and confirm proper voltage configuration If the instrument voltage selection is not for your particular application contact a D atascope Service Representative or qualified hospital personnel 3 If interfacing with other equipment attach the appropriate interface cable s between the MULTINEX Gas Module rear panel INTERFACE connector and the corresponding INTERFACE connector s on the peripheral instrument s 4 Attach theline cord to the ac power connector 42 on the MULTIN EX and to a properly grounded 3 wire ac receptacle DO use any adaptors to defeat the U ground of the cord set WARNING Insurethat the total combined leakage currents do not exceed safe limits 5 Interface the supplied catheter with the breathing tube adaptor Follow the instructions included in each package 6 Attach the supplie
19. aa bcd s a DE u bk a 6 20 6 12 Anesthetic Agent Identification lr a 6 21 MULTINEX Gas Module Operating Instructions FOREWORD This manual is intended to provide the information needed for proper operation of the D atascope MULTIN EX and GASMODULE General knowledge of monitoring and an understanding of the features and functions of the Datascope MULTINEX GASMODULE are prerequisites for its proper use DO NOT OPERATE THISMONITOR BEFORE READING THESE INSTRUCTIONS Information for servicing this instrument is contained in the D atascope M ULTIN EX Gas M odule Service M anual Part N o 0070 00 0369 For additional information or assistance please contact an authorized D atascope representative in your area Federal Law restricts this deviceto sale by or on the order of a physician or other practitioner licensed by state law to use or order the use of this device For external communication protocol see Service M anual Supplement P N 0070 00 0305 MULTIN EX Communication Protocol NOTE In order to ensurethe proper performance of your monitoring equipment and to prevent the voiding of the warranty it is recommended that only parts and accessories provided by D atascope be used with your monitor SAFETY CONSIDERATIONS Please read and adhereto thefollowing safety considerations regarding the use of this instrument WARNINGS Possible Explosion H azard This instrument is not explosion proof and should not
20. of the selected agent 0 896 D ata updates at the completion of each breath If new breath data is the same as old breath datathe display flickers Flickering indicates a new reading 9 5 2 a SaO2 28 e Indicates SaO concentrations in units of percent 0 99 Data updates every two seconds b Pulse Rate 28 e Indicates the Sa02 pulse rate in beats per minute 30 250 Data updates every two seconds Beep Volume 14 e Adjusts pulse volume level Press to sound the beep at the present volume Press twice within three seconds to change the selected beep volume 3 8 MULTINEX Gas Module Operating Instructions Chapter 3 3 5 Waveform Selection and Size There are five front panel keys 1 2 3 4 5 that control the selection and sizes of the displayed waveforms If aselected waveform is not valid for a particular monitor or if that selection already is displayed on another trace that selection is skipped and the next waveform in the sequenceis displayed 3 5 1 Selection Trace 1 always displays the 2 waveform Trace 2 indexes through the following choices on non agent units only N 20 Pleth Delay Cascaded 2 and Off Agent units use T race 2 to display Agent only Trace 3 indexes through Pleth N20 and Agent 3 5 2 Size The following is a list of the available size selections for the various traces CO Scale Range TORR 0 80 0 40 0 100 0 10 0 5 0 12 KPA 0
21. plate P N 0386 00 0137 onto the drawer box assembly P N 0997 00 0257 using the four screws P N 0214 08 0003 supplied with the assembly 2 Attach the adapter plateto the bottom of the MULTIN EX Insure that the front tabs slide into the front panel slots on theMULTINEX 3 Using the two screws P N 0214 08 0002 secure the adapter plate to the M ULTIN EX rear panel 4 Mount the drawer box assembly to assembly shelf using the four screws 0214 08 0002 NOTE For Agent ID versions an adapter box will raisethe MULTINEX ID sothat it isthe same height as the 3000A This box does not include a drawer U se P N 0020 00 0061 02 for this option SCREWS P N 0214 08 0002 n PLATE P N 0386 00 0137 ka oe BOX ASSEMBLY Wi P N 0997 00 0257 5 6 MULTINEX Gas Module Operating Instructions Chapter 5 6 0 APPENDIX 6 1 Warranty D atascope Corp warrants that its products will be free from defect in workmanship and materials for a period of one year from the date of purchase except that disposable or one use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use whichever is sooner D atascope Corp shall not beliablefor any incidental special or consequential loss damage or expense directly or indirectly arising from the use of its products Liability under this warranty and the buyer s excl
22. pulse rate 30 250 beats per minute bpm 5 W hen either of the following messages appear above the CRT window associated with PLETH the 5 0 2 and Pulse Rate readings should not be used for patient management purposes as the unit is not specified to work in these ranges Pulse Rate 30 Pulse Rate 2250 6 The SaO2 warning tone will be present see section 3 11 3 23 2 Units Equipped with Anesthetic Agent The additional features of the agent models that are added to the basic unit are 1 A 2 digit LED display 22 used to indicate End Tidal concentrations of the selected agent 0 9 9 2 A 2 digit LED display 20 used to indicate Inspired concentrations of the selected agent 0 9 9 The display updates upon the completion of each breath If new breath data is the same as old breath data the display flickers Flickering indicates a new reading 3 A momentary action AGENT ID MODE key 7 is used to select the auto or verify mode of operation for agent identification 400010 Plus amp 41001D Plus only 4 A momentary action AGEN T SELECT key 19 is used to indicate the selected anesthetic agent models 4000 Plus 4100 Plus amp Gas M odule This key also indicates the selected anesthetic agent in the verify mode models 400010 Plus 4100ID Plus A gent selections include Isoflurane H alothane and Enflurane A red LED 21 indicates which agent has been selected The default setting is Isoflurane 3 30 MULTINEX
23. the manual mode NOTE Prior to applying des or sev select agent id disabled mode then select agent Failure to do so will cause erroneous CO2 N 20 and agent readings MULTINEX Gas Module Operating Instructions 6 21 Chapter 6 Datascope Corp e 580 Winters Avenue P O Box 5 e Paramus N J 07653 0005 U S A e Tel 201 265 8800 Fax 201 265 8562 Datascope B V e DRS V van Royenstraat 8e3871 AN Hoevelaken e P O Box 26e 3870 Hoevelaken e The Netherlands e Telephone 31 3495 44911 31 3495 34280 Printed in U S A 0070 00 0368 REV A May 8 1997
24. to the R S232 Connector on this unit may cause chassis leakage to exceed the specification standards EXTERNAL OXIMETER DISCLAIMER Connection of non isolated devices to the external oximeter connector on this unit may cause chassis leakage to exceed the specificaiton standards UNPACKING Removethe instrument from the shipping carton and examine it for signs of shipping damage Save all packing materials invoice and bill of lading These may be required to process a claim with the carrier Check all materials against the packing list Contact the D atascope Service D epartment 800 288 2121 for prompt assistance in resolving shipping problems vi MULTINEX Gas Module Operating Instructions SERVICING INFORMATION D atascope maintains a network of service representatives and factory trained distributors Prior to requesting service perform a complete operational check of the instrument to verify proper control settings If operational problems continue to exist contact the D atascope Service D epartment 800 288 2121 for assistance in determining the nearest field service location Please include the instrument model number the serial number and a description of the problem with all requests for service Any questions regarding the warranty should be directed to Domestic Office Service M anager D atascope Corp 580 W inters A ve Paramus N J 07652 800 288 2121 International Offices Service M anager Service M ana
25. versions only waveform NOTE Trace 1 always displays a CO trace Trace 2 always displays AGENT on units that measure anesthetic agents b Trace Size Pressthe appropriate key Size Trace 1 1 Size Trace 2 2 or Size Trace 3 4 to select the size of the trace c Gas Trace Speed 8 e Pressto changethe speed of all the displayed gases d Split Screen 9 e Press to change a portion of the waveform display to atrend presentation D epressing the key varies the proportion of the displayed waveform and trend e Trend Time 10 e Selects a time period for the display of trended data H old for 3 seconds to clear Cascaded CO allows the CO2 waveform on trace 1 to be moved to Trace 2 3 as Trace 1 is being updated MULTINEX Gas Module Operating Instructions 3 5 Chapter 3 7 Alarms Select 33 Pressto display the alarm parameters the screen e Changethe alarm settings by pressing the 32 or LO 31 keys e Press SELECT 33 to index through the alarm selections T he alarms are set as indicated on the display The displayed limits disappear after 15 seconds e Upon violation or depression of the SELECT key 33 the limits are recalled on the display b Audio Mute 16 e Press once to silence the audio tone of a violated alarm for two minutes e Depresstwice within three seconds to cancel all audio alarms for two minutes c Audio V olume 15 e Controlsthe sound level
26. 3 11 Alarms Visual alarm data is provided on the right side of the CRT This data appears upon initial power up and disappears after 15 seconds Press SELECT 33 to recall alarm data at any time Alarm data is also displayed when AUTO SET 30 is pressed This information is displayed for 15 seconds Alarm limits are considered violated if the displayed value equals or exceeds the upper limit or is equal to or below the lower alarm limit U pon an alarm violation alarm limits appear with the violated parameter highlighted Thealarm limit visual indicators will remain until the alarm condition no longer exists 3 12 MULTINEX Gas Module Operating Instructions Chapter 3 Thefollowing chart outlines the available alarm parameters the low and high alarm ranges and the audio tones associated with the alarm violation Alarm Parameters Range and Audio R esponse Displays on Parameter Range Units Default Audio Response Models Increments A ETCO Torr High 20 80 5 80 Continuous on violation Low 0 60 Off 5 0ff Continuous on violation Inspired 02 90 High 40 95 Off 5 off Beep 1 45 every 10 s Low 18 20 80 5 18 Continuous on violation Inspired CO High 0 25 5 15 Beep 1 4 s on violation Low 0 25 Off 5 0ff Beep 1 4 s every 10s Resp Rate bpm
27. 683 00 0320 into the sample inlet and verifying performance to the specification See the figure below For safety reasons the M ULTIN EX calibration gas contains Freon rather than one of the three halogenated agents alothane Enflorane or soflorane T he ability of the MULTIN EX Gas Module to directly measure Freon 22 was incorporated for calibration and performance testing purposes U sethe Freon mode T est M ode when verifying MULTIN EX Gas Module performance This test mode directly measures the contents of the MU LTIN EX cal gas TEE FITTING Flow Restrictor MULTINEX Excess Gas Pressure Vented to room Air at CALIBRATION Higer Pressure Levels GAS Assure that adequate gas flow from the canister exists so as to exceed the minimum demand of the Multinex Gas Module The minimum flow through the flow restrictor should be no less than 300 cc min SET UP FOR TESTING THE MULTINEX Gas Module Models with Agent Capability and ID Versions 1 Turn on theMULTINEX Gas Module and wait 15 minutes for full warm up 2 Attach a sample catheter 3 PressthelD M odeK ey 7 to disable the ID function on units with Agent capability Press the Right H idden K ey 11 fivetimes to enter the Freon M ode 3 36 MULTINEX Gas Module Operating Instructions Chapter 3 The Freon TEST mode is entered when all three agent selections are blank and Freon is displayed abovethe agent trace 4
28. 8 e Stop Bits Parity Bit N one Baud Rate 2400 e Mark 10V Space I0V Connection totheMULTIN EX Gas Module is done by wire cable connected to the 25 Pin R S232 connector described in 3 20 2 WARNING Connation of non insulated devices to theR 232 connector on this unit may cause chasis leakage currents to exceed the specification standards It is the uses responsibility to ensure that leakage currents do not exceed safe limits R efer to computer operator s manual for specific wiring requirements Once properly connected and configured the computer can request data by simple commands See A ppendix for details on using the PC interface 3 23 OPTIONAL UNIT CONFIGURATIONS 3 23 1 Units Equipped with 5 2 The additional features of the 4200 that are added to the basic unit are as follows 1 The BEEP VOLUME key 14 is used to select the audible beep volume level T he default setting for beep volume is LOW If both the alarm and beep volume tones activate at the same time the alarm volume appears to be modulated on and off by the beep at the present volume Press BEEP VOLUME 14 to sound the beep at the present volume Press twice within 3 seconds to change the selected beep volume MULTINEX Gas Module Operating Instructions 3 29 Chapter 3 2 patient connector 17 for the oximeter probe 3 A 2 digit LED display 29 used to indicate SaO 2 0 99 SaO 4 A 3 digit LED display 28 used to indicate
29. 8 0070 00 0238 0683 00 0405 21 0683 00 0405 11 0012 25 0002 PART NUMBER 0600 00 0002 0012 00 0271 02 0683 00 0242 12 0683 00 0242 22 0683 00 0405 22 0683 00 0405 12 0202 04 0001 12 0202 04 0002 12 0202 04 0003 12 0997 00 0222 0683 00 0424 10 0683 00 0420 0683 00 0419 0070 00 0250 5 1 DESCRIPTION MULTINEX Calibration Gas Also used with Gas M odule CO Calibration G as 02 Calibration Gas N 20 Calibration G as Gas Scavenging Adaptor Assy 19x19 tee with hose and uer fitting sy Interface Cable to ACCU SAT DATASEN SOR w 3 Cable DATASEN SOR w 12 Cable DATASENSOR Starter K it PART NUMBER 0683 00 0320 0683 00 0414 0683 00 0411 0683 00 0413 0997 00 0132 0012 00 0547 0600 00 0026 01 0600 00 0026 02 0020 00 0071 01 FLEXISEN SOR S D Series with SEN SOR GUARD Disposable Bandages Starter K its Each kit includes one instrument cable one FLEXISEN SOR 5 0 sensor and wath the exception of the Adult Ear sensor one package of SEN SOR GUARD bandages 24 pack LA A P 12 pack N Large Adult LA non sterile Adult A non sterile Pediatric P non sterile Infant 1 N eonate N Adult Ear AE non sterile FLEXISEN SOR S D 3 Packs Contains 3 sensors of the same size Large Adult LA non sterile Adult A non sterile Pediatric P non sterile Infant 1 N eonate Adult Ear AE non sterile Ear Clip SENSOR GUARD Bandages Large Adult LA 3 packs
30. ARM SET messageis displayed 2 Press and hold AUTO SET 30 for 3 seconds to reset alarm limits to the default settings An AUTO ALARMSRESET message will appear on the CRT for 20 seconds 3 12 3 Audio Mute TheAUDIO MUTE 16 key is used to silencethe audio tone produced by a violated alarm limit 1 Pres AUDIO MUTE 16 to silence the audio tone The alarm is muted for two minutes The message MUTED is displayed on the CRT during this time 2 Pres AUDIO MUTE 16 twice within three seconds to disable all the alarms for two minutes The message ALL MUTED is displayed on the CRT during this time Audio M uteis automatically canceled during thetwo minutetime period if the parameters come back within acceptable limits and if all the alarms have not been ALL MUTED Violated alarm limits are displayed in reverse graphics and the corresponding LEDs are flashed at a 1 H z rate 3 12 4 Audio Volume TheAUDIO VOLUME key 15 is used to control the loudness of the alarm tone 1 Pres AUDIO VOLUME 15 to sound thetone at the present alarm volume 2 Pres AUDIO VOLUME twice within 3 seconds to change the alarm audio level CRT display to theleft ofthe AUDIO VOLUME key provides a visual indication of audio loudness The OFF selection is the only level which remains displayed The alarm volume range is OFF Low Medium and High The default is set at Low The audio volume level is displayed for 15 seconds 3 16 MULTINEX Gas M
31. Apply asteady stream of MULTIN EX calibration gas The contents of the M ULTIN EX calibration gas is 60 N 20 29 02 6 Freon 22 and 5 CO2 38 Torr Verify that the MULTIN EX Gas Module numeric displays reflect these values plus or minus the specified accuracy while in the T est M Seethe specifications in Chapter for the specified accuracy of each parameter 5 For non ID units pressthe AGENT SELECT key 19 to exit the freon mode For Agent ID versions press the AGENT ID MODE key 7 to return to normal operation MODELS 4200 and 4300 TheMULTIN EX M odas 4200 and 4300 do not have a test mode for performance verification 1 Turn on the MULTIN EX and wait 15 minutes for full warm up 2 Attach a sample catheter 3 After 15 minutes press the CAL key 13 on the front pane 4 W hen the CAL IN PROGRESS message disappears apply a steady stream of MULTIN EX calibration gas into the sample catheter The contents of the M ULTIN EX calibration gas is 60 N 20 29 02 6 Freon 22 and 5 CO2 38 Torr Verify that the MULTIN EX Gas Module numeric displays reflect these values plus or minus the specified accuracy while in the T est M ode Seethe specifications in Chapter 6 for the specified accuracy of each parameter MULTINEX Gas Module Operating Instructions 3 37 Chapter 3 4 0 USER MAINTENANCE This section of the manual outlines routine maintenance and general troubleshooting guidelines TheMULTINEX Ga
32. Detected During Normal Monitoring Audio Response after 28 32 seconds 1 4 second audible alarm tone at the selected alarm loudness 43 47 seconds Two 1 4 second audible alarm tones at the selected alarm loudness 60 seconds A4 second audible alarm tone at maximum volume followed by a 16 second audible alarm tone at the selected alarm loudness the total 20 seconds of alarm is modulated at 1 Hz If a valid breath is detected during this sequencethe alarm timer and CRT message reset Initially the apnea alarm is disabled until the unit detects two initial breaths NOTE During a cal sequence apnea conditions are detected but alarm is delayed until cal is completed 3 12 Alarm Keys Setting Alarms Six keys are used to control the alarm function of the MULTINEX Gas Module They are AUTO SET 30 SELECT 33 HI 32 LO 31 AUDIO MUTE 16 and AUDIO VOLUME 15 Alarms can be set manually by using the SELECT 33 32 and LO 31 keys or automatically 3 14 MULTINEX Gas Module Operating Instructions Chapter 3 3 12 1 SEL HI and LO The SELECT and LO keys are used to manually set the alarm limits 1 Press SELECT 33 until the desired alarm parameter highlights in reverse graphics 2 Press HI 32 until the desired high alarm limit appears 3 Press LO 31 until the desired low alarm limit appears 4 Press SELECT 33 to repeat the above stated proce
33. L min NOTE TheGas Module 40001D Plus 4000 Plus 410010 Plus and 4100 Plus models are units with analytical agent capabilities whilethe 4200 and 4300 models are units without analytical agent capability 1 CO Display Torr KPa Range 0 76 0 9 9 O 9 9 Resolution 1 0 1 0 1 R epeatability 1 0 1 0 1 breath to breath Rate 2 98 breaths per minute 68 MULTINEX Gas Module Operating Instructions Chapter 6 Torr Input Range Torr 0 19 9 20 39 9 40 59 9 60 76 0 N OISE peak to peak max Torr 0 40 41 60 61 80 Drift zero Response time to final reading models 4200 4300 4000 Plus 4100 Plus 40001D Plus 41001D Plus Gas Module Interference from 0 95 N20 Interference from 0 100 H 20 Saturated 2 4200 4300 4200 4300 Torr le gt our lt 0 5 Torr or equivalent Gas Module 4000 Plus 4100 Plus 40001 D Plus 1410010 Plus Gas M odule 4000 Plus 4100 Plus 40001 D Plus 41001D Plus Torr 0 5 N 4 hours lt 1 5 Torr or equivalent 250 ms max at 150 cc min flow 250 ms max at 200 cc min flow 1Torr or equivalent 96 K PA 0 195 relative MULTINEX Gas Module Operating Instructions Chapter 6 6 9 Interference from 5 to 9596 O2 models 4200 4300 4000 Plus 4100 Plus 40001D Plus 41001D Plus Gas Module Update Upon 2nd breath completion gt 5 Hz before breath detection Error dueto bre
34. LACE FUSE AS MARKED gy 43 40 41 All Models 42 AC Power Connector and 43 44 45 46 47 48 Fuse Module Connector Voltage Selector Fan O2 Cell Mount Sump Intake Luer only available on the 4200 and 4300 models Scrubber Cartridge only available on gent models MULTINEX Gas Module Operating Instructions Chapter 2 36 37 38 39 40 41 42 43 44 Software Cartridge removable cartridge containing an EPROM External Oximeter Interface Connector A 15 pin male Sub D connector RS232 Connector A 25 pin male Sub D connector Exhaust Luer A male luer fitting used to facilitate the scavenging of patient gases Do not exceed a 1 mmHg vacuum Datascope Interface Connector A 24 IEEE 4488 1978 type receptacle Amp Champ P N 55291 2 External O2 Cell Connector Cable An external connection used to determine the concentration of Inspired O2 AC Power Connector and Fuse Module Connector single module used for the AC power cord connection and to house the fuses Voltage Selector A two position rotary switch that is used to select either 90 132V or 198 264V operation Fan A device that provides cooling to the unit and access to the sample cell Connection of non isolated devices to the RS232 Connector on this unit may cause leakage to exceed the specification standards MULTINEX Gas Module Operating Instructions 2 11 Chapter 2 45
35. N AVENUE LEXINGTON MA 02173 EMERGENCY PHONE NO 617 861 6600 PRODUCT TRADE NAME SODASORB Absorbeni General Chemical Description Alkaline carbon dioxide absorbent NOTE These sheets cover all types o SODASORB all mesh ranges FINES 4 8 6 12 all grades IND A F H HP L W REG A H HC L atl moisture levels 0 2 L 0 7 8 12 HC 10 14 A I 12 19 FINES IND H 14 16 H HP 16 18 W sasae a SECTION II INGREDIENTS Maximum Exposure Value Content 8B hour time weighted average Hazardous Ingredients by Weight OSHA_PEL ___ TLV __ __ Calcium hydroxide above 73 not listed 5 mg cubic meter CAS81305 62 0 Potassium hydroxide below 5 not listed 2 mg cubic meter CAS 1310 58 3 y ceiling limit Sodium hydroxide below 3 2 mg cubic meter 2 mg cubic meter CAS 1310 73 2 ceiling Limit 29 CFR Section 1910 1000 July 1 1987 1987 1988 recommendation American Conference of Governmental Industrial Hygienists Other Ingredients by Weight modifiers includes pH indicator IND series only below 1 J JSI TIT PHYSICAL DATA Solubililv in Water slightly soluble Specific Gravity water 1 approx 2 Appearance and Odor White granules no odor Volatiles including water X by weight below 20 Flash Point Non flammable See Section VIII Produci is stable hazardous polyme
36. O2 Cell Mount An external connection used to mount the O2 cell to the instrument 46 Sump Used to collect any fluids that enter the patient sample input a CRT message indicates when the sump is full 47 Intake Luer Non Agent units only Used for a zero reference gas input during automatic calibration 48 CO2 Scrubber Cartridge units with Agent capability Removes CO2 from room air for proper CO2 analysis on Agent models 2 12 MULTINEX Gas Module Operating Instructions Chapter 2 3 0 OPERATION This section of the Operating Instructions provides general guidelines and step by step instructions for the proper useof the MULTIN EX GasModule Perform all instructions in the order given Do not omit any instructions N umbers in parenthesis identify the controls and indicators previously described in Chapter 2 Controls and Indicators 3 1 General Guidelines The MULTINEX Gas Module calculates and displays Inspired 02 End Tidal CO2 Inspired CO2 Inspired and Expired N 20 and Respiration Rate Inspired and Expired Anesthetic Agent data is only available on units with A gent capability NOTE Prior to applying des or sev select agent id disabled mode then select agent Failure to do so will cause erroneous CO2 N 20 and agent readings Sa0 2 and Pulse Rate data is only available on the 4000 Plus 400010 Plus 4200 models Operation of the MULTIN EX Gas M oduleis based on breath by breath measurements via
37. ST performance of all D atascope sensors DO NOT PLACE any sensor on an extremity with an arterial catheter or blood pressure cuff in place Placement of an arterial catheter or blood pressure cuff on an extremity may obstruct normal blood flow False pulse rate information may result if the FLEX ISEN SOR SD is placed on that same extremity Place the sensor on thelimb oppositethe site of the arterid catheter or blood pressure cuff Encouragethe patient to remain still Patient motion may affect the sensor s performance If it is not poss blefor the patient to remain still replace the sensor bandage on the FLEX ISEN SOR SD to assure good adhesion or change the site of the DATASEN SOR Check the DATASEN SOR site every 2 hours and check the FLEXISEN SOR SD site every 8 hours on adults and every 4 hours on neonatal patients for indications of skin abrasions sensor displacement sensor damage or circulation impairment Check the sensor site every 4 hours if the ear clip is used If necessary remove and reapply the sensor If any of the above mentioned indications occur immediately remove the sensor and find an alternate site NOTE Check the sensor site more frequently on infant and active patients 3 34 MULTINEX Gas Module Operating Instructions Chapter 3 e Placement of the DATASEN SOR may be difficult on patients with long fingernails or artificial nails over 1 4 long Incorrect placement can also reducethe acquired sensor sign
38. Table of Contents FOREWORD SAFETY CONSIDERATIONS UNPACKING A dut me S ch RS a A ee UM SERVICING INFORMATION NI 1 GENERAL DESCRIPTION 1 1 Ll Genea Descriptions 555 at rese tu 1 1 2 CONTROLS AND INDICATORS 2 1 21 PRONE Aleve GUS e e GOS ta 2 2 RP Lla gm Be b ROU ai diede Ue tob 2 10 S OPERATION 4 27 w 3 1 Genea Guiddines ue Tan aces eat Duae e erm sz e t c t e T s 3 1 SS or UR E QE RUE UM e QU UR E ES 3 2 3 3 Turning POW SEO Mic ib LA a CUR TELS 3 3 3 4 PICO NA ON 227 Cur s eue es EHE SEE E 3 4 3 5 W aveform 5 3 9 dig T a 3 9 e Sei doy ss BE ANG 3 9 3 0 GaS Ped e E a a Ap Yd 3 10 3T Split Soroen e 55 ene Ge A Se Q es 3 10 ea oO Be S ge dod 3 11 FOR aa E AR W que 3 11 DM Se 4
39. ULTIN EX is designed to automatically increase its gain to track patients with poor peripheral perfusion e Rejection of Ambient Light Many monitoring situations involve high levels of ambient light i e operating room lights neonatal phototherapy heat warmers etc The MULTIN EX sensors and bandages each contributeto the rejection of ambient light The monitor automatically measures and corrects for high levels of ambient light The enclosed design of the DATASEN SOR prohibits the interference of high levels of ambient light on adults with sensor operation And the opaque material used in the composition of the bandages which are used with the FLEXISEN SOR SD helps keep out ambient light e Patient Comfort TheFLEXISEN SOR SD lineis designed to work with a disposable bandage of three styles SEN SOR GUARDTM and LIGHTGUARDTM which conform comfortably and safely to the particular patient s anatomy e Can BeResterilized ETO sterilization 3 times e Patient Isolation Easeof Application and Removal 3 32 MULTINEX Gas Module Operating Instructions Chapter 3 B Sensor Selection and Applicotion Selection of a specific sensor is based on the patient s size physical condition and expected monitoring duration General guidelines for the selection of a sensor are provided in the Sensor Selection T able page 3 37 For optimal D atasensor and FLEX ISEN SOR ensure that cablesideis placed in the correct position Se
40. al and therefore compromise performance Select an alternate site toe or use a FLEX ISEN SOR SD if the sensor can not be placed on the patient s finger correctly or if the fingernails interfere with the acquisition of a reliable signal e UseoftheDATASEN SOR is not recommended for long term monitoring 4 6 hours Pressure from the spring mechanism on the DATASEN SOR may cause minor skin damage to the finger toe used For monitoring situations exceeding 4 6 hours either reposition the DATA SEN SOR every 2 4 hoursto a different site finger toe or usea FLEXISEN SOR SD with its appropriate bandage e Do not over tighten the sensor bandages Excessive pressure on the monitoring site can affect Sa0 2 readings and may reduce readings below true SaO 2 Excessive pressure can also result in pressure necrosis and other skin damage e Sensor configuration provides uninterrupted monitoring in the following situations Electrocautery N oise ESU rejection is designed into the sensors Motion Artifact The monitor s software adjusts the averaging period increasing it during motion and reducing it during inactivity T his decreases the number of monitoring interruptions and false alarms W eak Peripheral Pulses The monitor s gain is automatically increased to track pulses on patients with decreased peripheral perfusion Sensors Large Adult Pediatric Infant Neonate Adult Ear Datasen
41. al operating environment for this type of device Tested per IEC 801 3 Theunit produces less than 225 mG auss of magnetic interference when and as measured 3 4 from any surface except the front The front measures lt 1000 mG auss of magnetic interference Theunit performs to the specifications with 600 V random line interference Recommended test instrument Berkley 3020 Line N oise Generator AC line dropouts of up to 40 ms every 10 s will not interfere with system operation Automatic calibration at desired altitude is assumed to achieve stated accuracy MULTINEX Gas Module Operating Instructions 6 7 Chapter 6 6 6 PERFORMANCE SPECIFICATIONS NOTE All performance specifications are achieved throughout the environmental operating conditions listed in Section 1 3 Environmental Characteristics and while observing the following operational guidelines 1 Allow 15 minutes for warm up 2 Calibratethe unit as instructed See the calibration procedure in the MULTIN EX Gas M odule Service M anual 0070 00 0250 The calibration procedure should only be performed by qualified service representatives 3 Use the specified breathing tube adaptor and D catheter 4 The maximum breath rate should not exceed 99 breaths per minute bpm 5 The flow rate is fixed by the microprocessor control at 150 mL min for the 4300 4200 and 200 mL min for the 410010 400010 It may be user adjusted for 50 100 150 or 200 m
42. atascope MULTIN EX Gas Module is designed to comply with the following agency standards e CSA Standard C 22 2 No 125 e LA County UL 544 as a mandate e IEC 601 1 on request for any model e VDE 871B on request for any model e BS5724 on request for any model D atascope maintains a policy of continual product improvement and reserves the right to change materials and specifications without notice MULTINEX Gas Module Operating Instructions Chapter 6 6 19 6 11 CO2 Displays Shown below are the optional display configurations available for the 2 display See Section 3 21 1 for details on how to select the display configuration CO2 TORR Dry CO2 in TORR at sealevel 760mmH 0 CO 96 Dry fractional CO2 in percent CO K Pa Dry CO2 in K Pa a sea level 101 33 K Pa CO2W TORR Wet CO2 in TORR at sealevel 760mmH g CO2W 96 We fractional CO2 in percent CO2W KPa W et CO2 in KPaat local barometric pressure PCO2 TORR Dry CO2in TORR at local barometric pressure PCO2 Dry CO2 in KPaat local barometric pressure PCO2W TORR Wet CO2 TORR at local barometric pressure PCO2W K Pa W et CO2 in K Paat local barometric pressure 6 20 MULTINEX Gas Module Operating Instructions Chapter 6 6 12 Anesthetic Agent Identification TheMULTINEX 400010 and 410010 identify or confirm the presence of a single or combination of vaporized anesthetic agents soflurane Enflurane or H alothane can be iden
43. ath rate 0015 of DC value x BPM 2 CO2 Analog Output waveform Range 0 IV Scale Factors 0 IV equivalent to 0 1096 Accuracy 30 mV or 596 whichever is greater N oise lt 15 p p R epeatability 15mV Interference from 15mV 0 95 N20 Interference from 30mV 0 10096 H 20 Saturated N 2 Interference from 15 5 CO2 95 N 20 Interference from 30mV 5 CO2 95 O2 6 10 MULTINEX Gas Module Operating Instructions 2 Torr compensated Chapter 6 3 20 Display Range Resolution Rate Accuracy Input R ange 0 40 41 99 R epeatability N oise Drift zero Response time to final reading 4200 4300 4000 Plus 4100 Plus 40001 Plus 410010 Plus Gas Module U pdate Error due to breath rate 0 99 196 2 98 breaths per minute Modes GasModule 4200 4300 40001D Plus 410010 Plus 3 2 5 5 0 6 0 1 M odels Gas Module 4000 Plus 4100 Plus 4200 4300 40001D Plus 4100ID Plus 1 3 1 hour 24 hours 2 0 5 0 360 ms max 540 mx max Synchronous with CO2 update 002 of DC valuex BPM MULTINEX Gas Module Operating Instructions 6 11 Chapter 6 4 20 Analog Output waveform Range Scale Factor Accuracy N oise R epeatability 5 O2 Display Range Resolution Rate Accuracy N oise R epeatability Interference from 0 10096 N 20 combined with O2 Error dueto breath rate R esponse time Step 0 1 0V 0 1 0V equ
44. atheters and breathing tube adaptors is available from D atascope Corp and authorized D atascope representatives See Section 5 2 Optional A ccessories Replacement Prior to first use sterilizethe endotrachial tube adaptor by ETO sterilization 1296 ETO 1409F maximum NOTE Usecare when inspecting and storing these single use items The catheter and endotrachial tube are fragile D atascope can not assurethat after first use the catheters and breathing tube adaptors will not deteriorate and therefore compromise M U LTIN EX Gas M odule performance 4 2 2 O2 Cell Replace O2 cell when the O2 display shows after initial power up 02 cal 02 cells are avail able from D atascope Corp and authorized D atascope R epresentati ves See Section 5 2 Optional A ccessories Replacement can be made without opening the unit or making any internal or external adjustments NOTE Vent the new 02 cell for 24 hours prior to installation Replacement 1 Turn unit OFF 2 Unplug the wirethat protrudes from the rear panel to the 02 cell 3 Unscrew the O2 cell from the pneumatic connector 4 Dispose the 02 cell and the rubber gasket in accordance with hospital procedure 5 Vent the new O2 call for 24 hours prior to installation 6 Install a new rubber gasket and thread the new O2 cell onto the pneumatic connector 7 Attach wireto the 02 cdl 8 Turn theunit ON Observethe two minute 02 cell calibration 4 2 MULTINEX Gas Module Operati
45. atic integrity between preventive maintenance intervals W hen additional patient humidification requires using an external heated humidifier consider using combinations of external accessories as required T hese accessories hydrophobic filter and N afion tubing are effective at limiting the excessive amount of liquid and humidity that can overwhelm internal systems The hydrophobic filter 0378 00 0027 stops humidity and water from advancing into the M ultinex Gas M odule T his filter will occlude when saturated For most economical and effective use place the external filter on the sample inlet located on the front panel of the M ultinex Gas M odule Replace the filter when frequent PU R GIN messages begin to appear See the filter s packaging information for complete usage instructions The external Nafion tubing 0008 00 0259 is an externally placed dehumidifying tube that the patient sample passes through before entering the M ultinex Gas H umidifi ed gas will be dehumidified to the ambient outside humidity level prior to it entering the ultinex Gas This will allow theinternal N afion tubing to liberate any remaining humidity before advancing further insidethe M ultinex Gas M odule For most economical and effective use placethe N afion tubing between the sample line and the breathing circuit connection T his will assure that the humidified patient sample 15 dehumidified before condens
46. be used in the presence of flammable anesthetics Internal Electrical Shock H azard T his unit does not contain any user serviceable parts D o not remove instrument covers R efer servicing to qualified personnel Trace Gas H azard A health hazard may exist when trace amounts of vaporized anesthetic agents are chronically inspired by operating room personnel See Appendix A in N FPA 56A on Inhalation Anesthetics During any procedure where such agents are employed the MU LTIN EX Gas Module exhaust output should be connected to a medical gas scavenging system Do not operate this monitor if some or all of the displays fail to function properly or the CRT message FAN FAILURE occurs Insure that the total combined leakage currents do not exceed safe limits DO NOT changethe voltage selector Useonly MULTIN EX Gas Module software cartridges in this unit MULTINEX Gas Module Operating Instructions CAUTIONS NOTE Prior to applying des or sev select agent id disabled mode then select agent Failure to do so will cause erroneous CO2 N 2O and agent readings N ever place fluids on top of the monitor Always place the monitor on a flat rigid surface Observe all CAUTION and WARNING labels Replacethe fuses with specified type and rating Grounding rdiability can only be achieved when the monitor is connected to an equivalant receptacle marked H ospital Grade RS232 DISCLAIMER Connection of non isolated devices
47. ccuracy 10 mV or 3 whichever is greater 11 Plethysmograph Analog Output Range 0 2 5V full scaleoutput into 1K ohm maximum load Scale N one 12 Pleth CRT Display N oise 1mm max MULTINEX Gas Module Operating Instructions 6 15 Chapter 6 13 SaO Display Range Resolution Update 270 100 60 69 0 59 Drift W arm up Time Response step change of 96 Sa02 from 60 95 72 bpm 14 SaO2 Analog Output DC Level Range Resolution Accuracy 15 Pulse Rate Display Range Resolution Accuracy Update Response timeto step change of 96 Sa02 from 60 120 bpm 6 16 0 9996 196 Every 2 seconds lt 2 5 02 1 S D 496 Sa02 1 SD Unspecified none 15 sec 8 sec to 95 of final value 0 2 5V full scale output into 1k max load 40 volt 2 of full scale 30 250 bpm 1 bpm 3 bpm or 3 whichever is greater Every 2 seconds 8 seconds to 95 of final value MULTINEX Gas Module Operating Instructions Chapter 6 16 Pulse Rate Output DC Level Range Resolution Accuracy 17 Audio Settings VolumedBA SPL High 72 Medium gt 264 Low gt 2 56 6 7 SAFETY CHARACTERISTICS 0 2 5 V full scale output into 1K max load 100 BPM volt 2 of full scale An internal non volatile memory can be set for a minimum alarm volume at OFF volumelevel 1 All recognized audio key depressions generate a short tone a
48. d catheter with the breathing tube adaptor to the sample connector located on the front panel 18 Follow the instructions included in the catheter package 7 Check for a clean sump The sump is a disposable item that can be replaced if contaminated See Section 4 2 3 Sump 8 Check the sump and O2 cell for tightness to avoid system leaks 3 2 MULTINEX Gas Module Operating Instructions Chapter 3 3 3 Turning Power ON 1 Attach the catheter to the MULTIN EX GasModulebeforeturningtheunit ON 2 Turn the front panel ON OFF switch 6 ON Observethe illumination of the CRT and digital displays and two audible beeps T he system performs a self test before proceeding with monitoring If a problem exists a message will appear identifying it In some cases a prompt will ask the operator if they wish to continue monitoring of SaO only See Section 4 3 for messages and responses 02 cell calibration is the next step in this process and takes two minutes to complete During 02 cell calibration two or three flat traces appear on the screen with the message O2CAL XXX where XX X denotesthetime remaining in seconds until the completion of the O2 Cal After the O2 Cal is complete the unit calibrates the gas channels and operation begins The agent channel is not operational for the first five minutes The unit is fully operational reaches full specification including agent after a 5 minute warm up period Additional calibrations are r
49. dulethen uses the relative absorption of the two light wavelengths to compute and display 5 0 2 and Rate measurements The key benefits of the sensors are e Electrocautery N oise ESU R ejection T he sensor configuration of both the DATASEN SOR and the FLEXISEN SO R sp provide uninterrupted monitoring and absence of false alarms during the use of ESU ESU can be set at any power level This design prevents electro surgical noise entering the monitor viathe sensor and interfering with unit operation e Monitoring Restless Patients Motion artifact rejection is achieved in several ways 1 The sensor design used with their recommended bandages assures a snug fit of the sensor to the patient 2 Light emitting diodes LED 5 and detectors gather a strong signal from the patient MULTINEX Gas Module Operating Instructions 3 31 Chapter 3 3 Softwarein the MULTIN EX Gas Module evaluates the shape of each pulse and automatically rejects noisy and unreliable pulses 4 W hen in the presence of motion the software adjusts the averaging period increasing it to amaximum of 15 seconds during motion and automatically reducing it during quiet periods to obtain a fast response T his combination reduces the number of monitoring interruptions and false alarms from patient motion Tracking of W eak Peripheral Pulse Levels Many patients suffer poor peripheral perfusion dueto hypothermia hypovolemia reduced cardiac output etc The M
50. e figures below US D atasensor Placement Flexisensor Placement Detailed instructions for the application of a sensor to a patient are provided in each sensor package C Sensor Connection to the MULTINEX 1 Align the cable connector on the sensor assembly with the 5 02 Connector 17 on the MULTINEX 2 Push the cable connector into the SaO 2 Connector Confirm that the cable connector is securely in place NOTE To obtain maximum cable use do not twist the cable connector when attaching to or disconnecting from the MULTIN EX Gas Module monitoring system MULTINEX Gas Module Operating Instructions 3 33 Chapter 3 D Sensor Inspection Before use always inspect sensors cables and connectors for damage ie cuts and abrasions Do not use the sensor cable or connector if damaged R eplace with a good working sensor For long sensor life Do not drop on the floor or give other sharp shocks to the sensor s Between use store the sensors in the optional FLEX ISEN SOR sp Organizer or coil the sensor cable and store Avoid running any cart bed or any piece of equipment over the sensor cable Avoid strong pulls on the sensor cable 10 Ibs 4kg W atch for cracks in the DATASEN SOR housing W atch for cracks cuts rips fogging or signs of moisture in the FLEX ISEN SO R sp NOTE For accessory part number information see Section 5 2 Optional Accessories E Sensor Performance For the BE
51. e updated data remains the same MULTINEX Gas Module Operating Instructions Chapter 3 3 17 3 14 Trend Displays Trend information for the gas parameters CO2 20 and anesthetic agent are displayed to the right of their respective real time waveforms A single vertical line can represent a single breath or the average of multiple breaths occurring over a period of time T he period of time represented by a single vertical trend line depends on the SPLIT SCREEN trend percentage andtheTREND TIME selected Trend information for the 5 0 2 and pulse rate are displayed together on the right of the plethysmograph waveform As trend data accumulates the upper set of points represent the SaO2 trend The range of the SaO2 trend display is the entire vertical size of the rectangle that encloses it with the line representing 100 5 0 2 and the bottom line representing 60 5 02 The lower set of data represents the pulse rate trend T he range for this parameter is defined similarly to the SaO with the top line representing 250 BPM and the bottom line representing 0 BPM For all trend displays the earliest information appears farthest to the right with the most recent information appearing at the left of thetrend partition 3 15 Sampling Flow Rate O2 Cal Adjust Sequence 1 To display the sampling flow rate first pressthe ALARM SELECT key 33 then press the RIGHT HIDDEN key 11 UsetheALARM HI key 32 to changethe sampling
52. ecommended at 30 minutes and any time the operator feels the need to re calibrate see drift specification WARNING VW he using ULTIN EX GasM odule prior to a warm up period of 5 minutes its accuracy may not med sped fication WARNING Evaporated alcohol or organic vapor will affect thereading of theH alothane Enflurane or Isoflurane display A in the patient s breath cannot be distinguished from an anesh amp icagent A reading of the patient s expired breath on U LTIN EX Gas M odule display should betaken b orethe administration of an anesthetic agent to establish the presence of alcohol or organic agents MULTINEX Gas Module Operating Instructions 3 3 Chapter 3 3 4 Typical Operation NOTE The following sequence is presented only to describe to the operator a simple straight forward method for using the multinex and does not take the place of other instructions described in this manual 1 SetUp Connect an ac power cord to the AC Power Connector 42 and into an ac receptacle 2 Catheter Connection 3 Attach the catheter to the Sample 18 Attach appropriate breathing tube adaptor to the catheter Sensor Connection M odels with SaO2 option only Plug the appropriate D atascope SaO2 sensor into the Patient Connector 17 Main Power Switch Press the POW ER ON OFF switch 6 to the ON position The unit begins a self check and two minute calibrati
53. ed to indicate Expired CO2 concentrations in kPa or Torr Pulse Rate units equipped with Sa02 A 3 digit LED display is used to indicate the pulse rate in beats per minute 30 250 SaO2 units equipped with 202 A 2 digit LED display is used to indicate SaQ2 concentrations in units of percent 0 99 Auto Set This key is used to automatically set and reset the alarm limits Lo This key is used to set the selected parameter s low alarm limit Hi This key is used to set the selected parameter s high alarm limit Select This key is used to select a specific alarm parameter MULTINEX Gas Module Operating Instructions Chapter 2 34 Inspired N2O 2 digit CRT display is used to indicate inspired concentrations of N2O 0 99 35 Expired N20 A 2 digit CRT display is used to indicate expired concentrations of N2O 0 99 MULTINEX Gas Module Operating Instructions Chapter 2 2 9 2 2 Rear Panel 48 2 10 DATASETTE INPUT 36 37 38 39 40 41 4 46 MODEL MULTINEX 4000 00000000 000000000 INTERFACE Software Cartridge External Oximeter Interface Connector RS232 Connector Exhaust Luer Datascope Interface Connector External O2 Cell Connector Cable Dni EXHAUST 0998 00 007 1 07 100 1204 s Refer to manual INTERFACE Caution eg y VOLTS SELECT SLOW BLOW 12 04 2504 N T1 0A 250V 100 120V 220 240V REP
54. flow rate to another selection The monitor will default to the originally displayed flow rate at each power up unless changed in the user configuration mode 2 The02 CAL ADJUST isautility that enables the operator while in the run mode to adjust the 02 display within the O2 accuracy tolerance To enter theO CAL ADJUST mode pressthe ALARM SELECT key 33 then press theRIGHT HIDDEN key 11 UsetheALARM SELECT key to highlight O2 CAL ADJUST Adjust 02 display by pressing the H I and or LO keys to raise or lower the displayed 02 reading at each power up 3 18 MULTINEX Gas Module Operating Instructions Chapter 3 Digital Displays Range Display Displays at end of Indicates new Alarm Limit Apnea Detection each breath in breath but same Violation units of breath data ETCO2 0 76 TORR 2 digit 04 display display flashes Shows current 0 10 amber LED 0 1 KPA flickers at 1 Hz instantaneous level of 0 10 KPA 1 TORR Exp d 02 Mode A until detection of 2 new valid breaths Mode B Insp 0 76 TORR 2 digit 01 display display flashes display C02 0 10 amber LED 0 1 KPA flickers at 1 Hz blanks 0 10 KPA 1 TORR Insp 0 99 2 digit 1 display display flashes shows current 02 amber LED flickers at 1 Hz instantaneous level of Insp 02 Mode A until detection of 2 new valid breaths Mode B Resp Rate 0 98 2 digit 1 BPM display display flas
55. gent identified is the same as that selected for verification a beep tone will be sounded and the agent name listed on the CRT Otherwise the message WRONG AGENT will appear NOTE Prior to applying des or sev select agent id disabled mode then sdect agent Failureto do so will cause erroneous CO2 N 20 and agent readings e TheDISABLE modeis used to disablethelD section and allows the Sevoflurane or Supraneto be selected These agents must be selected manually and cannot be automatically identified b Agent Select 19 activein VERIFY and ID DISABLED Mode only e Indicates the selected anesthetic agent Press AGENT SELECT 19 until the selected agent is displayed on the CRT aboveT race 2 NOTE N20 is selected for CRT display user configuration See Section 3 19 NOTE W hen monitoring one agent and then changing to another the agent trend display will update for the new agent with a bar between the agent NOTE Prior to applying des or sev select agent id disabled mode then select agent Failure to do so will cause erroneous 2 N 20 and agent readings c End Tidal 22 e Indicates end tidal concentrations of the selected agent 0 896 Data updates at the completion of each breath If new breath data is the same as old breath datathe display flickers Flickering indicates a new reading MULTINEX Gas Module Operating Instructions 3 7 Chapter 3 d Inspired 20 e Indicates inspired concentrations
56. ger Datascope B V D atascope G mbH Dr W van Royenstraat 8 ZeppelinstraBe 2 4 P O Box 26 D 64625 Bensheim 3870 CA H oevelaken Germany H olland Phone 49 6251 1705 0 Phone 31 3325 44911 Fax 49 6251 67877 Fax 31 3325 72974 Service M anager DatascopeS A R L Immeuble Rond Point 93 65 AvenueDU General Gallieni 93100 M ontreuil sous Bois France Phone 33 1 45139150 Fax 33 1 45139151 Service M anager D atascope M edical Co Ltd Lakeview Court Spitfire Close Ermine Business Park Huntingdon England Cambs PE186X R Phone 44 1 480 433477 Fax 44 1 480 434051 Copyright Datascope Corp 1992 Printed in USA All rights reserved Contents of this publication may not be reproduced in any form without permission of D atascope Corp MULTINEX Gas Module Operating Instructions vil 1 0 GENERAL DESCRIPTION AND SPECIFICATIONS 1 1 GENERAL DESCRIPTION The MULTINEX GAS MODULE is a breath by breath gas analyzer that uses microprocessor technology to calculate and display End Tidal CO2 Inspired CO2 Inspired and Expired N20 Inspired O2 Inspired and Expired Anesthetic Agents Respiration Rate SaO2 and Pulse Rate The monitor features a catheter and breathing tube adaptor an integral CRT for displays of waveforms trended data and user messages a user replaceable software cartridge an accessible removable sample cell external electrical connections for an instrument connected O2 cell an output for an optio
57. he power up 02 Cal See Section 4 4 R eplaceable Items 3 17 Sump 46 The disposable sump is used to collect fluids that enter theunit It should be checked after each use Replace or empty the sump when full See Section 4 4 R eplaceable tems 3 18 Scrubber Cartridge 48 The scrubber cartridge is used to accurately calibrate the CO2 channel on Agent units Replace the cartridge every 6 months or whenever a CRT message directs you to do so See Section 4 4 Replaceable Items 3 19 Software Cartridge 36 Theunit has incorporated on the rear panel a user replaceable software cartridge T his provides the operator with easy acess for software upgrade replacement R eplace the cartridge when necessary See Section 4 4 R eplaceableltems NOTE Ensure that the correct software cartridgeis being used with the model MULTIN EX it isintended to beused with 3 20 Intake and Exhaust Luers 47 39 Intake Luer is used to sample room air to establish calibration accuracy for the various gas sensors Do not block or inhibit the flow of air through this port The Exhaust Luer is provided as a waste gas port outputting to the scavenge gas input on anesthesia machines D o not block or inhibit the flow of gas or pull a constant vacuum greater than 1 mmH g 3 20 MULTINEX Gas Module Operating Instructions Chapter 3 3 21 User Configuration 3 21 1 User Configuration Mode U ser configuration menus for Display Parameters 2 5
58. hes displays breaths min amber LED flickers atl Hz blanks Insp 0 99 2 digit CRT 1 display displays M20 display flickers blanks Exp 0 99 2 digit CRT 1 display shows current N20 display flickers instantaneous level of Exp N20 Mode A until detection of 2 new valid breaths Mode B Sa02 0 99 2 digit 1 display display flashes amber LED flickers atl Hz Agent ET 07 Halothane 2 digit 1 display display flashes shows current 0 7 5 Enflurane amber LED Desflurane 196 flickers at 1 Hz instantaneous level of 0 7 5 soflorane 0 9 9 Agent ET Mode A 020 Desflurane 1 10 20 until detection of 2 new 09 Sevoflurane valid breaths Mode B Agent 02 Halothane 2 digit 1 display display flashes displays Inspired 0 7 5 Enflurane amber LED Desflurane 196 flickers at 1 Hz blanks 0 7 5 Isoflorane 0 9 9 0 20 Desflurane 1 10 20 0 9 Sevoflurane Pulse 30 250 2 digit 1 BPM display display flashes Rate BPM amber LED flickers at 1 Hz Display also blanks if breaths are not detected within a period of two times the previous breath rate period CO2 readings can be compensated for water vapor and or altitude via the user configuration See Section 3 21 1 and 6 4 for details MULTINEX Gas Module Operating Instructions Chapter 3 3 19 3 16 2 Cell 45 The 2 cell is used to determine the concentration of Inspired O2 Replace the O2 cell whenever appears in the 02 display following t
59. in the new cartridge until it reaches the stop NOTE Failure to replace depleted scrubber cartridge can result in large 2 errors WARNING Scrubber cartridge contains soda lime D o not eat breath in or comein contact with cartridge contents D ispose of according to approved hospital procedure for soda lime See A ppendix Section 6 2 for the M aterial Safety D ata sheds MULTINEX Gas Module Operating Instructions 4 3 Chapter 4 4 2 5 Software Cartridge Replace the software cartridge anytime necessary Replacement 1 Disconnect power to the unit 2 Unscrew thetwo reaining screws holding the top and bottom of the cartridge 3 Usethe handle and pull the cartridge straight out Verify that the correct Dattasette is being used with the unit 4 Lineup the new cartridge so the PROM chip is on the left side of unit 5 Apply even pressureto the top and bottom of the cartridge and push it in until the metal stop rests against the rear panel 6 Tighten the two retaining screws to secure the cartridge 7 Turn theMULTIN EX Gas Module ON Verify basic operation by observing a successful self test and by sampling a few breaths 8 Return the old cartridge to D atascope Corp 4 2 6 Fuses If replacement of a fuseis required the unit should be referred to qualified service personne as internal damage may be present T he correct fuse type and rating is shown below U se only the fuses supplied by D atascope Corp
60. ing inside the length of the sample line N afion tubing beginsto loose it s properties when particles accompanying the patient sample linetheinner walls of the N afion tubing W hen the N afion has reached the end of it s useful life humidified patient sampleis once again visibleinsidethe sampletubing Seethe N tubing s packaging information for complete usage instructions U sing this device results in fewer PURGIN G events A humidity trap is another devicethat controls the amount of humidity that enters the sample line This device is often referred to as a H eat M oisture Exchanger or HME TheH ME prevents the patient s natural humidity and warmth from escaping into the breathing circuit and sample line The patient s next inhalation delivers the previously exhaled moisture and heat back to the patient s lungs U sing this device results in fewer PURGIN G events Improperly sized sample lines also cause frequent PURGIN G events The Multinex Gas M oduleis designed to use sample lines of a particular inner diameter and length Smaller tubing IDs or longer lengths will result in frequent PURGING events U se Datascope Sample Lines 0683 00 0405 X X for best and most reliable performance 4 8 MULTINEX Gas Module Operating Instructions Chapter 4 U se appropriate accessories to reduce breathing circuit moisture and install the M ultinex Preventive M aintenance K it 0040 00 0128 or 0129 at regular intervals
61. io Volume This key is used to select the sound level for the audible alarm The selected volume level is displayed on the screen Audio Mute This key is used to mute the audio alarm Patient Connector units equipped with SaO2 A connector used for the oximeter probe Sample A female LUER connector used with the catheter to input the patient sample or calibration gas Agent Select units with Agent capability A switch used to indicate the selected agent Isoflurane Halothane Enflurane Desflurane or Sevoflurane Agent Inspired units with Agent capability A 2 digit red LED display used to indicate the percentage of inspired agent Agent End Tidal units with Agent capability A 2 digit LED display is used to indicate the percentage of agent end tidal concentrations Respiration Rate A 2 digit LED display is used to indicate the respiration rate 0 99 breaths per minute Inspired O2 A 2 digit LED display is used to indicate inspired concentrations of oxygen 0 98 MULTINEX Gas Module Operating Instructions 2 7 Chapter 2 26 27 28 29 30 31 32 33 2 8 Illuminated Messages TORR When measuring End Tidal CO2 this LED backlights the message TORR kPa or 26 depending on the setting of the unit Inspired CO2 A 2 digit LED display is used to indicate Inspired concentrations in kPa or Torr ETCO2 A 2 digit LED display is us
62. isplay Select Trace 3 This key is used to select a parameter for display on Trace 3 6 Power ON OFF This pushbutton is used to turn the unit ON or OFF MULTINEX Gas Module Operating Instructions 2 5 Chapter 2 T Agent ID Mode units with Agent Identification Left Hidden Key all other Models On units with Agent Identification this key is used to select agent AUTO VERIFY or ID DISABLED mode and is used in the configuration Menu On all other models this key is used during the configuration mode to access the configuration Menu Gas Trace Speed This key is used to select the speed of the gas waveforms displayed on the unit Split Screen This key is used to select the portion of the display dedicated to waveform and trend in 26 respectively e g 25 7592 10 Trend Time 11 12 13 14 This key is used to select the amount of trend time displayed Right Hidden Key This key is used during the configuration mode to resume normal operation and to adjust flow rate during normal operation Record This key is used to start the printing of screen data on a remote printer Cal This key is used to calibrate the instrument Beep Volume only available on units equipped with 5 2 This front panel key is used to control the level of the beep volume 2 6 MULTINEX Gas Module Operating Instructions Chapter 2 15 16 17 18 19 20 22 23 24 Aud
63. ity Drift SOLITARY AGENT IDENTIFICATION SENSITIVITY H alothane Enflurane Isoflourane Desflurane Sevoflorane 500ms max 500msmax 500msmax 500ms max 500ms max Upon breath Upon breath Upon breath Upon breath Upon breath completion completion completion completion completion 0 1 0 1 0 1 0 1 0 1 Included in above accuracy specifications C Agent Identification Models 400010 Plus 4100ID Plus H alothane Enflurane Isoflourane 0 2 0 2 0 2 Minimum Concentration 5 Minimum single agent detection time GST P 15 seconds 200cc min SECONDARY AGENT IDENTIFICATION STP THRESH OLD after 15 minute warmup 0 2 5 of primary agent Minimum secondary agent ST P identification time 30 seconds 200cc min 8 Anesthetic Agent Analog Output 1 waveform for A gent selected for monitoring Range Scale Factor Accuracy N oise R epeatability 6 14 0 1 0V 0 1 0V equivalent to 0 1096 30mV or 596 whichever is greater lt 15mV 15mV MULTINEX Gas Module Operating Instructions Chapter 6 9 Respiration Rate Display Range 2 98 breaths per minute Resolution 1 breath per minute Accuracy 1 BPM or 3 of reading whichever is greater with inspired expired duty cycle between 10 and 90 Update Upon breath completion Synchronous with CO2 10 Respiration Rate Analog Output DC level Range 0 1 0V Scale Factor 0 1 0 equivalent to 0 100 BPM A
64. ivalent to 0 10096 30 mV or 596 whichever is greater 15 mV p p 15 0 99 1 2 98 breaths per minute 3 absolute or 6 of reading whichever is greater lt 0 5 of full scale 1 lt 0 5 of full scale 0 005 of DC value x BPM 9602 60 seconds to within 3 digits of change from 21 02 final reading to 100 02 U pdate Synchronous with CO2 6 12 MULTINEX Gas Module Operating Instructions Chapter 6 6 O2 Analog Output waveform Range 0 1 0V Scale Factor 0 1 0V equivalent to 0 10096 Accuracy 30 mV or 596 whichever is greater N oise 15 mV pp R epeatability 15mV 7 Anesthetic Agent Halothane Isoflourane Enflurane Desflurane Sevoflurane A Agent Display H alothane Enflurane Isoflourane Desflurane Range 0 7 0 7 5 0 7 5 0 20 Resolution 0 1 0 1 0 1 0 1 0 9 9 1 10 20 Rate 2 98 2 98 2 98 2 98 breaths min breaths min breaths min breaths min B Accuracy within 30 minutes of last cal Input Range Halothane Enflurane Isoflourane Desflurane 0 5 0 3 0 2 0 2 0 2 5 max value 0 3 0 3 0 3 6 of value N oise 0 2 0 1 0 1 0 1 T he Accuracy for alothane is 0 3 for the first 60 minutes then goes to 0 2 MULTINEX Gas Module Operating Instructions Chapter 6 Sevoflurane 0 9 0 1 2 98 breaths min Sevoflurane 0 2 6 of value 0 1 6 13 Responsetimeto final reading Update Repeatabil
65. n Control Display Number Page Number 21 Front Ponels 40001 Plus 1 35 22 410010 Plus 4200 4300 Gas Module 22 Rear Panel 36 48 l 2 10 NOTE The front panels for Models 4000 Plus and 4100 Plus are identical to the 4000ID Plus and 410010 Plus respectively The only exception is that the 4000 Plus and 4100 Plus do not have the AGENT ID MODE key NOTE Prior to applying des or sev select agent id disabled mode then select agent Failure to do so will cause erroneous CO2 N20 and agent readings RYMBOL DESCRIPTION DIRECT CURRENT REPLACE FUSE AS ALTERNATING CURRENT AG MARKED PROTECTIVE EARTH Ground EQUIPOTENTIALITY ON STANDBY SWITCH ATTENTION CONSULT ACCOMPANYING DOCUMENTS REFER TO MANUAL ON Power connection to ihe mains OFF power disconnection from the maine Xx LAMP Y B EQUIPMENT 5 gt 0 gt lt 21 PROOF CF EQUIPMENT 1 MULTINEX Gas Module Operating Instructions 2 1 Chapter 2 2 1 Front Panels 33 32 31 30 29 28 21 AGENT ID GAS TRACE SPLIT TREND MODE SPEED SCREEN m 7 8 81011 16 15 12 13 14 17 18 Model 4000 ID PLUS Model 4000 PLUS 2 2 MULTINEX Gas Module Operating Instructions Chapter 2 35 34 33 d 7 8 9 10 11 12 13 15 16 Model 4100 ID PLUS Model 4100 PLUS 35 34 33 3231 30 29 28 i O MULTINEX x 1 lj TRACE2 2 lz
66. nal recorder and interfacing connectors for an external oximeter and analog outputs Monitor configuration for alarms displays analog outputs audio controls and flow rate control is simplified by menus that guide and prompt the operator through each selection The MULTINEX is featured in six different unit configurations in addition to the GAS MODULE The basic unit che model 4300 features the analytical capabilities for CO2 N20 and O2 MULTINEX ALARMS SELECT TRACE 1 END TIDAL INSPIRED LJ GAS TRACE SPLIT TREND SPEED SCREEN TIME E TI LE HOLD 3 SEC TO CLEAR SAMPLE Model 4300 MULTINEX Gas Module Operating Instructions 1 1 Chapter 1 The Model 4200 features the analytical capabilities of the basic unit CO2 N2O and O2 plus SaO2 analysis It also features a beep volume control key a patient connector for the oximeter probe a 2 digit red LED display for SaO2 data and a 3 digit red LED display for rate The SaO2 and Pulse Rate digital displays update every two seconds not on each valid breath O MULTINEX ALARMS SELECT TRACE 1 END TiDAL INSPIRED JC bpm GAS TRACE SPLIT TREND SPEED SCREEN TIME LE IL 114 S PATIENT SAMPLE Model 4200 1 2 MULTINEX Gas Module Operating Instructions Chapter 1 The third configuration for the MULTINEX is the Model 41001 Plus It features the analytical capabilities of the basic unit CO2 N2O and
67. ng Instructions Chapter 4 9 Verify that room air readings are 21 2 is required on the 400010 Plus and 410010 Plus models to achieve accurate CO 2 readings 4 2 3 Sump The disposable sump bottle can be cleaned or replaced at the conclusion of each monitor use or when the sump fills A package of 12 replacement sumps is available from D atascope Corp and from authorized D atascope R epresentatives See Section 5 2 O ptional A ccessories Replacement 1 To remove gently rotate the sump in a counter clockwise direction 2 Visually inspect the inside of the sump holder for liquid droplets and moisture Dry with a cotton swab if necessary 3 Verify that the O ring seal remains inside the sump body 4 Replace with a new sump If a replacement is not available clean the old sump in a soap and water solution DO NOT AUTOCLAVE DO NOT GASSTERILIZE 4 2 4 Scrubber Cartridge Replace the scrubber cartridge used on agent models when the cartridge turns a blue or purple color or every 6 months T he date of first use should be written on the cartridge label to determine when six months have elapsed A package of 12 replacement cartridges is available from D atascope Corp and from authorized D atascope R epresentatives See Section 5 2 Optional Accessories Replacement Grasp the end of the cartridge and pull it straight out from the rear panel 2 W rite date of installation on label in area provided 3 Push
68. odule Operating Instructions Chapter 3 3 13 Digital Displays The digital displays for ET CO2 Inspired 2 Inspired O2 and Respiration Rate are each shown in a separate 2 digit LED digital displays for Inspired and Expired N 20 are each shown in a separate 2 digit CRT display when alarms not visible TheMULTINEX Gas Module will first display instantaneous readings of Inspired and Expired M ode A until the detection of two valid breaths M ode B Updated values for all the parameters are then displayed at the completion of each breath Breath completion is defined by the CO channel N20 and agent values synchronize with 2 The unit switches to M ode A whenever a breath is not detected for 30 seconds Additionally Respiration Rate 23 is blank whenever a breath is not detected within a period of two times the immediate previous breath rate period The unit can be user configured to display CO2 values that are compensated for water vapor and or altitude see section 3 21 1 W hen either of these options are selected the header above Trace 1 changes as shown below Header Display Compensation for Water Vapor Altitude No Yes COW Yes Yes PCO2 No No PCO2W Yes No The Digital Displays chart on pages 3 19 and 3 20 describes specific information for each parameter The digital displays flicker upon breath completion if th
69. of 24 Adult A 3 packs of 24 Pediatric P 3 packs of 24 Infant 1 36 bandages N eonatal Light Guard 0998 00 0094 0998 00 0093 0998 00 0092 0998 00 0083 0998 00 0090 0998 00 0091 0998 00 0076 06 0998 00 0076 05 0998 00 0076 04 0998 00 0074 03 0998 00 0074 04 0998 00 0074 05 0380 00 0169 0683 00 0409 01 0683 00 0409 02 0683 00 0409 03 0683 00 0415 0683 00 0440 03 Adult Ear FLEXISEN SOR is supplied with an ear clip and no bandage 5 2 MULTINEX Gas Module Operating Instructions Chapter 5 DESCRIPTION PART NUMBER Instrument Cable 0012 00 0516 02 FLEXISENSOR S D Organizer 0683 00 0421 Cable Assembly N 200 Interface 0012 00 0611 Cable Assembly N 100 Interface 0012 00 0563 Fuse 90 132V 3GA T2 0A 250V 0159 03 0015 Fuse 198 264V 5x20mm T 1 0A 250V 0159 23 0001 Preventive M aintenance K its Kitsinclude 02 Cell N afion Tube Sample Cell ACCUSORB Cartridge Particle Filters and MULTIN EX Cal Gas 400010 410010 40001D Plus 410010 Plus 0040 00 0128 4200 4300 0040 00 0129 MULTINEX Gas Module Operating Instructions Chapter 5 5 3 5 3 Mounting Instructions 5 3 1 MULTINEX TO THE 3000A MONITOR all versions except 4000ID Plus amp 4100ID Plus 1 Attach front stacking brackets 1 to the 3000A 2 Align mounting tabs on brackets with mounting slots on the lower front panel of the MULTIN EX and slideinto place 3 Attach rear mounting bracket
70. of the tone d Auto Set 30 e Press to automatically set the alarms CO2 Pulse Rate and Inspired Agent only based on the last five minutes of patient data H old for 3 seconds to reset alarms to default settings e Cal 13 e This button be used to manually calibrate the CO2 N 20 and Agent channels whenever needed see drift specification It is recommended that the unit be calibrated once at 30 minutes and periodically after that N otethat the corresponding data and displays do not update during a calibration e t isnorma for theMULTINEX Gas Module to automatically recalibrate on a periodic basis if the measurement bench starts to drift 3 6 MULTINEX Gas Module Operating Instructions Chapter 3 8 Agent units with A gent capability only Agent ID Mode 7 e Selectsthe mode of agent identification 40001D Plus amp 4100ID Plus e If the AUTO modeis selected and no agent is present the word READY displays on the CRT above the agent trace area Nothing is illuminated in the agent display window 21 W hen an Agent is detected the unit will replace the READY message with the name of the A gent identified NOTE Prior to applying des or sev select agent id disabled mode then select agent Failureto do so will cause erroneous 2 N 20 and agent readings If the VERIFY modeis chosen the agent selected with the AGENT SELECT key 19 is displayed on the CRT abovethe agent trace area W hen the A
71. on for the O2 cell followed by a calibration of the CO2 N 20 and Agent channels Auto calibration occurs during the first 5 minutes Agent Analysis a Agent ID Versions odes 4000ID Plus 410010 Plus Select the mode of agent identification desired AUTO VERIFY or ID DISABLED using AGENT ID MODE 7 If VERIFY or ID DISABLED is selected use AGENT SELECT 19 to indicate the agent being delivered NOTE W hen using Sevoflurane or Suprane thelD DISABLED mode must be used TheMULTINEX will not AUTO ID or VERIFY Sevoflurane or Suprane NOTE Prior to applying des or sev select agent id disabled mode then select agent Failureto do so will cause erroneous 2 N 20 and agent readings b Agent Versions M odas 4000 Plus 4100 Plus amp Gas Module Use AGENT SELECT 19 to indicate the agent being delivered 3 4 MULTINEX Gas Module Operating Instructions Chapter 3 6 Operation The unit contains pre programmed selections for trace size speed selection trend display and alarms The unit is ready to operate immediately after calibration To change any of these functions press the appropriate key see Sections 3 5 3 6 3 7 and 3 8 for more details Trace Select e Pressthe appropriate key Select T race 2 3 or Select Trace 3 5 to select the desired trace e Trace2 3 Displays cascaded CO2 N 20 or PLETH S202 versions only waveform e Trace3 5 Displays 2 N20 or PLETH 5802
72. r 4 hr 8 hr 12 hr Trend information is always maintained for each parameter even when not displayed T he selected trend time is displayed to fit the trend space allocated by the split screen selection TheTrend Time setting selection applies to all waveforms 2 Press Trend Time for three or more seconds to clear the trend memory W hen changing alarm limits a visible gap may appear in the 5 02 and PulseRatetrend display Thisindicates that the data point for that position was not recorded NOTE The 5202 trend area displays two parameters 5 0 2 and Pulse Rate The Sa0 2 waveform is a plethysmograph waveform 3 9 Record 12 1 Press Record 12 with the 2000R S set for 2 and Auto to print the real time capnogram and the available digital information To record real time trend of 2 the recorder should be set to run at 1 or 5 mm min and CO selected Using the user configuration mode Sa0 2 can be super imposed on the CO real time trend default values MULTINEX Gas Module Operating Instructions 3 11 Chapter 3 3 10 Cal 13 During MULTIN EX Gas Module operation an internal calibration process can be performed for CO2 N 20 and Agent 1 Press Cal 13 to begin this calibration process WARNING Param amp esarenot monitored during this calibration It is normal for the M ULTIN EX Gas Module to automatically recalibrate on a periodic basis if the measurement bench begins to drift
73. ration Shipping Storage Temperature 120 ohms max Compensation for capacitive loads up to 0 01 uF 5 000 ft of twisted pair cable At typical operating temperatures output can be shorted to ground indefinitely 0 5 V max at 1 0 mA 50V 1V 0 5 V max at 9 mA sink current 5 0 V 40 V 1V at 40 uA 10 to 359C 8596 max non condensing Meets Dept of Commerce PB 296 892 Subclass B device Class 1 Environmental T est M ethods for Shock Meets NTSA Test Procedure IA less than 100 Ibs 20 to 50 C Operation between 25 C and 35 C for more than 5 continuous days may effect the life of the 2 cell Storage at 41 C to 50 C for more than 5 continuous days may effect the life of the O2 call 6 6 MULTINEX Gas Module Operating Instructions Chapter 6 Storage H umidity Operating Altitude Operating Attitude Electrostatic D ischarge Susceptibility Electromagnetic Interference Susceptibility Magnetic Interference Line N oise Line Dropout 0 to 85 non condensing Sea level 500 to 7 000 feet M eets all stated performance specifications while operating with the rear feet on arigid flat surface CONFORMSTO IEC 801 2 1991 Level 3 severity No malfunction occurs when the device operates near any source of EMI including telemetry radio communications equipment or electro surgical devices where the field strength and or proximity to such sources is a typic
74. red Expired CO2 real time trend recorded at 1 or 5 mm min Inspired Expired CO valuesin TORR Inspired O2 values in percent Breath Rate values in breaths min Inspired O2 values in percent Breath Rate values in breaths min 5 0 2 values in 5802 Pulse Rate values in beats per minute The 2000RS Recorder prints all digital values on the chart border 6 9 CONFIGURATIONS Line Current Model Voltage in Frequency Datascope Vac Amps 2 Basic Features Part Number 40001D Plus 90 132 1 6 50 60 CO2 N20 Agent ID 5 02 0998 00 0071 17 4000 Plus 90 132 1 6 50 60 CO2 N 20 02 A gent Sa0 2 0998 00 0071 13 400010 Plus 198 264 0 8 50 60 CO2 N20 Agent ID 5 02 0998 00 0071 18 4000 Plus 198 264 0 8 50 60 CO2 N 20 02 A gent Sa0 2 0998 00 0071 14 410010 Plus 90 132 1 6 50 60 CO2 N20 02 Agent ID 0998 00 0071 19 4100 Plus 90 132 1 6 50 60 C02 N 20 02 A gent 0998 00 0071 15 410010 Plus 198 264 0 8 50 60 CO2 N 20 02 Agent ID 0998 00 0071 20 4100Plus 198 264 0 8 50 60 CO2 N 20 02 Agent 0998 00 0071 16 4200 90 132 1 6 50 60 CO2 N 20 02 5 02 0998 00 0071 05 4200 198 264 0 8 50 60 2 20 02 5 02 0998 00 0071 06 4300 90 132 1 6 50 60 CO2 N 20 02 0998 00 0071 07 4300 198 264 0 8 50 60 CO2 N 20 02 0998 00 0071 08 Gas M odule 90 132 1 6 50 60 CO2 N 20 02 A gent 0998 00 0071 21 Gas M odule 198 264 0 8 50 60 CO2 N 20 02 A gent 0998 00 0071 22 6 18 MULTINEX Gas Module Operating Instructions Chapter 6 6 10 AGENCY COMPLIANCES The D
75. ressure Exit Water Vapor No compensation Compensation Compensate for water vapor Exit Gas Trace 1 5 10 12 5 25mm sec Exit Speed Default Gas Trace C02 0 40 Torr 0 5 0 5 Scale 080 Torr 0 10 KPA 0 10 Default 0 100 Torr 0 12 KPA 0 12 Exit N20 0 40 0 60 0 100 Exit AGENT 0 2 0 4 0 8 Exit Exit Trend Trace 0 100 25 75 50 50 75 25 100 0 Exit Partition Default Trend Time 10 min 30 min 1 hr 2 hr 4 hr 8 hr Default 12hr Exit N20 Display Option Disable Enable Exit EXIT 002 a02 0 Only OUTPUT 000 5 02 Multiplexed EXIT AUDIO CONTROL Minimum Default Volume Off Low Exit Audio Level Default Low High Medium Exit EXIT FLOW RATE CONTROL 50 cc 100 cc 150 200 Exit 3 22 MULTINEX Gas Module Operating Instructions Chapter 3 MAIN MENU CONFIGURABLE ITEMS SETTINGS ALARM LIMITS HI SCALE LO SCALE InspCO2 00 05 10 15 20 25 00 05 10 15 20 25 0FF InspN20 Not Available Not Available InspAgent 00 01 02 03 04 05 06 20 00 01 02 03 0FF 5802 0FF 80 81 82 83 84 50 55 60 65 70 75 85 86 87 99 80 85 86 87 88 89 90 91 92 93 94 95 Pulse Rate 100 105 110 115 OFF 30 35 40 45 50 120 125 130 250 55 60 100 ETCO2 20 25 30 35 40 45 OFF 00 05 10 15 20 25 50 55 60 65 70 75 80 30 35 40 45 50 55 60 ExpN20 Not Available Not Available ExpAgent No
76. rization will nol occur Will react be neutralized with acids May react with chloroform slightly producing sodium formate carbon monoxide and phosgene May react with trichloroethylene producing dichloracetylene carbon monoxide and phosgene PREPARED 03 02 89 PAGE 1 OF 2 LO az m was A AA A E SP raa yaaa AE AA EE AANE data included herein are presented according to W R Grace amp Co s practices current at the time of preparation hereof are made available solely for the consideration investigation and verification of the original recipients hereof and do not constitute a representation or warranty for which Grace assumes legal responsibility It is the responsibility of a recipient of this data to remain currently informed cheminal hazard information to design and update tts own program and to comply with all national federal state and local laws and teguianons applicable to safety occupational health right to kr ow M MM MULTINEX Gas Module Operating Instructions 6 3 Chapter 6 Eor_small_spills 5 up and place closed fibre board or Lined metal containers Rinse area with water Wash area with soapy water and rinse For large spills 5 shovel into containers Dispose of all product wastes and water rinses in accordance with current local state and Federal regulations Material is not a hazardo
77. rsonal computers 3 22 1 With Datascope ACCUSAT An externally derived ACCUSAT plethsmograph can be displayed on the CRT of models 4300 4100 Plus Gas M odule and 4100ID Plus 1 Connect interface cable 0012 00 0547 between the MULTIN EX Gas Module rear panel IN TERFACE connector 40 and the interface connector on the rear panel of the ACCUSAT 2 Select PLETH on theMULTINEX Gas Module NOTE Models 400010 Plus 4000 Plus and 4200 use an internal oximeter MULTINEX Gas Module Operating Instructions 3 25 Chapter 3 3 22 2 Interfacing with the 3000 or 3000A Monitor 1 Connect the interface cable 0012 00 0547 between the MULTIN EX rear panel INTERFACE connector 40 and the interface connector on the rear panel of the 3000 or 3000A See section 5 3 in the Operating Instructions for the procedure how to mount these units together 2 W hen the 3000 M onitor is interfaced with M ultinex M ulti Gas M onitor the recorder will annotate the monitored gases at thetop edge of the strip chart recording W hen CO is selected as the source 11 5cm long recording strip of CO2 waveform 9 2 seconds for 12 5mm sec 115 seconds for 1mm sec is output along with time date and 2 scale annotated on thetop edge of the recording 3 W hen another source is selected other than 2 that source is recorded a 52cm long strip with thetime date signal source specifics and scale on thetop edge of the recording The full da
78. s 2 to the back of the 3000A and fasten with screws 3 Tabs the brackets should be inserted into the rear of the M ULTIN EX MULTINEX 3000 MONITOR PART NUMBER QTY MOUNTING KIT 0020 00 0058 Kit Includes Bracket Stacking MULTIN EX to 3000A Front 0406 00 0479 2 Bracket Stacking MULTIN EX to 3000A R ear 0406 00 0478 2 Bracket Front Stacking 0406 00 0451 2 Bracket R ear Stacking 0406 00 0477 2 Screw Captive 24 40 0214 08 0001 4 Directions M ounting 0065 00 0060 1 Instructions MULTIN EX to 3000A 0065 00 0061 1 5 4 MULTINEX Gas Module Operating Instructions Chapter 5 5 3 2 MULTINEX TO OTHER UNITS 1 Select location for unit to be mounted onto the MULTIN EX left center right 2 Fasten front stacking bracket 1 to thetop of the MULTINEX 3 Align the base of the peripheral unit with the mounting bracket and pull forward to lock into place 4 Attach rear mounting bracket 2 to the appropriate location and fasten with screw 3 5 Lock peripheral unit into place Unit should be unable to be rotated in any direction PERIPHERAL PART NUMBER QTY MOUNTING KIT 0020 00 0055 Kit Includes Bracket Front Stacking 0406 00 0451 3 Bracket R ear Stacking 0406 00 0450 3 Screw Captive 24 40 0214 08 0001 3 Directions M ounting 0065 00 0059 1 MULTINEX Gas Module Operating Instructions 5 5 Chapter 5 5 3 3 DRAWER BOX ASSEMBLY all versions except 4000ID Plus amp 4100ID Plus 1 Attach the adapter
79. s Moduleis designed for stable operation over long periods of time and under normal circumstances should not require technical maintenance beyond that described in this section It is recommended that gas channel accuracy be checked once per year Contact qualified hospital personnel or D atascope for further information 4 1 Care and Cleaning of Monitor Theinstrument enclosure may be cleaned with a mild soap and water solution or ammoni ated window cleaner DO N OT apply large amounts of liquid DO N OT use abrasive cleaning agents or organic solvents To prevent scratches on the front panel display screen blow or carefully brush the dust and dirt particles with a soft sponge or a fine soft haired brush DO N OT use abrasives Fingerprints and stains may be removed by using aliquid lens cleaner and a soft cloth DO wipea dry screen or use alcohol or chlorinated hydrocarbon sol vents 4 2 Replaceable Items The following items are operator repl aceabl e e Catheters and Breathing Tube A daptors e O2 e Sump e Scrubber Cartridge e Software Cartridge Thereplaceable O2 cell sump scrubber cartridge catheters breathing tube adaptors and external cables should be periodically inspected for signs of use or damage MULTINEX Gas Module Operating Instructions 4 1 Chapter 4 4 2 1 Catheters and Breathing Tube Adaptors Replacethe catheter and the endotrachial tube adaptor after each procedure package of 12 replacement c
80. sensors are warranted for six months and the Sa0 2 Flexisensor SD s are warranted for 30 days or first use whichever occurs first Accessory items such as N afion disk filters and sample cells are warranted for 90 days from date of shipment The ACCUSORB cartridgeis warranted for 30 days or first use whichever occurs fits MULTINEX Gas Module Operating Instructions 6 1 Chapter 6 6 2 Extended Warranty D atascope Corp warrants that components within the monitor unit will be free from defects in workmanship and materials for the number of years shown on the D atascope invoice U nder this extended warranty D atascope Corp will repair or replace any defective component at no charge for labor and or materials This extended warranty does not cover consumables such as but not limited to batteries displays external cables sensors the O2 cell external tubing the sample cell the sump or the A ccusorb scrubber cartridge R ecommended preventative maintenance as prescribed in the service manual isthe responsibility of the user and is not covered by this warranty Except as otherwise provided herein the terms conditions and limitations of D atascope Corp s standard warranty shall remain in effect 6 2 MULTINEX Gas Module Operating Instructions Chapter 6 6 3 Material Safety Data Sheets for Material used in the Scrubber Cartridge SAFETY DATA W R GRACE amp CO CONN DEWEY AND ALMY CHEMICAL DIVISION 55 HAYDE
81. sor Adult LA A P 1 Approximate gt 80kg 30 90kg 10 40kg 4 5 10kg Upto5kg gt 40kg 40 kg Patient Weight gt 176 lbs 66 198 lbs 22 88 lbs 10 221605 Upto11lbs gt 88 lbs 90 lbs Where Used Fingers Fingers Fingers Feet Feet Adult Ear Fingers Toes Toes Toes Palms Palms Toes Toes Heel Calf Long or Short Term Long amp Long amp Long amp Long amp Long amp Long amp Short Term Monitoring Short Term Short Term Short Term Short Term Short Term Short Term ESIS Included Included Included Included Included Included Included Reusable Yes Upto YesUpto YesUpto YesUpto YesUpto YesUpto Yes 20 Uses 20 Uses 20 Uses 20 Uses 20 Uses 20 Uses 6 Months Bandage Type Adhesive Adhesive Adhesive Non N A N A Disposable Disposable Disposable Adhesive Adhesive Disposable Disposable Part Sensors 0998 00 0998 00 0998 00 0998 00 0998 00 0998 00 0600 00 Numbers 0076 06 0076 05 0076 04 0074 03 0074 04 0074 05 0026 xx Bandages 0683 00 0683 00 0683 00 0683 00 0683 00 N A N A 0409 01 0409 02 0409 03 0415 0440 SEN SOR SELECTION S See A ccessories Chapter 5 for more detailed information MULTINEX Gas Module Operating Instructions 3 35 Chapter 3 3 25 Performance Verification To ensure proper performance of the M ULTIN EX Gas Module a verification test should be done by administering the MULTIN EX Calibration Gas Datascope Part N umber 0
82. ss for the remaining parameters If SELECT remains inactive for two seconds the currently displayed alarm limits set automatically 3 12 2 Auto Set Automatic Setting of Alarms The Auto Se feature can be used after collecting five minutes of patient data The unit automatically calculates alarm limits for CO2 Agent and Pulse Rate based on 20 above and below the mean and automatically updates the limit displays 1 Press Auto Set 30 to automatically se the alarm limits Thealarm limits are based on the most recent five minutes of patient data Each time AUTO SET 30 is pressed the alarm limits are recalculated based on the past four minutes of patient data Once set the alarms are fixed and do not change until this key is pressed again or when the limits are manually changed AUTO ALARMS SET is displayed on the screen for 20 seconds after all limits have been set T he alarm data will be displayed on the right side of the CRT NOTE Assure that the message AUTO ALARM S SET appears on the CRT If the message does not appear either five minutes of data is not available or alarms were not set Press AUTO SET 30 again or wait for data to accumulate MULTINEX Gas Module Operating Instructions 3 15 Chapter 3 Thealarms do not update with new data T o set new auto alarm values press AUTO SET 30 again This can be doneat any time during monitor use NOTE ThePulseRateAuto Alarms are set 2 and 8 seconds after the AUTO AL
83. sumes legal r ility is the responsibility of a recipient o this data to remain currently informe on chemicai hazard information to design and update its own program and to comply with national federal state and laws and regulations applicable to safety occupational health right to knc and environmental protection 6 4 MULTINEX Gas Module Operating Instructions Chapter 6 6 4 SPECIFICATIONS Dimensions H eight Width Length W eight Power Cord Length Catheter ft 050 I D Power R equirements Voltage Input Maximum Leakage Current Chassis Patient Maximum Device SPL Power Consumption 4300 4200 4100 Plus 41001D Plus 4000 Plus Gas Module 40001D Plus 6 5 in 16 5 cm 8 625in 21 9cm 12 in 30 5 cm 12 in 30 5cm 19 in 48 3 cm 19in 48 3cm 25 lbs 30 lbs 10 ft 10 ft 5 ft 050 1 D 5 ft 050 I D 10 ft 050 1 D 90 132 VAC 50 60 H z 198 264 VAC 50 60 Hz less than 100 microamperes less than 20 microamperes 68 dBA does not include audio output 145 W maximum MULTINEX Gas Module Operating Instructions 6 5 Chapter 6 Analog Signal Specifications Output mpedance Output Stability Short Circuit Protection Digital Signal Specifications Input Active Low Input ActiveH igh Output Low Voltage Output H igh Voltage 6 5 ENVIRONMENTAL CHARACTERISTICS Operating Temperature Operating H umidity Shock and Vib
84. t Available Not Available FIO OFF 40 45 50 55 60 18 20 25 30 35 40 45 65 70 75 80 85 90 95 50 55 60 65 70 75 80 Resp Rate 0FF 05 10 15 20 25 OFF 02 03 04 05 30 35 40 45 50 55 90 95 06 07 08 09 10 EXT TRACE OPTION 2 Trace Mode 02 Agent Agent Models 3 Trace Mode C02 Agent Pleth Agent CO Delay EXT TRACE OPTION 2 Trace Mode C02 Pleth Non Agent Models CO2 0 02 02 Delay 3 Trace Mode 02 Pleth N20 02 N20 Pleth 02 02 Delay N20 02 02 Delay Pleth EXIT AGENT DEFAULT Agent Monitored 150 HAL ENF DES SEV Agent Models EXIT AGENT DEFAULT Agent ID Mode Verify ISO Verify HAL Verify ENF Agent Models Auto ID ID DISABLED EXT MULTINEX Gas Module Operating Instructions Chapter 3 3 23 3 21 2 Typical Configuration Menu Sequence Shown bdow is atypical menu sequence for changing CO units from TORR to 96 1 Press SELECT 33 whileturning the MULTIN EX Gas Module on 2 Press left hidden key 7 to obtain Main M enu 3 Press SELECT 33 until Display Parameter is displayed in reverse graphics 3 24 dis VA _ ALARMS TRACES MAIN MENU SIZE Select gt SELECT Enter gt TRACE 2 Display Parameters HI SIZE CO2 SaO2 Output SELECT Audio Control Flow Rate Control 3 pa AUDIO MUTE SELECT AUDIO VOLUME J N VA _ ALARMS TRACE 1 isplay P SIZE isplay Parameters Sada gt SELECT Enter gt TRACE2 CO2Units
85. t the low volume level Risk currents per AAMI Safe Current Limits for Electromedical Apparatus 1 Source Current Chassis 2 Source Current Patient Circuit models 40001D Plus 4000 Plus and 4200 3 Sink Current Patient Circuit models 40001D Plus 4000 Plus and 4200 4 Isolation Voltage 5 Ground Resistance Less than 100uA measured from chassis to ground through standard AAMI load Less than 10uA measured from any lead of patient cableto ground through standard AAM I load at the connector or 580 2 sensor Less than 20uA measured from any lead of patient cableto ground through standard AAMI load in series with 120K ohm resistance and isolated 120 60 H z voltage at the connector or SaO sensor 1500V RM Sat 60 H z from any lead or combination of patient leads to AC hot or neutral for one minute Less than 0 1 ohm 110 volts from power connector U bladeto exposed metal parts 0 2 ohm for 220V MULTINEX Gas Module Operating Instructions 6 17 Chapter 6 6 8 SYSTEM COMPATIBILITY All output signals analog and digital processed through the interface connectors are protected against short circuits to ground and can withstand normal static discharges as detailed in Section 1 4 Performance Specifications The monitor when connected to a 2000R S R ecorder provides a permanent record keeping of not applicable for Gas M odule Inspired Expired CO2 waveform recorded at 12 5 mm s Inspi
86. ta stream is also printed NIBP sys map dia SpO Resp Rate FIO2 Insp CO2 Exp CO2 Exp N 20 Insp N 20 Exp Agent N ame Insp A gent N ame 4 CO trend and Agent generic trend is available on screen display whileCO trace 3 waveform option is N OT available Recorder and Screen displays are independent 3 22 2 1 Software Compatibility Multinex Plus 3000 3000A 1 W hen interfacing a 3000 or 3000A with aM ultinex Plus all other non Plus models are fully compatible the software revision of each monitor must beat or abovethe software versions listed below Incompatible software versions can result in improper agent labels being annotated for DES and SEV 3000A Datasette R evision D 3000 Datasette Revision N Multinex Plus Datasette Revision Q 2 The 3000 software D atasette revision appears in the upper left corner of the LCD display while in a service diagnostic screen as DS Rev Level Refer to the 3000 Service M anual section 4 4 10 steps A F for diagnostic screen access instructions 3 The Multinex software D atasette revision is displayed in the lower left corner of the Service Diagnostic M enu screen Refer to the M ultinex Plus Service M anual section 2 6 for screen access instructions f necessary software upgrades are avail able through D atascope Contact the D atascope Technical Support D epartment at 1 800 288 2121 for details 3 26 MULTINEX Gas Module Operating Instructions Chapter 3 3
87. tified by the MULTINEX M odes of O peration A Auto Identification M ode Auto ID In this modetheMULTIN EX identifies and measures any gas which is applied W hen the gas is changed by the anesthetist the MULTINEX sensesthis and identifies the new gas It also qualifies the presence of a second agent of a lesser proportion if present The Auto ID mode utilizes several CRT messages which advise the anesthetist of respiratory gas status See Section 4 3 Troubleshooting Guidelines TheMULTINEX ID will track agents above 0 296 At the end of the case when the vaporizer is off the agent identified will remain for 30 minutes before the monitor displays READY B Verify Mode In this modethe anesthetist is required to select the anesthetic agent desired to be confirmed Once selected the agent is confirmed and measured If anesthetic agents are changed after the initial selection the new agent must be selected in order to continue monitoring to be confirmed The confirmation mode utilizes several CRT messages which advisethe anesthetist of respiratory gas status See Section 4 3 T roubleshooting Guidelines C Manual Anesthetic Agent Selection DISABLED mode This mode allows the unit to work with Sevoflurane and D esflurane which can only be selected manually It also operates as the default mode in the event of a failed ID bench The MANUAL SELECT modeutilizes a single CRT message which alerts the anesthetist that the MULTIN EX isin
88. to reducethe incidence of unscheduled service and the number of PU RGIN G events MULTINEX Gas Module Operating Instructions 4 9 Chapter 4 5 0 ACCESSORIES 5 1 Standard Accessories Domestic and European DESCRIPTION Standard A ccessories K it 1 Breathing Tube Adapter M ask Elbow 1 Breathing Tube A daptor Straight Tee 1 Operating Instructions 1 Abbreviated Operating Instructions 1 Catheter Bore 050 dia 10 length 1 Catheter Bore 050 dia 5 length Cable Assy 3 CNDCT AC line 10 Cable Assy 3 CNDCT AC line2 5 M 5 2 Optional Accessories DESCRIPTION 02 Interface Cable to 2000R S 5ft PART NUMBER 110 VAC 0020 00 0117 01 0683 00 0242 11 0683 00 0242 21 0070 00 0368 0070 00 0238 0683 00 0405 21 0683 00 0405 11 0012 25 0001 Package 12 Replacement Breathing T ube A dapters M ask Elbow Package 12 Replacement Breathing T ube A dapters Straight T ee Package 12 10 ft cat 050 dia Package 12 5 ft cat 050 dia Package Package Package Package porte paaa N asal Cannula 10 pieces Sample Cell 4200 4300 12 Replacement Sump Bottles 7 5ml 12 Replacement Sump Bottles 15ml 12 Replacement Sump Bottles 30ml 1 Replacement ACCU SORB Cartridges Sample Cell 400010 410010 400010 Plus 410010 Plus Service M anual MULTINEX Gas Module Operating Instructions Chapter 5 PART NUMBER 220 VAC 0020 00 0117 02 0683 00 0242 11 0683 00 0242 21 0070 00 036
89. us waste as defined in 40 CFR Sec 261 3 Signs 8 Symptoms of Acute Exposure Emergency First Aid Procedures Inhalation Dust can cause irritation Remove to fresh air and injury to the respiratory system Eyes Severe irrilation upon contact immediately flush eyes wilh water for at least 15 minutes get medical attention Skin Irritation upon direct contact Wash affected area with water if irritation occurs and persists get medical attention Remove conlaminated clothing Ingestion Harmful if swallowed Dilute with weak vinegar solution Or a 5 solution of ammonium chtoride if these are available If not dilute with large quantities of waler Do nol induce vomiting Gel medical attention GET MEDICAL ATTENTION IF SYMPTOMS PERSIST Keep all SODASORB that has been used with highly flammable anesthetics away from heat sparks and open flames as residual amounts of these materials will be present Avoid breathing dust Avoid skin and eye contact Keep from freezing Do not use any material exposed to below reezing temperatures The Sodasorb Manual of Carbon Dioxide Absorption is available upon request lt 2 dah according W A Grace practices current at the time of preparation hereot are made v solely AA of the original recipients hereof and not constitute a representation or warranty tor which Grace as
90. usive remedy under this warranty is limited to servicing or replacing at D atascope Corp s option at thefactory or at an authorized D atascope Distributor any product which shall under normal use and service appear to the Company to have been defective in material or workmanship N o agent employee or representative of D atascope Corp has any authority to bind D atascope Corp to any affirmation representation or warranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforceable by buyer This warranty is expressly in lieu of any other expressed or implied warranties including any implied warranty of merchantability or fitness and of any other obligation on the part of the seller D amageto any product or parts through misuse neglect accident or by affixing any nonstandard accessory attachments or by any customer modification voids this warranty D atascope Corp makes no warranty whatever in regard to trade accessories such being subject to the warranty of their respective manufacturers A condition of this warranty is that this equipment or any accessories which are claimed to be defective be returned when authorized by D atascope freight prepaid to D atascope Corp Paramus N ew Datascope Corp shall not have any responsibility in the event of loss or damage in transit The 02 Cells are warranted for six months the SaO 2 D ata

Download Pdf Manuals

Related Search

Related Contents

  Motherboard 4865PE  Operation and Maintenance Manual  取扱説明書 NewClassic 天びん MS-S / MS  Samsung SGH-Z107 Bruksanvisning  Grindmaster OPOD-E User's Manual  Zycont User`s Guide - Duplicator Technical Support  

Copyright © All rights reserved. Failed to retrieve file