第 5 章 開梱、設置及び測定の準備
Contents
1. 2 EEG2. 5 15 4 2 1 1 1 2
3. 6 2 CU 81 82 83 84 85 lt e19 87 88 89 90 91 93 94 Sh 96 97 98 99 VASCULAR EVENT MARK LIST Miscellaneous Set Baseline Intubated Incision Heparin Given Cannulate Clamp On Vessel Suturing Vessel Graft Clamp Off Vessel Decannulate Extubated Arrhythmia Blood Loss Contrast Dye Injected Dissection EEG Change Hypotension Hypocapnia Shunt Clamped 100 Thrombus Suspected 101 102 103 104 105 106 107 108 0 110 111 112 113 Balloon Inflated Balloon Deflated Blood Transfusion EPD Deployed Fogarty Catheter In FFP Platlets Hemostasis Device In IAB Catheter In On IAB Catheter Out Off Increase Anesthetic Increase etCO2 Increase FiO02 Shunt Flushed Shunt Open Shunt Repositioned Stent Deployed Thrombus Removed Vasopressor Vasodilator Vessel Repaired
4. 6 9 VASCULAR NICU EVENT MARK LIST 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 Miscellaneous Set Baseline Physical Assessment Reposition Patient Heel Stick Lab Draw Suction ET Tube Weigh Patient Enteral Feeding Extubated Intubated Vent Change Ottoel 01 Hi Freqguency Vent Bag Mask Vent Hand Bag Vent NIRSensor Change Apnea Bradycardia Arrhythmia Cardiac Arrest CPR ICP Changes LOC Changes Selzure Anti Arrhythmic Anti Epileptic Blood Trans Platelets Cooling Cap On Off DE OA ECLS On ECLS Circuit Change ECLS Off Fluid Bolus Fem Art CutDwn Hypothermia Nitric Oxide On Off NG Tube In Out Paralytic Prostaglandin OR Procedure Bedside Sedation Vasopressor Whole Body Cooling
5. BASELINE MENU EVENTMARK ALARMAUDIO ON OFF OUTPUT SELECT TIME SCALE PREVIOUS MENU NEXT OFF ON NEXT PREVIOUS OFF ON NEXT PREVIOUS NEXT CHANNEL LABELS INCREASE DECREASE A Z 8 8 8g 8 Q rSO 6 7 2 PREVIOUS 1 NEXT 2
6. 33 2 1 2 3 5 13 53 1
7. 6 2 A7C 52 6 4 9 INVOS INVOS rSO 5 rSO 5 62 2 7
8. 6 3 1 INVOS ON 627 7 NEW PATIENT PREVITOUS PATTENT DATE TIME NEXT MENU DATE TIME PREVIOUS MENU DAY MONTH YEAR PREVIOUS MENU DAY XX INCREASE DECREASE PREVIOUS MENU INCREASE DECREASE PREVIOUS MENU 6 3 1 2 NEW PATIENT PREVIOUS PATIENT NEXT MENU TIME PREVIOUS MENU DAY YEAR PREVIOUS MENU MONTH XX PREVIOUS MENU INCREASE DECREASE PREVIOUS MENU 6 3 1 9
9. Q 58 BASELINE MENU EVENTMARK ALARMAUDIO ON OFF OUTPUT SELECT TIME SCALE NEXT MENU NEXT OFF ON NEXT PREVIOUS INCREASE DECREASE NEXT PREVIOUS YES NEXT COLOR CODED LABELS YES NO Q 6 77 2 4 INVOS 2 4 2
10. 5 15 8 38 5 16 INVOS INVOS PC VGA IEC 60601 1 1
11. BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU SET BASELINES RESTORE BASELINES MAIN MENU rSO INVOS 6 4 1 2 rSO rSO BASELINE MENU EVENT MARK ALAR
12. 57 BASELINE MENU EVENTMARK ALARMAUDIO ON OFF OUTPUT SELECT TIME SCALE PREVIOUS MENU NEXT OFF ON NEXT PREVIOUS INCREASE DECREASE NEXT PREVIOUS NEXT EVENT MARK LIST INCREASE DECREASE 6 49 2 PREVIOUS 1 NEXT 2
13. BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU NEXT EVENT PREVIOUS EVENT SELECT EVENT NEXT EVENT PREVIOUS EVENT SELECT EVENT SELECT EVENT 0 6 1 6 4 48 60i ONMOINMMW 54K Miscellaneous 21 Afterload Reduction Set Baseline 22 Blood Transfusion Intubated 23 Cardioversion Sternotomy 24 Cell Saver Blood Cannulate 25 Cerebral Perfusion 091 On CPB 26 ECLS On Cross Clamp On 27 FFP Platelets Cooling 28 Fluid Volume Expander Cardioplegia 29 Hemoconcentrate MUF Warming 30 Inotrope Cross Clamp Off 31 Increase Anesthetic OF CPB 32 Increase CO2 Closing Sternum 33 Increase FiO02 Arrhythmia 34 Increas
14. 24 Somanetics 5 15 7 9 9 9
15. AUTO LOWER ALARM 53 BASELINE MENU EVENTMARK ALARMAUDIO ON OFF OUTPUT SELECT TIME SCALE PREVIOUS MENU PREVIOUS OFF ON NEXT PREVIOUS MANUAL NEXT INVOS 40
16. 47 6 OR ICU VASCULAR NICU 4
17. AUC AUC STS 8 AUC STS 8 40 O 41 6 3 ID ID NEXT
18. INVOS 6 6 rz80 6 4 13 6 _ rSO 25 SENSOR NOT CONNECTED PREAMP NOT CONNECTED WOULD YOU LIKE TO BEGIN MONITORING A NEW PATIENT OR CONTINUR MONITORING THE SAME PATIENT YES YES
19. 34 2 72 9 5 14 4
20. 1 1 rSO 66 BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT USER CONETGURATION TIME SCALE NEXT MENU REVIEW PATIENT T D PREVIOUS MENU MAIN MENU TREND GRAPH TREND GRAPH TABULAR TRENDS MAIN MENU TREND GRAPH TREND GRAPH 6 4 17 2 rSO
21. T10 L2 5 15 5 5 15 6 56 1 1 1 2 37 6
22. IEC ISO IEC 61558 1997 sub clause 5 12 IEC 60601 1 1 General Requirements for Safety Collateral Standard Safety Requirements for Medical Electrical Systems See clause 19 201 and table BBB 201 USB 39 40 6 INVOS 6 0 INVOS INVOS
23. BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT USER CONFIGURATION TIME SCALE NEXT MENU REVIEW PATIENT IT D PREVIOUS MENU MAIN MENU TREND GRAPH TREND GRAPH TABULAR TRENDS MAIN MENU NEXT PAGE PREVIOUS PAGE LAST PAGE REGRAPH NEXT PAGE PREVIOUS PAGE LAST PAGE 4 1 REGRAPH NEXT PAGE PREVIOUS PAGE LAST PAGE REGRAPH rSO 6 5 24 28 24
24. 652 ON OFF NEW PATIENT PREVIOUS PATIENT DATE TIME START SCREEN PREVIOUS MENU START SCREEN TREND GRAPH TREND GRAPH FULL GRAPH TABULAR TRENDS DOWNLOAD PREVIOUS MENU NEXT MENU NEXT PAGE PREVIOUS PAGE LAST PAGE REGRAPH NEXT PAGE PREVIOUS PAGE LAST PAGE 1 23 4 1 7 2 USB 7 8 NEXT PAGE PREVIOUS PAGE LAST PAGE TREND GRAPH TREND GRAPH FULL GRAPH TABULAR TRENDS DOWNLOAD PREVIOUS MENU CASE ARCH
25. rSO 60 100 6 4 5 1 z5O rSO BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT USER CONEFIGURATION TIME SCALE PREVIOUS MENU NEXT PREVIOUS OFF ON NEXT PREVIOUS INCREASE DECREASE NEXT UPPER rSO SCALE INCREASE DECREASE Q rS0 6 4 5 2 r8S0 rSO
26. BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT TIME SCALE PREVIOUS MENU NEXT INCREASE DECREASE NEXT PREVIOUS OFF ON Nixr pmmvios NEXT TIME SCALE INCREASE DECREASE 1 2 4 8 12 24 1 Q 56 6 4 7 USB USB
27. BASELINE MENU EVENTMARK ALARMAUDIO ON OFF OUTPUT SELECT TIME SCALE PREVIOUS MENU NEXT PREVIOUS OFF ON NEXT PREVIOUS AUTO NEXT PREVIOUS LOWER ALARM LIMITS MANUAL INCREASE DECREASE 6 4 4 BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT USER CONEIGURATION TIME SCALE PREVIOUS MENU NEXT PREVIOUS OFF ON NEXT PREVIOUS INCREASE DECREASE NEXT ALARM VOLUME INCREASE DECREASE 6 4 5 z5O Y rSO rSO0 5
28. NO 64 6 4 14 SSI SSI rSO SSI SSI 1 5 5 SSI 5 SSI 1 4 r8S0 10 7 5 SSI SSI 5 4 10 7 5 SSI
29. 6 4 1 9 zSO USB 7 2 2 2 USB rSO rSO r8O BASELINE MENU EVENT MARK ALARM
30. 727 INVOS 752 5 15 9
31. IEC ISO IEC950 5 7 SN lolol VGA oo OD 0 Nn Dn MN 30 5 4 IOIOI PC 7 3 5 5 VGA I 7 1 VGA 5 6
32. 24 Somanetics 5 14 7 36 5 15 5 14 MRI X CT
33. 4 4 10 4 4 11 4 4 12 28 2 1 EXAMPLE 1 5 CABG EXAMPLE 2 CABG rSO 20 18 rSO 20 rSO 40 4 4 11 1 6 5 1 1 ON OFF NEW PATIENT PREVIOUS PATIENT DATE TIME PREVIOUS MENU START
34. 6 1 INVOS INVOS 6 2 INVOS 4 TAUC INVOS 6 4 6 5
35. rS80 INVOS ON NEW PATIENT PREVIOUS PATIENT rSO0 5 8 5 14 5 15 AO 6 4 8 6 4 4 0 6 4 6 6 4 7 USB 6 4 8 6 4 9 bE CE oR DC RR ee 6 4 12 r80
36. BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT TIME SCALE PREVIOUS MENU NEXT PREVIOUS OFF NEXT PREVIOUS INCREASE DECREASE NEXT PREVIOUS Upper Alarm Limits NEXT ON OFEF INCREASE DECREASE Q OFF OFF ON 62 22
37. POOR SIGNAL QUALITY INVOS rSO PREAMP NOT CONNECTED 11 INVOS REPLACE SENSOR 17 INVOS 63 INTEREFERENCE 19 DETECTED rSO
38. INVOS AO BATTERY LOW 10 60 20 50 20 0 24 61 6 799
39. 6 4 13 4 rSO rS0 6 5 r8SO ALARM HIGH 5 ALARM LOW 6 BATTERY LOW 9 A C RI ON CO
40. 2 B 3 amp 4 AC 24 O 5 2 sN INVOS
41. 1 5 14 5 15 MRI X CT 574 1 INVOS 2 7422
42. NEW PATTENT PREVIOUS PATIENT DATE TIME NEXT MENU DATE TIME PREVIOUS MENU DAY MONTH YEAR PREVIOUS MENU YEAR XXXX INCREASE DECREASE PREVIOUS MENU 42 INCREASE DECREASE PREVIOUS MENU 622 INVOS ON 6327 NEW PATIENT PREVIOUS PATIENT NEXT MENU DATE PREVIOUS MENU MINUTES SECONDS PREVIOUS MENU HOURS XX PREVIOUS MENU INCREASE DECREASE PREVIOUS MENU 6322 NEW PATIENT PREVIOUS PATIENT NEXT MENU DATE PREVIOUS MENU HOURS SECONDS PREVIOUS MENU MINUTES XX PREVIOUS MENU INCREASE DECREASE
43. 6 4 13 1 rSO INVOS 6 4 4 ALARM AUDIO ON OFF 1 2 3 ALARM AUDIO ON OFF INVOS ALARM AUDIO ON OFF 6 4 13 2
44. USB 31 5 11 Somanetics EN60601 1 2 IEC 601 1 2 RSC 1 1 INVOS 5100C RSC 2 2 INVOS 5100C RSC 3 3 INVOS 5100C RSC 4 4 INVOS 5100C SAFB SM gt 40 kg SPFB 4 40 kg CNN lt 5 kg SNN lt 5 kg 5100C PA INVOS 5100C A 1 amp 2 5100C PB INVOS 5100C B 3 amp 4 5100C RS INVOS 5100C 5100C 8A INVOS 5100C 5100C GCX
45. 2 1 1 1 2 T10 L2 5 14 5 SN 52 35 5 14 6 55
46. NEXT LOWER ALARM LIMITS AUTO INCREASE DECREASE 5 30 6429 NEXT 54 NEXT 15 90
47. AC ON 1 2Ah 20 24 5 10 USB ee USB INVOS USB KS INVOS USB2 0 USB 5 6 30 USB 7 2 USB Somanetics USB
48. NEXT TIME SCALE INCREASE DECREASE 1 2 4 8 12 24 1 Q 6 417 24 80 1 28 6 417 1
49. SELECT ID DONE 24 6 3 3 2 7 ID BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT USER CONFIGURATION TIME SCALE NEXT MENU REVIEW PATIENT ID PREVIOUS MENU MAIN MENU lt gt NEXT ROW SELECT lt gt NEXT ROW SELECT lt gt NEXT ROW SELECT ID DONE 24 6 4
50. 2 2 A 1 amp 2 B 3 amp 4
51. BVI BVI BASELINE MENU EVENTMARK ALARMAUDIO ON OFF USER CONFIGURATION PREVIOUS MENU USB STORAGE DIGITAL OUTPUT REVIEW rSO ONLY rSO AND BVI BVI ONLY PREVIOUS MENU BVI BVI r80 6 4 16 _ N BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT USER CONFIGURATION TIME SCALE PREVIOUS MENU SCALE HOURS XX INCREASE DECREASE MAIN MENU
52. BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT USER CONFIGURATION TIME SCALE PREVIOUS MENU NEXT PREVIOUS OFF ON NEXT PREVIOUS INCREASE DECREASE NEXT LOWER rSO SCALE INCREASE DECREASE r80 6 4 6 _ 2 2 PREVIOUS 1 NEXT 2
53. 20 A NEW PATTENT PREVIOUS PATIENT 2 4 2 2 4 4 NEXT PE
54. rSO r80O 6 6 SENSOR NOT CONNECTED rSO EXCESSIVE LIGHT rSO
55. 5 7 6 4 8 6 4 4 6 4 13 5 8 5 9 AO INVOS 100V 50 60Hz AC AC AO OFF INVOS
56. 59 6 412 BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT TIME SCALE PREVIOUS MENU NEXT OFF ON NEXT PREVIOUS INCREASE DECREASE NEXT PREVIOUS NEXT SET DEFAULTS SET DEFAULTS 6 79 INVOS
57. PREVIOUS MENU 6222 NEW PATIENT PREVIOUS PATIENT NEXT MENU DATE PREVIOUS MENU HOURS MINUTES PREVIOUS MENU SECONDS XX PREVIOUS MENU INCREASE DECREASE PREVIOUS MENU 6 3 9 ID ID AUC 6 3 8 1 7 INVOS ON ID NEW PATIENT PREVIOUS PATTENT DATE TIME NEXT MENU lt gt NEXT ROW SELECT lt gt NEXT ROW SELECT lt gt NEXT ROW
58. 2 4 4 2 PREVIOUS 1 NEXT 2 2 4 BASELINE MENU EVENTMARK ALARMAUDIO ON OFF OUTPUT SELECT TIME SCALE NEXT MENU NEXT OFF ON NEXT PREVIOUS INCREASE DECREASE NEXT PREVIOUS YES NO NEXT PREVIOUS NEXT 2 OR 4 CHANNELS INCREASE DECREASE ON OFF 2
59. INVOS YY 1XXXX YY 2 A YY 2XXXX B YY 3XXXX 29 5 3 5 1 AC 5 1 5 1 5 2 2 IEC 60601
60. 4 4 10 4 1 6 72 BVD INVOS BVIT BVI YSO BVI rSO BVT 2 BVI BVI rSO rSO
61. USB INVOS 7 2 USB USB USB FLASH DRIVE NOT CONNECTED Somanetics USB USB USB 2 PREVIOUS 1 NEXT 2 USB Q
62. 5 5 0 INVOS 5 1 4 INVOS A 1 2 BB 3 amp 4 1 2 3 4 USB INVOS 4
63. BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU OUTPUT SELECT TIME SCALE PREVIOUS MENU NEXT INCREASE DECREASE NEXT PREVIOUS OFF ON NEXT PREVIOUS NEXT USB STORAGE INCREASE DECREASE 5 30 60 5 USB 7 2 USB 6 4 8 2 PREVIOUS 1 NEXT 2 OR ICU VASCULAR ICU
64. BVI rSO rS0 O rSO BVI 810nm 803nm 810nm BVI 50 50 20 BVI rS0 BVI BVI USB
65. 8CREEN NEXT MENU NEXT FILE PREVIOUS FILE SELECT FILE 1 TREND GRAPH TREND GRAPH FULL GRAPH TREND GRAPH TREND GRAPH gt FULL GRAPH NEXT MENU TABULAR TRENDS DOWNLOAD PREVIOUS MENU NEXT MENU NEW CASE START SCREEN PREVIOUS MENU 4 4 2 2 USB STORAGE ERROR USB STORAGE FULL COM PORT UNAVAILABLRE
66. AUDIO ON OFF NEXT MENU SET BASELINES RESTORE BASELINES SET CHANNEL MANUAL SET NEXT PAGE PREVIOUS PAGE LAST PAGE SCROLL MENU NEXT PAGE PREVIOUS PAGE LAST PAGE rSO rSO rSO NEXT PAGE PREVIOUS PAGE LAST PAGE SCROLL MENU NEXT PREVIOUS SELECT BASELINES 1 PREVIOUS MENU NEXT PREVIOUS r8O S8SELECT BASELINES 6 4 1 4 SET BASELINE YES rSO YES NO 4 4 7
67. DIHTRIE ZrS0z 99 L D A 6 0 5 1 FSD 1 48 Uil S Ds 2 1 HOUR_ BASELINE MENU EMENT IfRRK ALARM RUDIO ON OFF EMT 67 45 641 rSO rSO rSO r8O rSO 20 rSO 40 6 1 rSO rSO 6 7 7 rSO
68. INVOS 5100C X9FX9F180 INVOS RS 232C VLI JPN 32 AAAAA 5 2 1 USB 2 A 1 amp 2 3 B 3 amp 4 5 12 5m
69. IVE PREVIOUS MENU 70
70. M AUDIO ON OFF NEXT MENU SET BASELINES RESTORE BASELINES SET CHANNEL MAIN MENU CHANNEL 1 SET CHANNEL 2 SET CHANNEL 3 SET CHANNEL 4 SET rSO Q SO BASELINE MENU EVENT MARK ALARM AUDIO ON OFF NEXT MENU 46 SET BASELINES SET CHANNEL MANUAL SET PREVIOUS MENU CHANNEL 1 SET CHANNEL 2 SET CHANNEL 3 SET CHANNEL 4 SET rS0
71. M PORT 12 UNAVAILABLE PRINTER 13 UNAVAILABLE USB FULL 20 USB USB STORAGE 14 USB USB ERROR DATE AND TIME ADULT PEDIATRIC NEONATAL 7 SYSTEM SIGNAL 4 SSI 10 7 5 OK SSD yg 6 5 SO 62 6 4 13 5 75O
72. e Pump Flow Circulatory Arrest 35 Paced Hypocapnia 36 Reposition Cannula Hypotension 37 Reposition Clamp One Lung Ventilation 38 Reposition Head Pump Flow Down 39 Reposition Heart Reduced Venous Return 40 Vasopressor 67 OR ICU EVENT MARK LIST Miscellaneous Blood Transfusion Set Baseline Chest Closed Enteral Feeding Dialysis CRRT Extubated Diuretic Intubated ECLS On Reposition Patient ECLS Circuit Change Sensor Change ECLS Off Apnea ET Tube Suctioned Arrhythmia Fluid Bolus Bradycardia FFP Platelets Cardiac Arrest Hi Frequency Vent ICP Changes Hypothermia LOC Changes Inotrope Painful Procedure Nitric Oxide 7 44 MAIA Paralytic Tamponade PDA Ligated Afterload Reduction Prostaglandnn Anti Arrhythmic Sedation Anti Epileptic Vasopressor Anti Pyretic Ventilator Change
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