Manual of M8000A Multi-Parameter Patient Monitor
Manual of M8000A Multi-Parameter Patient Monitor
In order to enable you to skillfully operate Monitor as soon as possible, we provide this
user’s manual with delivery. When you install and use this instrument for the first time, it
is imperative that you read carefully all the information that accompanies this instrument.
Based on the need to improve the performance and reliability of the parts and the whole
instrument, we sometimes will make some amendments to the instrument (including the
hardware and software). As a result, there might be cases of discrepancies between the
manual and the actual situation of products. When such discrepancies occur, we will try
our best to amend or add materials. Your comments and suggestions are welcome.
Our liaison-way:
Address: No.2 Innovation First Road, Technical Innovation Coast, Hi-tech Zone,
Zhuhai , P.R.China
Fax: +86-756-3399919
Statement
This manual contains exclusive information protected by copyright laws and we reserve
its copyright. Without written approval of manufacturer no parts of this manual shall be
photocopied, Xeroxed or translated into other languages.
The contents and version contained in this manual are subject to amendments without
notification.
The version number of this manual: V5.0
The version number of software: V2.2.4
I
Liabilities of the Manufacturer
Only under the following circumstances will manufacturer be responsible for the safety,
reliability and performance of the instrument.
The electrical safety status at the installation site of the instrument conforms to
the national standards.
CE mark
EC Representative Name:
Shanghai International Trading Corp. GmbH (Hamburg)
EC Representative Address:
Eiffestrasse 80, 20537 Hamburg Germany
II
CONTENTS
III
5.1 Measurement of ECG/HR............................................................................................. 1
5.2 Measurement of RESP................................................................................................. 15
5.3 Measurement of SpO2/Pulse........................................................................................17
5.4 Measurement of TEMP................................................................................................24
5.5 Measurement of NIBP..................................................................................................27
5.6 Measurement of IBP.....................................................................................................34
5.7 Measurement of CO2 (Sidestream, CPT).................................................................. 40
5.8 Measurement of CO2 (Microstream, LoFlo)............................................................46
5.9 Measurement of CO2 (Mainstream, CAPNOSTAT5)............................................53
5.10 Measurement of AG....................................................................................................57
5.11 Measurement of ICG.................................................................................................. 70
Chapter 6 Alarm........................................................................................................................1
Appendix A Specifications....................................................................................................... 1
IV
A.1 Classifications................................................................................................................. 1
A.2 Specifications...................................................................................................................1
Appendix B Default System Setup.................................................................................... 18
B.1 System.............................................................................................................................18
B.2 Alarm Limit...................................................................................................................21
Appendix C Guidance and Manufacture’s Declaration of EMC................................... 24
V
Patient monitor user’s manual
Chapter 1-1
Patient monitor user’s manual
Note: This manual introduced the product that with full configuration. Some
functions of the product you bought may not be provided.
Chapter 1-2
Patient monitor user’s manual
Alarm light
Various kinds of
sockets (See Fig.
1-5-1)
Recorder
Alarm light
Various kinds of
sockets (See Fig.
Recorder
1-5-1)
Chapter 1-3
Patient monitor user’s manual
Physiological
alarm lamp
Technical
alarm lamp
Various kinds of
sockets (See Fig.
1-5-1)
Recorder
Physiological
alarm lamp
Technical
alarm lamp
Various kinds of
sockets (See Fig.
1-5-1)
Recorder
Caution: The AC input socket at the back panel of the monitor can be connected
with 100-240V AC power by electrical wires supplied with this instrument.
Chapter 1-4
Patient monitor user’s manual
1.5 Sockets
CO2
IBP ECG
CO2/AG
Receptacle for
SpO2 NIBP Dehydration flask
of sidestream
CO2 module
ICG
TEMP
NETWORK
FUSE T1.6A
FUSE
Electric AC
socket
AC 100V-240V
Network connector
9Pin D type socket
Equipotentiality
Terminal
Note: The 9 Pin D type socket (RS-232) is only used for maintenance and
upgrading of the monitor by manufacturer. If the monitor is configured with VGA
function, the socket will be changed to 15 Pin D type for connecting to the standard
VGA display.
Chapter 1-5
Patient monitor user’s manual
Note: The Network Connector is a standard RJ45 socket and being used for
connection with the central monitoring system provided by manufacturer.
Warning: The sensor cable sockets on Monitor can only be connected with the
sensor cables supplied with this instrument and no other cables shall be used.
Non-ionizing radiation
Dangerous voltage
Equipotentiality
CE mark
Chapter 1-6
Patient monitor user’s manual
Note: The two channels of ECG1, ECG2 for ECG are used for the realization of
the input for all-lead electrocardiogram; plug the 5-lead ECG cable with limb lead
(RA, LA, C, RL, LL) into ECG1 (Channel 1), and the chest lead cable (C1, C2, C3,
C5, C6) into ECG2 (Channel 2), and at this moment, the 12-lead (all-lead) ECG
monitoring can be realized. In case only 7-lead monitoring is needed, then it is only
necessary to plug the 5-lead ECG cable of the limb lead (RA, LA, C, RL, LL) into
ECG1 (Channel 1). Be careful not to plug it into ECG2 (Channel 2).
M8000/M9000
M8000A/M9000A
Chapter 1-7
Patient monitor user’s manual
Fig. 1-6-1 Function Buttons and Trim Knob on the Front Panel
1.6.1 The Signs and Operation Instructions Within the Function Button Zone
MAIN Return to Main Press this button once to exit the present menu and
Screen return to main screen.
TREND Press this button once to see the Trend Graph and the
Trend Review
Trend Table
Chapter 1-8
Patient monitor user’s manual
Note: The system menu is located at the left bottom corner. By operating the
Trim Knob in the above flow chart, select the options or make them spring out, and
for detailed item selection, please refer to Chapter 4.
Chapter 1-9
Patient monitor user’s manual
Warning: For pacemaker patients, Rate meters may continue to count the
pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not
rely entirely upon rate meter alarms. Keep pacemaker patients under close
surveillance. See this manual for disclosure of the pacemaker pulse rejection
capability of this instrument.
Warning: Only trained doctors and nurses can use the device.
Warning: The monitor is neither a therapeutic instrument nor a device that can
be used at home.
Chapter 2-1
Patient monitor user’s manual
Warning: When conducting defibrillation, do not come into contact with the
patient, the bed and the monitor. Otherwise serious injury or death could be resulted
in.
5. To guarantee the safe operation of the monitor, Monitor is provided with various
replaceable parts, accessories and consuming materials (such as sensors and their cables,
electrode pads). Please use the products provided or designated by the manufacturer.
6. Monitor only guarantees its safety and accuracy under the condition that it is connected
to the devices provided or designated by manufacturer. If the monitor is connected to other
undesignated electrical equipment or devices, safety hazards may occur for causes such as
the cumulating of the leakage current.
Chapter 2-2
Patient monitor user’s manual
7. To guarantee the normal and safe operation of the monitor, a preventive check and
maintenance should be conducted for the monitor and its parts every 6-12 months
(including performance check and safety check) to verify the instrument can work in a
safe and proper condition and it is safe to the medical personnel and the patient and has
met the accuracy required by clinical use.
8. When THERMAL CUT-OUT operates, the monitor will function continually without
any SAFETY HAZARD by using its rechargeable battery. However, the battery is not
being charged anymore. While the battery is low the monitor will give both visible and
audible warnings in 5 minutes.
9. The American mains plug whose ground is in the same plug with its other two cords is
Hospital Only. The supply cord should be connected to the sockets which are Hospital
Only to achieve grounding reliability.
Caution: The monitor does not contain any parts for self-repair by users. The
repair of the instrument must be conducted by the technical personnel been
authorized by manufacturer.
PATIENT NUMBER
The monitor can only be applied to one patient at one time.
INTERFERENCE
Do not use cellular phone in the vicinity of this equipment. High level of
electromagnetic radiation emitted from such devices may result in strong interference with
the monitor performance.
ACCIDENTAL SPILLS
To avoid electric shock or device malfunction, liquids must not be allowed to enter the
device. If liquids have entered the device, take it out of service and have it checked by a
service technician before it is used again.
ACCURACY
If the accuracy of any value displayed on the monitor or printed on a printout paper is
questionable, determine the patient’s vital signs by alternative means. Verify that all
equipment is working correctly.
Chapter 2-3
Patient monitor user’s manual
ALARMS
Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment
of alarm volume to a low level or off during patient monitoring may result in a hazard to
the patient. Remember that the most reliable method of patient monitoring combines close
personal surveillance and correct operation of monitoring equipment.
The functions of the alarm system for monitoring the patient must be verified at regular
intervals.
BEFORE USE
Before putting the system into operation, please visually inspect all connecting cables
for signs of damage. Damaged cables and connectors must be replaced immediately.
Before using the system, the operator must verify that it is in correct working order and
operating condition.
Periodically, and whenever the integrity of the product is in doubt, test all functions.
CABLES
Route all cables away from patient’s throat to avoid possible strangulation.
DISPOSAL OF PACKAGE
Dispose of the packaging material, please observe the applicable waste control
regulations and keeping it out of children’s reach.
EXPLOSION HAZARD
Do not use this equipment in the presence of flammable anesthetics, vapors or liquids.
BATTERY POWER
The device is equipped with a battery pack. The battery discharges even when the
device is not in use. Store the device with a fully charged battery and take out the battery,
so that the service life of the battery will not be shortened.
Chapter 2-4
Patient monitor user’s manual
LOSS OF DATA
Should the monitor at any time temporarily lose patient data, close patient observation
or alternative monitoring devices should be used until monitor function is restored.
If the monitor does not automatically resume operation within 60 seconds, restart the
monitor using the power on/off switch. Once monitoring is restored, you should verify
correct monitoring state and alarm function.
Chapter 2-5
Patient monitor user’s manual
2.3 Classifications
I: Class I equipment
BF: Type BF applied part
CF: Type CF applied part
Not suitable: Equipment is not suitable for use in the presence of flammable anesthetic
mixture with air or with oxygen or nitrous oxide.
Chapter 2-6
Patient monitor user’s manual
Caution: Please place the monitor on level and stable supporting plane, not on
the places that can easily shock or wake. Enough room should be left around the
monitor so as to guarantee normal ventilation.
Keep all the packaging materials for future use in transportation or storage.
Check the monitor and accessories
Check the monitor and its accessories one by one in accordance with the particular
paper. Check to see if the parts have any mechanical damages. In case of problems, please
contact us or our agent.
3.2.1 AC Power
Confirm the rated AC current is: AC 100-240V 50/60Hz
Use the electrical wires provided along with the instrument, put its output end plug
(round headed) into the AC current socket on the back of the monitor, and the plug of
input end into a grounded socket of the mains (It must be a special socket of the hospital),
connect the monitor through the earth one of electrical wires.
When the indicating light above the power switch on the panel of the monitor is
green, it means the AC power is on. And when the monitor is not connected to AC power
and the DC battery is used as the power source, the indicating light is orange.
Chapter 3-1
Patient monitor user’s manual
Note: This monitor contains a rechargeable battery. The average life span of this
type of battery is approximately three years. When replacement becomes necessary,
contact a qualified service representative to perform the replacement.
Chapter 3-2
Patient monitor user’s manual
Disposal Note: Should this product become damaged beyond repair, or for some
reason its service life is considered to be at an end, please observe all local, state, and
federal regulations that relate to the disposal of products that contain lead, batteries,
plastics, etc.
Install Battery
The battery storage is located at the bottom of the monitor, following the steps to install
a battery.
1、Open the battery gate according to the direction marked on the monitor.
2、Turn the baffle up clockwise.
3、Push the battery into the gate with the electrode point to the bottom of the monitor.
4、After pushing the battery inside the storage withdraw, the baffle turn back to the
middle position.
5、 Close the gate.
Uninstall battery
1、 Open the battery gate according to the direction marked on the monitor.
2、Turn the baffle up clockwise.
3、Take out the battery. Then close the gate.
If the user intends to connect the monitor to the central monitoring system, plug its
connecting electrical cable into the Network Connector at the back of the monitor.
Chapter 3-3
Patient monitor user’s manual
Note: This monitor can only be connected to the central monitoring system
provided by manufacturer, do not attempt to connect this monitor to other central
monitoring system.
Connect sensor cables to the relevant sockets on the monitor and put sensors on the
monitored locations on the body of the patient. Refer to the relevant content of Chapter 5
for details.
Warning: For safety reasons, all connectors for patient cables and sensor leads
(with the exception of temperature) are designed to prevent inadvertent
disconnection, should someone pull on the leads. Do not route cables in a way that
they may present a stumbling hazard. Do not install the monitor in a location where
it may drop to the patient. All consoles and brackets used must have a raised edge at
the front.
If the monitor you use has been provided with a recorder, before starting of monitoring
please check if the recorder has had recording thermal paper installed. The thermal side
(that is the smoother side) should face upwards and a small section should be pulled out
onto the outlet of the paper (on the right panel of the monitor).
If record paper has been used up, following the steps to install recording paper.
Chapter 3-4
Patient monitor user’s manual
1. Push down and pull out of the recorder cover to open recorder.
2. Install the paper with the thermal side upwards.
3. Close the recorder with a section of paper outside of the storage.
For detailed operation information, refer to Fig. 3-6-1
Chapter 3-5
Patient monitor user’s manual
Note: In each menu, press〈Previous〉to return to the previous menu and press
the〈Main〉button to return to main screen. In all the dialogue windows, there is help
info to indicate the current operation.
The ECG waveform of one lead is displayed on the uppermost region above the
waveforms (this lead is called key monitoring lead and is set by the <ECG1> option in
<ECG>), and the waveforms below are displayed differently according to different
configurations.
Chapter 4-1
Patient monitor user’s manual
2) NIBP Review
The recent groups of NIBP measurement results are displayed below the waveforms and
the measurement records can be browsed by turning the trim knob.
3) Big Numerics
The main parameters are displayed in big font, e.g. HR, SpO2, NIBP, RESP and EtCO2.
Chapter 4-2
Patient monitor user’s manual
4) Short Trend
The short trend diagram relevant to the parameters is displayed on the upper-left corner
of the waveform.
5) 7-Leads
The ECG waveforms of 7-lead are displayed in the waveform display zone, they are
I, II, III, aVR, aVL, aVF, and V- respectively.
Chapter 4-3
Patient monitor user’s manual
6) 12-leads
The 12-lead ECG waveforms are displayed in the waveform display zone, they are I, II,
Ⅲ, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6.
In order to facilitate the diagnosis and analysis of heart disease, monitor is especially
designed with displaying 12-lead (all-lead) ECG synchronously on screen. Select 〈 12
leads〉in the <Select Screen> of the <Main Setup>menu. The waveform is composed of
left and right regions, and displayed in the left region are ECG waveforms of limb leads
and on the right are the ECG waveforms of chest leads.
7) OxyCRG
The trend diagrams of HR, SpO2 and RESP within 16 minutes are displayed under the
waveforms.
Chapter 4-4
Patient monitor user’s manual
8) Other Bed
The info for other beds is showed below the waveforms, including one waveform and
parts of parameters. Among them, through <Bed NO>, the number of online machine can
be selected and through <Bed wave> the waveform display of other beds can be selected.
Press <Run> to initiate monitoring of other beds, and press <Stop> to terminate the
present monitoring of other beds. Switching from monitoring of other beds screen to other
screens will automatically terminate the present monitoring of other beds.
Chapter 4-5
Patient monitor user’s manual
Screen Such eight display modes as Standard, NIBP Review, Big Numerics, Short
Trend, 7 leads, 12 leads, oxyCRG and Other Bed can be selected. And the display mode
varies according to different manufacturer configurations.
Monitor Click and open the dialog of monitor configuration. Conduct some
configurations of the monitor.
Trend Review Click and open the dialog of trend browse. Browse trend tables or trend
diagrams.
Alarm Review Click and open the dialog of alarm event review. Browse alarm events.
ARR Review Click and open the dialog of arrhythmia review. Browse the waveforms
and events of arrhythmia.
Alarm Setup Click and open the dialog of alarm configuration. Conduct configuration
of alarm parameters.
New Patient Terminate the monitoring of the current patient and initiate the monitoring
of a new patient. Pressing the option will delete the monitoring data of the current patient
and patient Info and initiate the monitoring of a new patient.
Patient info Click and open the dialog of patient info. It provides the input and browse
of patient info.
Calculator Click and open the dialog of calculator.
Standby Click and enter the standby state.
Caution: After initiating the monitoring of a new patient, the data of historical
patients will be completely eliminated.
Chapter 4-6
Patient monitor user’s manual
Beep Volume Set the volume of BEEP and options are Off, 1, 2 and 3. After one
selection is made, a testing beep will be produced.
Alarm Volume Set the alarm volume and options are Off, 1, 2 and 3. After one selection
is made, a testing beep will be produced.
Wave Setup Click and open the dialog of waveform configuration. Conduct the
customization of screen waveforms and relevant waveform displays can be selected
according to needs.
Select Modu. Click and open the dialog of module configuration. Some of the modules
not in current use can be switched off, and after switching-off, the relevant parameters and
waveforms will not be displayed and no alarm will be made.
Trend Store Click and open the dialog of configuration of trend storage. It provides the
configuration function on the mode of trend storage and several modes of trend storage
can be defined.
Short Trend Click and open the dialog of short trend diagram. Some scales and time of
short trend diagram can be defined.
System Setup Click and open the dialog of system configuration. Conduct the
configuration and maintenance of systems.
System Info Click and open the dialog of system info. Some info of the system will be
displayed, such as version info.
Demo Switch on or switch off demonstration function
Chapter 4-7
Patient monitor user’s manual
Waveform Setup
Waveform 1 Select the waveform displayed in the first line, and according to the lead
types, different ECG waveforms can be selected (Note: The lead must be the ECG
waveform, and cannot be switched off). At 3-Leads mode, it is the key monitoring lead
and it is defaulted as Lead II.
Waveform 2 Select the waveform displayed in the second line, and options are Off,
Cascade and random waveform. When selecting <Cascade>, waveform 2 is the cascade
of waveform 1.
Waveform 3 Select the waveform displayed in the third line. Select Off close the wave
display or select certain waveform to display.
Waveform 4 Select the waveform displayed in the fourth line. Select Off close the wave
display or select certain waveform to display.
Waveform 5 Select the waveform displayed in the fifth line. Select Off close the wave
display or select certain waveform to display.
Waveform 6 Select the waveform displayed in the sixth line. Select Off close the wave
display or select certain waveform to display.
Waveform 7 Select the waveform displayed in the seventh line. Select Off close the
wave display or select certain waveform to display.
Waveform 8 Select the waveform displayed in the seventh line. Select Off close the
wave display or select certain waveform to display.
Waveform 9 Select the waveform displayed in the seventh line. Select Off close the
wave display or select certain waveform to display.
Waveform 10 Select the waveform displayed in the seventh line. Select Off close the
wave display or select certain waveform to display.
Chapter 4-8
Patient monitor user’s manual
Select Module
SpO2 Module Enable/Disable the display of SpO2 module. After switching-off, the SpO2
parameters and relevant alarm will not be displayed and the current SpO2 waveform will
be automatically switched off. After it is open, the SpO2 waveform will also be opened.
NIBP Module Please refer to SpO2 module instruction
Resp Module Enable/Disable the display of Resp module. After switching-off, the Resp
parameters and relevant alarm will no be displayed and the current Resp waveform will be
automatically switched off. After it is open, if there is no CO2 module, the Resp waveform
will be opened automatically.
CO2 Module Enable/Disable the display of CO2 module. After switching-off, the CO2
parameters and relevant alarm will no be displayed and the current CO2 waveform will be
automatically switched off. After it is open, the CO2 waveform will be automatically open,
if there is an RESP waveforms, the RESP waveform will be switched off.
Gas Module Please refer to SpO2 module instruction.
ICG Module Please refer to SpO2 module instruction.
Temp Module Click and open the dialog of Temp module setup.
Chapter 4-9
Patient monitor user’s manual
IBP1 Module Enable/Disable the display of IBP1 module. After switching-off, no IBP1
parameters and relevant alarm will be displayed and the current IBP1 waveform will be
automatically switched off. After it is open, the IBP1 waveform will also be opened.
IBP2 Module Please refer to IBP1 module instruction
Chapter 4-10
Patient monitor user’s manual
Interval Select the cycle intervals of trend storage and options are Off, 1min, 2min,
3min, 4min, 5min, 10min, 15min, 20min, 25min and 30min.
NIBP storage Enable/Disable the switch of NIBP storage. When it is enabled, it
indicates after NIBP measurement completed, a record will be stored.
ALM storage Enable/Disable the switch of alarm storage. When it is enabled, it
indicates if there is a high alarm of physiological parameters a record will be stored.
Warn storage Enable/Disable the switch of warning storage. When it is enabled, it
indicates if there is a medium alarm of physiological parameters a record will be stored.
Chapter 4-11
Patient monitor user’s manual
Time Scale Select the time interval of short trend diagram. Options are 5min, 10min,
15min, 20min, 30min, 1h and 2h.
HR Scale Select the scale of heart rate for short trend diagram. Options are 0~160/min
and 0~300/min.
SpO2 Scale Select the scale of SpO2 for short trend diagram. Options are 40~100%,
60~100% and 80~100%.
Resp Scale Select the scale of respiration rate for short trend diagram. Options are
0~8/min, 0~24/min, 0~50/min and 0~100/min.
ST Scale Select the scale of ST-segment for short trend diagram. Options are -2~+2mm,
-5~+5mm and -9~+9mm.
IBP1 Scale Select the scale of IBP1 for short trend diagram. Options are 0~300mmHg,
0~150mmHg, 0~200mmHg, 0~100mmHg, -20~50mmHg and -50~300mmHg.
IBP2 Scale Select the scale of IBP2 for short trend diagram. Options are 0~300mmHg,
0~150mmHg, 0~200mmHg, 0~100mmHg, -20~50mmHg and -50~300mmHg.
EtCO2 Scale Select the scale of EtCO2 for short trend diagram. Options are 0~30mmHg,
0~60mmHg and 0~100mmHg.
C.I. Scale Select the scale of C.I. for short trend diagram. Options are 2~4 L/min/m2,
2~6 L/min/m2 and 2~8 L/min/m2.
System Setup
Chapter 4-12
Patient monitor user’s manual
Recorder Setup
Record Wave1 Select the waveform recording in the first line. Select certain waveform
to record. It cannot be switched off.
Record Wave2 Select the waveform recording in the second line. Select Off close the
wave display or select certain waveform to record.
Record Wave3 Select the waveform recording in the third line. Select Off close the
wave display or select certain waveform to display.
Record Time Select the time duration of the waveform for each recording. Options are
8s, 12s and 16s.
Interval Select the time interval for cycle recording. Options are Off, 1min, 2min,
Chapter 4-13
Patient monitor user’s manual
Time Setup
The user can configure system time. The user is advised to set system time before
implementing monitoring. If the configuration is to be conducted during the process of
monitoring, the user is advised to switch off the monitor after exiting the current window
and then restart it. The time for the revision takes effect after the current window is exited.
Chapter 4-14
Patient monitor user’s manual
Mode Setup
Factory Select the default configuration defined by the manufacturer and options are
Cancel, Adult, Children and Neonatal, select〈Cancel〉to abort it.
User Config Select the mode of user saving. Select the previous custom configuration,
select〈Cancel〉to abort it.
Save Config Save the current configuration info as custom configuration, enter the
name of the user custom configuration, select〈OK〉to save the current mode and select
〈Cancel〉to cancel saving.
Delete Delete the previous data of custom configuration, select the custom configuration
that needs to be deleted; press the selected mode to delete the mode, and press〈Cancel〉
to cancel deleting.
Caution: The mode name cannot be black when saving current configuration,
otherwise, the custom configuration will not be save.
Chapter 4-15
Patient monitor user’s manual
Alarm levels of all the parameters can be configured. Press <Set Alarm level > option,
the cursor will move to the region of configuring alarm levels. If the alarm level of a
certain parameter is to be configured, first move the cursor to the alarm level of that
parameter, press the option and then select the alarm level, Options are low, med and
high.
Machine Setup
Chapter 4-16
Patient monitor user’s manual
System Maintenance
Trend Setup Click and open the dialog of trend display configuration. Conduct
configurations of trend diagrams and trend tables.
Color Click and open the dialog of color configuration and configure colors of
parameters and waveforms.
Network Click and open the dialog of network configuration. Conduct network
Chapter 4-17
Patient monitor user’s manual
configurations.
Trend Setup
The user can define various trend display info according to needs or use the display
configuration for default trend.
Chapter 4-18
Patient monitor user’s manual
Chapter 4-19
Patient monitor user’s manual
Color Setup
Enter the interface of color configuration, the colors of various parameters and
waveforms can be configured.
Network Setup
Chapter 4-20
Patient monitor user’s manual
set to ON or OFF.
Set WID Set the wireless ID of the bedside unit.
System Info
Chapter 4-21
Patient monitor user’s manual
Trend Table
Page Press this option and turn the trim knob to conduct the paging operation. Press it
again to restore the initial status. If more than one page of trend diagrams or trend tables
are configured, then the paging is switched between the trend diagrams or trend tables
between different pages.
Cursor Press this option, turn the trim knob and move the cursor in the trend diagrams
or trend tables. Press it again to restore the initial status. It is possible to move the cursor
in the trend diagrams and trend tables. In the trend tables, it is possible to browse the trend
records by moving the cursor, and if it moves to the left side or the right side of trend
diagram , continue moving can roll the trend diagram by 1/4 screen to the left or right.
Record Press this option to record the trend tables of the current page, but the trend
diagram does not support recording.
Scale Press this option and the time intervals for one page of trend diagrams can be
selected. Options are 1h, 2h, 4h, 6h, 8h, 10h, 12h, 24h, 48h and 72h and 168h.
Graph Press this option to switch to the display of trend diagram.
Table Press this option to switch to the display of trend tables
Chapter 4-22
Patient monitor user’s manual
<</>> Select this button, turn the trim knob to roll the records back and forth.
1/1 Select this button, turn the trim knob to turn the pages back and forth.
Record Print the currently selected alarm events through the recorder; and if no recorder
is configured, this option is invalid.
Exit Exit the dialog of alarm review
4.2.4 ARR Review
Click and open the dialog of arrhythmia review and the arrhythmia data for 8 seconds
are displayed on each screen, i.e. the ECG waveforms 4 seconds before and after the
occurrence of the event, and a maximum of 128 groups of abnormal data can be stored for
search.
|<< Turn to the first abnormal waveform record.
>>| Turn to the last abnormal waveform record.
<</>> Select this button and turn the trim knob to turn the records back and forth.
Record Print the ECG waveform of the current screen through the recorder. If no
recorder is configured, this option is invalid.
Exit Exit the dialog of Arrhythmia Review.
Chapter 4-23
Patient monitor user’s manual
Common Alarm Click and open the dialog of common parameters alarm. It can setup
the alarm limits of common parameters.
Chapter 4-24
Patient monitor user’s manual
IBP Alarm Click and open the dialog of IBP alarm. It can setup the alarm limits of IBP.
GAS Alarm Click and open the dialog of GAS alarm. It can setup the alarm limits of the
GAS module.
Chapter 4-25
Patient monitor user’s manual
ST Alarm Click and open the dialog of ST alarm. If the ST analysis is not configured,
this option is invalid.
ARR Alarm Click and open the dialog of ECG analysis alarm. It can setup the alarm
limits of various Arrhythmia.
Chapter 4-26
Patient monitor user’s manual
ICG Alarm Click and open the dialog of ICG alarm. It can setup the alarm limits of the
ICG module.
Alarm Record Click and open the dialog of alarm recording. Configure whether the
alarm records of various modules are recorded. Only when the switch for alarm recording
of the module and the switch for alarm record in the record setup have been switched on,
the physiological alarm in the relevant modules will trigger the alarm recording.
Chapter 4-27
Patient monitor user’s manual
Alarm volume Configure the volume of alarm and options are off,1,2 and 3. Once a
level is selected, a testing beep will be produced.
Case No. The case number of patients (It can be configured according to the actual
status of the hospital and a maximum of 10 letters can be entered), press〈Del〉to delete
and〈Clear〉to clear; enter〈OK〉to confirm.
Name Patient name (It can be selected among A-Z and 0-9 and a maximum of 10 letters
can be entered) enter〈OK〉to confirm.
Height Body height of patient (Turn the trim knob with an increment or decrement of 1
cm)
Weight Body weight of patient (Turn the trim knob with an increment or decrement of 1
kg)
Chapter 4-28
Patient monitor user’s manual
Chapter 4-29
Patient monitor user’s manual
to be calculated, confirm the patient weight and then enter other known values.
Drug name
Move the cursor to〈Drug name〉, press the trim knob, then turn the trim knob to select
drug, and only one kind of drug can be selected for calculation at one time.
DRUG_A, DRUG_B, DRUG_C, DRUG_D and DRUG_E are only codes for drugs
rather than their real names. The units for these five kinds of drugs are fixed and the
operator can select the appropriate units according to the habits of the drugs. The rules of
the units are as follow:
DRUG_A, DRUG_B, DRUG_C are fixed at the serial units of gram (g), milligram
(mg) and microgram (mcg).
DRUG_D is fixed at the serial units of unit, k unit and m unit.
DRUG_E is fixed at the unit of mEq.
Weight
The operator should enter the patient weight first, and as independent info the weight is
only used in the function of the calculation of drug concentration.
Turn the trim knob to move the cursor to the positions of the various calculation items
in the calculation formula respectively, turn the trim knob, and select calculation value,
then press the trim knob and confirm the selected calculation value. When the calculation
value is selected, the value of the calculated item will be displayed at relevant locations.
There are range limits for the value adoption of each calculation Item, if the calculation
results exceed the range, “---”will be displayed.
Regarding this function of drug calculation, the values for other individual items can
only be entered after the weight and drug name have been entered. In the system, the
values that are given initially are only a group of random initial values and the operator
shall not take this value as the calculation standard and a group of values appropriate to
the patient must be reentered according to the physicians’ comments.
Each kind of drugs has a fixed unit or unit series and the operator must select the
appropriate units according to the physicians' comments. In the unit series of the same unit,
the addition of the units will be automatically adjusted in accordance with the current
entered value. When the expressed range that can be expressed by this unit is exceeded,
the system will display “---”.
When the operator has entered the value of a certain item, the system will give a prompt
in the menu so as to remind the operator to verify the correctness of the entered value.
Only by ensuring the correctness of the entered values, the calculated values can be
Chapter 4-30
Patient monitor user’s manual
Titration table
Select〈Titration〉in the menu of drug calculation to enter the interface of titration table.
In the titration table, turn the trim knob to〈Base〉, then press the trim knob to select the
desired item. Options are Dose, Trans speed and Drop speed. After selecting, press the
trim knob to confirm the selection.
Move the cursor to〈Step〉and press the trim knob to select the step size; the selectable
range is 1-10.
Move the cursor to〈Dose Type〉and press the trim knob to select the dosage unit.
Move the cursor to〈Page Up /Down〉, press the trim knob, and then turn the trim knob
to browse the previous page and next page.
Move the cursor to〈Record〉, press the trim knob to give the output of the data of the
titration table on the currently displayed interface.
Move the cursor to 〈 Exit 〉 , press the trim knob to return to the window of drug
calculation.
Chapter 4-31
Patient monitor user’s manual
2. After you have finished the data input, please make sure they are correct. Then you can
press the button〈Calc〉to get the following window
Chapter 4-32
Patient monitor user’s manual
〈4/4〉 Press the button, then turn the knob to flip the page. The former “4”
shows the current page, the back one shows the number of the total
pages.
〈Range/Unit〉 Press the button, the unit of the parameter will disappear, and the
unit of the parameter in red word will be changed into the logical range
of them. Press the button again, the unit of them will be displayed.
〈Record〉Press the button, the current page will be printed out.
〈Show Input〉Press the button, the corresponding input of current result will be
present.
〈Exit〉Press the button to quit the current result window.
Note: The red words mean the parameters’ values are beyond the logical range.
After the output parameter, the sign of “---”will appear sometime, it means
the parameter is invalid .
Chapter 4-33
Patient monitor user’s manual
Input Parameter
Abbreviation Unit Full Name
C.O. L/min Cardiac output
HR bpm Heart rate
PAWP mmHg Pulmonary artery wedge pressure
Art Mean mmHg Mean artery pressure
PA Mean mmHg Mean pulmonary artery pressure
CVP mmHg Central venous pressure
EDV ml End diastolic volume
Height cm Height
Weight kg Weight
Output Parameter
Abbreviation Unit Full Name
C.I. L/min/m2 Cardiac index
BSA m2 Body surface area
SV ml Stroke volume
SI ml/m2 Stroke index
SVR DS/cm5 Systemic vascular resistance
SVRI DS·m2/cm5 Systemic vascular resistance index
PVR DS/cm5 Pulmonary vascular resistance
PVRI DS·m2/cm5 Pulmonary vascular resistance index
LCW kg·m Left cardiac work
LCWI kg·m/m2 Left cardiac work index
LVSW g·m Left ventricular stroke work
LVSWI g·m/m2 Left ventricular stroke work index
RCW kg·m Right cardiac work
RCWI kg·m/m2 Right cardiac work index
RVSW g·m Right ventricular stroke work
RVSWI g·m/m2 Right ventricular stroke work index
EF % Ejection fraction
Chapter 4-34
Patient monitor user’s manual
(2) R-R interphase difference histogram: It reflects the difference of R-R interphase,
namely, the extent of sinus arrhythmia. The abscissa is the dispersion of R-R interphase of
sinus beat. The midpoint is zero. The R-R interphase difference histogram is as follows:
Chapter 4-35
Patient monitor user’s manual
(3)Scatter: The abscissa is the R-R interphase of previous heart rate. And the ordinate
is the R-R interphase of next heart rate. The rest may be deduced by analogy. The X-axis
is RRn. The Y-axis is RRn+1. Each heart rate points make the R-R interphase scatter. The
scatter displays the linearity and nonlinear variety trend of HRV. According to the scatter,
you can see the state of autonomic tones function. The scatter is as follows:
Chapter 4-36
Patient monitor user’s manual
(4) R-R trend graph: It is the summarizing of all kinds of indexes after analyzing the
data in a period of time. It reflects its variety. The abscissa is time. And the ordinate is the
average of R-R interphase in a period of time. The R-R trend graph is as follows:
Chapter 4-37
Patient monitor user’s manual
〈Time Length〉: Set the time length of blood pressure monitoring. Options are “24h,
48h”;
〈 Time Inter. 〉 : Set the time interval of NIBP analysis, Options are “5 min,10
min,15 min,30 min”;
〈Start Anal.〉: Click it to begin ambulatory blood pressure analysis;
〈 Anal. Result 〉 : Click it to display the NIBP analysis result. The NIBP analysis
window is as follows:
Chapter 4-38
Patient monitor user’s manual
This Monitor adopts color LCD screen with high brightness, which can display
parameters, waveforms, system status and other prompt info. The main screen is mainly
divided into three regions, they are respectively:
Display zone of system info and alarm prompt info (the uppermost part)
Waveform display zone (left, and It shall vary according to different screen types)
Parameter display zone (right and lowest part)
Note: When the battery capacity is exhausted, the system produces an alarm
sound, prompting the user to plug in the AC power for recharging; if it is not
recharged in time, the monitor will be automatically switched off due to insufficient
capacity more than 5 minutes.
Caution: When the energy level of the battery is exhausted, plug in the AC
power to recharge, and then the battery indication may quickly return to “Full
battery level”; the AC plug should be plugged in so as to ensure the full capacity of
the battery.
Chapter 4-39
Patient monitor user’s manual
Alarm levels
Red base color is high alarm
Yellow base color is medium and low alarm
The order displayed by the physiological parameter alarm is displayed from left to
right in turn according to the alarm levels.
Parameter alarm
The value of that parameter displayed on the upper part of the screen will flash to
indicating the alarm of that parameter.
Chapter 4-40
Patient monitor user’s manual
Warning: Before connecting the ECG cables to the monitor, please check if the
lead wires and cables have been worn out or cracked. If so, they should be replaced.
Warning: It is imperative to only use the ECG cables provided with the
instrument by manufacturer.
Chapter 5-1
Patient monitor user’s manual
Warning: All the electrodes and conducting part shall not be into contact with
any other conductors including the ground. For the sake of patient safety, all the
leads on the ECG cables must be attached to the patient.
Warning: Do not come into contact with the patient, bed and the monitor
during defibrillation.
Warning: The monitor cannot be directly applied to heart and cannot be used
for the measurement of endocardio ECG.
Note: When several parts of equipment are interconnected, the total leakage
current is limited to the safety range according to standards IEC 60601-2-27.
Chapter 5-2
Patient monitor user’s manual
V1 V2
CH2
V3 12-leads ECG monitoring
V6 V5
Chapter 5-3
Patient monitor user’s manual
Check if the buttons on the electrodes are clean and free of damage.
Place the electrodes on the body of patient. Before attaching, smear some conducting
cream on the electrodes if the electrodes are not electrolyte self-supplied.
Connect the cable leads to the electrodes through the buttons of the electrodes.
Note: For patients who tremble a lot or patients with especially weak ECG
signals, it might be difficult to extract the ECG signals, and it is even more difficult to
conduct HR calculation. For severely burnt patients, it may be impossible to stick the
electrodes on and it may be necessary to use the special pin-shape electrodes. In case
of bad signals, care should be taken to place the electrodes on the soft portions of the
muscle.
Note: Check the irritation caused by each electrode to the skin, and in case of
any inflammations or allergies, the electrodes should be replaced and the user should
relocate the electrodes every 24 hours or at a shorter interval.
Note: When the amplifier is saturated or overloaded, the input signal is medical
meaningless, then the equipment gives an indication on the screen.
RA LA
V1
V2
V3
V4 V5 V6
RL LL
Chapter 5-4
Patient monitor user’s manual
The following table shows the lead name to identify each lead wire and its associated
color of AHA and IEC standards.
When conducting 3-leads ECG monitoring, use 3-lead ECG cable. The three limb-leads
of RA, LA and LL as shown in Fig. 5-1-5, will be placed on the relevant locations. This
connection can establish the lead of I, II, III.
When conducting 7-leads ECG monitoring, use 5-lead ECG cable. The four limb-leads
of RA, LA, RL and LL as shown in Fig. 5-1-5, will be placed on the relevant locations.
This connection can establish the lead of I, II, III, aVR, aVL, aVF; according to actual
needs, chest lead V can be placed on any of the locations between V1~V6, respectively
making one lead of V1~V6 established.
When conducting 12-leads ECG monitoring, use the 5-lead ECG cable and chest-lead
ECG cable at the same time, and all the leads are placed on the relevant locations
respectively as indicated by Fig. 5-1-5, among which the chest lead V of the 5-lead ECG
cable is placed on the location of V4. This kind of connection realizes the establishment of
such 12 leads as I, II, III, aVR, aVL, aVF, V1~V6.
Chapter 5-5
Patient monitor user’s manual
ECG1 Select the ECG waveform, and this lead is the key monitoring lead.
ECG Gain Select the gain item of ECG waveform,and options are AUTO, 0.25x, 0.5x,
1.0x, 2.0x and 4.0x.
HR Source Select HR source item, and common options are AUTO, ECG, PLETH.
When select ART for IBP measurement, the option ART is appeared in HR source.
Beep Volume Select the volume of BEEP, and options are Off, 1,2 and 3. Once an
option is selected, a testing beep will be produced.
Alarm Setup Click and open the dialog of alarm setup.
ECG Setup Click and open the dialog of ECG setup.
ECG Replay Click and open the dialog of ECG replay.
ARR Setup Click and open the dialog of Arrhythmia analysis configuration, Configure
some of the parameters of Arrhythmia analysis.
ST Adjust Click and open the dialog of ST adjustment. In the pop-up window you
can adjust the position of ST point and ISO point.
Alarm setup
Chapter 5-6
Patient monitor user’s manual
Adjust alarm Select this option to enter the configuration of alarm limits and configure
the limits by turning the trim knob to select the high limits and low limits, and exit by
selecting〈EXIT〉. The upper part is the high limit and the lower part is the low limit.
HR alarm Select <ON> to enable HR over limit alarm; select <OFF> to disable HR
over limit alarm.
Chapter 5-7
Patient monitor user’s manual
ST Alarm Select <ON> to enable ST over limit alarm; select <OFF> to disable ST over
limit alarm;
Adjust alarm Select this option to enter the configuration of alarm limits; by turning the
trim knob, select the high limits and low limits for configuration and exit by selecting
〈Exit〉. The upper part is the high limit and the lower part is the low limit;
Default Select this option and configure the ST alarm as the manufacturer’s default
configuration;
Enable All Select this option and configure all the ST alarms as low level alarms.
ARR alarm Click and open the dialog of Arrhythmia analysis alarm.
Chapter 5-8
Patient monitor user’s manual
ECG Setup
Lead Type Select the lead type of ECG input, and options are 5 leads, 3 leads, Auto
and 12 leads.
Scan Speed Select the scanning speed of ECG waveforms and options are 12.5mm/s,
25mm/s and 50mm/s. The output speed of the recorder remains the same as the scanning
speed of the ECG lead.
MODE Select monitoring mode, and options are USER, DIAG, MON and OPS.
Resp Lead Select the calculation methods of RESP lead, and options are RA-LL,
RA-LA, RL-LA and RL-LL.
DRIFT Select the modes of drift filtrations, and options are Off, Drift 1 and Drift 2.
EMG Select myoelectric filtration, and options are Off, 25Hz and 40Hz.
HUM Select hum frequency filtration, and options are Off and on. Specific frequencies
(50HZ, 60HZ) are configured in〈Machine〉and they must be configured according to the
Chapter 5-9
Patient monitor user’s manual
Note:Under the mode of DIAG, OPS and MON, the state of the filter cannot be
regulated. Only under the state of USER can the state be regulated.
Caution: When “5 Lead” is selected as <Lead Type>, ECG is in 5-lead input mode,
and Lead I, II, III, aVR, aVL and aVF and one chest lead can be measured at the
same time; if chest lead ECG cable is connected, V1~V6 can be measured at the same
time.
Chapter 5-10
Patient monitor user’s manual
ECG replay
Start Save: Click it to save the waveform. Click it again to stop saving the
waveform.
Hist. Replay: Enter history replay window.
Curr. Replay: Enter current replay window showed as follows:
<</>> Select this button and it is possible to roll the waveform block by turning the
trim knob back and forth, with 5 seconds each block.
1/1 Select this button, and it is possible to turn the pages back and forth, and the
number before “/” shows the current page and the number following “/” shows total page
numbers.
Record Print the enlarged waveform in current selection through the recorder.
Exit Exit the dialog of ECG replay.
Chapter 5-11
Patient monitor user’s manual
ARR Setup
ARR Only when〈ON〉is selected, the monitor will conduct Arrhythmia analysis
ST Only when〈ON〉is selected , the monitor will conduct ST-segment analysis.
Pacemaker Only when〈ON〉is selected ,the monitor will conduct pace-making analysis
on patient with pacemaker.
PVCs Only when the times of continuous occurrences is selected from 1 to 10 , the
monitor will set off the alarm for the frequent occurrences of ventricular premature
contractions.
PACs Only when the times of continuous occurrences is selected between 1 and 10, the
monitor will set off the alarm for the times of premature beat.
ST High ST alarm high limit of arrhythmia analysis, and the unit is mV.
ST Low ST alarm low limit of arrhythmia analysis, and the unit is mV. In arrhythmia
analysis, only when the ST-segment exceeds the configured high and low limits will be
regarded as the elevation or depression of the ST-segment. They are different from the
high and low limit in the configuration of ST alarm limits.
ARR Review Click and open the dialog of arrhythmia review. The user can review the
arrhythmia that have occurred and can browse the waveforms 4 seconds before and after
the occurrence of arrhythmia alarm.
ARR Learn Click it and you can start the arrhythmia relearning manually.
Chapter 5-12
Patient monitor user’s manual
ST Adjust
The ST value for each beat complex is the vertical difference between the ISO point and
the ST point, as shown in the figure below. The isoelectric (ISO) point provides the
baseline, the ST point is at the midpoint of the ST segment. The J point is where the QRS
complex changes its slope; as it is a fixed distance away from the ST point, it can be
useful to help you position the ST point correctly.
In the ECG menu, select〈ST Adjust〉, the QRS complex will be displayed on the
popped up window, the two vertical lines indicate the position of ISO point and ST point.
Set the R wave peak as the reference point for ST measurement.
The ST measurement points and ISO point need to be adjusted when you start
monitoring, and if the patient's heart rate or ECG morphology changes significantly.
You can select〈ISO〉or〈ST〉and then adjust the point right and left.
Caution: When conducting ST analysis, the system will not consider abnormal
QRS complex.
Chapter 5-13
Patient monitor user’s manual
Applicable Patient
Arrhythmia Type Alarm Level
Type
ASYSTOLE All Default High,User selectable
VENT FIB/TACHY Non-paced Default High,User selectable
MULTI PVCS Non-paced Default medium,User selectable
COUPLET Non-paced Default medium,User selectable
BIGEMINY Non-paced Default medium,User selectable
TRIGEMINY Non-paced Default medium,User selectable
RON T Non-paced Default medium,User selectable
VPB Non-paced Default medium,User selectable
TACHY All Default medium,User selectable
BRADY All Default medium,User selectable
MISSED BEATS Non-paced Default medium,User selectable
ST HIGHER All Default medium,User selectable
ST LOWER All Default medium,User selectable
PNP Paced Default medium,User selectable
PNC Paced Default medium,User selectable
NOISE All Default medium,User selectable
VTACHY Non-paced Default High,User selectable
PVCS HIGHER Non-paced Default medium,User selectable
Chapter 5-14
Patient monitor user’s manual
Warning: For the sake of safety, all the leads on the 5-lead ECG cable must be
connected to the body of patient.
Caution: In order to get the best RESP waveforms, when selecting leadⅡfor
measuring RESP, it is advised to place RA and LL electrodes cornerways.
Caution: For reducing the influence of rhythmic blood flow on Resp electrode
pickup impedance changes, avoid the liver area and ventricles of heart in the line
between RA and LL electrodes. This is particularly important for neonates.
Caution: The measurement of RESP is not applicable for patient with excessive
motion, otherwise it may cause the mistake of RESP alarm.
Chapter 5-15
Patient monitor user’s manual
Scan Speed Select the scanning speed of RESP waveform, and options are 6.25mm/s,
12.5mm/s and 25mm/s.
Resp Gain Select the waveform gain, and options are 0.25x, 1x, 2x and 4x.
Resp Source When the system is configured with CO2 module, RESP source can be
selected as AUTO, ECG and EtCO2.Only when the monitor that user has bought has CO2
module, EtCO2 of RESP source is valid, otherwise the RESP source is defaulted as
ECG.
Apnea Alarm Suffocation alarm occurs when the time of zero RESP rate has reached this
time scale, the alarm will be set off. Options are Off, 10s, 20s, 40s and 60s.
Resp Alarm Click and open the dialog of Resp alarm configuration.
Resp Lead Select the calculation methods of Resp lead, and options are RA-LL,
RA-LA, RL-LA and RL-LL.
Resist Drift Select <ON> to enable resist drift; select <OFF> to disable resist drift.
Chapter 5-16
Patient monitor user’s manual
Resp Alarm
Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high or low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the lower one is the low limit.
RESP alarm Select <ON> to enable RESP over limit alarm; select <OFF> to disable
RESP over limit alarm.
Chapter 5-17
Patient monitor user’s manual
The sensor measurement wavelengths are nominally 660nm for the Red LED and
940nm for infrared LED.
Abnormal hemoglobin, carboxyhemoglobin, oxidative hemoglobin are not directly
measured, for they are not the affecting factors in the measurement of SpO2
Monitor adopts FFT filter and signal correlation techniques to deal with SpO2 module’s
pulse waveform signals. Before the measurement of SpO2, the noise produced in the false
trace is smoothed so as to the eliminate disturbance in the measurement of saturation. In
case of weak blood pulse, the noise produced by some confinements of electrical
properties is greatly reduced.
The monitor is designed for measurement and recording of functional saturation.
When you use Masimo SpO2 module, the Perfusion Index (PI) and Pleth Variability
Index (PVI) can be measured and displayed on the screen.
Perfusion index (PI): PI is a value that indicates arterial pulse signal strength as the
percentage of pulsatile signal to non-pulsatile signal. The perfusion index allows
clinicians to place sensors on optimal sites.
Pleth Variability Index (PVI): PVI is a measure of peripheral perfusion changes
secondary to respiration, or the PI amplitude modulation over a respiration, and can be
closely related to intrathoracic pressure changes.
Chapter 5-18
Patient monitor user’s manual
Caution: In case it is necessary to add a clip to fix the fingertip sensor, the cable
instead of the sensor itself should be clipped. Please note that the cable of sensor
should not be pulled with force.
Note: Frequent movements of the sensor may result in errors in the readings of
the monitor.
Warning: In case NIBP and SpO2 are measured at the same time, please do not
place the SpO2 sensor and the NIBP cuff on the same end of the limb, for the
measurement of NIBP will block blood flow, affecting the measurement of SpO2.
Note: When using SpO2 sensor, care should be taken to shield external light
sources, such as light of thermo therapy or ultraviolet heating light, otherwise the
measurements may be disturbed. Under such conditions as shock, hypothermia,
anemia or the use of blood vessel-activating drugs, and with the existence of such
substances as carboxyhemoglobin, methemoglobin, methylene blue the result of the
SpO2 measurement will be possibly not accurate.
Note:
Make sure the nail faces to the light window.
The wire should be on the backside of the hand.
SpO2 waveform is not proportional to the pulse volume.
Warning: Do not use the sterile supplied SpO2 sensors if the packing or the
sensor is damaged and return them to the vendor.
Chapter 5-19
Patient monitor user’s manual
Beep Volume Select the BEEP volume and options are Off, 1, 2 and 3. Once an option
is selected, a testing beep will be produced.
HR Source Select the option of HR source, and options are AUTO, ECG and PLETH.
When selecting AUTO, the HR source is ECG with the priority; and if there is no current
ECG, the system automatically derives HR from SpO2.
Scan Speed Select the scanning speed of the SpO2 waveform, and options are 6.25mm/s,
12.5mm/s, 25mm/s and 50mm/s.
Alarm Setup Click and open the dialog of SpO2 alarm configuration.
Average Time Select the average time for SpO2. The shorter the averaging time is, the
quicker the monitor responds to the change in the patient’s oxygen saturation level. (It is
invalid while use Nellcor SpO2 module).
SpO2 Mode Select the response time mode for SpO2, and options are Common mode
and Fast mode. It is valid only use the Nellcor SpO2 module.
When you use Masimo SpO2 module, the below settings will be displayed.
FastSat The FastSat mode is clinically applicable during procedures when detecting
rapid changes in oxygen saturation is paramount such as induction, intubation and sleep
studies. You can select On or Off to enable or disable the FastSat mode.
Sensitivity Select the sensitivity level of Masimo SpO2 module according to use
condition, the options are Max, Normal and Apod. The Apod mode is the least sensitive
in picking up a reading on patients with low perfusion but has the best detection for
probe-off conditions. The Apod mode is useful for patients that are at particular risk of the
sensor becoming detached (pediatric, combative, etc.)
Chapter 5-20
Patient monitor user’s manual
Wave mode Select whether Resp wave includes in the SpO2 wave or not, the options are
Resp filter and Resp Inclu.
Alarm Setup
Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high and low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the lower one is the low limit.
SpO2 alarm Select <ON> to enable SpO2 over limit alarm; select <OFF> to disable
SpO2 over limit alarm.
PR alarm Select <ON> to enable PR over limit alarm; select <OFF> to disable PR
over limit alarm.
When you use Masimo SpO2 module, the below settings will be displayed.
Delay Time Select the delay time in the alarms as required in the options. If you select
a delay time, when the SpO2 value is within the threshold of alarm limit, it will not trigger
the alarm until reaching the delay time.
Threshold Select the threshold of the alarm limit.
Chapter 5-21
Patient monitor user’s manual
Prompt Description
Weak Signal The invalidation weak signal
* The low intensity signal
** The medium intensity signal
*** The high intensity signal
Chapter 5-22
Patient monitor user’s manual
Warning:
Do not sterilize by irradiation, steam, or ethylene oxide.
Do not subject the sensor to autoclaving.
Do not immerse the sensor into any liquid.
Do not use any sensor or cable that may be damaged or deteriorated.
Note: When disposing the disposable SpO2 probe or useless SpO2 probe, please
observe all local, state, and federal regulations that relate to the disposal of this
products or similar products.
Disinfection:
Use a piece of clean cloth to wipe the sensor and patient contact surfaces with a 10%
bleach solution or 70% isopropyl alcohol, clean with clear water and wipe it dry.
Masimo Patents:
This device is covered under one or more of the following U.S.A. patents: 5,758,644,
5,823,950, 6,011,986, 6,157,850, 6,263,222, 6,501,975 and other applicable patents listed
at: www.masimo.com/patents.htm.
No Implied License:
Possession or purchase of this device does not convey any express or implied license to
use the device with unauthorized sensors or cables which would, alone, or in combination
with this device, fall within the scope of one or more of the patents relating to this device.
Chapter 5-23
Patient monitor user’s manual
Caution: The TEMP sensor and cables should be handled with care. When not in
use, the sensor and the cable should be rounded into loose ring shape.
Chapter 5-24
Patient monitor user’s manual
Alarm Setup Click and open the dialog of configuration for TEMP alarm.
Chapter 5-25
Patient monitor user’s manual
Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high or low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the lower one is the low limit.
T1 alarm Select <ON> to enable T1 over limit alarm; select <OFF> to disable T1 over
limit alarm.
T2 alarm Select <ON> to enable T2 over limit alarm; select <OFF> to disable T2 over
limit alarm.
Note: For protecting environment, the disposable TEMP probe must be recycled
or disposed of properly.
Disposal Note: Should the TEMP probe become damaged beyond repair, or for
some reason its useful life is considered to be at an end, please observe all local, state,
and federal regulations that relate to the disposal of this products or similar
products.
Chapter 5-26
Patient monitor user’s manual
Chapter 5-27
Patient monitor user’s manual
Note: Make sure that the air conduit connecting the blood pressure cuff and the
monitor is neither blocked nor tangled, and avoid compression or restriction of air
conduit.
Warning:
You must not perform NIBP measurements on patients with sickle-cell
disease or under any condition that the skin is damaged or expecting to be
damaged.
For a thrombasthemia patient, it is important to determine whether
measurement of the blood pressure shall be done automatically. The
determination should be based on the clinical evaluation.
Prolonged non-invasive blood pressure measurements in Auto mode are
associated with purport, ischemia and neuropathy in the limb wearing the
cuff. When monitoring a patient, examine the extremities of the limb
frequently for normal color, warmth and sensitivity. If any abnormality is
observed, stop the blood pressure measurements.
Chapter 5-28
Patient monitor user’s manual
Auto Time Configure the cycle intervals of BP measurement and options are 1min,
2min, 3min, 4min, 5min, 10min, 15min, 30min, 60min, 90min, 2Hour, 4Hour and
8Hour. During measurements, it cannot be altered.
Mode Configure the measurement mode of NIBP and options are Manual, Auto and
STAT.
If STAT mode is configured, after measurement, the system will be automatically
configured as the previous measurement mode. There is no STAT mode for neonatal. If
STAT is selected, the rapid measurement will be initiated once it is confirmed.
Object Objects of measurements shall be configured, and options are Adult, Children,
Neonatal and Hyperpiesia. The selection of objects of measurements during the
measuring process will terminate the ongoing measurement.
Init_Inflate Select an appropriate initial cuff inflation pressure according to patient
category and requirement.
Unit Select the unit for the NIBP measurement, and options are kPa and mmHg.
NIBP Alarm Click and open the dialog of alarm configuration of NIBP.
Leakage Air Leakage test
Vein Pun. You can use the NIBP cuff to cause sub-diastolic pressure, and block the
venous blood vessel to assist venous puncture. Select〈Vein Pun.〉, and set to a proper
value.
Start Pun. After you set a proper value for〈Vein Pun.〉, and select〈Start Pun.〉to start
it.
Chapter 5-29
Patient monitor user’s manual
NIBP Alarm
Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high or low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the lower one is the low limit.
Alarm Source Select the alarm source for NIBP parameters. When the selected
parameter or one of the parameter exceed alarm limit, the monitor will give out alarm
signal. The options are as follow:
〈S〉:Only Systolic pressure exceeds the alarm limit will trigger the alarm system.
〈D〉:Only Diastolic pressure exceeds the alarm limit will trigger the alarm system.
〈M〉:Only Mean pressure exceeds the alarm limit will trigger the alarm system.
〈S/M〉:Systolic pressure or mean pressure exceeds the alarm limit will trigger the alarm
system.
〈 D/M 〉: Mean pressure or diastolic pressure exceeds the alarm limit will trigger the
alarm system.
〈S/D〉:Systolic pressure or diastolic pressure exceeds the alarm limit will trigger the
alarm system.
〈S/D/M〉:Mean pressure, systolic pressure or diastolic pressure exceeds the alarm limit
will trigger the alarm system.
Alarm Switch Select <ON> to enable parameter over limit alarm; select <OFF> to
disable parameter over limit alarm.
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When using the STAT measurement or AUTO measurement, if the time duration is relatively
long, care must be taken to check such abnormalities as purple spots, coldness and numbness at
the limb end. If there are such phenomena, the cuff should be relocated or the measurement of
NIBP should be halted. To neonate mode, STAT measurement is unavailable.
The presence of factors that change the properties of the cardiovascular dynamics of
patient will adversely affect the measurement value of the monitor, and shock and
hypothermia will also affect the accuracy of the measurement.
When the built-in main artery balloon pump is applied on the patient, the
measurement value of NIBP will be affected.
For the limb that is on an intravenous drip or in a catheter insertion, or if the patient
is connected to the heart-lung machine, or the patient is experiencing shiver or
convulsions, the measurement of NIBP cannot be conducted.
When errors occur in the measurement of NIBP, the error codes will appear in the
parameter display zone of the NIBP, and for the cause of the errors, please refer to
chapter 6.8.6.
Measurement Limitations
Measurements are impossible with heart rate extremes of less than 40 bpm or greater
than 240 bpm, or if the patient is on a heart-lung machine.
The measurement may be inaccurate or impossible:
1) If a regular arterial pressure pulse is hard to detect
2) With cardiac arrhythmias
3) With excessive and continuous patient movement such as shivering or convulsions
4) With rapid blood pressure changes
5) With severe shock or hypothermia that reduces blood flow to the peripheries
6) With obesity, where a thick layer of fat surrounding a limb dampens the oscillations
coming from the artery
7) On an edematous extremity.
Warning: The calibration of the NIBP measurement is necessary for every two
years (of as frequently as dictated by your Hospital Procedures Policy). The
performance should be checked according to the following details.
Chapter 5-31
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1) Replace the cuff of the device with a rigid metal vessel with a capacity of 500 ml
±5%.
2) Connect a calibrated reference manometer with an error less than 0.8 mmHg and a
ball pump by means of a T-piece connector and hoses to the pneumatic system.
3) Access the NIBP menu.
4) Turn the trim knob to the〈Manometer〉option and press. Then the NIBP module
has started performing calibration.
5) Inflate the pneumatic system to 0mmHg, 50mmHg and 200 mmHg by ball pump
separately. The difference between the indicated pressure of the reference
manometer and the indicated pressure of the monitor will not exceed 3 mmHg.
Otherwise, please contact our customer service.
6) Press the〈NIBP/STAT〉button on front panel can stop the calibration.
Monitor Reference
NIBP Manometer
Hose
Ball Pump
Metal Vessel
1) Connect the cuff securely with the socket for NIBP air hole.
2) Wrap the cuff around the cylinder of an appropriate size.
3) Access the NIBP setup window.
4) Select the〈Leakage〉option and press. Then the prompt “Air Leakage test” will
appear on the NIBP parameter area indicating that the system has started
performing Air Leakage test.
5) The system will automatically inflate the pneumatic system to about 180mmHg.
6) After 20 seconds or so, the system will automatically open the deflating valve,
which marks the completion of an air leakage test.
7) If no error information displays on NIBP parameter area, it indicates that the
airway is in good situation and no air leaks exist. However if the prompt “AIR
Chapter 5-32
Patient monitor user’s manual
SYSTEM LEAK” appears in the place, it indicates that the airway may have air
leaks. In this case, the user should check for loose connection. After confirming
secure connections, the user should re-perform the air leakage test. If the failure
prompt still appears, please contact the manufacturer for repair.
8) Press the〈NIBP/STAT〉button on front panel can also stop the test.
Warning: Do not squeeze the rubber hose on the cuff. Do not allow liquid to
enter the connector socked at the front of the monitor. Do not wipe the inner part of
the connector socked when cleaning the monitor.
Disposal Note: Should the blood pressure cuff become damaged beyond repair,
or for some reason its useful life is considered to be at an end, please observe all local,
state, and federal regulations that relate to the disposal of this products or similar
products.
Chapter 5-33
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4. Clean the cover of the cuff with the mild soap solution.
5. Dry the cover and the bladder. Roll the bladder and insert it into the large opening, as the figure
5-5-9 shows. Hold the hose and the cuff and shake the complete cuff until the bladder is in position. Put
the hose out through the small hole under the internal flap.
Fig. 5-5-8 Take out the bladder Fig. 5-5-9 Insert the bladder
Warning:
Clean the bladder frequently, will cause the bladder scathed, except the
necessary, do not clean the bladder.
Do not dry the bladder and cover with high temperature.
If need the high level disinfecting, please selecting the disposable cuff.
Chapter 5-34
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Note: The method of touching test is to touch slightly the surface with finger.
Waveforms should appear on the screen of the main unit. The blue ball cover
should be put on the surface immediately when the energy converter is not used.
Warning: The operator should avoid contact with the conductive parts of the
appurtenance when being connected or applied.
2) Plug the cable of IBP into the IBP socket on the right panel of the monitor. Connect the
extension tube of the transducer and blood vessel with the artery needles and secure them,
then make sure three-way valve 1 and three-way valve 2 (See Fig. 5-6-4) are in a state of
ON. At this moment, BP waveforms should appear on the screen of the monitor.
3) Set up parameters and modes relevant to IBP.
Chapter 5-35
Patient monitor user’s manual
IBP Label Select the names of IBP labels. Options are IBP1, IBP2, ART, CVP, PA,
RAP, ICP and LAP.
Unit Select the units of IBP, and options are mmHg, kPa and cmH2O.
Scan speed Select the scanning speed of IBP waveforms, and options are 12.5mm/s,
25mm/s and 50mm/s.
Wave scales Select the scale of IBP waveforms and options are AUTO, 0~200mmHg,
0~300mmHg, -10~20mmHg and -50~300mmHg.
Display Select the format of IBP display, and options are S/D (M), S/D, Mean and M
(S/D).
IBP Zero Conduct zero-calibration on IBP.
IBP Alarm Click and open the dialog of IBP alarm limit configuration.
Chapter 5-36
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Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high and low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the lower one is the low limit.
Alarm Source Select the alarm source for IBP parameters. When the selected parameter
or one of the parameter exceed alarm limit, the monitor will give out alarm signal. The
options are as follow:
〈S〉:Only Systolic pressure exceeds the alarm limit will trigger the alarm system.
〈D〉:Only Diastolic pressure exceeds the alarm limit will trigger the alarm system.
〈M〉:Only Mean pressure exceeds the alarm limit will trigger the alarm system.
〈S/M〉:Systolic pressure or mean pressure exceeds the alarm limit will trigger the alarm
system.
〈 D/M 〉: Mean pressure or diastolic pressure exceeds the alarm limit will trigger the
alarm system.
〈S/D〉:Systolic pressure or diastolic pressure exceeds the alarm limit will trigger the
alarm system.
〈S/D/M〉:Mean pressure, systolic pressure or diastolic pressure exceeds the alarm limit
will trigger the alarm system.
Alarm Switch Select <ON> to enable parameter over limit alarm; select <OFF> to
disable parameter over limit alarm.
5.6.4 Calibration of Zero-point
Start the unit and preheat it for 3 minutes. If it is in a stable state, turn off three-way
valve 2 and turn on three-way valve 1, and then select option in <IBP Zero> of <IBP
Setup>, then it can be seen on the screen that the scanning baseline has returned to zero
baseline.
Note: In the course of zeroing, should turn off the three-way valve near artery
needle, don't connect artery needle with patient and make sure there is no air inside the
whole tube.
Note: The pressure measuring side of the transducer should be on the same
plane as the heart of the patient in the process of zero-setting and measurement and
the user should make sure there is no air inside the whole tube in order to assure the
correctness of the measured results. If air is found in tube or in pressure transducer,
they must be rinsed by physiological salt solution.
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Warning: If liquid (not the liquid which used to douche the tubes and pressure
transducers) spills on equipment or accessories, especially when the liquid is likely to
enter the equipment or transducer, contacting with the maintenance department of
the hospital immediately.
Saline water
Sterilization container
Artery needle
Roller clip
Three-way valve 1
Extension tube
Pressure transducer
Free valve
Air vent
Cable
Socket for
connecting IBP
Note: AUTO will adjust the scale on which the pressure waveform is displayed
on the screen automatically for the best observation status.
Chapter 5-38
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Warning: It is the responsibility of the user to ensure that a zero procedure has
recently been done on the transducer, otherwise there will be no recent, valid zero
value for the instrument to use, which may result in inaccurate measurement results.
IBP Calibration
Caution:
Mercury calibration should be performed by the biomedical engineering department
either whenever a new transducer is used, or as frequently as dictated by your
Hospital Procedures Policy.
The purpose of the calibration is to ensure that the system gives you accurate
measurements.
Before starting a mercury calibration, a zero procedure must be performed.
If you need to perform this procedure yourself you will need the following pieces of
equipment:
Standard sphygmomanometer
3-way stopcock
Tubing approximately 25 cm long
Warning: You must never perform this procedure while patient is being
Chapter 5-39
Patient monitor user’s manual
monitored.
1) Close the stopcock that was open to atmospheric pressure for the zero calibration.
2) Attach the tubing to the sphygmomanometer.
3) Ensure that connection that would lead to patient is off.
4) Connect the 3-way connector to the 3-way stopcock that is not connected to the
patient catheter.
5) Open the port of the 3-way stopcock to the sphygmomanometer.
6) Inflate to make the mercury bar rise to 0, 50 and 200 mmHg separately. The
difference between the indicated pressure of the sphygmomanometer and the
indicated pressure of the monitor will not exceed ±4% or ±4 mmHg, whichever is
greater. Otherwise, please contact the manufacturer.
7) After calibration, disassemble the blood pressure tubing and the attached 3-way valve.
Disposal Note: When disposing the disposable transducers and tubing, please
observe all local, state, and federal regulations that relate to the disposal of this
products or similar products.
Use the CO2 measurement to monitor the patient’s respiratory status and to control
patient ventilation. The measurement principle is primarily based on the fact that CO2
molecules can absorb special infrared light, where the intensity of infrared light passing
the respiratory gas is measured with a photo detector. As some of the infrared light is
absorbed by the CO2 molecules, the amount of light passing the gas probe depends on the
concentration of the measured CO2.
Chapter 5-40
Patient monitor user’s manual
Dehydration flask
Dehydration flask
Nip here
According to the Fig. 5-7-3, one end of the sampling tube has been connected with
screw thread interface of the dehydration flask, and the other end of the sampling tube
has been connected with the screw thread interface tube ( Φ 10mm) of the patient
Anaesthesia machine or Ventilator (If not the type screw thread interface tube, please
connect the requirement type tube ) the sampling tube’s port can also been fixed on
the naris of patient with adhesive plaster.
Chapter 5-41
Patient monitor user’s manual
Sampling tube
Select < CO2 Setup> button in Main Screen, then select the <Start> and press this
button to start sampling pump, begin measuring EtCO2.
Pay attention to the water level of dehydration flask. If the highest water level reaches,
Please replace the dehydration flask in time to prevent the module from soaking by
water.
When air is getting across the sampling tube, a period of time will cost. So, a delay
time will appear from starting measure to showing waveform in the screen and
measuring result.
Please keep the sampling tube clean, and prevent the tube from clogging by dust.
Note : Dehydration flasks and sampling tubes are disposable, please use
products provided or designated by manufacturer.
Chapter 5-42
Patient monitor user’s manual
Scan Speed Select the scanning speed of RESP waveforms, and options are 6.25mm/s,
12.5mm/s and 25mm/s.
Resp Source Select Resp source. And options are AUTO, ECG and EtCO2.
Unit Select the unit for CO2, and options are mmHg, % and kPa.
Resp Gain Select the gain of RESP waveform, and options are 1x, 2x and 4x.
Alarm Setup Click and open the dialog of CO2 alarm.
Start Press this button to start the sampling pump to initiate the measurement of CO2
(only valid on sidestream CO2).
Stop Press this button to switch off the sampling pump and terminate the measurement
of CO2 (only valid on sidestream CO2).
Offset Cal Select the mode of drift calibration. Options are Cancel, Automatic and
Manual. During the common measurements, please remain the default configuration as
Automatic. Only when it is necessary to conduct gain calibration should this option be
configured as Manual (only valid on sidestream CO2 which sampling pump has been
started).
Wave Type Select display type of CO2 waveform. The options are Draw and Fill.
Back to Main Return to main screen.
Chapter 5-43
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Alarm Setup
Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high or low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the lower one is the low limit.
EtCO2 alarm high limit, its configuration range is 0.0 ~ 13.1% (0 ~ 99.6mmHg)
continuously adjustable, no lower than the low limit; the configuration range of EtCO2
alarm low limit is 0.0~13.1% (0~99.6mmHg) continuously adjustable, no higher than
the high limit.
FiCO2 alarm high limit, its configuration range is 0.0 ~ 13.1% (0 ~ 99.6mmHg)
continuously adjustable, no lower than the low limit; the configuration range of FiCO2
alarm low limit is 0.0~13.1% (0~99.6mmHg) continuously adjustable, no higher than
the high limit.
Resp alarm high limit, its configuration range is 0~150 rpm continuously adjustable, no
lower than the low limit; the configuration range of Resp alarm low limit is 0~150rpm
continuously adjustable, no higher than the high limit.
Apnea alarm when the time of zero Resp rate has reached this time scale, the alarm will
be set off. Options are Off, 5s, 10s, 20s, 40s, 60s, 80s, 100s and 120s.
Alarm Source Select the alarm source for CO2 parameters. When the selected parameter
or one of the parameter exceed alarm limit, the monitor will give out alarm signal. The
options are as follow:
〈Et〉:Only EtCO2 exceeds the alarm limit will trigger the alarm system.
〈RR〉:Only RR exceeds the alarm limit will trigger the alarm system.
〈Et/RR〉:EtCO2 or RR exceeds the alarm limit will trigger the alarm system.
Alarm Switch Select the switch of CO2 alarm.
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Patient monitor user’s manual
Caution: When the monitor is powered on, the pump in the CO2 module is set
off as default configuration. Since long-time running of sampling pump could
shorten the life of CO2 module, please start sampling pump manually, and stop
the sampling pump after monitoring has been finished.
Chapter 5-45
Patient monitor user’s manual
Note: User may only calibrate the device under the instruction of the technical
personnel authorized by company. Moreover, wrong calibrating procedure may
result in false reading.
Use the CO2 measurement to monitor the patient’s respiratory status and to control
patient ventilation.
5.8.1 Preparing to Measure CO2
1. Attaching the LoFlo Module Cable
To attach the LoFlo module cable, plug the cable into the CO2 socket on the left panel
of monitor by matching the key on the cable to the key on the connector.
Caution: To remove the module cable from the monitor, grasp the collar
surrounding the cable and pull up.
Chapter 5-46
Patient monitor user’s manual
Fig.5-8-1
Fig.5-8-2
Note:
Inserting the sample cell into the receptacle automatically starts the
sampling pump. Removal of the sample cell turns the sample pump off.
To remove the sample cell from the sample cell receptacle, press down on the
locking tab and pull the sample cell from the sample cell receptacle.
2) If the sampling pump fails to turn on, or runs intermittently, perform a “Zero”
procedure. (Refer to the chapter 5.8.3)
3) Ensure that the LoFlo module exhaust tube vents gases away from the module
environment.
4) Wait for the CO2 module to warm up.
The monitor will display the Sensor Warm Up message for approximately one
minute while the module warms up to operating temperature. The message disappears
when the module is ready for use.
Chapter 5-47
Patient monitor user’s manual
Scan speed Select the scanning speed of RESP waveforms, and options are 6.25mm/s,
12.5mm/s and 25mm/s.
RESP source Select RESP source. And options are AUTO, ECG and EtCO2.
Unit Select the unit for CO2, and options are mmHg, % and kPa.
Resp Gain Select the gain of RESP waveform from ECG, and options are 1x, 2x and
4x.
Alarm setup Click and open the dialog of CO2 alarm.
CO2 setup Click and open the dialog of CO2 setup.
Wave Type Select display type of CO2 waveform. The options are Draw and Fill.
Back to Main Return to main screen.
Chapter 5-48
Patient monitor user’s manual
Gas Temp Select the temperature of gas. (Turn the trim knob with an increment or
decrement of 1℃)
Barometric Select the Atmospheric pressure. (Turn the trim knob with an increment
or decrement of 1mmHg)
EtCO2 Period Select the response time of EtCO2, the options are 1 breath, 10s and 20s.
Zero Gas Select the gas type of zeroing, the options are Air and N2.
Compensation Select the concentration of oxygen. (Turn the trim knob with an
increment or decrement of 1%)
Balance gas Select the balance gas type, the options are Air, N20 and Helium.
Anesthetic Select the concentration of balance gas. (Turn the trim knob with an
increment or decrement of 0.1%)
Zero Press the button to start zeroing. It is only valid when the system
detects that the module can be zeroed.
5.8.3 Zero
Zeroing allows the LoFlo module or CAPNOSTAT 5 sensor to adjust to the optical
characteristics, in order to obtain accurate readings. While zeroing is recommended the
first time a LoFlo module or CAPNOSTAT 5 sensor is connected to the unit, it is only
absolutely necessary when the message Zero Required is displayed.
Warning:
Always ensure that the sample cell is properly connected to the LoFlo module
before zeroing.
Chapter 5-49
Patient monitor user’s manual
Note:
Do not attempt zeroing for 20 seconds after removing the adapter or cannula
from the patient’s airway. This time allows any CO2 remaining in the adapter or
cannula to dissipate before zeroing.
Do not attempt to zero the module while the adapter or cannula is in the
patient’s airway.
Do not attempt zeroing if the temperature is not stable.
Zeroing with CO2 in the adapter or cannula can lead to inaccurate
measurements or other error conditions. If you attempt zeroing while CO2
remains in the adapter or cannula, the time required to zero the module may be
increased.
Fig.5-8-3
For intubated patients with an integrated airway adapter in the breathing circuit:
Connect the male connector on the straight sample line to the female port on the airway
adapter. (Fig.5-8-4)
Chapter 5-50
Patient monitor user’s manual
Fig.5-8-4
For non-intubated patients: Place the nasal cannula onto the patient. (Fig.5-8-5)
Fig.5-8-5
For patients prone to mouth breathing use an oral-nasal cannula. Trim the oral sampling
tip if necessary to fit the patient. It should extend down past the teeth and be positioned in
the mouth opening. Remove the cannula from the patient if the tip needs to be trimmed.
(Fig.5-8-6)
Fig.5-8-6
For nasal or oral-nasal cannulas with oxygen delivery, place the cannula on the patient
as shown then attach the oxygen supply tubing to the oxygen delivery system and set the
prescribed oxygen flow.
Warning: Always connect the airway adapter to the sensor before inserting the
airway adapter into the breathing circuit. In reverse, always remove the airway
adapter from the breathing circuit before removing the sensor.
Caution: Always disconnect the cannula, airway adapter or sample line from
the sensor when not in use.
Chapter 5-51
Patient monitor user’s manual
Use an exhaust tube to remove the sample gas to a scavenging system. Attach it to the
microstream sensor at the outlet connector.
Warning:
Do not use in the presence of flammable anesthetics or other flammable gasses.
Use of the LoFlo Module in such environment may present an explosion hazard.
Electrical Shock Hazard: Always disconnect the LoFlo Module before cleaning.
Do not use if it appears to have been damaged. Refer servicing to qualified
service personnel.
Do not position the sensor cables or tubing in any manner that may cause
entanglement or strangulation.
Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use
cannula kits and on-airway adapters may compromise functionality and system
performance leading to a user or patient hazard. Performance is not guaranteed
if an item labeled as single patient use is reused.
Inspect the microstream on- airway adapters, microstream sampling kits and
CO2 airway adapters for damage prior to use. Do not use the microstream on-
airway adapters, microstream sampling kits and CO2 airway adapters if they
appear to be damaged or broken.
Replace the microstream on- airway adapters, microstream sampling kits and
CO2 airway adapters if excessive secretions are observed.
Monitor the CO2 waveform (Capnogram). If you see changes or abnormal
appearance check the airway adapters and the sampling line. Replace it if needed.
Do not operate the LoFlo Module when it is wet or has exterior condensation.
Do not apply excessive tension to any cable.
Do not use device on patients that can not tolerate the withdrawal of 50
ml/min±10 ml/min from the airway or patients that can not tolerate the added
dead space to the airway.
Do not connect the exhaust tube to the ventilator circuit.
Chapter 5-52
Patient monitor user’s manual
Caution:
Use only accessories provided by manufacturer.
Do not sterilize or immerse the LoFlo Module in liquids.
Do not clean the LoFlo Module and accessories except as directed in this manual.
Remove the LoFlo sampling kit sample cell from the receptacle when not in use.
Do not stick appendage into sample receptacle.
Always insert sample cell before inserting the on-airway adapter into the
ventilated circuit
Always remove the on-airway adapter from the ventilated circuit before
removing the sample cell.
Note:
This product and its accessories are latex free.
After the life cycle of the LoFlo Module and its accessories have been met,
disposal should be accomplished following national and local requirements.
Nitrous oxide, elevated levels of oxygen and helium can influence the CO2
measurement. Please setup gas compensation according to actual state.
Barometric pressure compensation is required to meet the stated accuracy of the
LoFlo Module.
Caution: To remove the sensor cable from the monitor, grasp the collar
surrounding the cable and pull up.
Chapter 5-53
Patient monitor user’s manual
4. Zero
Please refer to chapter 5.8.3
5. Attaching the airway adapter to the airway circuit
After zeroing, attach the airway adapter to the airway circuit as follow.(Fig.5-9-1)
Fig.5-9-1
6. Ensure the airway air-proof and ready to measure
Chapter 5-54
Patient monitor user’s manual
5.9.3 Zero
Please refer to chapter 5.8.3
Warning:
Do not use in the presence of flammable anesthetics or other flammable gasses.
Use of the CAPNOSTAT5 sensor in such environment may present an explosion
hazard.
Electrical Shock Hazard: Always disconnect the CAPNOSTAT5 sensor before
cleaning. Do not use if it appears to have been damaged. Refer servicing to
qualified service personnel.
Do not position the sensor cables or tubing in any manner that may cause
entanglement or strangulation.
Reuse, disassembly, cleaning, disinfecting or sterilizing the single patient use CO2
airway adapters may compromise functionality and system performance leading
to a user or patient hazard. Performance is not guaranteed if an item labeled as
single patient use is reused.
Inspect the CO2 airway adapters for damage prior to use. Do not use the CO2
airway adapters if they appear to be damaged or broken.
Replace the CO2 airway adapters if excessive secretions are observed.
If the CO2 waveform (Capnogram) appears abnormal, inspect the CO2 airway
adapters and replace if needed.
Monitor the CO2 waveform (Capnogram) for elevated baseline. Elevated baseline
can be caused by sensor or patient problems.
Periodically check the CAPNOSTAT5 sensor and tubing for excessive moisture
or secretion buildup.
Do not operate the CAPNOSTAT5 sensor when it is wet or has exterior
condensation.
Caution:
Use only accessories provided by manufacturer.
Do not sterilize or immerse the CAPNOSTAT5 sensor in liquids.
Do not clean the CAPNOSTAT5 sensor and accessories except as directed in this
manual.
Chapter 5-55
Patient monitor user’s manual
It is recommended that the CO2 sensor be removed from the circuit whenever an
aerosolized medication is delivered. This is due to the increased viscosity of the
medications which may contaminate the sensor windows, causing the sensor to
fail prematurely.
Do not apply excessive tension to the CAPNOSTAT5 sensor cable.
Note:
This product and its accessories are latex free.
After the life cycle of the CAPNOSTAT5 sensor and its accessories have been met,
disposal should be accomplished following national and local requirements.
Nitrous oxide, elevated levels of oxygen and helium can influence the CO2
measurement. Please setup gas compensation according to actual state.
Barometric pressure compensation is required to meet the stated accuracy of the
CAPNOSTAT5 sensor.
Do not place the combined CO2 sensor between the ET tube and the elbow
(pediatric or adult circuit), as this may allow patient secretions to block the
adapter windows.
Position the combined CO2 sensor with its windows in a vertical and not a
horizontal position: this helps keep patient secretions from pooling on the
windows.
Chapter 5-56
Patient monitor user’s manual
5.10 Measurement of AG
Note: This chapter describes the operation of IRMA multi-gas sensor and ISA
multi-gas module, if you use the IRMA CO2 sensor, please refer to this chapter.
3. A green LED indicates that the AG sensor is ready for use. A blue LED
indicates that may measurement of anesthetic gases.
Chapter 5-57
Patient monitor user’s manual
Female connector
Male connector
5. Unless the AG sensor is protected with an HME always position the AG sensor with the
indicating LED pointing upwards
Pre-use Check
1、Check the reading on the monitor is correct or not before connecting the airway
adapter to the breathing circuit.
2、Always verify gas readings and waveforms on the monitor before connecting the
airway adapter to the patient circuit.
3、Perform the tightness check of the patient circuit with the AG sensor snapped on the
AG airway adapter.
Chapter 5-58
Patient monitor user’s manual
Sidestream AG module
1) Connect the AG module cable into the CO2/AG socket on the left panel of the monitor..
2) Connect a Nomoline sampling line to the inlet port of the AG module.
Inlet port
Sampling line
3) Connect the gas sample exhaust port to a scavenging system or return the gas to the
patient circuit.
4) Power up the patient monitor.
5) A green LED indicates that the AG module is ready for use.
6) Perform a pre-use check:
① Connect the sampling line to the inlet port of the AG module.
② Check that the AG module shows a steady green light (indicating that the system is
OK)
③ For AG module with O2 option fitted: Check that the O2 reading on the monitor is
correct (21%).
④ Breathe into the sampling line and check that valid CO2 waveforms and values are
displayed on the monitor.
⑤ Occlude the sampling line with a fingertip and wait for 10 seconds.
⑥ Check that an occlusion alarm is displayed and that the AG module shows a flashing
red light.
⑦ If applicable: Perform a tightness check of the patient circuit with the sampling line
attached.
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AA type Select the types of anesthetic gas, and options are AA, HAL, ENF, ISO, SEV
and DES. After the monitor is turn on, if no AA types are configured, there will be a
technical alarm prompting the configuration of AA and need to designate a kind of
anesthetic gas. Considering safety, the configuration will not be saved after the monitor is
switched off.
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Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high and low limits and exit by selecting
〈EXIT〉.The upper part is the high limit and the lower one is the low limit.
EtAA alarm high limit, its configuration range is 0.0~ 30.0% continuously adjustable,
no lower than the low limit; the configuration range of EtAA alarm low limit is 0.0 ~
30.0% continuously adjustable, no higher than the high limit.
FiAA alarm high limit, its configuration range is 0.0 ~ 30.0% continuously adjustable,
no lower than the low limit; the configuration range of FiAA alarm low limit is 0.0 ~
30.0% continuously adjustable, no higher than the high limit.
Alarm Source Select the alarm source for AA parameters. When the selected parameter or
one of the parameter exceed alarm limit, the monitor will give out alarm signal. The
options are as follow:
〈EtAA〉:Only EtAA exceeds the alarm limit will trigger the alarm system.
〈FiAA〉:Only FiAA exceeds the alarm limit will trigger the alarm system.
〈Et/Fi〉:EtAA or FiAA exceeds the alarm limit will trigger the alarm system.
Alarm Switch Select the switch of AA alarm.
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Adjust alarm Select this option to enter the configuration of alarm limits. conduct the
configurations by turning the trim knob to select high and low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the low one is the low limit.
FiO2 alarm high limit, its configuration range is 18~100% continuously adjustable, no
lower than the low limit; the configuration range of FiO2 alarm low limit is 18~ 100%
continuously adjustable, no higher than the high limit. FiO2 alarm cannot be switched
off, and when lower than 18% it will trigger high alarm.
EtO2 alarm high limit, its configuration range is 10~100% continuously adjustable, no
lower than the low limit; the configuration range of EtO2 alarm low limit is 10~ 100%
continuously adjustable, no higher than the high limit.
FiO2 alarm Select <ON> to enable FiO2 over limit alarm; select <OFF> to disable FiO 2
over limit alarm.
EtO2 alarm Select <ON> to enable EtO2 over limit alarm; select <OFF> to disable
EtO2 over limit alarm.
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Adjust alarm Select this option to enter the configuration of alarm limits; conduct the
configurations by turning the trim knob to select high and low limits and exit by selecting
〈EXIT〉. The upper part is the high limit and the lower one is the low limit.
FiN2O alarm high limit, its configuration range is 0~82% continuously adjustable, no
lower than the low limit; the configuration range of FiN 2O alarm low limit is 0 ~ 82%
continuously adjustable, no higher than the high limit.
EtN2O alarm high limit, its configuration range is 0~100% continuously adjustable, no
lower than the low limit; the configuration range of EtN2O alarm low limit is 0~100%
continuously adjustable, no higher than the high limit.
Alarm Source Select the alarm source for N2O parameters. When the selected parameter
or one of the parameter exceed alarm limit, the monitor will give out alarm signal. The
options are as follow:
〈EtN2O〉:Only EtN2O exceeds the alarm limit will trigger the alarm system.
〈FiN2O〉:Only FiN2O exceeds the alarm limit will trigger the alarm system.
:EtN2O or FiN2O exceeds the alarm limit will trigger the alarm system.
〈Et/Fi〉
Alarm Switch Select the switch of N2O alarm.
Warning:
Disposable IRMA airway adapters shall not be reused. Reuse of the single use
adapter can cause cross infection.
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To keep secretions and moisture from pooling on the windows or oxygen sensor
port, always position the IRMA probe in a vertical position with the LED pointing
upwards. Shown as follows:
Measuring window
Do not use the IRMA airway adapter with metered dose inhalers or nebulized
medications as this may affect the light transmission of the airway adapter windows.
Do not try to open the oxygen sensor assembly. The oxygen sensor is a disposable
product and contains a caustic electrolyte and lead.
The IRMA sensor is intended only as an adjunct in patient assessment. It must
be used in conjunction with other assessments of clinical signs and symptoms.
Replace the adapter if rainout/condensation occurs inside the airway adapter.
Use only PHASEIN manufactured IRMA airway adapters.
The IRMA sensor is not intended to be in patient contact.
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Caution:
Do not apply tension to the sensor cable.
Do not operate the IRMA sensor outside the specified operating temperature
environment.
Do not leave depleted oxygen sensors mounted in the IRMA sensor, even if the
probe is not in use
Always disconnect the IRMA sensor from the monitor when not in use to
prolong the lifetime of IRMA sensor.
The materials of patient breath tubing which is connected to the gas adapter,
can’t be anti-static and electric ones. Or it will be more dangerous when using HF
electrosurgical equipments.
If error occurs in IRMA sensor, the indicating light will keep in red, and blink in
red means the sensor is check the airway adapter.
The lifetime of the oxygen sensor is up to six months since its leaving factory. If it
cannot work normally or the parameter cannot be accurate measured due to
exceeding time limit, please replace the oxygen sensor timely.
If the AG airway adapter is detached from the sensor, or low voltage of oxygen
sensor cell, or there is something wrong with the sensor, the prompting message may
pop up on one of above conditions
Sidestream AG module:
Warning:
Use only Nomoline sampling lines manufactured by PHASEIN.
The sidestream AG module must not be used with flammable anesthetic agents.
Carefully route the sampling line to reduce the risk of patient entanglement or
strangulation.
Do not re-use disposable sampling lines.
Do not lift the monitor by the sampling line as it could disconnect from the
monitor, casing the monitor to fall on the patient.
Used disposable sampling lines shall be disposed of in accordance with local
regulations for medical waste.
Do not use adult/pediatric type sampling line configurations with infants, as this
may add dead space to the patient circuit.
Do not use infant type sampling line configurations with adults, as this may cause
excessive flow resistance.
Do not use the sidestream AG module with metered-dose inhalers or nebulized
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Caution:
Do not apply tension to the sidestream AG module cable.
Do not operate the sidestream AG module outside the specified operating
temperature environment.
5.10.4 Zeroing
Mainstream AG sensor:
In order to ensure the accuracy of gas measurement, zero reference calibration should
be performed at regular intervals.
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Warning: Incorrect zero reference calibration will result in false gas readings.
Caution:
User may only perform zero reference calibration under the instruction of the
technical personnel authorized by manufacturer.
Ensure the AG sensor is running more than 15min before replacing a new airway
adapter. Please perform zero more than 2min after replacement.
Sidestream AG module:
The sidestream AG module needs to establish a zero reference level for the CO2, N2O
and anesthetic agent gas measurement. This zero calibration is here referred to as
"zeroing".
The sidestream AG module performs zeroing automatically by switching the gas
sampling from the respiratory circuit to ambient air. The automatic zeroing is performed
every 24 hours, and takes less than 3 seconds for CO2 module and less than 10 seconds for
AG module.
If the sidestream AG module is fitted with an oxygen sensor, the automatic zeroing
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Warning: Since a successful zeroing requires the presence of ambient air (21%
O2 and 0% CO2) in the AG module, ensure that the AG module is placed in a
well ventilated place. Avoid breathing near the sidestream AG module before or
during the zeroing procedure.
Note:
Altitude, patient age and other individual factors are not considered in the
formula above.
ET gas concentrations for secondary agent (AA2) is only available for IRMA
AX+ sensors.
Mainstream AG sensor:
The IRMA sensor can be cleaned using a cloth moistened with maximum 70% ethanol
or maximum 70% isopropyl alcohol.
Remove the disposable IRMA Airway Adapter prior to cleaning the IRMA sensor.
Caution:
The IRMA airway adapters are non-sterile devices. Do not autoclave the devices
as this will damage them.
Never sterilize or immerse the IRMA sensor in liquid.
Sidestream AG module:
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Warning:
The Nomoline sampling lines are non-sterile devices. To avoid damage, do not
autoclave any part of the sampling line.
Never sterilize or immerse the ISA sidestream module in liquid.
5.10.7 Maintenance
The ISA sidestream module is permanently factory calibrated. The module’s stable
design, results in no routine calibrations. If you want to conduct a maintenance task for the
module, please send it to manufacturer.
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fluid levels change, which affects the impedance to the electrical signal transmitted by
the sensors.
ICG uses an advanced algorithm to determine the level of change in impedance, to
generate ICG waveform, and to calculate or derive hemodynamic parameters.
Warning:
Do not allow patients to wear ICG sensors when undergoing Magnetic
Resonance Imaging (MRI) due to risk of severe burns.
Ensure that the sensor gel, sensors or lead wires do not contact any other
conductive materials (including earth-grounded materials) during patient
monitoring.
The ICG measurement is designed for assessment of most adult patients. ( Height
122-229 cm and weight 30-159 kg)
Do not conduct ICG monitoring on the patient with minute ventilation sensor
function pacemaker (MV pacemaker), and the MV pacemaker function is
enabled.
The ICG sensor can only be applied to one patient at one time.
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conductor of electricity. It is necessary to clean the patient’s skin for sensors placement, as
the following step:
1. Select sites with intact skin, without impairment of any kind.
2. Clip or shave hair from sites as necessary.
3. Gently abrade the skin and remove dead skin cells to improve the conductivity of the
sensor site.
4. Wash sites thoroughly with soap and water, leaving no soap residue.
We do not recommend using ether or pure alcohol, because this dries the skin and
increases the resistance.
5. Dry skin thoroughly.
Connect ICG cable
Plug the ICG cable into the ICG socket on the left panel of monitor (refer to Fig.1-5-1).
1. A pair of sensors placed below the earlobe on each side of the neck.
2. Another pair of sensors placed on the midaxillary line at the xiphoid process level.
3. The two sensors must be placed right on the opposite position (180°).
Input patient information
1. Select〈ICG〉, open the〈ICG Setup〉menu;
2. Select〈Input Info〉;
3. Set the parameters, including height, weight, sex, age, SYS, DIA, MEAN, CVP and
PaoP.
The parameters (height, weight, sex, age) are associated with the parameters in the
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patient info of system. If the parameters have been changed here, the parameters in the
patient info of system alter at the same time, and vice versa.
There are default value of SYS, DIA, MEAN, CVP and PaoP, user may change them
according to actual value.
ICG Param Click and open the window to show the current hemodynamic parameters
of patient.
Input Info Click and open the dialog of patient’s info input.
Alarm Setup Click and open the dialog of ICG alarm setup.
Param Select Click and open the dialog of parameter selection.
Scan Speed Select the scanning speed of ICG waveform, and the options are 6.25
mm/s,12.5mm/s,25mm/s.
Update Rate Select the interval of parameter updating, and the options are 5,10,20,
30,40,50,60.
Beat Average Selects how many beats are averaged to determined displayed data, and
the options are 5,10,20,30,40,50,60.
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ICG Parameter
Chapter 5-74
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Adjust Alarm Select this option to enter the configuration of alarm limits, conduct the
configuration by turning the trim knob to select high or low limit and exit by selecting
EXIT. The upper part is the high limit and the lower one is the low limit.
Alarm Source Select the alarm source for ICG parameters. When the selected parameter
or one of the parameter exceed alarm limit, the monitor will give out alarm signal. The
options are as follow:
〈C.I.〉:Only C.I. exceeds the alarm limit will trigger the alarm system.
〈TFC〉:Only TFC exceeds the alarm limit will trigger the alarm system.
〈C.I./TFC〉:C.I. or TFC exceeds the alarm limit will trigger the alarm system.
Alarm Switch Select the switch of ICG alarm.
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Param Select
Param1 Select the parameter to display on the area1, and the options are C.O.、C.I.、
SV、SI、SVR、SVRI、TFI、TFC、HR.
Param2 Select the parameter to display on the area1, and the options are C.O.、C.I.、
SV、SI、SVR、SVRI、TFI、TFC、HR.
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Chapter 6 Alarm
This chapter gives general information about the alarm and corresponding remedies.
Note: The equipment generates all the auditory and visual alarms through
speaker, LED and screen.
There are two kinds of alarms, defined as physiological alarm and technical alarm.
Physiological alarms refer to those alarms triggered by patient’s physiological situation
which could be considered dangerous to his or her life, such as SpO2 exceeding alarm
limit (parameter alarms). Technical alarms refer to system failure, which can make certain
monitoring process technically impossible or make monitoring result unbelievable.
General alarm belongs to those situations that cannot be categorized into these two cases
but still need to pay some attention. Each alarm, either technical or physiological, has it’s
own priority.
Alarms in the monitor are divided into three priorities, that is: high priority, medium
priority and low priority.
High priority alarm indicates the patient’s life is in danger. It is the most serious
alarm.
Medium priority alarm means serious warning.
Low priority alarm is a general warning.
Only alarm priority of parameters exceeding limits alarm can be modified by the user,
the other alarm priorities of physiological and technical alarms are preset by the system
and they can not be changed by the user.
When alarm occurs, the monitor may raise the user’s attention in two ways, which are
auditory prompt, visual prompt and description. Visual prompt is given by alarm
indicating lamp and screen of the monitor, auditory prompt is given by speaker in the
device. Physiological alarm information is displayed in the Physiological Alarm area.
Most of technical alarm information is displayed in the Technical Alarm area. Technical
alarms related to NIBP measurement are displayed in the NIBP parameter area.
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The Physiological Alarm area is on the upmost right part of the screen. The Technical
Alarm area is to the left side of the Physiological Alarm area.
The alarm sound and visual display comply with clause 201.3.2 of the standard IEC
60601-1-8.
Note: The concrete presentation of each alarm prompt is related to the alarm
priority.
Alarm Sound
The high/medium/low-level alarms are indicated by the system in following different
audio ways:
Alarm level Audio prompt
Mode is “DO-DO-DO------DO-DO, DO-DO-DO------DO-DO”,
High which is triggered once every 10 seconds.
Medium Mode is “DO-DO-DO”, which is triggered once every 25 seconds.
Low Mode is “DO-”, which is triggered once every 25 seconds.
Alarm Lamp
When technical alarm occurs, the technical alarm lamp lights on in blue.
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Screen Display
Physiological alarm: The parameter, which triggers the alarm, splashes in the frequency
of 2Hz on the screen. The physiological alarm area on the screen displays alarm message,
and red indicates high priority alarm, yellow indicates medium or low priority alarm.
When Technical alarm or General alarm occurs, the Technical alarm area displays alarm
message, red indicates high priority alarm, yellow indicates medium or low priority alarm,
cyan indicates general message.
Note: When alarms of different priorities occur at the same time, the monitor
prompts the one of the highest priority.
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Chapter 6-4
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Warning:The lower limit and the upper limit of parameter must be set based on
clinical practices and general clinical experiences.
Note : When parameter alarm level is off, alarm will be disabled, even if the
measurement results exceed the limits. Alarm indicating lamp in the front of the
monitor will alarm at the highest level, if different levels alarms coexist.
Chapter 6-5
Patient monitor user’s manual
Technical Alarm
Once system fault occurs, the monitor will alarm immediately and trigger
corresponding operations, such as stop displaying values and waveforms, erase the
last screen to avoid misleading. The screen displays more than one fault message by
alterative.
General Prompt
Sometimes there are alarms similar to Technical Alarms but can be considered as
normally. The condition, which triggers this kind of alarm wouldn’t bring danger to
the patient.
6.5 Silence/Suspension
SILENCE
Press the < SUSPEND/SILENCE > button on the front panel for more than 2 seconds
can shut off all sounds until the < SUSPEND/SILENCE> button is pressed again. When
the system is in SILENCE status, any newly generated alarm will cancel the SILENCE
status and make the system back to normal status.
When in the SILENCE status, the icon will be displayed in the left upper of
the screen.
SUSPENSION
Press the < SUSPEND/SILENCE> button on the front panel for less than 2 seconds can
close all audio and visual prompt and description about all the physiological alarms and to
make the system enter ALARM PAUSE status. The rest seconds for alarm pause is
displayed in the Physiological Alarm area. And the symbol is displayed in
the System Prompt area.
The time for Alarm Suspension is 2 minutes.
When in the PAUSE status, press the < SUSPEND/ SILENCE> button again to restore
the normal alarm status. Besides, during PAUSE status, newly occurring technical alarm
will cancel the PAUSE status and the system will come back to the normal alarm status.
The symbol disappears, too.
Note: Whether an alarm will be reset depends on the status of the alarm cause.
But by pressing <SUSPEND/SILENCE> button can permanently shut off audio
sound of Lead Off or Sensor Off alarms.
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You can check and set the parameters’ alarm limit in their menus or in the alarm setup
window in main setup menu.
If you want to set the alarm state of parameters, enter the machine maintenance state
please.
For the parameters whose alarm switch is set to ON, the alarm will be triggered when at
least one of them exceeds alarm limit. The following actions take place:
1. Alarm message displays on the screen as described in alarm mode;
2. The monitor beeps in its corresponding alarm class and volume;
3. If alarm recording is on, the recorder starts alarm recording at set interval.
Note: When an alarm occurs, you should always check the patient’s condition
first.
Check the alarm message appeared on the screen. It is needed to identify the alarm and
act appropriately, according to the cause of the alarm.
1. Check the patient’s condition.
2. Identify which parameter is alarming or which kind of alarm it is.
3. Identify the cause of the alarm.
4. Silence the alarm, if necessary.
5. When cause of alarm has been over, check that the alarm is working properly.
Physiological Alarm:
Chapter 6-7
Patient monitor user’s manual
Technical Alarm:
Physiological Alarm:
Technical Alarm:
Physiological Alarm:
Chapter 6-8
Patient monitor user’s manual
Prompt:
Physiological Alarm:
Chapter 6-9
Patient monitor user’s manual
Physiological Alarm:
Chapter 6-10
Patient monitor user’s manual
Technical Alarm
Message Cause Alarm Level
IBP1 sensor off IBP cable of channel 1 falls off from monitor Low
IBP2 sensor off IBP cable of channel 2 falls off from monitor Low
IBP communication error IBP communication error Low
IBP1 alarm error Alarm failure Low
IBP2 alarm error Alarm failure Low
Prompt:
Message Cause Alarm Level
IBP1 Checking IBP1 zero calibration is in progress. No alarm
IBP1 Errlose IBP1 zero calibration failed for IBP1 cable
falls off.
IBP1 Errtimeout IBP1 zero calibration failed for time is out.
IBP1 Check OK IBP1 zero calibration succeed.
Physiological Alarm:
Message Cause Alarm Level
NIBP SYS measuring value is above upper
NIBP SYS too high User-Selectable
alarm limit
NIBP SYS measuring value is below lower
NIBP SYS too low User-Selectable
alarm limit
Chapter 6-11
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Technical Alarm 2(display in description area below NIBP mean arterial pressure value):
Message Cause Alarm Level
SELF-TEST FAILED Transducer or other hardware failure. Low
Chapter 6-12
Patient monitor user’s manual
Prompt (display in description area below NIBP mean arterial pressure value):
Message Cause Alarm Level
NIBP Resetting NIBP measurement module is resetting
Over Press Testing NIBP is testing Over-Pressure
No alarm
Manometer Testing NIBP is testing Manometer
Pneumatic Testing NIBP is testing Pneumatic
Technical Alarm
Message Cause Alarm Level
Battery failure Battery failure or no battery Low
Battery low Voltage of battery is too low Medium
Key error Keyboard error Low
No paper in the recorder when recording or
Recorder error the recorder door is open or recorder is Low
absent
Prompt
Message Cause Alarm Level
Recording... Recorder is in printing operation No alarm
Physiological Alarm:
Message Cause Alarm Level
Technical Alarm:
Message Cause Alarm Level
CO2 sensor off CO2 sensor off patient or off the monitor Low
Chapter 6-13
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Physiological Alarm:
Prompt:
Physiological alarm:
Message Cause Alarm Level
EtAA too high EtAA is above upper alarm limit
User-Selectable
EtAA too low EtAA is below lower alarm limit
FiAA too high FiAA is above upper alarm limit User-Selectable
Chapter 6-14
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Technical Alarm:
Message Cause Alarm Level
GAS communication error GAS module failure or communication error Medium
Airway adaptor of GAS module
Check Airway Adapter Medium
disconnected with sensor
Replace O2 sensor Oxygen sensor disconnected with module Medium
O2 sensor low Weak oxygen sensor signal Medium
GAS sensor error GAS sensor error Low
GAS CONC. Out of Range Measurement of GAS module over range Medium
Room Air Calibration Measurement of oxygen density is not
High
Required correct.
Sampling line is occluded or damaged;
Sampling line Clogged Medium
Sampling tube is kinked or pinched.
Sampling line disconnected with the AG
No sampling line Low
module.
O2 Sensor Err O2 Sensor error Low
The command of the last span calibration
Last Span Cal. command fail Low
failed.
Prompt messages:
Messages Cause Level
Span Cal. in progress Span calibration is in progress. No alarm
O2 Span Calibration Required The O2 span needs to be calibrated. No alarm
Mixed Agents More than one type of agent exist No alarm
Chapter 6-15
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Chapter 6-16
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Chapter 7 Recording
Monitor carries out the recording function by the built-in recorder.
Alarm recording
Monitor provides the function of alarm trigger recording. To make alarm recording
available, Please keep <Alarm Record >of <Recorder setup> of <System setup> in
<Monitor setup> menu is ON, and adjust alarm level of alarm parameter to non-close. If
any monitoring parameter exceeds the limit and <Alarm Record> is ON, recorder will
print all monitoring parameter values in the alarm time. Moreover, if monitor alarms
continuously, recorder will print every two minutes.
Auto recording
Monitor has the function of Auto recording. To make Auto recording available, user
can adjust <Record Interval> of <Recorder Setup> of <System Setup> in <Monitor
Setup> to a necessary interval time. All monitoring parameter values and waveforms will
be recorded automatically according to the determined period.
Real-Time recording
Monitor has the function of real time recording. If <FREEZE/RECORD> key in the
front panel has been pressed over 2 seconds, the waveform and data of cardiac electro and
SpO2 can be recorded in real time. If <FREEZE/RECORD> pressed again, real time
recording will end. The lead ECG waveform (determined by <Record Wave> in
<Recorder Setup>) will be monitoring in emphasis, when ECG waveforms are being
recorded.
Note: During real time recording, three waveforms can be recorded at the same
time. Users can configure the waveforms according to need. Please refer to chapter
4.2.1. Measurement parameter values of individual module have been recorded on
the top of waveforms.
Chapter 7-1
Patient monitor user’s manual
The overall check of the monitor, including the safety check, should be performed only
by qualified personnel once every 6 to 12 month, and whenever the monitor is fixed up.
Inspect the safety relevant labels for legibility.
Verify that the device functions properly as described in the instructions for use.
Test the protection earth resistance according IEC 60601-1:1995, Limit 0.1ohm.
Test the earth leakage current according IEC 60601-1:1995, Limit: NC 500uA,
SFC 1000uA.
Test the patient leakage current according IEC 60601-1:1995, Limit: 100uA(BF),
10uA(CF).
Test the patient leakage current under single fault condition with mains voltage on
Chapter 8-1
Patient monitor user’s manual
Warning: If the hospital or agency that is responding to using the monitor does
not follow a satisfactory maintenance schedule, the monitor may become invalid, and
the human health may be endangered.
Note: To ensure maximum battery life, please ensure that the battery is fully
charged when you are keeping the device in storage for an extended period of time,
and then take out the battery.
Chapter 8-2
Patient monitor user’s manual
If the monitor is not used for long time, the AC power should be plugged in until the
battery is fully recharged, then take out the battery, so that the service life of the battery
will not be shortened.
Avoid exposed and sun shine.
Avoid infrared and ultraviolet radiation.
Avoid moist, dust and erosion from acid gas.
For Lithium ion battery:
A lithium ion battery needs at least two conditioning cycles when it is put into use for
the first time. A battery conditioning cycle is one complete, uninterrupted charge of the
battery, followed by a complete, uninterrupted discharge of the battery. A lithium ion
battery should be conditioned regularly to maintain its useful life. Condition a battery once
when it is used or stored for two months, or when its run time becomes noticeably shorter.
To condition a lithium ion battery, follow this procedure:
1. Disconnect the monitor from the patient and stop all monitoring and measuring
procedures.
2. Place the lithium ion battery in need of conditioning into battery compartment of the
monitor.
3. Connect the monitor to the AC mains. Allow the battery to be charged uninterruptedly
for above 6 hours.
4. Remove the AC mains and allow the monitor to run from the battery until it shuts off.
5. Reconnect the monitor to the AC mains. Allow the battery to be charged uninterruptedly
for above 6 hours.
Now the battery is conditioned and the monitor can be returned to service.
Warning: Before cleaning the monitor or the sensors, make sure that the
equipment is switched off and disconnected from the power line.
Chapter 8-3
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Examples of disinfectants that can be used on the instrument casing are listed below:
Diluted soap solution
Diluted Ammonia Water
Diluted Sodium Hypochlorite (Bleaching agent).
Note: The diluted sodium hypochlorite from 500ppm (1:100 diluted bleaching
agent) to 5000ppm (1:10 bleaching agents) is very effective. The concentration of the
diluted sodium hypochlorite depends on how many organisms (blood, mucus) on the
surface of the chassis to be cleaned.
Hydrogen Peroxide 3%
Alcohol 70%
Isopropyl alcohol 70%
The surface of patient monitor can be cleaned with hospital-grade ethanol and dried in
air or with crisp and clean cloth.
The manufacturer has no responsibility for the effectiveness of controlling infectious
disease using these chemical agents. Please contact infectious disease experts in you
hospital for details.
8.5 Disinfection
Chapter 8-4
Patient monitor user’s manual
Chapter 9 Accessories
This chapter lists the recommendation accessories used in this device.
Warning: The accessories listed below are specified to be used in this device. The
device will be possibly damaged or lead some harm if any other accessories are used.
1. ECG
ECG Electrode
ECG Cable
Type Description Standard PN
Snap 5-lead IEC 15-100-0002
Snap 3-lead IEC 15-100-0004
Snap 5-lead AHA 15-100-0001
Snap 3-lead AHA 15-100-0003
Snap Chest lead AHA 15-100-0005
2. SpO2
Nellcor SpO2 Sensor
Type Model Patient category
MAX-A Adult finger (patient size>30kg)
MAX-P Pediatric foot/hand (patient size 10-50kg)
Disposable MAX-I Infant foot/hand (patient size 3-20kg)
Adult finger or neonatal foot/hand (patient size >40 kg or
MAX-N
<3 kg)
DS-100A Adult
Reusable OXI-A/N Adult / neonatal
OXI-P/I Pediatric / infant
Nellcor-SpO2 Extension cable
Accessories PN
Extension cable 15-100-0016
Chapter 9-1
Patient monitor user’s manual
3. Temp
Temp probe
Type Applied site PN
Surface 15-100-0027
Reusable
Coelom 15-100-0028
4. NIBP
Disposable cuffs
Model Patient category Limb circumference (cm) Bladder width (cm)
M1866A 3.1-5.7 2.5
Disposable cuffs(SunTech)
Chapter 9-2
Patient monitor user’s manual
Reusable cuffs
Patient Limb circumference Bladder width
PN
category (cm) (cm)
Large adult 15-100-0021
Adult 25-35 14.4 15-100-0019
Small adult 20-28 11 15-100-0023
Pediatric 13-20 8 15-100-0022
Infant 10-18 5 15-100-0024
Neonatal 6-11 15-100-0025
Adult (Thigh) 15-100-0020
5. IBP
Accessories Material PN
IBP kits DPT-248 pressure transducer 15-100-0031
(UTAH) Extension cable 15-100-0029
TNF-R pressure transducer 15-100-0034
IBP kits
Pressure tubing 15-100-0033
(BD)
Extension cable 15-100-0032
6. CO2
Sidestream CO2 (CPT)
Accessories PN
CO2 sampling tube 15-100-0035
CO2 dehydration flash 15-100-0036
CO2 3-way stopcock 15-100-0037
Chapter 9-3
Patient monitor user’s manual
7. AG
Mainstream AG (IRMA)
Accessories PN
IRMA CO2 sensor 16-100-0017
IRMA AX sensor 16-100-0019
Airway adapter (adult/pediatric) 15-100-0039
Airway adapter (infant) 15-100-0040
Extension cable 15-024-0001
Sidestream AG (ISA)
Accessories PN
ISA OR+ module 16-100-0037
ISA module Modura holder 15-100-0090
ISA module Clamp Adapter 15-100-0091
Nomoline Sampling line 15-100-0089
8. ICG
Accessories Model PN
ICG cable BoiZ DX 5551 15-100-0050
ICG lead BoiZ DX 5562 15-100-0051
ICG electrode BZ-1550-50 15-100-0052
Chapter 9-4
Patient monitor user’s manual
Appendix A Specifications
A.1 Classifications
A.2 Specifications
Environment
Power supply
Power Voltage AC 100V-240V
Frequency 50Hz/60Hz
Input current 0.6A -0.3A
Fuse T 2A/250V, integrated in the power module
Earth leakage current <0.3 mA
Safety class Category I
Display
LCD
Size M9000, M9000A: 12.1″
M8000, M8000A: 10.4″
Type Color TFT-LCD
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Patient monitor user’s manual
Interface
Power 1 AC power inlet
Wired network 1, standard RJ45 socket
Wireless network 1, 433MHz, 10mW (optional)
Equipotential grounding 1
terminal
Defibrillator synchronization 1 RJ11 socket
output
Signal output
Defibrillator synchronization signal output
Output impedance 50Ω
Delay ≤35 ms(from R wave crest to pulse raise)
Battery
Rechargeable Lithium ion battery
Type
11.1V/4.0AH
Model Li1104C
Charge time ≤6 hours (2 batteries for 12 hours)
Operating time under the ≥240 minutes (2 batteries for 480 minutes)
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Patient monitor user’s manual
normal use and full charge New and fully charged battery at 25 ℃ ambient
temperature and NIBP work on AUTO mode for 20
minutes interval.
Operating time after the first
≥10 minutes
alarm if low battery
Battery
Type Rechargeable Lead acid cell, 12V/2.0AH
Model FP1223C
Charge time ≤10 hours (2 batteries for 20 hours)
≥60 minutes (2 batteries for 120 minutes)
Operating time under the New and fully charged battery at 25 ℃ ambient
normal use and full charge temperature and NIBP work on AUTO mode for 20
minutes interval.
Operating time after the first
≥5 minutes
alarm if low battery
ECG
1. 5-leads ECG input
Lead Mode 2. 3-leads ECG input
3. 12-leads ECG input (option)
1. I, II, III, aVR, aVL, aVF, V-
Lead selection 2. I, II, III
3. I, II, III, aVR, aVL, aVF, V1~V6 (option)
Gain AUTO, 0.25x, 0.5x, 1.0x, 2.0x, 4.0x
Input impedance ≥5.0 MΩ
MON ≥105dB
CMRR
OPS ≥105dB
MON 0.5~40Hz
Frequency response OPS 1~25Hz
Electrode offset potential ±500mV d.c.
Leakage Current <10 uA
ECG signal range ±6.0 mV
Baseline recovery <5s after Defibrillation. (MON or OPS mode)
No rejection of pulses with amplitudes of ±2mV ~
Pacemaker pulses
±700 mV and durations of 0.5 ~ 2.0 ms.
Insulation Breakdown Voltage 4000VAC 50/60Hz
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Indication of electrode
Every electrode (exclusive of RL)
separation
Sweep speed 12.5mm/s, 25mm/s, 50mm/s
HR
Measurement range 10~350 bpm
Refreshing time Per 4 pulses
Resolution 1 bpm
Accuracy ±1% or ±1 bpm, whichever is greater
Sensitivity ≥0.2mVpp
0~350 bpm, continuously adjustable between upper
Alarm range
limit and lower limit
Alarm indication Sound and light alarming
Time to Alarm for
Average 4s
Tachycardia
Tall T-Wave Rejection
0-1 mV T-Wave amplitude
Capability
HR change from 80 to 120 bpm:
Response Time of Heart Rate
Range: 6 to 10s
Meter to Change in Heart
HR change from 80 to 40 bpm:
Rate
Range: 6 to 10s
ST segment
Measurement range -2.0mV~2.0mV
-0.8mV~0.8mV : ±0.02mV or ±10% whichever is
Accuracy greater
Over ±0.8mV: unspecified
Resolution 0.01mV
Refreshing time 10s
-2.00mV ~2.00mV, continuously adjustable between
Alarm range
upper limit and lower limit.
NIBP
Way of measurement Automatic oscillometry
SYS 30~270 mmHg
Range of measurement Adult DIA 10~220 mmHg
MEAN 20~235 mmHg
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SpO2
BLT-SpO2
Measurement Range 0~100%
Resolution 1%
At 70~100%, ±2%
Accuracy
At 0~69%, unspecified
Data update period <13s
50~100%, continuously adjustable between upper
Alarm range
limit and lower limit.
PR
Measurement Range 25~250 bpm
Resolution 1 bpm
Accuracy ±1% or ±1 bpm, whichever is greater
Data update period <13s
0~300 bpm, continuously adjustable between upper
Alarm range
limit and lower limit.
Nellcor-SpO2 ( option)
Measurement Range 0~100%
Resolution 1%
At 70~100%, ±2 digits (Adult)
At 70~100%, ±3 digits (Neonate)
Accuracy
At 70~100%, ±2 digits (Low Perfusion)
At 0~69%, unspecified
Perfusion Range 0.03% ~ 20%
Data update period Average 7s
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Patient monitor user’s manual
Masimo-SpO2 ( option)
SpO2
Measurement Range 0~100%
Resolution 1%
At 70~100%:±2%(adult/pediatric, non-motion
conditions)
At 70 ~ 100%:±3%(neonate, non-motion
Accuracy
conditions)
At 70 ~100%:±3%(motion conditions)
At 0~69%,unspecified
Average time 2-4s, 4-6s, 8s, 10s, 12s, 14s, 16s
0~100%, continuously adjustable between upper
Alarm range
limit and lower limit.
PR
Measurement Range 25~240 bpm
Resolution 1 bpm
±3 bpm(non-motion conditions)
Accuracy
±5 bpm(motion conditions)
0~300 bpm, continuously adjustable between upper
Alarm range
limit and lower limit.
PI
0.02 ~ 20.0% (for disposable sensor)
Measurement Range
0.05~ 20.0% (for reusable sensor)
Resolution 0.1%
PVI
Measurement Range 0 ~ 100%
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Patient monitor user’s manual
Resolution 1%
TEMP
Measurement Range 0.0~50.0℃
Accuracy ±0.1℃
Resolution 0.1℃
Unit Celsius (℃), Fahrenheit (℉)
Refreshing time 1s
Self check Every 10 minutes
RESP
Method Impedance variation between RA-LL (R-F)
Measuring impedance range 0.2 ~3Ω
Excitation frequency 64.8 kHz
Excitation current ≤300μA at 64.8 kHz
Base line impedance range 500~4000Ω (50~120 kHz exciting frequency)
Measurement Range 0~150 rpm
Resolution 1 rpm
Accuracy ±2 rpm
Gain x1,x2,x4
Sweep speed 6.25mm/s, 12.5mm/s, 25mm/s
Delay of Apnea Alarm Off, 10s, 20s, 40s, 60s
0~150 rpm, continuously adjustable between upper
Alarm range
limit and lower limit
Alarm indication Sound and light indication
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Patient monitor user’s manual
IBP
Measurement Range -50 ~ +300 mmHg
Resolution 1 mmHg
Unit mmHg, kPa
Accuracy ± 2mmHg or 2% of the reading, whichever is greater
Static (exclusive of transducer)
± 4mmHg or 4% of the reading, whichever is greater
(inclusion of transducer)
Dynamic ± 4mmHg or 4% of the reading, whichever is greater
Sensitivity of transducer 5uV/V/mmHg, 2%
Impedance of transducer 300~3000Ω
Bandwidth d.c. ~ 15Hz
Arterial Pressure (ART)
Pulmonary Artery Pressure (PA)
Left Atrium Pressure (LAP)
Transducer sites
Right Atrium Pressure (RAP)
Central Venous Pressure (CVP)
Intracranial Pressure (ICP)
ART
0~200mmHg
PA
0~300 mmHg
CVP
-10~20 mmHg
LAP
Selection of measurement -50~300 mmHg
RAP
range AUTO
ICP
(Among them, the AUTO switches automatically at
an interval of 10 mmHg so as to ensure the
waveform is at the state most suitable for
observation)
-50~300 mmHg, continuously adjustable
SYS
between upper limit and lower limit
-50~300 mmHg, continuously adjustable
Alarm range DIA
between upper limit and lower limit
-50~300 mmHg, continuously adjustable
MEAN
between upper limit and lower limit
Alarm indication Sound and light indication
CO2 (Sidestream,CPT)
Measure method Infrared spectrum
Measure mode Sidestream
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CO2 (Mainstream,CAPNOSTAT5)
Measure method Infrared spectrum
Measure mode Mainstream
Warm up time Capnogram displayed in less than 15 s, At an
ambient temperature of 25℃, full specifications
within 2 minutes.
CO2Measurement Range 0 ~ 19.7%(0 ~ 150 mmHg)
CO2 Resolution 1mmHg
CO2 Accuracy 0 ~ 40 mmHg, ±2 mmHg
41 ~ 70 mmHg, ±5% of reading
71 ~100 mmHg, ±8% of reading
101 ~ 150 mmHg, ±10% of reading
Temperature at 35℃.
CO2 Stability Short-Term Drift: Drift over four hours≤0.8 mmHg.
Long-Term Drift: Accuracy specification will be
maintained over a 120 hours period.
Rise time <60ms
unit %, mmHg, kPa
Respiration Rate Range 0~150 rpm
Respiration Rate Accuracy ±1 rpm
0.0~13.1 % (0~99.6mmHg), continuously adjustable
Alarm range
between upper limit and lower limit
Alarm indication Sound and light indication
CO2 (Mainstream,IRMA)
Measure method Infrared spectrum
Measure mode Mainstream
Fi and Et values CO2
Resolution 1%
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Patient monitor user’s manual
AG (Mainstream, IRMA)
CO2 ≤90ms
Rise time (at 10 L/min) N2O ≤ 300 ms
HAL, ISO, ENF, SEV, DES ≤ 300 ms
Total system response time <1s
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Patient monitor user’s manual
Effect Effect
Gas or vapor Gas level Effect (CO2)
(Agents) (N2O)
N2O 60% — — —
HAL 4% — — —
ENF, ISO, SEV 5% +8% of reading 1) — —
DES 15% +12% of reading 1) — —
Xe (Xenon) 80% -10% of reading 1) — —
He (Helium) 50% -6% of reading 1) — —
Metered dose inhaler Not for use with metered dose inhaler propellants
Propellants
C2H5OH (Ethanol) 0.3% — — —
C3H7OH (Isopropanol) 0.5% — — —
CH3COCH3 (Acetone) 1% — — —
CH4 (Methane) 3% — — —
CO (Carbon monoxide) 1% — — —
NO (Nitrogen 0.02% — — —
monoxide)
O2 100% — — —
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Patient monitor user’s manual
Note 1: Interference at indicated gas level. For example, 50 % Helium typically decreases the CO2
readings by 6%. This means that if measuring on a mixture containing 5.0 % CO2 and 50 % Helium,
the actual measured CO2 concentration will typically be (1-0.06) * 5.0 % = 4.7 % CO2.
AG (Sidestream, ISA)
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Patient monitor user’s manual
Effect Effect
Gas or vapor Gas level Effect (CO2)
(Agents) (N2O)
N2O 60% — — —
HAL 4% — — —
ENF, ISO, SEV 5% — — —
DES 15% — — —
Xe (Xenon) 80% -10% of reading 1) — —
He (Helium) 50% -6% of reading 1) — —
Metered dose inhaler Not for use with metered dose inhaler propellants
Propellants
C2H5OH (Ethanol) 0.3% — — —
C3H7OH (Isopropanol) 0.5% — — —
CH3COCH3 (Acetone) 1% — — —
CH4 (Methane) 3% — — —
CO (Carbon monoxide) 1% — — —
NO (Nitrogen 0.02% — — —
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Patient monitor user’s manual
monoxide)
O2 100% — — —
Note 1: Interference at indicated gas level. For example, 50 % Helium typically decreases the CO2
readings by 6%. This means that if measuring on a mixture containing 5.0 % CO2 and 50 % Helium,
the actual measured CO2 concentration will typically be (1-0.06) * 5.0 % = 4.7 % CO2.
ICG
Measuring Method Measurement of thoracic electrical bioimpedance
HR:40~250 bpm
SV:5~250 mL
Measuring Range SI:5~125 mL/m2
C.O.:1.4~15 L/min
TFC:15~143/kΩ
HR:±2 rpm
Measuring accuracy SV:unspecified
C.O.:unspecified
C.I.:0.0~15.0 L/min/m2,
Alarm range TFC:10~150 /kΩ
continuously adjustable between high limit and low
limit
Alarm indication Sound and light indication
Recorder
Method Thermal dot array
Paper width 50 mm
Record width 40 mm
Paper Speed 12.5 mm/s ,25 mm/s ,50 mm/s
Traces Maximum 3 tracks
Alarm
Level Low, medium and high
Indication Auditory and visual
Setup Default and custom
Silence All alarms can be silenced
Volume 45~85 dB measured at 1 meter
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Patient monitor user’s manual
There are three options of default system setup: ADULT, CHILD, NEONATAL. The
followings are the detail:
B.1 System
1. Standard Configuration
1) Trend Graph Configuration
Region Parameter
Region 1 HR
Region 2 SpO2
Region 3 PR
Region 4 NIBP
Region 5 Resp
Region 6 T1+T2
Page 2
Region Parameter
Region 1 HR
Region 2 T1
Region 3 T2
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Patient monitor user’s manual
Page 2
Region Parameter
Region 1 PR
Region 2 NIBP
Region 3 T1+T2
Region 4 NIBP
Page 2
Region Parameter
Region 1 PR
Region 2 NIBP(S/D)
Region 3 NIBP(M)
Region 4 T1
Region 5 T2
Page 2
Region Parameter
Region 1 PR
Region 2 NIBP
Region 3 Resp
Region 4 T1+T2
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Patient monitor user’s manual
Page 2
Region Parameter
Region 1 PR
Region 2 NIBP(S/D)
Region 3 NIBP(M)
Region 4 Resp
Region 5 T1
Region 6 T2
Page 2
Region Parameter
Region 1 PR
Region 2 NIBP
Region 3 Resp
Region 4 O2+N2O
Region 5 AA
Region 6 T1+T2
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Patient monitor user’s manual
Page 2
Region Parameter
Region 1 PR
Region 2 NIBP(S/D)
Region 3 NIBP(M)
Region 4 Resp
Region 5 T1
Region 6 T2
Page 3
Region Parameter
Region 1 CO2
Region 2 N2O
Region 3 AA
Region 4 O2
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Patient monitor user’s manual
FiN20 (%) 0 82
EtO2 (%) 10 100
FiO2 (%) 18 100
C.I.( L/min/m2) 1.5 5.0
TFC(/kΩ) 15.0 60.0
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3 .5
d P
E1 80 MHz to 800 MHz
Radiated RF 3 V/m 3 V/m
IEC 61000-4-3 80 MHz to 2.5 GHz 7
d P
E1 800 MHz to 2.5 GHz
Where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation
distance in metres (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,a
should be less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of equipment
marked with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the Low Frequency Therapeutic Device is used
exceeds the applicable RF compliance level above, the Low Frequency Therapeutic Device should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the Low Frequency Therapeutic Device.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
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Patient monitor user’s manual
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
26
Product name: Patient monitor
Address: 533 Broadhollow Road Ste B-24, Melville, New York 11747
Fax: 888-785-8948
PN:22-024-0002