About this Manual P/N: 01.54.455473-10 Release Date: Jan. 2012 © Copyright EDAN INSTRUMENTS, INC. 2012. All rights reserved. Statement This manual will help you understand the operation and maintenance of the product better. It is reminded that the product shall be used strictly complying with this manual. User’s operation failing to comply with this manual may result in malfunction or accident for which EDAN INSTRUMENTS, INC. (hereinafter called EDAN) can not be held liable.
inaccurate data, or invalidate a procedure. NOTE A NOTE provides useful information regarding a function or a procedure.
Table of Contents Chapter 1 Indication for Use and Safety Guidance ........................................................................ 1 1.1 Indication for Use................................................................................................................... 1 1.2 Safety Guidance ..................................................................................................................... 1 1.3 Explanation of Symbols on the Monitor ................................................
4.1 Alarm Category .................................................................................................................... 22 4.1.1 Physiological alarms ................................................................................................. 22 4.1.2 Technical Alarms ....................................................................................................... 22 4.1.3 Prompts .....................................................................................................
8.2 ECG Safety Information ...................................................................................................... 52 8.3 ECG Display ........................................................................................................................ 53 8.3.1 Changing the Size of the ECG Wave ........................................................................ 53 8.3.2 Changing the ECG Filter Settings ............................................................................. 54 8.
9.3 Resp Display ........................................................................................................................ 67 9.4 Electrode Placement for Monitoring Resp ........................................................................... 68 9.5 Cardiac Overlay ................................................................................................................... 68 9.6 Chest Expansion .........................................................................................
12.12.1 Procedure of Leak Test .......................................................................................... 78 Chapter 13 Monitoring TEMP........................................................................................................ 80 13.1 Overview ............................................................................................................................ 80 13.2 TEMP Safety Information ..................................................................................
17.3 C.O. Monitoring Procedures .............................................................................................. 96 17.4 C.O. Measurement Window ............................................................................................... 97 17.5 Measurement Process ......................................................................................................... 99 17.6 Editing C.O. ......................................................................................................
20.2.3 Switching to Trend Graph ..................................................................................... 116 20.2.4 Recording .............................................................................................................. 116 20.3 NIBP Review.................................................................................................................... 116 20.3.1 Scrolling the Screen .............................................................................................
24.5 Recycling the Battery ....................................................................................................... 129 24.6 Maintaining the Battery.................................................................................................... 129 Chapter 25 Care and Cleaning ..................................................................................................... 130 25.1 General Points .........................................................................................
A.10.1 NIBP from EDAN Module................................................................................... 154 A.10.2 NIBP from M3600 Module .................................................................................. 155 A.11 SpO2................................................................................................................................. 156 A.11.1 SpO2 from EDAN Module ................................................................................... 156 A.11.
Patient Monitor User Manual Indication for Use and Safety Guidance Chapter 1 Indication for Use and Safety Guidance 1.1 Indication for Use iM80: The monitor monitors parameters such as ECG (3-lead, 5-lead, 12-lead selectable), Respiration (RESP), Functional arterial oxygen saturation (SpO2), Invasive or noninvasive blood pressure (2/4 channels IBP NIBP), Cardiac Output (C.O.), Temperature (dual-TEMP), Expired CO2 and Anesthetic gas (AG).
Patient Monitor User Manual Indication for Use and Safety Guidance WARNING 6 Magnetic and electrical fields are capable of interfering with the proper performance of the device. For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements. X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation.
Patient Monitor User Manual Indication for Use and Safety Guidance CAUTION 1 Electromagnetic Interference - Ensure that the environment in which the patient monitor is installed is not subject to any sources of strong electromagnetic interference, such as radio transmitters, mobile telephones, etc. 2 Keep the environment clean. Avoid vibration. Keep it far away from corrosive medicine, dust area, high temperature and humid environment. 3 Do not immerse transducers in liquid.
Patient Monitor User Manual Indication for Use and Safety Guidance This symbol indicates that the instrument is IEC/EN 60601-1 Type BF equipment. The unit displaying this symbol contains an F-Type isolated (floating) patient applied part providing a high degree of protection against shock, and is suitable for use during defibrillation.
Patient Monitor User Manual Indication for Use and Safety Guidance Menu VGA output, External Monitor RS-232 port Nurse call port SD Card port Signal output port Signal output The symbol indicates that the device complies with the European Council Directive 93/42/EEC concerning medical devices.
Patient Monitor User Manual Indication for Use and Safety Guidance The symbol indicates that the device should be sent to the special agencies according to local regulations for separate collection after its useful life. Consult Instructions For Use Locked position Gas inlet Gas outlet (evac) ISA equipped to measure CO2 only. ISA equipped to measure multiple gases.
Patient Monitor User Manual Installation Chapter 2 Installation NOTE: 1 The monitor settings must be specified by the authorized hospital personnel. 2 To ensure that the monitor works properly, please read the user manual and follow the steps before using the monitor. 2.1 Initial Inspection Before unpacking, check the packaging and ensure that there are no signs of mishandling or damage. If the shipping cartons are damaged, contact the carrier for compensation and package them again.
Patient Monitor User Manual Installation WARNING If any sign of damage is detected, or the monitor displays some error messages, do not use it on any patient. Contact Customer Service Center immediately. NOTE: 1 Check all the functions of the monitor and make sure that the monitor is in good status. 2 If rechargeable batteries are provided, charge them after using the device every time, to ensure the electric power is enough.
Patient Monitor User Manual Basic Operation Chapter 3 Basic Operation This manual is for clinical professionals using the iM50 and iM80 patient monitors. Unless otherwise specified, the information here is valid for all the above products. This user manual describes all features and options. Your monitor may not have all of them; they are not all available in all geographies. Your monitor is highly configurable.
Patient Monitor User Manual Basic Operation on, press the key to turn the monitor off. 3 Battery indicator, refer to Section Battery Indicator for details. 4 Mute — Press this button to pause the alarm. All the audio alarm will be closed. At the same time, the message of Temporary Alarm Mute **s and the symbol will be displayed in the information area.
Patient Monitor User Manual Basic Operation iM50 Back View 1 Fan 2 Anti-theft lock interface 3 Security Lock 4 Power Supply Inlet 5 USB Interface 6 VGA Interface 7 Network Interface 8 Defibrillator Synchronization/ Analog Output 9 SD Card 10 Speaker 11 Equipotential grounding terminal, if the monitor or other processing unit are used in internal examinations on the heart, ensure that the room incorporates an equipotential grounding system to which the monitor and other processing uni
Patient Monitor User Manual Basic Operation 1 2 3 iM50 Side View 1 Sensor interface 2 Recorder door 3 Battery door 3.1.2 iM80 Major Parts and Keys The iM80 patient monitor has a 15-inch TFT color flat panel display. Up to 13 waves can be shown on iM80 screens.
Patient Monitor User Manual Basic Operation or flash. The color of light represents the alarm level. 2 Power supply switch — when the monitor is connected to the AC power supply, press the key to turn the monitor on. When the monitor is turned on, press the key to turn the monitor off. 3 Battery indicator, refer to Section Battery Indicator for details. 4 Mute — Press this button to pause the alarm. All the audio alarm will be closed.
Patient Monitor User Manual Basic Operation 1 3 4 2 iM80 Side View 1 Sensor port 2 AG fixation bracket 3 Recorder door 4 Battery door 1 13 2 3 4 12 5 11 6 7 8 9 iM80 Back View - 14 - 10
Patient Monitor User Manual Basic Operation 1 SD Card 2 Nurse call port, this port is connected to the call system. When there is an alarm, the monitor outputs nurse call signal to notify the nurse. 3 Defibrillator synchronization / analog output. When the user selects Analog Output, the monitor outputs the waveform through the auxillary output port. When the user selects Defibrillator, the monitor outputs the defibrillator synchronization signal through the auxillary output port.
Patient Monitor User Manual Basic Operation information fields, alarms fields and menus. The configurability of the monitor means that often you can access the same element in different ways. For example, you might be able to access an item through its on-screen setup menu, via a hard key, or via a shortcut key. The User Manual always describes how to access items via an on-screen menu. You may use whichever way you find most convenient.
Patient Monitor User Manual Basic Operation 10 Date and time 11 Networking symbol 12 Battery status symbol 13 AC power supply symbol 14 Shortcut key area 15 Scroll left to display more shortcut keys 16 Mute key 17 Parameter waveform 3.2.1 Using Keys The monitor has four different types of keys: 3.2.1.1 Permanent Keys A permanent key is a graphical key that remains on the screen all the time to give you fast access to functions. Menu – enter the main setup menu.
Patient Monitor User Manual Basic Operation Directly select this item on the screen to enter the TrendScreen interface Directly select this item on the screen to enter the standard interface Directly select this item on the screen to enter the OxyCRG interface Directly select this item on the screen to enter the Large Font interface Directly select this item on the screen to enter the module switch interface Directly select this item on the screen to change the key volume Directly select this item on the
Patient Monitor User Manual Basic Operation 2. Select Menu > Common Function, then choose Demo Mode from the popup interface and input password 3045. After entering Demo Mode, the monitor will perform the followings: Storing no data of new patient. Pausing to give all types of alarm. Pausing to transmit patient data to CMS and other network devices. Pausing to store the currently recorded data, and clearing the memory used to store recording and printing data.
Patient Monitor User Manual Basic Operation WARNING Change to date and time will influence the storage of trend data. 3.5 Adjusting Volume 3.5.1 Adjusting Key Volume The key volume is the volume you hear when you select any field on the monitor screen or when you turn the knob. To adjust the key volume, please: 1. Select the Key Volume key on the screen directly or. 2.
Patient Monitor User Manual Basic Operation 3.9 Understanding Screens Your monitor comes with a set of preconfigured screens, optimized for common monitoring scenarios such as OR adult, or ICU neonatal. A screen defines the overall selection, size and position of waves, numerics and shortcut keys on the monitor screen when you switch on the monitor. You can easily switch between different screens during monitoring. Screens do NOT affect alarm settings, patient category and so forth.
Patient Monitor User Manual Alarms Chapter 4 Alarms The alarm information here applies to all measurements. Measurement-specific alarm information is discussed in the sections of individual measurements. WARNING A potential hazard can exist if different alarm presets are used for the same or similar equipment in any single area, e.g. an intensive care unit or cardiac operating room. 4.1 Alarm Category The monitor prodives three types of alarm: physiological alarms, technical alarms and prompts. 4.1.
Patient Monitor User Manual Alarms The high/medium/low-level alarms are indicated by the system in following different ways: Alarm level Physiological alarms Technical alarms The alarm indicator flashes in red. The alarm message flashes with red background, and the symbol *** is displayed at the alarm area. Medium Mode is “DO-DO-DO”, which is triggered once every 25 seconds. The alarm indicator flashes in red, with a frequency of 1.4Hz ～ 2.8Hz.
Patient Monitor User Manual Alarms The user can set the audio alarm pause to 60 s, 120 s, or 180 s based on the requirement. 4.3.3 Alarm Mute To mute the alarm, please select Menu > Maintenace > User Maintain > Alarm Setup, and set Mute to On, then press the key on the front panel for more than three seconds or press the Silence shortcut key on the screen directly. And alarm reminder tone DO is heard every three minutes. 4.3.
Patient Monitor User Manual Alarms 4.4 Latching Alarms To set the alarm latch function, please select Menu > Maintenance > User Maintain > Alarm Setup and set Alarm Latch from the pull-down list. If it is set to On, when an alarm occurs, the monitor will display the alarm message of the parameter in the alarm status area. If the parameter resumes to normal, the alarm information of this parameter still displays in the alarm display area and the alarm time is also displayed.
Patient Monitor User Manual Alarm Information Chapter 5 Alarm Information 5.1 Physiological Alarm Information Message Cause Alarm level ECG Too Weak Can not detect the signal in designated time period. High ST-X High ST measuring value is above the upper alarm limit. (X stands for I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, User-selectable V5 or V6) ST-X Low ST measuring value is below the lower alarm limit.
Patient Monitor User Manual Alarm Information PNC PACE NOT CAPTURE: After the pacemaker is paced, QRS complex can not be detected during 300ms. User-selectable PNP PACER NOT PACED: After the QRS complex, no pace is detected during 1.75 times of RR interval. User-selectable VBRADY VENTRICULAR BRADYCARDIA: The patient has irregular HR, and his average HR is less than 60bpm. Check his condition, electrodes, cables and leads.
Patient Monitor User Manual Alarm Information DIA Low DIA measuring value is below lower alarm limit. User-selectable MAP High MAP measuring value is above upper alarm limit. User-selectable MAP Low MAP measuring value is below lower alarm limit. User-selectable Art SYS High Art SYS measuring value is above upper alarm limit. User-selectable Art SYS Low Art SYS measuring value is below lower alarm limit. User-selectable Art DIA High Art DIA measuring value is above upper alarm limit.
Patient Monitor User Manual Alarm Information P2 MAP High P2 MAP measuring value is above upper alarm limit. User-selectable P2 MAP Low P2 MAP measuring value is below lower alarm limit. User-selectable EtCO2 High EtCO2 measuring value is above upper alarm limit. User-selectable EtCO2 Low EtCO2 measuring value is below lower alarm limit. User-selectable FiCO2 High FiCO2 measuring value is above alarm limits.
Patient Monitor User Manual Alarm Information FiDES Low FiDES measuring value is below lower alarm limit. User-selectable AG FiO2 Low FiO2 measurement value is too low. High AG APNEA In a specific time interval, no RESP can be detected High using AG module. TB High TB measuring value is above upper alarm. User-selectable TB Low TB measuring value is below lower alarm. User-selectable 5.
Patient Monitor User Manual ECG Signal Overflow Alarm Information The amplitude of signal is too wide. ECG Please modify ECG gain. High Stop measuring function of ECG module, and notify biomedical engineer or manufacturer’s service staff. Check lead connection and patient condition ECG Comm Fail ECG module failure communication failure ECG Noise ECG measuring signal is greatly interrupted. Low ECG V1 Lead Off ECG electrode V1 falls off the skin or ECG cables fall off.
Patient Monitor User Manual Alarm Information SpO2 Sensor Off SpO2 sensor may disconnected from patient or the monitor. SpO2 No Sensor SpO2 sensor was not connected well or connected to the monitor, or the connection is loose. SpO2 Comm Fail SpO2 Low Perfusion be the SpO2 module failure or communication failure The pulse signal is too weak or the perfusion of the measurement site is too low Low Make sure the sensor is well connected to the patient’s finger or other parts.
Patient Monitor User Manual Alarm Information Low Stop the patient from moving. High Measure again, if failure persists, stop measuring function of NIBP module and notify biomedical engineer or manufacturer’s service staff. Low Measure again, if failure persists, stop using measuring function of NIBP module and notify biomedical engineer or manufacturer’s service staff. Low Measure again or use other measuring method. Low Check the NIBP cuff and pump for leakages.
Patient Monitor User Manual Alarm Information NIBP Pneumatic Leak NIBP cuff or pump has a leakage. Low Check the NIBP cuff and pump for leakages. NIBP System Failure Hardware abnormal High Contact your service personnel. Low NIBP cuff isn’t properly connected, or there is a leak in the airway. NIBP Cuff Leak Cuff, pump or airway has a leakage. NIBP Leak Test Error Hardware abnormal High Check whether the airway is occluded or pressure sensor works properly in pressure meter mode.
Patient Monitor User Manual Alarm Information oscillometric Low Retry twice. Check for hyperkinesia or arrhythmia. Low Check the patient’s condition or the wrapped cuff. TEMP T1 Sensor Off Temperature cable of TEMP channe1 may be Low disconnected from the monitor. Make sure that the cable is properly connected TEMP T2 Sensor Off Temperature cable of TEMP channe2 may be Low disconnected from the monitor. Make sure that the cable is properly connected.
Patient Monitor User Manual Alarm Information C.O. Comm Fail C.O. module failure communication failure C.O. TI No Sensor C.O. TI connected sensor not C.O. TB No Sensor C.O. TB connected sensor not TEMP Out Of Range TB measuring value above measuring range. C.O. Lack Param C.O. measuring parameters AA Out Of Range The AA concentration exceeds the accuracy range of AG module. O2 Sensor Error or is needs The oxygen sensor of the sidestream AG module has a failure.
Patient Monitor User Manual Alarm Information AG Software Error AG module abnormal software AG Hardware Error AG module has hardware failure. High Please replace software revision. High Please check whether the hardwares work properly. AG Motor Error AG module motor abnormal High Please check whether the motor works properly. AG Uncalibrated AG module uncalibrated Low Please calibrate the AG module. AG Replace Adapter AG module needs to change adapter. High Please replace adapter.
Patient Monitor User Manual Alarm Information High AG module improperly. works High AG module improperly. works AG module fails to zero. High AG module works improperly. AG Change Oxygen Sensor Replace oxygen sensor of AG module. Low Please wait changing finishing. AG No Sensor The oxygen sensor falls off from the AG module. High Connect the sensor again. AG Mixed Agents AG module detects mixture gas agent. Medium Close the subsidiary gas agent.
Patient Monitor User Manual Alarm Information CO2 Check Adapter The cannula disconnected. AA Out Range The AA concentration exceeds the accuracy range of AG module. off or The oxygen sensor of the sidestream AG module has a failure. O2 Sensor Error QuickTemp Fail is Comm TEMP module failure or communication failure. Temp exceed limit The TEMP value is beyond the range of +25°C ~ +45°C. No Temp Sensor TEMP sensor is not connected to the TEMP module.
Patient Monitor User Manual Probe data error Probe heater error Alarm Information Offline: NTC resistance >R 0 °C; Short: NTC resistance
Patient Monitor User Manual Alarm Information 5.3 Prompts Message Cause ECG Arr Learning The QRS template building required for Arr. Analysis is in process. SpO2 Search Pulse SpO2 module is analyzing the patient signal and searching for the pulse to compute the saturation, when sensor is connected with patient.
Patient Monitor User Manual Excessive Temp, Measurement Fail. Alarm Information C.O. C.O. measuring needs parameters. C.O. measure need param HEMOD calculation needs parameters. Insufficient factors for Hemod Dynamics HEMO Dynamics calculation needs parameters. No Sensor, C.O. measurement fail No Sensor,C.O. measurement fail Measuring... The C.O. module is performing measuring. Ready for new measurement C.O. module is ready for new measurement. Invalid C.O. result C.O.
Patient Monitor User Manual Alarm Information PED 150 6 NEO 150 6 SpO2 alarm limits are listed as follows (unit %): SpO2 ALM HI ALM LO 100 0 PR alarm limits is listed as follows: unit (bpm) PR ALM HI ALM LO 300 30 NIBP alarm limits are listed as follows (EDAN module): unit (mmHg) Patient Type ADU PED NEO ALM HI ALM LO SYS 270 40 DIA 215 10 MAP 235 20 SYS 200 40 DIA 150 10 MAP 165 20 SYS 135 40 DIA 100 10 MAP 110 20 NIBP alarm limits are listed as follows (
Patient Monitor User Manual Alarm Information IBP alarm limits are listed as follows: unit (mmHg) ALM HI ALM LO Art 300 0 RAP 40 -10 LAP 40 -10 CVP 40 -10 PA 120 -6 ICP 40 -10 P1 300 -50 P2 300 -50 CO2 alarm limits are listed as follows: ALM HI ALM LO EtCO2 150 mmHg 0 FiCO2 50 mmHg 3 AwRR 150 rpm 2 rpm C.O. alarm limits are listed as follows: TB ALM HI ALM LO 43°C (109.4℉) 23°C(73.
Patient Monitor User Manual PED NEO Alarm Information EtIso 5.0% 0% FiIso 5.0% 0% EtHal 5.0% 0% FiHal 5.0% 0% EtSev 8.0% 0% FiSev 8.0% 0% EtEnf 5.0% 0% FiEnf 5.0% 0% awRR 150 rpm 0 rpm Apnea Time 40s 20s FiCO2 25.0% 0.0% EtCO2 25.0% 0.0% FiO2 88.0% 18.0% EtO2 90.0% 18.0% FiN2O 100.0% 0.0% EtN2O 100.0% 0.0% EtDes 18.0% 0% FiDes 18.0% 0% EtIso 5.0% 0% FiIso 5.0% 0% EtHal 5.0% 0% FiHal 5.0% 0% EtSev 8.0% 0% FiSev 8.0% 0% EtEnf 5.
Patient Monitor User Manual Alarm Information FiN2O 100.0% 0.0% EtN2O 100.0% 0.0% EtDes 18.0% 0% FiDes 18.0% 0% EtIso 5.0% 0% FiIso 5.0% 0% EtHal 5.0% 0% FiHal 5.0% 0% EtSev 8.0% 0% FiSev 8.0% 0% EtEnf 5.0% 0% FiEnf 5.
Patient Monitor User Manual Managing Patients Chapter 6 Managing Patients 6.1 Admitting a Patient The monitor displays physiological data and stores it in the trends as soon as a patient is connected. This allows you monitor a patient who is not yet admitted. It is however important to admit patients properly so that you can identify your patient on recordings, reports, and networked devices. During admission you enter data that the monitor needs for safe and accurate operation.
Patient Monitor User Manual Managing Patients WARNING 1 Changing the patient category may change the arrhythmia and NIBP alarm limits. Always check alarm limits to make sure that they are appropriate for your patient. 2 For paced patients, you must set Paced to On. If it is incorrectly set to Off, the monitor could mistake a pace pulse for a QRS and fail to give an alarm during asystole. 6.2 Quick Admit If you do not have the time or information to fully admit a patient.
Patient Monitor User Manual User Interface Chapter 7 User Interface 7.1 Setting Interface Style The user can set the interface based on the requirement, and the set options include the following: Sweep of the waveform. Parameters needing to be monitored. Change to some settings may have the risk, so only the authorized person can change them. After changing the settings, please notify the operator. 7.
Patient Monitor User Manual User Interface 7.7 Viewing Large Font Screen To open the large font screen, please refer to the following steps: 1. Select the Large Font key on the screen directly or. 2. Select Menu > Display Setting > View Selection > Large Font to open this interface. To view the large font interface of specific parameter, please select the parameter pull-down dialog on the interface (the red circle shown in the following figure). 7.
Patient Monitor User Manual User Interface To export the current monitor’s congifuration: 1. Connect USB device to the monitor’s USB port. 2. Select USB Configure in the Menu > Maintenance > User Maintain, enter the required password ABC. 3. In the USB Configure menu, select Export to export configuration. A status message will display after the operation. To import the configuration on the USB drive to the monitor: 1. Connect the USB drive to the monitor’s USB port. 2.
Patient Monitor User Manual Monitoring ECG Chapter 8 Monitoring ECG 8.1 Overview The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric. This chapter also tells you about arrhythmia monitoring and ST monitoring. 8.2 ECG Safety Information WARNING 1 Do not come into contact with the patient, table, or the monitor during defibrillation.
Patient Monitor User Manual Monitoring ECG 2 IEC/EN60601-1-2 (protection against radiation is 3v/m) specifies that the electrical field density exceeding 1v/m may cause measurement error in various frequencies. It is accordingly suggested that do not use equipment generating electrical radiation near ECG/RESP monitoring devices. 3 The simultaneous use of cardiac pacemaker and other patient-connected equipment may cause safety hazard.
Patient Monitor User Manual Monitoring ECG X1 to make strength of ECG signal waveform of 1mV become 10mm; X2 to make strength of ECG signal waveform of 1mV become 20mm; Auto let the monitor choose the optimal adjustment factor for all the ECG waves. 8.3.2 Changing the ECG Filter Settings The ECG filter setting defines how ECG waves are smoothed. An abbreviation indicating the filter type is shown underneath the lead label on the monitor display. Filter settings do not affect ST measurement.
Patient Monitor User Manual Monitoring ECG Select sites with intact skin, without impairment of any kind. Shave hair from sites, if necessary. Wash sites thoroughly with soap and water. (Never use ether or pure alcohol, because this increases skin impedance). Rub the skin briskly to increase capillary blood flow in the tissues and remove skin scurf and grease. 8.6.2 Connecting ECG Cables 1. Attach clip or snap to electrodes prior to placement. 2. Put the electrodes on the patient.
Patient Monitor User Manual Monitoring ECG V1 Brown/ Red C1 White/ Red V2 Brown/ Yellow C2 White/ Yellow V3 Brown/ Green C3 White/ Green V4 Brown/Blue C4 White/ Brown V5 Brown/Orange C5 White/ Black V6 Brown/Purple C6 White/ Purple 8.8.1 Electrode Placement for 3-lead Take the American standard for example, see the following figure: ■ RA placement - directly below the clavicle and near the right shoulder. ■ LA placement: directly below the clavicle and near the left shoulder.
Patient Monitor User Manual Monitoring ECG Electrode Placement for 5-lead NOTE: To ensure the patient safety, all leads must be attached to the patient. For 5-lead, attach the V electrode to one of the indicated positions as below: ■ V1 On the 4th intercostal space at the right sterna margin. ■ V2 On the 4th intercostal space at the left sterna margin. ■ V3 Midway between V2 and V4 electrodes. ■ V4 On the 5th intercostal space at the left clavicular line.
Patient Monitor User Manual Monitoring ECG V-Electrode Placement for 5-lead 8.8.3 Electrode Placement for 12-lead Take the American standard for example. The 12-lead electrodes should be placed on extremities and chest. The electrodes for extremities should be placed on the skin of legs or arms, the electrodes placed on chest should follow the doctor’s advice. Please see the following figure.
Patient Monitor User Manual Monitoring ECG Electrode Placement for 12-lead 8.8.4 Recommended ECG Lead Placement for Surgical Patients WARNING When using Electrosurgery (ES) equipment, leads should be placed in a position in equal distance from Electrosurgery electrotome and the ES grounding plate to avoid cautery. Electrosurgery equipment wire and ECG cable must not be tangled up. Monitoring ECG leads are mainly used for monitoring the patient’s vital signs.
Patient Monitor User Manual Monitoring ECG NOTE: 1 If an ECG waveform is not accurate, while the electrodes are tightly attached, try to change the lead. 2 Interference from a non-grounded instrument near the patient and ESU interference can cause inaccuracy of the waveform. 8.9 ECG Menu Setup 8.9.
Patient Monitor User Manual Monitoring ECG to display seven ECG waveforms on the screen, occupying the area of four waveforms. NOTE: If 3 Leads is selected in the ECG Setup menu, only Normal can be selected for Display in the sub-menu. 8.9.5 Setting Pace Status It is important to set the paced status correctly when you start monitoring ECG. To change the paced status in the ECG Setup menu, select Pace to toggle between On or Off. When Pace is set to On: - Pace Pulse Rejection is switched on.
Patient Monitor User Manual Monitoring ECG 8.10 ST Segment Monitoring The monitor performs ST segment analysis on normal and atrially paced beats and calculates ST segment elevations and depressions. This information can be displayed in the form of ST numerics and snippets on the monitor. ST segment monitoring function is shut off by default. You can switch it to On when necessary.
Patient Monitor User Manual Monitoring ECG DEF POINT The ST and ISO measurement points need to be adjusted when you start monitoring, and if the patient's heart rate or ECG morphology changes significantly. Always ensure that ST measurement points are appropriate for your patient. Abnormal QRS complex is not considered in ST segment analysis. 8.10.5 Adjusting ST and ISO Measurement Points Depending on your monitor’s configuration, the ST point can be positioned, too.
Patient Monitor User Manual Monitoring ECG COUPLET 2 consecutive PVCs BIGEMINY Vent Bigeminy TRIGEMINY Vent Trigeminy R ON T A type of single PVC under the condition that HR<100，R-R interval is less than 1/3 the average interval, followed by a compensating pause of 1.25X the average R-R interval (the next R wave advances onto the previous T wave). PVC Single PVCs not belonging to the type of above mentioned PVCs. TACHY 5 consecutive QRS complex, RR interval is less than 0.5s.
Patient Monitor User Manual Monitoring ECG WARNING When the PVCs Alarm is set to OFF, the monitor won’t give an alarm prompt even if an alarm occurs. In order to avoid endangering the patient’s life, the user should use this function cautiously. 8.11.2.3 ARR Relearning Pick this item to start a learning procedure, and ECG ARR LEARNING is displayed on the screen.
Patient Monitor User Manual Monitoring ECG Figure a Figure b Figure b shows analysis time, HR (heart rate), P/QRS/T Axis, RR Interval, RVS/SV1 Amp (RVS/SV1 amplitude), QRS Duration, RV5+SV1 Amp (RV5+SV1 amplitude), QT/QTC Interval and Diagnosis code. More information about diagnosis review, please refer to Section 12-lead Diagnosis Review. 8.12.
Patient Monitor User Manual Monitoring RESP Chapter 9 Monitoring RESP 9.1 Overview The monitor measures respiration from the amount of thoracic impedance between two ECG electrodes. The change of impedance between the two electrodes, (due to the thoracic movement), produces a respiratory waveform on the screen. 9.2 RESP Safety Information WARNING 1 If you do not set the detection level for the respiration correctly in manual detection mode, it may not be possible for the monitor to detect apnea.
Patient Monitor User Manual Monitoring RESP 9.4 Electrode Placement for Monitoring Resp Correct patient skin preparation techniques for electrode placement are important for Resp measurement: you will find this information in the chapter on ECG. The Resp signal is always measured between two of the ECG electrodes. There are two standard ECG leads for selection: I lead (RA and LA) and II lead (RA and LL). Electrodes Placement for 5-lead 9.
Patient Monitor User Manual Monitoring RESP from the pop-up list. 9.9 Changing Hold Type To change the calculation mode, in the Resp Setup menu, set Hold Type to Manual or Auto. When it is set to the AUTO mode, Hold High and Hold Low are unavailable, and the monitor can calculate the respiration rate automatically. When it is set to the Manual mode, you can adjust the broken lines in RESP area by the Hold High and Hold Low items. 9.
Patient Monitor User Manual Monitoring SpO2 Chapter 10 Monitoring SpO2 10.1 Overview SpO2 is based on the absorption of pulse blood oxygen to red and infrared light by means of finger sensor and SpO2 measuring unit. SpO2 Plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the arterial blood. If, for example, 97% of the hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen, then the blood has a SpO2 oxygen saturation of 97%.
Patient Monitor User Manual Monitoring SpO2 4 Don’t use the functional tester to access the SpO2 accuracy. 5 The device is calibrated to display functional oxygen saturation. 6 The materials with which the patient or any other person can come into contact conform with the standard of ISO10993. 10.3 Measuring SpO2 1. Select the correct patient category setting (adult/pediatric and neonatal), as this is used to optimize the calculation of the SpO2 and pulse numerics. 2.
Patient Monitor User Manual Monitoring SpO2 Intravascular dye injections Significant concentrations of dysfunctional hemoglobin, such as carboxyhemoglobin and methemoglobin Excessive patient movement and vibration Improper sensor application Low perfusion or high signal attenuation Venous pulsation Placement of the sensor on an extremity that has a blood pressure cuff, arterial catheter, or intravascular line 10.5 Understanding SpO2 Alarms This refers to SpO2 specific alarms.
Patient Monitor User Manual Monitoring PR Chapter 11 Monitoring PR 11.1 Overview The pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart in beats per minute (bpm). You can display a pulse from any measured SpO2 signal or any arterial pressure. 11.2 Setting PR Source The monitor provides PR sources options, but currently only SpO2 is supported. If the parameter as PR source is switched off, the monitor will switch based on priority.
Patient Monitor User Manual Monitoring NIBP Chapter 12 Monitoring NIBP 12.1 Overview This monitor uses the oscillometric method for measuring NIBP. It can be used for adult, pediatric and neonatal patients. Oscillometric devices measure the amplitude of pressure changes in the occluding cuff as the cuff deflates from above systolic pressure. The amplitude suddenly increases as the pulse breaks through the occlusion in the artery.
Patient Monitor User Manual Monitoring NIBP WARNING 8 Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor tangled. 9 Do not attach the cuff to a limb being used for IV infusions as the cuff inflation can block the infusion, potentially causing harm to patient. NOTE: 1 It is suggested that the user should not start NIBP measuring when the low battery displays, or the monitor may be turned off automatically.
Patient Monitor User Manual Monitoring NIBP There are three methods of measuring NIBP: Manual - measurement on demand. Auto - continually repeated measurements (between 1 and 480 minute adjustable interval). Sequence - the measurement will run consecutively in five minutes, then the monitor enters manual mode. WARNING Prolonged non-invasive blood pressure measurements in Auto mode may be associated with purport, ischemia and neuropathy in the limb wearing the cuff.
Patient Monitor User Manual Monitoring NIBP Cuff Usage 3. Connect the cuff to the air tubing. 4. Check whether the patient mode is appropriately selected. Access the Patient Setup menu from Menu. Turn the knob to select the required patient Type in the Patient Info. menu. 5. Select a measurement mode in the NIBP Setup menu. Refer to section Operation Prompts for details. 6. Press the button on the front panel to start a measurement. 12.7 Operation Prompts 1.
Patient Monitor User Manual Monitoring NIBP continuous measurement. 12.8 Correcting the Measurement if Limb is not at Heart Level To correct the measurement if the limb is not at heart level to the displayed value: Add 0.75mmHg (0.10kPa) for each centimeter Deduct 0.75mmHg higher or centimeter lower or Add 1.9mmHg (0.25kPa) for each inch higher (0.10kPa) for each Deduct 1.9mmHg (0.25kPa) for each inch lower 12.
Patient Monitor User Manual Monitoring NIBP The system will automatically inflate the pneumatic system to about 180 mmHg. After 20 seconds, the system will automatically open the deflating valve, which marks the completion of a pneumatic measurement. If the prompt of Leak Test OK appears, it indicates that the airway is in good situation and no air leaks exist. However if the alarm information of NIBP Cuff Leak appears, it indicates that the airway may have air leaks.
Patient Monitor User Manual Monitoring TEMP Chapter 13 Monitoring TEMP 13.1 Overview Body temperature is measured by means of a thermistor probe (a semiconductor whose resistance changes with temperature) that is inserted in the rectum. Two TEMP probes can be used simultaneously to measure two TEMP values, and get the temperature difference. The standard configuration is axilla sensor for adult. 13.
Patient Monitor User Manual Monitoring Quick TEMP Chapter 14 Monitoring Quick TEMP 14.1 Overview Quick temperature measurement is to establish thermal balance between probe and human body. When the probe is placed on the measurement site until a steady reading is available - after approximately three minutes for oral and rectal measurements and five minutes for axillary measurements. And the measurement temperature is the monitoring temperature.
Patient Monitor User Manual Monitoring Quick TEMP WARNING 8 Make sure disposable TEMP sensor covers are used to limit patient cross-contamination. The use of any other probe cover may produce temperature measurement errors or result in inaccurate readings. 9 Quick Temp measurement isn’t suitable for use during defibrillation. 14.3 Measuring Procedure 14.3.1 Measurement for Oral Temperature 1. Ensure the oral probe (white probe) and probe well are installed. 2. Remove the probe from the probe well. 3.
Patient Monitor User Manual Monitoring Quick TEMP and then take it out for starting a new measurement. 2 To ensure optimal accuracy, always confirm that the correct measurement position is selected. 14.3.2 Measurements for Rectal Temperatures 1. Ensure that the rectal probe (red probe) and probe well are installed. 2. Remove the red probe from the probe well. 3. Observe the Rectal Mode indicator on the display (flashing lower body icon). 4. Load a probe cover. Apply lubricant if desired. 5.
Patient Monitor User Manual Monitoring Quick TEMP Measuring Position in Axillary NOTE: Do not take an axilliary temperature through the patient’s clothing. Direct contact between the patient’s skin and the probe is required. To obtain accurate rectal temperature, use the white temperature probe. 14.4 Changing Temp Unit To change Temp Unit, please: 1 Select the Quick Temp Setup menu to open it and select Unit on the interface. 2 Select the appropriate unit from the popup list.
Patient Monitor User Manual Monitoring IBP Chapter 15 Monitoring IBP 15.1 Overview IBP is measured by means of a catheter inserted directly into the circulatory system. A pressure transducer connected to the catheter converts the mechanical force exerted by the blood into an electrical signal, which is displayed graphically as pressure versus time on a monitor screen or numerically on digital display.
Patient Monitor User Manual Monitoring IBP 6. To zero the transducer, please refer to Zeroing the Pressure Transducer. WARNING If there are air bubbles in the pressure line or the transducer, you should flush the system with the solution to be infused. 15.4 Selecting a Pressure for Monitoring Tell the monitor which pressure you want to monitor by selecting its pressure label. The label is a unique identifier for each type of pressure.
Patient Monitor User Manual Monitoring IBP 4. When you see the message Zero Ok, please close the stopcock to atmospheric pressure, and open the stopcock to the patient. 15.7 Troubleshooting the Pressure Zeroing (Taking Art for Example) The status message lists the probable cause of an unsuccessful calibration.
Patient Monitor User Manual 9. Monitoring IBP Press the Start button, the device will begin calibrating. 10. Wait for the calibrated result. You should take corresponding measures based on the prompt information. 11. After calibration, disassemble the blood pressure tubing and the attached 3-way valve. 4 3 2 5 1 6 1: Hydrargyrum pressure meter; 2: 3-way connector; 3: 3-way stopcock; 4: Pressure transducer; 5: Pressure transducer interface cable; 6: Monitor IBP Calibration 15.
Patient Monitor User Manual Monitoring CO2 Chapter 16 Monitoring CO2 16.1 Overview The monitor provides the SideStream and MainStream methods for CO2 monitoring. LoFlo CO2 module is used for SideStream measuring, and Capnostat 5 CO2 module (C5) is used for mainStream measuring. The principle of CO2 measurement is primarily based on the fact that CO2 molecule can absorb 4.3μm infrared ray.
Patient Monitor User Manual Monitoring CO2 NOTE: After the low battery alarm appears, please do not start the CO2 measurement, or the monitor may turn off for the low battery. 16.3 Monitoring Procedures 16.3.1 Zeroing the sensor You must perform zeroing following the steps when using the new airway adapter. 1. Expose the sensor to room air and keep it away from all sources of CO2 including the ventilator, the patient’s breath and the operator’s. 2.
Patient Monitor User Manual Monitoring CO2 for warm-up. 2 Connect the cannula, airway adapter, or sample line as appropriate, to the sensor. It will click into place when seated correctly. Connecting LoFlo module 3 To zero the sensor, please refer to zeroing the sensor. 4 For intubated patients, an airway adapter is required; Air adapter For non-intubated patients: Place the nasal cannula onto the patient.
Patient Monitor User Manual Monitoring CO2 NOTE: 1 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. 2 Always disconnect the cannula, airway adapter or sample line from the sensor when the sensor is not in use. 16.3.2.
Patient Monitor User Manual Monitoring CO2 Connecting Sensor 4 5 To zero the sensor, please refer to zeroing the sensor. Install the airway adapter at the proximal end of the circuit between the elbow and the ventilator Y-section. Connecting Airway Adapter WARNING 1 No routine user calibration required. 2 Accuracy is affected by temperature and barometric pressure. 3 It is forbidden to insert or draw out the module when the monitor is working, for it can cause instability of the system.
Patient Monitor User Manual Monitoring CO2 status. 2 To avoid infection, use only sterilized, disinfected or disposable airway adapters. 3 Inspect the airway adapters prior to use. Do not use it if airway adapter appears damaged or broken. Observe airway adapter color coding for patient population. 4 Periodically check the flow sensor and tubing for excessive moisture or secretion buildup. 16.3.3.
Patient Monitor User Manual Monitoring CO2 2. Select Apnea Alm from the menu; 3. Choose the apnea alarm time from the pop-up list. WARNING Safety and effectiveness of the respiration measurement method in the detection of apnea, particularly the apnea of prematurity and apnea of infancy, has not been established.
Patient Monitor User Manual Monitoring C.O. Chapter 17 Monitoring C.O. 17.1 Overview The Cardiac Output (C.O.) measurement is performed by using Thermodilution method. The monitor can determine blood temperature, measure cardiac output. You can have iced injecta using either the flow through system or individual syringes of injecta. You can perform up to 6 measurements before editing the average Cardiac Output. The prompt message on the screen will tell you when to inject. 17.2 C.O.
Patient Monitor User Manual Monitoring C.O. 1: Monitor; 2: Thermodilution Catheter; 3: Cardiac Output Cable; 4: Injectate Sensor Housing; 5: Injectate; 6: Delivery System; 7: In-line injectate Temperature probe. C.O. Sensor Connection WARNING Make sure that the computational constant for the measurement is appropriate to the catheter used. NOTE: The blood temperature alarm will not function during C.O. measurement. It will resume automatically when the measurement is over. 17.4 C.O.
Patient Monitor User Manual Monitoring C.O. ③ ④ ⑤ ⑥ ① ⑦ ⑧ ② ⑨ C.O. Measure Window ① Measurement curve ② Prompt message area ③ Cardiac Output ④ Cardiac Index ⑤ Body Surface Area ⑥ Blood Temperature ⑦ Injectate Temperature ⑧ Start time of the measurement ⑨ Funciton keys The functional keys on the C.O.
Patient Monitor User Manual Monitoring C.O. X axis Change the Scale X (time) value. Two modes are available: 0~30s, 0~60s. If you start measurement in the 0~30s mode, it will be switched to 0~60s mode automatically if the measurement can not finish within 30 seconds. After the switch, no further adjustment can be made to the Scale X. Review Enter the Review window Exit Press the item to exit C.O. Measure. 17.
Patient Monitor User Manual Monitoring C.O. ① ③ ② ④ Window For C.O. Edit Contents displayed in the window: ① Six curves of the six measurements and C.O. value ② Average value of C.O. ③ Average value of CI ④ Function button in the edit window Values of selected measurements can be averaged and stored in the C.O. item in the HEMOD menu as the basis for Hemodynamic calculations. 17.7 Blood Temperature Monitoring Blood temperature monitoring can function when C.O. measurement is not taken.
Patient Monitor User Manual Monitoring C.O. Right ventricle Thermodilution Catheter Site 17.8 Setting the Computation Constant The computation constant is associated with catheter and injectate volume. When the catheter is changed, please adjust Constant in the C.O. Settings menu based on product description provided by the manufacturer. 17.9 Recording C.O. Measurements C.O. measurement can be recorded by the recorder. To record the C.O. measurement, please select Record in the C.O. Measure menu. 17.
Patient Monitor User Manual Monitoring AG Chapter 18 Monitoring AG 18.1 Overview The monitor uses ISA sidestreasm gas analyzer (hereinafter called ISA analyzer) and IRMA mainstream molude (hereinafter called IRMA module) to monitor the anesthetic gas which can be used to measure the gases of adult, pediatric and neonatal patients during anesthesia, recovery and respiratory care.
Patient Monitor User Manual Monitoring AG WARNING 14 Never sterilize or immerse the ISA analyzer in liquid. 15 Measurements can be affected by mobile and RF communications equipment. Make sure that the ISA analyzer is used in the electromagnetic environment specified in this manual. 16 ISA analyzer is intended only as an adjunct in patient assessment. It must be used in conjunction with other assessments of clinical signs and symptoms.
Patient Monitor User Manual Monitoring AG 18.2.2 Safety Information for IRMA Module WARNING 1 The IRMA probe is intended for use by authorized and trained medical personnel only. 2 The IRMA probe must not be used with flammable anesthetic agents. 3 Disposable IRMA airway adapters shall not be reused. Used disposable airway adapters shall be disposed of in accordance with local regulations for medical wastes. 4 Use only PHASEIN manufactured oxygen sensor cells.
Patient Monitor User Manual Monitoring AG WARNING 10 Do not use the IRMA airway adapter with metered dose inhalsers or nebulized medications as this may affect the light transmission of the airway adapter windows. 11 Do not try to open the oxygen sensor assembly. The oxygen sensor is a disposable product and contains a caustic electrolyte and lead. 12 The IRMA probe is intended only as an adjunct in patient assessment. It must be used in conjunction with other assessment of clinical signs and symptoms.
Patient Monitor User Manual Monitoring AG 7. If applicable: Perform a tightness check of the patient circuit with the sampling line attached. 18.3.1.2 System Setup for Analyzer If your system is using the plug-in and measure ISA analyzer, please follow the setup instructions below: 1. Connect the ISA analyzer interface cable to the monitor. 2. Connect a Nomoline sampling line to the ISA analyzer input connector. 3.
Patient Monitor User Manual Monitoring AG 18.3.1.5 MAC Calculation The MAC value may be calculated and displayed by using end-tidal (Et) gas concentrations according to the following formula: MAC = % Et ( AA1) % Et ( AA2) % Et ( N 2O) + + X ( AA1) X ( AA2) 100 X (AA): HAL=0.75%, ENF=1.7%, ISO=1.15%, SEV=2.05%, DES=6.0% NOTE: Altitude, patient age and other individual factors are not considereded in the formula above. 18.3.
Patient Monitor User Manual 5 Monitoring AG Connect the IRMA/airway adapter 15mm female connector to the patient’s endotracheal tube. Alternatively, connect an HME (Heat Moisture Exchanger) between the patient’s endotracheal tube and the IPMA probe. Placing an HME in front of the IRMA probe protects the airway adapter from secretions and effects of water vapor and eliminates the need of changing the adapter. It allows free positioning of the IRMA probe as well.
Patient Monitor User Manual Monitoring AG 18.3.2.1 Placement of IRMA Probe When connecting IRMA probe to an infant patient circuit, it is important to avoid a direct contact between the IRMA probe and the infant’s body. If, for whatever the reason, the IRMA probe is in direct contact with any parts of the infant’s body, an insulation material shall be placed between the IRMA probe and the body. WARNING The IRMA probe is not intended to be in long term skin contact. 18.3.2.
Patient Monitor User Manual Monitoring AG adapter is of crucial importance for a successful zeroing. If a “ZERO-REQ” alarm should appear directly after a zeroing procedure, the procedure has to be repeated. Always perform a pre-use check after zeroing the probe. Zeroing for IRMA CO2 probes: Zeroing needs to be performed ONLY when an offset in gas values is observed, or when an unspecified accuracy message is displayed.
Patient Monitor User Manual Monitoring AG 18.5 Setting Alarms Here we take CO2 alarm for example. This refers to CO2 specific alarms. See the Alarms Chapter for general alarm information. To change the alarm, please refer to the following steps: 1 Select the CO2 Setup menu; 2 Select EtCO2 Alarm High Limit or EtCO2 Alarm Low Limit to adjust the alarm limit. 18.6 Setting Apnea Alarm Time This determines the time limit after which the monitor gives an alarm if the patient stops breathing.
Patient Monitor User Manual Monitoring AG O2 Range SetO2 Range 0~30 vol% 21 30~70 vol% 50 70~100 vol% 85 N2O Range Set N2O Range 0~30 vol% 0 30~70 vol% 50 18.10 Effects of humidity The partial pressure and the volume percentage of CO2, N2O, O2 and anesthetic agents depend on the amount of water vapor in the measured gas. The O2 measurement will be calibrated to show 20.8 vol% at actual ambient temperature and humidity level, instead of showing actual partial pressure. 20.
Patient Monitor User Manual Freeze Chapter 19 Freeze 19.1 Overview When monitoring a patient, the user may freeze the waveforms and examine them. Generally, the user can review a frozen waveform of a maximum of 120 seconds. The freeze function of this monitor has the following features: Freeze status can be activated on any operating screen. Once entering the Freeze status, the system exits all other operating menus.
Patient Monitor User Manual Freeze NOTE: Pressing the button repeatedly over a short period of time may result in discontinuous waveforms on the screen. 19.3 Reviewing Frozen Waveform By moving the waveform, you may review a waveform of 120 seconds before it is frozen. For a waveform of less than 60 seconds, the remaining part is displayed as a straight line. Use the rotary snob on the control panel to move the cursor to the Review option in the Freeze menu. Press the knob.
Patient Monitor User Manual Review Chapter 20 Review The monitor provides 120-hour trend data of all parameters, storage of 1200 NIBP measurement results and 60 alarm events. This chapter gives detailed instruction for review of all data. 20.1 Trend Graph Review ■ The latest 1-hour trend is displayed every 1 or 5 seconds. ■ The latest 120-hour trend is displayed every 1, 5 or 10 minutes.
Patient Monitor User Manual Review can scroll left and right the screen manually to see measurement trends that do not fit in the current view by selecting and pressing the symbol and displayed on the trend graph. 20.1.4 Switching to the Trend Table The user can switch to the trend table interface on the Trend Graph interface. To do so, please select Menu > Review > Trend Graph and select the Trend Table option from the popup interface. 20.1.
Patient Monitor User Manual Review Menu > Review > NIBP Review, then the NIBP Review window is displayed. 20.3.1 Scrolling the Screen All measurement data can’t be displayed on the current screen due to the screen limitation. The user can scroll up and down the screen manually to see measurement data that doesn’t fit in the current view by selecting and pressing the symbol interface. and displayed on the NIBP Review 20.3.
Patient Monitor User Manual Review in the current view by selecting and pressing the symbol Arrhythmia Review interface. and displayed on the 20.6 12-lead Diagnosis Review Select Menu > Review > Analysis Review to open the 12-lead analysis review interface. If there is no analysis result, the prompt of No Analysis Result is displayed on the interface. 20.6.1 Scrolling the Screen All analysis results or waveforms can’t be displayed on the current screen due to the screen limitation.
Patient Monitor User Manual Calculation and Titration Table Chapter 21 Calculation and Titration Table The monitor provides calculation function and titration table. Calculations are patient data that are not directly measured but calculated by the monitor. The monitor can perform drug calculation. Hemodynamic calculation is not described in this Instructions for Use. To perform one calculation, select Menu > Common Function > Drug Dose. NOTE: The drug calculation function acts only as a calculator.
Patient Monitor User Manual Calculation and Titration Table 21.1.2 Calculation Unit Each drug has the fixed unit or unit series to calculate. Among the same unit series, the unit binary varies with the entered parameter value.
Patient Monitor User Manual Recording Chapter 22 Recording 22.1 General Information A thermal dot matrix recorder is used for the monitor and can support many recording types and output patient information, measurement data, review data waveform and so forth. 2 1 3 4 1 Recording indicator 2 Recording key, press this key to start or stop recording task. 3 Paper outlet 4 Recorder Door 22.2 Performance of the Recorder Waveform record is printed at the rate of 25 mm/s or 50 mm/s.
Patient Monitor User Manual Recording 22.3 Recording Type The monitor provides several types of stripe recording: Continuous real-time recording Time recording Alarm recording Trend graph, trend table recording Arrhythmia review recording Drug calculation titration recording NIBP review recording Alarm review recording Hemodynamic Calculation result recording 12-lead analysis recording 22.
Patient Monitor User Manual Recording NOTE: You can press the button on the front panel to stop the currently recording process. 22.5 Recorder Operations and Status Messages 22.5.1 Record Paper Requirement Only standard thermosensitive record paper can be used: otherwise the recorder may not function, the recording quality may be poor, and the thermosensitive printhead may be damaged. 22.5.2 Proper Operation ■ When the recorder is working, the record paper goes out steadily.
Patient Monitor User Manual Recording 3. Ensure proper position and tidy margin. 4. Pull about 2cm of the paper out, and close the recorder casing. NOTE: Be careful when inserting papers. Avoid damaging the thermo-sensitive print head. Unless when inserting papers or shooting troubles, do not leave the recorder catch open. 22.5.5 Removing Paper Jam When the recorder functions or sounds improperly, you should open the recorder casing to check for a paper jam.
Patient Monitor User Manual Recording NOTE: 1. If the monitor is not installed with a recorder, it will indicate RECORDER SETUP NEEDED after pressing the Record button. 2. Do not touch the thermo-sensitive print head when performing continuous recording.
Patient Monitor User Manual Other Functions Chapter 23 Other Functions 23.1 Nurse Call The monitor provides dedicated nurse call port which is connected to nurse call system through the nurse call cable to perform the nurse call function.
Patient Monitor User Manual Using Battery Chapter 24 Using Battery 24.1 Battery Power Indicator The indicator labeled Battery on the front panel of the monitor illuminates in green when the monitor is battery powered and illuminates in yellow when battery is being charged. The indicator is not illuminated when the monitor is not powered or when AC power is applied. 24.
Patient Monitor User Manual Using Battery WARNING 5 Do not use, leave battery close to fire or other places where temperature may be above 60°C. 6 Do not immerse, throw, or wet battery in water/seawater. 7 Do not destroy the battery: do not pierce battery with a sharp object such as a needle; Do not hit with a hammer, step on or throw or drop to cause strong shock; Do not disassemble or modify the battery. 8 Use the battery only in the monitor.
Patient Monitor User Manual Using Battery 24.5 Recycling the Battery When the battery no longer holds a charge, it should be replaced. Remove the old battery from the monitor and recycle it properly. NOTE: To prolong the life of rechargeable battery, it is recommended to charge it at least once every month, and it must be done after the electric energy runs out. 24.6 Maintaining the Battery Batteries should be conditioned regularly to maintain their useful life.
Patient Monitor User Manual Care and Cleaning Chapter 25 Care and Cleaning Use only the EDAN-approved substances and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by using unapproved substances or methods. EDAN makes no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection. Consult your hospital’s Infection Control Officer or Epidemiologist for control infection. 25.
Patient Monitor User Manual 2 Care and Cleaning If liquid is splashed on or into the main unit inadvertently, or enters the conduit, stop using the monitor and contact the manufacturer for service immediately. Clean the monitor enclosure with soft cloth and diluent non-caustic detergents recommended above. Clean the screen with a dry soft cloth. Clean the touch screen with a soft cloth and neutral detergent or isopropyl alcohol. Do not use chemical solvents, acidic or alkali solutions.
Patient Monitor User Manual Care and Cleaning 3. Never immerse or soak the ECG cable. 4. Inspect the cables after cleaning. CAUTION Do not allow a cleaning or disinfecting agent to leave residues on any equipment surface. After allowing the appropriate time for the agent to work (as indicated by the manufacturer), wipe off residues with a cloth dampened with water. Clean with a lint-free cloth, moistened with warm water (40℃/104℉) and substances listed below.
Patient Monitor User Manual Care and Cleaning below. Never use strong solvents such as acetone or trichloroethylene. Approved Cleaning Substances ■ Mild Soaps ■ Tenside (as active cleaning agent) Cables can be cleaned with a warm, damp cloth and mild soap, or isopropyl alcohol. 25.2.2.5 Cleaning TEMP/Quick TEMP Sensor CAUTION Do not allow a cleaning or disinfecting agent to leave residues on any equipment surface.
Patient Monitor User Manual Maintenance Chapter 26 Maintenance WARNING 1 Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards. 2 If you discover a problem with any of the equipment, contact your service personnel, or your authorized supplier. 26.
Patient Monitor User Manual Maintenance NIBP Leakage Inspection At least once every two years, or as specified by local laws. NIBP Pressure Calibration At least once every two years, or as specified by local laws. NIBP Calibration At least once every two years, or as specified by local laws. CO2 Calibration and Performance At least once every two years, or if you suspect the Test measurement values are incorrect.
Patient Monitor User Manual Warranty and Service Chapter 27 Warranty and Service 27.1 Warranty EDAN warrants that EDAN’s products meet the labeled specifications of the products and will be free from defects in materials and workmanship that occur within warranty period. The warranty is void in cases of: a) damage caused by mishandling during shipping. b) subsequent damage caused by improper use or maintenance. c) damage caused by alteration or repair by anyone not authorized by EDAN.
Patient Monitor User Manual Accessories Chapter 28 Accessories You can order accessories from EDAN supplies at www.edan.com.cn or consult your local Edan representative for details. WARNING 1 Never reuse disposable transducers, sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard. 2 Use only Edan-approved accessories.
Patient Monitor User Manual Accessories 01.57.471095-10 ECG cable, AHA, 3-lead, snap, Defib, TPU 01.57.471087-10 ECG cable, AHA, 3-lead, clip, Defib, TPU 01.57.471096-10 ECG cable, AHA, 5-lead, snap, Defib, TPU 01.57.471097-10 ECG cable, AHA, 5-lead, clip, Defib, TPU 01.57.471098-10 ECG cable, IEC, 3-lead, snap, Defib, TPU 01.57.471099-10 ECG cable, IEC, 3-lead, clip, Defib, TPU 01.57.471089-10 ECG cable, IEC, 5-lead, snap, Defib, TPU 01.57.
Patient Monitor User Manual Accessories 28.3 NIBP Accessories Part Number Accessories EDAN 01.59.036118 NIBP Tube, 3m, Grey 01.59.36036 NIBP Tube, 3m, Black 01.57.471021 NIBP Tube for neonatal cuff, 3m 01.57.040210-11 NIBP Cuff, Larger Adult, 33cm-47cm, reusable 01.57.040205-11 NIBP Cuff, Adult, 25cm-35cm, reusable 01.57.040211-11 NIBP Cuff, Child, 18cm-26cm, reusable 01.57.040212-11 NIBP Cuff, Infant, 10cm-19cm, reusable 11.57.40074 NIBP Cuff, Larger Adult, 33cm-47cm, reusable 11.57.
Patient Monitor User Manual 01.57.471084-10 01.59.473003-10 Accessories OMRON Neonatal disposable cuff/CUFF (NO.13) arm8.5—13cm， width5cm，CE Connecting Tube for Neonatal Cuff (Only compatible with Neonatal Disposable and NIBP Tube)/CUFF HOSE (NO.3) length3.5m，CE 28.4 Temp Accessories Part Number Accessories 01.57.040185 Skin Temperature Probe (2.252KΩ) 01.57.040187 Skin Temperature Probe (10KΩ) 01.57.040184 Rectal / Oral Temperature Probe (2.252KΩ) 01.57.
Patient Monitor User Manual Accessories 11.57.471019 Airway Adapter, reusable, adult/children 11.57.471020 Airway Adapter, reusable, neonate/premature baby 11.59.078155 Disposable Adult Airway Adapter (6063-00) 11.59.078156 Disposable Neonatal (Infant/Pediatric) Airway Adapter (6312-00) 11.57.078142 Adult Nasal CO2 with O2 Delivery Sampling Cannula 11.57.078143 Pediatric Nasal CO2 with O2 Delivery Sampling Cannula 11.57.078144 Infant Nasal CO2 with O2 Delivery Sampling Cannula 11.57.
Patient Monitor User Manual Accessories 12.08.208005 Multi-gas analyzer, ISA AX+ 12.08.208007 Multi-gas analyzer, ISA OR+ 28.10 Other Accessories Part Number Accessories Remark 11.21.064142 Rechargeable Lithium-Ion Battery 14.8V, 2.1Ah 11.21.064143 Rechargeable Lithium-Ion Battery 14.8V, 4.2Ah 01.57.78035 Recorder paper 12.01.19084 Thermal printer 11.21.64056 Vehicle-carried Inverter 12.01.30493 Wall Mount 02.01.
Patient Monitor User Manual Product Specification A Product Specification A.1 Classification Anti-electroshock type Class I equipment and internal powered equipment EMC type Group 1, Class A Anti-electroshock degree ECG (RESP), TEMP, IBP, C.O., Quick Temp SpO2, NIBP, CO2, AG CF BF Ingress Protection IPX1 (No protection against ingress of water if configured with Quick TEMP module) Disinfection/sterilization method Refer to Chapter Care and Cleaning for details.
Patient Monitor User Manual Product Specification Altitude Working 860hPa ~ 1060hPa Transport and Storage 700hPa ~ 1060hPa Power Supply 100V-240V~, 50Hz/60Hz Current=1.0A-0.5A(iM50), Pmax=1.4A-0.7A(iM80) FUSE T 1.6AL, 250V A.4 Display Product Display Messages iM50 Display screen: 8.
Patient Monitor User Manual Product Specification A.6 Recorder Record Width 48 mm Paper Speed 25 mm/s, 50 mm/s Trace Up to 3 Recording types 8 second real-time recording Auto 8 second recording Parameter alarm recording Trend recording Titration table recording A.7 Review Trend Review Short 1 hrs, 1 Second Resolution Long 120 hrs, 1 min. Resolution Review 1200 sets NIBP measurement data 50 sets 12-lead ECG diagnosis results A.8 ECG A.8.
Patient Monitor User Manual Product Specification Notch 50Hz/60Hz (Notch filter can be turned on or off manually) Differential Input Impendance >5MΩ Input Signal Range ±8mV PP Accuracy of Reconstruction Electrode Tolerance Input Offset Signal The total error and frequency response comply with ANSI/AAMI EC13:2002, Sect. 4.2.9.8. Potential ±500mV Auxiliary Current (Leads off Active electrode: <100nA detection) Reference electrode: <900nA ≤0.
Patient Monitor User Manual Minimum input slew rate Product Specification >2.5V/S Heart rate Range ADU: 15 bpm ~ 300 bpm PED/NEO: 15 bpm ~ 350 bpm Accuracy ±1% or 1 bpm, whichever is greater Resolution 1 bpm Sensibility ≥300 μVPP PVC Range ADU: 0~300 PVCs/ min PED/NEO: 0~350 PVCs/ min Resolution 1 PVCs/min ST value Range -2.0 mV ~ +2.0 mV Accuracy The max. of ±0.02 mV or 10% (-0.8 mV ~ +0.8 mV), whichever is greater. Resolution 0.
Patient Monitor User Manual Product Specification Ventricular Rhythm The interval of 5 consecutive ventricular wave ranges from 600 ms to 1000 ms Ventricular Bradycardia The interval of 5 consecutive ventricular wave is more than 1000 ms Startup time for Tachycardia Ventricular Tachycardia Gain 1.0: 10 s 1 mV 206bpm Gain 0.5: 10 s Gain 2.0: 10 s Ventricular Tachycardia Gain 1.0: 10 s 2 mV 195bpm Gain 0.5: 10 s Gain 2.
Patient Monitor User Manual Product Specification ECG Analog Output Diagnosis: 0.05Hz ~ 100Hz Bandwidth (-3dB) Monitor: 0.5Hz ~ 40Hz Surgery: 1Hz ~ 20Hz Maximum transmission delay 500ms (in diagnostic mode, and with notch off) Sensitivity 1V/mV PACE rejection/enhancement Without Pace enhancement or pace rejection ±10% Defib Sync Pulse Output wave Square pulse Output impedance 50Ω Delay from R-wave peak to start 35ms of pulse High level: 3.
Patient Monitor User Manual Product Specification Monitor: 0.5Hz to 40Hz Surgery: 1Hz to 20Hz Diagnosis: >95dB (the Notch filter is off) CMRR (Common Mode Monitor: >105dB (the Notch filter is on) Rejection Ratio) Surgery: >105dB (the Notch filter is on) Notch Differential Impendance 50Hz/60Hz (Notch filter can be turned on or off manually） Input Input Signal Range >5MΩ ±8mV PP Accuracy of Input Signal The total error and frequency response comply with ANSI/AAMI Reconstruction EC13:2002, Sect. 4.2.9.8.
Patient Monitor User Manual Product Specification Width: 0.1 ms ~2 ms Ascending time: 10 μs ~ 100 μs Pulse is rejected if the requirements of ANSI/AAMI EC13-2002: Sect. 4.1.4.1 are met: Pulse Rejection Amplitude: ±2 mV ~ ±700 mV Width: 0.1 ms ~2 ms Ascending time: 10 μs ~100 μs Minimum input slew rate >2.
Patient Monitor User Manual Normal Product Specification ADU: 41 bpm ~ 119 bpm PED/NEO: 61 bpm ~159 bpm Brady ADU: 15 bpm ~ 40 bpm PED/NEO: 15 bpm ~ 60 bpm Range of Ventricular Rhythm Ventricular Tachycardia The interval of 5 consecutive ventricular wave is less than 600 ms Ventricular Rhythm The interval of 5 consecutive ventricular wave ranges from 600 ms to 1000 ms Ventricular Bradycardia The interval of 5 consecutive ventricular wave is more than 1000 ms Startup time for Tachycardia Ventricu
Patient Monitor User Manual Product Specification COUPLET TACHY BRADY VT>2 BRADY PNC BIGEMINY MISSED BEATS PNP TRIGEMINY IRR VENT VBRADY 12-lead ECG Average parameters of heart beat Synchronization Analysis Heart rate (bpm) Time limit of P wave (ms) PR interval (ms) QRS interval (ms) QT/QTC (ms) P-QRS-T AXIS ECG Analog Output Diagnosis: 0.05Hz ~ 100Hz Bandwidth (-3dB) Monitor: 0.
Patient Monitor User Manual Product Specification A.9 RESP Method Trans-thoracic impedance: R-F(RA-LL), R-L (RA-LA) Respiration excitation waveform < 300 μA, sinusoid, 62.8 kHz (± 10%) Measuring sensitivity 0.3 Ω (base impedance 200 to 4500 Ω) Base impedance range 200 to 2500 Ω (cable resistance = 0 K) 2200 to 4500 Ω (leads cables 1KΩ resistance) Differential input impendence > 2.5MΩ Waveform bandwidth 0.2 to 2.
Patient Monitor User Manual Product Specification MAP: 20 mmHg ~ 110 mmHg Cuff pressure measuring range 0 mmHg ~ 300 mmHg Pressure resolution 1mmHg Maximum mean error ±5mmHg Maximum standard deviation 8mmHg Maximum measuring period Adult/Pediatric 120s Neonate 90s Typical measuring period 30s ~ 45s (depend on HR/motion disturbance) Overpressure protection (Dual overpressure protection) Adult 297±3mmHg Pediatric 240±3mmHg Neonatal 147±3mmHg PR Measuring range 40 bpm ~240bpm Accuracy
Patient Monitor User Manual Product Specification Alarm Type SYS, DIA, MAP Pressure Resolution 1mmHg Measuring Accuracy Maximum Mean Error Maximum Deviation ±5mmHg Standard 8mmHg Adult/Pediatric Neonate Single Fault Single fault Condition Normal Condition Cuff Pressure 300 mmHg Measuring Range 330 mmHg 150 mmHg 165 mmHg Maximum Period Less than 180s Less than 80s Less than 90s Normal Condition Measuring Less than 160s A.11 SpO2 A.11.
Patient Monitor User Manual Product Specification A.11.2 SpO2 from Nellcor Module Measuring Range 1% ~ 100% Resolution 1% Accuracy Sensor Type Accuracy MAX-A, MAX-AL, MAX-N, MAX-P, MAX-I, MAX-FAST ± 2 (70% ~ 100% SpO2) OxiCliq A, OxiCliq P, OxiCliq N (Adult), OxiCliq N (Neonate), OxiCliq I ± 2.5 (70% ~ 100% SpO2) D-YS (Infant to Adult), DS-100A, OXI-A/N, OXI-P/I ± 3(70% ~ 100% SpO2) D-YS (including D-YSE ear clip), D-YS (including D-YSPD spotclip) ± 3.
Patient Monitor User Manual Product Specification A.13 Quick TEMP Measuring Range 25°C ~ 45°C (77 º F ~113 º F) Operating Temp 10°C ~ 40°C (50 º F ~104 º F) Sensor Type Oral/Axillary sensor, Rectal sensor Resolution 0.1°C (0.1 º F) Accuracy ±0.1°C (25°C ~ 45°C) or ± 0.2℉ (77 º F ~113 º F) Response time < 60s Update time 1s ~ 2s A.
Patient Monitor User Manual AwRR Product Specification 0 rpm ~ 150 rpm Resolution EtCO2 1mmHg FiCO2 1mmHg AwRR 1 rpm EtCO2 Accuracy ± 2 mmHg, 0 to 40 mmHg ± 5 % of reading, 41 to 70 mmHg ± 8 % of reading, 71 to 100 mmHg ± 10 % of reading, 101 to 150 mmHg AwRR Accuracy ± 1 rpm Suffocation Alarm Delay 10s, 15s, 20s, 25s, 30s, 35s, 40s, default value is 20 second. Sample Gas Flowrate 50ml/min Stability Short Term Drift Drift over 4 hours < 0.
Patient Monitor User Manual Product Specification Enflurane 5 41 – 70 mmHg: ± 2.5% additional error Isoflurane 5 71 – 100 mmHg: ± 4% additional error Sevoflurane 5 101 – 150 mmHg: ± 5% additional error Xenon 80 Helium 50 Desflurane 15 *Additional worst case error when compensation for PB, O2, N2O, anesthetic agents, or helium is correctly selected for the actual fractional gas constituents present.
Patient Monitor User Manual Product Specification For C.O. < 4.0 L/min: 0.2 L/min TB ±0.1°C TI ±0.1°C NOTE： At least 90% of the C.O. data should reside inside the bounded region, and the lower 95% confidence interval should not exceed 85%. A.17 AG A.17.
Patient Monitor User Manual Response Time Product Specification < 3 seconds Accuracy(Standard Conditions) GAS Measurement Range Accuracy CO2 0 to 15 vol% ±(0.2 vol% + 2% of reading) 15 to 25 vol% Unspecified N2O 0 to 100 vol% ±(2 vol% + 2% of reading) HAL, ENF, ISO 0 to 8 vol % ±(0.15 vol% + 5% of reading) 8 to 25 vol % Unspecified 0 to 10 vol % ±(0.15 vol% + 5% of reading) 10 to 25 vol % Unspecified 0 to 22 vol % ±(0.
Patient Monitor User Manual Product Specification reading 3) DES4) 15 vol% +12% of reading 3) _ 1) _ 1) _ 1) Xe(Xenon)4) 80 vol% -10% of reading 3) _ 1) _ 1) He(Helium) 4) 50 vol% -6% of reading 3) _ 1) _ 1) Metered dose inhaler propellants4) Not for use with metered dose inhaler propellants C2H5OH(Ethanol) 0.3 vol% _ 1) _ 1) _ 1) _ 1) 0.
Patient Monitor User Manual Product Specification Parameters Sevoflurane(SEV), Desflurane(DES), awRR, MAC Measurement CO2, N2O, anaesthesia agent: infra-red absorption characteristic Principle Warm-up Time Concentrations are reported and the automatic agent indentification is running within 10 seconds. 20 seconds for IRMA AX+. Rise Time CO2 ≤ 90ms O2 ≤ 300ms N2O ≤ 300ms HAL, ISO, ENF, SEV, DES ≤ 300ms Primary Agent Threshold 0.15 vol% Secondary Agent Threshold 0.
Patient Monitor User Manual Product Specification CO2 ±(0.3 vol% + 4 % of reading) N2O ±(2 vol% + 4 % of reading) Agents ±(0.
Patient Monitor User Manual O25) 100 vol% Product Specification _ 1&2) _ 1&2) _ 1) _ 1) Note 1: Negligible interference, effect included in the specification “Accuracy, all conditions” above. Note 2: For probes not measuring N2O and/or O2 the concentrations shall be set from monitor. (IRMA CO2 measures neither N2O, nor O2. IRMA AX+ does not measure O2.) Note 3: Interference at indicated gas level. For example, 50 vol% Helium typically decreases the CO2 readings by 6%.
Patient Monitor User Manual EMC Information B EMC Information - Guidance and Manufacture’s Declaration B.1 Electromagnetic Emissions - for all EQUIPMENT and SYSTEMS Guidance and manufacture’s declaration – electromagnetic emission The monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
Patient Monitor User Manual EMC Information IEC/EN 61000-4-4 ±1 kV for input /output signal ±1 kV for input /output signal typical commercial or hospital environment. Surge ±1 kV for line to line IEC/EN 61000-4-5 ±2 kV for line to ground ±1 kV for line to line Mains power quality should be that of a typical commercial or hospital environment.
Patient Monitor User Manual EMC Information environment. Immunity test IEC/EN 60601 test level Compliance level Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the Patient Monitor, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Patient Monitor User Manual EMC Information 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.
Patient Monitor User Manual Default Settings C Default Settings This appendix documents the most important default settings of your monitor as it is delivered from the factory. Note: If your monitor has been ordered preconfigured to your requirements, the settings at delivery will be different from those listed here. C.1 Patient Information Default Settings Patient Information Settings Patient Type Adult Pace Off C.
Patient Monitor User Manual Alarm Level Medium Alarm Record Off Alarm High Limit (ST-X) 0.2 Alarm Low Limit (ST-X) -0.2 Default Settings X stands for I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5 or V6.
Patient Monitor User Manual Default Settings Alarm Record Off Alarm Level Medium Alarm High Limit 30 30 100 Alarm Low Limit 8 8 30 Apnea Time 20s Calculation Type Auto Resp Type II Sweep 12.5mm/s Amplitude 1 PED NEO C.5 SpO2 SpO2 Settings ADU Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit 100 100 95 Alarm Low Limit 90 90 88 Pitch Tone On Sweep 12.5mm/s PED NEO C.
Patient Monitor User Manual Default Settings Alarm Record Off Alarm Level Medium Alarm High Limit (SYS) 160 120 90 Alarm Low Limit (SYS) 90 70 40 Alarm High Limit (Map) 110 90 70 Alarm Low Limit (Map) 60 50 30 Alarm High Limit (Dia) 90 70 60 Alarm Low Limit (Dia) 50 40 20 160 140 100 Inflation value 180 180 120 Unit mmHg Interval Manual PED NEO EDAN Module Inflation value M3600 Module C.
Patient Monitor User Manual Default Settings Alarm Level Medium Alarm High Limit (T1) 39.0 39.0 / Alarm Low Limit (T1) 36.0 36.0 / Unit °C PED NEO C.10 IBP IBP Settings ADU Alarm Switch On Alarm Record Off Alarm Level Medium Unit mmHg Filter 12.
Patient Monitor User Manual Default Settings Anes Agent 0% Alarm High Limit (EtCO2) 50 50 45 Alarm Low Limit (EtCO2) 15 20 30 Alarm High Limit (FiCO2) 4 4 4 Alarm High Limit (AWRR) 30 30 100 Alarm Low Limit (AWRR) 8 8 30 Sweep 12.5mm/s Amplitude Low PED NEO C.12 C.O. C.O. Settings ADU Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit (TB) 43.0 43.0 43.0 Alarm Low Limit (TB) 23.0 23.0 23.
Patient Monitor User Manual Default Settings Alarm Low Limit (EtAA) 0.0 0.0 0.0 Alarm High Limit (FiAA) 6.0 6.0 6.0 Alarm Low Limit (FiAA) 0.0 0.0 0.0 Alarm High Limit (EtN2O) 55 55 55 Alarm Low Limit (EtN2O) 0 0 0 Alarm High Limit (FiN2O) 53 53 53 Alarm Low Limit (FiN2O) 0 0 0 Alarm High Limit (EtO2) 90.0 90.0 90.0 Alarm Low Limit (EtO2) 18.0 18.0 18.0 Alarm High Limit (FiO2) 88.0 88.0 88.0 Alarm Low Limit (FiO2) 18.0 18.0 18.0 Sweep 12.
Patient Monitor User Manual Abbreviation D Abbreviations Abbr English Full Name/Description AC Alternating current Adu Adult AG Anaesthesia gas Art Arterial aVF Left foot augmented lead aVL Left arm augmented lead aVR Right arm augmented lead awRR Airway respiration rate BP Blood pressure BTPS Body temperature and pressure, saturated CI Cardiac index C.O.
Patient Monitor User Manual Abbreviation Eto Ethylene oxide EtO2 End-tidal oxygen FCC Federal Communication Commission FDA Food and Drug Administration Fi Fraction of inspired FiCO2 Fraction of inspired carbon dioxide FiN2O Fraction of inspired nitrous oxide FiO2 Fraction of inspired oxygen Hal Halothane Hb Hemoglobin Hb-CO Carbon mono-xide hemoglobin HR Heart rate IBP Invasive blood pressure ICP Intracranial pressure ICU Intensive care unit ID Identification IEC Internati
Patient Monitor User Manual Abbreviation NIBP Non-invasive blood pressure O2 Oxygen oxyCRG Oxygen cardio-respirogram PA Pulmonary artery PAWP Pulmonary artery wedge pressure Ped Pediatric Pleth Plethysmogram PR Pulse rate PVC Premature ventricular complex R Right RA Right arm RAP Right atrial pressure Resp Respiration RHb Reduced hemoglobin RL Right leg RR Respiration Rate Sev Sevoflurane SYS Systolic pressure TB Blood Temperature TD Temperature difference TEMP Tem
