User’s Manual for Omega 12Patient Monitor OMEGA12 Patient Monitor User’s Manual Infinium Medical Inc.
User’s Manual for Omega 12Patient Monitor Introduction Thank you for choosing Omega12patient monitor Before using the product, please read this manual carefully for proper use. After reading, please properly keep this manual for reference at any time when needed. Product Name: Patient Monitor Model Name: Omega12 General Information: This device is intended to be used for monitoring, and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates.
User’s Manual for Omega 12Patient Monitor Statement Infinium hereby DISCLAIMS all warranties and conditions, either express, implied or statutory, including, but not limited to, any implied warranties or conditions of merchantability, of fitness for a particular purpose with regard to the materials. Infinium shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
User’s Manual for Omega 12Patient Monitor Preface 【Manual Description】 This manual describes the uses, features, operations and safety messages of the patient monitor. Before using this equipment, observance of the manual is a prerequisite for proper performance and correct operation and ensures patient and user safety. Keep this manual in the vicinity of the equipment so that it can be obtained conveniently when needed.
User’s Manual for Omega 12Patient Monitor Content 1 Safety...........................................................................................................................1 2 Monitor Description.................................................................................................... 6 3 Basic Operations........................................................................................................15 4 Setup........................................................................
User’s Manual for Omega 12Patient Monitor 1 Safety 1.1 Safety Information WARNING Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury. CAUTION Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage. NOTE Provides application tips or other useful information to ensure that you get the most from your product. 1.1.
User’s Manual for Omega 12Patient Monitor electrical shock to the patient. Do not come into contact with patients during defibrillation. Otherwise, serious injury or death could occur. Do not use the equipment in the presence of flammable anesthetics, vapors or liquids. The waveforms, physiological data and alarm messages displayed on the equipment are for reference only and cannot be directly used for diagnostic interpretation.
User’s Manual for Omega 12Patient Monitor An indicated potential hazard or unsafe practice that, if not avoided, could result in minor personal injury, product malfunction, damage or property loss. Both the monitor and the devices that connected to this equipment, must be grounded together. Devices connected to the equipment must meet the requirements of the applicable IEC standards (e.g.
User’s Manual for Omega 12Patient Monitor electronic interference (such as electronic surgical equipment, cell phones, two-way radar for vehicles, electronic devices, etc.) in medical care settings. The high level of interference caused by the immediate vicinity, or strong transmitter power of the interfering sources may interrupt the normal function of this equipment. This monitor is designed for use within a specified electromagnetic environment.
User’s Manual for Omega 12Patient Monitor Computer network Alternating current (AC) Battery indicator AC/DC dual-use Serial number Date of manufacture Manufacturer Fragile, handle with care This way up. Keep dry. Protect from rain. Stacking limit by number: Maximum number is 8 for the symbol in the illustration.
User’s Manual for Omega 12Patient Monitor 2 Monitor Description 2.1 Intended Use This device is intended to be used for monitoring, and recording of, and to generate alarms for, multiple physiological parameters of adults, pediatrics, and neonates. Critical physiological parameters include ECG(Electrocardiogram), Heart Rate (HR), Pulse Oxygen Saturation (SpO2), Pulse Rate (PR), Non-invasive Blood Pressure (NIBP), Respiration Rate (RR), Temperature (Temp), Invasive Blood Pressure (IBP), Cardiac Output (C.O.
User’s Manual for Omega 12Patient Monitor sensor, NIBP cuff, IBP cables, C.O. cables, Temp sensor etc. 2.5 Main Unit 2.5.1 Front View Figure 2-1 Front View Number 1 Explanation Symbol HDMI connector HDMI USB connectors: USB 2&3 upgrade firmware or importing/exporting configuration.
User’s Manual for Omega 12Patient Monitor Alarm Status Symbols: LED indicators tell the priority of the technical and physiological alarm 10 High: Red with quick flashes,2 flashes per second Medium: Yellow with slow flashes,1 flash per second Low: Solid blue without flashes 11 Speaker AC Power indicator: 12 ON: when AC power is connected. OFF: when AC power is connected.
User’s Manual for Omega 12Patient Monitor 16 EtCO2 Bracket: installing EtCO2 module Equipotential Grounding: connecting other instruments and 17 equipment with equipotential grounding system to eliminate the ground potential difference between different equipment to ensure safety 100-240V AC Power Input: 18 50/60Hz 100~240VAC50/60Hz 1.3-0.
User’s Manual for Omega 12Patient Monitor Figure 2-3 Normal Monitor View Number Explanation Patient Information Area 1 This area shows the patient information such as patient category, name, gender, ID. Technical Alarm Area 2 This area shows technical alarm messages and prompt messages. When multiple messages come, they will be displayed circularly. Select this area and the technical alarm list will be displayed. Physiological Alarm Area 3 This area shows physiological alarm messages.
User’s Manual for Omega 12Patient Monitor Extended Soft Keys Area: 7 Click this button, and extended soft keys area will pop up for quick function access. Parameter Area: Displaying the real-time measurement value corresponding to 8 each parameter module. Its waveform is displayed in the same row in the waveform area. 2.6.
User’s Manual for Omega 12Patient Monitor Reset the alarm system 3) Freeze: Freeze or unfreeze the waveform display 4) Print: Start or stop the printing procedure. 5) Start/Stop: Start/Stop measuring the non-invasive blood pressure 6) View Layout: Set up the waveform in main display and parameter display layout. 7) Main Menu: Configure the system parameter. 8) Pause Display: Pause the monitor and close the monitor display 2.6.
User’s Manual for Omega 12Patient Monitor 10) Night Mode: Switching between "night mode" and "day mode". 11) UsageInfo: A new window will pop-up to show the current status of the monitor, including CPU usage, memory usage and runtime etc. NOTE When turned on, this monitor will load automatically the latest configuration when it shut down last time. 2.6.
User’s Manual for Omega 12Patient Monitor Trend Review Open window Open setting menu Mode review for current alarm setting patient.
User’s Manual for Omega 12Patient Monitor 3 Basic Operations 3.1 Description The following section describes the basic operations of the monitor before it is used. 3.2 Safety Precautions WARNING Please use the installation accessories authorized by us. The software copyright of the equipment is solely owned by us. No organization or individual shall resort to juggling, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.
User’s Manual for Omega 12Patient Monitor Make sure that the operating environment of the equipment meets the specific requirements. Otherwise, unexpected consequences, e.g., damage to the equipment, could result. Please read this manual thoroughly to ensure the proper use of the product and safety of both patient and operator. NOTE Put the equipment in a location where you can easily view, operate and maintain it.
User’s Manual for Omega 12Patient Monitor 3.4 Getting Started 3.4.1 Connecting to AC Power Source The monitor is powered by AC. Before connecting the AC power source, please make sure that the voltage and frequency of the AC power source are the same as the voltage and frequency marked on the power plug. Connect to the AC power source by following the steps in below: 1. Plug the power cord into the AC power source. 2. Plug the other end of the power cord into a grounded three-wire power outlet. 3.
User’s Manual for Omega 12Patient Monitor 4. Check that the patient settings such as [Alarm limit.], [Patient Cat.], [Paced], etc., are appropriate for your patient. Change setting according to your need for measurements. 5. Start Monitoring. Refer to the appropriate measurement section for details of how to perform the measurements you require. 3.5 Stopping Monitoring or Turning Off the Power To stop monitoring patient on a certain parameter: 1.
User’s Manual for Omega 12Patient Monitor 4 Setup To meet the patient needs in different clinical settings, you can set up the monitor accordingly in General Menu, Printer Menu, Module Menu, Config Manager. For specific parameter measurement, the related alarm setting is complex, thus we’ll introduce its setup in separate chapters. This chapter introduces only the monitor setup you need before use. 4.
User’s Manual for Omega 12Patient Monitor Select “Temp Unit” and toggle between [ºC] and [ºF]. the default setting is ºC. 6) Weight/HeightUnit Select “Weight/HeightUnit” to set Weight/Height Unit and toggle between kg/cm and lb/inch. The default setting is kg/cm. 7) EtCO2 Unit Select “EtCO2 Unit” to set EtCO2 Unit and toggle between mmHg, kPa and %. The default setting is mmHg. 8) Date Select “Date” to set system date and time.
User’s Manual for Omega 12Patient Monitor Figure 4-2: “About” Window To upgrade the firmware: Select “Upgrade” Enter password as required to choose upgrade mode. Figure 4-3: “Upgrade” Window 16) Help Click “Help” Download the video online to USB drive Click and play the video.
User’s Manual for Omega 12Patient Monitor 4.2 HL7 Menu Select “Main Menu” → “HL7 Menu” to enter HL7 Menu, as illustrated in Figure 4-4. Figure 4-4: HL7 Menu For patient data transmission, HL7 needs to be configured: 1) HL7 EnableService Click “HL7 Service”button to turn ON/OFF HL7 Service, the default setting is OFF. When HL7 service is OFF, you could change HL7 settings. When HL7 service is ON, HL7 setting is disabled.
User’s Manual for Omega 12Patient Monitor 4.3 Printer Menu Select “Main Menu” → “Printer Menu”, as shown in Figure 4-5. Figure 4-5: Printer Menu You can set: 1) Status If the monitor is connected to the printer successfully, the status will be “Connected”;If connection fails, the status will be “Disconnected”. 2) Alarm Print Select “Alarm Print” drop-down menu to turn ON/OFF alarm print.
User’s Manual for Omega 12Patient Monitor display. 4.4 Module Menu Select “Main Menu” → “Module Menu” to enter ModuleMenu window, asillustrated in Figure 4-6. Figure 4-6: Module Menu To avoid the improper operation of the monitor due to accidentally changed configuration, some configurations require password from authorized personnel. Module Menu settings are: 1) EtCO2 Module To enable turning ON/OFF EtCO2 module, EtCO2 password generated from KN number is required.
User’s Manual for Omega 12Patient Monitor 4.5 Config Manager To meet the health care demand for different patient category, you can adjust the settings as required and then save it as a specific Config. Besides the default Config provided by default, you can create new local configurations or customize local configurations. To access Configuration Management: Select “Config Manage” in the extended softkeys area Configuration Management window will appear, as illustrated in Figure 4-7.
User’s Manual for Omega 12Patient Monitor 5) Export Select the row in configuration list (corresponding to the configuration file), click “Export” and the selected configuration will be exported to the specified USB drive. 4.6 Pause Display Select “Pause Display” in the softkeys area, the monitor will enter the Pause Display mode, the “Pause Display” window will appear, as illustrated in Figure 4-8.
User’s Manual for Omega 12Patient Monitor 5 Display Mode The Omega12 patient monitor has five display modes: Normal View, Big Font View, OxyCRG View, C.O. View,and BIS Real-time Trending View, the display format of waveforms and parameters are different from each other in different display modes. For more details, see the explanation of each display mode. 5.1 Layout Setup Click “View/Layout” ,Enter View/Layout configuration window, as illustrated in Figure 5-1.
User’s Manual for Omega 12Patient Monitor 6 OK: Click the button, settings will be saved into configuration file and applied to monitor immediately, Normal Screen Layout will update. NOTE If the measurement module is not in place, corresponding parameters and waveforms can’t be displayed.
User’s Manual for Omega 12Patient Monitor Figure 5-3: Normal View Layout In this mode, the screen could display 8 waveforms at most on main page simultaneously. And you could select from 13 waveforms: ECG I, ECG II, ECG III, ECG AVR, ECG AVF, ECG AVL, ECG V, Pleth, Resp, IBP1, IBP2, EtCO2, BIS. Therefore, this mode is suitable for monitoring situations where multiple waveforms are needed for observation at the same time.
User’s Manual for Omega 12Patient Monitor 5.3 Big Font View Swipe left and right on the touch screen using two or more fingers to switch between the Normal View and the Big Font View, as illustrated in Figure 5-4. In Big Font View mode, select “View/Layout” Big Font View Layout window will pop up. Figure 5-4: Big Font View Figure 5-5 shows the layout setup of Big Font View, you could select 4 parameters with waveforms and 2 parameters without waveforms in Big Font View mode.
User’s Manual for Omega 12Patient Monitor 5.4 OxyCRG View Select “OxyCRG” soft key , Enter real-time OxyCRG View display page, as shown in Figure 5-6. Figure 5-6: OxyCRG View Number 1 Explanation Respiratory Rate (RR)/ Respiratory Waveform (RW) Switch: Select the drop-down menu to switch between RR and RW display. Time Interval Setting: Select the drop-down menu to set the time interval 2 for trend data display. Time Interval lists are: 1min, 2min, 4min, 8min (4 levels in total).
User’s Manual for Omega 12Patient Monitor 5.5 C.O. Measure View Enter C.O. Measure View, as shown in Figure 5-7. Select “C.O. Measure” soft key Figure 5-7: C.O. Measure View Number 1 Explanation Real-time Measurement Window: display the real-time measuring parameter and waveform. History Measurement Window: display history measurement data, click to 2 select or unselect the specified history record. If selected, the specified measurement record will be involved for average value calculation.
User’s Manual for Omega 12Patient Monitor 5.6 BIS Trend View Select “BIS Trend” Enter BIS Trend View, as shown in Figure 5-8. Figure 5-8: BIS Trend View Number 1 2 3 Explanation Real-time Trend Field: Display real-time specified parameter trend in line graph. Parameter Setting: Select parameters for display from the drop-down menu. Options are BC, EMG, SQI, SR. Time Interval Setting: Select the drop-down menu to set the time intervalfor trend data display.
User’s Manual for Omega 12Patient Monitor 6 Alarm 6.1 Description Alarms, triggered by a vital sign that appears abnormal or by technical problems of the patient monitor, are indicated to the user by visual and audible alarm indications. We’ll introduce alarm settings and functions in this chapter. 6.2 Safety Precautions 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.
User’s Manual for Omega 12Patient Monitor 6.3.2 Alarm Levels By severity, the patient monitor’s alarms can be classified into three categories: high level, medium level and low level: High level: Indicate that your patient is in a life-threatening situation or a severe device malfunction, an emergency treatment is demanded. Medium level: Indicate that your patient’s vital signs appear abnormal and an immediate treatment is required or a device malfunction. an immediate treatment is required.
User’s Manual for Omega 12Patient Monitor NOTE When multiple alarms of different levels occur simultaneously, the patient monitor will select the alarm of the highest level and give visual and audible alarm indications accordingly. When multiple alarms of different levels occur simultaneously in the same area, only high-level alarm will be displayed.
User’s Manual for Omega 12Patient Monitor 6.5 Alarm Setup Select “Alarm Setup” in the extended softkey area Enter Alarm Setup Menu 6.5.1 Set Alarm Properties for All Parameters There are 3 ways to set alarm properties for the specified parameter: 1）Select “Alarm Setup” “XXX Alarm Menu”,This patient monitor can also give alarms of these measured parameters. In parameter specific menu, you must set alarmON/OFF, alarm limits, alarm level, and alarm record separately on this monitor.
User’s Manual for Omega 12Patient Monitor 6.6 PauseAlarm and Pause Audio Alarm 6.6.1 Set the Pause Function You can pause the alarm or pause the alarm sound according to your Pause setting. To set the pause function: 1）Select “Alarm Setup” in the extended softkey area Click “General Alarm Menu” tab Choose “Alarm Pause” or “Audio Pause”. The default setting is “Alarm Pause”. 2）Set “Pause” to “Alarm Pause” or “Audio Pause”, the default setting is “Alarm Pause”. 6.6.
User’s Manual for Omega 12Patient Monitor 6.6.3 Silencing the Alarm Sound If the pause function is set to “Audio Pause”, selecting “Audio Pause” will silence the alarm sound. When the alarm sound is muted: Both physiological alarms and technical alarms are off during the set alarm pause time. The remaining pause time and the alarm pause symbol will be displayed in the system status bar.
User’s Manual for Omega 12Patient Monitor 6.7 Alarm Reset Select “Alarm Reset” soft key Reset the alarm system. When the alarm system is reset successfully, the Alarm Reset symbol will appear in the system status bar. NOTE When monitor is in Alarm Reset state, if a new alarm occurs, the Alarm Reset symbol will disappear, alarm light and sound will be generated normally. After alarm is reset: Current alarm sound and lamp will be blocked.
User’s Manual for Omega 12Patient Monitor 7 ECG 7.1 ECG Description The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the patient monitor as a waveform and a numeric. The monitor provides 3-lead/5-lead monitoring, ST segment and arrhythmia analysis. Figure 7-1: ECG Display 7.2 ECG Safety WARNING Direct cardiac contact with this monitor is prohibited.
User’s Manual for Omega 12Patient Monitor Figure 7-2: ECG Display Number Explanation Number Explanation 1 ECG Lead Label 9 PVCs Label 2 ECG Gain 10 PVCs Value 3 ECG Filter Label 11 ECG 1mV Calibration Bar 4 ECG Sweep Speed 12 ECG Waveform 5 ECG Name 13 ECG Alarm Limit 6 HR Unit 14 ST Parameter Label 7 Heart Beat Symbol 15 ST Value 8 HR Value NOTE For leads of different types and settings, the display of ECG parameter area and waveform area may vary. 7.
User’s Manual for Omega 12Patient Monitor 1. Check whether the electrode package is intact within the expiration date.Tear off the protective paper on the back of the electrode sheet. Make sure the electrode gel is moist. Attach the clips or snaps to the electrodes before placing them. 2. Place the electrodes on the prepared skin. Squeeze out the air between the electrode and the patient's skin. 3. Attach the lead wires to the ECG trunk cable. 4.
User’s Manual for Omega 12Patient Monitor Chest 5 C5 White/Black V5 Brown/Orange Chest 6 C6 White/Purple V6 Brown /Purple 7.4.4 ECG Lead Placements The electrode placement illustrations in this chapter adopt the AHA standard: 1) 3-Leadwire Electrode Placement Following is an electrode configuration when using 3 lead-wires: White Electrode（right arm）RA placement: directly below the clavicle and near the right shoulder.
User’s Manual for Omega 12Patient Monitor V1 placement: on the fourth intercostal space at the right sternal border. V2 placement: on the fourth intercostal space at the left sternal border. V3 placement: midway between the V2 and V4 electrode positions. V4 placement: on the fifth intercostal space at the left midclavicular line. V5 placement: on the left anterior axillary line, horizontal with the V4 electrode position.
User’s Manual for Omega 12Patient Monitor symbol is displayed when the “Pace Detection” is set to ON. The pace pulse markers “|” are shown on the ECG wave when the patient has a paced signal. The paced symbol will not be displayed when the “Pace Detection” is set to OFF To change the paced status: 1. Select ECG parameter area or waveform area Enter “ECG Menu”. 2. Select “Normal Setup” tab. 3. Set “Pace Detection” to [Yes] or [No] according to patient’s need.
User’s Manual for Omega 12Patient Monitor 7.5 Changing ECG Settings Select ECG parameter window or waveform area Enter “ECG Menu” page, as shown in Figure 7-4. Figure 7-4: ECG Menu 7.5.1 ECG Normal Setup In “ECG Menu” page, select “Normal Setup” tab to set: 1) Color: Select the drop-down menu of “Color” to set ECG waveform and parameter color. 32 colors are available, as shown in Figure 7-5. The default color is Green.
User’s Manual for Omega 12Patient Monitor 4) Lead Set Select “Lead Set” drop-down menu, and toggle between 3 Leads and 5 Leads mode. The default setting is 5 Leads. 5) HRSource Select “HR Source” drop-down menu, when lead set is 3 Leads, you can choose Lead I, Lead II or Lead III. The default setting is Lead II. When lead set is 5 Leads, you can choose Lead I, Lead II, Lead V. The default setting is Lead II.
User’s Manual for Omega 12Patient Monitor NOTE ECG Cascade only supports the first row of ECG waveforms. 9) Pace Detection Select “Pace Detection” drop-down menu and toggle between ON and OFF. The default setting is OFF. When “Pace Detection” is ON, the pace pulse markers “|” are shown on the ECG wave when a paced signal has been detected. As shown in Figure 7-6, for more details, please refer to 7.4.6. Figure 7-6: Pace Detection 7.5.
User’s Manual for Omega 12Patient Monitor 7.6 ST Monitoring The ST segment is an interval between ventricular depolarization and ventricular repolarization. It is identified as the end of the QRS complex to the beginning of the T wave. ST monitoring is intended to monitor the patient's oxygen supply and myocardial function. ST segment analysis calculates ST segment elevations and depressions for a given lead.
User’s Manual for Omega 12Patient Monitor Number Explanation Number Explanation 1 ST Unit 3 Lead Name 2 ST Label 4 ST Value ST parameters displayed in the ECG parameter area varies with the operating “Lead Set”: When 3-lead is used for monitoring, only one ST parameter value is displayed in ECG parameter area, No ST parameter area will appear; When 3-lead is used for monitoring, 7 ST parameters’ values are displayed in ST parameter area, they are: ST-I, ST-II, ST-III, ST-aVR, ST-aVL, ST-aVF, ST
User’s Manual for Omega 12Patient Monitor 3) ST Source Select “ST Source” drop-down menu to set ST Source. When Lead Set is 3 Leads, Options are Lead I, Lead II and Lead III. The default setting is Lead II. When Lead Set is 5 Leads,Options are Lead I, Lead II, Lead III, Lead AVL, Lead AVR, Lead AVF, Lead V. The default setting is Lead II. 7.6.4 Additional Information Exceptional QRS complex will not be considered in ST analysis.
User’s Manual for Omega 12Patient Monitor 1. In “ECG Menu”, Select “ST Analysis” tab; 2. Select corresponding setting page and then use the touchscreen to adjust the position of each point; The ISO-point cursor (1) positions the isoelectric point relative to the R-wave peak. Position the ISO-point in the middle of the flattest part of the baseline (between the P and Q waves or in front of the P wave). The J-point cursor (2) positions the J-point relative to the R-wave peak.
User’s Manual for Omega 12Patient Monitor Arrhythmia analysis provides information on your patient's condition, including heart rate, PVC rate, rhythm, and ectopics. Healthcare professionals can use the analysis for patient treatment. 7.7.1 Safety Information WARNING Arrhythmia may impact the Heart Rate. When patient with Arrhythmia is monitored, do not rely exclusively on the alarm messages based on HR value. Always keep the patient under close surveillance.
User’s Manual for Omega 12Patient Monitor 6 TPT Irr. Rhythm Consistently irregular rhythm 7 CPT Ventricular Couplet 8 PVC Ventricular Premature Beats 9 BGM Bigeminy 10 TGM Trigeminy 11 TAC Tachycardia 12 BRD Bradycardia 13 MIS Missed Beats 7.7.
User’s Manual for Omega 12Patient Monitor 7.8 ECG Troubleshooting This section lists the problems that might occur. If you encounter problems when using the monitor or accessories, check the table below for troubleshooting. If the problem persists, contact your service personnel. Problem Corrective Action 1.Check that electrodes are not detached or dry. Replace with fresh and moist electrodes if necessary. 2.Check that leadwires are not defective. Replace ECG Artifact leadwires if necessary. 3.
User’s Manual for Omega 12Patient Monitor 1.Check that the ECG gain is not set too low. Adjust the gain as required. 2.Perform skin preparation again and re-place the electrodes. Low Amplitude ECG Signal 3.Check electrode application sites. Avoid bone or muscular area. 4.Check that electrodes are not dry or used for a prolonged time. Replace with fresh and moist electrodes if necessary. 1. Check that the ECG gain is not set too low. Adjust the gain as required. No ECG Waveform 2.
User’s Manual for Omega 12Patient Monitor 8 Resp 8.1 Description Respiration is measured by thoracic impedance method. When the patient is breathing or ventilated, the volume of air changes in the lungs, resulting in impedance changes between the electrodes. Respiration rate (RR) is calculated from these impedance changes, and a respiration waveform appears on the patient monitor screen. 8.2 Resp Safety Information WARNING When monitoring the patient’s respiration, do not use ESU-proof ECG cables.
User’s Manual for Omega 12Patient Monitor 8.3 Resp Display Resp waveform area and parameter area are shown as below in Figure 8-1. Figure 8-1: Resp Parameter and Waveform Display Number Explanation Number Explanation 1 Resp Label 4 Alarm Limit 2 Resp Gain 5 Resp Rate（RR） 3 Resp Waveform NOTE If ESU-proof ECG cables are used, the Resp waveform area will display the message “Check Leads. Please replace the ECG cables if necessary. 8.4 Preparing to Monitor Resp 8.4.
User’s Manual for Omega 12Patient Monitor 8.4.2 Placing Resp Electrodes As the Respiration measurement adopts the standard ECG electrode placement, you can use different ECG cables (3-lead, 5-lead). No additional electrodes are needed after ECG measurement. But the optimizing lead placement for Resp is essential. In clinical applications, some patients (especially neonates) expand their chests laterally, causing a negative intrathoracic pressure.
User’s Manual for Omega 12Patient Monitor Don’t use it if electrode conducting gel has dried out. 8.5 Setting Resp Select Resp parameter area or waveform area “Resp Menu” will pop up, as shown in Figure 8-2: Figure 8-2: Resp Setup Menu 8.5.1 Resp Normal Setup In “Resp Menu”, select “Normal Setup” tab, you can set: 1) Resp waveform and parameter color（Color） Select “Color” Color setting window will pop up 32 colors are available to choose. The default color is Cyan.
User’s Manual for Omega 12Patient Monitor Figure 8-3 Resp Alarm Setup NOTE Apnea Alarm is set to ON by default. Change to apnea alarm is disabled. 8.6 Resp Troubleshooting Please refer to Appendix C alarm messages for detailed information.
User’s Manual for Omega 12Patient Monitor 9 SpO2 9.1 SpO2 Description SpO2(Oxygen saturation) is the percentage of saturated hemoglobin compared to total hemoglobin measured by a two-wavelength pulse oximeter (also called functional or In Vivo oxygen saturation). The SpO2 value is measured by light absorption technique: Red and infrared light is emitted from the emitter side of the sensor. The light is partly absorbed when it passes through the monitored tissue.
User’s Manual for Omega 12Patient Monitor Do not use SpO2 sensors during magnetic resonance imaging (MRI). Induced current could potentially cause burns. The sensor may affect the MRI image, and the MRI unit may affect the accuracy of the oximetry measurements. Prolonged continuous monitoring may increase the risk of undesirable changes in skin characteristics, such as irritation, reddening, blistering or burns. Inspect the sensor site every two hours and move the sensor if the skin quality changes.
User’s Manual for Omega 12Patient Monitor Interfering substances: Intravascular dyes (such as indocyanine green, methylene blue, etc.) Dysfunctional haemoglobin, such as carboxyhemoglobin (COHb)and methemoglobin (MetHb) Presence of certain dyes on the measured site, such as methylene and indigo carmine Environmental conditions: Excessive ambient light Electrical interference Electrosurgery Defibrillation - May cause inaccurate reading for a short amount of time.
User’s Manual for Omega 12Patient Monitor (2) The bar graph is directly proportional to the pulse intensity and can reflect the filling state of blood. As an indication of signal integrity, there are 15 grids in total. When it is less than 3 grids, the signal is weak and the measurement result may be inaccurate. 9.5 SpO2 Measurement Preparation To prepare: 1. Select an appropriate sensor according to the module type, patient category and weight. 2. Cleanse the surface of reusable sensor. 3.
User’s Manual for Omega 12Patient Monitor 9.6 Changing SPO2 Setting Select SpO2 waveform area or parameter area “SpO2 Menu”, as shown in Figure 9-2. Figure 9-2: SpO2 Menu 9.6.1 SpO2 Normal Setup Select “SpO2 Menu” page select “Normal Setup” tab, to set: 1) Color Select the drop-down menu for “Color”, 2 colors are available, as shown in Figure 9-2. The default color is Cyan. 2) Speed Select “Speed” drop-down menu, you can choose 12.5 mm/s,25mm/s or 50mm/s. The default speed is 25mm/s.
User’s Manual for Omega 12Patient Monitor 9.6.2 SpO2 Alarm Setup Select “SpO2 Menu” Select “Alarm Setup” tab, as shown in Figure 9-3. Figure 9-3: SpO2 Alarm Setup Menu You can set the following alarm parameters for SpO2 module: SpO2,PR,PI, (PI setting is enabled only when Masimo SpO2 module is used. Set the alarm according to your needs) 9.7 SpO2 Troubleshooting This section lists the problems that might occur.
User’s Manual for Omega 12Patient Monitor 1、NIBP cuff on the same limb as the SpO2 sensor. Change measured site if necessary. Pleth waveform size too low 2、PI value too low. Adjust the sensor position and connect to site with better perfusion. 3、Check sensor condition and sensor placement. 4、Check patient vital signs. 5、check for conditions that may cause inaccurate SpO2 readings.
User’s Manual for Omega 12Patient Monitor 10 Temp 10.1 Temp Description Temperature of the human body is measured by the sensor that turns the temperature into an electrical signal, which is amplified and processed. Continuous temperature measurement uses thermistor method, based on the principle that the resistance of a thermistor changes with temperature. The thermistor measures the amount of change in resistance and thus calculates the temperature value.
User’s Manual for Omega 12Patient Monitor 10.4 Temp Setting Select Temp parameter area “Temp Menu” will pop up, as shown in Figure 10-2. Figure 10-2: Temp Menu 10.4.1 Temp Normal Setup In “Temp Menu” Select “Normal Setup” tab: 1) Color Select “Color” Color setting window will pop up 32 colors are available to choose. The default color is White. 2) Temp Unit Select “Temp Unit” drop-down menu to set Temp unit and toggle between ℃ and ℉. The default temp is ℃; 10.4.
User’s Manual for Omega 12Patient Monitor Figure 10-3: Temp Alarm Setup Menu Temp alarm parameters are: T1, T2 and △T. Set T1, T2 and △T parameter according to your needs. 10.5 Temp Troubleshooting This section lists the problems that might occur. If you encounter problems when using the monitor or accessories, check the table below for troubleshooting. If the problem persists, contact your service personnel. Problem No Temp parameter area is display.
User’s Manual for Omega 12Patient Monitor 11 NIBP 11.1 NIBP Description This monitor uses the oscillometric method for measuring the non-invasive blood pressure (NIBP). It is based on the principle that pulsatile blood flow through an artery creates oscillations of the arterial wall. Oscillometric devices use a blood pressure cuff to sense these oscillations that appear as tiny pulsations in cuff pressure.
User’s Manual for Omega 12Patient Monitor Avoid applying the cuff on the side of the mastectomy. Cuff pressurization may cause temporary loss of the function of monitoring equipment used simultaneously on the same limb. Kinked or otherwise restricted tubing can lead to a continuous cuff pressure, causing blood flow interference and potentially resulting in injury to the patient.
User’s Manual for Omega 12Patient Monitor coming from the artery On an edematous extremity NOTE The NIBP feature is not validated for pregnant, including preeclamptic patients use. 11.4 MeasurementMethods There are three methods of measuring NIBP: Manual: measurement on demand. Auto: continually repeated measurements at set intervals. STAT: continually rapid series of measurements over a five-minute period, then return to the previous mode. 11.
User’s Manual for Omega 12Patient Monitor Alarm Limits: The upper digits are systolic alarm range; the bottom digits are 4 diastolic alarm range. Mean Pressure: Mean pressure obtained after the measurement and the real-time 5 cuff pressure obtained during the measurement. 11.6 NIBP Measurement Preparation 11.6.1 NIBP Patient Preparation When taking routine resting blood pressure, ensure that: The patient is comfortably seated, with their legs uncrossed and feet flat on the floor.
User’s Manual for Omega 12Patient Monitor Correcting the Measurement if Limb is not at Heart Level: Add 0.9 mmHg (0.12 kPa) for each centimeter higher, or Deduct 0.9 mmHg (0.12 kPa) for each centimeter lower. CAUTION Improper NIBP cuff size or compression of the cuff may lead to measurement inaccuracy. Avoid touching or squeezing the cuff and air tubing, otherwise the measurement may be inaccurate.
User’s Manual for Omega 12Patient Monitor will continue the 2nd measurement. The automatic NIBP measurement process will stop after 5 measurements. 4、During the measurement, Select NIBP “Stop” at any time to terminate measurement process. 11.8 Changing NIBP Settings Select the NIBP parameter area “NIBP Menu” will pop up, as shown in Figure 11-2. Figure 11-2: NIBP Setup Menu 11.8.
User’s Manual for Omega 12Patient Monitor Adult: Represents Adult Mode, during the initial measurement, the cuff is inflated to 180 mmHg, and if the blood pressure hasn’t been captured, a second inflation, which is no more than 297mmHg, will start. Pediatric: Represents Pediatrics Mode, during the initial measurement, the cuff is inflated to 170 mmHg, and if the blood pressure hasn’t been captured, a second inflation, which is no more than 297mmHg, will start.
User’s Manual for Omega 12Patient Monitor Figure 11-3: NIBP Alarm Setup Menu You can set NIBP parameters: SYS and DIA alarm limits according to patient category Range Patient SYS High alarm limit（mmHg） SYS Low alarm limit DIA Low alarm limit （mmHg） DIA High alarm limit (mmHg) 30~240 30~240 15~180 15~180 Factory Default Setting: 150 Factory default setting: 100 Factory default setting: 90 Factory default setting: 50 30~240 30~240 15~180 15~180 Factory default setting: 90 Factory default
User’s Manual for Omega 12Patient Monitor Figure 11-5: NIBP Tabular Trends 11.10 NIBP Maintenance 11.10.1 NIBP Leakage Test The NIBP leakage test checks the integrity of the system and of the valve. It is required at least once every two years or when you doubt the measured NIBP. Leakage Test must be performed by your service personnel. 11.10.2 CalibratingNIBP NIBP is not user-calibrated. Cuff-pressure transducers must be verified and calibrated once every two years by a qualified service professional.
User’s Manual for Omega 12Patient Monitor 12 IBP 12.1 IBP Description IBP is performed when real-time monitoring of blood pressure changes is required in critically ill patients such as shock patients, some cardiac surgeries and other major procedures. Invasive blood pressure (IBP) is generally monitored for: arterial blood pressure (ABP), central venous pressure (CVP), pulmonary artery pressure (PAP), left atrial pressure (LAP), and intracranial pressure (ICP).
User’s Manual for Omega 12Patient Monitor For physiological and technical alarm message, please refer to Appendix C Alarm messages. 12.3 IBP Measurement 12.3.1 IBPDevice Connection Figure 12-1: IBP Device Connection Diagram 12.3.2 Setting up IBP Measurement. 1. Plug the pressure cable into the IBP connector. 2. Plug the other side of the pressure cable into the IBP module. 3. Flush the system to exhaust all air from the tubing according to the IBP manufacturer’s instructions.
User’s Manual for Omega 12Patient Monitor To avoid inaccurate pressure readings, the monitor requires a valid zero. Zero the transducer in accordance with your hospital policy (at least once per day). Zero whenever: A new transducer or adapter cable is used. You reconnect the transducer cable to the monitor. The monitor restarts. You doubt the readings. Follow the below procedure to Zero the transducer: 1. Connect the pressure module with the transducer, and plug it into the monitor, 2.
User’s Manual for Omega 12Patient Monitor 12.5 IBP Setting Select IBP waveform window or parameter area “IBP Menu” pops up, as shown in Figure 12-3. Figure 12-3: IBP Menu 12.5.1 IBP1/IBP2 Setup In “IBP Menu” page Select “IBP1/IBP2 Setup” tab to set: 1） Color Select “Color” Color setting window will pop up 32 colors are available to choose. The default color is Red. 2） Pressure Unit Select “Pressure Unit” drop-down menu to set Pressure Unit and toggle between mmHg and kPa.
User’s Manual for Omega 12Patient Monitor 7） Zero IBP1 or IBP2 Select “Zero IBP1/IBP2” You can zero one channel at a time with selection Zero IBP1 or Zero IBP2. 8） Zero IBP1 & IBP2 Simultaneously Select “Zero IBP1& IBP2” to zero both of them. 12.5.2 IBP1/IBP2 Alarm Setup In “IBP Menu” window Select “IBP1/IBP2 Setup” tab, as shown in Figure 12-3. Figure 12-4: IBP Alarm Setup Menu In this menu, you can set SYS, DIA and MAP properties for different pressure categories （ART, PA, CVP, RAP, LAP, ICP）.
User’s Manual for Omega 12Patient Monitor 3、Flush and zero. 4、Replace the transducer. 1、Make sure that the transducer is vented to air, not to the patient, and try again. Zeroing failure 2、Rezero the transducer and don’t move the transducer and tubing when zeroing. 3、Replace the transducer if the rezeroing still fails.
User’s Manual for Omega 12Patient Monitor 13 EtCO2 13.1 EtCO2 Description End-tidal CO2 or partial pressure (EtCO2) reflects pulmonary ventilation and also pulmonary blood flow. When no significant cardiopulmonary disease exists and V/Q ratio is normal, EtCO2 reflects PaCO2 (arterial blood carbon dioxide), with a normal EtCO2 value of 5% corresponding to 5KPa (38mmHg). There are two methods for measuring CO2 in the patient’s airway: 1.
User’s Manual for Omega 12Patient Monitor Failure of operation: if the measurement or a sensor fails to respond as described, do not use it until the situation has been corrected by qualified personnel. 13.3 Measurement Influencing Factors The following factors may influence the accuracy of measurement: • Leaks or internal venting of sampled gas • Mechanical shock • Cyclic pressure up to 10 kPa (100 cmH2O) • Other sources of interference, if any 13.
User’s Manual for Omega 12Patient Monitor temperature and a stable thermal condition. 3.Choose the appropriate airway adapter and connect it to the sensor head. The airway adapter clicks into place when seated correctly. 4. To zero the sensor: – Expose the sensor to room air and keep it away from all sources of CO2 including theventilator, the patient's breath and your own. – In the setup menu for the CO2, select Zero.
User’s Manual for Omega 12Patient Monitor Place the sensor and adapter close to the patient to avoid blockage in airway. EtCO2 sensors are external module, thus please strictly adhere to the module manual for measurement operation. 13.6 EtCO2 Setup Select EtCO2 waveform area parameter area on monitoring screen Enter “EtCO2 Menu”, as shown in Figure 14-2. Figure 13-2: EtCO2 Menu 13.6.
User’s Manual for Omega 12Patient Monitor Select “Waveform Scale” drop-down menu to change the size of the CO2 waveform. You can choose “0-75mmHg” or “0-150mmHg”. 6) EtCO2 Period Select “EtCO2 Period” drop-down menu to set EtCO2 Period for calculation and toggle between 1Breath,10s and 20s. The default Period is 1 Breath. 7) Apnea Delay Select “Apnea Delay” Manually enter parameter value of 10-60s, the monitor will alarm if the patient has stopped breathing for longer than the preset apnea time.
User’s Manual for Omega 12Patient Monitor 13.6.2 EtCO2 Alarm Setup In “EtCO2 Menu” Page, select “Alarm Setup” tab, as shown in Figure 13-3.Set EtCO2 and awRR alarm value as you desired. Figure 13-3: EtCO2 Alarm Setup Menu 13.7 Calibrating EtCO2 Sensor For sidestream CO2 modules, a calibration should be performed once every year or when the readings go far beyond the range. For mainstream CO2 modules, no calibration is required. If calibration is needed, please contact the service personnel.
User’s Manual for Omega 12Patient Monitor 13.8 CO2 Troubleshooting This section lists the problems that might occur. If you encounter problems when using the monitor or accessories, check the table below for troubleshooting. If the problem persists, contact your service personnel. Problem Corrective Method 1、Check whether the CO2 concentration of the measurement site. If the environmental concentration is a bit high, measured value tends to be lower than expected.
User’s Manual for Omega 12Patient Monitor 14 BIS 14.1 Description Bispectral Index monitoring helps to monitor the level of consciousness of a patient under general anesthesia or sedation in the OR and ICU. By measuring the ECG signal, use of BIS monitors the patient’s brain activity to help reduce the incidence of awareness with recall during general anesthesia or sedation. The patient's brain function is monitored by measuring the spontaneous, rhythmic electrical activity of brain cell populations.
User’s Manual for Omega 12Patient Monitor The Bispectral Index is a complex technology, intended for use only as an adjunct to clinical judgment and training. Clinical judgment should always be used when interpreting BIS in conjunction with other available clinical signs. Reliance on BIS alone for intraoperative anesthetic management is not recommended.
User’s Manual for Omega 12Patient Monitor NOTE This monitor uses a component modular device in deriving the Bispectral index (BIS) purchased from Covidien. It is important to recognize this index is derived using solely that company’s proprietary technology. It is recommended that clinicians have reviewed applicable information on its utility and/or risks in published articles and literature/web site information from Covidien (www.covidien.
User’s Manual for Omega 12Patient Monitor BIS value, it may cause the BIS value or other Parameter not being displayed. The EMG numeric reflects the electrical power of muscle activity and high frequency artifacts. The larger the value, the greater the EMG interference: EMG EMG > 55 dB: Too high to lose medical reference value. EMG < 55 dB: this is an acceptable EMG EMG ≤ 30 dB: this is an optimal EMG (Note that the minimum possible EMG is approximately 25 dB).
User’s Manual for Omega 12Patient Monitor Figure 14-1: EEG Waveform Area and Parameter Area Number Explanation Number Explanation 1 EEG Lead Label 7 SQI Signal Strength Bar Graph 2 BIS Waveform Display 8 EMG Strength Bar Graph 3 EEG Sweep Speed 9 Related Parameter Value 4 BIS Label 10 Related Parameter Unit 5 BIS Alarm Limits 11 EEG Waveform Scale 6 BIS Value 14.5 BIS Monitoring BIS monitoring procedure is: 1.
User’s Manual for Omega 12Patient Monitor and impedance values. Do not use the BIS sensor if the sensor gel is dry. To avoid dryout, do not open the pack until you are ready to use the sensor. Since the BIS sensor is in close contact with the skin, Reuse may cause a risk of contamination. If a skin rash or other abnormalities appear, stop the measurement and remove the sensor immediately. BIS sensors are external module, thus please strictly adhere to the module manual for measurement operation.
User’s Manual for Omega 12Patient Monitor Normal dual channel Quatro sensor for adults Extended sensor for adults Extend requiring long-term monitoring of brain activity Pediatric Sensors for pediatrics Demo Sample demonstration Simulator Simulation demonstration 3) . BIS Sensor Status The monitor can automatically identify the Sensor Status: Status Explanation The impedance is within valid PASS range NOISE HIGH Action No action necessary. The EEG signal is too noisy.
User’s Manual for Omega 12Patient Monitor the function by selecting “StartCheck”. NOTE Make sure the patient’s skin is dry. A wet sensor or a salt bridge could result in erroneous BIS and impedance values. Ensure that the BISx does not come into prolonged contact with your patient's skin, as it may generate heat and cause discomfort. When connecting the sensor, please check each individual electrode’s status in Sensor Check page.
User’s Manual for Omega 12Patient Monitor default speed is 12.5mm/s. The larger the value, the faster the wave sweeps. 3) Display Select “Display” drop-down menu to set BIS waveform type for display. BISx is a dual-channel EEG signal monitoring device for unilateral cerebral hemisphere BIS monitoring. Waveform display options are EEG I, EEG II, and Trend.
User’s Manual for Omega 12Patient Monitor 11) Notch filtering (Notch) With BIS filters you can filter out disturbances from the EEG signal and improve the signal quality. Select “Notch” drop-down menu Select: OFF, 50Hz, 60Hz, 50&60Hz, the default notch filtering is OFF.
User’s Manual for Omega 12Patient Monitor 14.7.2 BIS Alarm Setup In “BIS Menu” page Select “Alarm Setup” tab to set BIS alarm according to your needs. 14.8 BIS Troubleshooting This section lists the problems that might occur. If you encounter problems when using the monitor or accessories, check the table below for troubleshooting. If the problem persists, contact your service personnel. Problem Corrective Method No EEG waveform even with tight 1.
User’s Manual for Omega 12Patient Monitor 15 C.O. 15.1 C.O. Description The Cardiac Output (C.O.) measurement invasively measures cardiac output and other hemodynamic parameters using a technique called thermodilution. This can be used to determine the flow rate of a system by introducing a cold solution into the system and measuring the resulting drop in temperature at a downstream site. The temperature change is displayed as a curve in the C.O. procedure window.
User’s Manual for Omega 12Patient Monitor performed. The following are suggestions about technique that can help obtain accurate cardiac output: The temperature of the injectate should always be 10℃ lower than blood temperature. Inject solution rapidly and smoothly. Inject within four to five seconds. Inject at end expiration. 15.4 C.O. Display Please refer to Chapter 5.5 15.5 C.O. Measurement 15.5.1 C.O. Equipment to Patient Connection Figure 15-1: C.O. Equipment for Connection 15.5.
User’s Manual for Omega 12Patient Monitor 15.6 C.O. Setup In “C.O. Measure” window Select “Setup” Enter “C.O. Setup”, as shown in Figure 15-2. You can set: Figure 15-2: C.O. Setup 1) IT Source Select “IT Source” drop-down menu and toggle between Auto and Manual. The default setting is Auto. 2) Calc Coefficient Select “Calc Coefficient” menu Enter Coefficient value, valid range for input is 0.001～ 0.999. 3) BT Alarm Switch Select the button to switch ON/OFF BT alarm.
User’s Manual for Omega 12Patient Monitor 15.7 C.O. Troubleshooting This section lists the problems that might occur. If you encounter problems when using the monitor or accessories, check the table below for troubleshooting. If the problem persists, contact your service personnel. Problem Corrective Method C.O. measurement window fail to Check if the C.O. module is correctly plugged into the appear monitor. 1. Make sure the position of the Catheter is correct 2.
User’s Manual for Omega 12Patient Monitor 16 Managing Patients 16.1 Patient Information Setup When you turn on the monitor and enters the normal screen, a prompt window will appear. Select "Create New Patient" Enter the patient information according to instructions shown on screen. When input is complete, click "OK" and the new patient is created.
User’s Manual for Omega 12Patient Monitor 5) Gender Set patient gender. The default setting is Male 6) Birthday Set patient birthday. The default setting is 01/01/2020. 7) Height cm Set patient height, the input range is 50～250cm. 8) Weight kg Set patient weight, the input range is 1～300kg. 9) Patient Type Set patient type: adult, pediatric or neonatal. The default setting is adult. 10) Paced Choose ONor OFF, the default setting is OFF. 16.
User’s Manual for Omega 12Patient Monitor 16.4 Deleting Patient Information This monitor can save up to 20 patients’ information. When trying to save more than 20 patients’ information, message will appear: “Full Patients, please go to the History Review to delete it from list, then you can create new patient”! To delete: Select the "History Review" in the extended softkeys area enter the "History Review" page and select the patient ID you want to delete in the history patient list Delete it.
User’s Manual for Omega 12Patient Monitor 17 Trends 17.1 Description During the patient monitoring process, the monitor will periodically collect current measurement data of each parameter and save it on the internal memory for data review, to help understand the patient's condition and health trend over a period of time.
User’s Manual for Omega 12Patient Monitor Touch and select the parameter area on the right side of the screen In the pop-up window, choose parameters for monitor display as you required. 3) Trend Interval Select the Time Interval (“5s” button in Figure 17-1) in the bottom of the page Set the Time Interval in the pop-up window as you required, there are 12 options: 5s, 10s, 20s, 30s, 40s, 50s, 1min, 2min, 4min, 6min, 8min, 10min.
User’s Manual for Omega 12Patient Monitor the pages. There are 24 pages in total, you can Select on the bottom to scroll left or right to navigate through the trend database. 5) Print/ Record By selecting the Print button, you can print out the currently displayed tabular trends. 17.4 View NIBP Tabular Trends Select “Trend Review” in the extended soft keys area to enter the Trend review page Select “NIBP TabularTrends” tab to switch to the Tabular Trends page, as shown in Figure 17-3.
User’s Manual for Omega 12Patient Monitor By selecting the “Print” button, you can print out the currently displayed data in NIBP tabular list. 17.5 Waveform Review Select “Trend Review” in the extended soft keys area to enter the Trend review page Select “Waveform Review” tab to switch to the waveform review page, as shown in Figure 17-4. Figure 17-4: Waveform Review This page shows the waveform and parameter values at a certain time point.
User’s Manual for Omega 12Patient Monitor 6) Maximum Number of Records for Display Select the number value (on the right of “Number” label) Set the maximum number of Waveform records displayed on the current page. 7) Print/ Record By selecting the Print button in the bottom, you can print out the waveform, parameter value and event description corresponding to the selected time point.
User’s Manual for Omega 12Patient Monitor 18 Patient History Data 18.1 Description Patient History Data refers to the monitoring data of previous sessions when a new monitoring session starts. This monitor can save the data of the last 8 monitoring sessions at most, and you can select to view each session in the form of GraphicTrends, Tabular Trends or Waveform Review, and export the historical data for analysis. 18.
User’s Manual for Omega 12Patient Monitor drive. 4) Open Select “Open” in the bottom of the page The selected data will be loaded into Trend Review display, as shown in Figure 18-2. For the page operations, please refer to Chapter 17 Trend Review.
User’s Manual for Omega 12Patient Monitor 19 Freezing Waveforms 19.1 Description During patient monitoring, the freeze feature allows you to freeze the currently displayed waveforms on the screen so that you can have a close examination of the patient’s status. Besides, you can select any frozen waveform for thermal printing. 19.
User’s Manual for Omega 12Patient Monitor by thermal print. In the Freeze menu, select [Wave 1], [Wave 2] and [Wave 3] drop-down menu respectively and then select your desired waveforms for each Wave. Select the “Print” button. The selected waveforms and all numerics at the frozen time are printed out by the thermal printer.
User’s Manual for Omega 12Patient Monitor 20 Pharmacy Calculations 20.1 Description This monitor provides PharmacyCalculationfunction for patients, which produces the calculation result based on the input data and measurements. The calculation is independent of the other functions of the monitor and can be performed on other patient which is not monitored by this equipment. Calculation operations do not affect its monitoring process. 20.
User’s Manual for Omega 12Patient Monitor Figure 20-1: Pharmacy Calculator Window 20.2.2 Using the Titration Table Titration table indicates the information regarding current drugs in use. Use the Titration Table to see at a glance what dose your patient would receive of a drug at different infusion rates. To see the Titration Table: 1.
User’s Manual for Omega 12Patient Monitor 20.2.3 Drug Name You can select 15 drugs as you desired. Among them, you can customize drug name of A, B, C, D, E. Oxytocin Nitroglycerin Nipride Lidocaine Isoproterenol Heparin Adrenaline Dopamine Dobutamine Aminophylline Drug A, B, C, D 20.2.
User’s Manual for Omega 12Patient Monitor mEq/ml Infusion Time h Infusion Time = Amount / Dosage Infusion Time Infusion Time（Weight-dependent） = h Amount / （Dosage × Weight） (Weight-dependent) Infusion Rate ml/h Infusion Rate = Dosage / Concentration Infusion Rate Infusion Rate = Dosage × Weight / ml/h Concentration (Weight-dependent) 20.2.
User’s Manual for Omega 12Patient Monitor 21 Printing 21.1 Use a Recorder This monitor uses the thermal recorder to print patient information, measurement numerics, waveforms (Up to 3 waveforms per printing) etc. 21.2 Start Printing You can manually start a recording or automatic recording will be triggered in certain conditions. 21.2.1 Start Printing Manually To manually start a recording, you can either: Select “Print” in soft keys area. Select “Print” button from the current menu or window.
User’s Manual for Omega 12Patient Monitor Printing example is shown in Figure 21-1. (For illustration only) Figure 21-1: Real-time Waveform Printing Report 21.4.2 Printing Procedure Select “Print” in soft keys area to start printing Text on the soft key will change to “StopPrinting” After printing is completed, you can get the report. If you want to stop the printing Select “StopPrinting” Printing stops immediately Text on the soft key will be reset to “Print”. 21.5 Trend List Printing 21.5.
User’s Manual for Omega 12Patient Monitor The printing content includes information such as patient name, patient ID, alarm time, heart rate (HR), blood oxygen (SpO2), pulse rate (PR), NIBP (systolic blood pressure (SYS)/diastolic blood pressure (DIA)), respiratory rate (Resp), temperature (Temp), ST segment, alarm type, and hospital name. Printing example is shown in Figure 21-3: Figure 21-3: Alarm Event Printing Report 21.6.
User’s Manual for Omega 12Patient Monitor 21.8 Loading Paper 1. Press the door latch to open the recorder door. Remove the paper core. Place a new paper roll between the tabs of the paper holder. 2. Make sure the paper unrolls from underneath the paper roll. Close the recorder door, make sure the new paper roll fits snugly into its housing and the paper end is feeding from the top. Otherwise, it would be hard to feed the paper under the roller. NOTE Use only specified thermal paper.
User’s Manual for Omega 12Patient Monitor 22 Internal Batteries 22.1 Description The number of Lithium battery charge and discharge is more than 300 times (300-500 times, depending on the use of the situation). Battery lifespan depends on how frequent and how long it is use. If the battery is properly maintained and stored, its lifespan is about 3 years. If the battery is used improperly, its lifespan may decrease.
User’s Manual for Omega 12Patient Monitor Do not open batteries, heat above 60°C (140°F), incinerate batteries, or cause them to short circuit. They may ignite, explode, leak or heat up, causing personal injury. CAUTION Take out the battery before the monitor is transported or will not be used for a long time. When using battery power, if the too many measurement modules are connected to the equipment for measurement, the monitor may automatically shut down due to excessive load. 22.
User’s Manual for Omega 12Patient Monitor 22.4.3 Battery Alarm If the battery capacity is too low, a technical alarm will be triggered and the [Battery Too Low] message displayed. At this moment, apply AC power to the patient monitor. Otherwise, the patient monitor will power off automatically in 15s. 22.5 Charging a Battery The battery is charged whenever the patient monitor is connected to an AC power source regardless of whether or not the patient monitor is currently on. 22.
User’s Manual for Omega 12Patient Monitor NOTE The operating time depends on the configuration and operation. For example, Screen brightness too high or monitoring NIBP repeatedly will all shorten the operating time of the batteries. 22.7 Storing a Battery When storing the battery, make sure the electrodes of the battery are not in contact with metal objects. If the battery needs to be stored for prolonged period, it should be placed in a cool environment and charged to 40%-60%.
User’s Manual for Omega 12Patient Monitor 23 Care, Cleaning and Maintenance 23.1 Description In this chapter we only describe cleaning and disinfection of the main unit. For the cleaning and disinfection of reusable accessories, refer to instructions for use of corresponding accessories. 23.2 Safety Information WARNING Use only the substances approved by us and methods listed in this chapter to clean or disinfect your equipment.
User’s Manual for Omega 12Patient Monitor 23.3 Cleaning Your equipment should be cleaned on a regular basis. If there is heavy pollution or lots of dust and sand in your place, the equipment should be cleaned more frequently. Before cleaning the equipment, consult your hospital’s regulations for cleaning the equipment.
User’s Manual for Omega 12Patient Monitor 23.5 Maintenance WARNING 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, possible health hazards, and may endanger personal safety. The safety checks or maintenance involving any disassembly of the equipment should be performed by professional servicing personnel.
User’s Manual for Omega 12Patient Monitor Make sure that the recorder functions correctly and the recorder paper meets the requirements. Make sure that the batteries meet the performance requirements. Make sure that the patient monitor is in good working condition. Make sure that the grounding resistance and leakage current meet the requirement. In case of any damage or abnormity, do not use the patient monitor.
User’s Manual for Omega 12Patient Monitor 24 Accessories All accessories listed in this chapter meet the requirements of IEC 60601-1-2 when used with a monitor. Accessory materials in contact with the patient have been tested for biocompatibility and verified to meet the requirements of ISO 10993-1. Detailed information on accessories can be found in the relevant accessory manual. WARNING Use accessories specified in this chapter.
User’s Manual for Omega 12Patient Monitor 24.2 SpO2 Accessories Name Model Type Remark Manufacturer Wavelength emitted by pulse oximetry probe is 600 ~ 1000nm, The maximum photic output consumption of the sensor is less than 18 mW. The information about the wavelength range and maximum photic output consumption canbe especially useful to clinicians, for example, clinicians performing photodynamic therapy.
User’s Manual for Omega 12Patient Monitor A Specifications A.1 Safety Specifications A.1.1 Classifications The patient monitor is classified, according to IEC60601-1: Type of protectionagainst electricalshock I Degree of protection CF：ECG、NIBP、TEMP、IBP、C.O. against electrical shock BF：SpO2、ETCO2、BIS Mode of operation Continuous Degree of protectionagainst harmfulingress of water IPX2 A.1.
User’s Manual for Omega 12Patient Monitor A.2 Power Supply Specifications A.2.1 External AC Power Input Voltage 100 ~ 240V Input Current 1.3 ~ 0.5A Input Line Frequency 50/60 Hz A.2.2 Battery W ×D × H 145mm × 64mm×21.5mm Weight 340g Type Lithium-ion battery, rechargeable Rated Voltage 10.
User’s Manual for Omega 12Patient Monitor Battery Status Indicator 1（green） A.3.4 Interface Power 1 AC power connector Ethernet Port 1 1000M Ethernet port USB 2 USB2.0 port HDMI Port 1 HDMI 1.4 port Equipotential End 1 WIFI Standard IEEE 802.11 a/b/g/n Bluetooth Standard BT2.0 & BLE A.4 Software Specifications General Specifications Channel Layout Up to 8 Channels are displayed.
User’s Manual for Omega 12Patient Monitor Default setting is 2. 24H/12H format supported: 24H: YYYY/MM/DDHH:MM System Time 12H: YYYY/MM/DDH:MM AM/PM Turn on automatic synchronization, when the monitor is connected to WLAN. Time is automatically synchronized with network time.
User’s Manual for Omega 12Patient Monitor Configuration Export/Import Ethernet Setup Yes IPv4 address supported, DHCP and Static IP supported. The system default is DHCP. 1) WIFI SSID Scanning 2) WIFI non-encryption/encryption connection supported, security certificates are: WIFI WPA-PSK（recommended） WPA2-PSK.recommended） WEP Once connected, the system will save the password and connect tothe WIFI automatically. WIFI Setup IPv4 address supported, the system default is DHCP.
User’s Manual for Omega 12Patient Monitor Data Communication View Other Monitored Patients Searching and remote view patient monitors within the same network are supported PatientMonitor ←→ PatientMonitor 1、 HL7 two-way communication supported 2、 HL7 patient management supported Health Level 7 3、 HL7 view report Standards For more information about the HL7 standards process, please refer to the HL7 standards process document that we provide Data export/import mode through network supported Data Transm
User’s Manual for Omega 12Patient Monitor Common Mode Rejection Ratio (With Notch Off) >90dB Diagnostic mode: Notch is 50/60Hz, nonadjustable Notch Monitor and surgical mode:50Hz/60 Hz/OFF, manual adjustment Differential Input Impedance ≥5MΩ Accuracy of Reappearing Input Use A and B methods based on EC13 or IEC60601-2-27 Signal to determine system total error and frequency response. Electrode Offset Potential Tolerance Lead-off Detection Current ≤±300mV Measuring electrode: <0.
User’s Manual for Omega 12Patient Monitor In compliance with the requirements in Clause 4.1.2.1 d)ofANSI/AAMI EC13-2002, the following method is used: HR Averaging Method the 4 most recent RR intervals are averaged to compute the HR. The HR value displayed on the monitor screen is updated everysecond. In compliance with the requirements in Clause 4.1.2.
User’s Manual for Omega 12Patient Monitor Bigeminy（BGM） Yes Trigeminy（TGM） Yes Tachycardia（TAC） Yes Bradycardia（BRD） Yes Missed Beat（MIS） Yes Alarm Limit Range (Low limit + 2) ~300 bpm Default value: HR Alarm High 130 bpm (Adult) 160bpm (Pediatric) 200bpm (Neonate) 15~ (high limit - 2) bpm Default value: HR Alarm Low 50bpm (Adult) 75bpm (Pediatric) 100 bpm (Neonate) (Low limit - 0.20) ~ 2.00mV ST Alarm High Default value: 0.30mV -2.00~ (high limit - 0.
User’s Manual for Omega 12Patient Monitor RR High RR Low (Low limit + 2) ~120 rpm Default value: 30rpm 0~ (high limit -2) rpm Default value: 6rpm A.5.3 Temp Temp Standard ISO 80601-2-56:2018 Measurement method Thermal Resistance Measurement range 0℃~50℃（32℉~122℉） Resolution 0.1℃ Unit ℃/℉ Error Temp range Error 0℃～34.9℃ ±0.2℃ 35.0℃～39.9℃ ±0.1℃ 40.0℃～44.9℃ ±0.2℃ 45.0℃～50.0℃ ±0.
User’s Manual for Omega 12Patient Monitor A.5.4SpO2 General Specification Standard ISO 80601-2-61:2017 Speed 12.5mm/s,25.0mm/s Module Type Infinium module, Nellcormodule, Masimomodule Alarm Limit Range (Low limit + 1) ~100% SpO2 Alarm High Infinium/Nellcor module: Default value: 99% Masimomodule: Default value: 99.9% 0~ (high limit - 1) % SpO2 Alarm Low Infinium/Nellcor module: Default value: 85% Masimomodule: Default value: 85.
User’s Manual for Omega 12Patient Monitor Refreshing rate 1s Low Perfusion Conditions NA Pulse Rate Measurement Range 20bpm~250bpm Resolution 1bpm Accuracy 20bpm~250bpm: ±3bpm Masimo Module Measurement Range 0%~100% Resolution 0.1% Adult/Pediatric70%~100%: ≤±2% Accuracy Neonate70%~100%: ≤±3% 1%~69%: Not specified Refreshing rate 1s Low Perfusion Conditions 0.02%~20% Pulse Rate Measurement Range 20bpm~250bpm Resolution 1bpm Accuracy 20bpm~250bpm: ±3bpm A.5.
User’s Manual for Omega 12Patient Monitor 150mmHg (Default) (Default) 160mmHg 160mmHg 120mmHg 180mmHg 180mmHg (Default) 200mmHg 200mmHg 220mmHg 220mmHg 240mmHg 240mmHg Inflation Memory Mode Yes Alarm Limit Range Adult: (low limit + 5) ~270mmHg Pediatric: (low limit + 5) ~200mmHg Neonate: (low limit + 5) ~135mmHg Sys High Default value: 160mmHg (Adult) 120mmHg (Pediatric) 90mmHg (Neonate) 40~ (high limit - 5) mmHg Default value: Sys Low 90mmHg (Adult) 70mmHg (Pediatric) 40mmHg (Neonate)
User’s Manual for Omega 12Patient Monitor 90s (Neonate) Static Pressure Measurement Range Accuracy 0~300mmHg ±3mmHg Adult: SYS: 40mmHg~270mmHg DIA: 10mmHg~210mmHg Dynamic Pressure Measurement Range Pediatric: SYS: 40mmHg~200mmHg DIA: 10mmHg~150mmHg Neonate: SYS: 40mmHg~135mmHg DIA: 10mmHg~95mmHg Dynamic Pressure Accuracy Max mean error: ±5mmHg Max standard deviation: 8mmHg Resolution 1mmHg Software Overpressure Adult/Pediatric: 297mmHg±3mmHg Protection Neonate: 147mmHg±3mmHg PR Measurement Rang
User’s Manual for Omega 12Patient Monitor DIA: 20mmHg~100mmHg Dynamic Pressure Accuracy ±3mmHg Resolution 1mmHg Software Overpressure Adult/Pediatric: 300mmHg±10mmHg Protection Neonate: 150mmHg±10mmHg PR Measurement Range 30~220bpm PR Accuracy 2% or ±3bpm, whichever is greater A.5.
User’s Manual for Omega 12Patient Monitor Default value: 90mmHg PA Alarm Low -30~ (high limit - 2) mmHg Default value: 60mmHg CVP/RAP/LAP/ICP (Low limit + 2) ~60mmHg Alarm High Default value: 30mmHg CVP/RAP/LAP/ICP -30~ (high limit - 2) mmHg Alarm Low Default value: 10mmHg A.5.7 C.O. General Specification Measurement Method Thermodilution method C.O.: 0.1L/min~20L/min Measurement Range BT: 23℃~43℃ IT: 0℃~27℃ Resolution Accuracy C.O. Graphical Trends Capacity Alarm Limit C.O.: 0.
User’s Manual for Omega 12Patient Monitor 在 0 - 69mmHg: 0.1mmHg Co2 Resolution 在 70 - 150mmHg: 0.25mmHg 0 - 40mmHg: ±2mmHg 41 - 70mmHg: ±5% 71 - 100mmHg: ±8% Accuracy* 101 - 150mmHg: ±10% respiration rate> 80/min: ±12% *NOTE: the above data is based on gas temperature of 25℃. Short-term drift:< 0.
User’s Manual for Omega 12Patient Monitor EEG General Specification Standard IEC 60601-2-26:2012 Patient Leakage Current <=10μA (AC: 110V) Calibration Signal 1mV (peak to peak value） Differential Input Impedance >15MΩ @ 10 Hz Max. DC Input Offset Voltage ±320 mV Input Protection Against defibrillation (5kV) and electrosurgery Common Mode Rejection Ratio > 105dB @ 5kΩ imbalance and 60 Hz Noise <0.
User’s Manual for Omega 12Patient Monitor B Factory Defaults B.1 ECG, Arrhythmia, ST Factory Default Settings B.1.1 ECG Setup ECG Setup Factory Default Settings Alarm ON/OFF Alarm High HR Alarm Low ON Adult 130bpm Pediatric 160bpm Neonate 200bpm Adult 50bpm Pediatric 75bpm Neonate 100bpm Alarm Level Medium Alarm Record OFF Alarm Source HR Color Speed 25.0 mm/s ECG Gain ×1.0 Lead Set 5-lead ECG Filter Monitor ECG Notch 50Hz/60Hz ECG Cascade ON Paced OFF B.1.
User’s Manual for Omega 12Patient Monitor BRD ON Medium OFF MIS ON Medium OFF B.1.3 ST Segment Setup Item Factory Default Settings ST Alarm Mode Real-time ST-I, ST-II, ST-III, ST-aVR ST-aVL, ST-aVF, ST-V Alarm ON/OFF ON Alarm High 0.30mV Alarm Low -0.30mV Alarm Level Medium Alarm Record OFF ST Analysis ON ST Segment Auto ST Point J+40ms ST Point adjustment ON ISO Point -105ms J Point 180ms B.
User’s Manual for Omega 12Patient Monitor B.3 SpO2 Setup Item SpO2 Factory Default Settings Alarm ON/OFF ON Alarm High 99% Alarm Low 85% Alarm Level Medium Alarm Record OFF Alarm ON/OFF ON Alarm High PR Alarm Low Adult 130bpm Pediatric 160bpm Neonate 200bpm Adult 50bpm Pediatric 75bpm Neonate 100bpm Alarm Level Medium Alarm Record OFF Color Speed 12.5mm/s PR Source SpO2 B.
User’s Manual for Omega 12Patient Monitor B.
User’s Manual for Omega 12Patient Monitor Alarm ON/OFF ART IBP-DIA IBP-MAP PA ON Alarm High 90 mmHg Alarm Low 60 mmHg Alarm High 75 mmHg Alarm Low 45 mmHg Alarm Level Medium Alarm Record OFF Alarm ON/OFF ON CVP, RAP Alarm High 30 mmHg LAP, ICP Alarm Low 10 mmHg Alarm Level Medium Alarm Record OFF Color Pressure Unit mmHg Speed 25.0mm/s IBP1 — ART Parameter Label IBP2 — PA IBP1 — 10~150mmHg Parameter Ruler IBP2 — 10~75mmHg B.7 C.O.
User’s Manual for Omega 12Patient Monitor B.8 EtCO2 Setup Item EtCO2 Factory Default Settings Alarm ON/OFF ON Alarm High 60 Alarm Low 15 Alarm Level Medium Alarm Record OFF Alarm ON/OFF ON Alarm High awRR Alarm Low Adult 30 Pediatric 30 Neonate 100 Adult 8 Pediatric 8 Neonate 30 Alarm Level Medium Alarm Record OFF Color Unit mmHg Speed 12.
User’s Manual for Omega 12Patient Monitor B.
User’s Manual for Omega 12Patient Monitor C Alarm Messages C.1 Physiological Alarm Messages General Physiological Alarm Default Alarm Messages Level XXX Too High Medium Cause and Solution XX value has risen above the high alarm limit or fallen below the low alarm limit. Check the XXX Too Low Medium patient’s condition and check if the patient category and alarm limit settings are correct.
User’s Manual for Omega 12Patient Monitor ECG Lead LA Off Low detached from the patient or the ECG Lead RA Off Low lead wire has become ECG Lead LL Off Low disconnected from the adapter ECG Lead V Off Low cable. Check the connections of ECG Lead V2 Off Low the electrodes andleadwires. ECG Lead V3 Off Low ECG Lead V4 Off Low ECG Lead V5 Off Low ECG Lead V6 Off Low Electrode-to-Skin Impedance ECG Invalid Signal Medium too high, and reposition the electrode.
User’s Manual for Omega 12Patient Monitor condition and change the cuff application site. The measured NIBP value is not NIBP Overrange Low within the specified range. Check the patient’s condition. NIBP Excessive Motion Low Please keep quiet and remeasure. The NIBP airway may be occluded. Check the airway and NIBP Overpressure Low measure again.If the alarm persists, replace it with a new sensor.
User’s Manual for Omega 12Patient Monitor Check the CO2 connections. EtCO2 Zero Failed Low After the sensor’stemperature becomes stabilized, perform a zerocalibration again. EtCO2 Overrange Low EtCO2 Airway Adapter Error Low EtCO2 Pump Life Expired Low Replace the pump. BIS Sensor Expired Low Replace the sensor. Check, clean or replace the adapter. Check the sensor connection and BIS Sensor Off Low reconnect the sensor. If the alarm persists, replace it with a new sensor. BIS C.O.
User’s Manual for Omega 12Patient Monitor D EMC and Radio Regulatory Compliance The product is in radio-interference protection class A in accordance with EN55011. The product complies with the requirement of standard EN60601-1-2:2007“Electromagnetic Compatibility – Medical Electrical Equipment”. NOTE Using accessories, transducers and cables other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the patient monitoring equipment.
User’s Manual for Omega 12Patient Monitor Resp Measurement Range: 0~120rpm Temp Measurement Range: 0~50℃ PR Measurement Range: 30~250bpm Display 12.5-inch multi-colored display, Resolution: 1366*768 Operation method Alarm Indicator Data Communication Use touchscreen Audio alarm, Lamp alarm Ethernet supported AC power: 100~220V, 50/60Hz, 1.3~0.5A Power Supply DC power: Battery power supplied 10.
User’s Manual for Omega 12Patient Monitor Guidance and Declaration - Electromagnetic Immunity The device is suitable for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment.
User’s Manual for Omega 12Patient Monitor Guidance and Declaration - Electromagnetic Immunity The device is suitable for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment.
User’s Manual for Omega 12Patient Monitor 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 and TV broadcasters cannot be accurately predicted theoretically. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be conducted.
User’s Manual for Omega 12Patient Monitor Radio Management Compliance RF Parameter IEEE 802.11b/g/n (2.4G) Project IEEE 802.11b/g/n(HT20): 2412MHz to 2462MHz Operating Frequency IEEE 802.11n(HT40): 2422MHz to 2452MHz IEEE for 802.11b: DSSS(CCK, DQPSK, DBPSK) IEEE for 802.11g :OFDM(64QAM, 16QAM, QPSK, BPSK) IEEE for 802.
User’s Manual for Omega 12Patient Monitor FCC FCC WARNING Any Changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment. This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.
User’s Manual for Omega 12Patient Monitor Infinium Medical Inc. Website: www.infiniummedical.com Address: 12151 62nd St North #5 Largo Fl, 33773 USA Toll Free (US call only): 866-918-8434 International: 1-727-531-8434 Fax: 1-727-531-8436 Infinium Medical Inc.
