User Manual
Table Of Contents
- Manufacturer
- Identification and Publication Details
- Regulatory
- Explanation of Symbols
- Conventions
- Important Information
- About
- Intended Use
- Compatibility
- Indications for Use
- Contra-indications
- Training
- Safety
- Electromagnetic Compatibility (EMC)
- Using Batteries Safely
- Examining the Shipment
- Initial Setup
- Rear Panel Connections
- Understanding Battery Operations
- Understanding Wireless Network Operations
- Advanced User Options
- Accessory List
- System Overview
- Getting Started
- Alarms
- Monitoring ECG
- ECG Monitoring Considerations for the MR Environment
- wECG Module and ECG Lead Cable
- Quadtrode Electrodes
- Work Flow for ECG Monitoring
- Selecting the ECG Lead Cable and Quadtrode Electrode Type
- Identifying the Placement Site for the Quadtrode Electrode
- Preparing the Quadtrode Electrode Site
- Attaching the ECG Lead Cable
- Checking the ECG Signal Strength
- Minimizing ECG Waveform Noise
- Positioning the ECG Lead Cable and wECG Module for Scanning
- ECG Waveforms and VS Box
- ECG Menu
- Monitoring SPO2
- Monitoring CO2 (LoFlo Option)
- Monitoring Invasive Blood Pressure
- Indications and Contraindications
- Patient Preparation for IBP Monitoring
- Transducer Component, Connection, and Feature Locations
- MR 400 Preparation for IBP Monitoring
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- I. Connecting the Reusable Cable to the MR400
- II. Kit Set Up
- III. Purging Air from the Monitoring Line
- IV. Zeroing, Leveling and Calibration
- V. Connecting the Monitoring Kit to the Patient
- The IBP transducer must not be mounted to the patient, or patient burn may result.
- VI. Fast Flushing
- VII. Checking for Leaks
- VIII. In the MR Room
- Neonatal Patients: Expression MR IBP DPT Kit, I/N (REF 989803194641)
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- Zeroing the Pressure Transducer
- P1 (and P2) Menu
- Monitoring Agents and Gases (AGENT Option)
- Monitoring RESP
- Monitoring Temperature
- Monitoring NIBP
- Trend Data and Printing
- Maintenance and Troubleshooting
- General Cleaning Guidelines
- Removing all Power to the MR400
- Removing Power from the Wireless Modules
- User Routine-Checks and Planned Maintenance
- Cleaning, Disinfection, and Damage Inspection
- Sterilization
- Testing Alarms
- Testing a Dropped Wireless Module
- Verification Testing
- Anesthetic Oxygen (O2) Sensor Depletion
- Updating Software
- Calibrating the Touch Screen
- Troubleshooting
- Repair
- Environmental Requirements
- Passing the Product on to another User
- Final Disposal of the Product
- Specifications
- Warranty
- Regulatory Information
- Gating Feature
- Guidelines and References
ExpressionMR400InstructionsforUseAlarms4‐33
CO2 / CO (RESP) / AGENT
Noise
SPO2 alarm flag area, blue
alarm light, INOP alarm
tone
Excessive patient motion, the MRI scan sequence or electrical interference is causing noise in the
SpO2 system:
• Stop any patient motion, especially at the monitored site.
• Ensure that the module is placed outside of the MR bore.
• Ensure the clip (or grip) is positioned in a way that does not expose it to bright ambient light.
Non-Pulsat
SPO2 alarm flag area, blue
alarm light, INOP alarm
tone
The detected pulse is too weak for reliable reporting of SpO2 measurements:
• Check the patient’s condition.
• Check the clip (or grip) position and alignment on the patient then re-position or re-apply as
necessary.
• Try a different limb or site.
Probe Off
SPO2 alarm flag area, blue
alarm light, INOP alarm
tone
The SpO2 attachment is not properly applied to the patient. Reposition the clip (or grip) on the
patient.
Pulse?
SPO2 alarm flag area, blue
alarm light, INOP alarm
tone
Pulse reading is questionable. The SpO2 attachment may not be applied optimally or the tissue at
the application site may be too opaque:
• Check the alignment of the clip (or grip) on the patient.
• Try a different limb or site.
Searching
SPO2 alarm flag area, blue
alarm light, INOP alarm
tone
The SpO2 attachment was just applied or it has shifted position on the patient:
• If the clip (or grip) was just applied, allow about 20 seconds for the system to lock on to a good
pulse.
• Check the clip (or grip) position and reposition it if necessary.
• Replace the SpO2 probe.
If the message persists, contact technical support or authorized service personnel.
Wrong Prb
SPO2 alarm flag area, blue
alarm light, INOP alarm
tone
The probe attached to the wSpO2 module is not the correct type. Attach the correct probe to the
module.
Message, Location,
Indication
What to Do
Check CO2 Sampling
Line
CO2 alarm flag area, blue
alarm light, INOP alarm tone
Reduced flow has been detected by the CO2 system. Check the sampling line for pinches or
obstructions then clear any pinch or replace if necessary.
CO2 Cal Fail
CO2 alarm flag area, blue
alarm light, INOP alarm tone
CO2 failed to calibrate. Retry calibration.
If the message persists, contact technical support or authorized service personnel.
Message, Location,
Indication
What to Do