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
5‐12MonitoringECGExpressionMR400InstructionsforUse
Notes
• The ECG Skin Prep gel contains light abrasive pumice and saline that clean and enhance
the conductive properties of the skin, thus enhancing ECG performance. This practice also
helps remove ambient artifacts.
• Isopropyl/rubbing alcohol must not
be used to prep the site as it breaks down the conductive
properties of the skin, thus degrading ECG performance.
Attaching the ECG Lead Cable
WARNINGS
• Never use any ECG lead cables other than the specified ECG lead cables.
• High levels of RF energy may cause patient heating or burns.
• An ECG lead cable that becomes inadvertently looped during an MRI examination
may act as conductive lines for RF induced currents, resulting in excessive heating and
possible burns. When lead cables or other cables form a conductive loop in contact
with the patient's tissue, minor to severe burning can result. Please refer to the
additional information in Appendix E to prevent excessive heating associated with
MRI procedures. Follow steps to minimize the risks of MRI-related heating on page 5-
20.
Giveninrelationtothepatient’slimbs,designatorsandcolorsoftheECGleadcableclips
referenceconnectionlocationsontheQuadtrodeelectrode.Also,notethatdependinguponthe
leadcableversion,AAMI(AssociationfortheAdvancementofMedicalInstrumentation)orIEC
(InternationalElectrotechnicalCommission),differentdesignatorsandcolorsare
usedforthese
references.ThediagramsbelowillustratetheleadcableattachmentlocationstotheQuadtrode,
accordingtotheECGleadcableversionandlimb.
Step Action
3Ifnecessary,shavetheapplicationareatoremovehairfromthe
selectedQuadtrodeelectrodesite(s).
4ApplyECGSkinPrepGel(REF989803152291)toagauzepad .
5Briskly
rubtheselectedsite(s)withthegauzepad(theskinmay
turnpink).
6 Removeanyexcessgelwithacleangauzepad.
7PlacetheQuadtrodeelectrodeatthepreparedsite(s)onthe
patient.