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
ExpressionMR400InstructionsforUseImportant Information1‐3
Indications for Use
TheExpressionMR400MRIPatientMonitoringSystemisintended forusebyhealthca re
professionalstomonitorvitalsignsofpatientsundergoingMRIproceduresandtoprovidesignals
forsynchronizationfortheMRIscanner(alsoreferredtoas“triggering”or“gating”). The
ExpressionMR400providesmonitoringforthefollowingvitalsignsand
parameters:
electrocardiogram(ECG),pulseoximetry(SpO
2
),non‐invasivebloodpressure(NIBP);and
optionally,invasivebloodpressure(IBP),carbondioxide(CO
2
)andrespirationrate,anesthetic
agents,oxygen(O
2
),nitrousoxide(N
2
O),andtemperature.
Notes
• The MR400 is intended to be used to monitor the vital signs of a patient in an MR magnet
room. Monitoring outside the magnet room (e.g., the MR induction and/or MR recovery
areas) is acceptable for the short duration of time in which the patient is being prepared for
the MR scan and during the recovery period within the MR. This system is not intended for
use on a patient being transported outside of a health care facility.
• The MR400 is intended for use on patients receiving MR scans, which may include
neonatal, pediatric, or adult patients. If determined by a qualified healthcare provider, this
may also include pregnant patients.
• The bellows-derived respiration rate measurement is not intended for vital sign monitoring.
Contra-indications
ThisPhilipsproductshouldnotbeusedifanyofthefollowingcontra‐indicationsexistorare
thoughttoexist.Thisdeviceiscontra‐indicatedforpatientswithmetallicwires,implants,stents,
etcetera.Screenall patientsformetallicwires, implants,stents,etceterapriortoMR
procedures.Theseelectricalconductors
willreactwiththeMRenvironmentorwiththe
accessory(ifapplieddirectlyovertheconductor),thusincreasingtheriskofheating.The
warningsbelowrefertotheExpressionMR400MRIPatientMonitoringSysteminitsentirety.
WARNINGS
• The Expression MR400 MRI Patient Monitoring System is not intended for use with
patients using pacemakers or electrical stimulators.
• Do not use if MR workers are present who have metallic wires, implants, stents, et
cetera. Screen all MR workers for metallic wires, implants, stents, et cetera, prior to
MR procedures when using the Expression MR400 MRI Patient Monitoring System in
the MR magnet room.
• Do not use on patients with metallic wires, implants, stents, et cetera. Screen all
patients for metallic wires, implants, stents, et cetera, prior to MR procedures. These
electrical conductors will react with the MR environment or with the accessory (if
applied directly over the conductor), thus increasing the risk of heating.