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
ExpressionMR400InstructionsforUse MonitoringAgentsandGases(AGENTOption)9‐9
WARNINGS
• Always test sampling line adapter for a tight connection and proper operation before
attaching to a patient. Over-tightening the sampling line connection may damage the
water trap. Tighten the sampling line connector no more than one half-turn. Over-
tightening this connector can cause failure of the water trap assembly and inaccurate
patient gas measurements.
• Inspect water trap and AGENT accessories before use. If the sampling line, connector
or sample port show signs of damage, replace the part immediately or discontinue use
and contact technical support. Never use damaged equipment.
• Frequently inspect the patient sampling line and keep it clear of any moving
mechanisms (for example, table wheels) which could cut, pinch, or dislodge the patient
tubing. Avoid kinking of the patient sampling line as leaks, reduced or stopped flow, or
internal venting of sampled gas into damaged tubing will cause inaccurate
measurements.
• Do not position the sampling line in any manner that may cause entanglement or
strangulation.
• Replace the sampling line if excessive secretions are observed, as inaccurate
measurements could result if the flow is reduced or stopped.
• Leakages in the breathing system or sampling system may cause the displayed
AGENT, CO2, O2, N2O values to be too low. Always connect all components securely
and check for leaks according to standard clinical procedures. Displacement of the
nasal cannula or patient airway adapter can cause lower than actual readings.
• If AGENT, CO2, O2, N2O values for patients who are not on a breathing circuit
appear extremely low, check whether the patient is breathing through the mouth or
whether one nostril is blocked.
2AllowtheAGSsystemtorunandsampleroomairforatleast1
minute.TheFiO2
readingdisplayedintheGASVSboxshouldbe
approximately21percent.
Ifthereadingremainsoutsidethisrangeformorethan 1 minute
afterfirstcheckingthereading,replacetheoxygensensoras
describedinchapter14.
3 AfterallowingtheAGSsystemtorunforatleast1minute,pinch
or
sealtheinputline(tothewatertrap)for5secondsandverifythat
Occlusionisdisplayed.
Ifthismessagedoesnotappear,checkalltubingconnectionsfor
leakageandretest.
Step Action