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
4‐2AlarmsExpressionMR400InstructionsforUse
Thebluealarmlightcanbeonatthe sametimeastheredoryellowalarmlight.Whenanumeric
valuebecomesmissingduetoanINOP,theINOPalarmwillbepresentaswellasthepatient
alarm(dueto
themissingvalue),withbothoriginatingfromthesamecause.
AlarmDelays
Thereisanalarmsoundandanalarmlightilluminationdelayofnomorethan4secondsfollowing
thedisplayedalarmflag,providedthatthealarmconditionstillexistsafterthisdelay.
Alarm Safety Information
WARNINGS
• The monitor detects and responds almost immediately to most out-of-limits conditions,
except when averaging of the physiological signal is required to reduce unwanted noise
signals (for example, respiration rates and measurements derived from SpO2 signals.)
• Set the alarm volume based upon the ambient noise levels in the MR environment.
Some areas in the MR environment, such as the MR system room, may have ambient
noise levels louder than the maximum volume of the MR400. Therefore, displayed data
should be continuously monitored. Otherwise, if sound was inaudible, treatment of the
patient could be delayed. For visual alarms, adjust the position of the MR400 so that
you maintain a clear view of the display.
Visual Alarm Indications
Dependinguponthealarmcondition,visualalarmindicationscanincludeanalarmflag,a
flashingnumeric,andanilluminatedalarmlight;whenmultiplealarmsaredetected,multiple
visualindicationsmaybepresented.
Alarm Flags
Alarmflagsarevisualindicatorsthatcontainanalarmmessagedisplayedonabackgroundcolor
thatidentifiesthepriorityofthealarm(seetablebelow).Analarmflagisdisplayedforthe
durationofanalarmcondition.Multiplealarmflagsaredisplayedwhenmultiplealarm
conditionsexist.
AlarmPriority DisplayedBackgroundColor
High(patientalarm) Red
Medium(patientalarm) Yellow
INOP(statusortechnicalalarm) Blue