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
ExpressionMR400InstructionsforUseAlarms4‐23
*ForallalarmlimitvaluesthatmaybedisplayedinunitsofkPa,allow +/‐0.1kPaofvariancetoaccountforroundingerrorthatmay
occurwhenconvertingfrommmHgtokPa.
Thefollowingtableprovidesthealarmlimitrangesfortheanestheticagentgasesandoxygenfor
allpatienttypes.
CO2 (Fi) mmHg
kPa
All No low alarm 0 20, Off
2.7, Off
2
CO2 (Resp) RPM All Off, 4 40 20 100, Off 2
P1 and P2 mmHg
kPa
All Off, -30
Off, -4.0
250
33.3
-30
-4.0
250, Off
33.3, Off
2
Temperature °C
°F
All Off, 20.0
Off, 68.0
44.0
111.2
20.0
68.0
44.0, Off
111.2, Off
1
NIBP — Systolic mmHg
kPa
Adult Off, 30
Off, 4.0
270
36.0
30
4.0
270, Off
36.0, Off
2
— Mean mmHg
kPa
Adult Off, 20
Off, 2.7
255
34.0
20
2.7
255, Off
34.0, Off
2
— Diastolic mmHg
kPa
Adult Off, 10
Off, 1.3
245
32.7
10
1.3
245, Off
32.7, Off
2
NIBP — Systolic mmHg
kPa
Pediatric Off, 30
Off, 4.0
180
24.0
30
4.0
180, Off
24.0, Off
2
— Mean mmHg
kPa
Pediatric Off, 20
Off, 2.7
160
21.3
20
2.7
160, Off
21.3, Off
2
— Diastolic mmHg
kPa
Pediatric Off, 10
Off, 1.3
150
20.0
10
1.3
150, Off
20.0, Off
2
NIBP — Systolic mmHg
kPa
Neo Off, 30
Off, 4.0
130
17.3
30
4.0
130, Off
17.3, Off
2
— Mean mmHg
kPa
Neo Off, 20
Off, 2.7
120
16.0
20
2.7
120, Off
16.0, Off
2
— Diastolic mmHg
kPa
Neo Off, 10
Off, 1.3
100
13.3
10
1.3
100, Off
13.3, Off
2
Vital Sign or
Parameter
Unit Patient Type
Low Alarm Limit* High Alarm Limit* Low and
High Limit
Separation
Minimum Maximum Minimum Maximum
Breath Phase and Gas Unit
Low Alarm Limit High Alarm Limit
Low and
High Limit
Separation
Minimum Maximum Minimum Maximum
DES (Et), Expired Desflurane Vol. % Off, 0.1 18.0 0.1 18.0, Off 1
DES (Fi), Inspired Desflurane Vol. % Off, 0.1 18.0 0.1 18.0, Off 1
ENF (Et) Expired Enflurane Vol. % Off, 0.1 5.0 0.1 5.0, Off 1
ENF (Fi) Inspired Enflurane Vol. % Off, 0.1 5.0 0.1 5.0, Off 1
HAL (Et) Expired Halothane Vol. % Off, 0.1 5.0 0.1 5.0, Off 1
HAL (Fi) Inspired Halothane Vol. % Off, 0.1 5.0 0.1 5.0, Off 1
ISO (Et) Expired Isoflurane Vol. % Off, 0.1 5.0 0.1 5.0, Off 1
ISO (Fi) Inspired Isoflurane Vol. % Off, 0.1 5.0 0.1 5.0, Off 1