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
ExpressionMR400InstructionsforUseMonitoringSPO26‐9
Assessing Suspicious SPO2 Readings
Pulseoximetrymeasurementsarestatisticallydistributed.Withneweralgorithms,suchasFAST‐
SPO2,thecalculationofSPO2isnotdirectlylinkedtothecorrect detectionofeachpulse.When
thepulserateisveryloworastrongarrhythmiaispresent,theSPO2/plethysmographypulse
ratemaydifferfromtheheartrate
calculatedfromECG.Thisdoesnotindicateaninaccurate
SPO2value.IfyoudoubtthemeasuredSPO2,usetheplethysmographywavetoassessthesignal
quality.
WAR NIN G
Always shield (for example, cover with opaque material) the SPO2 clip or grip from
extraneous incidental light sources, as such light can cause erroneous SPO2 readings or
pulse detection errors.
Item Name Definition
1 SpO2
VS waveform Is the detected SpO2 (pleth) pulsatile waveform (Trace C), automatically adjusted for
proper viewing if above a minimum level
Note
To change the waveform speed, see Sweep Speed on page 3-25.
2 Alarm flag area Displays SPO2 alarm flags when detected; see page 4-31.
3
SPO2
VS box label Indicates the SpO2 vital sign parameter, and accesses the SPO2
menu
4 Heart rate numeric Is the patient’s detected heart rate measurement
5 Unit of measure Indicates that the heart rate numeric is given in BPM (beats per minute)
6 SpO2 upper alarm limit Is the upper limit setting for the SpO2 alarm, and accesses the SPO2
Alarm Limits
menu
7 SpO2 lower alarm limit Is the lower limit setting for the SpO2 alarm, and accesses the SPO2
Alarm Limits
menu
8 SpO2 numeric Is the patient’s detected arterial oxygen saturation measurement, given as a percentage
9 Perfusion index Is the value for the portion of the measured signal caused by the pulsating arterial
blood flow, which can be used as a measurement quality indicator; see page 6-15