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
3‐2 GettingStartedExpressionMR400InstructionsforUse
WARNINGS
• The patient connector inputs for all parameters are protected against the use of a
defibrillator by internal circuitry when the recommended patient cables or accessories
are used.
• Defibrillation and electrosurgery: Do not touch the patient, or table, or instruments,
during defibrillation. This equipment does not provide protection against burning of
the patient.
• The MR400 can be used in the presence of defibrillators or electrosurgery units,
provided the equipment being used is in good working order, meets appropriate safety
standards, is properly grounded and is operated correctly in the appropriate manner
and environment. Improperly grounded equipment can be a safety hazard and can
also cause interference to the ECG signal and result in a noisy ECG signal waveform
and inaccurate heart rate measurements.
• Electrosurgical unit overloads may cause damage to this device.
• To minimize risk of damage to the MR400 during defibrillation, use only the
manufacturer’s specified accessories and supplies.
• This equipment does not meet electrosurgical interference suppression (ESIS)
requirements as stated in EC13, sub clause 4.2.9.14, as the ECG trace will temporarily
disappear from the display during cut or coagulation bursts.
CAUTION
When using a defibrillator, do not introduce discharges of 360 joules or more, repeated five times
over 5 minutes. Read the safety instructions provided with the defibrillator. The MR400 cart is
designed to withstand defibrillation and will recover within 5 seconds (per IEC 60601-1,
Requirements for the Safety of Medical Electrical Equipment, and IEC 60601-2-49, Particular
requirements for the basic safety and essential performance of multifunction patient monitoring
equipment).
Positioning the MR400
Duringuse,stationthecartatasafemonitoringdistanceintheMR
magnetroomthenpressdownoneachwheellocktoengageit.(When
thecartneedstobemoved,raiseeachwheellockbeforeproceeding).
UsetheguidehandletomoveandpositiontheMR400.Alwaysplacethe
MR400sothatyourviewofthescreenandalarmlightwillremainunobstructedduringuse.
CAUTION
Never lean against or apply excessive force to the guide handle.