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
ExpressionMR400InstructionsforUseAlarms4‐25
*ForallalarmlimitvaluesthatmaybedisplayedinunitsofkPa,allow +/‐0.1kPaofvariancetoaccountforroundingerrorthatmay
occurwhenconvertingfrommmHgtokPa.
Measurement Limits and Over / Under Values
Inthetablebelow,therangeofvaluesthatcanbemeasuredforavitalsignitemareprovided
alongwiththehighandlowvaluesthat,beyondwhich,anoverorunderindicationwillbegiven.
Specifically,avaluewillbemarkedasOver(OVR)iftheVSvalueis
greaterthan thegivenover
value,andmarkedasUnder(UND)iftheVSvalueislessthanthegivenundervalue.
NIBP Systolic mmHg
kPa
65
8.7
190
25.3
70
9.3
120
16.0
70
9.3
100
13.3
NIBP Mean mmHg
kPa
55
7.3
135
18.0
50
6.7
90
12.0
40
5.3
90
12.0
NIBP Diastolic mmHg
kPa
40
5.3
125
16.7
40
5.3
70
9.3
35
4.7
50
6.7
Temperature °C
°F
36.0
96.8
39.0
102.2
36.0
96.8
39.0
102.2
36.0
96.8
39.0
102.2
DES (Et), Expired Desflurane Vol. % Off 12.0 Off 12.0 Off 12.0
DES (Fi), Inspired Desflurane Vol. % Off 18.0 Off 18.0 Off 18.0
ENF (Et) Expired Enflurane Vol. % Off 3.4 Off 3.4 Off 3.4
ENF (Fi) Inspired Enflurane Vol. % Off 5.0 Off 5.0 Off 5.0
HAL (Et) Expired Halothane Vol. % Off 1.5 Off 1.5 Off 1.5
HAL (Fi) Inspired Halothane Vol. % Off 2.2 Off 2.2 Off 2.2
ISO (Et) Expired Isoflurane Vol. % Off 2.3 Off 2.3 Off 2.3
ISO (Fi) Inspired Isoflurane Vol. % Off 3.4 Off 3.4 Off 3.4
SEV (Et) Expired Sevoflurane Vol. % Off 4.1 Off 4.1 Off 4.1
SEV (Fi) Inspired Sevoflurane Vol. % Off 6.1 Off 6.1 Off 6.1
N2O (Fi) Inspired Nitrous
Oxide
Percent No low
alarm
80
No low
alarm
80
No low
alarm
80
O2 (Fi) Inspired OxygenPercent189918991899
Vital Sign or Parameter Unit
Adult Pediatric Neo
Low
Limit
High
Limit
Low
Limit
High
Limit
Low
Limit
High
Limit
Vital Sign or
Parameter
Numeric
Item
Units
Patient
Type
Measurement
Range
Over / Under
Values
Low High Under Over
ECG Heart Rate BPM Adult 30 250 30 250
ECG Heart Rate BPM Ped 30 300 30 300
ECG Heart Rate BPM Neo 30 300 30 300
SPO2 Heart Rate BPM All 30 250 30 250