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
ExpressionMR400InstructionsforUse MonitoringAgentsandGases(AGENTOption)9‐3
Note
Whenever the Agent sensor changes from a steady state condition, the system will perform an zero
reference adjustment to restabilize the sensor readings. During this time it is possible for a false
identification and concentration value to occur. Change from a steady state condition may occur
when:
– Applying a sampling line for the first time.
– Switching from one agent to another.
– Going from high agent concentrations to low or off.
Note
During the first hour after the system has been turned on and flowing oxygen greater than 50
percent, the CO2
waveform periodically baselines to complete reference measurement; however,
the measurement numeric values remain. Once the system reaches ambient temperature this
condition will cease to occur.
Toperformamanualzeroreferenceadjustment
Breath Rate Distortion
Theeffectofrisetimedistortiontothegascurvebecomesapparentwhenthebreathingrate
increasessothat thetimeforafullinspiratoryorexpiratoryeventgetsshorter.Inthose
situations,duetotheeffectoftherisetime, thegascurvedoesnotreachthetrueend‐tidal
(or
firstinspiredvalue)andtheend‐tidalgasvaluemaythenbeunderestimated.Correspondingly,
thefirst inspiredvaluemaybeoverestimated.Belowisanexaggeratedillustrationoftheeffect.
Step Action
1 SelecttheCO2VSbox.
TheCO2menuappears.Currentsettingsaredisplayed.
2 SelectZeroCal.
Allowtheprocessto
complete,typically10–12seconds.