User's Manual

Operator’s Manual ZM-520PA/521PA/530PA/531PA 13
For Patients Using Implantable Pacemaker
WARNING
The bioelectric impedance measurement sensor of a minute ventilation rate-adaptive
implantable pacemaker may be affected by transmitter which is connected to the
same patient. If this occurs, the pacemaker may pace at its maximum rate and the
transmitter may give incorrect data to the monitor. If this occurs, disconnect the
electrode leads from the patient or change the setting on the pacemaker by referring
to the pacemaker’s manual. For more details, contact your pacemaker representative
or Nihon Kohden representative.
ECG Monitoring
WARNING
After attaching the electrode to the
patient and connecting the electrode
lead to the transmitter, check that
electrodes are attached to the patient
and check that the electrode lead is
connected to the transmitter properly.
When the electrodes are removed from
the patient, do not touch the metal part
of the electrode with bare hands or let
the metal part of the electrode contact
the metal part of the bed or any other
conductive parts. Failure to follow this
warning may cause electrical shock or
injury to the patient by discharged
energy.
WARNING
The transmitter detects the pacemaker
pulse and rejects the pacemaker pulse
from the heart rate count. However, all
of the pacemaker pulse might not be
rejected. If the pacemaker pulse is not
rejected, the pacemaker pulse is
detected as QRS and false heart rate
may be indicated. Keep pacemaker
patients under close observation.
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WARNING
The pacemaker pulse can be
overlooked or detected as QRS. You
cannot confirm the pacemaker
operation only from the detected
pacemaker pulse.