About this Manual P/N: 01.54.455711-1201 Release Date: August 2013 © Copyright EDAN INSTRUMENTS, INC. 2012-2013. All rights reserved. Statement This manual will help you understand the operation and maintenance of the product better. It is reminded that the product shall be used strictly complying with this manual. User’s operation failing to comply with this manual may result in malfunction or accident for which EDAN INSTRUMENTS, INC. (hereinafter called EDAN) cannot be held liable.
Terms Used in this Manual This guide is designed to give key concepts on safety precautions. WARNING A WARNING label advises against certain actions or situations that could result in personal injury or death. CAUTION A CAUTION label advises against actions or situations that could damage equipment, produce inaccurate data, or invalidate a procedure. NOTE A NOTE provides useful information regarding a function or a procedure.
Table of Contents Chapter 1 Intended Use and Safety Guidance ................................................................................1 1.1 Intended Use...........................................................................................................................1 1.2 Safety Guidance .....................................................................................................................2 1.3 Explanation of Symbols on the Monitor ...............................................
3.4.2 Changing Date and Time...........................................................................................25 3.5 Adjusting Volume.................................................................................................................25 3.5.1 Adjusting Key Volume ..............................................................................................25 3.5.2 Adjusting Alarm Volume ...........................................................................................25 3.5.
5.3 Prompts ................................................................................................................................49 5.4 Adjustable Range of Alarm Limits.......................................................................................51 Chapter 6 Managing Patients .........................................................................................................56 6.1 Admitting a Patient....................................................................................
8.5 Selecting Calculation Lead ..................................................................................................65 8.6 Monitoring Procedure ..........................................................................................................66 8.6.1 Preparation ................................................................................................................66 8.6.2 Connecting ECG Cables .....................................................................................
.12.2 Measurement and Interpretation .............................................................................78 Chapter 9 Monitoring RESP...........................................................................................................79 9.1 Overview ..............................................................................................................................79 9.2 RESP Safety Information .........................................................................................
Chapter 12 Monitoring NIBP .........................................................................................................87 12.1 Overview ............................................................................................................................87 12.2 NIBP Safety Information ...................................................................................................87 12.3 Introducing the Oscillometric NIBP Measurement......................................................
15.3 Monitoring Procedures.......................................................................................................98 15.4 Selecting a Pressure for Monitoring...................................................................................99 15.5 Zeroing the Pressure Transducer........................................................................................99 15.6 Zeroing a Pressure Measurement .....................................................................................
Chapter 18 Monitoring AG ........................................................................................................... 116 18.1 Overview .......................................................................................................................... 116 18.2 Safety Information ........................................................................................................... 116 18.2.1 Safety Information for ISA Analyzer .......................................................
20.2.1 Setting Resolution .................................................................................................130 20.2.2 Scrolling the Screen ..............................................................................................130 20.2.3 Switching to Trend Graph .....................................................................................131 20.2.4 Recording ..............................................................................................................131 20.
22.3 Recording Type ................................................................................................................139 22.4 Starting and Stopping Recording .....................................................................................139 22.5 Recorder Operations and Status Messages ......................................................................140 22.5.1 Record Paper Requirement ...................................................................................140 22.5.
25.3 Disinfection ......................................................................................................................151 Chapter 26 Maintenance ...............................................................................................................152 26.1 Inspecting .........................................................................................................................152 26.2 Maintenance Task and Test Schedule......................................................
A.6 SpO2 ..................................................................................................................................176 A.7 TEMP ................................................................................................................................177 A.8 Quick TEMP .....................................................................................................................177 A.9 IBP.....................................................................................
Patient Monitor User Manual Intended Use and Safety Guidance Chapter 1 Intended Use and Safety Guidance 1.1 Intended Use The iM50 patient monitor is intended to be used for monitoring, storing, reviewing, recording, and generating alarms for multiple physiological parameters of adults, pediatrics and neonates in hospital environments.
Patient Monitor User Manual Intended Use and Safety Guidance 1.2 Safety Guidance WARNING 1 Before using the device, the equipment, patient cable and electrodes etc. should be checked. Replacement should be taken if there is any evident defect or signs of aging which may impair the safety or performance.
Patient Monitor User Manual Intended Use and Safety Guidance WARNING 11 Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level or off during patient monitoring may result in a hazard to the patient. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.
Patient Monitor User Manual Intended Use and Safety Guidance CAUTION 7 Remove a battery whose life cycle has expired from the monitor immediately. 8 Avoid liquid splash on the device. The temperature must be kept between 5qC and 40qC while working. And it should be kept between -20qC and 55qC during transportation and storage. 9 To ensure patient safety, use only parts and accessories manufactured or recommended by EDAN. 10 Federal (U.S.
Patient Monitor User Manual Intended Use and Safety Guidance Equipotential grounding terminal Alternating Current Power Supply switch Serial number Network port USB (Universal Serial Bus) Connection Audio alarm is off NIBP measurement Trend graph Freeze Record Menu VGA output, External Monitor -5-
Patient Monitor User Manual Intended Use and Safety Guidance RS-232 port Nurse call port SD Card port Signal output port Signal output The symbol indicates that the device complies with the European Council Directive 93/42/EEC concerning medical devices.
Patient Monitor User Manual Intended Use and Safety Guidance Locked position Gas inlet Gas outlet (evac) ISA equipped to measure CO2 only. ISA equipped to measure multiple gases. Federal (U.S.) Law restricts this device to sale by or on the order of a physician. (Only applicable to iM50 and iM80) With respect to electrical shock, fire and mechanical hazards only in accordance with UL 60601-1and CAN/CSA C22.2 No. 601.
Patient Monitor User Manual Installation Chapter 2 Installation NOTE: 1 The monitor settings must be specified by the authorized hospital personnel. 2 To ensure that the monitor works properly, please read the user manual and follow the steps before using the monitor. 2.1 Initial Inspection Before unpacking, check the packaging and ensure that there are no signs of mishandling or damage. If the shipping cartons are damaged, contact the carrier for compensation and package them again.
Patient Monitor User Manual Installation WARNING If any sign of damage is detected, or the monitor displays some error messages, do not use it on any patient. Contact Customer Service Center immediately. NOTE: 1 Check all the functions of the monitor and make sure that the monitor is in good status. 2 If rechargeable batteries are provided, charge them after using the device every time, to ensure the electric power is enough.
Patient Monitor User Manual Installation cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: 1. Reorient or relocate the receiving antenna. 2.
Patient Monitor User Manual Basic Operation Chapter 3 Basic Operation This manual is for clinical professionals using the iM50/iM60/iM70/iM80 patient monitors. Unless otherwise specified, the information here is valid for all the above products. This user manual describes all features and options. Your monitor may not have all of them; they are not all available in all geographies. Your monitor is highly configurable.
Patient Monitor User Manual Basic Operation 1 2 10 3 4 5 6 7 8 9 iM60 1 2 10 3 4 5 6 iM70 - 12 - 7 8 9
Patient Monitor User Manual Basic Operation 1 2 10 3 4 5 6 7 8 9 iM80 1 Alarm indicator — when an alarm occurs, the alarm indicator will light or flash. The color of light represents the alarm level. 2 Power supply switch — when the monitor is connected to the AC power supply, press the key to turn the monitor on. When the monitor is turned on, press the key to turn the monitor off. 3 Battery indicator, refer to Section Battery Indicator for details.
Patient Monitor User Manual Basic Operation 8 Start / Stop Recording — Press this button to start a real-time recording. During the recording, press this button again to stop recording. 9 Menu — Press this button to return to the main interface when there is no menu open. 10 Rotary Knob (hereinafter called knob) — The user can rotate the knob clockwise or anticlockwise. This operation can make the highlighted item shift up, down, left or right to choose the desired item.
Patient Monitor User Manual Basic Operation 7 VGA Interface 8 Network interface, this port is used to connect to the central monitoring system through the standard network wire. 9 Defibrillator synchronization / analog output. When the user selects Analog Output, the monitor outputs the waveform through the auxiliary output port. When the user selects Defibrillation the monitor outputs the defibrillator synchronization signal through the auxiliary output port.
Patient Monitor User Manual Basic Operation 5 Defibrillator synchronization/ analog output/ nurse call port: When the user selects Analog Output, the monitor outputs the waveform through the auxiliary output port. When the user selects Defibrillation, the monitor outputs the defibrillator synchronization signal through the auxiliary output port. When the port is used as nurse call port, it is connected to the call system. When there is an alarm, the monitor outputs nurse call signal to notify the nurse.
Patient Monitor User Manual Basic Operation 1 SD Card 2 Nurse call port, this port is connected to the call system. When there is an alarm, the monitor outputs nurse call signal to notify the nurse. 3 Defibrillator synchronization / analog output. When the user selects Analog Output, the monitor outputs the waveform through the auxiliary output port. When the user selects Defibrillation, the monitor outputs the defibrillator synchronization signal through the auxiliary output port.
Patient Monitor User Manual Basic Operation 3.1.
Patient Monitor User Manual Basic Operation 1 Sensor port 2 CO2 module holder 3 Recorder door 4 Battery door 3 1 2 4 iM80 1 Sensor port 2 AG module holder 3 Recorder door 4 Battery door - 19 -
Patient Monitor User Manual Basic Operation 3.1.4 Configuration Model Size (L×W×H) Function Configuration iM50 261 mm (L) × 198 mm (W) × 215 mm (H) ECG, RESP, SpO2, NIBP, IBP ,TEMP, Quick TEMP, CO2 iM60 303mm(L) × 161mm(W) × 254mm(H) ECG, RESP, SpO2, NIBP, TEMP, IBP, C.O., CO2 328mm(L) × 158mm(W) × 285mm(H) ECG, RESP, SpO2, NIBP, TEMP, IBP, C.O., CO2, AG 370 mm (L) × 175 mm (W) × 320 mm (H) ECG, RESP, SpO2, NIBP, TEMP, IBP, C.O., CO2, AG iM70 iM80 3.
Patient Monitor User Manual Basic Operation 1 Department 2 Bed number 3 Patient name 4 Patient type 5 Alarm status area 6 Alarm off 7 Measurement value 8 Menu 9 Date and time 10 Scroll right to display more shortcut keys 11 Networking symbol 12 Battery status symbol 13 AC power supply symbol - 21 -
Patient Monitor User Manual Basic Operation 14 Shortcut key area 15 Scroll left to display more shortcut keys 16 Mute key 17 Parameter waveform 3.2.1 Using Keys The monitor has four different types of keys: 3.2.1.1 Permanent Keys A permanent key is a graphical key that remains on the screen all the time to give you fast access to functions. Menu – enter the main setup menu. Mute key – close the audio alarm to switch off the alarm. 3.2.1.
Patient Monitor User Manual Basic Operation Review the trend table Zero the IBP sensor Review the alarm event Alarm setup Access the NIBP review Change the beat volume Access the ARR review Enter standby mode Switch to the trend screen Enter night mode Select this item by the trim knob to enable the touch screen operation 3.2.1.3 Hardkeys A hardkey is a physical key on a monitoring device, such as the recording key on the front panel. 3.2.1.
Patient Monitor User Manual Basic Operation z Real data: the parameter measurement value and real waveform displayed on the screen are from the predefined analog data, not the truly monitoring patients’ data. z History data: the monitor will store the analog real-time data in Demo mode, including trend data, patient information, alarm event, waveform and setting. To exit Demo Mode, select Menu > Common Function > Demo Mode to exit. WARNING This is for demonstration purposes only.
Patient Monitor User Manual Basic Operation 3.4.2 Changing Date and Time To change the date and time, please refer to Section Setting Date and Time. WARNING Change to date and time will influence the storage of trend data. 3.5 Adjusting Volume 3.5.1 Adjusting Key Volume The key volume is the volume you hear when you select any field on the monitor screen or when you turn the knob. To adjust the key volume, please: 1. Select the Key Volume key on the screen directly or. 2.
Patient Monitor User Manual Basic Operation 3.8 Setting Languages To change the language, please: 1. Select Menu > Maintenance > User Maintain, then type the correct password ABC into the displayed interface. 2. Select the Language option on the popup interface to open the language list. 3. Select the desired language from the list. To make the change validate, please restart the monitor. 3.
Patient Monitor User Manual Basic Operation 3.12 Using the Barcode Scanner To enter the barcode setup menu, please select Menu > Maintenance > User Maintain, after entering the required password ABC, select Other Setup > BarCode Setup. Then the user can set serial No, last Name, first Name and so on. If Auto Update is set to On, the patient information is updated automatically by using a bar code scanner. If Auto Update is set to Off, the user needs to update the patient information manually. 3.
Patient Monitor User Manual Alarms Chapter 4 Alarms The alarm information here applies to all measurements. Measurement-specific alarm information is discussed in the sections of individual measurements. WARNING A potential hazard can exist if different alarm presets are used for the same or similar equipment in any single area, e.g. an intensive care unit or cardiac operating room. 4.1 Alarm Category The monitor provides two types of alarms: physiological alarms and technical alarms. 4.1.
Patient Monitor User Manual Alarms 3. Low level alarms The patient’s vital signs appear abnormal or the device system status appears abnormally, indicating that operator awareness is required. The high/medium/low-level alarms are indicated by the system in following different ways: Alarm level Physiological alarms Technical alarms The alarm indicator flashes in red. The alarm message flashes with red background, and the symbol *** is displayed at the alarm area.
Patient Monitor User Manual Alarms Upper arrow or lower arrow to increase or decrease the alarm limit High Alarm Limit Setting value of high alarm limit Setting value of low alarm limit Low Alarm Limit WARNING 1 When the alarm is set to OFF, the monitor won’t give an alarm prompt even if an alarm occurs. In order to avoid endangering the patient’s life, the user should use this function cautiously. 2 Prior to monitoring, make sure that the alarm limit settings are appropriate for your patient.
Patient Monitor User Manual Alarms 4.3.4 Controlling Alarm Volume The monitor provides five levels of alarm volume: 1, 2, 3, 4 and 5. For adjusting the alarm volume, please refer to Section Adjusting Alarm Volume. 4.4 Latching Alarms To set the alarm latch function, please select Menu > Maintenance > User Maintain > Alarm Setup and set Alarm Latch from the pull-down list. If it is set to On, when an alarm occurs, the monitor will display the alarm message of the parameter in the alarm status area.
Patient Monitor User Manual Alarm Information Chapter 5 Alarm Information 5.1 Physiological Alarm Information Message Cause Alarm level HR High HR measuring value is above the upper alarm limit. User-selectable HR Low HR measuring value is below the lower alarm limit. User-selectable ST-X High ST measuring value is above the upper alarm limit. (X stands for I, II, III, aVR, aVL, aVF, V, V1, V2, V3, User-selectable V4, V5 or V6) ST-X Low ST measuring value is below the lower alarm limit.
Patient Monitor User Manual Alarm Information Message Cause Alarm level MISSED BEATS When HR is less than 120 beats/min., no heart beat is tested during the period 1.75 times of the average RR interval; or User-selectable When HR is 120 beats/min, no beat is tested within 1 second. IRR IRREGULAR RHYTHM: The patient has irregular heart rate. User-selectable PNC PACE NOT CAPTURE: After the pacemaker is paced, QRS complex can not be detected during 300ms.
Patient Monitor User Manual Alarm Information Message Cause Alarm level SYS High SYS measuring value is above upper alarm limit. User-selectable SYS Low SYS measuring value is below lower alarm limit. User-selectable DIA High DIA measuring value is above upper alarm limit. User-selectable DIA Low DIA measuring value is below lower alarm limit. User-selectable MAP High MAP measuring value is above upper alarm limit. User-selectable MAP Low MAP measuring value is below lower alarm limit.
Patient Monitor User Manual Alarm Information Message Cause Alarm level P2 SYS High P2 SYS measuring value is above upper alarm limit. User-selectable P2 SYS Low P2 SYS measuring value is below lower alarm limit. User-selectable P2 DIA High P2 DIA measuring value is above upper alarm limit. User-selectable P2 DIA Low P2 DIA measuring value is below lower alarm limit. User-selectable P2 MAP High P2 MAP measuring value is above upper alarm limit.
Patient Monitor User Manual Alarm Information Message Cause Alarm level EtENF High EtENF measuring value is above upper alarm limit. User-selectable EtENF Low EtENF measuring value is below lower alarm limit. User-selectable FiENF High FiENF measuring value is above upper alarm limit. User-selectable FiENF Low FiENF measuring value is below lower alarm limit. User-selectable EtISO High EtISO measuring value is above upper alarm limit.
Patient Monitor User Manual Alarm Information 5.2 Technical Alarm Information NOTE: The ECG alarm information listed in the below table describes the lead names in America. For the corresponding lead names in Europe, please refer to Section Installing Electrodes. Message Cause Alarm Level ECG Lead Off 1) The drive lead or more than one ECG limb electrode falls off the skin; 2) ECG cables fall off the monitor.
Patient Monitor User Manual Message Alarm Information Cause Alarm Level Action Taken High Stop measuring function of ECG module, and notify biomedical engineer or manufacturer’s service staff. Check lead connection and patient condition ECG Comm Fail ECG module failure or communication failure ECG Noise ECG measuring signal is greatly interrupted. Low ECG V1 Lead Off ECG electrode V1 falls off the skin or the ECG cable V1 falls off.
Patient Monitor User Manual Message RR Exceed RESP Cardiac Artifact Alarm Information Cause RR measuring value is out of the measure range (less than 6rpm or greater than 150rpm). No RESP waveform can be detected due to apnea or shallow breathing of the patient. RESP Noise RR cannot be measured due to patient movement. SpO2 Sensor Off SpO2 sensor may be disconnected from the patient or the monitor. SpO2 Sensor Err Malfunction in the SpO2 sensor or in the extension cable.
Patient Monitor User Manual Message Alarm Information Cause SpO2 module failure or communication failure SpO2 Comm Fail SpO2 Low Perfusion The pulse signal is too weak or the perfusion of the measurement site is too low SpO2 Noisy Signal There is interference with SpO2 measurement signals and the waveform is abnormal. SpO2 Interference Light Ambient light around the sensor is too strong.
Patient Monitor User Manual Message Cause NIBP Leak NIBP Pressure Alarm Information Excessive NIBP Init Pressure High Alarm Level NIBP pump, valve, cuff or Low tube has a leakage. Properly wrap the cuff and connect the tube. Measure again; if failure persists, stop measuring function of NIBP module and notify biomedical engineer or manufacturer’s service staff. Pressure has exceeded the specified upper safety limit.
Patient Monitor User Manual Message Alarm Information Cause Alarm Level Action Taken Low Check whether the airway is occluded or pressure sensor works properly. If the problem still exists, contact your service personnel. High Contact your service personnel. Low Check the connection of the cuff and try again. If failure persists, use other methods to measure blood pressure. Maybe the patient blood NIBP Range Exceeded pressure value is beyond the measurement range.
Patient Monitor User Manual Alarm Information Message Cause TEMP T2 Sensor Off Temperature cable of TEMP channel 2 may be Low disconnected from the monitor. Make sure that the cable is properly connected. Excessive T1 TEMP1 measuring value is beyond measuring range. High Check sensor connection and patient condition Excessive T2 TEMP2 measuring value is beyond measuring range.
Patient Monitor User Manual Alarm Information Message Cause C.O. Lack Param C.O. measuring parameters AA Out Of Range The AA concentration exceeds the accuracy range of AG module. needs The oxygen sensor of the sidestream AG module has a failure. O2 Sensor Error Action Taken High Please input patient’s height and weight. High Reduce concentration. Medium Stop measuring of AG module, and notify biomedical engineer or Manufacturer’s service staff.
Patient Monitor User Manual Message Alarm Information Cause Alarm Level Action Taken O2 Out Of Range O2 is out of range. High Please make O2 range resume normal. AG TEMP Out Of Range AG module temperature out of range High Please make the temperature resume normal. AG Baro Press Out Of Range AG module baro pressure out of pressure High Please make the baro pressure value resume normal. AG AA Id Unreliable AG module can’t identify the AG agent. Medium Reduce type.
Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken AG Mixed Agents AG module detects mixture gas agent. Medium Close the subsidiary gas agent. CO2 Occlude Water trap of SideStream is High occluded. Make sure the gas exhaust works well CO Out Of Range The CO2 concentration exceeds the accuracy range of CO2 module. High Reduce concentration. High Stop measuring function of CO2 module, notify biomedical engineer.
Patient Monitor User Manual Message Alarm Information Cause Alarm Level Action Taken CO2 Check Adapter 1) For the Respironics CO2 module: The cannula is off or disconnected. 2) For the EDAN CO2 module: The water trap is disconnected or not properly connected. Low 1) For the Respironics CO2 module: Check whether the adapter is properly connected or replace the adapter. 2) For the EDAN module: CO2 Properly connect the water trap.
Patient Monitor User Manual Message Ambient temp too low Probe data error Probe heater error Alarm Information Cause The Sensor temperature is lower than +10qC. Offline: NTC resistance >R 0 qC; Short: NTC resistance +33 qC & +40 qC. Temp Sensor Off After the sensor temperature reaches Predict value, it descends to the value lower than Predict value.
Patient Monitor User Manual Alarm Information Message Cause Alarm Level Action Taken Battery Low Battery Low High Please change the battery or charging. Recorder Out Of Paper Low Please paper Low Notify the manufacturer’s service staff to install and set the recorder. Low Delete some data in the removable device or use another removable device. Low Repair the removable device or replace it with a new one.
Patient Monitor User Manual Alarm Information Message Cause Resetting NIBP module in resetting Please Start NIBP module is in idle status. Done NIBP measurement successfully done Continual Measuring NIBP module performs continual measuring Stat Measuring NIBP module performs STAT function. NIBP module is in normal mode, the user can’t start leak test and pressure calibration.
Patient Monitor User Manual Alarm Information Message Cause Measure over After the Predict measuring is over, the data and message display on the interface. Measure time out No measuring result after the module entering Predict state for 30s. AG Standby AG module is operating in the standby status. 5.
Patient Monitor User Manual Alarm Information RESP alarm limits are listed as follows: unit (rpm) Patient Type ALM HI ALM LO ADU 120 6 PED 150 6 NEO 150 6 SpO2 alarm limits are listed as follows (unit %): SpO2 ALM HI ALM LO 100 0 PR alarm limits is listed as follows: unit (bpm) PR ALM HI ALM LO 300 30 NIBP alarm limits are listed as follows (EDAN module): unit (mmHg) Patient Type ADU PED NEO ALM HI ALM LO SYS 270 40 DIA 215 10 MAP 235 20 SYS 200 40 DIA 150 10 MA
Patient Monitor User Manual Alarm Information TEMP alarm limits are listed as follows: ALM HI ALM LO T1 50qC (122 º F) 0qC (32 º F) T2 50qC (122 º F) 0qC (32 º F) TD 50qC (90 º F) 0qC (0 º F) IBP alarm limits are listed as follows: unit (mmHg) ALM HI ALM LO Art 300 0 RAP 40 -10 LAP 40 -10 CVP 40 -10 PA 120 -6 ICP 40 -10 P1 300 -50 P2 300 -50 CO2 alarm limits are listed as follows: ALM HI ALM LO EtCO2 150 mmHg 0 FiCO2 50 mmHg 3 AwRR 150 rpm 2 rpm C.O.
Patient Monitor User Manual Alarm Information AG alarm limits are listed as follows: Patient Type ADU PED ALM HI ALM LO FiCO2 25.0% 0.0% EtCO2 25.0% 0.0% FiO2 88.0% 18.0% EtO2 90.0% 18.0% FiN2O 100.0% 0.0% EtN2O 100.0% 0.0% EtDes 18.0% 0% FiDes 18.0% 0% EtIso 5.0% 0% FiIso 5.0% 0% EtHal 5.0% 0% FiHal 5.0% 0% EtSev 8.0% 0% FiSev 8.0% 0% EtEnf 5.0% 0% FiEnf 5.0% 0% awRR 150 rpm 0 rpm Apnea Time 40s 20s FiCO2 25.0% 0.0% EtCO2 25.0% 0.
Patient Monitor User Manual NEO Alarm Information EtSev 8.0% 0% FiSev 8.0% 0% EtEnf 5.0% 0% FiEnf 5.0% 0% awRR 150 rpm 0 rpm Apnea Time 40s 20s FiCO2 25.0% 0.0% EtCO2 25.0% 0.0% FiO2 88.0% 18.0% EtO2 90.0% 18.0% FiN2O 100.0% 0.0% EtN2O 100.0% 0.0% EtDes 18.0% 0% FiDes 18.0% 0% EtIso 5.0% 0% FiIso 5.0% 0% EtHal 5.0% 0% FiHal 5.0% 0% EtSev 8.0% 0% FiSev 8.0% 0% EtEnf 5.0% 0% FiEnf 5.
Patient Monitor User Manual Managing Patients Chapter 6 Managing Patients 6.1 Admitting a Patient The monitor displays physiological data and stores it in the trends as soon as a patient is connected. This allows you monitor a patient who is not yet admitted. It is however important to admit patients properly so that you can identify your patient on recordings, reports, and networked devices. During admission you enter data that the monitor needs for safe and accurate operation.
Patient Monitor User Manual Managing Patients WARNING 1 Changing the patient category may change the arrhythmia and NIBP alarm limits. Always check alarm limits to make sure that they are appropriate for your patient. 2 For paced patients, you must set Paced to On. If it is incorrectly set to Off, the monitor could mistake a pace pulse for a QRS and fail to give an alarm during asystole. 6.2 Quick Admit If you do not have the time or information to fully admit a patient.
Patient Monitor User Manual Managing Patients same to the monitor, and the central monitoring system can perform some bilateral control. For example: changing patient information, alarm limit and so forth. For detailed information, please refer to MFM-CMS Central Monitoring System User Manual and CNS Central Monitoring System User Manual. And the monitor supports HL 7 protocol.
Patient Monitor User Manual User Interface Chapter 7 User Interface 7.1 Setting Interface Style The user can set the interface based on the requirement, and the set options include the following: z Sweep of the waveform. z Parameters needing to be monitored. Change to some settings may have the risk, so only the authorized person can change them. After changing the settings, please notify the operator. 7.
Patient Monitor User Manual User Interface 7.6 Viewing Oxygen Screen To view the oxygen screen, the user can press the oxyCRG key on the screen or select Menu > Display Setting > View Selection > oxyCRG. This interface is always used in NICU because the SpO2, HR and Resp of the neonate are different from those of adults. 7.7 Viewing Large Font Screen To open the large font screen, please refer to the following steps: 1. Select the Large Font key on the screen directly or. 2.
Patient Monitor User Manual User Interface 7.8 Viewing the Bed View Window The Bed View window allows you to view one waveform, numeric information of all parameters and alarm information from another bed on the same network. The monitor enables a maximum of eight beds to be viewed. NOTE: 1 The IP addresses of the monitors configured with bed view function should share the same network segment.
Patient Monitor User Manual User Interface To save the user configuration: 1. Select Menu > Maintenance > User Maintain, enter the required password ABC and then select User Configure. 2. Click on Save, enter a file name for the configuration and confirm it. A message will display after the operation. To delete the user configuration: 1. Select Menu > Maintenance > User Maintain, enter the required password ABC and then select User Configure. 2.
Patient Monitor User Manual Monitoring ECG Chapter 8 Monitoring ECG 8.1 Overview The electrocardiogram (ECG) measures the electrical activity of the heart and displays it on the monitor as a waveform and a numeric. This chapter also tells you about arrhythmia monitoring and ST monitoring. 8.2 ECG Safety Information WARNING 1 Do not come into contact with the patient, table, or the monitor during defibrillation.
Patient Monitor User Manual Monitoring ECG NOTE: 1 Interference from a non-grounded instrument near the patient and ESU interference can cause inaccuracy of the waveform. 2 IEC/EN60601-1-2 (protection against radiation is 3v/m) specifies that the electrical field density exceeding 1v/m may cause measurement error in various frequencies. It is accordingly suggested that do not use equipment generating electrical radiation near ECG/RESP monitoring devices.
Patient Monitor User Manual Monitoring ECG X0.125 to make strength of ECG signal waveform of 1mV become 1.25mm; X0.25 to make strength of ECG signal waveform of 1mV become 2.5mm; X0.
Patient Monitor User Manual Monitoring ECG The QRS should be tall and narrow. The P-waves and the T-waves should be less than 0.2 mV. 8.6 Monitoring Procedure 8.6.1 Preparation The skin is a poor conductor of electricity, therefore preparation of the patient's skin is important to facilitate good electrode contact to skin. Select sites with intact skin, without impairment of any kind. Shave hair from sites, if necessary. Wash sites thoroughly with soap and water.
Patient Monitor User Manual Monitoring ECG AHA (American Standard) IEC (Europe Standard) Electrode Labels Color Electrode Labels Color RA White R Red LA Black L Yellow LL Red F Green RL Green N Black V Brown C White V1 Brown/ Red C1 White/ Red V2 Brown/ Yellow C2 White/ Yellow V3 Brown/ Green C3 White/ Green V4 Brown/Blue C4 White/ Brown V5 Brown/Orange C5 White/ Black V6 Brown/Purple C6 White/ Purple 8.8.
Patient Monitor User Manual Monitoring ECG 8.8.2 Electrode Placement for 5-lead Take the American standard for example, see the following figure: RA placement: directly below the clavicle and near the right shoulder. LA placement: directly below the clavicle and near the left shoulder. RL placement: on the right hypogastrium. LL placement: on the left hypogastrium. V placement: on the chest, the position depends on your required lead selection.
Patient Monitor User Manual Monitoring ECG V-Electrode Placement for 5-lead 8.8.3 Electrode Placement for 12-lead Take the American standard for example. The 12-lead electrodes should be placed on extremities and chest. The electrodes for extremities should be placed on the skin of legs or arms, the electrodes placed on chest should follow the doctor’s advice. Please see the following figure.
Patient Monitor User Manual Monitoring ECG Electrode Placement for 12-lead 8.8.4 Recommended ECG Lead Placement for Surgical Patients WARNING When using Electrosurgery (ES) equipment, leads should be placed in a position in equal distance from Electrosurgery electrotome and the ES grounding plate to avoid cautery. Electrosurgery equipment wire and ECG cable must not be tangled up. Monitoring ECG leads are mainly used for monitoring the patient’s vital signs.
Patient Monitor User Manual Monitoring ECG NOTE: 1 If an ECG waveform is not accurate, while the electrodes are tightly attached, try to change the lead. 2 Interference from a non-grounded instrument near the patient and ESU interference can cause inaccuracy of the waveform. 8.9 ECG Menu Setup 8.9.
Patient Monitor User Manual Monitoring ECG 8.9.4 ECG Display It varies with Lead Type. When Lead Type is set to 3 Leads, Display can be set to Normal, and it can display one ECG waveform on the main screen. When Lead Type is set to 5 Leads, Display can be set to Normal, Full-Scr and Half-Scr.
Patient Monitor User Manual Monitoring ECG 8.9.8 12 Leads ECG When the monitor is installed with 12-lead, it can provide 3-lead, 5-lead and 12-lead ECG monitoring functions. 8.10 ST Segment Monitoring The monitor performs ST segment analysis on normal and atrially paced beats and calculates ST segment elevations and depressions. This information can be displayed in the form of ST numeric and snippets on the monitor. ST segment monitoring function is shut off by default.
Patient Monitor User Manual Monitoring ECG 8.10.4 About ST Measurement Points The ST value for each beat complex is the vertical difference between the ISO point and the ST point, as shown in the diagram below. The isoelectric (ISO) point provides the baseline, and the ST point is at the midpoint of the ST segment. The J point is where the QRS complex changes its slope; as it is a fixed distance away from the ST point, it can be useful to help you position the ST point correctly.
Patient Monitor User Manual Monitoring ECG The monitor can support up to 16 different arrhythmia analyses. ARR Types Occurring Condition ASYSTOLE No QRS is detected for 4 consecutive seconds VFIB/VTAC Ventricular tachycardia: The RR interval of 4-second fibrillation wave or 5 consecutive ventricular beats is less than 600 ms.
Patient Monitor User Manual Monitoring ECG 8.11.2 ARR Analysis Menu 8.11.2.1 Switching ARR Analysis On and Off To switch ARR Analysis on or off, in the ECG Setup menu, select ARR Analysis to toggle between On and Off from the popup interface. 8.11.2.2 PVCs Alarm Select On in the menu to enable prompt message when an alarm occurs; select Off to disable the beside PVCs.
Patient Monitor User Manual Monitoring ECG 8.12 12-Lead ECG Monitoring 8.12.1 Diagnosis Function If iM80 is equipped with 12 leads monitoring, the device has automatically diagnosis function. To perform this function, please: 1 Set Lead Type in the ECG Setup menu to 12 Leads and set Display in the ECG Setup menu to 12 Leads. 2 Select the ECG Analysis shortcut key on the screen. 3 The Diagnosis Review interface is displayed, shown in figure a.
Patient Monitor User Manual Monitoring ECG Figure b shows analysis time, HR (heart rate), P/QRS/T Axis, RR Interval, RVS/SV1 Amp (RVS/SV1 amplitude), QRS Duration, RV5+SV1 Amp (RV5+SV1 amplitude), QT/QTC Interval and Diagnosis code. More information about diagnosis review, please refer to Section 12-lead Diagnosis Review. 8.12.
Patient Monitor User Manual Monitoring RESP Chapter 9 Monitoring RESP 9.1 Overview The monitor measures respiration from the amount of thoracic impedance between two ECG electrodes. The change of impedance between the two electrodes, (due to the thoracic movement), produces a respiratory waveform on the screen. 9.2 RESP Safety Information WARNING 1 If you do not set the detection level for the respiration correctly in manual detection mode, it may not be possible for the monitor to detect apnea.
Patient Monitor User Manual Monitoring RESP 9.3 Resp Display Resp 30 8 14 9.4 Electrode Placement for Monitoring Resp Correct patient skin preparation techniques for electrode placement are important for Resp measurement: you will find this information in the chapter on Monitoring ECG. The Resp signal is always measured between two of the ECG electrodes. There are two standard ECG leads for selection: I lead (RA and LA) and II lead (RA and LL). Electrodes Placement for 5-lead 9.
Patient Monitor User Manual Monitoring RESP 9.7 Abdominal Breathing Some patients with restricted chest movement breathe mainly abdominally. In these cases, you may need to place the left leg electrode on the left abdomen at the point of maximum abdominal expansion to optimize the respiratory wave. NOTE: Place the red and green electrodes diagonally to optimize the respiration waveform.
Patient Monitor User Manual Monitoring SpO2 Chapter 10 Monitoring SpO2 10.1 Overview SpO2 is based on the absorption of pulse blood oxygen to red and infrared light by means of finger sensor and SpO2 measuring unit. SpO2 Plethysmogram measurement is employed to determine the oxygen saturation of hemoglobin in the arterial blood. If, for example, 97% of the hemoglobin molecules in the red blood cells of the arterial blood combine with oxygen, then the blood has a SpO2 oxygen saturation of 97%.
Patient Monitor User Manual Monitoring SpO2 4 Don’t use the functional tester to access the SpO2 accuracy. 5 The device is calibrated to display functional oxygen saturation. 6 The materials with which the patient or any other person can come into contact conform with the standard of EN ISO 10993-1:2003. 10.3 Measuring SpO2 1. Select the correct patient category setting (adult/pediatric and neonatal), as this is used to optimize the calculation of the SpO2 and pulse numeric. 2.
Patient Monitor User Manual Monitoring SpO2 z Intravascular dye injections z Significant concentrations of dysfunctional hemoglobin, such as carboxyhemoglobin and methemoglobin z Excessive patient movement and vibration z Improper sensor application z Low perfusion or high signal attenuation z Venous pulsation z Placement of the sensor on an extremity that has a blood pressure cuff, arterial catheter, or intravascular line 10.5 Understanding SpO2 Alarms This refers to SpO2 specific alarms.
Patient Monitor User Manual Monitoring SpO2 10.9 Setting Sensitivity The different sensitivity indicates different refresh frequency. High indicates the refresh frequency of SpO2 value is the most frequent. To change the sensitivity, please follow the steps: 1 Select the SpO2 Setup menu; 2 Select Sensitivity on the interface and select the desired sensitivity from the popup list.
Patient Monitor User Manual Monitoring PR Chapter 11 Monitoring PR 11.1 Overview The pulse numeric counts the arterial pulsations that result from the mechanical activity of the heart in beats per minute (bpm). You can display a pulse from any measured SpO2 signal or any arterial pressure. 11.2 Setting PR Source The monitor provides PR source options. You can select SpO2 or arterial pressure labels as the PR source in the PR Source list on the PR Setup menu.
Patient Monitor User Manual Monitoring NIBP Chapter 12 Monitoring NIBP 12.1 Overview This monitor uses the oscillometric method for measuring NIBP. It can be used for adult, pediatric and neonatal patients. Oscillometric devices measure the amplitude of pressure changes in the occluding cuff as the cuff deflates from above systolic pressure. The amplitude suddenly increases as the pulse breaks through the occlusion in the artery.
Patient Monitor User Manual Monitoring NIBP WARNING 8 Make sure that the air conduit connecting the blood pressure cuff and the monitor is neither blocked nor tangled. 9 Do not attach the cuff to a limb being used for IV infusions as the cuff inflation can block the infusion, potentially causing harm to patient. NOTE: 1 It is suggested that the user should not start NIBP measuring when the low battery displays, or the monitor may be turned off automatically.
Patient Monitor User Manual Monitoring NIBP 12.5 Measurement Methods There are three methods of measuring NIBP: z Manual - measurement on demand. z Auto - continually repeated measurements (between 1 and 480 minute adjustable interval). z Sequence - the measurement will run consecutively in five minutes, then the monitor enters manual mode. WARNING Prolonged non-invasive blood pressure measurements in Auto mode may be associated with purport, ischemia and neuropathy in the limb wearing the cuff.
Patient Monitor User Manual Monitoring NIBP 3. Connect the cuff to the air tubing. 4. Check whether the patient mode is appropriately selected. Access the Patient Setup menu from Menu. Turn the knob to select the required patient Type in the Patient Info. menu. 5. Select a measurement mode in the NIBP Setup menu. Refer to section Operation Prompts for details. 6. Press the button on the front panel to start a measurement. 12.7 Operation Prompts 1.
Patient Monitor User Manual Monitoring NIBP 12.9 NIBP Alarm When NIBP Alarm is set to On, the physiology alarm occurs if any measurement value of Systolic pressure, Mean pressure, Diastolic pressure exceeds alarm limit. The users can adjust the alarm limit by accessing NIBP Setup > Alarm Setup > Sys Alarm/Map Alarm/Dia Alarm. 12.
Patient Monitor User Manual Monitoring NIBP For iM50/iM60/iM70 with the EDAN module: The system will automatically inflate the pneumatic system to about 180 mmHg. After 20 seconds, the system will automatically open the deflating valve, which marks the completion of a pneumatic measurement. For iM80 with the EDAN module: The system will automatically inflate the pneumatic system to about 180mmHg.
Patient Monitor User Manual Monitoring TEMP Chapter 13 Monitoring TEMP 13.1 Overview Body temperature is measured by means of a thermistor probe (a semiconductor whose resistance changes with temperature) that is inserted in the rectum. Two TEMP probes can be used simultaneously to measure two TEMP values, and get the temperature difference. The standard configuration is axilla sensor for adult. 13.
Patient Monitor User Manual Monitoring Quick TEMP Chapter 14 Monitoring Quick TEMP* *not available in the U.S.A., Canada, UK and Germany 14.1 Overview Quick temperature measurement is to establish thermal balance between probe and human body. When the probe is placed on the measurement site until a steady reading is available - after approximately three minutes for oral and rectal measurements and five minutes for axillary measurements. And the measurement temperature is the monitoring temperature.
Patient Monitor User Manual Monitoring Quick TEMP WARNING 8 Make sure disposable TEMP sensor covers are used to limit patient cross-contamination. The use of any other probe cover may produce temperature measurement errors or result in inaccurate readings. 9 Quick Temp measurement isn’t suitable for use during defibrillation. 14.3 Measuring Procedure 14.3.1 Measurement for Oral Temperature 1. Ensure the oral probe (white probe) and probe well are installed. 2. Remove the probe from the probe well. 3.
Patient Monitor User Manual Monitoring Quick TEMP NOTE: 1 After one measurement, the user should put the sensor well to the sensor bracket and then take it out for starting a new measurement. 2 To ensure optimal accuracy, always confirm that the correct measurement position is selected. 14.3.2 Measurements for Rectal Temperatures 1. Ensure that the rectal probe (red probe) and probe well are installed. 2. Remove the red probe from the probe well. 3.
Patient Monitor User Manual Monitoring Quick TEMP Measuring Position in Axillary NOTE: Do not take an axilliary temperature through the patient’s clothing. Direct contact between the patient’s skin and the probe is required. To obtain accurate rectal temperature, use the white temperature probe. 14.4 Changing Temp Unit To change Temp Unit, please: 1 Select the Quick Temp Setup menu to open it and select Unit on the interface. 2 Select the appropriate unit from the popup list.
Patient Monitor User Manual Monitoring IBP Chapter 15 Monitoring IBP 15.1 Overview IBP is measured by means of a catheter inserted directly into the circulatory system. A pressure transducer connected to the catheter converts the mechanical force exerted by the blood into an electrical signal, which is displayed graphically as pressure versus time on a monitor screen or numerically on digital display.
Patient Monitor User Manual Monitoring IBP 4. Position the transducer so that it is at the same level with the patient’s heart, approximately mid-axillary line. 5. For the label name selection, please refer to Selecting a Pressure for Monitoring. 6. To zero the transducer, please refer to Zeroing the Pressure Transducer. WARNING If there are air bubbles in the pressure line or the transducer, you should flush the system with the solution to be infused. 15.
Patient Monitor User Manual Monitoring IBP 15.6 Zeroing a Pressure Measurement The zeroing procedure is listed as below: 1. Turn off the stopcock to the patient. 2. Vent the transducer to atmospheric pressure, to compensate for the static and atmospheric pressure exerted on the transducer. 3. In the setup menu for the pressure, select Zero. 4. When you see the message Zero Ok, please close the stopcock to atmospheric pressure, and open the stopcock to the patient. 15.
Patient Monitor User Manual Monitoring IBP 3. Ensure that connection to patient is off. 4. Connect the 3-way connector to the 3-way stopcock that is not connected to the patient catheter. 5. Open the port of the 3-way stopcock to the sphygmomanometer. 6. Select the channel to be calibrated in the menu and select the pressure value to which the IBP is to be adjusted. 7. Inflate to make the mercury bar rise to the setup pressure value. 8.
Patient Monitor User Manual Monitoring IBP Pressure out of normal range, Make sure that you have selected transducer value in IBP fail. CAL, and then start the calibration. Contact service technician if necessary. Pulsate Pressure Calibration Fail Make sure that pressure value shown by hydrargyrum pressure meter is changeless. Contact service technician if necessary. 15.
Patient Monitor User Manual Monitoring CO2 Chapter 16 Monitoring CO2 16.1 Overview The monitor provides the sidestream and mainstream methods for CO2 monitoring. EDAN module and Respironics Sidestream CO2 module are used for sidestream measuring, and Respironics Mainstream CO2 module is used for mainstream measuring. The principle of CO2 measurement is primarily based on the fact that CO2 molecule can absorb 4.3 m infrared ray.
Patient Monitor User Manual Monitoring CO2 NOTE: After the low battery alarm appears, please do not start the CO2 measurement, or the monitor may turn off for the low battery. 16.3 Monitoring Procedures 16.3.1 Zeroing the sensor You must perform zeroing following the steps when using the new airway adapter. 1. Expose the sensor to room air and keep it away from all sources of CO2 including the ventilator, the patient’s breath and the operator’s. 2.
Patient Monitor User Manual Monitoring CO2 Connecting Respironics Sidestream Module 3 To zero the sensor, please refer to zeroing the sensor. 4 For intubated patients, an airway adapter is required; Air adapter For non-intubated patients: Place the nasal cannula onto the patient. Place the nasal cannula NOTE: 1 You must perform a zero calibration as described in this procedure each time the ambient temperature changes more than 10°C (for example during transport).
Patient Monitor User Manual Monitoring CO2 2 Always connect the airway adapter to the sensor before inserting the airway adapter into the breathing circuit. In reverse, always remove the airway adapter from the breathing circuit before removing the sensor. 3 Always disconnect the cannula, airway adapter or sample line from the sensor when the sensor is not in use. 16.3.2.
Patient Monitor User Manual Monitoring CO2 Connecting Sensor 4 5 To zero the sensor, please refer to zeroing the sensor. Install the airway adapter at the proximal end of the circuit between the elbow and the ventilator Y-section. Connecting Airway Adapter WARNING 1 No routine user calibration required. 2 Accuracy is affected by temperature and barometric pressure. 3 It is forbidden to insert or draw out the module when the monitor is working, for it can cause instability of the system.
Patient Monitor User Manual Monitoring CO2 NOTE: 1 Replace the airway adapter, if excessive moisture or secretions are observed in the tubing or if the CO2 waveform changes unexpectedly without a change in patient status. 2 To avoid infection, use only sterilized, disinfected or disposable airway adapters. 3 Inspect the airway adapters prior to use. Do not use it if airway adapter appears damaged or broken. Observe airway adapter color coding for patient population.
Patient Monitor User Manual Monitoring CO2 16.6 Changing CO2 Alarms This refers to CO2 specific alarms. See the Alarms section for general alarm information. To change the alarm, please refer to the following steps: 1. Select the CO2 Setup menu; 2. Select EtCO2 Alarm Setup, FiCO2 Alarm Setup or AwRR Alarm Setup to adjust the alarm limit. About how to adjust the alarm limit, please refer to section Setting alarm limits. 16.
Patient Monitor User Manual Monitoring C.O. Chapter 17 Monitoring C.O. 17.1 Overview The Cardiac Output (C.O.) measurement is performed by using thermodilution method. The monitor can determine blood temperature, measure cardiac output. You can have iced injecta using either the flow through system or individual syringes of injecta. You can perform up to 6 measurements before editing the average Cardiac Output. The prompt message on the screen will tell you when to inject. 17.2 C.O.
Patient Monitor User Manual Monitoring C.O. 1: Monitor; 2: Thermodilution Catheter; 3: Cardiac Output Cable; 4: Injectate Sensor Housing; 5: Injectate; 6: Delivery System; 7: In-line injectate Temperature probe. C.O. Sensor Connection WARNING Make sure that the computational constant for the measurement is appropriate to the catheter used. NOTE: The blood temperature alarm will not function during C.O. measurement. It will resume automatically when the measurement is over. 17.4 C.O.
Patient Monitor User Manual Monitoring C.O. Ĺ ĺ Ļ ļ ķ Ľ ľ ĸ Ŀ C.O. Measure Window ķ Measurement curve ĸ Prompt message area Ĺ Cardiac Output ĺ Cardiac Index Ļ Body Surface Area ļ Blood Temperature Ľ Injectate Temperature ľ Start time of the measurement Ŀ Function keys The functional keys on the C.O.
Patient Monitor User Manual Monitoring C.O. Y axis Change the scale Y (temperature) value. Three models are available: 0~0.5qC, 0~1qC, 0~2.0qC. Adjust the scale by the temperature differences. A smaller scale results in a larger curve. X axis Change the Scale X (time) value. Two modes are available: 0~30s, 0~60s. If you start measurement in the 0~30s mode, it will be switched to 0~60s mode automatically if the measurement cannot finish within 30 seconds.
Patient Monitor User Manual Monitoring C.O. 17.6 Editing C.O. Pick the Review button on the C.O. Measure menu to access the Review as shown below: ķ Ĺ ĸ Window For C.O. Edit Contents displayed in the window: ķ Six curves of the six measurements and C.O. value ĸ Average value of C.O. Ĺ Average value of CI Values of selected measurements can be averaged and stored in the C.O. item in the HEMOD menu as the basis for Hemodynamic calculations. 17.
Patient Monitor User Manual Monitoring C.O. Right ventricle Thermodilution Catheter Site 17.8 Setting the Computation Constant The computation constant is associated with catheter and injective volume. When the catheter is changed, please adjust Constant in the C.O. Settings menu based on product description provided by the manufacturer. 17.9 Recording C.O. Measurements C.O. measurement can be recorded by the recorder. To record the C.O. measurement, please select Record in the C.O. Measure menu. 17.
Patient Monitor User Manual Monitoring AG Chapter 18 Monitoring AG 18.1 Overview The monitor uses ISA sidestreasm gas analyzer (hereinafter called ISA analyzer) and IRMA mainstream module (hereinafter called IRMA module) to monitor the anesthetic gas which can be used to measure the gases of adult, pediatric and neonatal patients during anesthesia, recovery and respiratory care.
Patient Monitor User Manual Monitoring AG WARNING 13 The Nomoline sampling line and its interfaces are non-sterile devices. To avoid damage, do not autoclave any part of the sampling line. 14 Never sterilize or immerse the ISA analyzer in liquid. 15 Measurements can be affected by mobile and RF communications equipment. Make sure that the ISA analyzer is used in the electromagnetic environment specified in this manual. 16 ISA analyzer is intended only as an adjunct in patient assessment.
Patient Monitor User Manual Monitoring AG 18.2.2 Safety Information for IRMA Module WARNING 1 The IRMA probe is intended for use by authorized and trained medical personnel only. 2 The IRMA probe must not be used with flammable anesthetic agents. 3 Disposable IRMA airway adapters shall not be reused. Used disposable airway adapters shall be disposed of in accordance with local regulations for medical wastes. 4 Use only PHASEIN manufactured oxygen sensor cells.
Patient Monitor User Manual Monitoring AG WARNING 10 Do not use the IRMA airway adapter with metered dose inhalsers or nebulized medications as this may affect the light transmission of the airway adapter windows. 11 Do not try to open the oxygen sensor assembly. The oxygen sensor is a disposable product and contains a caustic electrolyte and lead. 12 The IRMA probe is intended only as an adjunct in patient assessment. It must be used in conjunction with other assessment of clinical signs and symptoms.
Patient Monitor User Manual Monitoring AG 7. If applicable: Perform a tightness check of the patient circuit with the sampling line attached. 18.3.1.2 System Setup for Analyzer If your system is using the plug-in and measure ISA analyzer, please follow the setup instructions below: 1. Connect the ISA analyzer interface cable to the monitor. 2. Connect a Nomoline sampling line to the ISA analyzer input connector. 3.
Patient Monitor User Manual Monitoring AG 18.3.1.5 MAC Calculation The MAC value may be calculated and displayed by using end-tidal (Et) gas concentrations according to the following formula: MAC % Et ( AA1) % Et ( AA2) % Et ( N 2O) + + X ( AA1) X ( AA2) 100 X (AA): HAL=0.75%, ENF=1.7%, ISO=1.15%, SEV=2.05%, DES=6.0% NOTE: Altitude, patient age and other individual factors are not considered in the formula above. 18.3.
Patient Monitor User Manual 5 Monitoring AG Connect the IRMA/airway adapter 15mm female connector to the patient’s endotracheal tube. Alternatively, connect an HME (Heat Moisture Exchanger) between the patient’s endotracheal tube and the IPMA probe. Placing an HME in front of the IRMA probe protects the airway adapter from secretions and effects of water vapor and eliminates the need of changing the adapter. It allows free positioning of the IRMA probe as well.
Patient Monitor User Manual Monitoring AG 18.3.2.1 Placement of IRMA Probe When connecting IRMA probe to an infant patient circuit, it is important to avoid a direct contact between the IRMA probe and the infant’s body. If, for whatever the reason, the IRMA probe is in direct contact with any parts of the infant’s body, an insulation material shall be placed between the IRMA probe and the body. WARNING The IRMA probe is not intended to be in long term skin contact. 18.3.2.
Patient Monitor User Manual Monitoring AG directly after a zeroing procedure, the procedure has to be repeated. Always perform a pre-use check after zeroing the probe. Zeroing for IRMA CO2 probes: Zeroing needs to be performed ONLY when an offset in gas values is observed, or when an unspecified accuracy message is displayed. Allow 10 seconds for warm up of the IRMA CO2 probe after power on and after changing the IRMA airway adapter before proceeding with the Zeroing Procedure.
Patient Monitor User Manual Monitoring AG 18.5 Setting Alarms Here we take CO2 alarm for example. This refers to CO2 specific alarms. See the Alarms Chapter for general alarm information. To change the alarm, please refer to the following steps: 1 Select the CO2 Setup menu; 2 Select EtCO2 Alarm High Limit or EtCO2 Alarm Low Limit to adjust the alarm limit. 18.6 Setting Apnea Alarm Time This determines the time limit after which the monitor gives an alarm if the patient stops breathing.
Patient Monitor User Manual Monitoring AG 18.9 N2O and O2 Compensations The following models need O2 compensation: IRMA AX+, IRMA CO2, ISA AX+, ISA CO2. The following models need N2O compensation: IRMA CO2 and ISA CO2. For the compensation details, please refer to the following table. O2 Range SetO2 Range 0~30 vol% 21 30~70 vol% 50 70~100 vol% 85 N2O Range Set N2O Range 0~30 vol% 0 30~70 vol% 50 18.
Patient Monitor User Manual Freeze Chapter 19 Freeze 19.1 Overview When monitoring a patient, the user may freeze the waveforms and examine them. Generally, the user can review a frozen waveform of a maximum of 120 seconds. The freeze function of this monitor has the following features: Freeze status can be activated on any operating screen. Once entering the Freeze status, the system exits all other operating menus.
Patient Monitor User Manual Freeze NOTE: Pressing the button repeatedly over a short period of time may result in discontinuous waveforms on the screen. 19.3 Reviewing Frozen Waveform By moving the waveform, you may review a waveform of 120 seconds before it is frozen. For a waveform of less than 60 seconds, the remaining part is displayed as a straight line. Use the rotary snob on the control panel to move the cursor to the Review option in the Freeze menu. Press the knob.
Patient Monitor User Manual Review Chapter 20 Review The monitor provides 120-hour trend data of all parameters, storage of 1200 NIBP measurement results and 60 alarm events. This chapter gives detailed instruction for review of all data. 20.1 Trend Graph Review The latest 1-hour trend is displayed every 1 or 5 seconds. The latest 120-hour trend is displayed every 1, 5 or 10 minutes.
Patient Monitor User Manual Review 20.1.3 Setting Resolution The monitor can support five kinds of resolutions. To set an appropriate resolution, please select Menu > Review > Trend Graph and an interface is displayed. Choose Resolution on the interface to open the list and select an appropriate resolution among 1 sec, 5 sec, 1 min, 5 min and 10 min. 20.1.4 Scrolling Left and Right the Screen All trend graphs can’t be displayed on the current screen due to the screen limitation.
Patient Monitor User Manual Review in the current view by selecting and pressing the symbol trend graph. , , and displayed on the 20.2.3 Switching to Trend Graph The user can switch to the trend graph on the Trend Table interface. To do so, please select Menu > Review > Trend Table and select the Trend Graph option from the popup interface. 20.2.4 Recording The monitor can make a tabular trend recording of the data in the current trend graph window.
Patient Monitor User Manual Review 20.4.2 Selecting Alarm Event of Specific Parameter The monitor can review alarm event of the specific parameters. To view the alarm event of the specific parameter, please select Menu > Review > Alarm Event and choose Event Type to select the required parameter name from the popup list. 20.4.3 Setting Time Index The user can set end time of alarm review by selecting the Time Index option displayed on the alarm review interface.
Patient Monitor User Manual Review 20.6 12-lead Diagnosis Review Select Menu > Review > Analysis Review to open the 12-lead analysis review interface. 20.6.1 Scrolling the Screen All analysis results or waveforms can’t be displayed on the current screen due to the screen limitation. The user can scroll up and down the screen manually to see the analysis results or waveforms that do not fit in the current view by selecting and pressing the symbol displayed on the 12-lead analysis review interface.
Patient Monitor User Manual Calculation and Titration Table Chapter 21 Calculation and Titration Table The monitor provides calculation function and titration table. Calculations are patient data that are not directly measured but calculated by the monitor. The monitor can perform drug calculation and hemodynamic calculation. NOTE: The drug calculation function acts only as a calculator. The patient weights in Drug Calculation menu and in Patient Information menu are independent of each other.
Patient Monitor User Manual Calculation and Titration Table INF Rate= DOSE / Concentrate Duration= Amount / Dose Dose= Rate × Concentrate DRIP Rate= INF Rate / 60 × DROP Size 21.1.2 Calculation Unit Each drug has the fixed unit or unit series to calculate. Among the same unit series, the unit binary varies with the entered parameter value.
Patient Monitor User Manual Calculation and Titration Table 21.3 Hemodynamic Calculation 21.3.1 Calculation Procedure 1. The hemodynamic calculation interface is displayed by selecting Menu > Common Function > Hemodynamic. 2. The user must input parameter value manually on this interface. 3. Select Calculate to output parameter value. 4. Select Confirm or Cancel to exit this menu. 21.3.
Patient Monitor User Manual Calculation and Titration Table LVSWI Left ventricular stroke work index RVSW Right ventricular stroke work RVSWI Right ventricular stroke work index EF Ejection fraction - 137 -
Patient Monitor User Manual Recording Chapter 22 Recording 22.1 General Information A thermal dot matrix recorder is used for the monitor and can support many recording types and output patient information, measurement data, review data waveform and so forth. 2 1 3 4 1 Recording indicator 2 Paper feeding key: press this key to start or stop feeding recording paper without outputting anything on the paper 3 Paper outlet 4 Recorder door 22.
Patient Monitor User Manual Recording 22.3 Recording Type The monitor provides several types of stripe recording: Continuous real-time recording 8 seconds real-time recording Time recording Alarm recording Trend graph recording Trend table recording NIBP review recording Arrhythmia review recording Alarm review recording Titration recording Hemodynamic Calculation result recording 12-lead analysis recording C.O. measurement recording 22.
Patient Monitor User Manual Alarm review recording Drug calculation recording Hemodynamic result recording Recording Enter the Menu > Review > Alarm Review menu, and select one alarm, then press the Record button to start recording. Press the Record button on the front panel to stop recording. titration Enter the Menu > Common Function > Drug Dose > Titration menu, then press the Record button to start recording. Press the Record button on the front panel to stop recording.
Patient Monitor User Manual Recording 22.5.3 Paper Out When the Recorder Out OF Paper alarm is displayed, the recorder cannot start. Please insert record paper properly. 22.5.4 Replacing Paper 1. Pull outwards the upper arc part of the recorder casing to release the casing, shown in the following figure. 2. Insert a new roll of paper into the paper cassette, printing side facing upwards. 3. Ensure proper position and tidy margin.
Patient Monitor User Manual Recording 4. Pull about 2cm of the paper out, and close the recorder casing. NOTE: Be careful when inserting papers. Avoid damaging the thermo-sensitive print head. Unless when inserting papers or shooting troubles, do not leave the recorder catch open. 22.5.5 Removing Paper Jam When the recorder functions or sounds improperly, you should open the recorder casing to check for a paper jam. Remove the paper jam in the following way: Cut the record paper from the feeding edge.
Patient Monitor User Manual Other Functions Chapter 23 Other Functions 23.1 Nurse Call The monitor provides dedicated nurse call port which is connected to nurse call system through the nurse call cable to perform the nurse call function. You should activate the function following the steps below: 1. Select Maintenance > User Maintain, input the password ABC; 2. Select Other Setups> Aux Output; 3. Choose On in the Nurse Call list. 23.
Patient Monitor User Manual Other Functions 23.3.2 Activating/ Deactivating Data Storing To activate/ deactivate the data storing function, select Menu> Maintenance> User Maintain > Other Setups, and set Data Store to On/ Off. The monitor will stop storing data in the removable device under the following circumstances: z The removable device is unplugged. z There is no enough space in the removable device for storing data. z The removable device is read-only.
Patient Monitor User Manual Other Functions 23.3.6 Ejecting a Removable Device Before unplugging a removable device from the monitor, you need to select Menu> Removable Device and click Eject to uninstall the removable device. CAUTION Do not remove the removable device without ejecting it during data storing, or the removable device might be damaged.
Patient Monitor User Manual Using Battery Chapter 24 Using Battery 24.1 Battery Power Indicator The indicator labeled Battery on the front panel of the monitor illuminates in green when the monitor is battery powered and illuminates in yellow when battery is being charged. The indicator is not illuminated when the monitor is not powered or when AC power is applied. 24.
Patient Monitor User Manual Using Battery WARNING 3 Do not unplug the battery when monitoring. 4 Do not heat or throw battery into a fire. 5 Do not use, leave battery close to fire or other places where temperature may be above 60qC. 6 Do not immerse, throw, or wet battery in water/seawater. 7 Do not destroy the battery: do not pierce battery with a sharp object such as a needle; Do not hit with a hammer, step on or throw or drop to cause strong shock; Do not disassemble or modify the battery.
Patient Monitor User Manual Using Battery 3. Insert the new battery into the battery compartment. 4. Pull the metal retainer downward to fix the battery and close the battery door. 24.5 Recycling the Battery When the battery no longer holds a charge, it should be replaced. Remove the old battery from the monitor and recycle it properly. NOTE: To prolong the life of rechargeable battery, it is recommended to charge it at least once every month, and it must be done after the electric energy runs out. 24.
Patient Monitor User Manual Care and Cleaning Chapter 25 Care and Cleaning Use only the EDAN-approved substances and methods listed in this chapter to clean or disinfect your equipment. Warranty does not cover damage caused by using unapproved substances or methods. EDAN makes no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection. Consult your hospital’s Infection Control Officer or Epidemiologist for control infection. 25.
Patient Monitor User Manual Care and Cleaning 25.2.2 Cleaning the Accessories 25.2.2.1 Cleaning the ECG Cables and Lead Wires NOTE: 1. Use only recommended cleaning substances and disinfectants listed in this document. Others may cause damage (not covered by warranty), reduce product lifetime or cause safety hazards. 2. Keep the cable and lead wires free of dust and dirt. 3. Never immerse or soak the ECG cable. 4. Inspect the cables after cleaning.
Patient Monitor User Manual Care and Cleaning 25.2.2.5 Cleaning TEMP/Quick TEMP Sensor Recommended cleaning agents are: Ethanol 75% Isopropanol 70% 25.2.2.6 Other Accessories For cleaning, disinfecting other accessories, please contact the manufactures for details. 25.3 Disinfection To avoid extended damage to the equipment, disinfection is only recommended when stipulated as necessary in the Hospital Maintenance Schedule. Disinfection facilities should be cleaned first.
Patient Monitor User Manual Maintenance Chapter 26 Maintenance WARNING 1 Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards. 2 If you discover a problem with any of the equipment, contact your service personnel, or your authorized supplier. 26.
Patient Monitor User Manual Maintenance NIBP Leakage Inspection At least once every two years, or as specified by local laws. NIBP Pressure Calibration At least once every two years, or as specified by local laws. NIBP Calibration At least once every two years, or as specified by local laws. CO2 Calibration and Performance At least once every two years, or if you suspect the Test measurement values are incorrect.
Patient Monitor User Manual Warranty and Service Chapter 27 Warranty and Service 27.1 Warranty EDAN warrants that EDAN’s products meet the labeled specifications of the products and will be free from defects in materials and workmanship that occur within warranty period. The warranty is void in cases of: a) damage caused by mishandling during shipping. b) subsequent damage caused by improper use or maintenance. c) damage caused by alteration or repair by anyone not authorized by EDAN.
Patient Monitor User Manual Accessories Chapter 28 Accessories You can order accessories from EDAN supplies at www.edan.com.cn or consult your local EDAN representative for details. WARNING 1 Never reuse disposable transducers, sensors, accessories and so forth that are intended for single use, or single patient use only. Reuse may compromise device functionality and system performance and cause a potential hazard. 2 Use only EDAN-approved accessories.
Patient Monitor User Manual Accessories Part Number Accessories 01.13.036627 ECG limb wires, 5-lead, snap, IEC, 1.0m, reusable 01.57.471024 3-lead ECG trunk cable, Defibrillator-proof, AHA/IEC 01.57.471025 3-lead clip ECG limb wires, IEC 01.57.471165 3-lead ,clip, ECG limb cable, AHA 01.57.040202 ECG trunk cable, 10-lead, defibrillator-proof, IEC, 2.6m, reusable (Only applicable to iM80) 01.57.040203 ECG limb wires, 10-lead, snap, IEC, 0.9m, reusable (Only applicable to iM80) 01.57.
Patient Monitor User Manual Accessories Part Number Accessories 11.57.471060 Adult disposable adhesive 100PCS/package, FDA electrodes, 11.57.471057 Children/Neonatal disposable 50PCS/package, CE adhesive TYCO electrodes, Medi-Trace TYCO 200, H124SG, 28.2 SpO2 Accessories Part Number Accessories For EDAN Module 02.01.210119 EDAN SH1 Adult Reusable SpO2 Sensor (Lemo) (Only compatible with EDAN SpO2 module), 2.5 m (finger type, for patients more than 40kg) 02.01.
Patient Monitor User Manual Part Number Accessories Accessories For Nellcor Module 11.15.30043 Nellcor Reusable Adult SpO2 Sensor (DS-100A OxiMax) (forefinger, for patient over 30kg) 11.15.40096 Nellcor Reusable (forefinger or foot) 11.13.30131 Nellcor SpO2 Extension cable (Compatible with Nellcor OXI-Max SpO2 module and Nellcor sensor) Adult/Neonate SpO2 Sensor (OXI-A/N 28.3 NIBP Accessories Part Number Accessories For EDAN Module 01.57.
Patient Monitor User Manual Part Number Accessories Accessories 01.57.471158 NIBP Cuff, neonatal #2, 4-8cm, for single patient use 01.57.471159 NIBP Cuff, neonatal #3, 6-11cm, for single patient use 01.57.471160 NIBP Cuff, neonatal #4, 7-13cm, for single patient use 01.57.471161 NIBP Cuff, neonatal #5, 8-15cm, for single patient use 01.57.471021 Connecting Tube for Neonatal Cuff (Only compatible with Neonatal Disposable and NIBP Tube) 01.57.471303 NIBP spiral Tube with connector 01.57.
Patient Monitor User Manual Accessories 28.4 Temp Accessories Part Number Accessories 01.15.040257 Neonatal/pediatric Skin Temperature Probe (2.252K) 01.15.040258 Neonatal/pediatric Intracavitary Temperature Probe (2.252K) 01.15.040259 Neonatal/pediatric Skin Temperature Probe (10K) 01.15.040260 Neonatal/pediatric Intracavitary Temperature Probe (10K) 01.15.040265 Skin Temperature Probe (2.252K) 01.15.040266 Intracavitary Temperature Probe (2.252K) 01.15.
Patient Monitor User Manual Accessories 28.7 CO2 Accessories Part Number Accessories For EDAN Module 02.01.210520 Dewatering Cup(Single Patient Use, Adult/Pediatric 10ml) (Only applicable to iM80 and iM70) 01.57.471275 CO2 Sampling Line with Male Luer Lock, 2.0m (Only applicable to iM80 and iM70) 01.57.471282 All Purpose Sampling Cannula without filter (Non Sterile). Size: Adult (Only applicable to iM80 and iM70) 01.57.471283 All Purpose Sampling Cannula without filter (Non Sterile).
Patient Monitor User Manual Accessories Part Number Accessories 11.57.078143 Pediatric Nasal CO2 with O2 delivery sampling cannula 11.57.078144 Infant Nasal CO2 with O2 delivery sampling cannula 11.57.101019 Adult Nasal/Oral CO2 sampling cannula 11.57.101020 Pediatric Nasal/Oral CO2 sampling cannula 11.57.101021 Adult Nasal/Oral CO2 with O2 delivery sampling cannula 01.12.031598 Adult/Pediatric Airway adapter kit 11.57.
Patient Monitor User Manual Accessories Part Number Accessories 01.57.471190 Nomoline Airway Adapter Set, Cat no: 108230, Sampling line with straight airway adapter, single-patient use, Adult/Pediatric, 2.0 m 01.57.471191 Nomo Extension, Cat no: 108240, Sampling line with male luer lock connector, 2.0 m 01.57.471192 T-adapter, Cat no: 108250, Airway adapter with female luer lock connector, Adult/Pediatric * Only applicable to iM70 and iM80 28.10 Other Accessories Part Number Accessories 11.57.
Patient Monitor User Manual Accessories Part Number Accessories 01.13.36014 Power cable, length 1.8 m, VDE 11.13.36015 Power cable, length 1.8 m, American standard 01.13.036106 Power cable, length 1.8 m, American standard, medical grade 11.13.114214 Ground Cable 02.01.210633 Recorder 01.18.
Patient Monitor User Manual Product Specification A Product Specification A.1 Classification Anti-electroshock type Class I equipment and internal powered equipment Anti-electroshock degree ECG (RESP), TEMP, IBP, C.O., Quick Temp SpO2, NIBP, CO2, AG CF BF Ingress Protection IPX1 (No protection against ingress of water if configured with Quick TEMP module) Disinfection/sterilization method Refer to Chapter Care and Cleaning for details.
Patient Monitor User Manual Product Specification Temperature Working +5qC ~ +40qC Transport and Storage -20qC ~ +55qC Humidity Working 25% ~ 80% (non-condensing) Transport and Storage 25% ~ 93% (non-condensing) Altitude Working 860hPa ~ 1060hPa Transport and Storage 700hPa ~ 1060hPa Power Supply 100V-240V~, 50Hz/60Hz iM50 Current=1.0A-0.5A; Fuse: T 1.6AL, 250V iM80 Current=1.4A-0.7A; Fuse: T 1.6AL, 250V iM60/iM70 Current=1.4A-0.7A; Fuse: T3.15AH, 250V A.2.
Patient Monitor User Manual iM80 Product Specification Display screen: 15 inch color TFT, A maximum of 13 waveforms supporting touch screen One power LED Resolution: 1024 × 768 Two alarm LED One charge LED A.2.4 Battery Specification Operating Time iM50 iM80 iM60/iM70 2.1Ah 180 min or longer 4.2Ah 420 min or longer One battery (4.2Ah) 120 min or longer Two batteries (2*4.2Ah) 240 min or longer 2.1Ah 150 min or longer 4.
Patient Monitor User Manual Product Specification Alarm recording Trend graph recording Trend table recording NIBP review recording Arrhythmia review recording Alarm review recording Drug calculation titration recording Hemodynamic Calculation result recording 12-lead analysis recording C.O. measurement recording A.2.6 Data Storage Trend graph/trend table review 1 hour, at 1 Second Resolution by default 120 hrs, at 1 min.
Patient Monitor User Manual Product Specification Diagnosis: 0.05Hz to 150Hz Bandwidth (-3dB) Monitor: 0.
Patient Monitor User Manual Minimum input slew rate Product Specification >2.5V/S Heart rate Measurement Range ADU: 15 bpm ~ 300 bpm PED/NEO: 15 bpm ~ 350 bpm Accuracy ±1% or ±1 bpm, whichever is greater Resolution 1 bpm PVC Measurement Range ADU: 0~300 PVCs/ min PED/NEO: 0~350 PVCs/ min Resolution 1 PVCs/min ST value(only applicable to adult˅ Measurement Range -2.0 mV ~ +2.0 mV Accuracy -0.8 mV ~ +0.8 mV: greater. ±0.
Patient Monitor User Manual Product Specification Ventricular Rhythm The interval of 5 consecutive ventricular beats ranges from 600 ms to 1000 ms Ventricular Bradycardia The interval of 5 consecutive ventricular beats is more than 1000 ms Maximum Start-up alarm time for Tachycardia Ventricular Tachycardia Gain 1.0: 10 s 1 mV 206bpm Gain 0.5: 10 s Gain 2.0: 10 s Ventricular Tachycardia Gain 1.0: 10 s 2 mV 195bpm Gain 0.5: 10 s Gain 2.
Patient Monitor User Manual Product Specification 12-lead ECG Synchronization Average parameters of heart beat Analysis Heart rate (bpm) Time limit of P wave (ms) PR interval (ms) QRS interval (ms) QT/QTC (ms) P-QRS-T AXIS ECG Analog Output Diagnosis: 0.05Hz ~ 100Hz Bandwidth (-3dB; frequency: 10Hz) reference Monitor: 0.
Patient Monitor User Manual Product Specification A.4 RESP Measurement method Trans-thoracic impedance Measurement lead Lead Options are lead I and II. The default lead is lead II. Waveform amplitude h0.25, ×0.5, ×1, ×2, ×3, ×4, ×5 Waveform speed 6.25mm/s, 12.5mm/s, 25.0mm/s, , 50mm/s Respiration excitation waveform < 300 A, sinusoid, 62.8 kHz (r 10%) Measuring sensitivity 0.
Patient Monitor User Manual Product Specification A.
Patient Monitor User Manual Product Specification PR Measurement range 40 bpm ~240bpm Accuracy ±3bpm or 3.
Patient Monitor User Manual Product Specification A.
Patient Monitor User Manual Product Specification A.7 TEMP Measurement method Thermal resistance Channel 2 Sensor type YSI-10K and YSI-2.252K Measuring Range 0 qC ~ 50 qC Resolution 0.1qC Accuracy (Without sensor) r0.1qC Unit ć, ̧ Refresh Time 1s ~ 2s A.8 Quick TEMP Measuring Range 25qC ~ 45qC(monitoring mode) 35.5ć̚42ć(prediction mode) Operating Temp 10qC ~ 40qC Sensor Type Oral/Axillary sensor, Rectal sensor Resolution 0.1qC Accuracy(without sensor) r0.
Patient Monitor User Manual Unit Product Specification kPa, mmHg Measuring range Art 0 to 300 mmHg PA -6 to +120mmHg CVP/RAP/LAP/ICP -10 to +40 mmHg P1/P2 -50 to +300 mmHg Resolution 1 mmHg Accuracy (without sensor) r 2 % or 1 mmHg, whichever is greater A.
Patient Monitor User Manual Stability Warm-up time Product Specification Short term drift: drift over 4 hours < 0.8 mmHg Long term drift: 120 hours Display reading within 20s; reach to the designed accuracy within 2 minutes.
Patient Monitor User Manual Product Specification FiCO2 1mmHg AwRR 1 rpm EtCO2 Accuracy r 2 mmHg, 0 to 40 mmHg r 5 % of reading, 41 to 70 mmHg r 8 % of reading, 71 to 100 mmHg r 10 % of reading, 101 to 150 mmHg r 12 % of reading, RESP measurement value exceeds 80rpm (sidestream) r 1 rpm AwRR Accuracy Sample Gas (sidestream) Flowrate 50f ml/min Stability Short Term Drift Less than 0.
Patient Monitor User Manual Product Specification Halothane 4 0 – 40 mmHg: ± 1 mmHg additional error Enflurane 5 41 – 70 mmHg: ± 2.5% additional error Isoflurane 5 71 – 100 mmHg: ± 4% additional error Sevoflurane 5 101 – 150 mmHg: ± 5% additional error Xenon 80 Helium 50 Desflurane 15 *Additional worst case error when compensation for PB, O2, N2O, anesthetic agents, or helium is correctly selected for the actual fractional gas constituents present.
Patient Monitor User Manual Product Specification +0.1qC TB, TI Accuracy C.O. ±5% or 0.2 L/min, whichever is greater TB r0.1qC(without sensor) TI r0.1qC(without sensor) A.12 AG A.12.
Patient Monitor User Manual Typical Rise Time Product Specification CO2 200ms HAL, ISO, ENF, SEV, DES 350ms N2O 350ms O2 450ms Primary Anaesthesia Agent Threshold 0.15 vol% Second Anaesthesia 0.2 vol% + 10% Agent Threshold Agent Identificaiton Time < 20 seconds (typically < 10 seconds) Total System Response Time < 3 seconds Data Update Time 1 second Accuracy(Standard Conditions) GAS Measurement Range Accuracy CO2 0 to 15 vol% ±(0.
Patient Monitor User Manual Product Specification N2O4) 60 vol% _ 2) _ 1) _ 1) _ 1) HAL4) 4 vol% _ 1) _ 1) _ 1) _ 1) ENF, ISO, SEV4) 5 vol% +8% of reading 3) _ 1) _ 1) _ 1) DES4) 15 vol% +12% of reading 3) _ 1) _ 1) _ 1) Xe(Xenon)4) 80 vol% -10% of reading 3) _ 1) _ 1) He(Helium) 4) 50 vol% -6% of reading 3) _ 1) _ 1) Metered dose inhaler propellants4) Not for use with metered dose inhaler propellants C2H5OH(Ethanol) 0.3 vol% _ 1) _ 1) _ 1) _ 1) 0.
Patient Monitor User Manual Product Specification Humidity Working 25% ~ 80% (non-condensing) Transport and Storage 25% ~ 93% (non-condensing) Altitude Working 860hPa ~ 1060hPa Transport and Storage 700hPa ~ 1060hPa Module Type IRMA AX+ Displaying the concentration of CO2, N2O and two anaesthesia agent and indentifying two anaesthesia agent Measurement Parameters CO2, N2O, HAL, Isoflurane(ISO), Enflurane(ENF), Sevoflurane(SEV), Desflurane(DES), awRR, MAC Measurement CO2, N2O, anaesthesia age
Patient Monitor User Manual Product Specification N2O 0 to 100 vol% ±(2 vol% + 2% of reading) HAL 0 to 8 vol% ±(0.15 vol% + 5% of reading) ISO 8 to 25 vol% Unspecified 0 to 10 vol% ±(0.15 vol% + 5% of reading) 10 to 25 vol% Unspecified 0 to 22 vol% ±(0.
Patient Monitor User Manual Product Specification CH3COCH3 (Acetone) 4) 1 vol% _ 1) _ 1) _ 1) _ 1) CH4(Methane) 4) 3 vol% _ 1) _ 1) _ 1) _ 1) CO(Carbon monoxide) 5) 1 vol% _ 1) _ 1) _ 1) _ 1) NO 0.02 vol% _ 1) _ 1) _ 1) _ 1) O25) 100 vol% _ 1&2) _ 1&2) _ 1) _ 1) Note 1: For probes not measuring N2O and/or O2 the concentrations shall be set from monitor. (IRMA CO2 measures neither N2O, nor O2. IRMA AX+ does not measure O2.) Note 2: Interference at indicated gas level.
Patient Monitor User Manual EMC Information B EMC Information - Guidance and Manufacture’s Declaration B.1 Electromagnetic Emissions - for all EQUIPMENT and SYSTEMS Guidance and manufacture’s declaration – electromagnetic emission The monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
Patient Monitor User Manual EMC Information Electrical fast transient/burst r2 kV for power supply lines r2kV for power supply lines IEC/EN 61000-4-4 r1 kV for input /output signal r1 kV for input /output signal Surge r1 kV for line to line IEC/EN 61000-4-5 r2 kV for line to ground r1 kV for line to line r2 kV for line to ground Mains power quality should be that of a typical commercial or hospital environment. Mains power quality should be that of a typical commercial or hospital environment.
Patient Monitor User Manual EMC Information B.3 Electromagnetic Immunity - for EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING Guidance and manufacture’s declaration – electromagnetic immunity The Patient Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of Patient Monitor should assure that it is used in such an environment.
Patient Monitor User Manual EMC Information NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
Patient Monitor User Manual EMC Information NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
Patient Monitor User Manual Default Settings C Default Settings This appendix documents the most important default settings of your monitor as it is delivered from the factory. Note: If your monitor has been ordered preconfigured to your requirements, the settings at delivery will be different from those listed here. C.1 Patient Information Default Settings Patient Information Settings Patient Type Adult Pace Off C.
Patient Monitor User Manual Default Settings ST Analysis Off Alarm Switch Off Alarm Level Medium Alarm Record Off Alarm High Limit (ST-X) 0.2 Alarm Low Limit (ST-X) -0.2 X stands for I, II, III, aVR, aVL, aVF, V, V1, V2, V3, V4, V5 or V6.
Patient Monitor User Manual Default Settings C.4 RESP RESP Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit 30 30 100 Alarm Low Limit 8 8 30 Apnea Time 20s Calculation Type Auto Resp Type II Sweep 12.5mm/s Amplitude 1 PED NEO C.5 SpO2 SpO2 Settings ADU Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit 100 100 95 Alarm Low Limit 90 90 88 Pitch Tone On Sweep 12.5mm/s PED NEO C.
Patient Monitor User Manual Default Settings Pulse Volume 3 Alarm Source Auto C.
Patient Monitor User Manual Unit Default Settings qC C.9 Quick TEMP Quick TEMP Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Alarm High Limit (T1) 39.0 39.0 / Alarm Low Limit (T1) 36.0 36.
Patient Monitor User Manual Default Settings C.11 CO2 CO2 Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Work Mode Standby Unit mmHg Apnea Time 20s O2 Compensate 16% Anes Agent 0% Alarm High Limit (EtCO2) 50 50 45 Alarm Low Limit (EtCO2) 15 20 30 Alarm High Limit (FiCO2) 4 4 4 Alarm High Limit (AWRR) 30 30 100 Alarm Low Limit (AWRR) 8 8 30 Sweep 12.5mm/s Amplitude Low PED NEO C.12 C.O. C.O.
Patient Monitor User Manual Default Settings C.13 AG AG Settings ADU PED NEO Alarm Switch On Alarm Record Off Alarm Level Medium Work Mode Measure Apnea Time 20s Unit % O2 Compensate OFF Anes Agent HAL Alarm High Limit (EtAA) 8.0 8.0 8.0 Alarm Low Limit (EtAA) 0.0 0.0 0.0 Alarm High Limit (FiAA) 6.0 6.0 6.0 Alarm Low Limit (FiAA) 0.0 0.0 0.
Patient Monitor User Manual Abbreviation D Abbreviations Abbr English Full Name/Description AC Alternating current Adu Adult AG Anaesthesia gas Art Arterial aVF Left foot augmented lead aVL Left arm augmented lead aVR Right arm augmented lead awRR Airway respiration rate BP Blood pressure BTPS Body temperature and pressure, saturated CI Cardiac index C.O.
Patient Monitor User Manual Abbreviation Eto Ethylene oxide EtO2 End-tidal oxygen FDA Food and Drug Administration Fi Fraction of inspired FiCO2 Fraction of inspired carbon dioxide FiN2O Fraction of inspired nitrous oxide FiO2 Fraction of inspired oxygen Hal Halothane Hb Hemoglobin Hb-CO Carbon mono-xide hemoglobin HR Heart rate IBP Invasive blood pressure ICP Intracranial pressure ICU Intensive care unit ID Identification IEC International Electrotechnical Commission IEEE
Patient Monitor User Manual Abbreviation O2 Oxygen oxyCRG Oxygen cardio-respirogram PA Pulmonary artery PAWP Pulmonary artery wedge pressure Ped Pediatric Pleth Plethysmogram PR Pulse rate PVC Premature ventricular complex R Right RA Right arm RAP Right atrial pressure Resp Respiration RHb Reduced hemoglobin RL Right leg RR Respiration Rate Sev Sevoflurane SYS Systolic pressure TB Blood Temperature TD Temperature difference TEMP Temperature USB Universal serial bus
