Transmitter ZM-520PA/ZM-521PA ZM-530PA/ZM-531PA If you have any comments or suggestions on this manual, please contact us at: www.nihonkohden.
In order to use this product safely and fully understand all its functions, read this manual before using the product. Keep this manual near the instrument or in the reach of the operator and refer to it whenever the operation is unclear. This product stores personal patient information. Manage the information appropriately. 3DWLHQW QDPHV RQ WKH VFUHHQ VKRWV DQG UHFRUGLQJ H[DPSOHV LQ WKLV PDQXDO DUH ¿FWLRQDO DQG DQ\ resemblance to any person living or dead is purely coincidental.
Contents GENERAL HANDLING PRECAUTIONS ...................................................................... i WARRANTY POLICY ..................................................................................................iii Equipment Authorization Requirement ........................................................................iv Compliance with FCC Requirements .....................................................................iv EMC RELATED CAUTION ...............................................
Changing Parameter and System Setup Settings ........................................................... 25 Changing PARAMETER SETUP Settings.................................................................. 25 Parameter Setup Setting List ............................................................................... 25 Displaying the PARAMETER SETUP Screen ...................................................... 26 Changing Parameter Setup Settings ...........................................................
SpO2 Monitoring......................................................................................................... 65 Indications and Messages ............................................................................................... 69 Indication ................................................................................................................... 69 Messages ..................................................................................................................
Transmitter ........................................................................................................... 92 Power Requirements ............................................................................................ 93 Dimension and Weight ......................................................................................... 93 Environment ......................................................................................................... 93 Safety Standards ......................
GENERAL HANDLING PRECAUTIONS This device is intended for use only by qualified medical personnel. Use only Nihon Kohden approved products with this device. Use of nonapproved products or in a non-approved manner may affect the performance specifications of the device. This includes, but is not limited to, batteries, recording paper, pens, extension cables, electrode leads, input boxes and AC power. Please read these precautions thoroughly before attempting to operate the instrument. 1.
5. To Shutdown After Use (1) Turn power off with all controls returned to their original positions. (2) Remove the cords gently; do not use force to remove them. (3) Clean the instrument together with all accessories for their next use. 6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is not functioning properly, it should be clearly marked to avoid operation while it is out of order. 7KH LQVWUXPHQW PXVW QRW EH DOWHUHG RU PRGL¿HG LQ DQ\ ZD\
WARRANTY POLICY Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and ZRUNPDQVKLS IRU RQH \HDU IURP WKH GDWH RI GHOLYHU\ +RZHYHU FRQVXPDEOH PDWHULDOV VXFK DV UHFRUGLQJ SDSHU LQN VW\OXV DQG EDWWHU\ DUH H[FOXGHG IURP WKH ZDUUDQW\ NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period, provided these products are used as prescribed by the operating instructions given in the operator’s and service man
Equipment Authorization Requirement Compliance with FCC Requirements This device complies with Part 15 of the FCC (Federal Communications Commission) Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. 7KLV GHYLFH FRPSOLHV ZLWK 3DUW 6XESDUW + RI WKH )&& 5XOHV WR EH XVHG LQ ZLUHOHVV PHGLFDO telemetry service.
EMC RELATED CAUTION This equipment and/or system complies with the International Standard IEC 606011-2 for electromagnetic compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in the IEC 60601-1-2, can cause harmful interference to the equipment and/or system or cause the equipment and/or system to fail to perform its intended function or degrade its intended performance.
6. Use with other equipment: When the equipment and/or system is adjacent to or stacked with other equipment, the equipment and/or system may affect the other equipment. Before use, check that the equipment and/or system operates normally with the other equipment. 7. Use of unspecified accessory, transducer and/or cable: When an unspecified accessory, transducer and/or cable is connected to this equipment and/or system, it may cause increased electromagnetic emission or decreased electromagnetic immunity.
Conventions Used in this Manual and Instrument Warnings, Cautions and Notes :DUQLQJV FDXWLRQV DQG QRWHV DUH XVHG LQ WKLV PDQXDO WR DOHUW RU VLJQDO WKH UHDGHU WR VSHFL¿F information. WARNING A warning alerts the user to the possible injury or death associated with the use or misuse of the instrument.
Explanations of the Symbols in this Manual and Instrument The following symbols found in this manual/instrument bear the respective descriptions as given. On Panel Symbol Description Symbol Description Change screen 'H¿EULOODWLRQ SURRI W\SH %) applied part Attention, consult operator’s manual 'H¿EULOODWLRQ SURRI W\SH &) applied part Moves cursor, scrolls data Serial number Direction for attaching battery cover Date of manufacture Direction for inserting battery RF transmitter 1RQ LRQL]LQJ UDG
Intended Use General 7KH =0 3$ DQG =0 3$ WUDQVPLWWHUV WUDQVPLW (&* DQG UHVSLUDWLRQ IURP D SDWLHQW WR D 1LKRQ .RKGHQ PRQLWRU IRU FRQWLQXRXV PRQLWRULQJ 7KH IURQW /&' GLVSOD\V (&* QXPHULF YDOXHV of monitoring parameters, messages and battery condition.* They also display the compressed ZDYHIRUP DQG QXPHULF GDWD RI WKH ODWHVW PLQXWHV 7KH =0 3$ DQG =0 3$ WUDQVPLWWHUV WUDQVPLW (&* UHVSLUDWLRQ DQG SXOVH ZDYHIRUPV and SpO2 from a patient to a Nihon Kohden monitor for continuous monitoring.
CAUTION • Do not use the same channel for different patients. If the same channel is used for two patients, the two patients’ data will be lost due to mutual modulation interference, or another patient’s data may appear on the receiving monitor screen. • Do not use two transmitters with adjacent channels in the same hospital. If transmitters with adjacent channels are used, their radio waves interfere with each other.
Receiving Monitor Any Nihon Kohden receiving monitor (central monitor with multiple patient receiver) can receive signals from this transmitter as long as the protocol version and channel setting are the same on the receiving monitor and transmitter. NOTE • For details on the receiving monitor and upgrade information, contact your Nihon Kohden representative. • The transmitter does not give any alarm other than a “low battery” alarm. Alarms must be managed on the receiving monitor.
Panel Description Top Panel ZM-530PA/531PA only For attaching a strap. SpO2 socket Connects the SpO2 probe. ECG/RESP socket Connects the electrode lead for PHDVXULQJ (&* DQG RU UHVSLUDWLRQ E\ the impedance method. WARNING WARNING Before defibrillation, all persons must keep clear of the bed and must not touch the patient or any equipment or cord connected to the patient. Failure to follow this warning may cause electrical shock or injury.
Front Panel 1 2 3 6 4 7 5 No. Name Description &$// NH\ /&' 6FUHHQ NH\ :KHQ WKLV NH\ LV SUHVVHG D ³SHHS´ VRXQGV DW WKH WUDQVPLWWHU and “CALL” message appears at the monitor. Depending on WKH VHWWLQJV RQ WKH PRQLWRU DQ (&* ZDYHIRUP LV UHFRUGHG ZKHQ WKLV NH\ LV SUHVVHG 'LVSOD\V QXPHULF YDOXHV (&* RU SXOVH ZDYH PHVVDJHV DQG battery status. For details, refer to the “Screen Descriptions” section.
1 2 3 6 4 7 5 No. Name Description 4 5 Infrared receiver Channel number label /HDG 6FUROO NH\V Used for upgrading the transmitter software. Indicates the channel number of the transmitter. 2Q WKH QXPHULF DQG ZDYHIRUP VFUHHQ WKHVH NH\V FKDQJH WKH (&* OHDG 2Q WKH ZDYHIRUP UHYLHZ VFUHHQ WKHVH NH\V VFUROO GDWD 2Q D 6(783 VFUHHQ WKHVH NH\V PRYH WKH FXUVRU )XQFWLRQ NH\ 'HSHQGLQJ RQ WKH VHWWLQJ RQ WKH WUDQVPLWWHU WKLV NH\ VXVSHQGV alarms, paus
Rear Panel ZM-530PA/531PA only 5HIHU WR WKH ³([SODQDWLRQV of the Symbols in this Manual and Instrument” section. 5HIHU WR WKH :$51,1* below. 5HIHU WR WKH :$51,1* below. 5HIHU WR WKH ³([SODQDWLRQV of the Symbols in this Manual and Instrument” section. Battery case &RQWDLQV WZR DONDOLQH GU\ FHOO EDWWHULHV $$ 7<3( WARNING Close the battery case cover during operation.
Important Safety Information General WARNING WARNING Never use the transmitter in the presence of any flammable anesthetic gas or high concentration oxygen atmosphere. Failure to follow this warning may cause explosion or fire. Never use the transmitter in a hyperbaric oxygen chamber. Failure to follow this warning may cause explosion or fire. WARNING WARNING Do not take this transmitter into the MRI test room. This transmitter is not designed to be used during MRI tests.
WARNING Do not use the same transmitter for more than one patient at the same time. Do not connect different sensors from different patients to the same transmitter. WARNING This transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop using it and contact your Nihon Kohden representative. If a wet transmitter is used, the patient or operator may receive an electrical shock or injury. WARNING WARNING Close the battery case cover during operation.
CAUTION CAUTION Only use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed. The measurement values and displayed waveforms on the transmitter and receiving monitor may be different due to timing delay of the display or difference in detection settings.
CAUTION CAUTION When monitoring respiration is needed, measure respiration with an instrument. The transmitter calculates SpO2 of arterial blood based on the principle of pulse oximeter and does not measure respiration. When monitoring SpO2 only (without ECG monitoring), turn on both the upper and lower limit alarms for PR and SpO2 on the receiving monitor.
Battery WARNING Do not use NiMH batteries for this transmitter. Some operating environments may cause NiMH batteries to produce gas and explode. CAUTION CAUTION Do not handle the batteries with wet hands. Refer to the battery manual for details on handling the batteries. CAUTION CAUTION Battery replacement must be performed by the operator.
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.
CAUTION CAUTION Only use Nihon Kohden specified electrodes and electrode leads. When other type of electrodes or electrode leads are used, the “CHECK ELECTRODES” message may be displayed and ECG monitoring may stop. When the “CHECK ELECTRODES” message is displayed on the receiving monitor, ECG is not monitored properly and the ECG alarm does not function. Check the electrode, electrode leads, and if necessary, replace with new ones.
SpO2 Monitoring WARNING SpO2 measurement may be incorrect in the following cases. • When the patient’s carboxyhemoglobin or methemoglobin increases abnormally. • When dye is injected in the blood. • When using an electrosurgical unit. • During CPR. • When measuring at a site with venous pulse. • When there is body movement. • When the pulse wave is small (insufficient peripheral circulation).
WARNING When not monitoring SpO2, disconnect the SpO2 cable from the transmitter. Otherwise, noise from the probe sensor may interfere and incorrect data is displayed on the screen. CAUTION CAUTION The disposable probe is not sterilized. Use the disposable probe only for a single patient. Never reuse the disposable probe for another patient because it causes cross infection.
CAUTION CAUTION Failure to follow these instructions may cause cable discontinuity, short circuit, skin burn on the patient from the probe temperature increase due to the short circuit of the probe cable, and incorrect measurement data. If the probe is broken, replace it with a new one. • Do not immerse any part of the probe cable other than the disposable probe in chemical solutions or water. • Do not pull or bend the probe cable. • Do not let caster feet run over the probe cable.
Preparation on Transmitter Batteries Handling Batteries WARNING Do not use NiMH batteries for this transmitter. Some operating environments may cause NiMH batteries to produce gas and explode. CAUTION CAUTION Refer to the battery manual for details on handling the batteries. CAUTION Do not handle the batteries with wet hands. When the transmitter is not in use, remove the batteries. When the batteries are installed, battery power is consumed even when measurement is not performed.
NOTE • Use Nihon Kohden Medipower to ensure specified performance. Outdated, mismatched or poor-quality batteries can give unacceptable performance (e.g., insufficient low battery indication). The use of fresh high quality alkaline batteries is strongly recommended. • When the display is on, it consumes battery power. Instruct the patient not to turn on the display during monitoring. Installing (Replacing) Batteries CAUTION Battery replacement must be performed by the operator.
NOTE Insert the (–) end of the battery first and press it against the spring. If you try to force the (+) end of the battery in first, it will deform the spring and damage the battery and transmitter. 3. Close the cover. ii i Situations Requiring Battery Replacement Replace the batteries when any of the following occurs. 7KH WUDQVPLWWHU GLVSOD\V WKH ³%$77(5< :($.´ PHVVDJH RU icon. • The transmitter generates a constant alarm (continuous “peep” sound).
Attaching a Strap to the Transmitter NOTE Do not attach the clip to hard objects such as thick cloth or a zipper. It will break the clip. Attach a strap to the transmitter and fasten the clip to the patient’s clothes or bed sheets. If the transmitter falls off, the transmitter may be damaged and the batteries may come out. If WKH SDWLHQW WRXFKHV WKH EDWWHU\ WHUPLQDO ZKHQ SXWWLQJ WKH EDWWHULHV EDFN LQ WKH WUDQVPLWWHU H[FHVV SDWLHQW OHDNDJH FXUUHQW PD\ ÀRZ LQWR WKH SDWLHQW If the transmitter falls into wat
Turning On the Transmitter When the batteries are installed correctly, the power is turned on. A “peep” sounds for one second, WKH VWDUWXS VFUHHQ DSSHDUV WKHQ WKH FKHFN HOHFWURGHV VFUHHQ DSSHDUV 7KHUH LV QR ³SHHS´ VRXQG when there is no battery power.) $IWHU FKHFNLQJ WKDW WKH (&* LV VWDEOH RQ WKH FKHFN HOHFWURGHV VFUHHQ SUHVV WKH 6FUHHQ NH\ WR display the numeric and waveform screen. For details on the screen, refer to the “Screen Descriptions” section.
Batteries • The battery polarity is correct. 7KH EDWWHU\ FDVH VSULQJ LV ¿UPO\ DWWDFKHG DQG WKH EDWWHU\ LV QRW ORRVH 7KH EDWWHU\ FDVH FRYHU LV ¿UPO\ FORVHG Channel Setting • The transmitter channel matches the receiving monitor channel. • There is no nearby transmitter with the same channel. Other :KHQ SHUIRUPLQJ GH¿EULOODWLRQ VHW WKH KXP ¿OWHU WR 21 RQ WKH UHFHLYLQJ PRQLWRU 7KH ZDYHIRUP UHFRYHU\ PD\ EHFRPH VORZ GXH WR HOHFWURGH SRODUL]DWLRQ ZKHQ WKH KXP ¿OWHU LV VHW WR OFF.
Turning Off the Transmitter To turn off the power, remove the batteries. When the power is turned off, the saved waveform and numeric data are deleted. Changing the Transmitter Channel 7KH FKDQQHO RI WKH WUDQVPLWWHU FDQ EH FKDQJHG ZLWK WKH RSWLRQDO 4, 3. FKDQQHO ZULWHU WARNING The following actions must be taken to properly receive the transmitter signal of the correct patient on the receiving instrument.
Changing Parameter and System Setup Settings 7KH LQLWLDO VHWWLQJV RQ WKH 3$5$0(7(5 6(783 DQG 6<67(0 6(783 VFUHHQV FDQ RQO\ EH changed before monitoring. Changing these settings during monitoring interrupts monitoring. NOTE Changing Parameter and System Setup settings must be done by qualified personnel. Changing PARAMETER SETUP Settings Parameter Setup Setting List The factory default settings are underlined. Setting Item Description Settings (&* (/(&752'(6 Select the electrode lead type.
Displaying the PARAMETER SETUP Screen 1. Cursor Turn off the transmitter by removing one battery. :KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ WKH WUDQVPLWWHU LQVHUW WKH EDWWHU\ 7KH 0(18 screen appears. 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³3$5$0(7(5 6(783´ 3UHVV WKH )XQFWLRQ NH\ WR HQWHU 3$5$0(7(5 6(783 7KH FXUUHQW VHWWLQJV DUH KLJKOLJKWHG MENU screen Cursor Setting item Setting 5.
Changing Parameter Setup Settings ECG ELECTRODES Select the electrode lead type. Cursor Setting item 2Q WKH 3$5$0(7(5 6(783 VFUHHQ SUHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³(&* (/(&752'(6´ 3UHVV WKH )XQFWLRQ NH\ 7KH FXUVRU PRYHV WR the selection item. Cursor Selected setting 3UHVV WKH Ź NH\ WR VHOHFW ³,(&´ RU ³$+$´ 3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG VHWWLQJ 7KH FXUVRU UHWXUQV WR ³(&* (/(&752'(6´ LEAD TYPE 6HOHFW WKH W\SH RI (&* OHDGV ,Q QRUPDO XVH VHOHFW ³$872´
ECG MEASUREMENT 7XUQ (&* PRQLWRULQJ RQ RU RII :KHQ HOHFWURGHV DUH DWWDFKHG WR WKH SDWLHQW DQG (&* OHDGV DUH FRQQHFWHG (&* PRQLWRULQJ VWDUWV HYHQ ZKHQ WKLV VHWWLQJ LV VHW WR 2)) If this setting is set to OFF, the same setting on the receiving monitor must also be set to OFF. NOTE When “PROTOCOL” on the transmitter is set to 51 and the receiving monitor is able to receive protocol 51, ECG measurement on the receiving monitor is automatically set to OFF when this setting is set to OFF on the transmitter.
SpO2 RESPONSE Select the response mode from FAST, NORMAL or SLOW. For details on the response time, refer WR WKH ³6SHFL¿FDWLRQV 6S22 0HDVXUHPHQW ,62 FRPSOLDQFH ´ VHFWLRQ LQ WKLV PDQXDO NOTE When measurement condition is unstable due to strenuous movement of the patient, etc., response may become slower in all modes. 2Q WKH 3$5$0(7(5 6(783 VFUHHQ SUHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6S2 5(63216(´ ³6S2 5(63216(´ LV RQ WKH VHFRQG SDJH RI WKH 3$5$0(7(5 6(783 screen.
Changing SYSTEM SETUP Settings System Setup Setting List The factory default settings are underlined. Setting Item PROTOCOL Description Settings Select the transmitting protocol. 51: New protocol. A central monitor with an 25* $ RU 25* $ PXOWLSOH SDWLHQW UHFHLYHU ZKRVH VRIWZDUH YHUVLRQ RU ODWHU FDQ UHFHLYH WKLV protocol. 41: Old protocol. A central monitor with an 25* $ 25* $ RU 25* $ PXOWLSOH 51, 41 patient receiver can receive this protocol.
Setting Item $872 5(680( $)7(5 3$86( Description 6HOHFW WKH LQWHUYDO WR UHVXPH PRQLWRULQJ DIWHU 3$86( 6(/(&7$%/( 6&5((1 7,0( 287 6HOHFW WKH GLVSOD\ WLPH RXW SHULRG 3(5,2' PLQ Settings V V, 1 min, 2 min, 3 min , Displaying the SYSTEM SETUP Screen 1. Cursor Turn off the transmitter by removing one battery. :KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ the transmitter by inserting the battery. The 0(18 VFUHHQ DSSHDUV 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6<
Changing System Setup Settings PROTOCOL Select the transmitting protocol. For differences between protocols, refer to the table below. 1HZ SURWRFRO $ FHQWUDO PRQLWRU ZLWK DQ 25* $ RU 25* $ PXOWLSOH SDWLHQW UHFHLYHU ZKRVH VRIWZDUH YHUVLRQ RU ODWHU FDQ UHFHLYH WKLV SURWRFRO 2OG SURWRFRO $ FHQWUDO PRQLWRU ZLWK DQ 25* $ 25* $ RU 25* $ PXOWLSOH patient receiver can receive this protocol. NOTE When 51 is set, the receiving monitor must be able to receive protocol 51.
NOTE FUNCTION KEY (on the second page of the SYSTEM SETUP screen) can be set to “SUSPEND ALARM & PAUSE” or “CONFIRM” only when PROTOCOL is “51”. If PROTOCOL is changed to “41”, FUNCTION KEY is automatically changed to “OFF”. 3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG setting. The cursor returns to “PROTOCOL”. BRIGHTNESS Select the screen brightness. 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³%5,*+71(66´ 3UHVV WKH )XQFWLRQ NH\ 3UHVV WKH Ź NH\ WR VHOHFW ³'$5.
2Q WKH 6<67(0 6(783 VFUHHQ SUHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³)81&7,21 .(<´ ,W LV RQ WKH VHFRQG SDJH RI WKH 6<67(0 6(783 VFUHHQ 3UHVV WKH )XQFWLRQ NH\ 3UHVV WKH Ź NH\ WR VHOHFW WKH IXQFWLRQ 3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG setting. The cursor returns to “FUNCTION .
3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG VHWWLQJ 7KH FXUVRU UHWXUQV WR ³6(/(&7$%/( 6&5((1 7,0( 287 3(5,2' PLQ ´ Initializing Settings Do the following procedure to initialize all settings, except for channel, to the factory default settings. Cursor 1. Turn off the transmitter by removing a battery. :KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ the transmitter by inserting the battery. The 0(18 VFUHHQ DSSHDUV 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6<67(0 ,1,7,$/,=(´ 3UHVV WKH )
Attaching Electrodes and SpO2 Probe to the Patient Attaching Electrodes Selecting Electrode Lead CAUTION Only use Nihon Kohden specified electrodes and electrode leads. When other type of electrodes or electrode leads are used, the “CHECK ELECTRODES” message may be displayed and ECG monitoring may stop. The following optional electrode leads can be used with the transmitter. %5 3$ HOHFWURGHV $+$ FOLS W\SH %5 3$ HOHFWURGHV $+$ FOLS W\SH Connecting the Electrode Lead to the Transmitter &RQQH
CAUTION Do not shake or swing the transmitter while holding the leads or cables connected to the transmitter. The transmitter may come off and injure someone or damage surrounding instruments. CAUTION Hold the connector of the electrode lead when connecting/disconnecting the electrode lead. If you disconnect the electrode lead by pulling the lead, it damages the electrode lead. Electrode Position Follow the physician’s instructions for electrode placement when available.
Symbol AHA IEC Electrode Position Lead Color AHA IEC Left infraclavicular fossa LA L %ODFN Yellow Right infraclavicular fossa RA R White Red Below lowest rib on the left anterior axillary line LL F Red *UHHQ RL RF *UHHQ %ODFN 9D Ca %URZQ EOXH :KLWH EURZQ 9E Cb Right anterior axillary line at the same level as LL/F Fifth intercostal space on the left midclavicular OLQH 9 SRVLWLRQ RI VWDQGDUG OHDGV /HIW DQWHULRU D[LOODU\ OLQH DW WKH VDPH OHYHO DV 9D 9 SRVLWLRQ RI VWDQGDUG
Three Electrodes /HDG 0,, ZKLFK LV VLPLODU WR VWDQGDUG OHDG ,, XVHG ZKHQ (&* PHDVXUHPHQW KDV SULRULW\ R/RA (−) Electrode Position L/LA (N) Left infraclavicular fossa Right infraclavicular fossa Below lowest rib on the left anterior axillary line F/LL (+) • Lead MI, which is similar to standard lead I Change F/LL and L/LA of lead MII.
Electrode Positions for Respiration Monitoring Place the R/RA and F/LL electrodes so that the lungs are between the electrodes. Position 1 In this position, respiration measurement is available; however, there is a difference in amplitude between different patients. R or RA R/RA (−) N Right infraclavicular fossa F or LL Fifth intercostal space on the OHIW PLGFODYLFXODU OLQH 9 F/LL (+) Position 2 ,Q WKLV SRVLWLRQ WKH ZDYHIRUP DPSOLWXGH LV XVXDOO\ ODUJH DQG WKH (&* OHDG LV VLPLODU WR /HDG 0,, This po
Position 4 ,Q WKLV SRVLWLRQ WKH UHVSLUDWLRQ PHDVXUHPHQW LV LQÀXHQFHG E\ WKH LPSHGDQFH YDULDWLRQ RI WKH abdomen, so the cardiac pulse wave included in the respiration wave is reduced.
Refer to the electrode operator’s manual for details. &DUHIXOO\ UHPRYH WKH EDFNLQJ SDSHU IURP WKH HOHFWURGH Avoid touching the adhesive surface. 3ODFH WKH HOHFWURGH RQ WKH SUHYLRXVO\ FOHDQHG VNLQ 3D\ attention to the electrode lead color and symbol. 3. Clip the electrode lead to the electrode. 4. Fasten the electrode lead wire with surgical tape with an extra length of wire between the tape and the electrode.
Reusable Probes :KHQ XVLQJ D 7/ 7 ¿QJHU SUREH FKRRVH WKH DSSURSULDWH FDEOH OHQJWK IRU DWWDFKPHQW Probe )LQJHU SUREH 7/ 7 Cable Length P Patient Adult or child NJ RU PRUH Attachment Site Finger Adult or infant NJ RU PRUH Finger or toe Neonate NJ RU OHVV Instep and sole Adult or child NJ RU PRUH Finger or toe 1.6 m 0XOWL VLWH SUREH 7/ 7 Attachment tape Finger probe 7/ 7 7/ 7 Attachment tape 7/ 7 P 7/ 7 1.
Probe 7/ 6 7/ 6 Patient Attachment Site Adult NJ RU PRUH Finger Neonate NJ RU OHVV Instep and sole Adult or child WR NJ Finger Chiled or infant WR NJ Toe Adult NJ RU PRUH Finger or toe 40 mm &DEOH OHQJWK 7/ 6 P 7/ 6 P 7/ 6 7/ 6 35 mm &DEOH OHQJWK 7/ 6 P 7/ 6 P 7/ 7 7/ 7 &DEOH OHQJWK 7/ 7 P 7/ 7 P 7/ 7 7/ 7 Child WR NJ &DEOH OHQJWK 7/ 7 P 7/ 7 P 44 Oper
Probe 7/ 7 7/ 7 Patient Adult NJ RU PRUH Attachment Site Finger or toe Neonate NJ RU OHVV Instep and sole Infant WR NJ Finger or toe &DEOH OHQJWK 7/ 7 P 7/ 7 P 7/ 7 7/ 7 &DEOH OHQJWK 7/ 7 P 7/ 7 P Connecting the SpO2 Probe to the Transmitter Connect the probe to the SpO2 VRFNHW RQ WKH WUDQVPLWWHU CAUTION Do not shake or swing the transmitter while holding the leads or cables connected to the transmitter.
Attaching the Probe to the Patient $WWDFK WKH SUREH WR WKH SDWLHQW E\ UHIHUULQJ WR WKH SUREH¶V PDQXDO 0DNH VXUH WKDW WKH OLJKW HPLWWHU and photo detector of the probe face each other at the attachment site. WARNING WARNING • When using the TL-201T finger probe, do not fasten the probe and cable to the finger by wrapping with tape. This may cause burn, congestion or pressure necrosis from poor blood circulation.
CAUTION CAUTION If the attachment site is dirty with blood or bodily fluids, clean the attachment site before attaching the probe. If there is nail polish on the attachment site, remove the polish. Otherwise, the amount of transmitted light decreases, and measured value may be incorrect or measurement cannot be performed. When the probe is attached on an appropriate site with sufficient circulation and the error message confirming the probe attachment repeatedly appears, the probe may be deteriorated.
Locking the Keys on the Transmitter 7R SUHYHQW WKH SDWLHQW IURP SUHVVLQJ WKH NH\V RQ WKH WUDQVPLWWHU GXULQJ PRQLWRULQJ \RX FDQ ORFN WKH NH\V 7R ORFN WKH NH\V 3UHVV WKH Ż DQG Ź NH\V DW WKH VDPH WLPH DQG KROG IRU PRUH WKDQ VHFRQGV 7KH ³.H\ ORFNHG´ screen appears. :KHQ WKH VFUHHQ WLPH RXW SHULRG LV VHW WR ³ PLQ´ IDFWRU\ GHIDXOW WKH ³.H\ ORFNHG´ VFUHHQ LV GLVSOD\HG IRU VHFRQGV WKHQ WKH GLVSOD\ WXUQV RII LI WKHUH LV QR NH\ RSHUDWLRQ :KHQ WKH VFUHHQ WLPH RXW SHULRG LV VHW WR D FHUWDLQ QXPEHU RI
Monitoring CAUTION The measurement values and displayed waveforms on the transmitter and receiving monitor may be different due to timing delay of the display or difference in detection settings. NOTE Do not let the transmitter continuously contact the patient’s skin directly. The transmitter heats up by 2 or 3°C (4 or 5°F) during operation and it may cause low temperature burn to the patient.
Check Electrodes Screen
Numeric and Waveform Screen Numeric values and waveforms of the monitoring parameters are displayed. You can change the (&* OHDG ZLWK WKH Ż DQG Ź NH\V SpO2 Pulse bar graph QRS sync mark Heart rate ECG lead ECG waveform Filter: on Sweep speed: 12.5 mm/s Waveform sensitivity: auto Waveform sensitivity :KHQ (&* DQG UHVSLUDWLRQ PHDVXUHPHQW LV WXUQHG RII Pulse rate SpO2 Pulse sync mark Pulse wave sensitivity Pulse waveform Sweep speed: 12.
NOTE The pulse wave amplitude varies according to the ratio of the pulsation component to the entire transmitted IR signal. When the pulsation component ratio is 1%, the pulse wave amplitude is about 5 mm at ×1 sensitivity on the screen. Waveform Review Screen (&* IXOO GLVFORVXUH IRU XS WR PLQXWHV FDQ EH VDYHG DQG UHYLHZHG :KHQ (&* PHDVXUHPHQW LV turned off and SpO2 is monitored, the pulse waveform is saved.
Numeric Review Screen 1XPHULF GDWD RI KHDUW UDWH RU SXOVH UDWH ZKHQ (&* LV WXUQHG RII 6S22 and respiration rate for up WR PLQXWHV DUH VDYHG DW PLQXWH LQWHUYDOV The saved data is deleted when the transmitter is turned off. Older data Time before the numeric review screen is displayed. Newer data Display Off The display can be turned off any time. Refer to the “Turning the Display Off” section for details.
Basic Monitoring Operation Using the Function Key Function key 2QH RI WKH IROORZLQJ IXQFWLRQV FDQ EH DVVLJQHG WR WKH )XQFWLRQ NH\ RQ WKH 6<67(0 6(783 VFUHHQ 5HIHU WR WKH ³&KDQJLQJ 6<67(0 6(783 6HWWLQJV´ VHFWLRQ 6863(1' $/$50 3$86( &21),50 6XVSHQGV DODUPV RQ WKH UHFHLYLQJ PRQLWRU EHIRUH WKH\ RFFXU IRU PLQXWHV 3DXVHV PRQLWRULQJ RQ WKH WUDQVPLWWHU DQG UHFHLYLQJ PRQLWRU 7UDQVPLWV WKH VLJQDO WKDW WKH SDWLHQW LV FRQ¿UPHG DQG GLVSOD\V WKH ³3$7,(17 &21),50('´ PHVVDJH RQ WKH WUDQVPLWWHU NO
Suspending Alarms on the Receiving Monitor WARNING While the “ALARMS SUSPENDED” message is displayed on the transmitter, all alarms on the receiving monitor are suspended so keep the patient under close observation. :KHQ WKH )81&7,21 .(< LV VHW WR ³6863(1' $/$50´ RU ³6863(1' $/$50 3$86(´ RQ WKH 6<67(0 6(783 VFUHHQ DODUPV FDQ EH VXVSHQGHG IRU PLQXWHV RQ WKH UHFHLYLQJ PRQLWRU before they occur. To suspend alarms: 3UHVV WKH )XQFWLRQ NH\ 7KH ³6XVSHQG DODUPV´ FRQ¿UPDWLRQ VFUHHQ DSSHDUV 3UHVV W
To cancel suspending alarms during 2 minute alarm suspension: 3UHVV WKH )XQFWLRQ NH\ ZKLOH WKH ³$/$506 6863(1'('´ PHVVDJH LV GLVSOD\HG 7KH FRQ¿UPDWLRQ VFUHHQ DSSHDUV 3UHVV WKH Ź NH\ WR FDQFHO DODUP VXVSHQVLRQ 3UHVV WKH 6FUHHQ NH\ WR QRW FDQFHO DODUP VXVSHQVLRQ Pausing Monitoring :KHQ )81&7,21 .(< LV VHW WR ³6863(1' $/$50 3$86(´ RQ WKH 6<67(0 6(783 screen, you can pause monitoring on the receiving monitor from the transmitter when the patient FDQQRW EH PRQLWRUHG VXFK DV GXULQJ ; UD\ H[DP
To pause monitoring: 3UHVV WKH )XQFWLRQ NH\ 7KH ³6XVSHQG DODUPV´ FRQ¿UPDWLRQ VFUHHQ DSSHDUV 3UHVV WKH )XQFWLRQ NH\ IRU VHFRQGV WR GLVSOD\ WKH ³3DXVH PRQLWRULQJ´ FRQ¿UPDWLRQ VFUHHQ 3UHVV WKH Ź NH\ WR SDXVH PRQLWRULQJ 7R FDQFHO SDXVH PRQLWRULQJ SUHVV WKH 6FUHHQ NH\ 4. Wait about 5 seconds until the “Turn power off” screen appears.
5. Turn off the transmitter. If the transmitter is not turned off and monitoring continues for the interval set for “AUTO 5(680( $)7(5 3$86(´ RQ WKH 6<67(0 6(783 VFUHHQ SDXVH PRQLWRULQJ LV FDQFHOOHG and monitoring continues. Resuming Monitoring after Pause 7R UHVXPH PRQLWRULQJ DIWHU SDXVH FKHFN WKDW WKH HOHFWURGHV HOHFWURGH OHDGV DQG SUREH DUH DWWDFKHG to the patient then turn on the transmitter.
Turning the Display Off The display can be turned off any time. To turn off the display: 3UHVV WKH 6FUHHQ NH\ VHYHUDO WLPHV XQWLO WKH IROORZLQJ VFUHHQ DSSHDUV 10-second time bar 6HOHFW WKH WLPLQJ IRU WXUQLQJ RII WKH GLVSOD\ ZLWK WKH Ż RU Ź NH\ 7KH VHOHFWHG LWHP LV KLJKOLJKWHG LQ EOXH $ VHFRQG FRXQWGRZQ VWDUWV
When the display is turned off automatically or the power is turned off, the setting returns to “1 min” (factory default). Turning the Display On after It was Turned Off 3UHVV WKH 6FUHHQ NH\ 2QH RI WKH IROORZLQJ VFUHHQ DSSHDUV 7KH SUHYLRXV VFUHHQ 7KH 6FUHHQ NH\ LV SUHVVHG ZLWKLQ PLQXWHV DIWHU WKH GLVSOD\ turned off. 1XPHULF DQG ZDYHIRUP VFUHHQ 7KH 6FUHHQ NH\ LV SUHVVHG PRUH WKDQ PLQXWHV DIWHU WKH display turned off. ³.H\ ORFNHG´ VFUHHQ 7KH 6FUHHQ NH\ LV SUHVVHG DIWHU WKH GLVSOD\ W
ECG and Respiration Monitoring :KHQ WKH HOHFWURGHV DUH DWWDFKHG DQG WKH (&* OHDGV DUH FRQQHFWHG WKH KHDUW UDWH (&* ZDYHIRUP respiration rate and respiration waveform appear on the receiving monitor. Refer to the operator’s manual of the receiving monitor for details. :KHQ OHDGV DUH XVHG RQ WKLV WUDQVPLWWHU XS WR OHDGV , ,, ,,, D95 D9/ D9) 9D DQG 9E RI (&* ZDYHIRUPV FDQ EH GLVSOD\HG RQ WKH UHFHLYLQJ PRQLWRU 7KH KHDUW UDWH LV DOVR PHDVXUHG :KHQ OHDGV DUH XVHG RQH FKDQQHO (&* ZDYHIRUP RI
Use with a Pacemaker :KHQ PRQLWRULQJ D SDFHPDNHU SDWLHQW WKH WUDQVPLWWHU GHWHFWV SDFHPDNHU SXOVH DQG UHMHFWV WKH SDFHPDNHU SXOVH IURP WKH KHDUW UDWH FRXQW 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.
Use with an Electrosurgical Unit )RU XVH ZLWK DQ HOHFWURVXUJLFDO XQLW (68 WKLV WUDQVPLWWHU KDV D FLUFXLW WR SURWHFW WKH SDWLHQW IURP VNLQ EXUQ DQG WR UHGXFH (68 LQWHUIHUHQFH RQ WKH (&* ZDYHIRUP +RZHYHU WKH HIIHFWLYHQHVV RI WKLV FLUFXLW GHSHQGV RQ HOHFWURGH SRVLWLRQ DQG WUDQVPLWWHU VHWXS :LWK DQ (68 SD\ DWWHQWLRQ WR WKH following points. WARNING When the transmitter is used with an electrosurgical unit (ESU), firmly attach the entire area of the ESU return plate.
Turning ECG Measurement On/Off (&* PHDVXUHPHQW FDQ EH WXUQHG RQ RU RII RQ WKH 3$5$0(7(5 6(783 VFUHHQ :KHQ HOHFWURGHV DUH DWWDFKHG WR WKH SDWLHQW DQG (&* OHDGV DUH FRQQHFWHG (&* PRQLWRULQJ VWDUWV HYHQ ZKHQ (&* LV turned off. When PROTOCOL on the SYSTEM SETUP screen is set to 51: (&* PHDVXUHPHQW RQ WKH UHFHLYLQJ PRQLWRU LV DXWRPDWLFDOO\ VHW WR RII NOTE ECG measurement on the transmitter cannot be turned on or off from the receiving monitor.
SpO2 Monitoring The SpO2 PRQLWRULQJ LV RQO\ DYDLODEOH RQ WKH =0 3$ DQG =0 3$ WUDQVPLWWHU When monitoring starts, SpO2 and the pulse waveform are sent to the receiving monitor and SpO2 DQG WKH SXOVH OHYHO EDU JUDSK DUH GLVSOD\HG RQ WKH WUDQVPLWWHU VFUHHQ :KHQ (&* LV QRW PHDVXUHG the pulse waveform and pulse rate are also displayed.
WARNING WARNING SpO2 measurement may be incorrect in the following cases. • When the patient’s carboxyhemoglobin or methemoglobin increases abnormally. • When dye is injected in the blood. • When using an electrosurgical unit. • During CPR. • When measuring at a site with venous pulse. • When there is body movement. • When the pulse wave is small (insufficient peripheral circulation). Check the circulation condition by observing the skin color at the measurement site and pulse waveform.
CAUTION CAUTION Turn off the power of mobile phones, small wireless devices and other devices which produce strong electromagnetic interference around a patient (except for devices allowed by the hospital administrator). Radio waves from devices such as mobile phones or small wireless devices may be mistaken as pulse waves or respiration waves and the displayed data may be incorrect.
NOTE • In order to maintain sufficient blood circulation, keep the measurement site warm by covering it with a blanket or something similar. Warming the site is effective, especially for a patient with a small pulse amplitude. • When monitoring a patient who has an IABP and SpO2 cannot be measured, monitor the patient on a wired monitor. If the monitor has a sensitivity mode, set the mode to “MAX”.
Indications and Messages Indication Indication Cause Countermeasure Batteries are fully charged. — Batteries are getting low. Batteries are low. Batteries are almost empty. Replace the batteries. Alarms on the receiving monitor were suspended by pressing the )XQFWLRQ NH\ RQ WKH WUDQVPLWWHU Alarms resume when the suspend interval elapses. To cancel alarm suspension, press WKH )XQFWLRQ NH\ DJDLQ Messages :KHQ 35272&2/ RQ WKH 6<67(0 6(783 VFUHHQ LV VHW WR DOO PHVVDJHV DUH WUDQVPLWWHG :KHQ 35272&
Message CANNOT 0($685( &+(&. (/(&752'(6 &+(&. 352%( &+(&. 352%( 6,7( Cause Poor contact between the disposable HOHFWURGH DQG VNLQ (OHFWURGH OHDG LV GLVFRQQHFWHG IURP the electrode (OHFWURGH OHDG LV GLVFRQQHFWHG IURP the transmitter (OHFWURGH OHDG GLVFRQWLQXLW\ (OHFWURGH LV QRW ¿UPO\ DWWDFKHG WR WKH VNLQ Polarization voltage is abnormally high The probe is not attached to the patient properly The probe is not attached at the appropriate site The probe is disconnected from the transmitter Replace th
Message 3$7,(17 &21),50(' Cause )XQFWLRQ NH\ LV SUHVVHG DQG WKH ³3$7,(17 &21),50('´ VLJQDO LV transmitted to the receiving monitor ZKHQ ³3$7,(17´ LV DVVLJQHG DV WKH IXQFWLRQ IRU WKH )XQFWLRQ NH\ RQ WKH 6<67(0 6(783 VFUHHQ The probe is past its expiration date 352%( )$,/85( 3UREH LV GDPDJHG RU VKRUW FLUFXLWHG Countermeasure — Replace the probe with a new one. Contact your Nihon Kohden representative. Contact your Nihon Kohden Transmitter failure representative.
Message Display Priority When more than one message condition occurs on the transmitter, only the message with the highest priority is displayed. Priority +LJK Low 72 Message 3$7,(17 &21),50(' 352%( )$,/85( &+(&. (/(&752'(6 SpO2 02'8/( (5525 &+(&. 352%( &+(&. 352%( 6,7( &$1127 '(7(&7 38/6( /,*+7 ,17(5)(5(1&( &$1127 0($685( '(7(&7,1* 38/6( :($. 38/6( $/$506 6863(1'(' %$77(5< :($.
Troubleshooting ,I D SUREOHP RFFXUV XVH WKH IROORZLQJ WDEOHV WR ¿QG DQG ¿[ LW ,I WKH SUREOHP VWLOO UHPDLQV DIWHU troubleshooting according to these tables, contact your Nihon Kohden representative. Transmitter Problem Possible Cause Nothing is displayed Batteries are not installed correctly. The battery polarity is on the LCD after turning the power on. wrong. Batteries are completely discharged. LCD brightness is not /&' LV GLI¿FXOW WR VHH WRR GDUN RU WRR appropriate. light).
Problem Signal receiving condition is poor. Possible Cause Another transmitter with the same channel is used nearby. Signals of another patient are mixing. The transmitter is damaged. Action Turn the transmitter power off. If the monitor still receives a signal, there is a high probability that another transmitter of the same channel is used nearby. Follow the instruction of your channel administrator and use another transmitter with a different channel.
Problem Possible Cause Pacing pulse detection is turned ON on the receiving monitor. Action Turn OFF the pacing pulse detection on the receiving monitor. The heart rate of a patient who is using DQ HOHFWULF EODQNHW is unstable on the receiving monitor. 1R KHDUW UDWH RU (&* ³(&* 0($685(0(17´ RQ WKH ,I (&* PRQLWRULQJ LV QHFHVVDU\ VHW is displayed. 3$5$0(7(5 6(783 VFUHHQ LV ³(&* 0($685(0(17´ WR 21 set to OFF. The gel on the electrode is dried Replace the electrode with a new one. Respiration out.
Maintenance 7R XVH WKH WUDQVPLWWHU LQ VDIH DQG RSWLPXP FRQGLWLRQ SHUIRUP PDLQWHQDQFH FKHFN HYHU\ VL[ months. 7KH IROORZLQJ XQLWV DUH QHFHVVDU\ IRU VRPH FKHFNLQJ LWHPV $; * YLWDO VLJQ VLPXODWRU $; 7 6S22 FKHFNHU • Receiving monitor CAUTION Never disassemble or repair the transmitter. If there is any problem with the transmitter, contact your Nihon Kohden representative. NOTE • The measurement accuracy of the above units must be managed to perform accurate maintenance check.
Channel numbers Startup screen Numeric and waveform screen 3. Transmitting/Receiving Signal 8VH WKH $; * YLWDO VLJQ VLPXODWRU DQG UHFHLYLQJ PRQLWRU 1. Connect the vital sign simulator to the transmitter only with the electrode leads. AX-400G 2. Place the transmitter 2 to 3 m from the receiving monitor. 3. Set the channel on the receiving monitor to the channel of the transmitter. 4. Turn on the transmitter and vital sign simulator.
:KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ WKH WUDQVPLWWHU 7KH 0(18 VFUHHQ DSSHDUV 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³0$18$/ &+(&.´ DQG SUHVV WKH )XQFWLRQ NH\ Cursor 3UHVV WKH Ż RU Ź NH\ WR PRYH WKH FXUVRU WR ³/&' 7(67´ DQG SUHVV WKH )XQFWLRQ NH\ (DFK WLPH WKH Ź NH\ LV SUHVVHG WKH VFUHHQ FKDQJHV DV EHORZ &KHFN WKDW QR GRWV DUH PLVVLQJ ĺ ĺ blue 78 ĺ ĺ red ĺ ĺ green ĺ ĺ. . .
3UHVV WKH 6FUHHQ NH\ WR UHWXUQ WR WKH 0$18$/ &+(&. VFUHHQ 3UHVV WKH 6FUHHQ NH\ DJDLQ WR UHWXUQ WR WKH 0(18 VFUHHQ 5. Key Operation 1. Turn off the transmitter. :KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ WKH WUDQVPLWWHU 7KH 0(18 VFUHHQ DSSHDUV 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³0$18$/ &+(&.´ DQG SUHVV WKH )XQFWLRQ NH\ Cursor 3UHVV WKH Ż RU Ź NH\ WR PRYH WKH FXUVRU WR ³.(< &+(&.´ DQG SUHVV WKH )XQFWLRQ NH\ Operator’s Manual ZM-520PA/521PA/530PA/531PA 79
3UHVV HDFK NH\ RQH DW D WLPH DQG FKHFN WKDW WKH SUHVVHG NH\ LV KLJKOLJKWHG RQ WKH VFUHHQ :KHQ WKH &$// NH\ LV SUHVVHG WKH NH\ QDPH LV highlighted. $IWHU FKHFNLQJ SUHVV DQG KROG WKH 6FUHHQ NH\ WR UHWXUQ WR WKH 0$18$/ &+(&. VFUHHQ 6. ECG Check 1. Connect the vital sign simulator to the transmitter only with the electrode leads. AX-400G 2. Place the transmitter 1 m from the receiving monitor. 3. Turn on the transmitter and vital sign simulator.
7. Respiration Check 1. Connect the vital sign simulator to the transmitter only with the electrode leads. AX-400G 2. Place the transmitter 1 m from the receiving monitor. 3. Turn on the transmitter and vital sign simulator. &KHFN WKDW WKH UHVSLUDWLRQ ZDYHIRUP RI WKH WUDQVPLWWHU DSSHDUV RQ WKH UHFHLYLQJ PRQLWRU 8. SpO2 Check (with SpO2 Checker) 1. Connect the SpO2 FKHFNHU WR WKH WUDQVPLWWHU RQO\ ZLWK WKH 6S22 connection cable. AX-300T 2. Place the transmitter 1 m from the receiving monitor.
&KHFN WKDW 6S22 and pulse rate on the transmitter is within the following range. SpO2 on the SpO2 Checker SpO2* Pulse rate EHDWV PLQ EHDWV PLQ Range WR 6S22 (±2 digits) WR 6S22 (±2 digits) WR 6S22 (±4 digits) WR EHDWV PLQ EHDW PLQ WR EHDWV PLQ EHDW PLQ * The SpO2 FKHFN E\ WKH 6S22 FKHFNHU LV DIIHFWHG E\ WKH FKHFNHU¶V WROHUDQFH WR WKH 6S22 measuring accuracy of the transmitter.
* The SpO2 FKHFN E\ WKH YLWDO VLJQ VLPXODWRU LV DIIHFWHG E\ WKH VLPXODWRU¶V WROHUDQFH WR WKH SpO2 measuring accuracy of the transmitter.
Maintenance Check Sheet +RVSLWDO 2UJDQL]DWLRQ Service Personnel: Instrument Name: Transmitter Instrument Model: =0 3$ =0 3$ =0 3$ =0 3$ Instrument Serial Number: +DUGZDUH 5HYLVLRQ 1XPEHU Software Revision Number: ([WHUQDO &KHFN 3DVV )DLO 2. Transmitter Channel Pass Fail 3. Transmitting/Receiving Signal Pass Fail 4. Display Pass Fail 5.
Lifetime and Disposal CAUTION Dispose of Nihon Kohden products according to your local laws and your facility’s guidelines for waste disposal. Otherwise, it may affect the environment. If there is a possibility that the product may have been contaminated with infection, dispose of it as medical waste according to your local laws and your facility’s guidelines for medical waste. Otherwise, it may cause infection.
Cleaning, Disinfection and Sterilization Transmitter and Electrode Leads CAUTION This transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop cleaning or disinfecting it and contact your Nihon Kohden representative. The transmitter needs to be checked for safety and function before use. NOTE The transmitter cannot be sterilized. Sterilizing the transmitter may damage it. Before cleaning or disinfecting, remove the batteries from the transmitter.
SpO2 Probe Refer to the probe manual. Periodic Replacement Schedule To maintain the performance of the instrument, the following part must be periodically replaced. Name Code No. Expected Life Span Silicon seal (for battery case cover) 1 year Repair Parts Availability Policy 1LKRQ .RKGHQ &RUSRUDWLRQ 1.& VKDOO VWRFN UHSDLU SDUWV SDUWV QHFHVVDU\ WR PDLQWDLQ WKH SHUIRUPDQFH RI WKH LQVWUXPHQW IRU D SHULRG RI \HDUV IURP WKH GDWH RI GHOLYHU\ ,Q WKDW SHULRG 1.
Specifications ZM-520PA/ZM-530PA Measured Parameters :DYHIRUPV 1XPHULF GDWD (&* LPSHGDQFH PHWKRG UHVSLUDWLRQ SXOVH +HDUW UDWH UHVSLUDWLRQ UDWH 6S22, pulse rate Transmitted Data :DYHIRUPV Numeric data: Status information: (&* UHVSLUDWLRQ SXOVH ZDYH SpO2, pulse rate Battery replacement, battery level*, alarm suspended, SDXVH PRQLWRULQJ SDWLHQW FRQ¿UPHG (&* OHDG SDFLQJ detection, electrode detachment, electrode impedance*, (&* RII UHVSLUDWLRQ PHWKRG LPSHGDQFH 6S22 status, respiration s
Common mode rejection ratio: 95 dB or more ,(& FRPSOLHG 3DFLQJ SXOVH GHWHFWLRQ DPSOLWXGH WR P9 GXUDWLRQ WR PV ,(& FRPSOLHG %DVHG XSRQ SDFHPDNHU SXOVH UHMHFWLRQ FDSDELOLW\ 'H¿EULOODWLRQ SURRI (&* LQSXW SURWHFWHG DJDLQVW :V '& N9 ,(& FRPSOLHG (&* UHFRYHU\ WLPH DIWHU GH¿EULOODWLRQ ZLWKLQ V (OHFWURGH FRQGLWLRQ 'LVSOD\V &+(&. (/(&752'(6 PHVVDJH 7DOO 7 ZDYH UHMHFWLRQ FDSDELOLW\ &RPSOLHV ZLWK WKH KHLJKWV RI 7 ZDY
+HDUW UDWH FRXQWLQJ UDQJH WR EHDWV PLQ +HDUW UDWH FRXQWLQJ DFFXUDF\ EHDWV PLQ WR EHDWV PLQ (VVHQWLDO SHUIRUPDQFH RI WKLV WUDQVPLWWHU Respiration Measurement Measuring method: Impedance method Measuring lead: Between R and F ,PSHGDQFH UDQJH WR ȍ ([FLWRU FXUUHQW WR $S S N+] 5HVSLUDWLRQ UDWH PHDVXULQJ DFFXUDF\ FRXQWV PLQ DW WR FRXQWV PLQ 5HVSLUDWLRQ UDWH FRXQWLQJ UDQJH WR FRXQWV PLQ (VVHQWLDO SHUIRUPDQFH RI WKLV WUDQVPLWWHU SpO2 Mea
Response time: Selectable from “Slow”, “Normal” and “Fast”. 7KH IROORZLQJ JUDSKV VKRZ UHVSRQVH WLPH IRU V 6S22 change.
7KH IROORZLQJ JUDSK VKRZV UHVSRQVH WLPH IRU ESP V SXOVH UDWH FKDQJH SpO2 = 97 PR Reference PR 150 140 PR (bpm) 130 120 110 100 90 80 70 60 0 10 20 30 40 50 60 70 80 90 100 110 120 Time (seconds) Transmitter )&& UHJXODWLRQ )&& SDUW 6XESDUW + Wireless Medical Telemetry Service (WMTS) P9 P DW P )LHOG VWUHQJWK OLPLWV Undesired emissions: FCC part 95 95.
Power Requirements 5DWHG YROWDJH 9 6KXWGRZQ YROWDJH WR 9 2SHUDWLQJ YROWDJH 6KXWGRZQ YROWDJH WR 9 %DWWHU\ W\SH 7ZR $$ /5 W\SH DONDOLQH GU\ FHOO SULPDU\ EDWWHULHV %DWWHU\ OLIHWLPH ZLWK DONDOLQH EDWWHULHV DW URRP WHPSHUDWXUH =0 3$ DSSUR[LPDWHO\ GD\V =0 3$ DSSUR[LPDWHO\ GD\V PHDVXULQJ (&* UHVSLUDWLRQ DQG SpO2) DSSUR[LPDWHO\ GD\V PHDVXULQJ (&* DQG UHVSLUDWLRQ Dimension and Weight 'LPHQVLRQ :HLJKW : î + î ' PP DERXW J H[FOX
7\SH RI SURWHFWLRQ DJDLQVW HOHFWULFDO VKRFN ,17(51$//< 32:(5(' (48,30(17 'HJUHH RI SURWHFWLRQ DJDLQVW HOHFWULFDO VKRFN (&* DQG LPSHGDQFH PHWKRG UHVSLUDWLRQ '(),%5,//$7,21 3522) 7<3( &) $33/,(' 3$57 SpO2 '(),%5,//$7,21 3522) 7<3( %) $33/,(' PART Degree of protection against harmful ingress of water: ,3; QRQ SURWHFWHG 'HJUHH RI VDIHW\ RI DSSOLFDWLRQ LQ WKH SUHVHQFH RI D )/$00$%/( $1$(67+(7,& 0,;785( :,7+ $,5 25 :,7+ 2;<*(1 25 1,75286 2;,'( (TXLSPHQW QRW VXLWDEOH IRU XVH LQ WKH SUHVHQF
Electromagnetic Immunity 7KLV PRGHO =0 3$ =0 3$ LV LQWHQGHG IRU XVH LQ WKH HOHFWURPDJQHWLF HQYLURQPHQW VSHFL¿HG EHORZ 7KH FXVWRPHU RU WKH XVHU RI =0 3$ RU =0 3$ VKRXOG DVVXUH WKDW LW LV XVHG in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer WR DQ\ SDUW RI =0 3$ =0 3$ including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF ,(& 9UPV 9UPV N+] WR 0+] d = 1.
Recommended Separation Distances between Portable and Mobile RF Communications Equipment 7KH =0 3$ =0 3$ LV LQWHQGHG IRU XVH LQ DQ HOHFWURPDJQHWLF HQYLURQPHQW LQ ZKLFK UDGLDWHG 5) GLVWXUEDQFHV DUH FRQWUROOHG 7KH FXVWRPHU RU WKH XVHU RI =0 3$ =0 3$ can help prevent electromagnetic interference by maintaining a minimum distance between SRUWDEOH DQG PRELOH 5) FRPPXQLFDWLRQV HTXLSPHQW WUDQVPLWWHUV DQG =0 3$ =0 3$ DV recommended below, according to the maximum output power of the communic
ZM-521PA/ZM-531PA Measured Parameters :DYHIRUPV 1XPHULF GDWD (&* LPSHGDQFH PHWKRG UHVSLUDWLRQ SXOVH +HDUW UDWH UHVSLUDWLRQ UDWH 6S22, pulse rate Transmitted Data :DYHIRUPV Numeric data: Status information: (&* UHVSLUDWLRQ SXOVH ZDYH SpO2, pulse rate Battery replacement, battery level*, alarm suspended, SDXVH PRQLWRULQJ SDWLHQW FRQ¿UPHG (&* OHDG SDFLQJ detection, electrode detachment, electrode impedance*, (&* RII UHVSLUDWLRQ PHWKRG LPSHGDQFH 6S22 status, respiration status*, channe
'H¿EULOODWLRQ SURRI (&* LQSXW SURWHFWHG DJDLQVW :V '& N9 ,(& FRPSOLHG (&* UHFRYHU\ WLPH DIWHU GH¿EULOODWLRQ ZLWKLQ V (OHFWURGH FRQGLWLRQ 'LVSOD\V &+(&. (/(&752'(6 PHVVDJH 7DOO 7 ZDYH UHMHFWLRQ FDSDELOLW\ &RPSOLHV ZLWK WKH KHLJKWV RI 7 ZDYHV IURP WR P9 ,(& FRPSOLHG +HDUW UDWH DYHUDJLQJ &DOFXODWHG E\ XVLQJ WKH PRVW UHFHQW EHDWV +HDUW UDWH PHWHU DFFXUDF\ DQG UHVSRQVH WR LUUHJXODU UK\WKP 9HQWULFXODU ELJHPLQ\ 7HVW ZDYHIRUP QDPH DD
Respiration Measurement Measuring method: Impedance method Measuring lead: Between R and F ,PSHGDQFH UDQJH WR ȍ ([FLWRU FXUUHQW WR $S S N+] 5HVSLUDWLRQ UDWH PHDVXULQJ DFFXUDF\ FRXQWV PLQ DW WR FRXQWV PLQ 5HVSLUDWLRQ UDWH FRXQWLQJ UDQJH WR FRXQWV PLQ (VVHQWLDO SHUIRUPDQFH RI WKLV WUDQVPLWWHU SpO2 Measurement (ISO 9919: 2005 compliance) 0HDVXULQJ UDQJH WR 6S22 'HFODUHG UDQJH WR 6S22 0LQLPXP GLVSOD\ UDQJH 6S22 'LVSOD\ XSGDWH F\FOH (YHU\ VH
Response time: Selectable from “Slow”, “Normal” and “Fast”. 7KH IROORZLQJ JUDSKV VKRZ UHVSRQVH WLPH IRU V 6S22 change.
7KH IROORZLQJ JUDSK VKRZV UHVSRQVH WLPH IRU ESP V SXOVH UDWH FKDQJH SpO2 = 97 PR Reference PR 150 140 PR (bpm) 130 120 110 100 90 80 70 60 0 10 20 30 40 50 60 70 80 90 100 110 120 Time (seconds) Transmitter )&& UHJXODWLRQ )&& SDUW 6XESDUW + Wireless Medical Telemetry Service (WMTS) P9 P DW P )LHOG VWUHQJWK OLPLWV Undesired emissions: FCC part 95 95.
Power Requirements 5DWHG YROWDJH 9 6KXWGRZQ YROWDJH WR 9 2SHUDWLQJ YROWDJH 6KXWGRZQ YROWDJH WR 9 %DWWHU\ W\SH 7ZR $$ /5 W\SH DONDOLQH GU\ FHOO SULPDU\ EDWWHULHV %DWWHU\ OLIHWLPH ZLWK DONDOLQH EDWWHULHV DW URRP WHPSHUDWXUH =0 3$ DSSUR[LPDWHO\ GD\V =0 3$ DSSUR[LPDWHO\ GD\V PHDVXULQJ (&* UHVSLUDWLRQ DQG SpO2) DSSUR[LPDWHO\ GD\V PHDVXULQJ (&* DQG UHVSLUDWLRQ Dimension and Weight 'LPHQVLRQ :HLJKW : î + î ' PP DERXW J H[FOXGL
7\SH RI SURWHFWLRQ DJDLQVW HOHFWULFDO VKRFN ,17(51$//< 32:(5(' (48,30(17 'HJUHH RI SURWHFWLRQ DJDLQVW HOHFWULFDO VKRFN (&* DQG LPSHGDQFH PHWKRG UHVSLUDWLRQ '(),%5,//$7,21 3522) 7<3( &) $33/,(' 3$57 SpO2 '(),%5,//$7,21 3522) 7<3( %) $33/,(' 3$57 Degree of protection against harmful ingress of water: ,3; QRQ SURWHFWHG 'HJUHH RI VDIHW\ RI DSSOLFDWLRQ LQ WKH SUHVHQFH RI D )/$00$%/( $1$(67+(7,& 0,;785( :,7+ $,5 25 :,7+ 2;<*(1 25 1,75286 2;,'( (TXLSPHQW QRW VXLWDEOH IRU XVH LQ WKH SUHVHQ
Electromagnetic Immunity 7KLV PRGHO =0 3$ =0 3$ LV LQWHQGHG IRU XVH LQ WKH HOHFWURPDJQHWLF HQYLURQPHQW VSHFL¿HG EHORZ 7KH FXVWRPHU RU WKH XVHU RI =0 3$ =0 3$ VKRXOG DVVXUH WKDW LW LV XVHG LQ such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer WR DQ\ SDUW RI =0 3$ =0 3$ including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF ,(& 9UPV 9UPV N+] WR 0+] d = 1.
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System Composition for EMC Test 7KH =0 3$ =0 3$ WUDQVPLWWHU LV WHVWHG WR FRPSO\ ZLWK ,(& DQG $PHQGPHQW ZLWK WKH IROORZLQJ FRPSRVLWLRQ Units =0 3$ =0 3$ WUDQVPLWWHU %5 3 (&* HOHFWURGH OHDG 7/ 7 ¿QJHU SUREH 108 Cable Length — P 1.
Standard Accessories Name Strap Model — Q’ty 1 Operator’s Manual ZM-520PA/521PA/530PA/531PA Supply Code Y233 109
Options CAUTION Only use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed. Transmitter 4, 3.
SpO2 Name Finger probe (reusable) 0XOWL VLWH SUREH UHXVDEOH Finger probe (reusable) SpO2 probe (for adult, disposable) SpO2 probe (for child, disposable) SpO2 probe (for neonate/adult, disposable) SpO2 probe (for child/infant, disposable) SpO2 probe (for adult/neonate, disposable) SpO2 probe (for child/infant, disposable) COTTONY tape )RDP WDSH IRU 7/ 6 6 6 6 $WWDFKPHQW WDSH IRU 7/ 7 7 Probe fastener Model Q’ty 7/ 7 1 7/ 7 7/ 7 7/ 7 7/ 7 7/ 7 7/ 7 7/ 7 7
Transmission Frequencies &KDQQHO WR Transmission Channel Frequency No. (MHz) Transmission Channel Frequency No. (MHz) Transmission Channel Frequency No.
Transmission Channel Frequency No. (MHz) Transmission Channel Frequency No. (MHz) Transmission Channel Frequency No.
Transmission Channel Frequency No. (MHz) 114 Transmission Channel Frequency No. (MHz) Transmission Channel Frequency No. (MHz) 9251 9219 9252 611.1625 9253 9221 9254 9222 9255 9223 9256 9191 9224 611.
Transmission Channel Frequency No. (MHz) Transmission Channel Frequency No. (MHz) 611.9625 Transmission Channel Frequency No. (MHz) 611.5625 9351 9319 9352 612.4125 9353 9321 9354 611.
Transmission Channel Frequency No. (MHz) 116 Transmission Channel Frequency No. (MHz) 9416 Transmission Channel Frequency No. (MHz) 613.6125 9449 613.2125 9451 9419 9452 613.6625 9453 613.
&KDQQHO ( WR ( Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No. (MHz) ( ( ( ( ( ( ( ( 1395.
Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No. (MHz) ( ( ( 1396.6625 ( ( ( ( 1396.2625 ( ( ( ( ( ( ( ( ( ( ( ( 1396.
Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No.
Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No. (MHz) ( Transmission Channel Frequency No. (MHz) ( ( ( 1399.2125 ( ( ( ( ( ( ( 1399.2625 ( ( ( 1399.
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Transmission Channel Frequency No. (MHz) ( ( ( Transmission Channel Frequency No. (MHz) ( ( ( Transmission Channel Frequency No. (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( 1429.
Transmission Channel Frequency No. (MHz) ( 1429.5125 ( ( Transmission Channel Frequency No. (MHz) ( ( ( Transmission Channel Frequency No. (MHz) ( ( ( 1429.5625 ( ( ( ( ( ( 1429.
Transmission Channel Frequency No. (MHz) ( ( ( Transmission Channel Frequency No. (MHz) ( 1431.2125 ( ( Transmission Channel Frequency No. (MHz) ( ( ( ( ( ( ( ( ( 1431.2625 ( ( ( ( ( ( 1431.
Manufacturer NIHON KOHDEN CORPORATION NIHON KOHDEN ITALIA S.r.l. 1-31-4 Nishiochiai, Shinjuku-ku Tokyo 161-8560, Japan Phone +81 3-5996-8036 Fax +81 3-5996-8100 Via Fratelli Bronzetti 28, 24124 Bergamo, Italy Phone + 39 035-219543 Fax +39 035-232546 North and South America NIHON KOHDEN AMERICA, INC. 15353 Barranca Parkway, Irvine, CA 92618, U.S.A. Toll-free +1-800-325-0283 Phone +1 949-580-1555 Fax +1 949-580-1550 NIHON KOHDEN LATIN AMERICA S.A.S Carrera 16 No.93A-36 Of. 802. Bogota D.C.
