ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Copyright Notice The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded, or otherwise) without the prior written permission of Nihon Kohden.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Contents GENERAL HANDLING PRECAUTIONS ...................................................................... i WARRANTY POLICY ..................................................................................................iii Equipment Authorization Requirement ........................................................................iv EMC RELATED CAUTION ...........................................................................................
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Parameter Setup Setting List ............................................................................... 26 Displaying the PARAMETER SETUP Screen ...................................................... 27 Changing Parameter Setup Settings .................................................................... 28 Changing SYSTEM SETUP Settings ......................................................................... 31 System Setup Setting List ...............
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Indication ................................................................................................................... 71 Messages .................................................................................................................. 71 Message Display Priority...................................................................................... 74 Troubleshooting ............................................................................
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Environment ......................................................................................................... 94 Safety Standards .................................................................................................. 94 Electromagnetic Compatibility .............................................................................. 95 Electromagnetic Emissions ..................................................................................
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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. 7.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ WARRANTY POLICY Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from the warranty.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Equipment Authorization Requirement 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. This device complies with Part 95 Subpart H of the FCC Rules to be used in wireless medical telemetry service.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Conventions Used in this Manual and Instrument Warnings, Cautions and Notes Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information. WARNING A warning alerts the user to the possible injury or death associated with the use or misuse of the instrument.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Explanations of the Symbols in this Manual and Instrument The following symbols found in this manual/instrument bear the respective descriptions as given.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Intended Use General The ZM-520PA and ZM-521PA transmitter transmits ECG and respiration from a patient to a Nihon Kohden monitor for continuous monitoring. The front LCD displays ECG, numeric values of monitoring parameters, messages and battery condition.* It also displays the compressed waveform and numeric data of the latest 10 minutes.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 “no battery” alarm.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 measuring ECG and/or respiration by 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Front Panel 1 2 3 6 4 7 5 No. Name Description 1 CALL key 2 LCD 3 Screen key When this key is pressed, a “peep” sounds at the transmitter, and “CALL” message appears at the monitor. Depending on the settings on the monitor, an ECG waveform is recorded when this key is pressed. Displays numeric values, ECG or pulse wave, messages and battery status. For details, refer to the “Screen Descriptions” section.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 1 2 3 6 4 7 5 No. 4 5 6 Name Description Infrared receiver Used for upgrading the transmitter software. Channel number label Indicates the channel number of the transmitter. Lead/Scroll keys On the numeric and waveform screen, these keys change the ECG lead. On the waveform review screen, these keys scroll data. On a SETUP screen, these keys move the cursor.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Rear Panel ZM-530PA/531PA only Refer to the “Explanations of the Symbols in this Manual and Instrument” section. Refer to the WARNING below. Refer to the WARNING below. Refer to the “Explanations of the Symbols in this Manual and Instrument” section. Battery case: Contains two alkaline dry cell batteries (AA TYPE). WARNING Close the battery case cover during operation.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ WARNING WARNING When the transmitter is used with an electrosurgical unit (ESU), firmly attach the entire area of the ESU return plate. Otherwise, the current from the ESU flows into the electrodes of the transmitter, causing electrical burn where the electrodes are attached. For details, refer to the ESU manual. This transmitter is not waterproof. If detergent or liquid spills into the transmitter, stop using it and contact your Nihon Kohden representative.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ WARNING Do not diagnose a patient based only on data acquired by the transmitter. Overall judgement must be performed by a physician who understands the features, limitations and characteristics of the transmitter and by reading the biomedical signals acquired by other instruments. CAUTION CAUTION Only use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ CAUTION CAUTION Signal loss and artifact may occur because of the multipath cancellation* when using a transmitter. 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).
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Output Signal WARNING Do not use the output signal from the receiving monitor as the synchronization signal for other equipment such as IABP, MRI, echocardiography or defibrillator. There may be time delay between the monitor and the other equipment caused by waveform transmission delay and spike noise may interfere on the output signal and be mistaken as a trigger. Battery WARNING Do not use NiMH batteries for this transmitter.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Transmitter Channel Management WARNING The following actions must be taken to properly receive the transmitter signal of the correct patient on the receiving instrument. Otherwise, there may be signal loss or signals may mix causing a serious accident, such as monitoring a different patient. • Assign a channel administrator in the hospital and only he or she should manage channel assignment.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ ECG Monitoring WARNING WARNING After attaching the electrode to the patient and connecting the electrode lead to the transmitter, check that electrodes are attached to the patient and check that the electrode lead is connected to the transmitter properly.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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).
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 Refer to the probe instruction manual for details. CAUTION CAUTION Do not attach the probe to the same limb that is used for NIBP measurement or an IBP catheter. The SpO2 measurement may be incorrect.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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. If the skin gets irritated or redness appears on the skin from the probe, change the attachment site or stop using the probe.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ CAUTION CAUTION Never disassemble or repair the transmitter. If there is any problem with the transmitter, contact your Nihon Kohden representative. Dispose of Nihon Kohden products according to your local laws and your facility’s guidelines for waste disposal. Otherwise, it may affect the environment.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 turned on, it reduces the battery power. Instruct the patient not to turn on the display during monitoring.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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: • The transmitter displays the “BATTERY WEAK” message or “ ” icon. • The transmitter generates a constant alarm (continuous “peep” sound).
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Turning On the Transmitter When the batteries are installed correctly, the power is turned on. A one second “peep” sounds and the startup screen appears, then the check electrodes screen appears. (There is no “peep” sound when there is no battery power.) After checking that the ECG is stable on the check electrodes screen, press the Screen key to display the numeric and waveform screen. For details on the screen, refer to the “Screen Descriptions” section.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Batteries • The battery polarity is correct. • The battery case spring is firmly attached and the battery is not loose. • The battery case cover is firmly closed. Channel Setting • The transmitter channel matches the receiving monitor channel. • There is no nearby transmitter with the same channel. Other • When performing defibrillation, set the hum filter to ON on the receiving monitor.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Turning Off the Transmitter To turn off the power, remove batteries. When the power is turned off, the saved waveform and numeric data are deleted. Changing the Transmitter Channel The channel of the transmitter can be changed with an optional QI-901PK channel writer. WARNING The following actions must be taken to properly receive the transmitter signal of the correct patient on the receiving instrument.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Changing Parameter and System Setup Settings The initial settings on the PARAMETER SETUP and SYSTEM SETUP screens can only be 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.
ᚑ 㒙ጊޓᖘᏆ Setting item ᛚ ⌀ᨩ⌬ޓ Description Settings Select the SpO2 response mode. FAST: Select this for special applications that require a fast response. FAST is FAST, NORMAL, suitable for detecting short apnea. SLOW NORMAL: For normal monitoring. SLOW: Select this when you need to suppress a rapid change in SpO2. SpO2 RESPONSE Displaying the PARAMETER SETUP Screen Turn off the transmitter by removing one battery. 2.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Changing Parameter Setup Settings ECG ELECTRODES Select the electrode lead type. On the PARAMETER SETUP screen, press the key to move the cursor to “ECG ELECTRODES”. 2. Press the Function key. The cursor moves to the selection item. 3. Press the 4. Press the Function key to register the selected setting. The cursor returns to “ECG ELECTRODES”. Selected setting ▼ Cursor 1. ▼ Cursor Setting item key to select “IEC” or “AHA”.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ ECG MEASUREMENT Turn ECG monitoring on or off. When electrodes are attached to the patient and ECG leads are connected, ECG monitoring starts even when this setting is set to OFF. If this setting is set to OFF, the same setting on the receiving monitor must also be set to OFF.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ SpO2 RESPONSE Select the SpO2 response mode. FAST: Select this for special applications that require a fast response. FAST is suitable for detecting short apnea. NORMAL: For normal monitoring. SLOW: Select this when you need to suppress a rapid change in SpO2. On the PARAMETER SETUP screen, press the key to move the cursor to “SpO2 RESPONSE”. “SpO2 RESPONSE” is on the second page of the PARAMETER SETUP screen. 2. Press the Function key. 3.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Changing SYSTEM SETUP Settings System Setup Setting List The factory default settings are underlined. Setting Item PROTOCOL Description Select the transmitting protocol. 51: New protocol. A central monitor with ORG9100A/9110A multiple patient receiver whose software version 03-03 or later can receive this protocol. 41: Old protocol. A central monitor with ORG9100A/9110A/9700A multiple patient receiver can receive this protocol.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Setting Item AUTO RESUME AFTER PAUSE Description Select the interval to resume monitoring after PAUSE. Settings 10 s, 30 s, 1 min, 2 min, 3 min, OFF Displaying the SYSTEM SETUP Screen Turn off the transmitter by removing one battery. 2. While pressing the Function key, turn on the transmitter (insert the battery). The MENU screen appears. 3. Press the key to move the cursor to “SYSTEM SETUP”. 4. Press the Function key to enter SYSTEM SETUP.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Changing System Setup Settings PROTOCOL Select the transmitting protocol. For differences between protocols, refer to the table below. 51: New protocol. A central monitor with ORG-9100A/9110A multiple patient receiver whose software version 03-03 or later can receive this protocol. 41: Old protocol. A central monitor with ORG-9100A/9110A/9700A multiple patient receiver can receive this protocol.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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”. 4. Press the Function key to register the selected setting. The cursor returns to “PROTOCOL”. ▼ BRIGHTNESS Select the screen brightness. 1. Press the 2. Press the Function key. 3. Press the 4.
ᛚ ⌀ᨩ⌬ޓ 1. On the SYSTEM SETUP screen, press the key to move the cursor to “FUNCTION KEY”. “FUNCTION KEY” is on the second page of the SYSTEM SETUP screen. 2. Press the Function key. 3. Press the 4. Press the Function key to register the selected setting. The cursor returns “FUNCTION KEY”. SYSTEM SETUP screen - page 2 ▼ ▼ ᚑ 㒙ጊޓᖘᏆ key to select the function. ▼ AUTO RESUME AFTER PAUSE Select the interval to resume monitoring after PAUSE.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Initializing Settings Do the following procedure to initialize all settings, except for channel, to the factory default settings. 1. Turn off the transmitter by removing a battery. 2. While pressing the Function key, turn on the transmitter (put back the battery). The MENU screen appears. 3. Press the key to move the cursor to “SYSTEM INITIALIZE”. 4. Press the Function key to enter SYSTEM INITIALIZE screen. 5.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 electrodes and leads can be used on the transmitter (option). No.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Connecting the Electrode Lead to the Transmitter Connect the electrode lead to the ECG/RESP socket on the transmitter. WARNING After attaching the electrode to the patient and connecting the electrode lead to the transmitter, check that electrodes are attached to the patient and check that the electrode lead is connected to the transmitter properly.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Electrode Position Follow the physician’s instructions for electrode placement when available. For ECG monitoring, electrodes are attached only on the chest to allow patient movement and obtain continuous stable ECG. The following leads are examples. When also monitoring respiration, refer to the “Electrode Position for Respiration Monitoring” section.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Lead Position Standard limb leads Lead II Lead RA Lead II LA Lead III RA LL N (RL) Monopolar limb leads aVR lead N (RL) aVL lead aVF lead RA LA RA LA N (RL) N (RL) LA LL LL LL LA LL LL N (RL) RA RA LA N (RL) Monopolar chest leads V1 to V6 leads to RA LA LL N (RL) 40 Operator’s Manual ZM-520PA/521PA/530PA/531PA
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Three Electrodes • Lead MII, which is similar to standard lead II, used when ECG measurement has priority R/RA (−) L/LA (N) F/LL (+) Electrode Position Left infraclavicular fossa Right infraclavicular fossa Below lowest rib on the left anterior axillary line • Lead MI, which is similar to standard lead I Change F/LL and L/LA of lead MII.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Position 4 In this position, the respiration measurement is influenced by the impedance variation of the abdomen, so the cardiac pulse wave included in the respiration wave is reduced. Note that the waveform is inverted in phase compared with the chest movement (the waveform goes down during inspiration). It is difficult to measure the ECG at the same time.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Refer to the electrode operator’s manual for details. 1. Carefully remove the backing paper from the electrode. Avoid touching the adhesive surface. 2. Place the electrode on the previously cleaned skin. Pay 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Reusable Probes When using a TL-201T finger probe, choose the appropriate cable length for attachment. Probe Finger probe TL-201T Cable Length 0.6 m Patient Adult or child 20 kg or more Attachment Site Finger Adult or infant 3 kg or more Finger or toe Neonate 3 kg or less Instep and sole Adult or child 20 kg or more Finger or toe 1.6 m Multi-site probe TL-220T Attachment tape Finger probe TL-631T1, TL-631T3 Attachment tape TL-631T1: 0.
ᚑ 㒙ጊޓᖘᏆ Probe TL-051S, TL-052S ᛚ ⌀ᨩ⌬ޓ Patient Attachment Site Adult 50 kg or more Finger Neonate 3 kg or less Instep and sole Adult or child 15 to 50 kg Finger Infant 3 to 15 kg Toe Adult 30 kg or more Finger or toe 40 mm Cable length TL-051S: 0.8 m TL-052S: 1.6 m TL-061S, TL-062S 35 mm Cable length TL-061S: 0.8 m TL-062S: 1.6 m TL-271T, TL-271T3 Cable length TL-271T: 0.8 m TL-271T3: 1.6 m TL-272T, TL-272T3 Child 10 to 50 kg Cable length TL-272T: 0.
ᚑ 㒙ጊޓᖘᏆ Probe TL-273T, TL-273T3 ᛚ ⌀ᨩ⌬ޓ Patient Neonate 3 kg or less Attachment Site Instep and sole Adult 40 kg or more Finger or toe Infant 3 to 20 kg Finger or toe Cable length TL-273T: 0.8 m TL-273T3: 1.6 m TL-274T, TL-274T3 Cable length TL-274T: 0.8 m TL-274T3: 1.6 m Connecting the SpO2 Probe to the Transmitter Connect the probe to the SpO2 socket on the transmitter.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Attaching the Probe to the Patient Attach the probe to the patient by referring to the probe’s manual. Make sure that the light emitter 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Locking the Keys on the Transmitter ▼ Press the appears. and ▼ To prevent the patient from pressing the keys on the transmitter during monitoring, you can lock the keys. keys at the same time and hold for more than 3 seconds. The key lock screen When there is no key operation for one minute after locking the keys, the display turns off. 50 ▼ ▼ To unlock the keys: Press the and keys at the same time and hold for more than 3 seconds.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ The screen automatically turns off when there is no key operation for 2 minutes on the check electrodes screen or 1 minute on other screens. When the display is off and the Screen key is pressed, the numeric and waveform screen appears. NOTE When the screen before the display off is check electrodes screen and the Screen key is pressed within 5 minutes after the display off, the check electrodes screen appears.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Check Electrodes Screen You can check whether the electrodes are properly attached to the patient and the ECG waveform is acquired. When 6 leads are used, I, II, Va and Vb lead waveforms are displayed. When 3 leads are used, only II lead waveform is displayed. Battery level Channel number Lead ECG waveform Filter: off Sweep speed: 12.5 mm/s Waveform sensitivity: 0.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Numeric and Waveform Screen ▼ ▼ Numeric values and waveforms of the monitoring parameters are displayed. You can change the ECG lead with the and keys. 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 When ECG and respiration measurement is turned off Pulse rate SpO2 Pulse sync mark Pulse wave sensitivity Pulse waveform Sweep speed: 12.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 ECG full disclosure for up to 10 minutes can be saved and reviewed. When ECG measurement is turned off and SpO2 is monitored, the pulse waveform is saved.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Numeric Review Screen Numeric data of heart rate (or pulse rate when ECG is turned off), SpO2 and respiration rate for up to 10 minutes are saved at 1 minute intervals. 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Basic Monitoring Operation Using the Function Key Function key One of the following functions can be assigned to the Function key on the SYSTEM SETUP screen. Refer to the “Changing SYSTEM SETUP Settings” section. SUSPEND ALARM: Suspends alarms on the receiving monitor before they occur for 2 minutes. PAUSE: Pauses monitoring on the transmitter and receiving monitor.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Suspending Alarms on the Receiving Monitor When the FUNCTION KEY is set to “SUSPEND ALARM” or “SUSPEND ALARM & PAUSE” on the SYSTEM SETUP screen, alarms can be suspended for 2 minutes on the receiving monitor before they occur. 2. ▼ To suspend alarms: 1. Press the Function key. The “Suspend alarms” confirmation screen appears. Press the key to suspend alarms. To cancel suspending alarms and return to the previous screen, press the Screen key.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 2. ▼ To cancel suspending alarms during 2 minute alarm suspension: 1. Press the Function key while the “ALARMS SUSPENDED” message is displayed. The confirmation screen appears. Press the key to cancel alarm suspension. Press the Screen key to not cancel alarm suspension.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ To pause monitoring: 1. Press the Function key. The “Suspend alarms” confirmation screen appears. Press the Function key for 3 seconds to display the “Pause monitoring” confirmation screen. 3. Press the key to pause monitoring. To cancel pause monitoring, press the Screen key. 4. Wait about 5 seconds until the “Turn power off” screen appears. 60 ▼ 2.
ᚑ 㒙ጊޓᖘᏆ 5. ᛚ ⌀ᨩ⌬ޓ Turn off the transmitter. If the transmitter is not turned off and monitoring continues for the interval set for “AUTO RESUME AFTER PAUSE” on the SYSTEM SETUP screen, pause monitoring is cancelled and monitoring continues. Resume Monitoring after Pause To resume monitoring after pause, check that the electrodes, electrode leads and probe are attached to the patient then turn on the transmitter.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Turning the Display Off The display can be turned off any time. To turn off the display, press the Screen key several times until the following screen appears then wait 5 seconds. 5 second time bar until the display turns off Turning the Display On after It was Turned Off Press the Screen key. The numeric and waveform screen appears. If the screen is turned off on the “Keys locked” screen, the “Keys locked” screen appears.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ ECG and Respiration Monitoring When the electrodes are attached and the ECG leads are connected, the heart rate, ECG waveform, respiration rate and respiration waveform appear on the receiving monitor. Refer to the operator’s manual of the receiving monitor for details. When 6 leads are used on this transmitter, up to 8 leads (I, II, III, aVR, aVL, aVF, Va and Vb) of ECG waveforms can be displayed on the receiving monitor. The heart rate is also measured.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Use with a Pacemaker When monitoring a pacemaker patient, the transmitter detects pacemaker pulse and rejects the pacemaker pulse from the heart rate count. WARNING Interaction Between Minute Ventilation Rate-Adaptive Pacemakers and Cardiac Monitoring and Diagnostic Equipment* 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ • Turn the pacing spike detection to ON on the receiving monitor when monitoring a pacemaker patient. Pacing pulse is detected by the transmitter and transmitted to the monitor. If the pacing spike detection is turned OFF, QRS and pacemaker spike might not be distinguished and pacemaker failure might not be recognized.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Turning ECG Measurement On/Off ECG measurement can be turned on or off on the PARAMETER SETUP screen. When electrodes are attached to the patient and ECG leads are connected, ECG monitoring starts even when ECG is turned off. When PROTOCOL on the SYSTEM SETUP screen is set to 51: ECG measurement on the receiving monitor is automatically set to off. NOTE ECG measurement on the transmitter cannot be turned on or off from the receiving monitor.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ SpO2 Monitoring The SpO2 monitoring is only available on the ZM-530PA/531PA transmitter. When monitoring starts, SpO2 and the pulse waveform are sent to the receiving monitor and SpO2 and the pulse level bar graph are displayed on the transmitter screen. When ECG is not measured, the pulse waveform and pulse rate are also displayed.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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).
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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”.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Indications and Messages Indication Indication Cause Countermeasure Batteries are fully charged. — Batteries are getting low. Batteries are low. Batteries are almost empty. Replace batteries. Alarms on the receiving monitor were suspended by pressing the Function key on the transmitter. Alarms resume when the suspend interval elapses. To cancel alarm suspension, press the Function key again.
ᚑ 㒙ጊޓᖘᏆ Message CANNOT MEASURE* CHECK ELECTRODES CHECK PROBE ᛚ ⌀ᨩ⌬ޓ Cause Contact between the disposable electrode and skin becomes poor. Electrode lead is disconnected from the electrode. Electrode lead is disconnected from the transmitter. Electrode lead discontinuity. Electrode is not firmly attached to the skin. Polarization voltage is abnormally high. The probe is not attached to the patient properly. The probe is not attached at the appropriate site.
ᚑ 㒙ጊޓᖘᏆ Message PATIENT CONFIRMED* ᛚ ⌀ᨩ⌬ޓ Cause Function key is pressed and the “PATIENT CONFIRMED” signal is transmitted to the receiving monitor. (When “PATIENT” is assigned as the function for the Function key on the SYSTEM SETUP screen.) The probe is past its expiration date. PROBE FAILURE* Probe is damaged or short-circuited. Transmitter failure. SpO2 MODULE ERROR* SYS OUT OF RANGE WEAK PULSE* RESP OFF Transmitter failure.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Message Display Priority When more than one message condition occurs on the transmitter, only the message with the highest priority is displayed.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Troubleshooting If a problem occurs, use the following to find and fix it. If the problem still remains after checking the following, contact your Nihon Kohden representative. Transmitter Problem 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 LCD is difficult to appropriate. see (too dark or too light).
ᚑ 㒙ጊޓᖘᏆ Problem Signal receiving condition is poor. ᛚ ⌀ᨩ⌬ޓ Cause Another transmitter with the same channel is used nearby. Signals of another patient are mixing. The transmitter is damaged. Countermeasure 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.
ᚑ 㒙ጊޓᖘᏆ Problem The heart rate of a patient who is using an electric blanket is unstable on the receiving monitor. No heart rate or ECG is displayed. Respiration waveform measurement is unstable. ᛚ ⌀ᨩ⌬ޓ Cause Countermeasure Pacing pulse detection is turned ON on the receiving monitor. Turn OFF the pacing pulse detection on the receiving monitor. “ECG MEASUREMENT” on the PARAMETER SETUP screen is set to OFF. The gel on the electrode is dried out.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Maintenance To use the transmitter in safe and optimum condition, perform maintenance check every six months. The following units are necessary for some checking items. • AX-400G Vital Sign Simulator • AX-300T SpO2 Checker • Receiving monitor CAUTION Never disassemble or repair the transmitter. If there is any problem with the transmitter, contact your Nihon Kohden representative.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Channel numbers Startup screen Numeric and waveform screen 3. Transmitting/Receiving Signal Use the AX-400G vital sign simulator and receiving monitor. 1. Connect the vital sign simulator to the transmitter. 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. 5.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ While pressing the Function key, turn on the transmitter. The MENU screen appears. 3. Press the ▼ 2. key to move the cursor to “MANUAL CHECK” and press the Function key. Press the or 5. Each time the key to move the cursor to “LCD TEST” and press the Function key. ▼ ▼ 4. ▼ Cursor key is pressed, the screen changes as below. Check that no dots are missing. → → blue 80 → → red → → green → →. . .
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 6. Press the Screen key to return to the MANUAL CHECK screen. 7. Press the Screen key again to return to the MENU screen. 5. Key Operation Turn off the transmitter. 2. While pressing the Function key, turn on the transmitter. The MENU screen appears. 3. Press the ▼ 1. key to move the cursor to “MANUAL CHECK” and press the Function key. ▼ 4. Press the or ▼ Cursor key to move the cursor to “KEY CHECK” and press the Function key.
ᚑ 㒙ጊޓᖘᏆ 5. ᛚ ⌀ᨩ⌬ޓ Press each key one at a time and check that the pressed key is highlighted on the screen. When the CALL key is pressed, the key name is highlighted. 6. After checking, press and hold the Screen key to return to the MANUAL CHECK screen. 6. ECG Check 1. Connect the vital sign simulator to the transmitter. AX-400G 2. Place the transmitter 1 m from the receiving monitor. 3. Turn on the transmitter and vital sign simulator. 4.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 7. Respiration Check 1. Connect the vital sign simulator to the transmitter. AX-400G 2. Place the transmitter 1 m from the receiving monitor. 3. Turn on the transmitter and vital sign simulator. 4. Check that the respiration waveform of the transmitter appears on the receiving monitor. 8. SpO2 Check 1. Connect the SpO2 checker to the transmitter. AX-300T 2. Place the transmitter 1 m from the receiving monitor. 3.
ᚑ 㒙ጊޓᖘᏆ 5. ᛚ ⌀ᨩ⌬ޓ Check that SpO2 and pulse rate on the transmitter is within the following range. SpO2 on the SpO2 Checker SpO2 Pulse rate 97% 80% 70% 60 beats/min 120 beats/min Range 95 to 99%SpO2 (±2 digit) 78 to 82%SpO2 (±2 digit) 67 to 73%SpO2 (±3 digit) 57 to 62 beats/min (±3%/±1 beat/min) 115 to 124 beats/min (±3%/±1 beat/min) NOTE The above range includes the error margin of the SpO2 checker.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Maintenance Check Sheet Hospital/Organization: Service Personnel: Instrument Name: Transmitter Instrument Model: ZM-520PA/ZM-521PA/ZM-530PA/ZM-531PA Instrument Serial Number: Hardware Revision Number: Software Revision Number: 1. External Check OK No 2. Transmitter Channel OK No 3. Transmitting/Receiving Signal OK No 4. Display OK No 5. Key Operation OK No 6. ECG Check OK No 7. Respiration Check OK No 8.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 Silicon seal (for battery case cover) Code no. 6114-918705 Expected life span 1 year Repair Parts Availability Policy Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to maintain the performance of the instrument) for a period of 8 years from the date of delivery.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Specifications ZM-520PA/530PA Measuring Parameters Measuring waveforms: Measuring numeric data: ECG, respiration in impedance method, pulse Heart rate, respiration rate, SpO2, pulse rate Transmitting Data Waveform data: Numeric data: Status information: ECG, respiration, pulse wave SpO2, pulse rate Battery replacement, battery level*, alarm suspended, pause monitoring*, patient confirmed*, ECG lead, pacing detection, electrode detachment, electrode impedance
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Common mode rejection ratio: 95 dB or more IEC 60601-2-27: 2005 50.102.10 complied Pacing pulse detection: amplitude ±2 to 700 mV, duration 0.1 to 2 ms IEC 60601-2-27: 2005 complied Based upon pacemaker pulse rejection capability Defibrillation-proof: ECG input protected against 400 Ws/DC 5 kV IEC 60601-2-27 17.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Heart rate counting range: 0, 15 to 300 beats/min Heart rate counting accuracy*: ±2 beats/min, (0, 15 to 300 beats/min) * Essential performance of this transmitter Respiration Measurement Measuring method: Impedance method Measuring lead: Between R and F Impedance range: 220 to 2000 Ω Excitor current: 54 to 93 μAp-p, 48 kHz Respiration rate measuring accuracy*: ±2 counts/min (at 0 to 150 counts/min) Respiration rate counting range: 0 to 150 counts/min * Esse
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Response time: Selectable from “Slow”, “Normal” and “Fast”. The following graphs show the response time example when SpO2 changes 0.6%/s.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 FCC regulation: Field strength limits: Undesired emissions: Antenna: Transmission channel: Transmission frequency range: Channel spacing: Modulation: Type of emission: Occupied bandwidth: Effective radiated power: FCC part 95 Subpart H Wireless Medical Telemetry Service (WMTS) ≤ 200 mV/m (at 3 m) ≤ 960 MH
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Dimension and Weight Dimension: Weight: 78 W × 137 H × 36 D (mm) about 230 g (excluding batteries and other accessories) about 280 g (including batteries, excluding other accessories) Environment Operating environment Temperature: Humidity: Atmospheric pressure: 5 to 40°C (41 to 104°F) 30 to 85% (noncondensing) 700 to 1060 hPa Storage and transport environment Temperature: −20 to +65°C (−4 to +149°F) Humidity: 10 to 95% Atmospheric pressure: 700 to 1060 h
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE Mode of operation: CONTINUOUS OPERATION ME EQUIPMENT type: HAND-HELD and PORTABLE Electromagnetic Compatibility IEC 60601-1-2: 2001 IEC 60601-1-2 Amendment 1: 2004 Electromagnetic Emissions This Model ZM-520PA/530
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Electromagnetic Immunity This Model ZM-520PA/530PA is intended for use in the electromagnetic environment specified below. The customer or the user of the ZM-520PA/530PA should assure that it is used in such an environment.
ᚑ 㒙ጊޓᖘᏆ Immunity test IEC 60601 test level ᛚ ⌀ᨩ⌬ޓ Compliance level Electromagnetic environment - guidance Portable and mobile RF communications equipment should be used no closer to any part of the ZM-520PA/530PA, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF IEC 61000-4-6 3 Vrms 3 Vrms 150 kHz to 80 MHz d = 1.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Recommended Separation Distances between Portable and Mobile RF Communications Equipment The ZM-520PA/530PA is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ ZM-521PA/531PA Measuring Parameters Measuring waveforms: Measuring numeric data: ECG, respiration in impedance method, pulse Heart rate, respiration rate, SpO2, pulse rate Transmitting Data Waveform data: Numeric data: Status information: ECG, respiration, pulse wave SpO2, pulse rate Battery replacement, battery level*, alarm suspended, pause monitoring*, patient confirmed*, ECG lead, pacing detection, electrode detachment, electrode impedance*, ECG off*, r
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Defibrillation-proof: ECG input protected against 400 Ws/DC 5 kV IEC 60601-2-27 17.101 complied ECG recovery time after defibrillation: within 10 s Electrode condition: Displays CHECK ELECTRODES message Tall T-wave rejection capability: Complies with the heights of T-waves from 0 to 1.2 mV IEC 60601-2-27: 2005 50.102.17 complied Heart rate averaging: Calculated by using the most recent 8 beats.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Respiration Measurement Measuring method: Impedance method Measuring lead: Between R and F Impedance range: 220 to 2000 Ω Excitor current: 54 to 93 μAp-p, 48 kHz Respiration rate measuring accuracy*: ±2 counts/min (at 0 to 150 counts/min) Respiration rate counting range: 0 to 150 counts/min * Essential performance of this transmitter SpO2 Measurement (ISO 9919: 2005 compliance) Measuring range: Declared range: Minimum display range: Display update cycle: Mea
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Response time: Selectable from “Slow”, “Normal” and “Fast”. The following graphs show the response time example when SpO2 changes 0.6%/s.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ 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 FCC regulation: Field strength limits: Undesired emissions: Antenna: Transmission channel: Transmission frequency range: Channel spacing: Modulation: Type of emission: Occupied bandwidth: Effective radiated power: FCC part 95 Subpart H Wireless Medical Telemetry Service (WMTS) ≤ 740 mV/m (at 3 m) ≤ 960 MH
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Dimension and Weight Dimension: Weight: 78 W × 137 H × 36 D (mm) about 230 g (excluding batteries and other accessories) about 280 g (including batteries, excluding other accessories) Environment Operating environment Temperature: Humidity: Atmospheric pressure: 5 to 40°C (41 to 104°F) 30 to 85% (noncondensing) 700 to 1060 hPa Storage and transport environment Temperature: −20 to +65°C (−4 to +149°F) Humidity: 10 to 95% Atmospheric pressure: 700 to 1060 h
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE: Equipment not suitable for use in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS OXIDE Mode of operation: CONTINUOUS OPERATION ME EQUIPMENT type: HAND-HELD and PORTABLE Electromagnetic Compatibility IEC 60601-1-2: 2001 IEC 60601-1-2 Amendment 1: 2004 Electromagnetic Emissions This Model ZM-521PA/531
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Electromagnetic Immunity This Model ZM-521PA/531PA is intended for use in the electromagnetic environment specified below. The customer or the user of the ZM-521PA/531PA should assure that it is used in such an environment.
ᚑ 㒙ጊޓᖘᏆ Immunity test IEC 60601 test level ᛚ ⌀ᨩ⌬ޓ Compliance level Electromagnetic environment - guidance Portable and mobile RF communications equipment should be used no closer to any part of the ZM-521PA/531PA, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF IEC 61000-4-6 3 Vrms 3 Vrms 150 kHz to 80 MHz d = 1.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Recommended Separation Distances between Portable and Mobile RF Communications Equipment The ZM-521PA/531PA is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Standard Accessories Name Strap Model — Operator’s Manual ZM-520PA/521PA/530PA/531PA Q’ty 1 Supply Code No.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Options CAUTION Only use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed. Transmitter Channel writer, QI-901PK ECG/RESP Name Purpose 3 electrodes AHA, 6 electrodes clip type Length (m) Code No. BR-903PA Electrode 0.8 lead BR-906PA L-150 General – L-150X F-150M 1.0 V-090M3 1.5 V-09IO3 1.0 V-040M4 General with DIN type lead 1.5 V-04IO4 Disposable 1.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ SpO2 Name Finger probe (reusable) Multi-site probe (reusable) 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 Foam tape for TL-051S/052S/ 061S/062S Attachment tape for TL220T/631T Probe fastener Cable Length 0.6 m 1.6 m 1.6 m 0.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Transmission Frequencies Channel: 9002 to 9478 Transmission Transmission Transmission Frequency Channel No. Frequency Channel No. Frequency Channel No. (MHz) (MHz) (MHz) 608.0250 608.0375 608.0500 608.0625 608.0750 608.0875 608.1000 608.1125 608.1250 608.1375 608.1500 608.1625 608.1750 608.1875 608.2000 608.2125 608.2250 608.2375 608.2500 608.2625 608.2750 608.2875 608.3000 608.3125 608.3250 608.3375 608.3500 608.3625 608.3750 608.3875 608.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Transmission Transmission Transmission Frequency Channel No. Frequency Channel No. Frequency Channel No. (MHz) (MHz) (MHz) 608.4125 608.4250 9033 9034 608.8250 608.8375 9066 9067 609.2375 609.2500 9099 9100 609.2625 609.2750 609.2875 609.3000 609.3125 609.3250 609.3375 609.3500 609.3625 609.3750 609.3875 609.4000 609.4125 609.4250 609.4375 609.4500 609.4625 609.4750 609.4875 609.5000 609.5125 609.5250 609.5375 609.5500 609.5625 609.5750 609.5875 609.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Transmission Transmission Transmission Frequency Channel No. Frequency Channel No. Frequency Channel No. (MHz) (MHz) (MHz) 114 609.6750 9134 610.1250 9170 610.5750 9206 609.6875 9135 610.1375 9171 610.5875 9207 609.7000 9136 610.1500 9172 610.6000 9208 610.6125 9209 611.0625 9245 611.5125 9281 610.6250 9210 611.0750 9246 611.5250 9282 610.6375 610.6500 610.6625 610.6750 610.6875 610.7000 610.7125 610.7250 610.7375 610.7500 610.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Transmission Transmission Transmission Frequency Channel No. Frequency Channel No. Frequency Channel No. (MHz) (MHz) (MHz) 611.0125 611.0250 611.0375 611.0500 9241 9242 9243 9244 611.4625 611.4750 611.4875 611.5000 9277 9278 9279 9280 611.9125 611.9250 611.9375 611.9500 9313 9314 9315 9316 611.9625 611.9750 611.9875 612.0000 612.0125 612.0250 612.0375 612.0500 612.0625 612.0750 612.0875 612.1000 612.1125 612.1250 612.1375 612.1500 612.1625 612.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Transmission Transmission Transmission Frequency Channel No. Frequency Channel No. Frequency Channel No. (MHz) (MHz) (MHz) 612.3625 612.3750 612.3875 612.4000 9349 9350 9351 9352 612.8125 612.8250 612.8375 612.8500 9385 9386 9387 9388 613.2625 613.2750 613.2875 613.3000 9421 9422 9423 9424 613.3125 9425 613.5375 9443 613.7625 9461 613.3250 9426 613.5500 9444 613.7750 9462 613.3375 9427 613.5625 9445 613.7875 9463 613.3500 9428 613.
ᚑ 㒙ጊޓᖘᏆ Transmission Frequency (MHz) 1395.1125 1395.1250 1395.1375 1395.1500 Channel No. E009 E010 E011 E012 ᛚ ⌀ᨩ⌬ޓ Channel No. Transmission Frequency (MHz) Channel No. E044 1395.9875 E079 1395.5625 1395.5750 1395.5875 E045 E046 E047 1396.0000 1396.0125 1396.0250 E080 E081 E082 Transmission Frequency (MHz) 1395.5500 1395.1625 E013 1395.6000 E048 1396.0375 E083 1395.1750 1395.1875 1395.2000 E014 E015 E016 1395.6125 1395.6250 1395.
ᚑ 㒙ጊޓᖘᏆ E150 E151 E152 Transmission Frequency (MHz) 1397.3250 1397.3375 1397.3500 1396.9125 E153 1397.3625 E189 E118 E119 E120 1396.9250 1396.9375 1396.9500 E154 E155 E156 1397.3750 1397.3875 1397.4000 E190 E191 E192 1396.5125 1396.5250 E121 E122 1396.9625 1396.9750 E157 E158 1397.4125 1397.4250 E193 E194 1396.5375 1396.5500 1396.5625 1396.5750 1396.5875 1396.6000 1396.6125 1396.6250 1396.6375 1396.6500 1396.6625 1396.6750 1396.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Transmission Frequency (MHz) Channel No. Transmission Frequency (MHz) Channel No. Transmission Frequency (MHz) Channel No. 1397.7625 1397.7750 E221 E222 1398.2125 1398.2250 E257 E258 1398.6625 1398.6750 E293 E294 1397.7875 1397.8000 E223 E224 1398.2375 1398.2500 E259 E260 1398.6875 1398.7000 E295 E296 1397.8125 1397.8250 1397.8375 E225 E226 E227 1398.2625 1398.2750 1398.2875 E261 E262 E263 1398.7125 1398.7250 1398.
ᚑ 㒙ጊޓᖘᏆ E328 E329 Transmission Frequency (MHz) 1399.5250 1399.5375 1399.1250 1399.1375 1399.1500 E330 E331 E332 1399.5500 1399.5625 1399.5750 E364 E365 E366 1399.1625 E333 1399.5875 E367 1399.1750 1399.1875 1399.2000 E334 E335 E336 1399.6000 1399.6125 1399.6250 E368 E369 E370 1399.2125 1399.2250 1399.2375 1399.2500 1399.2625 1399.2750 1399.2875 1399.3000 1399.3125 1399.3250 1399.3375 1399.3500 1399.3625 1399.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ Channel: E502 to E898 E536 Transmission Frequency (MHz) 1427.8750 1427.4625 E537 1427.8875 E571 E504 E505 E506 1427.4750 1427.4875 1427.5000 E538 E539 E540 1427.9000 1427.9125 1427.9250 E572 E573 E574 1427.0875 E507 1427.5125 E541 1427.9375 E575 1427.1000 1427.1125 1427.1250 E508 E509 E510 1427.5250 1427.5375 1427.5500 E542 E543 E544 1427.9500 1427.9625 1427.9750 E576 E577 E578 1427.1375 1427.1500 E511 E512 1427.5625 1427.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ E569 Transmission Frequency (MHz) 1428.2875 1428.7500 1428.7625 E640 E641 1429.2000 1429.2125 E676 E677 E606 E607 E608 1428.7750 1428.7875 1428.8000 E642 E643 E644 1429.2250 1429.2375 1429.2500 E678 E679 E680 1428.3625 1428.3750 1428.3875 E609 E610 E611 1428.8125 1428.8250 1428.8375 E645 E646 E647 1429.2625 1429.2750 1429.2875 E681 E682 E683 1428.4000 E612 1428.8500 E648 1429.3000 E684 1428.4125 1428.4250 1428.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ E674 E675 E748 E749 Transmission Frequency (MHz) 1429.6250 1429.6375 1430.5500 1430.5625 1430.1250 1430.1375 1430.1500 E750 E751 E752 1430.5750 1430.5875 1430.6000 E786 E787 E788 E717 1430.1625 E753 1430.6125 E789 1429.7250 1429.7375 1429.7500 E718 E719 E720 1430.1750 1430.1875 1430.2000 E754 E755 E756 1430.6250 1430.6375 1430.6500 E790 E791 E792 1429.7625 1429.7750 E721 E722 1430.2125 1430.2250 E757 E758 1430.6625 1430.
ᚑ 㒙ጊޓᖘᏆ ᛚ ⌀ᨩ⌬ޓ E781 E782 E783 Transmission Frequency (MHz) 1430.9625 1430.9750 1430.9875 1431.4375 1431.4500 E855 E856 1431.8750 1431.8875 E890 E891 E822 E823 E824 1431.4625 1431.4750 1431.4875 E857 E858 E859 1431.9000 1431.9125 1431.9250 E892 E893 E894 1431.0625 1431.0750 1431.0875 E825 E826 E827 1431.5000 1431.5125 1431.5250 E860 E861 E862 1431.9375 1431.9500 1431.9625 E895 E896 E897 1431.1000 1431.1125 E828 E829 1431.5375 1431.5500 E863 E864 1431.
ᚑ 㒙ጊޓᖘᏆ Transmission Frequency (MHz) 1431.4000 1431.4125 1431.4250 Channel No. E852 E853 E854 ᛚ ⌀ᨩ⌬ޓ Transmission Frequency (MHz) 1431.8375 1431.8500 1431.8625 Channel No. Transmission Frequency (MHz) Channel No.