Transmitter ZM-540PA, ZM-541PA OPERATOR’S MANUAL Transmitter ZM-540PA, ZM-541PA 1st Edition: 01 Jul 2009 9th Edition: XX Oct 2015 0614-902754H Printed:
About This Manual 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. Accompanying Documentation The Transmitter ZM-540P comes with the following manuals. Refer to the manual depending on your needs. Operator’s Manual (this manual) Describes the operation and settings of Transmitter ZM-540P. Read this manual before use.
ZM-540PA, ZM-541PA Operator’s Manual Contents Unpacking......................................................................................................i GENERAL HANDLING PRECAUTIONS .......................................................I WARRANTY POLICY ...................................................................................II EMC RELATED CAUTION ........................................................................ VI Conventions Used in this Manual and Instrument .....................
ZM-540PA, ZM-541PA Operator’s Manual Changing Parameter and System Setup Settings ......................................35 Notes on Parameter Settings ................................................................35 Changing PARAMETER SETUP Settings ............................................36 Parameter Setup Setting List ..........................................................36 Displaying the PARAMETER SETUP Screen ................................37 Changing Parameter Setup Settings ...............
ZM-540PA, ZM-541PA Operator’s Manual Turning the Display On after It was Turned Off ..............................89 ECG and Respiration Monitoring ..........................................................89 Turning ECG Measurement On/Off ................................................92 Turning Respiration Measurement On/Off......................................92 Electrode Detachment ....................................................................92 SpO2 Monitoring .................................
ZM-540PA, ZM-541PA Operator’s Manual Cleaning ........................................................................................130 Disinfection ...................................................................................130 SpO2 Probe .........................................................................................131 NIBP Cuff ............................................................................................131 Periodic Inspection ...........................................
ZM-540PA, ZM-541PA Operator’s Manual Environment .................................................................................. 147 Safety Standards ..........................................................................148 Electromagnetic Compatibility ......................................................148 Electromagnetic Emissions ..........................................................149 Electromagnetic Immunity ............................................................
ZM-540PA, ZM-541PA Operator’s Manual Unpacking Check that all the items are included in the package. If there are any missing items, contact your Nihon Kohden representative. The name and quantity are described under the illustration. ZM-540PA or ZM-541PA transmitter (1) NIBP cuff for adult, standard (1) Strap (1) Certification Operator’s manual (1) &HUWL¿FDWLRQ For the standard accessories and consumables, only use Nihon Kohden VSHFL¿HG SDUWV DQG DFFHVVRULHV WR VDWLVI\ WKH VDIHW\ DQG SHUIRUPDQFH
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ZM-540PA, ZM-541PA Operator’s Manual 8.
ZM-540PA, ZM-541PA Operator’s Manual Equipment Authorization Requirement Compliance with FCC/IC Requirements 7KLV GHYLFH FRPSOLHV ZLWK 3DUW RI WKH )&& )HGHUDO &RPPXQLFDWLRQV &RPPLVVLRQ 5XOHV 2SHUDWLRQ LV VXEMHFW WR WKH IROORZLQJ WZR FRQGLWLRQV WKLV GHYLFH PD\ QRW FDXVH KDUPIXO LQWHUIHUHQFH DQG WKLV GHYLFH PXVW DFFHSW DQ\ LQWHUIHUHQFH UHFHLYHG LQFOXGLQJ LQWHUIHUHQFH WKDW PD\ FDXVH XQGHVLUHG RSHUDWLRQ 7KLV GHYLFH FRPSOLHV ZLWK 3DUW 6XESDUW + RI WKH )&& 5XOHV WR EH XVHG LQ ZLUHOHVV PHGL
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ZM-540PA, ZM-541PA Operator’s Manual EMC RELATED CAUTION This equipment and/or system complies with IEC 60601-1-2 International Standard for electromagnetic compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that exceeds the limits or levels stipulated in 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.
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ZM-540PA, ZM-541PA Operator’s Manual Conventions Used in this Manual and Instrument Warnings and Cautions Level Description WARNING $ ZDUQLQJ DOHUWV WKH XVHU WR SRVVLEOH LQMXU\ RU GHDWK DVVRFLDWHG ZLWK WKH XVH RU PLVXVH RI WKH LQVWUXPHQW CAUTION $ FDXWLRQ DOHUWV WKH XVHU WR SRVVLEOH LQMXU\ RU SUREOHPV ZLWK WKH LQVWUXPHQW DVVRFLDWHG ZLWK LWV XVH RU PLVXVH VXFK DV LQVWUXPHQW PDOIXQFWLRQ LQVWUXPHQW IDLOXUH GDPDJH WR WKH LQVWUXPHQW RU GDPDJH WR RWKHU SURSHUW\ VIII
ZM-540PA, ZM-541PA Operator’s Manual Explanations of the Symbols in this Manual and Instrument 7KH IROORZLQJ V\PEROV IRXQG LQ WKLV PDQXDO LQVWUXPHQW EHDU WKH UHVSHFWLYH GHVFULSWLRQV DV JLYHQ On Panel Symbol Description Symbol Description &KDQJH VFUHHQ 'H¿EULOODWLRQ SURRI W\SH %) applied part $WWHQWLRQ FRQVXOW RSHUDWRU¶V manual 'H¿EULOODWLRQ SURRI W\SH &) applied part 0RYHV FXUVRU VFUROOV GDWD Serial number 'LUHFWLRQ IRU DWWDFKLQJ EDWWHU\ FRYHU 'DWH RI PDQXIDFWXUH 'LUHFWLRQ IRU LQVHUWLQJ
ZM-540PA, ZM-541PA Operator’s Manual Intended Use General 7KH =0 3$ DQG =0 3$ WUDQVPLWWHUV WUDQVPLW (&* UHVSLUDWLRQ DQG SXOVH ZDYHIRUPV 6S22 DQG 1,%3 GDWD IURP D SDWLHQW WR D 1LKRQ .RKGHQ PRQLWRU IRU FRQWLQXRXV PRQLWRULQJ 7KH IURQW /&' GLVSOD\V (&* RU SXOVH ZDYH QXPHULF YDOXHV RI PRQLWRULQJ SDUDPHWHUV 1,%3 PHDVXULQJ PRGH DQG LQWHUYDO PHVVDJHV DQG EDWWHU\ FRQGLWLRQ * 7KH\ DOVR GLVSOD\ WKH FRPSUHVVHG ZDYHIRUP DQG QXPHULF GDWD RI WKH ODWHVW PLQXWHV 7KLV WUDQVPLWWHU LV GHVLJQHG IRU XVH E\
ZM-540PA, ZM-541PA Operator’s Manual 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. 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.
ZM-540PA, ZM-541PA Operator’s Manual • For details on antennas and antenna construction, contact your Nihon Kohden representative. You can also refer to the Telemetry System Installation Guide. Receiving Monitor $Q\ 1LKRQ .
ZM-540PA, ZM-541PA Operator’s Manual Panel Description Front Panel 4 1 5 2 6 3 7 5HIHU WR WKH :$51,1* RQ WKH QH[W SDJH 8 2Q D 6(783 RU &+(&. VFUHHQ WKLV NH\ FDQFHOV FKDQJLQJ VHWWLQJ RU H[LWV WKH VFUHHQ 1 LCD 'LVSOD\V QXPHULF YDOXHV (&* RU SXOVH ZDYH 1,%3 PHDVXULQJ PRGH DQG LQWHUYDO PHVVDJHV DQG EDWWHU\ VWDWXV )RU GHWDLOV UHIHU WR WKH ³6FUHHQ 'HVFULSWLRQV´ VHFWLRQ 4 Function key 'HSHQGLQJ RQ WKH VHWWLQJ RQ WKH WUDQVPLWWHU WKLV NH\ VXVSHQGV DODUPV SDXVHV PRQLWRULQJ RQ WKH UHFHLYLQJ
ZM-540PA, ZM-541PA Operator’s Manual 4 1 5 2 6 3 7 5HIHU WR WKH :$51,1* RQ WKH QH[W SDJH 8 7 Lead/Scroll keys 5 NIBP Start/Stop key 2Q WKH QXPHULF DQG ZDYHIRUP VFUHHQ WKHVH NH\V FKDQJH WKH (&* OHDG 6WDUWV VWRSV 1,%3 PHDVXUHPHQW LQ VHOHFWHG PRGH 2Q WKH ZDYHIRUP UHYLHZ VFUHHQ WKHVH NH\V VFUROO GDWD 6 NIBP Interval key 6HOHFWV 1,%3 PHDVXUHPHQW PRGH 2Q D 6(783 VFUHHQ WKHVH NH\V PRYH WKH FXUVRU 8 Battery case &RQWDLQV WKUHH 9 GU\ FHOO EDWWHULHV $$ 7<3( WARNING Close the battery c
ZM-540PA, ZM-541PA Operator’s Manual Rear Panel Lock plate )DVWHQV WKH WUDQVPLWWHU WR DQ 1,%3 FXII 5HIHU WR WKH ³([SODQDWLRQV RI WKH 6\PEROV LQ WKLV 0DQXDO DQG ,QVWUXPHQW´ VHFWLRQ 5HIHU WR WKH :$51,1* EHORZ 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.
ZM-540PA, ZM-541PA Operator’s Manual Top Panel 5HIHU WR WKH :$51,1* RQ WKH QH[W SDJH 5HIHU WR WKH :$51,1* RQ WKH QH[W SDJH LA RA Va Vb LL RL NIBP socket &RQQHFWV WKH FXII KRVH 5HIHU WR WKH ³([SODQDWLRQV RI WKH 6\PEROV LQ WKLV 0DQXDO DQG ,QVWUXPHQW´ VHFWLRQ 5HIHU WR WKH ³([SODQDWLRQV RI WKH 6\PEROV LQ WKLV 0DQXDO DQG ,QVWUXPHQW´ VHFWLRQ ECG/impedance RESP socket &RQQHFWV WKH HOHFWURGH OHDG IRU PHDVXULQJ (&* DQG RU UHVSLUDWLRQ LPSHGDQFH Bottom Panel 5HIHU WR WKH ³([SODQDWLRQV RI WKH
ZM-540PA, ZM-541PA Operator’s Manual 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. WARNING When performing defibrillation, discharge as far as possible from electrodes, patches and any gel, cream or medicine on the chest of the patient.
ZM-540PA, ZM-541PA Operator’s Manual Important Safety Information General 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. WARNING When performing MRI test, remove all electrodes and probe from the patient which are connected to this transmitter. Failure to follow this warning may cause skin burn on the patient. For details, refer to the MRI manual.
ZM-540PA, ZM-541PA Operator’s Manual WARNING When performing defibrillation, discharge as far as possible from electrodes, patches and any gel, cream or medicine on the chest of the patient. If there is a possibility that the defibrillator paddle could touch these materials, remove them from the patient. If the defibrillator paddle directly contacts these materials, the discharged energy may cause skin burn to the patient.
ZM-540PA, ZM-541PA Operator’s Manual WARNING Close the battery case cover during operation. If the transmitter is used with the battery case cover open, anyone who touches the opened battery case may receive an electrical shock when defibrillation is performed. Touching the opened battery case may cause electrostatic discharge and intermittently interfere with the waveform or data. WARNING When the signal is unstable, keep the patient under close observation.
ZM-540PA, ZM-541PA Operator’s Manual WARNING Do not allow the conductive part of the connector which is connected to the patient to contact other conductive parts including earth. This causes leakage current and incorrect measurement value and leads to wrong diagnosis.
ZM-540PA, ZM-541PA Operator’s Manual 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. 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.
ZM-540PA, ZM-541PA Operator’s Manual 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. 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.
ZM-540PA, ZM-541PA Operator’s Manual CAUTION Always lock the battery cover while using the transmitter. Otherwise the battery cover may come off and correct measurement might not be performed. 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.
ZM-540PA, ZM-541PA Operator’s Manual 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.
ZM-540PA, ZM-541PA Operator’s Manual 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.
ZM-540PA, ZM-541PA Operator’s Manual 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. CAUTION 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.
ZM-540PA, ZM-541PA Operator’s Manual 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. 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.
ZM-540PA, ZM-541PA Operator’s Manual WARNING Check the circulation condition by observing the skin color at the measurement site and pulse waveform. Change the measurement site every 8 hours for disposable probes and every 4 hours for reusable probes (every 8 hours for TL-631T series probe). The skin temperature may increase at the attached site by 2 or 3°C (4 or 5°F) and cause a burn or pressure necrosis.
ZM-540PA, ZM-541PA Operator’s Manual CAUTION While a patient is on medication which causes vasodilation, the pulse waveform may change and in rare cases the SpO2 value might not be displayed. CAUTION NIBP and SpO2 can be measured on the same limb, but the SpO2 monitoring might not be accurate during NIBP measurement. Be careful when reading the SpO2 values.
ZM-540PA, ZM-541PA Operator’s Manual CAUTION Handle the probe cable according to the following cautions. Failure to follow these cautions may cause cable discontinuity or short circuit of the probe cable which may cause incorrect measurement data or inability to perform measurement. Also in rare cases, the probe temperature may increase and cause skin burn on the patient. If the probe cable is damaged, replace the probe with a new one.
ZM-540PA, ZM-541PA Operator’s Manual NIBP Monitoring WARNING Be careful when measuring NIBP on a patient with known bleeding disorders or coagulation. After NIBP measurement, there may be dot hemorrhage, or circulatory disorder by thrombus where the cuff is attached. WARNING NIBP measurement may be incorrect in the following situations.
ZM-540PA, ZM-541PA Operator’s Manual WARNING When performing NIBP measurements in STAT mode or 5 minute intervals, periodically remove the cuff from the patient for ventilation. The skin temperature may increase at the cuff attachment site by 2 or 3°C (4 or 5°F). When measuring a patient with a fever or peripheral circulation insufficiency, it may cause a burn. WARNING Do not attach the NIBP cuff on a limb which is being used for intravascular access or therapy, or an arterio-venous (A-V) shunt.
ZM-540PA, ZM-541PA Operator’s Manual WARNING When performing long term measurement at intervals less than 5 minutes, perform measurements while observing the state of the patient, blood vessels and limb to ensure adequate circulation. Congestion may occur at the measurement site. When performing periodic measurement for a long time, periodically check the circulation condition. CAUTION Do not wrap the cuff on an arm or thigh which is used for injection.
ZM-540PA, ZM-541PA Operator’s Manual CAUTION When performing NIBP measurement repeatedly, have a rest between measurements to recover adequate circulation. Maintenance CAUTION 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. CAUTION Before maintenance, cleaning or disinfection, turn the transmitter power off and remove the batteries.
ZM-540PA, ZM-541PA Operator’s Manual Preparation on Transmitter Batteries Handling Batteries WARNING Do not handle the batteries with wet hands. WARNING 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. When NiMH batteries are left in the transmitter when it is not used, the batteries may overdischarge and leak liquid which makes the batteries unusable and damages the transmitter.
ZM-540PA, ZM-541PA Operator’s Manual Recommended batteries 1L0+ VHFRQGDU\ 3DQDVRQLF HQHORRS $ONDOLQH SULPDU\ 1LKRQ .RKGHQ 0HGLSRZHU HTXLYDOHQW WR 3DQDVRQLF /5 * Installing and Replacing Batteries CAUTION Battery replacement must be performed by the operator. When replacing the batteries of a transmitter that is currently used for a patient, disconnect the electrode leads from the transmitter before replacing batteries or do not touch the patient during replacement.
ZM-540PA, ZM-541PA Operator’s Manual Good Bad Spring Spring NOTE: ,QVHUW WKH í HQG RI WKH EDWWHU\ ¿UVW DQG press it against the spring. If you try to force WKH HQG RI WKH EDWWHU\ LQ ¿UVW DV VKRZQ it will deform the spring and damage the battery and transmitter. 3 &ORVH WKH FRYHU 7KH WUDQVPLWWHU LV DXWRPDWLFDOO\ WXUQHG RQ ZKHQ WKH EDWWHULHV DUH LQVWDOOHG DQG WKH FRYHU LV FORVHG CAUTION Always lock the battery cover while using the transmitter.
ZM-540PA, ZM-541PA Operator’s Manual Battery Level Indication 7KH IROORZLQJ LFRQV RQ WKH GLVSOD\ LQGLFDWH WKH EDWWHU\ OHYHO :KHQ WKH VFUHHQ LV WXUQHG RII SUHVV WKH 6FUHHQ NH\ WR FKHFN WKH EDWWHU\ OHYHO :KHQ ³35272&2/´ RI WKH 6<67(0 6(783 VFUHHQ LV VHW WR WKH EDWWHU\ OHYHO LQGLFDWLRQ LV WUDQVPLWWHG WR WKH UHFHLYLQJ PRQLWRU Indication Battery Level )XOO\ FKDUJHG EDWWHULHV Message on the Receiving Monitor 7KHUH LV QR PHVVDJH RQ WKH PRQLWRU %DWWHULHV DUH IXOO %DWWHULHV DUH ZHDN 5HSODFH EDWW
ZM-540PA, ZM-541PA Operator’s Manual Turning On the Transmitter :KHQ WKH EDWWHULHV DUH LQVWDOOHG FRUUHFWO\ WKH SRZHU LV WXUQHG RQ $ ³SHHS´ VRXQGV IRU RQH VHFRQG WKH VWDUWXS VFUHHQ DSSHDUV WKHQ WKH FKHFN HOHFWURGHV VFUHHQ DSSHDUV 7KHUH LV QR ³SHHS´ VRXQG ZKHQ WKHUH LV QR EDWWHU\ SRZHU NOTE: Check that the “COMMUNICATION LOSS” message is not displayed on the central monitor. $IWHU FKHFNLQJ WKDW WKH (&* LV VWDEOH RQ WKH FKHFN HOHFWURGHV VFUHHQ SUHVV WKH 6FUHHQ NH\ WR GLVSOD\ WKH QXPHULF DQG ZDYHIR
ZM-540PA, ZM-541PA Operator’s Manual Appearance • 7 KHUH DUH QR GDPDJHG RU GLUW\ SDUWV RQ WKH RXWVLGH RI WKH WUDQVPLWWHU /&' NH\V VRFNHWV EDWWHU\ FDVH FRYHU EDWWHU\ FDVH ORFN SODWH HWF • 7KH WUDQVPLWWHU LV FRPSOHWHO\ GU\ • 7KH HOHFWURGHV HOHFWURGH OHDG 6S22 SUREH DQG 1,%3 FXII DUH QRW EURNHQ Batteries • 7KH EDWWHU\ SRODULW\ LV FRUUHFW • 7KH EDWWHU\ FDVH VSULQJ LV ¿UPO\ DWWDFKHG DQG WKH EDWWHU\ LV QRW ORRVH • 7KH EDWWHU\ FDVH FRYHU LV ¿UPO\ FORVHG Channel Setting • 7KH WUDQVPLWWHU
ZM-540PA, ZM-541PA Operator’s Manual Check Items After Use 7R XVH WKH WUDQVPLWWHU LQ VDIH DQG RSWLPXP FRQGLWLRQ IRU QH[W WLPH FKHFN WKH IROORZLQJ Before Turning Power Off • 7HPSRUDULO\ FKDQJHG VHWWLQJV DUH FKDQJHG EDFN WR WKH SUHYLRXV VHWWLQJV • 7KHUH ZDV QR PDOIXQFWLRQ RQ WKH WUDQVPLWWHU Storage • (&* HOHFWURGH OHDGV 6S22 SUREH DQG 1,%3 FXII DUH FOHDQHG DQG GLVLQIHFWHG • ,I WKH WUDQVPLWWHU JRW ZHW OLTXLG LV ZLSHG RII DQG WKH WUDQVPLWWHU LV WKRURXJKO\ GULHG • 7KHUH DUH HQRXJK FRQVXPDEOHV VXFK
ZM-540PA, ZM-541PA Operator’s Manual Changing the Transmitter Channel 7KH FKDQQHO RI WKH WUDQVPLWWHU FDQ EH FKDQJHG ZLWK DQ 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. Otherwise, there may be signal loss or signals may mix causing a serious accident, such as monitoring a different patient.
ZM-540PA, ZM-541PA Operator’s Manual 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 FKDQJHG EHIRUH PRQLWRULQJ &KDQJLQJ WKHVH VHWWLQJV GXULQJ PRQLWRULQJ LQWHUUXSWV PRQLWRULQJ NOTE: &KDQJLQJ 3DUDPHWHU DQG 6\VWHP 6HWXS VHWWLQJV PXVW EH GRQH E\ TXDOL¿HG personnel. Notes on Parameter Settings :KHQ PRQLWRULQJ 1,%3 DQG 6S22 WKH IROORZLQJ VHWWLQJ PXVW EH VHW DV LQGLFDWHG LQ WKH WDEOH WR SURSHUO\ WUDQVPLW WKH PRQLWRULQJ GDWD WR WK
ZM-540PA, ZM-541PA Operator’s Manual Changing PARAMETER SETUP Settings Parameter Setup Setting List 7KH IDFWRU\ GHIDXOW VHWWLQJV DUH XQGHUOLQHG Setting Item Description Settings (&* (/(&752'(6 6HOHFW WKH HOHFWURGH OHDG W\SH ,(& $+$ /($' 7<3( 6HOHFW WKH W\SH RI (&* OHDGV $872 /($'6 (&* 0($685(0(17 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)) ,I WKLV VHWWLQJ LV VHW WR 2)
ZM-540PA, ZM-541PA Operator’s Manual Displaying the PARAMETER SETUP Screen Cursor 1 2 7XUQ RII WKH WUDQVPLWWHU E\ UHPRYLQJ RQH EDWWHU\ 3 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³3$5$0(7(5 6(783´ 4 3UHVV WKH )XQFWLRQ NH\ WR HQWHU 3$5$0(7(5 6(783 7KH FXUUHQW VHWWLQJV DUH KLJKOLJKWHG 5 &KDQJH VHWWLQJV :KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ WKH WUDQVPLWWHU E\ LQVHUWLQJ WKH EDWWHU\ 7KH 0(18 VFUHHQ DSSHDUV MENU screen Cursor • 7 R PRYH WKH FXUVRU DQG VHOHFW WKH VHWWLQJ LWHP SUHVV W
ZM-540PA, ZM-541PA Operator’s Manual Changing Parameter Setup Settings ECG ELECTRODES 6HOHFW WKH HOHFWURGH OHDG W\SH Cursor Setting item Cursor Selected setting 1 2Q WKH 3$5$0(7(5 6(783 VFUHHQ SUHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³(&* (/(&752'(6´ 2 3UHVV WKH )XQFWLRQ NH\ 7KH FXUVRU PRYHV WR WKH VHOHFWLRQ LWHP 3 3UHVV WKH Ź NH\ WR VHOHFW ³,(&´ RU ³$+$´ 4 3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG VHWWLQJ 7KH FXUVRU UHWXUQV WR ³(&* (/(&752'(6´ LEAD TYPE 6HOHFW WKH W\SH RI (&
ZM-540PA, ZM-541PA Operator’s Manual 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)) ,I WKLV VHWWLQJ LV VHW WR 2)) WKH VDPH VHWWLQJ RQ WKH UHFHLYLQJ PRQLWRU PXVW DOVR EH VHW WR 2)) NOTE: When “PROTOCOL” of the transmitter is set to 57 and the receiving monitor is able to receive protocol 57, ECG measurement on the receiving monitor is automatically set to OFF when this sett
ZM-540PA, ZM-541PA Operator’s Manual SpO2 RESPONSE 6HOHFW WKH 6S22 UHVSRQVH PRGH IURP )$67 1250$/ RU 6/2: )RU GHWDLOV RQ WKH UHVSRQVH WLPH UHIHU WR WKH ³6SHFL¿FDWLRQV 6S22 0HDVXUHPHQW ,62 FRPSOLDQW ´ 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. 1 2Q WKH 3$5$0(7(5 6(783 VFUHHQ SUHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6S22 5(63216(´ ³6S22 5(63216(´ LV RQ WKH VHFRQG SDJH RI
ZM-540PA, ZM-541PA Operator’s Manual SELECTABLE INTERVALS (min) :KHQ WKH 1,%3 ,17(59$/ NH\ LV SUHVVHG WKH PHDVXUHPHQW PRGH FKDQJHV DFFRUGLQJ WR WKH PRGHV VHOHFWHG LQ WKLV LWHP 0$18$/ PRGH LV DOUHDG\ VHOHFWHG IRU WKH PRGH VHOHFWLRQ 1 2Q WKH 3$5$0(7(5 6(783 VFUHHQ SUHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6(/(&7$%/( ,17(59$/6´ ³6(/(&7$%/( ,17(59$/6´ LV RQ WKH WKLUG SDJH RI WKH 3$5$0(7(5 6(783 VFUHHQ 2 3 3UHVV WKH )XQFWLRQ NH\ 4 3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG VHWWLQJ 7KH
ZM-540PA, ZM-541PA Operator’s Manual NIBP MODE AFTER STAT (min) 6HOHFW WKH 1,%3 PHDVXUHPHQW PRGH DIWHU FRPSOHWLQJ WKH 67$7 PHDVXUHPHQW 1 2Q WKH 3$5$0(7(5 6(783 VFUHHQ SUHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³1,%3 02'( $)7(5 67$7´ ³1,%3 02'( $)7(5 67$7´ LV RQ WKH WKLUG SDJH RI WKH 3$5$0(7(5 6(783 VFUHHQ 2 3 3UHVV WKH )XQFWLRQ NH\ 4 3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG VHWWLQJ 7KH FXUVRU UHWXUQV WR ³1,%3 02'( $)7(5 67$7´ 3UHVV WKH Ź NH\ WR VHOHFW WKH PRGH 2QO\ WKH PRGH RU LQWHU
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ZM-540PA, ZM-541PA Operator’s Manual Changing SYSTEM SETUP Settings System Setup Setting List 7KH IDFWRU\ GHIDXOW VHWWLQJV DUH XQGHUOLQHG Setting Item 35272&2/ Description 6HOHFW WKH WUDQVPLWWLQJ SURWRFRO 1HZ SURWRFRO $ FHQWUDO PRQLWRU ZLWK DQ 25* $ 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 SDWLHQW UHFHLYHU FDQ UHFHLYH WKLV SURWR
ZM-540PA, ZM-541PA Operator’s Manual Displaying the SYSTEM SETUP Screen Cursor 1 2 7XUQ RII WKH WUDQVPLWWHU E\ UHPRYLQJ RQH EDWWHU\ 3 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6<67(0 6(783´ 4 3UHVV WKH )XQFWLRQ NH\ WR HQWHU 6<67(0 6(783 7KH FXUUHQW VHWWLQJV DUH KLJKOLJKWHG 5 &KDQJH VHWWLQJV :KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ WKH WUDQVPLWWHU E\ LQVHUWLQJ WKH EDWWHU\ 7KH 0(18 VFUHHQ DSSHDUV MENU screen Setting item Setting • 7 R PRYH WKH FXUVRU DQG VHOHFW WKH VHWWLQJ LWHP p
ZM-540PA, ZM-541PA Operator’s Manual Changing System Setup Settings PROTOCOL 6HOHFW WKH WUDQVPLWWLQJ SURWRFRO )RU GLIIHUHQFHV EHWZHHQ SURWRFROV UHIHU WR WKH WDEOH EHORZ 1HZ SURWRFRO $ FHQWUDO PRQLWRU ZLWK DQ 25* $ 25* $ RU 25* $ PXOWLSOH SDWLHQW UHFHLYHU ZKRVH VRIWZDUH YHUVLRQ RU ODWHU FDQ UHFHLYH WKLV SURWRFRO 2OG SURWRFRO $ FHQWUDO PRQLWRU ZLWK 25* $ 25* $ RU 25* $ PXOWLSOH SDWLHQW UHFHLYHU FDQ UHFHLYH WKLV SURWRFRO NOTE: When 57 is set, the receiving moni
ZM-540PA, ZM-541PA Operator’s Manual 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 “57”. If PROTOCOL is changed to “42”, FUNCTION KEY is automatically changed to “OFF”. 4 3UHVV WKH )XQFWLRQ NH\ WR UHJLVWHU WKH VHOHFWHG VHWWLQJ 7KH FXUVRU UHWXUQV WR ³35272&2/´ BRIGHTNESS 6HOHFW WKH VFUHHQ EULJKWQHVV 1 2 3 4 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³%5,*+71(66´ 3UHVV WKH )XQFWLRQ NH\ 3UHVV WKH Ź NH\ WR
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ZM-540PA, ZM-541PA Operator’s Manual SELECTABLE SCREEN TIME OUT PERIOD (min) 6HOHFW WKH GLVSOD\ WLPH RXW SHULRG ,I QR NH\ LV SUHVVHG IRU WKH VHOHFWHG WLPH WKH GLVSOD\ LV DXWRPDWLFDOO\ WXUQHG RII 7KH VHOHFWHG WLPH LV VKRZQ RQ WKH 6HOHFW 6FUHHQ 7LPH 2XW 3HULRG VFUHHQ 5HIHU WR WKH ³7XUQLQJ WKH 'LVSOD\ 2II´ VHFWLRQ IRU GHWDLOV SYSTEM SETUP screen - page 2 1 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6(/(&7$%/( 6&5((1 7,0( 287 3(5,2' PLQ ´ ,W LV RQ WKH WKLUG SDJH RI WKH 6<67(0 6(783 VFUHHQ 2 3 4
ZM-540PA, ZM-541PA Operator’s Manual Initializing Settings 'R WKH IROORZLQJ SURFHGXUH WR LQLWLDOL]H DOO VHWWLQJV H[FHSW IRU FKDQQHO WR WKH IDFWRU\ GHIDXOW VHWWLQJV Cursor 1 2 7XUQ RII WKH WUDQVPLWWHU E\ UHPRYLQJ D EDWWHU\ 3 3UHVV WKH Ź NH\ WR PRYH WKH FXUVRU WR ³6<67(0 ,1,7,$/,=(´ 4 3UHVV WKH )XQFWLRQ NH\ WR HQWHU WKH 6<67(0 ,1,7,$/,=( VFUHHQ 5 3UHVV WKH )XQFWLRQ NH\ $ FRQ¿UPDWLRQ PHVVDJH DSSHDUV :KLOH SUHVVLQJ WKH )XQFWLRQ NH\ WXUQ RQ WKH WUDQVPLWWHU E\ LQVHUWLQJ WKH EDWWHU\ 7
ZM-540PA, ZM-541PA Operator’s Manual Attaching Electrodes, SpO2 Probe and NIBP Cuff to the Patient 7KH WUDQVPLWWHU FDQ EH DWWDFKHG WR DQ DUP RI WKH SDWLHQW RU SODFHG RQ WKH EHGVLGH 7KH UHTXLUHG OHQJWK RI WKH HOHFWURGH OHDGV DQG 6S22 SUREH FDEOH GHSHQGV RQ KRZ WKH WUDQVPLWWHU LV WR EH DWWDFKHG WR WKH SDWLHQW NOTE: Monitoring SpO2 during NIBP Measurement When the SpO2 probe is attached to the same limb as the NIBP cuff, the EORRG ÀRZ GHFUHDVHV GXULQJ 1,%3 PHDVXUHPHQW DQG SXOVH ZDYH FDQQRW be detected a
ZM-540PA, ZM-541PA Operator’s Manual Selecting Electrode Leads and Disposable Electrodes 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. 7KH IROORZLQJ RSWLRQDO HOHFURGHV DQG HOHFWURGH OHDGV FDQ EH XVHG ZLWK WKH WUDQVPLWWHU Disposable Electrode Electrode Lead Note %5 3$ 7KUHH HOHFWURGHV &OLS W\SH %5 3$ 7KUHH HOHFWURGHV &OLS W\SH Vitrode
ZM-540PA, ZM-541PA Operator’s Manual Connecting the Electrode Lead to the Transmitter &RQQHFW WKH HOHFWURGH OHDG WR WKH (&* 5(63 VRFNHW RQ WKH WUDQVPLWWHU NOTE: Hold the sides of the transmitter when connecting or disconnecting the electrode lead. Pressing the display while holding the transmitter may damage the transmitter. When transmitter is attached on an arm CAUTION Do not shake or swing the transmitter while holding the leads or cables connected to the transmitter.
ZM-540PA, ZM-541PA Operator’s Manual Electrode Positions for ECG Monitoring Six Electrodes 7KH HOHFWURGH PHWKRG ZLWK OHDG ,, DQG OHDG 9 LV HIIHFWLYH IRU PRQLWRULQJ P\RFDUGLDO LVFKHPLD
ZM-540PA, ZM-541PA Operator’s Manual /HDG 3RVLWLRQ Standard limb leads Lead II Lead RA Lead II LA Lead III RA RA LA LL LL LL N (RL) N (RL) Monopolar limb leads aVR lead RA N (RL) aVL lead aVF lead RA LA RA LA LA LL LL LL N (RL) LA N (RL) N (RL) Monopolar chest leads V1 V6 leads leads V1 to to V6 to RA LA LL N (RL) Three Electrodes • /HDG 0,, ZKLFK LV VLPLODU WR VWDQGDUG OHDG ,, XVHG ZKHQ (&* PHDVXUHPHQW KDV SULRULW\ Symbol R/RA (−) L/LA (N) Lead Color Electrode Positio
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ZM-540PA, ZM-541PA Operator’s Manual NOTE • To maintain good contact between the electrode and skin, check that the paste of the disposable electrode is not dry. • When contact between the disposable electrode and skin becomes poor, replace electrodes with new ones immediately. Otherwise, contact impedance between the skin and the electrode increases and accurate ECG cannot be obtained. 5HIHU WR WKH HOHFWURGH RSHUDWRU¶V PDQXDO IRU GHWDLOV 1 &DUHIXOO\ UHPRYH WKH EDFNLQJ SDSHU IURP WKH HOHFWURGH $YRL
ZM-540PA, ZM-541PA Operator’s Manual Attaching the SpO2 Probe Selecting the SpO2 Probe 6HOHFW DQ DSSURSULDWH SUREH IRU WKH SDWLHQW CAUTION Only use Nihon Kohden specified electrodes, electrode leads and SpO2 probes. Otherwise, the maximum performance from the transmitter cannot be guaranteed. CAUTION Do not use a damaged or disassembled probe. It causes incorrect measurement and may injure the patient.
ZM-540PA, ZM-541PA Operator’s Manual Probe Cable Length Attachment Site Patient 7/ 7 P )LQJHU SUREH 7/ 7 7/ 7 Attachment tape 7/ 7 P 0XOWL VLWH SUREH 7/ 7 Attachment tape P Adult or child NJ RU PRUH )LQJHU RU WRH $GXOW RU LQIDQW NJ RU PRUH )LQJHU RU WRH Neonate NJ RU OHVV ,QVWHS DQG VROH Disposable Probes CAUTION The disposable probe is not sterilized. Use the disposable probe only for a single patient.
ZM-540PA, ZM-541PA Operator’s Manual Probe Patient 6S22 SUREH 7/ 6 7/ 6 35 mm Attachment Site Adult or child WR NJ )LQJHU ,QIDQW WR NJ 7RH Adult NJ RU PRUH )LQJHU RU WRH &KLOG WR NJ )LQJHU RU WRH Neonate NJ RU OHVV ,QVWHS DQG VROH Adult NJ RU PRUH )LQJHU RU WRH ,QIDQW WR NJ )LQJHU RU WRH Attachment tape &DEOH OHQJWK 7/ 6 P 7/ 6 P 6S22 SUREH 7/ 7 7/ 7 &DEOH OHQJWK 7/ 7 P 7/ 7 P 6S22 SUREH 7/ 7
ZM-540PA, ZM-541PA Operator’s Manual Connecting the SpO2 Probe to the Transmitter &RQQHFW WKH SUREH WR WKH 6S22 VRFNHW RQ WKH WUDQVPLWWHU NOTE: Hold the connector of the probe cable when connecting or disconnecting the probe. Pulling the cable may damage the probe. When transmitter is attached on an arm 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.
ZM-540PA, ZM-541PA Operator’s Manual 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 DQG SKRWR GHWHFWRU RI WKH SUREH IDFH HDFK RWKHU DW WKH DWWDFKPHQW VLWH 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.
ZM-540PA, ZM-541PA Operator’s Manual WARNING When monitoring SpO2 of a patient who is receiving photodynamic therapy, the light from the finger probe sensor may cause a burn. Photodynamic therapy uses a photosensitizing agent that has a side effect of photosensitivity. 7KH 6S22 SUREHV PDQXIDFWXUHG E\ 1LKRQ .RKGHQ KDYH WZR ZDYHOHQJWKV ZLWK SHDNV LQ WKH UDQJH RI DQG QP 7KH PD[LPXP OLJKW LQWHQVLW\ LV OHVV WKDQ P: CAUTION If the attachment site is dirty with blood or bodily fluids, clean the at
ZM-540PA, ZM-541PA Operator’s Manual Attaching the NIBP Cuff Selecting the NIBP Cuff 6HOHFW WKH 1,%3 FXII DSSURSULDWH IRU WKH SDWLHQW NOTE: NIBP cannot be measured on neonates using this transmitter.
ZM-540PA, ZM-541PA Operator’s Manual :KHQ QRW DWWDFKLQJ WKH WUDQVPLWWHU WR WKH SDWLHQW DUP WKH IROORZLQJ FXIIV FDQ EH XVHG 7R XVH WKHVH FXIIV DQ RSWLRQDO <1 3 H[WHQVLRQ KRVH P LV UHTXLUHG Reusable Cuff )RU LQIDQW Small For child For adult Standard Standard /DUJH Model Width (cm) <3 7 <3 7 <3 7 <3 7 <3 7 <3 7 <3 7 Width Air hose 66 Air Hose Length (cm)
ZM-540PA, ZM-541PA Operator’s Manual Disposable Cuffs CAUTION Disposable cuffs are not sterilized. If necessary, sterilize the cuff using glutaraldehyde solution.
ZM-540PA, ZM-541PA Operator’s Manual Reference for selecting a cuff 7KH $+$ $PHULFDQ +HDUW $VVRFLDWLRQ UHFRPPHQGV WKDW WKH FXII ZLGWK EH RI WKH FLUFXPIHUHQFH RI WKH XSSHU DUP 5HIHU WR WKH IROORZLQJ JUDSK DQG VHOHFW WKH FXII ZKLFK VXLWV WKH SDWLHQW¶V DUP NOTE • If a range of arm circumference appropriate for the cuff is prescribed, use a cuff within that range. • To obtain accurate measured values, select a wide cuff which can be attached to the upper arm.
ZM-540PA, ZM-541PA Operator’s Manual Connecting the NIBP Cuff to the Transmitter When Using YP-503P/YP-504P NIBP Cuff 7R DWWDFK WKH <3 3 <3 3 1,%3 FXII WR WKH WUDQVPLWWHU WKH ORFN SODWH LV UHTXLUHG YP-503P/YP-504P NIBP cuff Air hose Front cover D ring Belt Belt for the strap Front cover open Lock plate pocket Lock plate Top tab 7KH ORFN SODWH LV IRU DWWDFKLQJ WKH 1,%3 FXII WR WKH WUDQVPLWWHU NOTE: Do not roll up or put weight on the cuff when the lock plate is attached to it.
ZM-540PA, ZM-541PA Operator’s Manual 1 5HPRYH WKH ORFN SODWH IURP WKH WUDQVPLWWHU 2 ,QVHUW WKH ORFN SODWH LQWR WKH ORFN SODWH SRFNHW RQ WKH 1,%3 FXII 3 $WWDFK WKH WUDQVPLWWHU WR WKH ORFN SODWH E\ LQVHUWLQJ WKH WDEV RQ WKH ORFN SODWH LQWR WKH VORWV RQ WKH WUDQVPLWWHU 4 &RYHU WKH WUDQVPLWWHU ZLWK WKH IURQW FRYHU RI WKH 1,%3 FXII 5 &RQQHFW WKH DLU KRVH WR WKH 1,%3 VRFNHW RQ WKH WUDQVPLWWHU 7XUQ WKH FXII FRQQHFWRU MRLQW XQWLO LW FOLFNV 2 1 70
ZM-540PA, ZM-541PA Operator’s Manual When Using YP-810P series Disposable Cuffs or YP-702T/703T or YP-960T series Reusable Cuffs To use these NIBP cuffs, an optional YN-990P extension hose (1.5 m) is required. NOTE: Connect the joints properly. If there is an air leak, NIBP cannot be measured properly. 1 Connect the NIBP cuff to the extension hose. 2 Connect the other end of the extension hose to the NIBP socket on the transmitter. Turn the joint clockwise until it clicks.
ZM-540PA, ZM-541PA Operator’s Manual CAUTION Do not attach the cuff to the site where there is injury or inflammation. If the skin gets irritated or redness appears on the skin from the cuff, change the attachment site or stop using the cuff. Take extreme care on the patients with delicate skin. CAUTION Do not wrap the cuff too tight. It may cause poor blood circulation and congestion. If the cuff is wrapped too loosely, the NIBP value may increase. CAUTION Do not reuse disposable parts and accessories.
ZM-540PA, ZM-541PA Operator’s Manual NOTE • Measuring NIBP at a site other than the upper arm gives different values from those measured at the upper arm. When making diagnosis based on the NIBP values, measure NIBP on an upper arm. • 7R DFFXUDWHO\ GHWHFW WKH SXOVDWLOH ÀRZ RI WKH DUWHU\ WKH FXII VKRXOG EH wrapped around a bare upper arm. • Do not use an abnormal cuff. The cuff deteriorates from use and cleaning.
ZM-540PA, ZM-541PA Operator’s Manual Attaching the Transmitter on an Arm (Using the YP-503P/YP-504P NIBP Cuff) 1 $WWDFK WKH 1,%3 FXII WR WKH WUDQVPLWWHU 5HIHU WR WKH ³&RQQHFWLQJ WKH 1,%3 &XII WR WKH 7UDQVPLWWHU´ VHFWLRQ 2 %HIRUH SXWWLQJ WKH FXII RYHU WKH DUP LQVHUW WKH HQG RI WKH FXII LQWR WKH EHOW DQG WKHQ WKURXJK WKH ' ULQJ DV VKRZQ DW OHIW Belt D ring End of cuff 3 3XW WKH SDWLHQW DUP WKURXJK WKH FXII )ROG EDFN WKH FXII DW WKH ' ULQJ DQG IDVWHQ LW XVLQJ WKH YHOFUR WDSH 0DNH VXUH W
ZM-540PA, ZM-541PA Operator’s Manual Attaching the Strap to the Transmitter NOTE • Use the strap to prevent the transmitter from falling. • Do not attach the clip to hard objects such as thick cloth or zipper. It will break the clip. $WWDFK D VWUDS SURYLGHG ZLWK WKH WUDQVPLWWHU WR WKH 1,%3 FXII DQG SDWLHQW FORWKHV 7R RSHQ WKH FOLS ¿UPO\ SXOO RXW WKH WDE LQ GLUHFWLRQ RI WKH DUURZ 1 2 3 7R DGMXVW WKH VWUDS OHQJWK SXVK GRZQ WKH WDE RQ WKH DGMXVWHU DQG VOLGH $GMXVW WKH OHQJWK RI WKH VWUDS &OL
ZM-540PA, ZM-541PA Operator’s Manual Placing the Transmitter on the Bed (Using the YP-810P series Disposable Cuffs or YP-702T/703T or YP-960T series Reusable Cuffs) ARTERY ź 1 3XW WKH FXII RQ WKH XSSHU DUP VR WKDW WKH ź PDUN RI ³$57(5< ź´ DOLJQV ZLWK WKH DUWHU\ RI WKH SDWLHQW 2 :UDS WKH FXII VR WKDW ³,1'(; ZLWKLQ WKH ³ 5$1*( ´ ,I ³,QGH[ ´ LV QRW ZLWKLQ WKH ³ ´ FKDQJH WKH FXII VL]H RANGE 76 ” comes 5$1*(
ZM-540PA, ZM-541PA Operator’s Manual 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 and Ź NH\V DW WKH VDPH WLPH DQG KROG IRU PRUH WKDQ VHFRQGV 7KH ³.H\ ORFNHG´ VFUHHQ DSSHDUV :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
ZM-540PA, ZM-541PA Operator’s Manual 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 • The waveforms displayed on the check electrodes screen are just to check that the electrode or probe is attached to the patient properly. Do not use the displayed waveforms for other purposes. • Do not let the transmitter directly touch the patient’s skin.
ZM-540PA, ZM-541PA Operator’s Manual Check Electrodes Screen
ZM-540PA, ZM-541PA Operator’s Manual Numeric and Waveform Screen 1XPHULF YDOXHV DQG ZDYHIRUPV RI WKH PRQLWRULQJ SDUDPHWHUV DUH GLVSOD\HG
ZM-540PA, ZM-541PA Operator’s Manual 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.
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ZM-540PA, ZM-541PA Operator’s Manual 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 EHIRUH WKH\ RFFXU 7R VXVSHQG DODUPV 1 3UHVV WKH )XQFWLRQ NH\ 7KH ³6XVSHQG DODUPV´ FR
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ZM-540PA, ZM-541PA Operator’s Manual Turning the Display Off 7KH GLVSOD\ FDQ EH WXUQHG RII DQ\ WLPH 7R WXUQ RII WKH GLVSOD\ 1 3UHVV WKH 6FUHHQ NH\ VHYHUDO WLPHV XQWLO WKH IROORZLQJ VFUHHQ DSSHDUV 10-second time bar 2 6HOHFW WKH WLPLQJ IRU WXUQLQJ RII WKH GLVSOD\ ZLWK WKH Ż RU Ź NH\ 7KH VHOHFWHG LWHP LV KLJKOLJKWHG LQ EOXH $ VHFRQG FRXQWGRZQ VWDUWV
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ZM-540PA, ZM-541PA Operator’s Manual 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.
ZM-540PA, ZM-541PA Operator’s Manual 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.
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ZM-540PA, ZM-541PA Operator’s Manual SpO2 Monitoring :KHQ PRQLWRULQJ VWDUWV 6S22 DQG WKH SXOVH ZDYHIRUP DUH VHQW WR WKH PRQLWRU DQG 6S22 and WKH SXOVH OHYHO EDU JUDSK DUH GLVSOD\HG RQ WKH WUDQVPLWWHU VFUHHQ :KHQ (&* LV QRW PHDVXUHG WKH SXOVH ZDYHIRUP DQG SXOVH UDWH DUH DOVR GLVSOD\HG &KHFN WKDW SXOVH ZDYH LV GLVSOD\HG DQG WKDW WKH ³&+(&. 352%(´ PHVVDJH LV QRW GLVSOD\HG ,I WKH SUREH LV GHWDFKHG 6S22 SXOVH UDWH DQG SXOVH ZDYH DUH QRW GLVSOD\HG RQ WKH GLVSOD\ SpO2 Pulse bar graph NOTE: During SpO2
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ZM-540PA, ZM-541PA Operator’s Manual 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. • 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 Check the circulation condition by observing the skin color at the measurement site and pulse waveform.
ZM-540PA, ZM-541PA Operator’s Manual 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 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).
ZM-540PA, ZM-541PA Operator’s Manual CAUTION When the probe is attached on an appropriate site with sufficient thickness and the error message confirming the probe attachment repeatedly appears, the probe may be deteriorated. Replace it with a new one. CAUTION When a message indicates a faulty probe, stop monitoring and replace the probe with a new one.
ZM-540PA, ZM-541PA Operator’s Manual NOTE ,Q RUGHU WR PDLQWDLQ VXI¿FLHQW EORRG FLUFXODWLRQ NHHS WKH PHDVXUHPHQW VLWH 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”.
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ZM-540PA, ZM-541PA Operator’s Manual Measuring NIBP WARNING Be careful when measuring NIBP on a patient with known bleeding disorders or coagulation. After NIBP measurement, there may be dot hemorrhage, or circulatory disorder by thrombus where the cuff is attached. WARNING NIBP measurement may be incorrect in the following situations.
ZM-540PA, ZM-541PA Operator’s Manual WARNING When performing NIBP measurements in STAT mode or 5 minute intervals, periodically remove the cuff from the patient for ventilation. The skin temperature may increase at the cuff attachment site by 2 or 3°C (4 or 5°F). When measuring a patient with a fever or peripheral circulation insufficiency, it may cause a burn.
ZM-540PA, ZM-541PA Operator’s Manual • Do not measure NIBP of a patient on whom an IABP is being used. Measurement may be incorrect due to the mixing of the patient’s own pulse and IABP pulse. • NIBP cannot be measured on a neonate using this transmitter. For Accurate NIBP Measurement • 0DNH VXUH WKH SDWLHQW LV FRPIRUWDEO\ VHDWHG 'R QRW SHUIRUP PHDVXUHPHQW LPPHGLDWHO\ DIWHU WKH SDWLHQW LV VHDWHG .
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ZM-540PA, ZM-541PA Operator’s Manual 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.
ZM-540PA, ZM-541PA Operator’s Manual Cleaning, Disinfection and Sterilization Transmitter and Electrode Leads CAUTION 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.
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ZM-540PA, ZM-541PA Operator’s Manual NIBP Width (cm) Air Hose Length (cm) Model Qty Supply Code Standard <3 31 6 & /DUJH <3 31 6 ' Small Standard Standard /DUJH 'LVSRVDEOH FXII IRU LQIDQW 6 <3 7 <3 7 <3 7 <3 7 <3 7 <3 7 <3 7 <3 3 20 6 $ 6 % 6 $ 6 & 6 % 6 % 6 & 6 & 'LVSRVDEOH FXII IRU FKLOG 8 <3 3 20 6 ' <3 3 <3 3 20 20 6 ( 6
ZM-540PA/ZM-541PA Operator’s Manual Transmission Frequencies &KDQQHO WR Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz)
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz)
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz)
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz)
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) 161
ZM-540PA/ZM-541PA Operator’s Manual &KDQQHO ( WR ( Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
ZM-540PA/ZM-541PA Operator’s Manual &KDQQHO ( WR ( NOTE: In Canada, transmission frequencies from 1429.5 MHz to 1431.9750 MHz cannot be used due to the IC (Industry Canada) regulations. ZM-541PA can only use channels up to E698 in Canada.
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
ZM-540PA/ZM-541PA Operator’s Manual Channel (HEX) Frequency (MHz) Channel (HEX) Frequency (MHz) ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( (
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.
